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LTD Seg 2 Final Review

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LTD Seg 2 Final Review

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Final Review for LTD Segment Two

Created by

Joan Murray
Joan Murray
United States
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LTD Seg 1 Final Review

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LTD Seg 2 Final Review
 

LTD Seg 2 Final ReviewOnline version

Final Review for LTD Segment Two

by Joan Murray
1

DOD = 7/3/2018 LTD EP = 90 days. What is the LTD BBD?

Written answer

2

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

3

Using the Supply Technologies Contract, what is the numerical value for the pre-ex provision?

Written answer

4

Using the Supply Technologies Contract: If the EDOC is 12/5/24 and the DOD is 12/4/25, is this employee subject to the pre-ex investigation?

Choose one or more answers

5

You have 45 days from when to make an initial decision under ERISA?

6

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 TODAY 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.

7

Using the information provided and the Supply Technologies contract, what is the LTD benefit begin date? format as: mm/dd/yyyy, ex) 01/01/2001

Written answer

8

Using the information provided and the Supply Technologies contract, what is the maximum benefit date (the date that would be coded in the MBD field in S1)? format as: mm/dd/yyyy, ex) 01/01/2001

Written answer

9

You have an approved claim and the claimant is released to return to work on Monday. The claimant tells you that they are not returning to work until Friday because they need to take care of things before starting work again. What would you do?

10

Under which circumstances would VA Disability Benefits impact LTD benefit calculations? (Select all that apply)

Choose one or more answers

11

When requesting ongoing proof of disability for an LTD claim, which actions comply with internal guidelines after day 30 of no response? (Select all that apply)

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12

If the employer pays 75% of the premium and the employee pays 25% with after-tax dollars, how is the LTD benefit taxed?

13

During an initial interview, the claimant reports injuries from a motor vehicle accident while driving for work purposes. Which exclusions or considerations should you investigate? (Select all that apply)

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14

What is the numerical value for the pre-ex provision for ABC Company?

Written answer

15

Using the ABC Contract, what would be the pre-ex lookback period for someone with a DOH 4/15/2023? (mm/dd/yyyy - mm/dd/yyyy)

Written answer

16

Using the ABC Company Contract, would this claimant qualify for the second chance provision? DOH: 2/15/2025, DOD: 9/25/2025

Feedback

DOD 12/10/25 + EP 180 days + 1 = BBD 6/8/2026. Age 60 at DOD, therefore allowed 60 months of LTD. The last payable date is 6/7/2031 (BBD 6/8/2031 + 60 months)

 
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