LLQP Accident & Sickness study plan

Define the four disability-income definition tiers (own-occupation, any-occupation, regular-occupation, gainful-occupation) and state how each changes the benefit trigger

Compute benefit periods, elimination periods, and the interaction between them using three worked numeric examples

Explain the regulatory framework governing accident and sickness insurance, including licensing, market conduct, and unfair-claims-practice rules

Distinguish indemnity, partial, residual, and presumptive disability benefit structures and identify which policy riders deliver each

Map each major disability-income provision (waiver of premium, recurrent disability, relation of earnings, rehabilitation, transplant/organ-donor, survivor benefit) to the claim scenario it resolves

Apply contract-law concepts - offer, acceptance, consideration, insurable interest, utmost good faith, and material misrepresentation - to disability claims

Analyze the standard provisions covering grace period, reinstatement, incontestability, and change of occupation

Draft short client-facing explanations of total vs. partial disability that avoid jargon

Differentiate critical illness coverage from disability income and life insurance on trigger, benefit form, and use of proceeds

List the core and optional covered conditions and explain survival periods, waiting periods, and pre-existing-condition exclusions

Compare individual accident and sickness product types: accident-only, disability, critical illness, long-term care, and supplemental health

Evaluate return-of-premium and early-detection riders for cost and suitability trade-offs

Explain group accident and sickness mechanics: master policy, certificate of insurance, eligibility, actively-at-work rules, and late entrant provisions

Contrast group underwriting (experience rating, pooled rating, participation requirements) with individual medical underwriting

Identify which underwriting factors drive premium for disability income, critical illness, and long-term care products

Trace a group claim from notice of claim through benefit determination and appeal

Define the activities-of-daily-living and cognitive-impairment triggers for long-term care benefits and distinguish them from disability-income triggers

Compare long-term care funding options: standalone policies, hybrid life/LTC products, and government programs

Explain other health insurance products including supplemental hospital, dental, prescription, and travel coverage

Calculate a realistic long-term care funding gap for a sample client using stated care costs and duration assumptions

Apply claims-handling standards to accident and sickness claims, including proof of loss, time limits for payment, and the insurer's duty to act in good faith

Identify red flags for fraud and overinsurance and describe the claims investigation steps that follow

Explain how premium is calculated and adjusted for occupation class, smoking status, benefit period, and elimination period

Draft a client letter explaining a denied claim that cites the specific policy provision and the appeal route

Apply suitability standards to accident and sickness recommendations, including needs analysis, affordability, and replacement disclosure

Identify conflicts of interest, disclosure obligations, and prohibited sales practices under consumer-protection rules

Explain privacy obligations for collecting and using health information during underwriting and claims

Resolve three ethical dilemmas involving pressure selling, undisclosed exclusions, and replacement of existing coverage

Assemble a consolidated review sheet covering every domain with the highest-yield facts and formulas

Complete two full-length timed practice exams under exam conditions and log every error by domain

Re-teach the three weakest domains in writing, using original examples rather than notes

Simulate the exam-day routine, including time allocation per question and a strategy for calculation items