Std Nh 4/6/15 - Week 1

13 Questions

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Std Nh 4/6/15 - Week 1

Questions and Answers
  • 1. 
    What is the difference between a job and an occupation?
  • 2. 
    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)
  • 3. 
    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

  • 4. 
    Who must complete the 3 parts of a claim form?
  • 5. 
    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

  • 6. 
    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.

  • 7. 
    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?
  • 8. 
    Please explain how the elimination period is stated differently in a CXC and an AA series contract.
  • 9. 
    What are the 5 states and 1 territory that provide state disability coverage?
  • 10. 
    Based on the definition of disability in your sample CXC contract, can the claimant be working during the elimination period? Please explain your answer.
  • 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
  • 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
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