A Flashcards
Absolute Assignment
Policy assignment under which the assignee received full control over the policy and also full rights to its benefits
Accelerated Benefits Rider
A life insurance rider that allows for the early payment of some portion of the policies face amount should the insured suffers from a terminal illness or injury
Accidental Bodily Injury Provision
Disability income or accident policy provision that requires that the injury be accidental in order for benefits to be payable
Accidental Death and Dismemberment (AD&D)
Insurance providing payment if the insured’s death results from an accident, if the insured accidentally severs a limb above the wrist or ankle joints, or totally and irreversibly loses eyesight.
Accidental Death Benefit Rider
A life insurance policy rider providing for payments of an additional benefit when death occurs by accidental means
Accidental Dismemberment
The severance of limbs at or above the wrist or ankle joins, or the entire irrevocable loss of sight
Accidental Means Povision
Unforeseen, unexpected, unintended cause of an accident. Requirement of an accident-based policy that the cause of the mishap must be accidental for any claim to be payable.
Accident and Health Insurance
Under which benefits are payable in case of disease, accidental injury, or accidental death. Also called health insurance, personal health insurance, and sickness and accidental insurance.
Accumulation Unit
Premiums an annuitant pays into annuities are credited as accumulation units. At the end of the accumulation period, accumulation units are converted to annuity units.
Acquired Immune Deficiency Syndrome (AIDS)
A life threatening condition brought on by the human immunodeficiency virus; insurers must adhere to strict underwriting and claims guidelines in regard to AIDS risks and AIDS related conditions
Acute Illness
A serious condition, such as pneumonia, from which the body can fully recover with proper medical attention
Adhesion
A life insurance policy is a contract of adhesion because buyers must adhere to the terms of the contract already in existence. They have no opportunity to negotiate terms, rates, values, and so on.
Adjustable Life Insurance
Combines features of both terms and whole life coverage with the length of coverage and amount of accumulated cash value as the adjustable factors. Premiums may be increased or deceased to fit the specific needs. Such adjustments are not retroactive and apply only to the future.
Administrative Services Only (ASO)
Arrangement under which an insurance company or an independent organization, for a fee, handles the administration of claims, benefits, and other administrative functions for a self insured group.
Admitted Insurer
An insurance company that has met the legal and financial requirements for operation within a given state
Adult Day Care
Type of care designed for individuals who require assistance with various activities of daily living, while their primary caregivers are absent.
Adverse Selection
Selection “against the company.” Tendency of less favorable insurance risk to seek or continue insurance to a greater extent than others. Also, tendency of policy owners to take advantage of favorable options in insurance contracts.
Advertising Code
Rules established by the National Association of Insurance Commissioners (NAIC) to regulate insurance advertising.
Agency
Situation where in one party (an agent) has the power to act for another (the principal) in dealing with third parties
Agent
Anyone not a duly licensed broker who solicits insurance or aids in placing risks, delivering policies, or collecting premiums on behalf of an insurance company
Agent’s Report
The section of an insurance application where the agent reports personal observations about the applicant
Aleatory
Feature of insurance contracts in that there is an element of chance for both parties and that the dollar given by the policy holder (premiums) and the insurer (benefits) may not be equal
Alien Insurer
Company incorporated or organized under the laws of any foreign nation, providence, or territory
Ambulatory Surgery
Surgery performed on an outpatient basis