保险学第15章课后习题.pptVIP

CHAPTER15 Health insurance:Disability income insurance GROUP 6 Group 6: 1. P273. QFR. 4 4. In your own words, explain the basic difference between the two common definitions of sickness contained in disability income policies. Explain which would be preferable from the insured’s point of view and why. ANSWER: The definition of sickness is often used to exclude preexisting conditions in individual disability contracts. Thus coverage would be provided for a preexisting condition that did not manifest itself until after the inception of the policy. Some earlier contracts used a definition that covered sickness contracted or commencing while the policy is in force. ANSWER: Group disability income plans tend to have either no exclusions or less restrictive exclusions for preexisting conditions. ANSWER: The reason of that is for individual disability contracts there would be no coverage for a sickness or disease that the insured had at the inception of the policy, even if the condition were unknown to the insured. Since ailments can go undetected for many years, this is a severe limitation. 2. P273. QFR. 5 5. Briefly distinguish between long-term and short-term disability income contracts. ANSWER: The distinguish: 1.Short-term disability insurance provides coverage for disabilities up to 2years. 2.Long-term disability protects the individual for a longer time, often until age 65. The short-term/long-term distinction reflects a difference in pricing, in underwriting, and in the breadth of coverage. ANSWER: 3. The distinguish between short-term disability and long-term disability is in the length of time for which benefits are payable.