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All the following statements regarding the benefits of state LTC
partnership programs are generally correct EXCEPT: - ✔✔✔ ANSWER-
The federal Medicare program benefits by reducing demand for acute
long-term care among seniors.
That's correct! LTC partnership programs are concerned only with who
bears the expense of LTC and can do nothing about the demand for
acute long-term care among seniors, which continues to rise.
As required by DRA, all long-term care insurance policies used in any
new state partnership programs must be tax qualified as defined by
HIPAA. - ✔✔✔ ANSWER-True
That's correct! DRA mandates that all policies issued under the new
state partnership programs must be tax-qualified policies.
In defining the terms and conditions for a qualified state long-term
care insurance partnership program, DRA outlines basic requirements
for partnership-qualified LTCI policies in all the following respects
EXCEPT: - ✔✔✔ ANSWER-maximum allowable premiums
That's correct! DRA mandates minimum policy provision standards,
mandatory inflation protection, and producer training requirements,
but not maximum allowed premiums.
All of the following statements regarding minimum standards for
, partnership-qualified long-term care insurance policies are correct
EXCEPT: - ✔✔✔ ANSWER-Inflation protection is optional for all
applicants.
That's correct! DRA requires inflation protection for all applicants
under the age of 76.
Gerald purchased a partnership-qualified LTCI policy that provides
coverage for both nursing facility care and home and community-
based care. The daily nursing facility care benefit is $150. The total
benefit available for home and community care under this policy must
be at least what amount? - ✔✔✔ ANSWER-$27,375
That's correct! The total benefit under a qualified LTC partnership
policy for home and community-based care must be equal to at least
half of the benefit payable for skilled nursing facility care for one year.
In this case, because the benefit for nursing facility care for one year
would be $54,750 ($150 a day × 365 days), the home and
community-based care benefit must be at least $27,375.
What federal law defined tax-qualified long-term care insurance
policies - ✔✔✔ ANSWER-Health Insurance Portability and
Accountability Act of 1996
That's correct! HIPAA's creation of the tax-qualified long-term care
insurance (QLTCI) policy laid the foundation for partnership-qualified
policies today.
At a minimum, what must partnership-qualified long-term care
insurance policies be? - ✔✔✔ ANSWER-guaranteed renewable
That's correct! Regarding renewability, the minimum requirement is
that partnership policies must be guaranteed renewable. Alternatively,
they may be issued as noncancelable, which would prevent the
insurer from raising premiums for any reason.