What are Benefit Triggers in a Long-Term Care policy?

Benefit triggers in a Long-Term Care policy are conditions that, when met, initiate the payment of benefits. These triggers typically include specific health-related criteria, such as the inability to perform activities of daily living (ADLs), cognitive impairment, or other specified medical conditions. When a policyholder meets these established criteria, they qualify to receive the financial support and services outlined in their policy.

Understanding benefit triggers is crucial because they dictate when and how a policyholder can access their benefits, making them a key aspect of long-term care insurance. Without the fulfillment of these triggers, a policy may remain dormant despite the premiums paid. This highlights their essential role in the operational mechanics of long-term care insurance, distinguishing it from other types of insurance that may not hinge on such activity-based conditions.