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absolute assignment
An irrevocable transfer of complete ownership of a life
insurance policy from one party to another. See also
assignment.
accelerated benefits
Some companies provide "accelerated benefits," also known as
"living benefits." This rider 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.
accidental death and dismemberment (AD&D)
rider
A supplementary benefit rider or endorsement that provides for
an amount of money in addition to the basic death benefit of a
life insurance policy. This additional amount is payable only
if the insured dies or loses any two limbs or the sight of both
eyes as the result of an accident. Some AD&D riders pay one
half of the benefit amount if the insured loses one limb or the
sight in one eye.
accidental death benefit (ADB) rider
A supplementary benefit rider or endorsement that provides for
an amount of money in addition to the basic death benefit of a
life insurance policy. This additional amount is payable only
if the insured dies as the result of an accident.
accidental means provision
A life insurance policy accidental death benefit provision
which states that an accidental death benefit will be payable
if the insured's death was the result, directly and
independently of all other causes, of bodily injury caused
solely by external, violent, and accidental means.
accidental result provision
A life insurance policy accidental death benefit provision
which states that an accidental death benefit will be payable
if the insured's death was the result, directly and
independently of all other causes, of accidental bodily
injury.
accident perils
A classification used by health insurance underwriters to
evaluate the type and degree of peril represented by a
particular occupation. Accident perils include exposure to
fire, the use of dangerous machinery, the handling of heavy
objects, and the risk of falling. See also illness
perils.
accumulated cost of insurance
A factor used in the calculation of life insurance reserves.
For a given group of insureds, the accumulated cost of
insurance equals the net single premium that would have to be
paid at the end of the term of coverage by the surviving
insureds to provide death benefits on the insureds who died
during the term.
accumulated value
An amount of money invested plus the interest earned on that
money.
accumulation at interest
option A life insurance policy dividend option
under which policy dividends are left on deposit with the
insurer to accumulate at interest. Also called the
accumulation option.
accumulation units
The term used to identify ownership shares in a variable
annuity's separate-account fund. When a person pays premiums
for a variable annuity, those premiums are credited to the
purchaser's account as a certain number of accumulation units.
After the accumulation period ends, the accumulation units are
used to buy annuity units. See also annuity units.
actuarial assumptions
(1) The mortality, morbidity, interest, expense, and other
forecasts used to calculate premium rates and reserves. (2) In
pension planning, the assumptions that actuaries make in the
areas of investment earnings, mortality, plan expenses, salary
levels, and employee turnover. These assumptions affect the
amount of the annual contribution that is necessary to
adequately fund a defined benefit pension plan.
actuarial cost method For a
defined benefit pension plan, a method of calculating the
annual amount a plan sponsor must contribute to fund a
given set of plan benefits for a particular group of
participants.
actuary A technical expert in
life insurance, particularly in mathematics. A person in
this job applies the theory of probability to calculate
mortality rates, morbidity rates, lapse rates, premium
rates, policy reserves, and other values.
additional term insurance option
A life insurance policy dividend option under which policy
dividends are used as a net single premium to purchase one-year
term insurance. Also called the additional insurance option or
the fifth dividend option.
adjustable life insurance policy
A life insurance contract designed specifically to allow the
policyowner to alter the policy's plan by changing the amount
of the coverage or the amount of the premium. The insurer
calculates the specific plan of insurance that can be provided
based on the requested death benefit and premium. Therefore, an
adjustable life insurance policy can use insurance plans that
range from a term insurance policy of short duration to a
limited-payment whole life insurance policy.
admitted reinsurer
In the United States, a reinsurer which is licensed to accept
reinsurance in a given jurisdiction. Also called an authorized
reinsurer. Contrast to nonadmitted reinsurer.
advanced underwriting
department
An insurance company home office department responsible for
providing technical and sales assistance to agents involved in
estate planning and business insurance cases. Also known as the
estate planning department.
agency The legal relationship
between an agent and a principal. See agency
relationship.
agency relationship
In law, the relationship between two parties by which one
party, the agent, is authorized to perform certain acts on
behalf of the other party, the principal.
agency system A distribution
system in which insurance companies use their own
commissioned agents to sell and deliver insurance
policies. The agency system is the most common system for
distributing individual life insurance products and
includes the branch office distribution system and the
general agency distribution system. Also called the
ordinary agency system. See also branch office
distribution system, brokerage distribution system, and
general agency distribution system.
agent A party who is authorized
by another party, the principal, to act on the
principal's behalf in contractual dealings with third
parties. Called a mandatary in Quebec. See also insurance
agent.
agent-brokers Career agents who
place business with companies other than their primary
companies. Also known as agents of other companies,
surplus brokers, or simply brokers.
agent of record
The agent or broker who is recognized by the insurer as the
person to whom the commission is to be paid.
agent's statement The portion
of the insurance application in which the agent reports
anything he or she knows or suspects about the proposed
insured that is not reported by the applicant or proposed
insured.
aggregate mortality table
A mortality table based on the experience of all insured lives,
including mortality rates both during and after the select
period. The mortality rates of an aggregate mortality table
fall between those of the select and the ultimate mortality
tables. See also mortality tables, select mortality table,
select period, and ultimate mortality table.
American Council of Life Insurance
(ACLI)
In the United States, an organization which collects and
disseminates data on life insurance markets.
Annual Statement
An accounting report that insurers must file each year with the
appropriate regulatory agency. This report contains detailed
accounting and statistical data that regulators use to evaluate
a life and health insurance company's solvency and its
compliance with insurance laws.
annuitant
(1) The person designated to receive annuity payments. (2) The
person whose lifetime is used as the measuring period to
determine how long benefits are payable under a life
annuity.
annuity
(1) A series of payments made or received at regular intervals.
(2) A contract that provides for a series of payments to be
made or received at regular intervals. There are many kinds of
annuities. For the annuities identified in this glossary, see
annuity certain, annuity due, annuity immediate, deferred
annuity, deferred life annuity, disabled life annuity, flexible
premium annuity, group deferred annuity, immediate annuity,
joint and survivor annuity, level premium annuity, life
annuity, life annuity with period certain, refund annuity,
single premium annuity, single premium deferred annuity (SPDA),
straight life annuity, temporary life annuity, temporary life
annuity due, variable annuity, whole life annuity, and whole
life annuity due.
annuity certain
An annuity that provides a benefit amount payable for a
specified period of time regardless of whether the annuitant
lives or dies.
annuity due
A series of payments in which the payments are made at the
beginning of each interval of time.
annuity immediate
A series of payments in which the payments are made at the end
of each interval of time.
annuity mortality table
A tabulation of probabilities of dying at each age. Used by
actuaries to calculate premiums and reserves for annuities in
which benefits are paid only if a designated person is alive.
Annuity mortality tables usually project lower rates of
mortality than do mortality tables that are used for life
insurance. See also mortality tables.
annuity period
The time between each benefit payment made under an annuity
contract.
annuity units
The term used for ownership shares in a variable annuity's
separate-account fund after the accumulation period has ended.
Annuity units are bought with accumulation units and are used
to determine benefit payment amounts. See also accumulation
units.
antiselection
The tendency of people with a greater-than-average likelihood
of loss to apply for or continue insurance to a greater extent
than do other people. Also called adverse selection or
selection against the insurer.
apparent authority
Authority that is not expressly conferred on an agent but that
the principal either intentionally or negligently allows a
third party to believe the agent possesses. See agent and
principal. Compare to express authority and implied
authority.
applicant
The party applying for an insurance policy.
application
A form that must be completed by an individual or other party
who is seeking insurance coverage. This form provides the
insurance company with much of the information it will need to
decide whether to accept or reject the risk.
approval type temporary insurance
agreement
An agreement issued in conjunction with a conditional premium
receipt that provides temporary life insurance coverage as of
the date the insurer approves the proposed insured as a
standard risk. See also conditional premium receipt and
temporary insurance agreements. Compare to insurability type
temporary insurance agreement.
assignee
The party to whom all or certain contractual rights are
transferred under an absolute or collateral
assignment.
assignment
(1) The transfer of ownership rights in a life insurance policy
or other type of contract from one party to another. (2) The
document that causes the transfer of ownership rights to go
into effect. See also absolute assignment and collateral
assignment.
assignment of benefits
An authorization directing an insurer to make payment directly
to a provider of benefits, such as a physician or dentist,
rather than to the insured.
assignor
The person or party who transfers certain contractual rights
under an absolute or collateral assignment.
association group insurance
Group insurance extended to the members of a trade,
professional, or other association.
assumption reinsurance
A reinsurance agreement by which one company permanently
transfers full responsibility for a block of policies to
another company. After the cession, the ceding company is no
longer a party to the insurance agreement.
attained age
The current age of the insured. The age of the insured at the
time the insured's policy was issued plus the number of years
elapsed since the policy was issued.
attained age conversion
The changing of a life insurance policy from one form of
insurance to another (such as from term life insurance to whole
life insurance) at a premium rate that is based on the age the
insured person has reached at the time the change takes
place.
Attending Physician's Statement (APS)
A written statement from a physician who has treated, or is
currently treating, a proposed insured or an insured for one or
more conditions. The statement provides the insurance company
with information relevant to underwriting a risk or settling a
claim.
automatic dividend option
For a particular life insurance policy, the dividend option
that applies in the event the policyowner does not choose an
option. See dividend options.
automatic nonforfeiture option
For a particular life insurance policy, a specified
nonforfeiture benefit that becomes effective automatically when
a renewal premium is not paid by the end of the grace period
and the policyowner has not elected another nonforfeiture
option. See also nonforfeiture options.
automatic premium loan (APL)
A life insurance nonforfeiture option that allows the insurer
to pay overdue premiums on a policy by establishing a loan
against the policy's cash value. See also nonforfeiture
options.
automatic reinsurance treaty
A reinsurance agreement in which the reinsurer agrees, for a
stipulated type of risk, to accept each risk or a portion of
each risk submitted by the ceding company, up to a certain
limit, provided the ceding company insures up to its usual
retention limit. In this agreement, the ceding company assumes
full underwriting responsibility for all cases
reinsured.
average indexed monthly earnings
In the United States, the figure on which social security
disability, retirement and other benefits are based. The figure
is an average of the monthly earnings on which a worker has
paid social security tax. The figure is indexed, that is,
adjusted to compensate for inflation.
aviation exclusion
A life insurance contract provision which specifies that the
death benefit is not payable if the insured dies as a result of
certain aviation activities.
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