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*Terms marked with an asterisk are from LOMA’s
Glossary of Insurance and Financial Services Terms. Copyright © 2002
LOMA (Life Office Management Association, Inc.). Used with
permission from LOMA. Click here
for more information
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A-SHARE
VARIABLE ANNUITY
A form of
variable annuity contract where the contract holder pays sales
charges up front rather than eventually having to pay a surrender
charge.
ACCELERATED DEATH BENEFITS
A life
insurance policy option that provides policy proceeds to insured
individuals over their lifetimes, in the event of a terminal
illness. This is in lieu of a traditional policy that pays
beneficiaries after the insured's death. Such benefits kick in if
the insured becomes terminally ill, needs extreme medical
intervention, or must reside in a nursing home. The payments made
while the insured is living are deducted from any death benefits
paid to beneficiaries.
ACCIDENT
AND HEALTH INSURANCE
Coverage
for accidental injury, accidental death, and related health
expenses. Benefits will pay for preventative services, medical
expenses, and catastrophic care, with limits.
ACCOUNT
RECEIVABLES
See
Receivables
ACTUAL
CASH VALUE
A form of
insurance that pays damages equal to the replacement value of
damaged property minus depreciation. (See Replacement cost)
ACTUARY
An
insurance professional skilled in the analysis, evaluation, and
management of statistical information. Evaluates insurance firms'
reserves, determines rates and rating methods, and determines other
business and financial risks.
ADDITIONAL LIVING EXPENSES
Extra
charges covered by homeowners policies over and above the
policyholder's customary living expenses. They kick in when the
insured requires temporary shelter due to damage by a covered peril
that makes the home temporarily uninhabitable.
ADJUSTER
An
individual employed by a property/casualty insurer to evaluate
losses and settle policyholder claims. These adjusters differ from
public adjusters, who negotiate with insurers on behalf of
policyholders, and receive a portion of a claims settlement.
Independent adjusters are independent contractors who adjust claims
for different insurance companies.
ADMITTED
ASSETS
Assets
recognized and accepted by state insurance laws in determining the
solvency of insurers and reinsurers. To make it easier to assess an
insurance company's financial position, state statutory accounting
rules do not permit certain assets to be included on the balance
sheet. Only assets that can be easily sold in the event of
liquidation or borrowed against, and receivables for which payment
can be reasonably anticipated, are included in admitted assets. (See
Assets)
ADMITTED
COMPANY
An
insurance company licensed and authorized to do business in a
particular state.
ADVERSE
SELECTION
The
tendency of those exposed to a higher risk to seek more insurance
coverage than those at a lower risk. Insurers react either by
charging higher premiums or not insuring at all, as in the case of
floods. (Flood insurance is provided by the federal government but
sold mostly through the private market.) In the case of natural
disasters, such as earthquakes, adverse selection concentrates risk
instead of spreading it. Insurance works best when risk is shared
among large numbers of policyholders.
AFFINITY
SALES
Selling
insurance through groups such as professional and business
associations.
AFTERMARKET PARTS
See
Crash parts;
Generic auto parts
AGENCY
COMPANIES
Companies
that market and sell products via independent agents.
AGENT
Insurance
is sold by two types of agents: independent agents, who are
self-employed, represent several insurance companies and are paid on
commission, and exclusive or captive agents, who represent only one
insurance company and are either salaried or work on commission.
Insurance companies that use exclusive or captive agents are called
direct writers.
ALIEN
INSURANCE COMPANY
An
insurance company incorporated under the laws of a foreign country,
as opposed to a foreign insurance company that does business in
states outside its own.
ALLIED
LINES
Property
insurance that is usually bought in conjunction with fire insurance;
it includes wind, water damage, and vandalism coverage.
ALTERNATIVE DISPUTE RESOLUTION / ADR
Alternative to going to court to settle disputes. Methods include
arbitration, where disputing parties agree to be bound to the
decision of an independent third party, and mediation, where a third
party tries to arrange a settlement between the two sides.
ALTERNATIVE MARKETS
Mechanisms used to fund self-insurance. This includes captives,
which are insurers owned by one or more non-insurers to provide
owners with coverage. Risk-retention groups, formed by members of
similar professions or businesses to obtain liability insurance, are
also a form of self-insurance.
ANNUAL
ANNUITY CONTRACT FEE
Covers
the cost of administering an annuity contract.
ANNUAL
STATEMENT
Summary
of an insurer's or reinsurer's financial operations for a particular
year, including a balance sheet. It is filed with the state
insurance department of each jurisdiction in which the company is
licensed to conduct business.
ANNUITANT
The
person(s) who receives the income from an annuity contract. Usually
the owner of the contract or his or her spouse.
ANNUITIZATION
The
conversion of the account balance of a deferred annuity contract to
income payments.
ANNUITY
A life
insurance product that pays periodic income benefits for a specific
period of time or over the course of the annuitant's lifetime. There
are two basic types of annuities: deferred and immediate: Deferred
annuities allow assets to grow tax deferred over time before being
converted to payments to the annuitant. Immediate annuities allow
payments to begin within about a year of purchase.
ANNUITY
ACCUMULATION PHASE OR PERIOD
The
period during which the owner of a deferred annuity makes payments
to build up assets.
ANNUITY
ADMINISTRATIVE CHARGES
Covers
the cost of customer services for owners of variable annuities.
ANNUITY
BENEFICIARY
In
certain types of annuities, a person who receives annuity contract
payments if the annuity owner or annuitant dies while payments are
still due.
ANNUITY
CONTRACT
An
agreement similar to an insurance policy for other insurance
products such as auto insurance.
ANNUITY
CONTRACT OWNER
The
person or entity that purchases an annuity and has all rights to the
contract. Usually, but not always, the annuitant (the person who
receives incomes from the contract).
ANNUITY
DEATH BENEFITS
The
guarantee that if an annuity contract owner dies before
annuitization (the switchover from the savings to the payment phase)
the beneficiary will receive the value of the annuity that is due.
ANNUITY
INSURANCE CHARGES
Covers
administrative and mortality and expense risk costs.
ANNUITY
INVESTMENT MANAGEMENT FEE
The fee
paid for the management of variable annuity invested assets.
ANNUITY
ISSUER
The
insurance company that issues the annuity.
ANNUITY
PROSPECTUS
Legal
document providing detailed information about variable annuity
contracts. Must be offered to each prospective buyer.
ANNUITY
PURCHASE RATE
The cost
of an annuity based on such factors as the age and gender of the
contract owner.
ANTITRUST
LAWS
Laws that
prohibit companies from working as a group to set prices, restrict
supplies or stop competition in the marketplace. The insurance
industry is subject to state antitrust laws but has a limited
exemption from federal antitrust laws. This exemption, set out in
the McCarran-Ferguson Act, permits insurers to jointly develop
common insurance forms and share loss data to help them price
policies.
APPORTIONMENT
The
dividing of a loss proportionately among two or more insurers that
cover the same loss.
APPRAISAL
A survey
to determine a property's insurable value, or the amount of a loss.
ARBITRATION
Procedure
in which an insurance company and the insured or a vendor agree to
settle a claim dispute by accepting a decision made by a third
party.
ARSON
The
deliberate setting of a fire.
ASSET-BACKED SECURITIES
Bonds
that represent pools of loans of similar types, duration and
interest rates. Almost any loan with regular repayments of principal
and interest can be securitized, from auto loans and equipment
leases to credit card receivables and mortgages.
ASSETS
Property
owned, in this case by an insurance company, including stocks,
bonds, and real estate. Insurance accounting is concerned with
solvency and the ability to pay claims. State insurance laws
therefore require a conservative valuation of assets, prohibiting
insurance companies from listing assets on their balance sheets
whose values are uncertain, such as furniture, fixtures, debit
balances, and accounts receivable that are more than 90 days past
due. (See Admitted assets)
ASSIGNED
RISK PLANS
Facilities through which drivers can obtain auto insurance if they
are unable to buy it in the regular or voluntary market. These are
the most well-known type of residual auto insurance market, which
exist in every state. In an assigned risk plan, all insurers selling
auto insurance in the state are assigned these drivers to insure,
based on the amount of insurance they sell in the regular market.
(See Residual market)
AUTO
INSURANCE POLICY
There are basically six different
types of coverages. Some may be required by law. Others are
optional. They are:
1.
Bodily
injury liability, for injuries the policyholder causes to someone
else.
2.
Medical
payments or Personal Injury Protection (PIP) for treatment of
injuries to the driver and passengers of the policyholder's car.
3.
Property
damage liability, for damage the policyholder causes to someone
else's property.
4.
Collision, for damage to the policyholder's car from a collision.
5.
Comprehensive, for damage to the policyholder's car not involving a
collision with another car (including damage from fire, explosions,
earthquakes, floods, and riots), and theft.
6.
Uninsured
motorists coverage, for costs resulting from an accident involving a
hit-and-run driver or a driver who does not have insurance.
AUTO INSURANCE
PREMIUM
The price
an insurance company charges for coverage, based on the frequency
and cost of potential accidents, theft and other losses. Prices vary
from company to company, as with any product or service.
Premiums also vary depending on the
amount and type of coverage purchased; the make and model of the
car; and the insured's driving record, years of driving and the
number of miles the car is driven per year. Other factors taken into
account include the driver's age and gender, where the car is most
likely to be driven and the times of day - rush hour in an urban
neighborhood or leisure-time driving in rural areas, for example.
Some insurance companies may also use credit history-related
information. (See Insurance score)
AVIATION INSURANCE
Commercial airlines hold property
insurance on airplanes and liability insurance for negligent acts
that result in injury or property damage to passengers or others.
Damage is covered on the ground and in the air. The policy limits
the geographical area and individual pilots covered.
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