01.Core Concepts

An elimination period is a waiting period during which time benefits are not paid In a qualified LTC plan, a benefit trigger must be met to receive benefits. Either: The insured is unable to perform a certain number of activities of daily living (ADLs), or The insured needs substantial supervision to be protected against threats to health and safety because of a severe cognitive impairment Non-tax-qualified policies often have more liberal eligibility requirements and make benefits available if a medical necessity trigger is met ‹#›