The number of days where you must be eligible for and pay for the covered services before the policy begins paying.
• What is the Elimination Period?
100
This is care that requires no medical knowledge but provides personal care, such as assistance with bathing or dressing. This type of care can be done by a Home Health Aide/Certified Nursing Aide or a family member/friend.
• What is Custodial Care?
100
The first year JH had a Retail Claim initiated.
What is 1988?
100
The #1 Claim Diagnosis.
• What is Dementia?
100
The number of MBPS Benefit Specialists in LTC Claims Payment (including the August new hires)
What is 36?
200
While the policyholder is on claim, she or he does not have to pay for his or her policy once this provision is met. The policyholder will resume paying for the policy when they end the claim.
• What is Waiver of Premium?
200
This is a facility that is for people needing assistance with Activities of Daily Living but wishing to live as independently as possible. It bridges the gap between independent living and nursing homes.
• What is Assisted Living Facilities?
200
The 2 lines of business of JH LTCI
• What is Retail and Group?
200
It is a system developed to create more efficiencies in the LTC department
Front End Imaging
Task Driven System
Paperless System
Increased Automation
Determinations
Letters
What is Promise?
200
The course (education) of your trainer.
What is BSE - Physics?
300
An addition to a policy that becomes part of the contract and expands or limits the benefits payable. (additional amount of premiums required)
• What are Riders?
300
Physician’s charges, Hospital charges, disposable medical supplies and transportation are examples of this.
• What is not covered by the LTCI policy?
300
It provides as source of funds for individuals who require assistance as a result of injury, accident or effects of aging.
What is Long Term Care Insurance?
300
The average duration of claim
• What is 2.4 years?
300
The required number of tasks to be processed (goal/day)
What is 60 tasks?
400
The maximum amount the policy will pay for each day of covered services.
• What is the Daily Benefit?
400
This is a facility which primarily provided inpatient skilled nursing care and related services to patients who require medical, nursing or rehabilitative services but does not provide the level of care or treatment available in a hospital.
• What is Skilled Nursing Facility/Nursing Home?
400
It is the year when JH started selling Long Term Care
What is 1987?
400
The number of “Active” claims currently adjudicated by the Retail Claims Department (round number).
What is 20,000?
400
Worked as a bank teller before got a job in MBPS
Who is Edsel Quindara?
500
Bathing, continence, dressing, eating, toileting and transferring are examples of this.
• What are the Activities of Daily Living?
500
This type of care is social and health-related services provided during the day in a community or group setting. The purpose of the program is to support frail or impaired elderly or other disabled adult who can benefit from care in a group setting. It also provided the informal primary caregiver a break.
• What is Adult Day Care?
500
It refers to products sold to individuals by insurance agents and brokers
What is Retail Long Term Care/Individual Long Term Care?
500
The average hourly cost of a Home Health Aide in the US?