benefit trigger

(redirected from Benefit Triggers)
Also found in: Financial.

benefit trigger

A term used in health insurance policies which describe when and how payments for benefits begin.
Segen's Medical Dictionary. © 2012 Farlex, Inc. All rights reserved.

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.
Medical Dictionary, © 2009 Farlex and Partners
References in periodicals archive ?
(140) Benefit triggers are met when an individual has
Under the federal CLASS Act (Community Living Assistance Services and Support Act), benefit triggers will parallel private sector triggers, although it has yet to be determined whether the law will require meeting two or three activities.
Benefit Triggers Nonqualified Trigger * Trigger" Contracts Qualified Contracts Activities Inability to perform Inability to perform Of Daily 2 of 5 ADLs.
Benefit triggers require specific, chronic conditions.
Adult day care is paid for by the policy if one of the benefit triggers is activated and a dependent adult is taken to a center that typically provides intermediate or custodial type care.
Stinson said today's benefit triggers and underwriting evolved together over the past three decades.
Companies incorrectly compare these two different types of policies, forgetting that the LTCI benefit triggers and the duration of these claims at older ages are much shorter than DI claims at younger ages.
In addition to an insurer's financial strength, and the benefits, costs and benefit triggers, etc., of purchasing an LTC insurance policy, a 10-pay option and a nonforfeiture provision are important in choosing a policy.
Non-tax-qualified LTC insurance may be perceived as having more liberal benefit triggers, making it easier for the client to qualify for benefits.
Exhibit 2: Eligibility Requirements Tax-Qualified LTC Plans Non-tax-Qualified LTC Plans Common Benefit Triggers Common Benefit Triggers * Activities of daily living: * Activities of daily living: HIPAA requires that a policy LTC professionals generally acknowledge only five ADLs.
Benefit Triggers Nonqualified "Triple- Trigger * Trigger" Contracts Activities Of Daily Inability to perform 2 of Living (ADLs).
The House has passed a broad TPIA bill that would include protection for group life insurers and a variety of other provisions, such as a reduction in benefit triggers and protection against attacks involving weapons of mass destruction.