Lesson 8 Flashcards

0
Q

Premium

A

A regular payment made in exchange for protection

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1
Q

Insurance

A

Protection against financial loss from illness, injury, or damage.

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2
Q

Policy

A

A legal contract

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3
Q

Claim

A

A formal request for payment from the insurance company

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4
Q

Shared risk

A

No single policyholder must bear the burden of a financially devastating loss

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5
Q

Insurable interest

A

Must be something of value that, if lost, would cause you financial harm

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6
Q

Appraisal

A

An expert’s determination of the value of a piece of property

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7
Q

Rider

A

A special addition to an insurance policy that covers a specific type of loss

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8
Q

Property insurance

A

Insurance that protects from financial loss when things you own are stolen, damaged, or destroyed

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9
Q

Liability insurance

A

Protects you from losses that you cause others

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10
Q

Personal insurance

A

Insurance that protects you, your spouse, and your children against financial loss due to illness, disability, or death

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11
Q

Bodily injury liability coverage

A

Insurance that protects you against financial loss, including the cost of your legal defense, when you are legally responsible for injuring other people in an automobile accident

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12
Q

Property damage liability coverage

A

Pays for damage you caused to another person’s property

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13
Q

Medical payments coverage

A

Pays medical and funeral expenses for you, your family members, and other passengers in your car because of injuries sustained in an accident–no matter who caused the accident

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14
Q

Uninsured/underinsured motorist coverage

A

Pays Medical and damage expenses for you and your passengers caused by a driver without insurance or with too little insurance to cover the loss

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15
Q

Comprehensive coverage

A

Pays for damage to your car caused by something other than a collision

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16
Q

Collision coverage

A

Pays for damage to your car caused by colliding with another car or object

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17
Q

Deductible

A

An amount you pay before the insurance company pays anything

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18
Q

Point

A

Bad mark recorded on a person’s driving record because of traffic violations and accidents

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19
Q

Assigned risk

A

You will have to pay very Hugh premiums for coverage

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20
Q

Homeowner’s insurance

A

Provides personal property and liability protection for your home

21
Q

Umbrella policy

A

Provides additional liability protection beyond that included in an automobile or homeowner’s policy

22
Q

Renter’s insurance

A

Provides about the same property and liability coverage as a homeowner’s policy, but doesn’t cover the structure itself or accidents that take place outside of your rented apartment or house

23
Q

80 percent rule

A

Your insurer isn’t required to reimburse you for the total amount of a loss unless your policy covers at least 80 percent of your home’s actual replacement value at the time of your loss

24
Q

No-fault insurance

A

Each person’s insurance company pays for that person’s losses, no matter who caused the accident

25
Q

Malpractice insurance

A

Insurance doctors buy to protect themselves against devastation loss

26
Q

Generic drugs

A

Medications that have the same chemical composition as their brand name counterparts but are less expensive

27
Q

Fee-for-service plan

A

(Indemnity plan) you pay for health services as you receive them

28
Q

Coinsurance

A

The portion you pay for the expenses

29
Q

Reasonable and customary charges

A

The fees that the insurance company determines are normal in your geographic area

30
Q

Managed care plans (prepaid plans)

A

You or your employer pay for health coverage in advance instead of paying for services as you use them

31
Q

Capitation

A

Paying doctors and hospitals a fixed amount per year for each insured patient, no matter what services they provide

32
Q

Copayment

A

A specific amount you pay for particular services, regardless of the cost of those services

33
Q

Health maintenance organization (HMO)

A

A managed care plan that charges a set amount for each member each year

34
Q

Primary care physician

A

The doctor coordinates your care

35
Q

Preferred provider organization (PPO)

A

The managed care plan that is most like a fee-for-service plan; PPO contracts with doctors, hospitals, and other health care providers to offer care to its members at reduced costs

36
Q

Point-of-service plan (POS)

A

You must select a primary care physician within the POS plan, but you can go outside the POS plan for health care

37
Q

Open enrollment

A

The specified period of time when you begin a job and can enroll in your employer’s plan

38
Q

COBRA

A

Requires your employer to offer to continue you health coverage for 18 months after you leave

39
Q

Pre-existing condition

A

A medical condition diagnosed or treated before you joined a new insurance plan

40
Q

Medicare

A

Designed to proved low-cost medical insurance for older Americans

41
Q

Medigap

A

Coverage sold by private insurance companies, not the gov.

42
Q

Medicaid

A

Helps ensure that people without the means to pay for health insurance can receive health care

43
Q

Workers’ compensation

A

An insurance program that pays expenses for work-related injuries, illnesses, and death

44
Q

Patient’s bill of rights

A

Specifies consumers’ health care rights and responsibilities

45
Q

Referral

A

An approval to seek services from a specialist

46
Q

Death benefit

A

The payment given if you die

47
Q

Beneficiary

A

The person you specify for the payment if you die

48
Q

Term life insurance

A

Pays a death benefit if the policyholder dies within a specific period of time, it’s term

49
Q

Permanent life insurance

A

Provided a death benefit plus a savings plan, and the coverage lasts throughout the policyholder’s life