LLQP Accident & Sickness · Component 2.2 · 30% of the exam
A multiple-occurrence provision on a critical illness contract allows the insured to:
- AClaim the same covered condition twice, provided the second diagnosis follows a full recovery
- Receive a second benefit for an unrelated covered condition after a separation period
- CReceive the benefit in instalments over several years rather than as a single payment
- DClaim on behalf of a spouse or child listed as an additional insured under the contract
Correct answer: B) Receive a second benefit for an unrelated covered condition after a separation period
Most critical illness contracts end on a paid claim, so a multiple-occurrence feature is what keeps coverage alive for a different condition diagnosed later.
Why the other options are wrong
- AThe same condition is not usually claimable a second time.
- CPayment structure is a settlement question, not a multiple-occurrence one.
- DAdditional insureds are covered by a separate rider.
Exam tip
Without this feature, the first paid claim ends the contract.
Common mistake
Assuming critical illness coverage continues after a benefit is paid.
What this tests
CISRO competency component 2.2 — Analyze the available products that meet the client's needs — which is weighted at 30% of the Accident & Sickness module. Written against the published curriculum.
More from component 2
- A group benefits booklet lists AD&D coverage alongside life and LTD. The AD&D benefit pays:
- A hospital indemnity (hospital cash) policy pays:
- Employment Insurance sickness benefits are available to:
- Which government program coordinates with an individual DI policy through a possible offset AND also affects the definition of insurable income?
- A group plan's 'eligibility waiting period' (probationary period) is:
- A CI policy that is 'convertible' allows the insured to:
Practice the whole Accident & Sickness module
Timed sets weighted like the exam, and review of every question you miss. Free to start.