11/08/2025, 09:46 COLORADO HEALTH INSURANCE EXAM comprehensive questions and verified accurate solution (detailed & elaborated) 2025 …
COLORADO HEALTH INSURANCE EXAM
comprehensive questions and verified accurate
solution (detailed & elaborated) 2025 TEST!!
Save
Terms in this set (87)
Monthly amount paid to individual to make up for lost
Indemnity
earnings due to insured's inability to work
Time period insured must be disabled before benefits
Elimination (Waiting)
begin, not paid retroactively
Period
- 30, 60, 90, 180 days
Benefits paid during disability period or until end of
Benefit Period specified period of time
-Typically 1 year, 2 years, 5 years, and to age 65
Waives premium payments during disability after initial
waiting period, retroactively effective to beginning of
Waiver of Premium
waiting period and premiums paid during that time
will be refunded once benefits begin
Pays an additional benefit amount with regular
monthly benefit for limited period of time (usually 6 or
Additional Monthly
12 months), paid even if insured receives government
Benefit (AMB) Rider
benefits
-Work comp, other government programs
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, 11/08/2025, 09:46 COLORADO HEALTH INSURANCE EXAM comprehensive questions and verified accurate solution (detailed & elaborated) 2025 …
Pays in addition to regular disability policies until
Social Insurance Workers' Compensation or Social Security payments
Supplement (SIS) Rider begin, pays only during policy period, makes up for
gaps left by government programs
Non-Occupational Covers disabilities that result from non-job-related
Coverage illnesses or injuries
Covers both job-related and non-job related
Occupational Coverage
disabilities
Pays 50% of total benefit, person returns to work in a
Partial Disability
reduced capacity, usually no longer that 3-6 months
Based on amount of income lost due to disability, if
Residual Disability Benefits less than stated income reduction then no benefits
will be paid
Protects employee who returns to work but becomes
disabled again due to same related cause, must occur
Recurrent Disability
within certain time frame after returning to work, no
waiting to receive benefits again
Benefit amount can increase while receiving disability
Cost-Of-Living-
based on Consumer Price Index, adjusted usually
Adjustment (COLA) Rider
every 12 months
Allows insured to increase policy benefits without
Future Increase Option
having to provide evidence of insurability, income
(FIO) Rider
must have increased
Insurer can reduce benefit paid to disabled insured if
Relation of Earning to
their income is less than when they bought policy,
Insurance Provision
based on average income over 24 month period
Pays principal sum (full benefit) if insured dies
Accidental Death and
accidentally or loses two limbs or sight in both eyes,
Dismemberment (AD&D)
capital sum (half benefit) is paid if insured loses one
Rider
limb or sight in one eye
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COLORADO HEALTH INSURANCE EXAM
comprehensive questions and verified accurate
solution (detailed & elaborated) 2025 TEST!!
Save
Terms in this set (87)
Monthly amount paid to individual to make up for lost
Indemnity
earnings due to insured's inability to work
Time period insured must be disabled before benefits
Elimination (Waiting)
begin, not paid retroactively
Period
- 30, 60, 90, 180 days
Benefits paid during disability period or until end of
Benefit Period specified period of time
-Typically 1 year, 2 years, 5 years, and to age 65
Waives premium payments during disability after initial
waiting period, retroactively effective to beginning of
Waiver of Premium
waiting period and premiums paid during that time
will be refunded once benefits begin
Pays an additional benefit amount with regular
monthly benefit for limited period of time (usually 6 or
Additional Monthly
12 months), paid even if insured receives government
Benefit (AMB) Rider
benefits
-Work comp, other government programs
https://quizlet.com/1065000635/colorado-health-insurance-exam-comprehensive-questions-and-verified-accurate-solution-detailed-elaborated-2025-t… 1/14
, 11/08/2025, 09:46 COLORADO HEALTH INSURANCE EXAM comprehensive questions and verified accurate solution (detailed & elaborated) 2025 …
Pays in addition to regular disability policies until
Social Insurance Workers' Compensation or Social Security payments
Supplement (SIS) Rider begin, pays only during policy period, makes up for
gaps left by government programs
Non-Occupational Covers disabilities that result from non-job-related
Coverage illnesses or injuries
Covers both job-related and non-job related
Occupational Coverage
disabilities
Pays 50% of total benefit, person returns to work in a
Partial Disability
reduced capacity, usually no longer that 3-6 months
Based on amount of income lost due to disability, if
Residual Disability Benefits less than stated income reduction then no benefits
will be paid
Protects employee who returns to work but becomes
disabled again due to same related cause, must occur
Recurrent Disability
within certain time frame after returning to work, no
waiting to receive benefits again
Benefit amount can increase while receiving disability
Cost-Of-Living-
based on Consumer Price Index, adjusted usually
Adjustment (COLA) Rider
every 12 months
Allows insured to increase policy benefits without
Future Increase Option
having to provide evidence of insurability, income
(FIO) Rider
must have increased
Insurer can reduce benefit paid to disabled insured if
Relation of Earning to
their income is less than when they bought policy,
Insurance Provision
based on average income over 24 month period
Pays principal sum (full benefit) if insured dies
Accidental Death and
accidentally or loses two limbs or sight in both eyes,
Dismemberment (AD&D)
capital sum (half benefit) is paid if insured loses one
Rider
limb or sight in one eye
https://quizlet.com/1065000635/colorado-health-insurance-exam-comprehensive-questions-and-verified-accurate-solution-detailed-elaborated-2025-t… 2/14
