STD Nh 4/6/15 - Week 1

13 Questions | By Masutton | Updated: Mar 20, 2022

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1.

What is the difference between a job and an occupation?
2.

Who must complete the 3 parts of a claim form?
3.

A 42 year old Regional Sales Manager with an occupation requiring to travel between ME, NH and MA to conduct business has a medically supported restriction of no driving. Is s/he disabled from performing his occupation? Why?
4.

Please explain how the elimination period is stated differently in a CXC and an AA series contract.
5.

What are the 5 states and 1 territory that provide state disability coverage?
6.

Based on the definition of disability in your sample CXC contract, can the claimant be working during the elimination period? Please explain your answer.
7.

If a claimant is hired in an eligible group on 7/10/14, the policy's waiting period is 30 days, and the application of the waiting period is the day after, what is the claimant's eligibility date? (use format mm/dd/yy)

Correct Answer
08/09/14
08-09-14
8/9/14
8.

STD claim decisions (Pay, Pend, or Adverse Decision) must be made within ______ business days of receipt of a completed claim?
- A.
  
  2
- B.
  
  4
- C.
  
  5
- D.
  
  8
Correct Answer
C. 5
9.

Based on the following information, what day will the claimant’s benefits begin?Date of Disability: 7/18/08EP: 14 daysContract contains >Accumulated sick provisionClaimant was paid sick pay through 08/05/14
- A.
  
  08-06-14
- B.
  
  08-01-14
- C.
  
  07-18-14
Correct Answer
A. 08-06-14
10.

What is the most appropriate statement related to the following information found in NaviLink Plan Provisions?
- A.
  
  The claimant’s benefits will be offset by any amount received for sick pay.
- B.
  
  The claimant’s elimination period may be extended based on the sick pay received.
- C.
  
  Both statements apply.
- D.
  
  Neither statement applies.
Correct Answer
B. The claimant’s elimination period may be extended based on the sick pay received.
11.

Based on the following information, what is the claimant’s effective date of coverage (EDOC)? (use format mm/dd/yy) Policy Effective Date01/01/99Date of Hire in an Eligible Group05/01/05New EE WP1 MonthApplication of WPDay AfterContribYes, EE pays cost of coverageEnrollment Card Signed06/12/05

Correct Answer
06-12-05
6/12/05
06/12/05
June 12, 2005
12.

Based on the following information, what is the claimant’s effective date of coverage (EDOC)? (use format mm/dd/yy) Policy Effective Date01/01/04Date of Hire in an Eligible Group06/28/05New EE WP90 DaysApplication of WP1st of the Month FollowingNon-ContribER pays cost of coverage

Correct Answer
10-01-05
10/1/05
10/01/05
October 1, 2005

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Current Version
Mar 20, 2022

Quiz Edited by
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Apr 09, 2015

Quiz Created by
Masutton

STD Nh 4/6/15 - Week 1

What is the difference between a job and an occupation?

Who must complete the 3 parts of a claim form?

A 42 year old Regional Sales Manager with an occupation requiring to travel between ME, NH and MA to conduct business has a medically supported restriction of no driving. Is s/he disabled from performing his occupation? Why?

Please explain how the elimination period is stated differently in a CXC and an AA series contract.

What are the 5 states and 1 territory that provide state disability coverage?

Based on the definition of disability in your sample CXC contract, can the claimant be working during the elimination period? Please explain your answer.

If a claimant is hired in an eligible group on 7/10/14, the policy's waiting period is 30 days, and the application of the waiting period is the day after, what is the claimant's eligibility date? (use format mm/dd/yy)

STD claim decisions (Pay, Pend, or Adverse Decision) must be made within ______ business days of receipt of a completed claim?

Based on the following information, what day will the claimant’s benefits begin?Date of Disability: 7/18/08EP: 14 daysContract contains >Accumulated sick provisionClaimant was paid sick pay through 08/05/14

What is the most appropriate statement related to the following information found in NaviLink Plan Provisions?

Based on the following information, what is the claimant’s effective date of coverage (EDOC)? (use format mm/dd/yy) Policy Effective Date01/01/99Date of Hire in an Eligible Group05/01/05New EE WP1 MonthApplication of WPDay AfterContribYes, EE pays cost of coverageEnrollment Card Signed06/12/05

Based on the following information, what is the claimant’s effective date of coverage (EDOC)? (use format mm/dd/yy) Policy Effective Date01/01/04Date of Hire in an Eligible Group06/28/05New EE WP90 DaysApplication of WP1st of the Month FollowingNon-ContribER pays cost of coverage