Insurance Information
Bail Bond Variously used in connection with the release of a person or property from the custody of the law, referring to the bond or sum of money that is furnished the court or other official as indemnity for nonperformance of the obligation. Bailee One who has custody of the property of another. Bailees "for hire" have certain responsibilities to care for the property of another. Bailment The delivery of goods or personal property by one person to another, in trust for the execution of a special purpose in relation to such goods, beneficial either to the bailor, the bailee or both. This is done by contract, express or implied, which obligates the bailee to perform the trust and carry out its purpose and then either redeliver the goods to the bailor or dispose of the goods according to the purpose of the trust. Bailor The owner of property legally possessed by another bailee. Benefit Period A period of time typically one to three years during which major medical benefits are paid after the deductible is satisfied. When the benefit period ends, the insured must then satisfy a new deductible in order to establish a new benefit period. Length of time a policy will pay benefits to an insured. Benefits The amount payable by the insurance company to a claimant, assignee or beneficiary under each coverage. Binder A written or oral contract issued temporarily to place insurance in force when it is not possible to issue a new policy or endorse the existing policy immediately. A binder is subject to the premium and all the terms of the policy to be issued. Blanket Contract A contract of health insurance affording benefits, such as accidental death and dismemberment, for all of a class of persons not individually identified. It is used for such groups as athletic teams, campers, travel policy for employees, etc. Blanket Medical Expense A provision which entitles the insured person to collect up to a maximum established in the policy for all hospital and medical expenses incurred, without any limitations on individual types of medical expenses. Blue Cross An independent, nonprofit membership corporation providing protection on a service basis against the cost of hospital care in a limited geographical area. Blue Shield An independent, non-profit membership corporation providing protection on a service basis against the cost of surgical and medical care in a limited geographical area. Bodily Injury A legal responsibility due to negligence arising from an occurrence resulting in an injury of another person's life or health. Bond A certificate issued by a government or corporation as evidence of a debt. The issuer of the bond promises to pay the bondholder a specified amount of interest for a specified period and to repay the loan on the expiration (maturity) date. Broker A marketing specialist who represents buyers of property and liability insurance and who deals with either agents or companies in arranging for the coverage required by the customer. Business Insurance Any insurance for commercial or business enterprises, as opposed to personal insurance, which is for the protection of individuals; a policy written for business purposes, such as key employees, partnerships, and corporations. Synonym is Commercial Lines.
Insurance Information
Joint-and-Several Liability Liability arising from a contract or from a tort that applies to the responsible persons either separately (severally) or in combination (jointly), at the injured person's option. If a group of persons who default on an obligation or cause a loss are held jointly and severally liable either by terms of the contract or by operation of law, the claimant may sue either the group or any one member for the entire amount owed. This is a way to compensate an injured person if, for example, one or more liable persons are bankrupt or flee the jurisdiction. Joint Tenants A form of joint property ownership with right of survivorship, i.e., in which the survivors automatically own the share of a deceased co-owner. Judicial Bond A general term applied to all bonds filed with a court. Examples are appeal bond, bail bond, court bond, defendant's bond to dissolve, fiduciary bond, financial guaranty bond, injunction bond, plaintiff's bond to secure, plaintiff's replevin bond, security for expenses. Jumbo Risk A risk involving exceptionally high benefits.
Insurance Information (cont'd)
Rate The pricing factor upon which the insurance buyer's premium is based. Rated Policy Sometimes called an "extra-risk" policy, an insurance policy issued at a higher-than-standard premium rate to cover the extra risk where, for example, an insured has impaired health or a hazardous occupation. Ratemaking The statistical process by which insurers determine risks and pricing for the basic classes of insurance. Rating Territory A geographical grouping in which like hazards tend to equalize and permit the establishment of an equitable rate for the territory. Reasonable and Customary Charge A charge for health care, which is consistent with the going rate or charge in a certain geographical area for identical or similar services. Rebating Giving any valuable consideration, usually all or part of the commission, to the prospect or insured as an inducement to buy or renew. Rebating is prohibited by law. Recurring Claim Provision A provision in some health insurance policies which specifies a length of time during which the recurrence of a condition is considered to be a continuation of a previous period of disability or hospital confinement. Recurring Clause A provision in some health insurance policies, which specifies a period of time during which the recurrence of a condition is considered a continuation of a prior period of disability or hospital confinement. Reduced Paid-up Insurance A form of insurance available as a nonforfeiture option. It provides for continuation of the original insurance plan, but for a reduced amount. Regulation Supervision of business practices by a governmental entity. Rehabilitation (1) Restoration of a totally disabled person to a meaningful occupation, (2) a provision in some long- term disability policies that provides for continuation of benefits or other financial assistance while a totally disabled insured is retraining or attempting to resume productive employment. Reimbursement The payment of the expenses actually incurred as a result of an accident or sickness, but not to exceed any amount specified in the policy. Reinstatement The resumption of coverage under a policy which has lapsed. Reinsurance Assumption by one insurance company of all or part of a risk undertaken by another insurance company. Reinsurance Facility An alternative mechanism to service those insureds that cannot obtain insurance in the voluntary market. Premiums and losses for the business that is ceded to the facility are pooled and all insurers share according to their proportion of the voluntary market. Renewable Term Insurance Term insurance which can be renewed at the end of the term, at the option of the policyholder and without evidence of insurability, for a limited number of successive terms. The rates increase at each renewal as the age of the insured increases. Renewal Continuance of coverage under a policy beyond its original term by the insurer's acceptance of the premium for a new policy term. Renter's Policy A package type of insurance that includes coverage similar to a homeowners policy to cover the personal property of a renter or tenant in a building. Replacement The substitution of health insurance coverage from one policy contract to another. Replacement Cost The cost to repair or replace property at construction costs prevailing at time of loss; the cost to repair or rebuild property without considering depreciation. (See Actual Cash Value) Replacement ratio The percentage of income before retirement that is required to be replaced to maintain the same standard of living after retirement. Representation Statements made by an applicant in the application, which he represents as being substantially true to the best of his knowledge and belief, but which are not warranted as exact in every detail. Rescission Termination of an insurance contract by the insurer on the grounds of material misstatement on the application for insurance. The action of rescission must take place within the contestable period or Time Limit on Certain Defenses but takes effect as of the date of issue of the policy, thus voiding the contract from its inception. Reservation of Rights An arrangement whereby an insurer defends a case without commitment to provide coverage in the event that the facts disclosed during the trial reveal that the occurrence is not covered. Reserve (1) An amount representing liabilities kept by an insurer to provide for future commitments under policies outstanding. (2) An amount allocated for a special purpose. Note that a reserve is usually a liability and not an extra fund. Residual Disability A period of partial disability that immediately follows a period of total disability. Benefits for residual disability are paid on a pro-rata basis, depending on the percentage of earnings loss. Residual Disability Benefits A provision in an insurance policy that provides benefits in proportion to a reduction of earnings as a result of disability, as opposed to the inability to work full-time. Residual Market A system through which insurance is made available to buyers that represent unusually high risks. Retention The net amount of risk retained by an insurance company for its own account or that of specified others, and not reinsured. Retrocession The process by which a reinsurer obtains reinsurance from another company. Retrospective Date The first date for which claims will be paid under a claims-made policy of liability insurance. Retrospective Rating Rating procedure which allows adjustment of an insured's final rate on the basis of the insured's own loss experience. Revocable Trust A trust that can be terminated or revoked by its creator. Rider A special policy provision or group of provisions that may be added to a policy to expand or limit the benefits otherwise payable. Right of Survivorship At the death of one co-owner of property, that person's interest in the property automatically passes to the surviving joint tenant or tenants. Risk The chance of loss. Also used to refer to the insured or to property covered by a policy. A term used to refer to a person or the peril insured. Risk Classification The process by which a company decides how its premium rates for life insurance should differ according to the risk characteristics of individuals insured (e.g., age, occupation, sex, state of health) and then applies the resulting rules to individual applications. (See - Underwriting) Risk Control Any conscious action (or decision not to act) intended to reduce the frequency, severity, or unpredictability of accidental losses. Risk Retention Group An alternative form of insurance in which members of a similar profession or business band together to self insure their risks. Robbery The taking of property from a person by force or threat of violence. Rollover Transfer of IRA or other qualified pension funds from one financial institution (trustee) to another. |
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