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Glossary Terms - A
ExamFX - Texas Life & Health 2011
39
Insurance
Professional
04/06/2011

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Term
Accelerated Benefits
Definition
Riders attached to life insurance policies which allow death benefits to be used to cover nursing or convalescent home expenses.
Term
Accident
Definition
An unplanned, unforeseen event which occurs suddenly and at an unspecified place.
Term
Accident Insurance
Definition
A type of insurance hat protects the insured against loss due to accidental bodily injury.
Term
Accidental Bodily Injury
Definition
Unplanned, unforeseen traumatic injury to the body.
Term
Accidental Death and Dismemberment (AD&D)
Definition
An insurance policy which pays a specified amount or a specified multiple of the insured's benefit if the insured dies, loses his/her sight, or loses two limbs due to an accident.
Term
Accidental Death Benefits
Definition
A policy rider that states that the cause of death will be analyzed to determine if it complies with the policy description of accidental death.
Term
Accidental Death Insurance
Definition
An insurance policy that provides payment if the insured's death is the result of an accident.
Term
Accumulation Period
Definition
The time over which the annuitant makes payments or investments in an annuity, and when those payments earn interest tax deferred.
Term
Acquired Immunodeficiency Syndrome (AIDS)
Definition
An infectious and incurable disease caused by the human immunodeficiency virus (HIV).
Term
Activities of Daily Living (ADLs)
Definition
Activities individuals must do every day such as moving about, getting dressed, eating, bathing, etc.
Term
Actual Cash Value (ACV)
Definition
The required amount to pay damages or for property loss, which is calculated based on the property's current replacement value minus depreciation.
Term
Actual Charge
Definition
The amount a physician or supplier actually bill for a particular service or supply.
Term
Actuary
Definition
A person trained in the technical aspects of insurance and related fields, particularly in the mathematics of insurance; a person who, on behalf of the company determines the mathematical probability of loss.
Term
Adhesion
Definition
A contract offered on a "take-it-or-leave-it" basis by an insurer, in which the insured's only option is to accept or reject the contract. Any ambiguities in the contract will be settled in favor of the insured.
Term
Adjustable Life
Definition
Life insurance which permits changes in the face amount, premium amount, period of protection, and the duration of the premium payment period.
Term
Adjuster
Definition
A representative of an insurance company who investigates and acts on the behalf of the company to obtain agreements for the amount of the insurance claim.
Term
Administrator
Definition
An individual appointed by a court as a fiduciary to settle the financial affairs and estate of a deceased person.
Term
Admitted (Authorized) Insurer
Definition
An insurance company authorized and licensed to transact business in a particular state.
Term
Adult Day Care
Definition
A program for impaired adults that attempts to meet their health, social, and functional needs in a setting away from their homes.
Term
Adverse Selection
Definition
The tendency of risks with higher probability of loss to purchase and maintain insurance more often than the risks who present lower probability.
Term
Agency
Definition
An insurance sales office or company.
Term
Agent
Definition
An individual who is licensed to sell, negotiate, or effect insurance contracts on behalf of an insurer.
Term
Agent's Authority
Definition
Special powers granted to an agent by his or her agency contract.
Term
Aleatory
Definition
A contract in which participating parties exchange unequal amounts. Insurance contracts are aleatory in that the amount the insured will pay in premiums is unequal to the amount the insurer will pay in the event of a loss.
Term
Alien Insurer
Definition
An insurance company that is incorporated outside the United States.
Term
Alzheimer's Disease
Definition
A disease that causes the victim to become dysfunctional due to degeneration of brain cells causing severe memory loss.
Term
Ancillary
Definition
Additional, miscellaneous services provided by a hospital, such as x-rays, anesthesia, and lab work, but not hospital room and board expenses.
Term
Annual Statement
Definition
A detailed financial report that an insurance company must submit every year to the insurance department of state(s) in which it conducts business.
Term
Annuity
Definition
A contract that provides income for a specified period of years, or for life.
Term
Apparent Authority
Definition
The appearance or the assumption of authority based on the actions, words, or deeds of the principal or because of circumstances the principal created.
Term
Applicant
Definition
A person making application for, or offering him/herself or another to be insured under an insurance contract.
Term
Application
Definition
A document that provides information for underwriting purposes. After the policy is issued, any unanswered questions are considered waived by the insurer.
Term
Approved Amount
Definition
The amount Medicare determines to be reasonable for a service that is covered under part B of Medicare.
Term
Assignment (Life)
Definition
The transfer of ownership rights of a life insurance policy from one person to another.
Term
Assignment (Health)
Definition
A claim to a provider or medical supplier to receive payments directly from Medicare.
Term
Attained Age
Definition
The age of the insured at a determined date.
Term
Attending Physician's Statement (APS)
Definition
A statement usually obtained from the applicant's doctor.
Term
Authorized (Admitted) Insurer
Definition
An insurance company authorized and licensed to transact business in a particular state.
Term
Avoidance
Definition
A method of dealing with risk by deliberately keeping away from it (e.g. if a person wanted to avoid the risk of being killed in an airplane crash, he/she might choose never to fly in a plane).
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