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QUESTION CARD Q088 · HEALTH, DISABILITY & LTC

Long-Term Care Trigger

Understand the answer, compare the alternatives, and review the related terms.

CARD Q088

Which situation commonly satisfies a benefit trigger in tax-qualified long-term care insurance, assuming required certification and other conditions?

  1. An inability to perform two ADLs expected to last only 30 days, without cognitive impairment
  2. An inability to perform one ADL for 90 days, without cognitive impairment
  3. Age 65 alone, without functional or cognitive impairment
  4. Inability to perform at least two ADLs expected to last at least 90 days
CORRECT ANSWER · D

Inability to perform at least two ADLs expected to last at least 90 days

A common trigger is substantial assistance with at least two ADLs. Severe cognitive impairment requiring substantial supervision is another route.

Why each choice is right or wrong

A. An inability to perform two ADLs expected to last only 30 days, without cognitive impairment

Incorrect. The stated functional impairment is not expected to last the required 90 days.

B. An inability to perform one ADL for 90 days, without cognitive impairment

Incorrect. One ADL alone does not meet the stated two-ADL functional trigger.

C. Age 65 alone, without functional or cognitive impairment

Incorrect. Age alone is not a qualifying care trigger.

D. Inability to perform at least two ADLs expected to last at least 90 days

Correct. A common trigger is substantial assistance with at least two ADLs. Severe cognitive impairment requiring substantial supervision is another route.

Review the related terms

Use these lessons to revisit the concepts and try additional practice questions.

Sources & further reading