Decision Principles
Case Management Principles
Acronyms
Life of an Absence
Mixed bag
100

These four categories make up our decision principles

What is contractual, medical, functional, and occupational

100

Relationships are built through effective dialogue.

What is partner with the plan sponsor?

100

PM stands for this

What is plan member?

100

This is the date that the plan member is unable to meet the occupational demands

What is date of disability? 

100

This person manages complex claims and LTD claims

What is a DCM (Disability Case Manager)?

200

We evaluate the member's eligibility for disability coverage and entitlement to benefits according to these terms. 

What is contractual

200

They play a critical role in their recovery.

What is empower the plan member?

200

PS stands for this

What is plan sponsor?

200

This is the time between the date of disability and first payment.

What is elimination period?
200

Income replacement in case of a health event

What is disability insurance?

300

We evaluate the member's health by evaluating this information.

What is medical?

300

The plan drives the claim towards the goal.

What is plan with a goal in mind?

300

LTD stands for this

What is long term disability? 

300

This is the term used when referring to the date after the elimination period and the plan member is eligible for benefit payments.

What is first payment date?
300

This platform can be found on the source and it is used to send recognitions and celebrate milestones

What is applause? 

400

This is the part of the review where we look at abilities and limitations as well as level of impairments.

What is functional?

400

Never forget someone is waiting on a decision/benefits.

What is act with a sense of urgency?

400

STD stands for this

What is short term disability

400

This date comes after STD Max date

What is LTD first payment date?

400

You need to be connected to this to access certain applications such as Athena

What is VPN?

500

The decision principle where we perform a comprehensive review of the plan member's duties.

What is occupational?

500
You drive the claim.

What is make a difference?

500

WP stands for the time between when the plan member signs up for benefits and coverage begins.

What is waiting period

500
This is a crucial point in a LTD claim where the contract states the definition of disability is compared against the plan member's own occupation versus any occupation.

What is change of definition (COD)?

500

These 3 statements summarize our client experience vision

What is we start with care, we make action easy, and we build confidence?