Glossary Flashcards
Accident and sickness insurance
A type of insurance that makes a payment if you have an illness, are injured or die from an accident. It includes disability income insurance and accidental death and dismemberment insurance.
Accidental death and dismemberment insurance
A type of insurance that makes a payment if you die from an accident or lose full or partial use of a limb, hearing or eyesight. You can buy this type of insurance on its own or add it to a life insurance policy.
Accidental death insurance
A type of insurance that makes a payment if you die from an accident. You can buy accidental death insurance on its own or add it to a life insurance policy.
If you add it to a life insurance policy and die from an accident, your insurance company pays both the life insurance amount and the accidental death insurance amount.
When the amount of the accidental death insurance is equal to the amount of the life insurance, the amount payable is double the original amount of the life insurance policy, and is known as “double indemnity”.
Actuary
A person professionally trained in calculating the risks and costs of insurance.
Adjustable policy
A type of insurance policy that allows the insurance company to make changes to the policy under certain conditions. Changes can include the amount of insurance, the premiums charged and the cash value.
Details of how the insurance company can make changes are listed in the policy.
Administrative services only (ASO) plan
A type of group plan where the benefits are not insured. The plan sponsor (usually an employer) hires an outside firm (often a life and health insurance company) to administer their plan. The plan sponsor is responsible for providing the funds to pay claims.
Advisor
A person who is licensed by a provincial or territorial regulator to sell life insurance, accident and sickness insurance, group insurance and segregated funds. Also called an agent or a broker.
Annuitant
Typically, the person who receives payments from an annuity. It can also refer to the policyholder and to the person on whose life the payments are based.
Annuity
A contract that pays you income at regular intervals, typically monthly, in exchange for an upfront payment. The income can start right away, or at some set date in the future. Annuities are often used to provide retirement income.
The different types of annuities include:
a life annuity, which makes payments for as long as you live. A joint life annuity could make payments for as long as either you or your spouse lives.
an annuity certain, which makes payments for a specified number of years or to a specified age, regardless of whether you are alive throughout that period,
some combination of both.
Application
An application is a formal request for insurance coverage. It provides information about you and the type and amount of insurance you want. The information you give the insurance company helps them decide if you meet their requirements and qualify for the insurance. In some cases, you have to answer a series of health questions. You may also have to undergo basic medical tests as part of your application.
Automatic premium loan
A feature in a permanent life insurance policy that allows the insurance company to pay for overdue premiums by taking a loan against the policy (as long as it has a cash value). Paying for overdue premiums in this way prevents your policy from being cancelled (or lapsing).
(See Non-forfeiture options.)
Beneficiary
The person you name to receive the payment from your insurance policy. In the case of life insurance, if you don’t name a beneficiary, the payment goes to your estate.
Benefit
The payment an insurance company makes when they approve an insurance claim.
Cash surrender value
The amount your insurance company pays you when you cancel a permanent life insurance policy that has built up a cash value. The insurance company deducts any policy loans or overdue premiums from the cash surrender value before paying you.
Cash Value
The cash amount that builds up in a permanent life insurance policy. You can take a loan against the cash value of your policy. If you cancel your policy, you get the cash value.
Whole life, variable life and universal life are types of life insurance that have cash value.
Certificate of insurance
A document that sets out the key features of the insurance under a group insurance plan. It lists things like the type and amount of coverage, categories of dependents, deductibles and coinsurance, limits and exclusions, and instructions for making a claim.
A contract given to those who have insurance through a fraternal society.
Claim
A formal request to an insurance company for payment of a benefit.
Claimant
The person who makes a claim.
Coinsurance
An arrangement in a health or dental insurance plan where you and the insurance company share the cost of the items covered. You usually pay a set percentage (e.g., 20% paid by you and 80% paid by the plan).
Contestability
Contestability is the legal right of the insurance company to question (or contest) your insurance coverage. If the company finds that you gave incomplete or incorrect information when applying for the insurance, they will look at what impact the missing information would have had on their decision to insure you. If their decision would have been different, they may cancel your coverage and deny any claims.
Most policies have a two-year contestability period. After that, the company cannot contest your coverage except in the case of fraud (a deliberate misstatement of fact). An example of fraud is a smoker who states in their application that they’re a non-smoker, to get a reduced premium.
Contingent beneficiary
If you choose to name more than one person to receive a benefit, you can name some to be primary and others to be secondary (also called contingent). Primary beneficiaries are first in line to receive benefits. Secondary beneficiaries only receive a benefit if no primary beneficiaries are alive when the benefit is paid.
Contract
An insurance contract is the legal agreement with your insurance company that sets out the terms of your coverage. The contract usually includes your application, the policy, and any changes made later to the policy.
Conversion right
A right that a policyholder has to exchange their policy for another one, without giving proof of good health. A common example is term insurance that can be exchanged for a permanent insurance policy. Another example is a group insurance plan where an employee plan member who leaves the plan can convert their group insurance to an individual insurance policy.
Coordination of benefits
Families with two working adults may be covered by more than one health or dental plan. If your primary plan doesn’t pay the full amount of an expense, you can submit a claim to the other plan for the balance. In this way, you can receive up to 100% of your expense.
Creditor protection
If you have unpaid debts, the people you owe the money to (your creditors) may legally have access to your other assets, such as property, investments or valuables, to pay off the debt. This may happen through your bankruptcy or other legal proceedings.
The funds in your insurance policies may be protected from creditors in certain circumstances. For example, if you make certain beneficiary designations or if the policy is registered (such as a Registered Retirement Savings Plan). However, the protection may not apply if you put your money into an insurance policy to avoid paying your creditors.
Creditor’s group insurance
A type of insurance that helps to pay down or pay off your loan or credit card or cover your payments in certain situations, such as if you die or become disabled. It can be offered through financial institutions, auto dealers, mortgage brokers, retailers, or credit card companies when you take on debt.
Critical illness insurance
A type of insurance that pays you a lump sum if you are diagnosed with a serious illness such as cancer, heart disease requiring surgery, heart attack or stroke. The exact illnesses covered are listed in your policy. You can buy this type of insurance on its own or may be able to add it to a life insurance policy or group plan.
Deductible
Deductibles are common in health insurance plans. The deductible is the amount of a covered expense that you pay before your insurance company makes any payments. The deductibles apply to you and to any dependents covered under the plan. Examples might be $50 per person per year or $5 for each drug prescription.
Deferred annuity
A contract that pays you income at regular intervals, starting at a future date. The date can be in a specified number of years or at a specified age.
Defined benefit pension plan
A workplace pension plan that pays you a set benefit amount when you retire. Benefits are based on a formula that takes into account things like your salary, how long you were a member of the plan and how much you and your employer contributed to the pension plan.
Defined contribution pension plan
A workplace pension plan where the amount you contribute is fixed but the benefit amount you receive on retirement is not. Your benefits are based on the amount you and your employer have contributed, plus investment earnings.
Dental insurance
A type of insurance that provides coverage for dental expenses. It’s usually provided as part of a group plan, but you can also buy it on its own.
Disability income insurance
A type of insurance that makes regular payments (usually monthly) to replace income if you become disabled and unable to work. It’s usually provided as part of a group plan, but you can also buy it on its own.
Eligible expenses
Expenses that are covered under a health or dental plan. Depending on the coverage provided, you may have to pay a share of the expenses.
Eligibility period
The length of time you must be a member of a group before qualifying for coverage under the group plan. For example, an organization whose health and dental plan has a 90-day eligibility period would require 90 days of qualified employment before coverage could begin.
Elimination period
In disability insurance, you have to be continuously disabled for a certain amount of time before making a claim. This amount of time is the elimination period (sometimes referred to as a “waiting period”). You will not receive benefits for the elimination period.
Endowment insurance
A type of life insurance that pays you a set amount if you live to the maturity date of your policy. If you die before that date, your insurance company pays the set amount to your beneficiary.
Evidence of insurability
The information an insurance company uses to decide whether or not to insure you. It’s often called “proof of good health”. The information may include medical, lifestyle, smoking and other personal information.
Exclusions
Things that are not covered by an insurance policy. They can include:
certain medical conditions you had before you applied for the insurance
high-risk activities such as sky-diving
You can sometimes buy extra insurance to pay for risks that would not otherwise be covered.
Exempt policy
A life insurance policy where the savings growth does not exceed limits set under income tax law. In an exempt policy, the investment earnings on cash value are not subject to annual taxation.
Extended health care insurance
A type of insurance that pays for hospital and medical expenses not covered by your provincial health plan. Expenses typically include prescription drugs and medicines, semi-private or private hospital rooms, ambulance services, and hospital and medical expenses you incur outside Canada. It can be part of a group plan or you can buy it on its own.
Extended term insurance
An option in a permanent life insurance policy that allows you to extend the period you’re covered without having to pay additional premiums. It uses the cash value in your policy but your insurance coverage stays the same. How long the policy continues depends on how much cash value is available.
Face amount
Also called the “sum insured”, the face amount is the amount stated on your policy that your insurance company guarantees to pay when the insured person dies. It does not include amounts payable under accidental death coverage or other special provisions.
Financial needs analysis
When you buy insurance, an advisor may help you decide how much insurance you need by completing a financial needs analysis. This looks at your current financial and personal situation and goals to help decide how much insurance you need. It can include things like taking care of dependents and paying off loans.
Flexible premium policy or annuity
A type of life insurance policy or annuity contract where you can vary the amount of your premium payments and when you make them. For example, you can pay premiums for six months and then stop paying them for the next six months. There may be minimums and maximums that apply to your payments.
Fraternal society/Fraternal benefit society
A not-for-profit organization that operates for fraternal, benevolent or religious purposes, including providing insurance to its members and their families.
Grace period
A period in which an insurance policy is effective even though the premium is past due.
Group annuity
A workplace savings plan that provides a regular income, typically at retirement. Pension plans and group registered retirement savings plans often use group annuities. These may be variable insurance contracts.
Group insurance
A type of insurance that provides coverage for a group of people (for example employees or members of an association) under one contract called a group plan or group policy.
Group policyholder
An organization (for example an employer or association) that enters into a group insurance contract with an insurance company.
Guaranteed death benefit
The minimum amount an insurance company pays to the beneficiary when the insured person dies.
Guaranteed insurability benefit
An option in a life insurance policy. It gives you the right to buy additional insurance coverage at set future ages without having to give proof of good health.
It’s also called “guaranteed insurability option”.
Guaranteed maturity benefit
The amount that your insurance company guarantees to pay you on the policy maturity date. This benefit is most common with segregated fund contracts.
Guaranteed Minimum Withdrawal Benefit (GMWB)
An option within a segregated fund contract that guarantees to pay you a stated income as long as you live, or for a specified period, even if the cash surrender value of the contract drops. If the cash surrender value grows, then the income paid to you can increase.
Guaranteed renewable policies
A feature of an individual insurance policy where the insurance company guarantees to renew the insurance at the end of a certain period, regardless of any changes in your health. Premiums may increase at renewal times.
Health care spending account
An arrangement in a group plan where the plan member gets a number of credits in an account. The member can use the credits to pay for health and dental expenses not covered elsewhere in their plan.
Health insurance
A type of insurance that covers medical expenses (such as drugs, dental expenses, vision expenses) or loss of income if you’re sick or injured. Types of health insurance include accident and sickness insurance, disability income insurance, and accidental death and dismemberment insurance.
Hospital expense insurance
A feature of extended health care insurance that covers hospital expenses not covered by your provincial health plan during your stay in hospital. It can include the cost of private or semi-private hospital rooms and other prescribed hospital services.