C's
cancellable policy
An individual health insurance policy that can be terminated at
any time by the insurer. See also conditionally renewable
policy, guaranteed renewable policy, noncancellable and
guaranteed renewable policy, noncancellable policy, and
optionally renewable policy.
capacity
The largest amount of insurance an insurer or a reinsurer is
willing or able to underwrite. The term can refer to an
insurer's capacity on one individual or to the insurer's
capacity for all its business.
captive insurance company
An insurance company, formed and controlled by a separate
company, whose purpose is to provide insurance to the
controlling company. Companies which form captive insurance
companies include all types of companies which extend credit to
customers, including banks and retailers. See also agent-owned
reinsurance company (AORC).
career agent
A full-time commissioned salesperson who works out of an
insurance company's field office, holds an agent contract with
that company, and sends all, or almost all, of his or her
business to that company. A career agent may occasionally
broker business with other companies.
cash payment option
A life insurance policy dividend option under which policy
dividends are paid to the policyowner in cash.
cash refund option A form of the
life income option with refund which specifies that any
proceeds remaining when the beneficiary dies will be paid in a
lump sum to the contingent payee. Contrast with the installment
refund option.
cash surrender value
In a life insurance policy, the amount of money, adjusted for
factors such as policy loans or late premiums, that the
policyowner will receive if the policyowner cancels the
coverage and surrenders the policy to the insurance company.
Also called the net cash value. Compare to cash value.
cash value
In a life insurance policy, the amount of money, before
adjustment for factors such as policy loans or late premiums,
that the policyowner will receive if the policyowner allows the
policy to lapse or cancels the coverage and surrenders the
policy to the insurance company. Cash values are a feature of
most types of permanent life insurance, such as whole life and
universal life. Compare to cash surrender value. Also called
inside build-up and policyowner's equity.
certificate of insurance A
document given to each person insured by a group insurance
plan. This document shows the type and amount of coverage to
which the group member is entitled and the beneficiary of the
coverage. The certificate may also contain a summary of the
contract terms as they affect individual group members. See
also master contract.
cession
(1) In reinsurance, the act of ceding. (2) In reinsurance, a
parcel or unit of insurance that a company cedes to a
reinsurer.
claim
A request for payment under the terms of an insurance
policy.
claimant The person or party
making a formal request for payment of benefits due under the
terms of an insurance contract.
claim examiner
An employee of an insurance company whose responsibilities
include investigating claims, approving the claims that are
valid, and denying those that are invalid or fraudulent.
claim investigation
The process of obtaining necessary claim information in order
to decide whether or not to pay a claim.
claim reserve
A claim department's estimate of the amount of money needed to
pay a claim. The estimate is made with the help of information
that the claim department gathers in the course of handling the
claim. This information may involve, for example, the extent to
which the claim is covered by the policy, the effect of
previously paid claims on the amount of coverage available to
pay a current claim, and the effect of any applicable
reinsurance coverage on the claim.
class beneficiary designation
A beneficiary designation that names several people as a group
-- for example, "children of the insured" -- rather than naming
each person individually.
collateral assignment
A transfer of some ownership rights in a contract from one
party to another, generally for a temporary period. Insurance
policies are often assigned as collateral for a loan, in which
case all transferred rights revert to the assignor when the
loan is repaid. See also assignment.
commission
The amount of money paid to an insurance agent for selling an
insurance policy. A commission is almost always calculated as a
percentage of the premium.
company retention method A method
of comparing the costs of various life insurance policies
wherein the present value of premiums, cash values, and
dividends is calculated by weighting each item each year by the
probability that it will be paid. See also cost comparison
methods.
conditional premium receipt A
type of premium receipt given when the applicant pays the
initial premium and under which life insurance will become
effective before a policy is issued only if the proposed
insured is found to be insurable. Also called a conditional
receipt. Compare to binding premium receipt.
constructive delivery Legally
equivalent to physical delivery of a policy. Constructive
delivery occurs (a) when an insurer parts with control of the
policy with the intention that the insurer will be
unconditionally bound by the policy as a completed instrument
or (b) when the policy is physically delivered to an agent of
the applicant.
contestable period
The period of time (usually two years) during which an insurer
may challenge the validity of a life insurance policy. See also
incontestable clause.
contingent beneficiary
The party designated to receive life insurance policy proceeds
if the primary beneficiary should die before the person whose
life is insured.
contingent payee
The party who will receive any life insurance policy proceeds
that are still payable under a settlement option at the time of
the primary payee's death. Unlike the contingent beneficiary,
the contingent payee's rights do not end when the insured dies.
Also called the successor payee.
continuous-premium whole life
insurance
A type of whole life insurance in which premiums are payable
until the death of the insured. Also called straight life
insurance.
contract of adhesion A legally
binding agreement that is prepared by one party and that must
be accepted or rejected as a whole by the other party, without
any bargaining between the parties to the agreement. Insurance
contracts are contracts of adhesion.
contract of indemnity
A type of contract in which the amount of the benefit to be
paid is based on the actual amount of financial loss as
determined at the time of loss. For example, many hospital
expense insurance contracts are contracts of indemnity. See
also valued contract.
contribution limit
The maximum annual addition permitted by law to be made to a
participant's account in a defined contribution pension plan.
The annual contribution includes employer contributions,
employee contributions, and forfeitures that have been
reallocated from other participants' accounts. The limit is
subject to legislative change and is generally indexed to
inflation so that it increases as price levels increase. In the
United States, the contribution limit is set under Section 415
of the Internal Revenue Code. See also maximum benefit and
Section 415 limits.
contributory plan Any pension or
employee benefit plan in which plan participants can or must
make contributions to the plan out of their own funds. Contrast
with noncontributory plan.
conversion privilege
(1) The right of a person who is covered by a group insurance
policy to convert his or her group coverage to coverage under
an individual insurance policy. Such a conversion can be made
when a person leaves the group, benefits are downgraded or
terminated for a specific class, or when the group master
policy is ended. (2) The right to change insurance coverage in
certain prescribed situations from one type of policy to
another. For example, the right to change from an individual
term insurance policy to an individual whole life insurance
policy.
convertible term insurance
A type of term insurance that allows the policyowner to change
the term insurance policy to a whole life policy without
providing evidence of insurability. The premium rate is
normally based on the age of the insured at the time of the
conversion.
corridor
(1) In the United States, the required difference between a
universal life insurance policy's death benefit and the
policy's cash value. This difference is a specified percentage
that depends on the insured's age. If a policy's cash value
exceeds the required percentage of the death benefit (that is,
intrudes on the corridor), the policy will be considered an
investment contract rather than an insurance contract. Also
called the TEFRA corridor. (2) In reinsurance, an amount of
insurance which is in excess of the ceding company's retention
limit but which is less than the reinsurer's minimum cession.
The ceding company must usually retain this amount of
insurance.
cost comparison methods
The different formulas that insurance companies use to show
prospective policyowners the cost of different insurance
policies. See also company retention method, interest-adjusted
net cost method, and rate of return method.
credit life insurance
A type of decreasing term insurance designed to pay the balance
due on a loan if the borrower dies before the loan is
repaid.
current assumption whole life
insurance
A type of whole life insurance in which premium rates and cash
values vary according to the insurer's assumptions regarding
mortality, investment, and expense factors. Each policyowner
can decide whether he or she wants favorable changes in
assumptions to result in a lower premium or a higher cash value
for the policy. If changes in assumptions result in a higher
premium than that paid when the policy was purchased, the
policyowner may choose to lower the policy's death benefit and
maintain the previous premium or pay the higher premium and
maintain the original death benefit. As with indeterminate
premium life insurance, current assumption whole life insurance
guarantees that the premium will not increase above the rate
guaranteed when the policy was purchased. Also called
interest-sensitive whole life insurance.
|