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Insurance
Glossary
Accidental Death Benefit - In a life
insurance policy, benefit in addition to the death benefit paid
to the beneficiary, should death occur due to an accident. There
can be certain exclusions as well as time and age limits.
Activities of Daily Living - Bathing,
preparing and eating meals, moving from room to room, getting
into and out of beds or chairs, dressing, using a toilet.
Actual Cash Value - Cost of replacing
damaged or destroyed property with comparable new property,
minus depreciation and obsolescence. For example, a 10-year-old
sofa will not be replaced at current full value because of a
decade of depreciation.
Actuary - A specialist in the mathematics of
insurance who calculates rates, reserves, dividends and other
statistics. (Americanism: In most other countries the individual
is known as "mathematician.")
Adjuster - A representative of the insurer
who seeks to determine the extent of the insurer's liability for
loss when a claim is submitted.
Admitted Assets - Assets permitted by state law to be
included in an insurance company's annual statement. These
assets are an important factor when regulators measure insurance
company solvency. They include mortgages, stocks, bonds and real
estate.
Agent -individual who sells and services
insurance policies in either of two classifications:
- Independent agent represents at least two insurance
companies and (at least in theory) services clients by
searching the market for the most advantageous price for the
most coverage. The agent's commission is a percentage of
each premium paid and includes a fee for servicing the
insured's policy.
- Direct or career agent represents only one company and
sells only its policies. This agent is paid on a commission
basis in much the same manner as the independent agent.
Aggregate Limit - Usually refers to
liability insurance and indicates the amount of coverage that
the insured has under the contract for a specific period of
time, usually the contract period, no matter how many separate
accidents might occur.
Annuitization - Process by which you convert
part or all of the money in a qualified retirement plan or
nonqualified annuity contract into a stream of regular income
payments, either for your lifetime or the lifetimes of you and
your joint annuitant. Once you choose to annuities, the payment
schedule and the amount is generally fixed and can't be altered.
Annuitization Options - Choices in the way
to annuities. For example, life with a 10-year period certain
means payouts will last a lifetime, but should the annuitant die
during the first 10 years, the payments will continue to
beneficiaries through the 10th year. Selection of such an option
reduces the amount of the periodic payment.
Annuity - An agreement by an insurer to make
periodic payments that continue during the survival of the annuitant's) or for a specified period.
Attained Age - Insured's age at a particular
time. For example, many term life insurance policies allow an
insured to convert to permanent insurance without a physical
examination at the insured's then attained age. Upon conversion,
the premium usually rises substantially to reflect the insured's
age and diminished life expectancy.
Automobile Liability Insurance - Coverage if
an insured is legally liable for bodily injury or property
damage caused by an automobile.
Benefit Period - In health insurance, the
number of days for which benefits are paid to the named insured
and his or her dependents. For example, the number of days that
benefits are calculated for a calendar year consist of the days
beginning on Jan. 1 and ending on Dec. 31 of each year.
Captive Agent -
Representative of a single insurer or fleet of insurers who is
obliged to submit business only to that company, or at the very
minimum, give that company first refusal rights on a sale. In
exchange, that insurer usually provides its captive agents with
an allowance for office expenses as well as an extensive list of
employee benefits such as pensions, life insurance, health
insurance, and credit unions.
Casualty - Liability or loss resulting from
an accident.
Casualty Insurance - That type of insurance
that is primarily concerned with losses caused by injuries to
persons and legal liability imposed upon the insured for such
injury or for damage to property of others. It also includes
such diverse forms as plate glass, insurance against crime, such
as robbery, burglary and forgery, boiler and machinery insurance
and Aviation insurance. Many casualty companies also write
surety business.
Claim - A demand made by the insured, or the
insured's beneficiary, for payment of the benefits as provided
by the policy.
Coinsurance - In property insurance,
requires the policyholder to carry insurance equal to a
specified percentage of the value of property to receive full
payment on a loss. For health insurance, it is a percentage of
each claim above the deductible paid by the policyholder. For a
20% health insurance coinsurance clause, the policyholder pays
for the deductible plus 20% of his covered losses. After paying
80% of losses up to a specified ceiling, the insurer starts
paying 100% of losses.
Collision Insurance - Covers physical damage
to the insured's automobile (other than that covered under
comprehensive insurance) resulting from contact with another
inanimate object.
Commercial Lines - Refers to insurance for
businesses, professionals and commercial establishments.
Commission - Fee paid to an agent or
insurance salesperson as a percentage of the policy premium. The
percentage varies widely depending on coverage, the insurer and
the marketing methods.
Common Carrier - A business or agency that
is available to the public for transportation of persons, goods
or messages. Common carriers include trucking companies, bus
lines and airlines.
Comprehensive Insurance - Auto insurance
coverage providing protection in the event of physical damage
(other than collision) or theft of the insured car. For example,
fire damage or a cracked windshield would be covered under the
comprehensive section.
Concurrent Periods - In hospital income
protection, when a patient is confined to a hospital due to more
than one injury and/or illness at the same time, benefits are
paid as if the total disability resulted from only one cause.
Coverage - The scope of protection provided
under an insurance policy. In property insurance, coverage lists
perils insured against, properties covered, locations covered,
individuals insured, and the limits of indemnification. In life
insurance, living and death benefits are listed.
Convertible - Term life insurance coverage
that can be converted into permanent insurance regardless of an
insured's physical condition and without a medical examination.
The individual cannot be denied coverage or charged an
additional premium for any health problems.
Co-payment - A predetermined, flat fee an
individual pays for health-care services, in addition to what
insurance covers. For example, some HMOs require a $10 co-payment
for each office visit, regardless of the type or level of
services provided during the visit. Co-payments are not usually
specified by percentages.
Cost-of-Living Adjustment (COLA) - Automatic
adjustment applied to Social Security retirement payments when
the consumer price index increases at a rate of at least 3%, the
first quarter of one year to the first quarter of the next year.
Coverage Area - The geographic region
covered by travel insurance.
Creditable Coverage - Term means that
benefits provided by other drug plans are at least as good as
those provided by the new Medicare Part D program. This may be
important to people eligible for Medicare Part D but who do not
sign up at their first opportunity because if the other plans
provide creditable coverage, plan members can later convert to
Medicare Part D without paying higher premiums than those in
effect during their open enrollment period.
Death Benefit - The limit of insurance or the
amount of benefit that will be paid in the event of the death of
a covered person.
Deductible - Amount of loss that the insured
pays before the insurance kicks in.
Direct Premiums Written - The aggregate
amount of recorded originated premiums, other than reinsurance,
written during the year, whether collected or not, at the close
of the year, plus retrospective audit premium collections, after
deducting all return premiums.
Direct Writer - An insurer whose
distribution mechanism is either the direct selling system or
the exclusive agency system.
Disease Management - A system of coordinated
health-care interventions and communications for patients with
certain illnesses.
Dividend - The return of part of the
policy's premium for a policy issued on a participating basis by
either a mutual or stock insurer. A portion of the surplus paid
to the stockholders of a corporation.
Earned Premium - The amount of the premium
that as been paid for in advance that has been
"earned" by virtue of the fact that time has passed
without claim. A three-year policy that has been paid in advance
and is one year old would have only partly earned the premium.
Elimination Period - The time which must
pass after filing a claim before policyholder can collect
insurance benefits. Also known as "waiting period."
Employers Liability Insurance - Coverage
against common law liability of an employer for accidents to
employees, as distinguished from liability imposed by a workers'
compensation law.
Exclusions - Items or conditions that are
not covered by the general insurance contract.
Expense Ratio - The ratio of underwriting
expenses (including commissions) to net premiums written. This
ratio measures the company's operational efficiency in
underwriting its book of business.
Exposure - Measure of vulnerability to loss,
usually expressed in dollars or units.
Extended Replacement Cost - This option
extends replacement cost loss settlement to personal property
and to outdoor antennas, carpeting, domestic appliances, cloth
awnings, and outdoor equipment, subject to limitations on
certain kinds of personal property; includes inflation
protection coverage.
Floater - A separate policy available to
cover the value of goods beyond the coverage of a standard
renters insurance policy including movable property such as
jewelry or sports equipment.
Future Purchase Option - Life and health
insurance provisions that guarantee the insured the right to buy
additional coverage without proving insurability. Also known as
"guaranteed insurability option."
General Liability Insurance -Insurance
designed to protect business owners and operators from a wide
variety of liability exposures. Exposures could include
liability arising from accidents resulting from the insured's
premises or operations, products sold by the insured, operations
completed by the insured, and contractual liability.
Grace Period - The length of time (usually
31 days) after a premium is due and unpaid during which the
policy, including all riders, remains in force. If a premium is
paid during the grace period, the premium is considered to have
been paid on time. In Universal Life policies, it typically
provides for coverage to remain in force for 60 days following
the date cash value becomes insufficient to support the payment
of monthly insurance costs.
Guaranteed Insurability Option - See
"future purchase option."
Guaranteed Issue Right - The right to
purchase insurance without physical examination; the present and
past physical condition of the applicant are not considered.
Guaranteed Renewable - A policy provision in
many products which guarantees the policy owner the right to
renew coverage at every policy anniversary date. The company
does not have the right to cancel coverage except for nonpayment
of premiums by the policy owner; however, the company can raise
rates if they choose.
Hazard - A circumstance that increases the
likelihood or probable severity of a loss. For example, the
storing of explosives in a home basement is a hazard that
increases the probability of an explosion.
Hazardous Activity - Bungee jumping, scuba
diving, horse riding and other activities not generally covered
by standard insurance policies. For insurers that do provide
cover for such activities, it is unlikely they will cover
liability and personal accident, which should be provided by the
company hosting the activity.
Health Maintenance Organization (HMO) -
Prepaid group health insurance plan that entitles members to
services of participating physicians, hospitals and clinics.
Emphasis is on preventative medicine, and members must use
contracted health-care providers.
Health Reimbursement Arrangement - Owners of
high-deductible health plans who are not qualified for a health
savings account can use an HRA.
Health Savings Account - Plan that allows
you to contribute pre-tax money to be used for qualified medical
expenses. Has, which are portable, must be linked to a
high-deductible health insurance policy.
Hurricane Deductible - Amount you must pay
out-of-pocket before hurricane insurance will kick in. Many
insurers in hurricane-prone states are selling homeowners
insurance policies with percentage deductibles for storm damage,
instead of the traditional dollar deductibles used for claims
such as fire and theft. Percentage deductibles vary from one
percent of a home's insured value to 15 percent, depending on
many factors that differ by state and insurer.
Indemnity - Restoration to the victim of a
loss by payment, repair or replacement.
Inflation Protection - An optional property
coverage endorsement offered by some insurers that increases the
policy's limits of insurance during the policy term to keep pace
with inflation.
Insurable Interest - Interest in property
such that loss or destruction of the property could cause a
financial loss.
Insurance Adjuster - A representative of the
insurer who seeks to determine the extent of the insurer's
liability for loss when a claim is submitted. Independent
insurance adjusters are hired by insurance companies on an
"as needed" basis and might work for several insurance
companies at the same time. Independent adjusters charge
insurance companies both by the hour and by miles traveled.
Public adjusters work for the insured in the settlement of
claims and receive a percentage of the claim as their fee. A.M.
Best's Directory of Recommended Insurance Attorneys and
Adjusters lists independent adjusters only.
Insurance Institute of America (IIA) - An
organization which develops programs and conducts national
examinations in general insurance, risk management, management,
adjusting, underwriting, auditing and loss control management.
Investment Income - The return received by
insurers from their investment portfolios including interest,
dividends and realized capital gains on stocks. It doesn't
include the value of any stocks or bonds that the company
currently owns.
Investments in Affiliates - Bonds, stocks,
collateral loans, short-term investments in affiliated and real
estate properties occupied by the company.
Insurance Regulatory Information System (IRIS)
- Introduced by the National Association of Insurance
Commissioners in 1974 to identify insurance companies that might
require further regulatory review.
Laddering - Purchasing bond investments that
mature at different time intervals.
Lapse Ratio - The ratio of the number of
life insurance policies that lapsed within a given period to the
number in force at the beginning of that period.
Least Expensive Alternative Treatment - The
amount an insurance company will pay based on its determination
of cost for a particular procedure.
Liability - Broadly, any legally enforceable
obligation. The term is most commonly used in a pecuniary sense.
Liability Insurance - Insurance that pays
and renders service on behalf of an insured for loss arising out
of his responsibility, due to negligence, to others imposed by
law or assumed by contract.
Licensed - Indicates the company is
incorporated (or chartered) in another state but is a licensed
(admitted) insurer for this state to write specific lines of
business for which it qualifies.
Lifetime Reserve Days -
Sixty additional days Medicare pays for when you are
hospitalized for more than 90 days in a benefit period. These
days can only be used once during your lifetime. For each
lifetime reserve day, Medicare pays all covered costs except for
a daily coinsurance amount.
Liquidity - Liquidity is the ability of an
individual or business to quickly convert assets into cash
without incurring a considerable loss. There are two kinds of
liquidity: quick and current. Quick liquidity refers to
funds--cash, short-term investments, and government bonds--and
possessions which can immediately be converted into cash in the
case of an emergency. Current liquidity refers to current
liquidity plus possessions such as real estate which cannot be
immediately liquidated, but eventually can be sold and converted
into cash. Quick liquidity is a subset of current liquidity.
This reflects the financial stability of a company and thus
their rating.
Living Benefits - This feature allows you,
under certain circumstances, to receive the proceeds of your
life insurance policy before you die. Such circumstances include
terminal or catastrophic illness, the need for long-term care,
or confinement to a nursing home. Also known as
"accelerated death benefits."
Lloyd's - Generally refers to Lloyd's of
London, England, an institution within which individual
underwriters accept or reject the risks offered to them. The
Lloyd's Corp. provides the support facility for their
activities.
Loss Adjustment Expenses - Expenses incurred
to investigate and settle losses.
Losses and Loss-Adjustment Expenses
- This represents the total reserves for unpaid losses and
loss-adjustment expenses, including reserves for any incurred
but not reported losses, and supplemental reserves established
by the company. It is the total for all lines of business and
all accident years.
Loss Control - All methods taken to reduce
the frequency and/or severity of losses including exposure
avoidance, loss prevention, loss reduction, segregation of
exposure units and noninsurance transfer of risk. A combination
of risk control techniques with risk financing techniques forms
the nucleus of a risk management program. The use of appropriate
insurance, avoidance of risk, loss control, risk retention, self
insuring, and other techniques that minimize the risks of a
business, individual, or organization.
Loss Ratio - The ratio of incurred losses
and loss-adjustment expenses to net premiums earned. This ratio
measures the company's underlying profitability, or loss
experience, on its total book of business.
Loss Reserve - The estimated liability, as
it would appear in an insurer's financial statement, for unpaid
insurance claims or losses that have occurred as of a given
evaluation date. Usually includes losses incurred but not
reported (IBNR), losses due but not yet paid, and amounts not
yet due. For individual claims, the loss reserve is the estimate
of what will ultimately be paid out on that claim.
Losses Incurred (Pure Losses) - Net paid
losses during the current year plus the change in loss reserves
since the prior year end.
Medical Loss Ratio - Total health benefits
divided by total premium.
Member Month - Total number of health plan
participants who are members for each month.
Mortality and Expense Risk Fees - A charge
that covers such annuity contract guarantees as death benefits.
Mortgage Insurance Policy - In life and
health insurance, a policy covering a mortgagor with benefits
intended to pay off the balance due on a mortgage upon the
insured's death, or to meet the payments due on a mortgage in
case of the insured's death or disability.
Mutual Insurance Companies - Companies with
no capital stock, and owned by policyholders. The earnings of
the company--over and above the payments of the losses,
operating expenses and reserves--are the property of the
policyholders. There are two types of mutual insurance
companies. A nonassessable mutual charges a fixed premium and
the policyholders cannot be assessed further. Legal reserves and
surplus are maintained to provide payment of all claims.
Assessable mutuals are companies that charge an initial fixed
premium and, if that isn't sufficient, might assess
policyholders to meet losses in excess of the premiums that have
been charged.
Named Perils - Perils specifically covered
on insured property.
National Association of Insurance Commissioners (NAIC)
- Association of state insurance commissioners whose purpose is
to promote uniformity of insurance regulation, monitor insurance
solvency and develop model laws for passage by state
legislatures.
Nonstandard Auto (High Risk Auto or Substandard Auto)
- Insurance for motorists who have poor driving records
or have been canceled or refused insurance. The premium is much
higher than standard auto due to the additional risks.
Noncancellable - Contract terms, including
costs that can never be changed.
Occurrence - An event that results in an
insured loss. In some lines of business, such as liability, an
occurrence is distinguished from accident in that the loss
doesn't have to be sudden and fortuitous and can result from
continuous or repeated exposure which results in bodily injury
or property damage neither expected not intended by the insured.
Other Income/Expenses - This item represents
miscellaneous sources of operating income or expenses that
principally relate to premium finance income or charges for
uncollectible premium and reinsurance business.
Out-of-Pocket Limit - A predetermined amount
of money that an individual must pay before insurance will pay
100% for an individual's health-care expenses.
Own Occupation - Insurance contract
provision that allows policyholders to collect benefits if they
can no longer work in their own occupation.
Paid-Up Additional Insurance - An option
that allows the policyholder to use policy dividends and/or
additional premiums to buy additional insurance on the same plan
as the basic policy and at a face amount determined by the
insured's attained age.
Participation Rate - In equity-indexed
annuities, a participation rate determines how much of the gain
in the index will be credited to the annuity. For example, the
insurance company may set the participation rate at 80%, which
means the annuity would only be credited with 80% of the gain
experienced by the index.
Peril - The cause of a possible loss.
Personal Injury Protection - Pays basic
expenses for an insured and his or her family in states with
no-fault auto insurance. No-fault laws generally require drivers
to carry both liability insurance and personal injury protection
coverage to pay for basic needs of the insured, such as medical
expenses, in the event of an accident.
Personal Lines - Insurance for individuals
and families, such as private-passenger auto and homeowners
insurance.
Point-of-Service Plan - Health insurance
policy that allows the employee to choose between in-network and
out-of-network care each time medical treatment is needed.
Policy - The written contract effecting
insurance, or the certificate thereof, by whatever name called,
and including all clause, riders, endorsements, and papers
attached thereto and made a part thereof.
Policy or Sales Illustration - Material used
by an agent and insurer to show how a policy may perform under a
variety of conditions and over a number of years.
Pre-Existing Condition - A coverage
limitation included in many health policies which states that
certain physical or mental conditions, either previously
diagnosed or which would normally be expected to require
treatment prior to issue, will not be covered under the new
policy for a specified period of time.
Preferred Auto - Auto coverage for drivers
who have never had an accident and operates vehicles according
to law. Drivers are not a risk for any insurance company that
writes auto insurance, and no insurance company would be afraid
to take them on as risk.
Preferred Provider Organization - Network of
medical providers who charge on a fee-for-service basis, but are
paid on a negotiated, discounted fee schedule.
Premium - The price of insurance protection
for a specified risk for a specified period of time.
Premium Balances - Premiums and agents'
balances in course of collection; premiums, agents' balances and
installments booked but deferred and not yet due; bills
receivable, taken for premiums and accrued retrospective
premiums.
Premium Earned - The amount of the premium
that as been paid for in advance that has been
"earned" by virtue of the fact that time has passed
without claim. A three-year policy that has been paid in advance
and is one year old would have only partly earned the premium.
Premium to Surplus Ratio - This ratio is
designed to measure the ability of the insurer to absorb
above-average losses and the insurer's financial strength. The
ratio is computed by dividing net premiums written by surplus.
An insurance company's surplus is the amount by which assets
exceed liabilities. The ratio is computed by dividing net
premiums written by surplus. For example, a company with $2 in
net premiums written for every $1 of surplus has a 2-to-1
premium to surplus ratio. The lower the ratio, the greater the
company's financial strength. State regulators have established
a premium-to-surplus ratio of no higher than 3-to-1 as a
guideline.
Premium Unearned - That part of the premium
applicable to the unexpired part of the policy period.
Private-Passenger Auto Insurance Policyholder Risk
Profile - This refers to the risk profile of auto
insurance policyholders and can be divided into three
categories: standard, nonstandard and preferred. In the eyes of
an insurance company, it is the type of business (or the quality
of driver) that the company has chosen to taken on.
Qualified High-Deductible Health
Plan - A health plan with lower premiums that covers
health-care expenses only after the insured has paid each year a
large amount out of pocket or from another source. To qualify as
a health plan coupled with a Health Savings Account, the
Internal Revenue Code requires the deductible to be at least
$1,000 for an individual and $2,000 for a family.
High-deductible plans are also known as catastrophic plans.
Qualified Versus Non-Qualified Policies -
Qualified plans are those employee benefit plans that meet
Internal Revenue Service requirements as stated in IRS Code
Section 401a. When a plan is approved, contributions made by the
employer are tax deductible expenses.
Qualifying Event - An occurrence that
triggers an insured's protection.
Reinsurance - In effect, insurance that an
insurance company buys for its own protection. The risk of loss
is spread so a disproportionately large loss under a single
policy doesn't fall on one company. Reinsurance enables an
insurance company to expand its capacity; stabilize its
underwriting results; finance its expanding volume; secure
catastrophe protection against shock losses; withdraw from a
line of business or a geographical area within a specified time
period.
Renewal - The automatic re-establishment of
in-force status effected by the payment of another premium.
Replacement Cost - The dollar amount needed
to replace damaged personal property or dwelling property
without deducting for depreciation but limited by the maximum
dollar amount shown on the declarations page of the policy.
Reserve - An amount representing actual or
potential liabilities kept by an insurer to cover debts to
policyholders. A reserve is usually treated as a liability.
Residual Benefit - In disability insurance,
a benefit paid when you suffer a loss of income due to a covered
disability or if loss of income persists. This benefit is based
on a formula specified in your policy and it is generally a
percentage of the full benefit. It may be paid up to the maximum
benefit period.
Risk Class - Risk class,
in insurance underwriting, is a grouping of insureds with a
similar level of risk. Typical underwriting classifications are
preferred, standard and substandard, smoking and nonsmoking,
male and female.
Risk Management - Management of the pure
risks to which a company might be subject. It involves analyzing
all exposures to the possibility of loss and determining how to
handle these exposures through practices such as avoiding the
risk, retaining the risk, reducing the risk, or transferring the
risk, usually by insurance.
Section 1035 Exchange - This refers to a
part of the Internal Revenue Code that allows owners to replace
a life insurance or annuity policy without creating a taxable
event.
Section 7702 - Part of the Internal Revenue
Code that defines the conditions a life policy must satisfy to
qualify as a life insurance contract, which has tax advantages.
Solvency - Having sufficient
assets--capital, surplus, reserves--and being able to satisfy
financial requirements--investments, annual reports,
examinations--to be eligible to transact insurance business and
meet liabilities.
Standard Auto - Auto insurance for average
drivers with relatively few accidents during lifetime.
State of Domicile - The state in which the
company is incorporated or chartered. The company also is
licensed (admitted) under the state's insurance statutes for
those lines of business for which it qualifies.
Statutory Reserve - A reserve, either
specific or general, required by law.
Stock Insurance Company - An incorporated
insurer with capital contributed by stockholders, to whom
earnings are distributed as dividends on their shares.
Stop Loss - Any provision in a policy
designed to cut off an insurer's losses at a given point.
Subrogation - The right of an insurer who
has taken over another's loss also to take over the other
person's right to pursue remedies against a third party.
Successive Periods - In hospital income
protection, when confinements in a hospital are due to the same
or related causes and are separated by less than a contractually
stipulated period of time, they are considered part of the same
period of confinement.
Surplus - The amount by which assets exceed
liabilities.
Surrender Charge - Fee charged to a
policyholder when a life insurance policy or annuity is
surrendered for its cash value. This fee reflects expenses the
insurance company incurs by placing the policy on its books, and
subsequent administrative expenses.
Surrender Period - A set amount of time
during which you have to keep the majority of your money in an
annuity contract. Most surrender periods last from five to 10
years. Most contracts will allow you to take out at least 10% a
year of the accumulated value of the account, even during the
surrender period. If you take out more than that 10%, you will
have to pay a surrender charge on the amount that you have
withdrawn above that 10%.
Term Life Insurance - Life insurance that
provides protection for a specified period of time. Common
policy periods are one year, five years, 10 years or until the
insured reaches age 65 or 70. The policy doesn't build up any of
the nonforfeiture values associated with whole life policies.
Tort - A private wrong, independent of
contract and committed against an individual, which gives rise
to a legal liability and is adjudicated in a civil court. A tort
can be either intentional or unintentional, and liability
insurance is mainly purchased to cover unintentional torts.
Total Loss - A loss of sufficient size that
it can be said no value is left. The complete destruction of the
property. The term also is used to mean a loss requiring the
maximum amount a policy will pay.
Umbrella Policy - Coverage for losses above
the limit of an underlying policy or policies such as homeowners
and auto insurance. While it applies to losses over the dollar
amount in the underlying policies, terms of coverage are
sometimes broader than those of underlying policies.
Underwriter - The individual trained in
evaluating risks and determining rates and coverages for them.
Also, an insurer.
Underwriting - The process of selecting
risks for insurance and classifying them according to their
degrees of insurability so that the appropriate rates may be
assigned. The process also includes rejection of those risks
that do not qualify.
Underwriting Guide - Details the
underwriting practices of an insurance company and provides
specific guidance as to how underwriters should analyze all of
the various types of applicants they might encounter. Also
called an underwriting manual, underwriting guidelines, or
manual of underwriting policy.
Unearned Premiums - That part of the premium
applicable to the unexpired part of the policy period.
Uninsured Motorist Coverage - Endorsement to
a personal automobile policy that covers an insured collision
with a driver who does not have liability insurance.
Universal Life Insurance - A combination
flexible premium, adjustable life insurance policy.
Usual, Customary and Reasonable Fees - An
amount customarily charged for or covered for similar services
and supplies which are medically necessary, recommended by a
doctor or required for treatment.
Valuation - A calculation of the policy
reserve in life insurance. Also, a mathematical analysis of the
financial condition of a pension plan.
Variable Annuitization - The act of
converting a variable annuity from the accumulation phase to the
payout phase.
Variable Life Insurance - A form of life
insurance whose face value fluctuates depending upon the value
of the dollar, securities or other equity products supporting
the policy at the time payment is due.
Variable Universal Life Insurance - A
combination of the features of variable life insurance and
universal life insurance under the same contract. Benefits are
variable based on the value of underlying equity investments,
and premiums and benefits are adjustable at the option of the
policyholder.
Viator - The terminally ill person who sells
his or her life insurance policy.
Voluntary Reserve - An allocation of surplus
not required by law. Insurers often accumulate such reserves to
strengthen their financial structure.
Waiting Period - See "elimination period."
Waiver of Premium - A provision in some
insurance contracts which enables an insurance company to waive
the collection of premiums while keeping the policy in force if
the policyholder becomes unable to work because of an accident
or injury. The waiver of premium for disability remains in
effect as long as the ensured is disabled.
Whole Life Insurance - Life insurance which
might be kept in force for a person's whole life and which pays
a benefit upon the person's death, whenever that might be.
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