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Smart Reasoning:

C&E

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Qaagi - Book of Why

Causes

Effects

A “ qualifying event ... a changecausesloss of coverage

It many be a medical eventcan triggerloss of coverage

the individual ... an eventcausesloss of coverage

Triggering EventMust CauseLoss of Coverage

each qualified beneficiary ... the qualifying eventwould causeloss of coverage

dependent status ... the eventwould causeloss of coverage

self - payments ... the eventcausesloss of coverage

A qualified beneficiary ... an eventcausesloss of coverage

a medical event company web page designcan triggerloss of coverage

people ... a qualifying event ( such as job loss or other life eventcausesloss of coverage

" malicious acts , " including arson , whether or not the malicious acts occur in the context of one or more of the other events listed in the SR & CC clause.16(passive) caused bycoverage losses

floods and high water(passive) caused bycoverage losses

to make payments on timeto preventloss of coverage

uninsured or underinsured drivers , medical expense payment in case of an accident(passive) caused byloss coverage

group coverage ... a reduction of hourscausesloss of coverage

High premiumswill causeloss of coverage

mudslide or flood(passive) caused bycoverage loss

flood or earthquake(passive) can be caused bycoverage loss

Death of primary enrolleecausingloss of coverage

federal Republican healthcare billwould causecoverage loss

Read more about Friday Five : With two weeks left in open enrollment , participants find costs for many ACA plans are lower than 2018 Friday Fivewould causeloss of coverage

to pay their own dental and vision premiums starting this weekto preventcoverage loss

During the seven - year start - up period , cover all insurance company losses under Obamacare era exchangesto preventloss of coverage

to pay the most vulnerable Americans 's own dental and vision premiums starting this weekto preventcoverage loss

that private plans will ultimately struggle to compete with any government - run insurance systemcausingloss of coverage

For individuals with additional plans besides Medicare part D , understanding which plan is primary under Medicare part d can helppreventloss of coverage

“ communicable or infectious diseases ” without involving physical damage to the insured property(passive) triggered bycoverage losses

sewer backup(passive) caused bycoverage losses

mold(passive) caused bycoverage losses

terrorism of commercial insurers in the United States(passive) caused bycoverage losses

ground cover collapse and sinkhole occurrence(passive) caused bythe loss coverage

nine different events(passive) caused bycoverage losses

a virus(passive) caused bycoverage Losses

preexisting sicknesses–compel this conclusion(passive) caused bycoverage losses

the neglect of " the insured(passive) caused bycoverage losses

Theft , Continuous Water Discharge(passive) Caused byCoverage « Loss

pollution(passive) caused bycoverage losses

settling , cracking , bulging , shrinkage , or expansion of foundations , walls , floors , ceilings , roof structures , walks , drives , curbs , fences , retaining walls or swimming pools(passive) caused bycoverage losses

the enforcement of any ordinance or law regulating the use , construction , repair , or demolition of the property(passive) caused directly or indirectly bycoverage losses

that peril(passive) caused bycoverage losses

a special enrollment period ( SEP(passive) triggered bya special enrollment period ( SEP

a special enrollment period for an employeecreatesa special enrollment period for an employee

a 30 day Special Enrollment Periodcreatesa 30 day Special Enrollment Period

there ’s a special enrollment period that continues through February 29(passive) triggered bythere ’s a special enrollment period that continues through February 29

from the forgery alteration of a chequeresultfrom the forgery alteration of a cheque

from the forgery or alteration of a checkresultfrom the forgery or alteration of a check

directly or indirectly from climate changeresultdirectly or indirectly from climate change

directly or indirectly from surface waterresulteddirectly or indirectly from surface water

from fraudulent instruments “ used as source documentation in the preparation of Electronic Data , or manually keyed into a data terminalresulting directly or indirectlyfrom fraudulent instruments “ used as source documentation in the preparation of Electronic Data , or manually keyed into a data terminal

in care gapscould resultin care gaps

from the invalidity , unenforceability or lack of priority of the insured mortgage arising from “ private rights ” such as a private charge or REA assessment , option to purchase ... right of first refusal , or right of prior approval of a future purchaser or occupantresultsfrom the invalidity , unenforceability or lack of priority of the insured mortgage arising from “ private rights ” such as a private charge or REA assessment , option to purchase ... right of first refusal , or right of prior approval of a future purchaser or occupant

from business transactionsresultingfrom business transactions

directly from the use of lost , stolen , or altered debit cards or counterfeit cards in the amount of $ 50,000 ... with a $ 25,000 deductible and an aggregate limit of $ 250,000resultdirectly from the use of lost , stolen , or altered debit cards or counterfeit cards in the amount of $ 50,000 ... with a $ 25,000 deductible and an aggregate limit of $ 250,000

from a flood already in progress on the Date of the applicationresultingfrom a flood already in progress on the Date of the application

from any criminal , dishonest , or fraudulent wrongful act or any knowing violation of rights or lawsresultsfrom any criminal , dishonest , or fraudulent wrongful act or any knowing violation of rights or laws

during the policy period regardless of when the act / loss took place , which makes these forms preferableis discoveredduring the policy period regardless of when the act / loss took place , which makes these forms preferable

in gaps in care and increased uncompensated care costswill resultin gaps in care and increased uncompensated care costs

in gaps in care and increases in uncompensated care costscould resultin gaps in care and increases in uncompensated care costs

access to a SEP in the individual market(passive) triggered byaccess to a SEP in the individual market

from either gross negligence or criminal negligenceresultfrom either gross negligence or criminal negligence

by or result from water that backs up through sewers or drains and is not caused by the negligence of the insuredare causedby or result from water that backs up through sewers or drains and is not caused by the negligence of the insured

because individuals never learn about programs or financial assistance for which they're eligible are also not " voluntary " in any meaningful senseresultbecause individuals never learn about programs or financial assistance for which they're eligible are also not " voluntary " in any meaningful sense

individuals to behave more healthily ... though there is also a counteracting effect from reduced contact with physicians due to loss of health care coverage , which can lead to an increase in unhealthy behaviors.7may ... leadindividuals to behave more healthily ... though there is also a counteracting effect from reduced contact with physicians due to loss of health care coverage , which can lead to an increase in unhealthy behaviors.7

not just from premiums but from other unprecedented changes that HHS is letting Kentucky make , including the work requirement and ending coverage for people who do n’t complete their renewals or report changes in a timely mannerwill resultnot just from premiums but from other unprecedented changes that HHS is letting Kentucky make , including the work requirement and ending coverage for people who do n’t complete their renewals or report changes in a timely manner

in connection with certain corporate and entity changes or reorganizations by knowing when and how to work with a title insurer and its policy to purchase endorsements that will prevent termination and expressly continue coverage to the successor entitymight ... be triggeredin connection with certain corporate and entity changes or reorganizations by knowing when and how to work with a title insurer and its policy to purchase endorsements that will prevent termination and expressly continue coverage to the successor entity

by or results from a discharge of water from a plumbing system or plumbing source , including a discharge from a water main break ... whether the plumbing system or plumbing source is located on or off the insured premises and is not caused by the negligence of the insuredis causedby or results from a discharge of water from a plumbing system or plumbing source , including a discharge from a water main break ... whether the plumbing system or plumbing source is located on or off the insured premises and is not caused by the negligence of the insured

from the theft of personal propertyresultingfrom the theft of personal property

from pesticide or herbicide applicationresultfrom pesticide or herbicide application

if a business is forced to shut down as a result of a covered lossresultif a business is forced to shut down as a result of a covered loss

in increased uncompensated care for providersalso would resultin increased uncompensated care for providers

from specified conditionsresultingfrom specified conditions

from a failure to adequately report whave often resultedfrom a failure to adequately report w

from an accidental fireresultfrom an accidental fire

from mold , fungi or bacteriaresultfrom mold , fungi or bacteria

from the enforcement of laws or ordinances which do not permit restoring property to the same condition as existed prior to damageresultfrom the enforcement of laws or ordinances which do not permit restoring property to the same condition as existed prior to damage

to more uninsured people using emergency rooms for care , driving up costs and threatening small hospitals ' survivalwould leadto more uninsured people using emergency rooms for care , driving up costs and threatening small hospitals ' survival

from " conversion , embezzlement or secretion by or at the direction of the Named Insuredresultingfrom " conversion , embezzlement or secretion by or at the direction of the Named Insured

due to a lack of electricity , such as a fire or windstorm , for property that is away from the insured ’s propertywas causeddue to a lack of electricity , such as a fire or windstorm , for property that is away from the insured ’s property

from faulty , inadequate or defective design , construction , materials or maintenanceresultingfrom faulty , inadequate or defective design , construction , materials or maintenance

from pandemics and government actions , such as a mandatory shutdown of your businessresultfrom pandemics and government actions , such as a mandatory shutdown of your business

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Smart Reasoning:

C&E

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