II.A · General Concepts of Medical and Disability Insurance
Time-based terms and waiver of premium
Plain version: some health and disability terms work like a deductible, but they are measured in days instead of dollars. Keep three apart by asking when each one starts and what it holds back.
Elimination period: the time after a disability begins during which no benefit is payable, a deductible measured in time. It runs from the start of each disability. Example: a 90-day elimination period and $3,000 a month, with no retroactive payment. Counting 30-day months, a 210-day disability is paid for the last 120 days, or 4 months at $3,000 = $12,000.
Probationary period: a stated number of days right after the policy begins during which sickness is not covered. It runs once, from the policy's start, and usually does not apply to accidents. It guards against people who buy coverage when they already feel ill. (In group plans the phrase is sometimes used for a new hire's wait for eligibility.)
Waiting period (group health): the time that must pass before coverage for an otherwise eligible person can take effect. Federal rules bar any waiting period over 90 days in group health coverage. California adds that a health benefit plan itself shall not impose a waiting period (Ins. Code §10198.7(c)), so in practice any wait comes from the employer's own eligibility rule.
Waiver of premium: keeps the policy in force without premium payments while the insured is totally disabled, usually after the disability has lasted a stated period. Premiums are waived for as long as the total disability continues. When the insured recovers, premium payments simply start again. Waived premiums are forgiven, not a loan, so nothing is repaid.
Remember
· Elimination period: starts with each disability (a time deductible).
· Probationary period: once, from policy issue, for sickness only.
· Group health waiting period: no more than 90 days (federal).
· Waived premiums are never repaid.
CA
California Insurance Exam Prep
Bilingual practice for the California insurance license exams.
California Insurance Exam Prep is an independent study aid published by ORIGINAL HEART INC. It is not affiliated with, endorsed by, or connected to the California Department of Insurance (CDI) or PSI Services. All practice questions are original and written from the public CDI examination objectives and California law. They are not actual exam questions. Using this app does not guarantee that you will pass the licensing exam. Laws and exam content change; always check the current CDI Candidate Information Bulletin.
© 2026 ORIGINAL HEART INC
Exam prep classes
Life and real estate license exam prep with experienced instructors.
Learn more ›