How many ADLs must a policyholder be unable to perform to receive LTC benefits? and what are they?

Study for the SOA Fundamentals of Actuarial Mathematics (FAM) Exam. Prepare with flashcards and multiple choice questions with detailed explanations. Get ready for your future as an actuary!

Multiple Choice

How many ADLs must a policyholder be unable to perform to receive LTC benefits? and what are they?

In long-term care policies, benefits begin when the insured cannot perform a certain number of Activities of Daily Living (ADLs) without help. The typical threshold is two or more. That means you must be unable to perform at least two ADLs to trigger benefits. The six ADLs usually cited are bathing, dressing, toileting, transferring (getting in and out of bed or a chair), continence, and eating. So, when someone cannot perform two of these six activities on their own, benefits would generally be payable, subject to the policy’s other terms.

In long-term care policies, benefits begin when the insured cannot perform a certain number of Activities of Daily Living (ADLs) without help. The typical threshold is two or more. That means you must be unable to perform at least two ADLs to trigger benefits. The six ADLs usually cited are bathing, dressing, toileting, transferring (getting in and out of bed or a chair), continence, and eating. So, when someone cannot perform two of these six activities on their own, benefits would generally be payable, subject to the policy’s other terms.

More practice questions