benefit trigger

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Also found in: Financial.

benefit trigger

A term used in health insurance policies which describe when and how payments for benefits begin.

benefit trigger

, trigger
A set of conditions or self-care deficits used by a health insurer as criteria for the initiation of insurance payouts. In the care of elderly patients, benefits for certain residential services may be linked to the documentation of new deficits in self-care, e.g., the inability to perform two or more activities of daily living.
References in periodicals archive ?
The LTC riders have benefit triggers familiar to those who sell LTC insurance (tax code 7702B), and the advisors also must have LTC CE training.
In this act, the traditional definitions for defining the six ADLs (activities of daily living) and/or Alzheimer's benefit triggers were standardized.
In the world of modern private long-term care insurance, benefits are payable when one of two sets of benefit triggers is met.
CLASS is a federally mandated program in which employed people who do not opt out may prepay for cash LTC benefits without underwriting and with their "premiums," benefits, and benefit triggers determined solely by the Secretary of Health and Human Services based on the program's future actuarial solvency.
Stinson said today's benefit triggers and underwriting evolved together over the past three decades.
In addition to an insurer's financial strength, and the benefits, costs and benefit triggers, etc.