Term
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Definition
riders attached to life insurance policys that allow death benefits to be used to cover nursing or covelent home expenses |
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Term
accidental death benefits |
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Definition
a policy rider that states that the cause of death will be aynalyzed to determine if it complies with policy description of accidental death |
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Term
accidental death insurance |
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Definition
an insurance policy that provides payment if the insureds death is result of an accident |
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Term
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Definition
the time before an annuitants retirement during which the annuit is making investments or payments |
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Term
Aquired Immunodeficenscy system (Aids) |
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Definition
infectious and incurable disease caused by hiv |
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Term
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Definition
the required amount pay damages for property loss (this amount is based off the property's current value/ minus deprecation |
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Term
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Definition
A contract offered "take it or leave it"basis by an insurer in which the insureds only options it to take it or leave it ( any ambigous contract will be settled in favor of the insured |
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Term
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Definition
Life Insurance that permits changes on the face amount,premium amount, period of protection, and the duration of the payment period. |
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Term
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Definition
A rep from and insurance company who investigates and acts on the behalf of the company to obtain agreements for the amount of the insurance claim |
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Term
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Definition
An individual appointed by a court as a fiduciary to settle the financial affairs and estate of a deceased person |
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Term
Admitted ( Authorized ) Insurer |
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Definition
An insurance company licensed and authorized to conduct business in a certain state |
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Term
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Definition
A program for imparied adults that attempts to meet their health and social needs |
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Term
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Definition
The tendency of risks with higher probability of loss to purchase and maintain insurance more often than the risks who present lower probablity |
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Term
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Definition
An insurance sale or company |
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Term
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Definition
a person who is licensed to sell insurance on behalf of a company |
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Term
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Definition
Special powers granted to the agent by his or her agency contract |
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Term
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Definition
a contract with participating parties exchange unequal amounts. Insuranace contracts are aleatory in the amount the insured will pay an enqual amount to the premium the insurance company will pay |
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Term
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Definition
Insurance Company outside the US |
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Term
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Definition
Causes person to become disfunctional do to severe memory loss |
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Term
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Definition
Detailed Report Insurance company must present to the state once a year |
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Term
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Definition
A contract that provides income for a specified period years or life |
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Term
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Definition
The appearance or assumption of authority based on the actions words or deeds of the principal, or of a situation the principal created |
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Term
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Definition
Person submitting an application to be insured by the company |
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Term
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Definition
Document that provided information for the underwriting process |
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Term
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Definition
the transfer of rights of ownership of a life insurance policy from one person to another |
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Term
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Definition
Age of insured at determined date |
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Term
Attending Physicians Statement |
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Definition
A statement usually obtained by the applicants doctor |
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Term
Authorized(admitted insurer) |
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Definition
An Insurance company authorized to conduct business in a particular state |
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Term
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Definition
method of dealing with risk by avoiding it |
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Term
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Definition
A ledger or proposal used in the sale of a life insurance policy that shows both guaranteed and non guaranteed elements |
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Term
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Definition
Person who receives the proceeds from a life insurance policy |
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Term
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Definition
Temp Contract that puts life insurance policy into effect before the premium has been paid |
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Term
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Definition
Method for determening primary coverage for a dependent based which parents birthday comes first is the primary |
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Term
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Definition
person who represents the insured during the process of negotiating the purchase of insurance |
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Term
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Definition
A legal contract that detrimes what will happen to the business if owner becomes disabled or dies |
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Term
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Definition
Booklet that describes insurance polices and concepts and provides general information to help make correct decision |
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Term
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Definition
The ammount of cash insured is entitled to if surrendered before maturity |
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Term
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Definition
Statement that confirms policy has been written and describes converge |
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Term
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Definition
Authorizes compainies to conduct business and what kind of insurance they can conduct ( cannot operate with out this) |
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Term
|
Definition
A legal document that indicates an insurance policy has been issued. States the amount and type of insurance |
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Term
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Definition
A request for payment from and insurance policy |
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Term
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Definition
Unfair trade practice. Agent uses mental or physical force to make a transaction happen |
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Term
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Definition
Provision that states that the insurer and insured will share losses covered by the policy in the proportion in advance |
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Term
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Definition
A practice in which a person in a fiduicuary capacity illeaglly mixes thier funds held in a trust |
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Term
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Definition
Payment issued to the agent who brokered the sale |
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Term
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Definition
The Chief Exective in the state insuracne is being sold |
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Term
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Definition
Withholding of facts that can void contract |
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Term
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Definition
Contract in which both parties must follow certain pre agreed guidelines to make contract enforceable |
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Term
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Definition
Binding for in a contract that requries something of vaule to be exchanged for the transfer of risk. Considertaion on part of insured is to PAY PREMIUM. Consideration on part of Insurance company is to PAY IN CASE OF LOSS |
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Term
|
Definition
Written/ Oral Statement regarding consumers credit,character, reputation, ECT. |
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Term
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Definition
Agreement between two parties enforced by law |
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Term
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Definition
Group insurance plan that requires employees to pay part of the premium |
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Term
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Definition
An entity that obtains and possess a license soley writing business on the owner, immediate family relatives employees or employer |
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Term
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Definition
policy that can be exchanged for another type of policy by contractual provision without evidence of insurablity |
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Term
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Definition
Provsion that deterimes who the primary provider if more than one insurance policy is held |
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Term
|
Definition
signing insurance policy by liceneced agent |
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Term
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Definition
the inclusion of losses which are covered by policy |
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Term
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Definition
A special type of coverage written to pay off debt if person dies |
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Term
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Definition
Care that is rendered to help insured complete daily life activities |
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Term
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Definition
Payment upon death of person who held life insurance |
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Term
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Definition
Type of policy where the premium decreases each year policy is held |
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Term
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Definition
Statement made with intention of harming another |
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Term
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Definition
Person who relies on another for support q |
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Term
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Definition
Cheif executive of insureance department |
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Term
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Definition
Act of identifiying the person or business on a policy |
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Term
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Definition
Company who conducts business within state |
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Term
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Definition
Insurers locations and ability to write insurance within the state |
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Term
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Definition
Ammount of premium for which the policy has been given |
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Term
|
Definition
Date in which insurance takes effect |
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Term
Employee Retirement Income Securties Act |
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Definition
The act that stipulates federal standards for private pension plans |
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Term
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Definition
For for changing provisions attached to a life insurance policy |
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Term
|
Definition
Reach maturity date so face ammount equals cash vaules |
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Term
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Definition
A legal impedment for denying a fact or restoring a right that has been previously waived |
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Term
|
Definition
Insurance that pays over the basic policy |
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Term
|
Definition
Causes listed in the contract in which policy will not be paid |
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Term
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Definition
Date of termination specified in the policy |
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Term
|
Definition
Authority given to agent as expressed in the written contract |
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Term
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Definition
Provision that allows coverage to go beyond policys experation date if someone is unable to work or in hospital |
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Term
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Definition
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Term
Fair Credit Reporting Act |
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Definition
Fed Law establishing prodcedures that must be followed to ensure the integrity of the credit report |
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Term
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Definition
An agent or broker who handles funds in a trust capacity |
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Term
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Definition
An annuity that offers fixed payments and a guaranteed interest rate |
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Term
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Definition
Allows for variation of premium payments |
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Term
|
Definition
insurance company insured in another state |
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Term
Fraternal Benefits Society |
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Definition
Life or health insurance companies formed to proved insurance for members of an affiliated lodge, Religious organizations with some form of government. |
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Term
|
Definition
Intentional Misrepresentation or deceit used to get someone to part with something of value |
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Term
|
Definition
Period of time new policy owner is allowed to inspect life insurance policy and get full refund |
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Term
|
Definition
Period of time after premium due date in which premium can be paid |
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Term
|
Definition
Life insurance provided for members of a group |
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Term
|
Definition
A circumstance that increases that chance of loss |
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Term
|
Definition
effect a persons reputation has on his insurablity |
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Term
|
Definition
effect a persons indifference on a loss effects their insurabilty |
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Term
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Definition
Hazards arising from physical characteristics of individuals |
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Term
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Definition
Authority agent is assumed to have in order to conduct business |
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Term
|
Definition
Restore insured to condition prior to loss |
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Term
|
Definition
a member organistaion unable to pay contractual obilgations and is placed under a final order of liquidation |
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Term
|
Definition
the acceptabily of an applicant |
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Term
|
Definition
financial interest in the life of another person, possibilty of losing something of value if insured passed away |
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Term
|
Definition
Contract in which one party agrees to idemify another party against loss of a specific nature if premium is payed |
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Term
|
Definition
person protected by insurance |
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Term
|
Definition
Entity the indemnifies against losses |
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Term
|
Definition
General Statment that identifies the general agreement between insurer and insured |
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Term
|
Definition
Self intended act to cause harm to ones self ( not covered_ |
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Term
|
Definition
Level of care one step down from nursing care |
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Term
Investigating Consumer Reports |
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Definition
Provides information on persons character |
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Term
|
Definition
single policy designed to cover multiple lives |
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Term
|
Definition
Insurance policy written on life of minor |
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Term
|
Definition
Termination of policy if policy has not been paid at end of grace period |
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Term
|
Definition
Laws of probability for accessing loss |
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Term
|
Definition
the accounting mesurentents used to measure insurers future obligations to pay policy holders |
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Term
|
Definition
Premium that remains level over life of premium |
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Term
|
Definition
Average number of years left in a persons life |
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Term
|
Definition
Allows policyholder to sell their existing life insurance policy for compesation |
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Term
|
Definition
level premium, level guarenteed death benfit till age 100 |
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Term
|
Definition
Selling assets as a method of rasing capital |
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Term
|
Definition
Rider attached to life insurance that provides benfites to terminally ill |
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Term
|
Definition
Organizations that provide support to underwriters |
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Term
|
Definition
Amount a policy owner can borrow against life insurance policy |
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Term
|
Definition
Reduction of vaule in ones assets |
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Term
|
Definition
Pays entire ammount of life insurance policy at one time |
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Term
Market Value Adjusted annuity |
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Definition
A single premium defered annuity that allows contract holder to be locked in at certain rate |
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Term
|
Definition
Date face ammount of life insurance policy becomes payable |
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Term
Medical Information Bureau |
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Definition
Info database that stores health histories of people who have applied for insurance in the past |
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Term
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Definition
Lie that can void contract |
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Term
|
Definition
method of premium payment |
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Term
|
Definition
table showing probability of death |
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Term
|
Definition
Insurance oraganisations that have no capital stock but are owned by policy holders |
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Term
Non Admitted/ Non Authorized |
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Definition
Insurance company who does not have certificate of authority |
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Term
|
Definition
insurance policy that cannot be cancelled |
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Term
|
Definition
Guarenteed Values in a life insurance policy that cannot be taken from insured |
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Term
|
Definition
Policy insured based on statement of health rather that medical examination |
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Term
Non Participating Policies |
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Definition
Insurance does not pay divedends |
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Term
|
Definition
type of plan that may discriminate, not required to be filed with IRS, does not provide tax decuctions |
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Term
|
Definition
termination policy of insurer on renewal date |
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Term
|
Definition
Agent licenced in a state in which they are not a resident |
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Term
|
Definition
how one receives policy dividends |
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Term
|
Definition
excessive amount of insurance that would result in overpayment in instance of a loss |
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Term
|
Definition
A preimums have been payed but policy had not matured do to endowment of death |
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Term
|
Definition
Insurance companies that pay dividends |
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Term
|
Definition
Rider found in juvinile policies that waives premiums if the person paying for them is disabled or dies while child is still a minor |
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Term
|
Definition
The cause of possible loss |
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Term
|
Definition
General term to refer to life insurance policys that are in effect til age 100 |
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Term
|
Definition
The likelihood of insurance polices being replaced or lapsing |
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Term
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Definition
Contract between insurance company and insured that agrees to pay insurable interests |
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Term
Physical Exam and Autopsy |
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Definition
allows insurer ( at own expense) to have body examied if claim is pending |
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Term
|
Definition
Insurer loans all or part of the cash value of the policy |
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Term
|
Definition
person in possession of the policy |
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Term
|
Definition
Person who can excersise rights on the policy |
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Term
|
Definition
Insurance classification for those who have a love risk of incurring loss. Premiums will be less |
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Term
|
Definition
First person to receive benefits on policy |
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Term
|
Definition
Fundimental Insurance Policy which comes first when it comes to other policies |
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Term
|
Definition
Full Face Value of a policy |
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Term
|
Definition
Non Governmental insurance |
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Term
|
Definition
Termination of an insurance policy with the adjustments of the premium |
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Term
|
Definition
The Ammount payable by the insurance company usually when one dies |
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Term
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Definition
Insurance agent or broker |
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Term
|
Definition
Covers in cases of cash value or disability |
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Term
|
Definition
A retirement plan that meets the irs guidelines for receiving favorable tax treatment |
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Term
Rate Service Organization |
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Definition
Organization formed on behalf of insurers to establish rates with the insurance department on behalf of insurance companies |
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Term
|
Definition
Any inducement offer included in the sale of insurance products that is not specified in the policy |
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Term
|
Definition
Unicorperated group of indiviudlas that mutually insure one anther, each assuming a share of the risk |
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Term
|
Definition
A situation where two companies provide the same help or advantages for one another |
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Term
|
Definition
Lessening the possibility or severity of loss |
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Term
|
Definition
One insurance company agreeing to bail the other company out if premiums are paid |
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Term
|
Definition
Clause that defines insurance company or insureds right to renew coverage |
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Term
|
Definition
Insurance that can be renewed at the end of the policy |
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Term
|
Definition
Statements that are made on an application that are believed to be true |
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Term
|
Definition
Termination of an insurance contract due to fraud |
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Term
|
Definition
Method of dealing with risk, insured assumes a portion of the risk |
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Term
|
Definition
Supplemental Attachment to the contract |
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Term
|
Definition
Uncertainty of an outcome where two or more scenarios exist |
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Term
|
Definition
Uncertainty of a loss occuring in a situation that can only result in a loss or no change |
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Term
|
Definition
A liability insurance company owned by its members that are exposed to the same risks by virtue of being in the same industry |
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Term
|
Definition
The uncertainty or chance of loss in a situation that involves gain |
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Term
|
Definition
An applicant or insured who has a average probability of loss |
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Term
|
Definition
An applicant who is insured who has a higher than normal probability of loss |
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Term
|
Definition
Withdrawing money from a qualified plan and placing it in another qualified plan |
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Term
|
Definition
Primary beneficiary no longer alive, benefits go to this person |
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Term
|
Definition
Choices available for distribution of proceeds |
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Term
|
Definition
A method for dealing with risk for a group of individual persons or businesses with the same or similar exposure to loss |
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Term
Single Premium Whole Life |
|
Definition
pay one time lump sum payment, get level coverage til 100 |
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Term
|
Definition
Uncertainty of incurring a loss that involves either an opportunity for loss or gain |
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Term
|
Definition
A policy that prevents debtors of the beneficiary from collecting the benifts before they are paid out |
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Term
|
Definition
Requirements by state law that must appear on all insurance polices |
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Term
|
Definition
Applicant to have average risk of loss based on vocation and lifestyle |
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Term
|
Definition
Companies owned by stockholders whose investments provide the capital to run the company |
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Term
|
Definition
Basic policy that charges a level annual premium for life time of policy/ annual death benefit |
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Term
|
Definition
Higher than normal probability of loss |
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Term
|
Definition
The head of the state department of insurance |
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Term
|
Definition
Act of giving up a life insurance policy/ insurer pays the cash value the policy has built up |
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Term
|
Definition
Insurance that provides protection for a certain period of time |
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Term
|
Definition
Condtion that does not allow a person to perform any sort of duties |
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Term
|
Definition
Basic principal of insurance in which the risk of financial loss is assigned to another party |
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Term
|
Definition
Misrepresting facts in order to get policy holder to switch to a different policy |
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Term
|
Definition
Portion of premium that has yet to be given |
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Term
|
Definition
a contract that leagally binds only one party to contractual obligations after premium is paid |
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Term
|
Definition
fair and equal bargining by both parties in forming a contract, applicant must fully disclose risk, insurer agrees to be fair with underwriting |
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Term
|
Definition
Combination of flexable premium and life insurance |
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Term
|
Definition
Contract that pays a stated amount in event of loss |
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Term
|
Definition
time between beginning of disability and the start of disability insurance benefits |
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Term
|
Definition
Voluntary abandonment of a known legal right |
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Term
|
Definition
A disability rider found in universal life insurance that waives the cost of the insurance but not the premium |
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Term
|
Definition
Continuation of life insurance if insured becomes disabled and cannot pay the premium |
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Term
|
Definition
material stipulation in contract that if breached would void the coverage |
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Term
|
Definition
Insurance that is kept in force for a persons entire life and is paid out upon death |
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Term
|
Definition
insurance that protects against loss due to accidental bodily harm |
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Term
|
Definition
Unplanned unforeseen traumatic injury to the body |
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|
Term
Accidental Death and dismemberment |
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Definition
An insurance policy that pays a specified amount or a specified multiple of the insurance dies or loses multiple limbs |
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Term
Accidental Death Benefits |
|
Definition
a policy rider that states the cause of death will be analyzed to determine if it complies with the policy of accidental death |
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Term
|
Definition
The Amount a Physician or supplier actually bills for a service or supply |
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Term
|
Definition
A contract offered on a take it or leave it basis by the insurer |
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Term
|
Definition
An insurance company that is authorized to sell insurance |
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Term
|
Definition
The tendency of risks with the higher probability of loss to purchase and maintain insurance more ofen than those of lower risks |
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Term
|
Definition
Additional miscellaneous services provided by a hospital such as xrays anethisia and lab work. Not hospital room and board |
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Term
|
Definition
The appearance of authority based on words,actions or deeds of the principal |
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Term
|
Definition
the amount medicare determines to be reasonable that is covered under part B of medicare |
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Term
|
Definition
A claim to a provider or medical supplier to receive payments from medicare |
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|
Term
Basic Hospital Expense Insurance |
|
Definition
Coverage for room and board at hospital for a certain amount of days |
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|
Term
Basic Medical Expense Insurance |
|
Definition
Coverage for doctors visit, xrays ect. Limited to specific dollar amount |
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Term
|
Definition
The length of time insurance benefits will be paid for illness or disability or hospital stay |
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|
Term
Blanket medical insurance |
|
Definition
policy that covers all medical costs |
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Term
|
Definition
unfair trade practice in which one party refuses to do busnisess with another until certain demands are met |
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Term
|
Definition
A section of health care benefits in which employee can choose benefits needed |
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Term
|
Definition
a percentage amount paid on the principal of policy if loss of appendage occurs |
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Term
|
Definition
Organizations that process claims and pay benefits in an insurance policy |
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Term
|
Definition
Agreement between insurer and insured in which both parties agree to pay a portion of potential loss |
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Term
|
Definition
Plan that provides a package of heath care services. Including preventive care, routine physicals and other benefits |
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|
Term
Comprehensive major medical |
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Definition
Combination of basic coverage and major medical that features low deductibles, high maximum benefits and coinsurance |
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Term
|
Definition
Part of an insurance contract that insures that both parties must give something of value in transfer of risk |
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Term
|
Definition
keeps insurance for 18 months if fired/ dependents 36 months |
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Term
|
Definition
Care that is rendered in order to help insured complete daily activities |
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|
Term
|
Definition
portion of claim paid to insurer before any claim is paid out |
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|
Term
Disability Income insurance |
|
Definition
Heath insurance that provides periodic payments to replace an insureds income when he or she is injured or ill |
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|
Term
Dread (Specified) Disease Policy |
|
Definition
A policy with a high maxium limit that covers certain diseases named in the contract |
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Term
|
Definition
Federal Reqirement for employers with more than 25 people must offer HMO coverage as well as indemify if health carer is offered |
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Term
|
Definition
A period of time in which and employee may enroll in group health care without having to provided evidence of insurabilty |
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Term
|
Definition
Waiting period that is imposed on insured until disability |
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Term
|
Definition
Situation that requires treatment within 24 hours |
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Term
|
Definition
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Term
|
Definition
Amount of time employee has to sign up for a group health plan |
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Term
|
Definition
A legal impedment to denying a fact or restoring a right that has been previously waived |
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Term
|
Definition
The difference between medicare approved and the actual charge |
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Term
|
Definition
Statement that outlines your coverage |
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|
Term
|
Definition
A unit of measure used to determine rates charged for an insurance coverage |
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Term
|
Definition
Authority Granted to an agent through a written contract |
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Term
|
Definition
|
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Term
|
Definition
Provision that allows benefits to be awarded past the expiration date for employees that are not at work do to disability |
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|
Term
Flexible Spending Account |
|
Definition
A salary reduction cafeteria plan that uses employee funds to provide various types of health care benefits |
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|
Term
|
Definition
A model of HMO and PPO organizations that uses the insureds primary care doctor (gatekeeper)as the initial point of contact |
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|
Term
|
Definition
A type of insurance that covers a group of individuals against loss or loss of pay do to accident or illness |
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|
Term
|
Definition
Health Care provided to members of a group |
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Term
Health Maintenance Organization HMO |
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Definition
A prepaid medical service plan in which specified medical service providers contract with HMO to provide service. Focus of HMO is preventative medicine |
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Term
Health Reimbursement Accounts HRAs |
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Definition
Plans that allow employers to set aside funds for reimbursing employees for qualified medical expenses |
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Definition
An entity certified by the insured health plan that provides home health care needs |
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Definition
part time nursing or home help. physical therapists, Speech therapy |
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Term
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Definition
A covered expense under part A of Medicare in which a licensed home health agency provides home health care for the insured |
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Term
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Definition
A facility for terminally ill that provides supportive care such as pain relief and symtom mangement |
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Term
Hospital Confinement Rider |
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Definition
An optional disability income rider that waives elimination when hospitalized |
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Term
Income replacement contracts |
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Definition
Polices that replace a certain percentage of the insureds pure loss of income due to covered accident of sickness |
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Term
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Definition
A rider that is added to a Life Insurance Policy to pay long term care benefits |
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Term
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Definition
Organizations that process inpatient and out patient claims from medical facilities |
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Term
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Definition
A level of care that is one step down from nursing. Provided under the supervison of RNs or Doctors |
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Term
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Definition
Health insurance policies that cover only specific incidents or diseases |
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Term
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Definition
Maximum amount a doctor can charge someone on Medicare Facility if Doc does not accept assignment of approved amount |
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Term
Long Term Disabilty insurance |
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Definition
insurance that covers individual until age 65 |
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Term
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Definition
care for persons with cronic diseases or illness. |
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Term
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Definition
insurance that pays benefits for those unable to work because of disability |
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Term
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Definition
High deductable/ covers alot |
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Term
Medical Expense Insurance |
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Definition
type of insurance that pays benefits for medical, surgical,and hospital costs |
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Term
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Definition
Employer funded account linked to a high deductible medical insurance plan |
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Term
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Definition
US government plan for paying certain medical expences |
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Term
Medicare Supplement insurance |
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Definition
fills gaps in protection provided by medicare |
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Term
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Definition
Medicare supplement insurance plans that are designed to fill in some gaps on medicare |
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Definition
A ratio of sickness to well people in a group |
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Term
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Definition
A table showing the frequency of sick and healthy people |
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Term
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Definition
A group of small employers who do not qualify for group insurance individually. Group together to get insurance |
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Term
Multiple employer welfare Associations |
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Definition
An entity of at least two employers other that the dualy admitted insurer. offers employee benefit plan |
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Term
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Definition
Provisions that spells out insureds duty in case of loss to notify insurer |
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Term
Omnibus Budget Reconciliation Act |
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Definition
Fed law that extends minimum cobra policy of group health care coverage from 18 to 29 months |
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Term
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Definition
An excessive amount of insurance that would result in over payment on an insurance claim |
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Term
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Definition
Rule that states that a contract may not be altered without written consent of both parties |
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Term
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Definition
A specialty of dentisry that deals with tissue around the gums |
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Term
Preferred Provider Organizations |
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Definition
An organization of medical pros and hospitals who provide services to an insurance companies clients for a set fee |
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Term
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Definition
A provision that is found in most disability income policy's which specifies the conditions that will automatically supply someone with disability |
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Term
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Definition
The period of time between the effective date of a health insurance policy and the date of coverage for all conditions beginning |
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Term
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Definition
involves the replacement of missing teeth |
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Term
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Definition
A situation that can only result in loss or no change |
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Term
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Definition
A policy provision that basically takes a reoccurring injury or illness into consideration prior the the period of disability |
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Term
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Definition
Insurance Plans where the health care services rendered are the benefits instead of monetary benefits |
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Term
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Definition
Cancelling Policy with a less than proportionate return on premium |
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Term
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Definition
covers disabilities of ages 13-26 |
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Term
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Definition
the legal process in which the insurance company seeks recovery of the amount paid to the insured from a third party who may have caused the loss |
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