Florida 2-15 Life, Health and Variable Annuity AgentGeneral Knowledge of Health InsuranceHard
A client, age 62, has been diagnosed with a severe chronic illness that will prevent them from working permanently. They have a disability income policy with a 'Presumptive Disability' clause. Which of the following conditions would typically qualify for benefits under this clause, even without satisfying the elimination period?
- ALoss of hearing in one ear
- BLoss of one hand
- CLoss of speech
- DLoss of a limb (such as a leg) but not both
Show answer & explanationAnswer & explanation
Correct answer: C. Loss of speech
Presumptive Disability clauses typically cover severe, irreversible conditions such as loss of sight, hearing, speech, or the use of two or more limbs. Loss of speech is one of these specific conditions.
Why the other options are wrong
- A. Loss of hearing in only one ear is generally not considered a presumptive disability.
- B. Loss of one hand is usually not sufficient for presumptive disability; it typically requires the loss of two limbs or use of two limbs.
- D. Loss of one limb is generally not enough; presumptive disability often requires the loss of two limbs or the use of two limbs.
Presumptive Disability
A provision in a disability income policy that states certain conditions, such as loss of sight, hearing, speech, or the use of two limbs, are automatically considered total disability, waiving the elimination period.
- Automatically qualifies as total disability.
- Waives the elimination period.
- Specific, severe conditions listed in policy.
- Examples: loss of sight, hearing, speech, two limbs.
Memory trick: Presumed Disability means instant payout, no waiting, for the ultimate losses.