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For purposes of the ADL benefit trigger, taxpayers may rely upon certain safe-harbor definitions.
In addition, there is a second benefit trigger that a qualified long-term care policy may have.
In this study, the benefit trigger is measured by the ratio of the number of ADLs required to trigger benefits to the total number of ADLs defined in the policy.
Not use medical necessity as the only benefit trigger.
Some policies will not allow a serious cognitive impairment to be used as a benefit trigger until it interferes with an individual's ability to perform the ADLs.
This is often referred to as the ADL benefit trigger.
The most restrictive benefit trigger is one that conditions care on medical necessity alone.