Chapters - 6 / 7 / 8 Flashcards

(44 cards)

1
Q

What is the focus for underwriting PREFUNDED LTCI

A

Morbidity

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2
Q

What is the focus for underwriting IMMEDIATE NEED LTCI

A

Mortality

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3
Q

What indicators are used for establishing Mortality

A

Degree of health impairment
The ability to undertake ADL’s

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4
Q

What additional information may underwriters require for annuities

A

Postcode underwriting
Lifestyle Underwriting

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5
Q

Which policy may require PER / SME / MER reports?

A

Prefunded LTCI

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6
Q

What exam does the NHS use to test memory problems or diagnosing demetia?

A

Mini Mental State Examinations (MMSE) or ACE-R

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7
Q

How is the LTCI triggered?

A

Unable to perform a number of ADL’s or be mentally (cognitively) impaired

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8
Q

Under what act must an applicant take ‘reasonable care not to make a misrepresentation?’

A

Consumer Insurance (Disclosure and Representation) Act 2012

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9
Q

Who is the burden of proof for misrepresentation in the application process (either deliberate or reckless)?

A

The Insurer

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10
Q

How long typically is the deferred period for a pre-funded LTCI

A

Typically 2 - 3 months

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11
Q

What is ‘care management’

A

Process to ensure that the claimant is receiving the appropriate level and standard of care.

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12
Q

Which benefits are excluded from the benefits cap?

A

Benefits paid for care or disability
PIP / DLA / support element of ESA

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13
Q

How do pensions influence benefits

A

Uncrystallised funds may be used to evaluate income
Taking inclome or lump lums will influence

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14
Q

When did someone need to reach State Pension age to receive Savings Credit

A

6 April 2016

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15
Q

How is savings credit calculated?

A

Weekly savings threshold is subtracted from qualifying weekly income and then x 60%

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16
Q

Who receives Guarantee Credit

A

additional amount paid where there is a disability or caring for others.

Can include free dental

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17
Q

What other pension credit may be recieved?

A

Severe disability / Carer / Housing costs

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18
Q

If you go into hospital how long before certain credits cease?

19
Q

How are savings applied to Pension Credit?

A

Under £10,000 ignored
Anything above that £1 income per week for every £500
Rounded up to nearest £

20
Q

What income is not taken into account for Pension Credit?

A

Attendance allowance
PIP / DLA
Contribution based Employment and Support Allowance

21
Q

What is employment and support allowance (ESA)?

A

help people with disability and illness to get back to work. Will eventually be replaced by Universal Credit

22
Q

What are the two elements of ESA

A

Contribution based (NI)
Income related (household income of less than £16k)

23
Q

Is ESA taxable?

A

Contribution based - yes
Income related - no

24
Q

How many hours per week must you care for someone to receive Carer’s Allowance?

25
Is Carer's allowance taxable?
Yes
26
What is the limit for Carers earnings?
£196 after tax / expenses
27
What NI contribution do you get for Carer's allowance?
Class 1
28
Who is paid Attendance allowance?
Payable to disabled people who need personal care such as eating, washing, going to the toilet Must be over State Pension age and suffering from a disability for six months or more
29
Is attendance allowance taxed and means tested?
No tax Not means tested
30
How long do you need to be in a care home to cease Attendance Allowance, but who is the exception?
28 days People who self fund residential care
31
Who is Personal Independence Payment for?
Disabled / Need supervision (daily living component) and available to those between 16 - State Pension age Suffering for 3 months or more Expected to be disabled for more than 9 months
32
What is the additional componesnt of PIP?
Mobility Component
33
What is PIP replacing?
DLA
34
How is PIP taxed?
Tax free
35
When is PIP suspeended?
If entering hospital for more than four weeks
36
Who can still apply for DLA?
Children under 16 years old Must be disabled for 6 months
37
What date was Basic State Pension cut off
6 April 2016
38
What are the intestacy rules for spouse and children?
£322,000 + half of the estate for the spouse.
39
Three rules for a Will
Writing / Signature / Attestation
40
Are there implications for deed of variation with LTC?
Yes, could fall fowl of deliberate asset deprevation
41
Who has the authority to execute a will on behalf of a person lacking mental capacity and who usually enacts it?
Court of Protection Official Solicitor
42
How long are benefits deferred from an Immediate needs annuity
30 days
43
Max facilities grant in wales
£36,000
44