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LTD Final Review

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LTD Final Review

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(52)
Final Review for LTD New Hire Learning Journey

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About Quiz
mathematics
HS4
connect
 Recommended age: 17 years old
265 times made

Created by

Joan Murray
Joan Murray
United States

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LTD Final ReviewOnline version

Final Review for LTD New Hire Learning Journey

by Joan Murray
1

#1 DOD = 7/3/2018 LTD EP = 90 days M/N limit = 12 months DX = anxiety What is the LTD BBD?

Written answer

2

#2 DOD = 7/3/2018 LTD EP = 90 days M/N limit = 12 months DX = anxiety What is the M/N Maximum Benefit Date?

Written answer

3

#3 Assuming that the claimant enrolled in coverage on their DOH, is the EDOC the ER provided correct?

4

#4 What is the numerical value for the pre-ex provision?

Written answer

5

#5 Based on the Effective date of coverage you determined in question #3, is this employee subject to the pre-ex investigation?

Choose one or more answers

6

#6 Based on the effective date of coverage you determined in question #3, what is the pre-ex period? (xx/xx/xxxx-xx/xx/xxxx)

Written answer

7

#7 (Complete questions 3-6 first) Between what dates would we investigate to determine if the employee was treatment free to meet the second chance provision? (xx/xx/xxxx-xx/xx/xxxx)

Written answer

8

#8 (Complete questions 3-7 first)Could the claimant meet the second chance treatment free provision?

Choose one or more answers

9

#9 (Complete questions 3-8 first)Based on the following medical information, can we pay benefits? Both back pain & the broken leg are disabling. The broken leg occurred when the claimant was hospitalized on 02/01/20 and occurred in a car accident. The claimant has had office visits for the back pain on 11/01/19; 11/13/19; 12/03/19; and 01/15/19.

10

#10 Determine which action plan header would be the most appropriate based on the below scenario: The claimant is out of work due to arthritis. The claim is approved during the Own Occ period and the Change of Definition Date is 6/1/2026. A clinical review was received on 4/1/2024 and supports less than sedentary restrictions for 4 months while the claimant recovers from surgery. The claimant is currently in Physical therapy and sees their doctor monthly

11

#11 What is the LTD benefit begin date?

Written answer

12

#12 What is the maximum benefit date at the time of approval?

Written answer

13

#13 After benefits have been paid for 4 months, the EE is diagnosed with osteoarthritis, which is found to be disabling along with the anxiety and depression. Based on the new diagnosis, what fields would you update in SystemOne at month 4?

 
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