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Glossary of Insurance & Securities Terms
This is a list of terms will help you while you are shopping for
insurance and securities products. It is not meant to be all-inclusive, but
should help you understand some of the most common terms.
401(a)
This retirement plan meets the qualification requirements of Internal Revenue
Code Section 401(a). In this type of plan, employers determine the amount of money that
they may contribute on your behalf each year, the requirements that you must meet to
receive those contributions, and under what circumstances the money may be made available
to you. Some 401(a) plans may allow for employee after-tax contributions or, in the case
of a 401(k) plan, employee pre-tax contributions. Types of 401(a) plans include profit
sharing plans, pension plans, and money purchase plans.
401(k)
Under section 401(k) of the Internal Revenue Code, employees of private
corporations and, beginning in 1997, some tax-exempt organizations, can set aside money
for retirement on a pre-tax basis through a plan sponsored by their employer. To encourage
saving for retirement through these plans, the federal government created special tax
advantages for 401(k) contributions.
403(b)
Under Section 403(b) of the Internal Revenue Code, employees of 501(c)(3)
non-profit institutions (such as colleges and universities, hospitals, museums, research
institutes, and foundations and public schools) can set aside money for retirement on a
pre-tax basis through a plan offered by their employer. To encourage saving for retirement
through these plans, the federal government created special tax advantages for 403(b)
contributions.
457
Under section 457 of the Internal Revenue Code, employees of state or local
governments, their agencies, and tax-exempt employers can set aside money for retirement
on a pre-tax basis through a plan sponsored by their employer. To encourage saving for
retirement through these plans, the federal government created special tax advantages for
457 contributions. Different from a 401(k) or other type of qualified retirement plans, a
457 has no requirement to be non-discriminatory.
457(f)
Under Section 457(f) of the Internal Revenue Code, an employer can set aside
money to supplement retirement income for a select group of employees in their
organization. Since these programs are designed to attract and retain key employees and do
not provide a benefit for all employees, these programs do not qualify for all of the tax
advantages that are made available to 401(a) plans, for example.
ACCELERATION CLAUSE
A loan provision that allows a lender, according to the terms of a mortgage or
other loan contract, to make the entire unpaid balance of the loan (including principal
and interest) due and payable if specified events of default should occur. Such conditions
include failure to meet loan payments on time, insolvency, and nonpayment of taxes on
mortgaged property.
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.
ACCELERATED DEATH BENEFIT RIDER (ADB)
A rider added to a life insurance policy to protect the insured against financial
loss in the event of a terminal illness. An ADB makes living benefits payable to the
insured for medical expenses prior to death. Accelerated (or living) benefits paid reduce
the death benefit payable to the beneficiary(ies) upon death.
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.
ACCRUED BENEFIT
Pension benefits earned (vested) based on years of service at a company and
credited to the employee using an actuarial method.
ACTUAL CASH VALUE
An amount equivalent to the fair market value of the stolen or damaged property
immediately preceding the loss. For real property, this amount can be based on a
determination of the fair market value of the property before and after the loss. For
vehicles, this amount can be determined by local area private party sales and dealer
quotations for comparable vehicles.
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.
ADDITIONS AND ALTERATIONS
Improvements made to a home (e.g., a new bathroom or a remodeled kitchen) that
increase the home's value and that may require additional homeowners insurance coverage.
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.
ADJUSTED GROSS INCOME
For federal income tax purposes, gross income less adjustments (e.g., IRA
deductible contributions, self-employment health insurance deductions, etc.), but before
standard or itemized deductions and personal exemptions.
ADJUSTMENT PERIOD
For adjustable-rate loans, the period of time between interest rate changes. For
example, a mortgage with an adjustment period of one year is called a one-year ARM, and
the interest rate can change once each year.
ADMINISTRATOR
An individual or professional organization, such as a bank's trust department,
appointed by the probate court to administer an estate when the owner dies without having
made a will or without nominating an executor. An executor may also be appointed if the
named executor declines to serve.
ADMITTED ASSETS
Assets recognized and accepted by state insurance laws in determining the
solvency of insurers and reinsurers.
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.)
AFFILIATION PERIOD
The time an HMO may require you to wait after you enroll and before your coverage
begins. HMOs that require an affiliation period cannot exclude coverage of preexisting
conditions. Premiums cannot be charged during HMO affiliation periods. Iowa law allows for
the use of HMO affiliation periods in small group health plans. See also HMO, Small Group
Health Plans.
AGENT
Insurance is sold by two types of agents: independent agents and exclusive or captive agents. Independent agents are self-employed, represent several insurance companies and are paid on commission. Exclusive or captive agents represent only one insurance company and are either salaried or work on commission.
AGGRESSIVE INVESTMENT
Such an investment focuses more on increasing the value of the original
investment as an investing priority than on price stability or income. As a result,
aggressive investments involve more investment risk.
ALL-RISK
A type of homeowners insurance that covers losses resulting from each and every
peril, except for those specifically excluded by the policy. Also known as open peril
coverage.
ALTERNATE PAYEE
According to the terms of a qualified domestic relations order (QDRO), an
individual who has been granted the right to receive all or part of a participant's
benefits under a qualified retirement plan. The alternate payee is generally a spouse,
former spouse, child, or other dependent of the qualified plan participant.
AMORTIZATION
For loan purposes, the systematic process by which a lender calculates loan
payments so as to liquidate a debt over time. Payments are made at specific time intervals
to reduce the outstanding debt to zero at the end of the loan period.
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.
ANNUITY
A contract sold by life insurance companies that allows you to pay a lump sum or
accumulate money over time, and the issuing company guarantees payment to the buyer in the
future, usually at retirement. You will not pay income taxes on the money until those
payments are made.
ANNUITY PAYMENTS
Periodic payments made to an annuitant or to the annuitant's designated
beneficiary. The payments may be made on an annual, semiannual, quarterly, or monthly
basis, and may last for life or for a specified period. Moreover, depending on whether the
annuity in question is a fixed annuity or a variable annuity, the annuitant (or his/her
beneficiary) may receive either payments of a fixed dollar amount or payments that vary in
amount according to the value of the underlying securities.
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.
APPRECIATION
When an investment increases in value, it appreciates. For example, a stock whose
price goes from $20 a share to $25 a share, it has appreciated by $5.
ARBITRATION
Procedure in which an insurance company and the insured or a vendor agree to
settle a claim dispute by accepting a binding or non-binding decision made by a third
party.
ARREARAGE
Amount of any past due obligation. This term is used to refer to the amount of
interest on bonds or dividends on cumulative preferred stock that is due and unpaid.
ARSON
The deliberate setting of a fire.
ASSET
Property and resources, such as cash and investments, comprise a person's assets;
i.e., anything that has value and can be traded. Examples include stocks, bonds, real
estate, bank accounts, and jewelry.
ASSET ALLOCATION
When you divide your money among various types of investments, such as stocks,
bonds, and short-term investments (also known as "instruments"), you are
allocating your assets. The way in which your money is divided is called your asset
allocation.
ASSET PROTECTION ALLOWANCE
Used when calculating the expected family contribution as part of the federal
student aid application process, this allowance permits a family to exempt certain assets
from consideration when determining need.
AUTO POLICY
There are basically six different types of coverages. Some may be required by
law. Others are optional. They are:
- Bodily injury liability, for injuries the policyholder causes to someone else.
- Medical payments or Personal Injury Protection (PIP) for treatment of injuries to the
driver and passengers of the policyholder's car.
- Property damage liability, for damage the policyholder causes to someone else's
property.
- Collision, for damage to the policyholder's car from a collision.
- Comprehensive, for damage to the policyholder's car not involving a collision with
another car (example: damage from fire, explosions, earthquakes, floods, riots and theft).
- Uninsured motorists coverage, for costs resulting from an accident involving a
hit-and-run driver or a driver who does not have insurance.
AVERAGE ANNUAL RETURN
This is the hypothetical rate of return that, if the fund achieved it over a
year's time, would produce the same cumulative total return if the fund performed
consistently over the entire period. A total return is expressed in a percentage and tells
you how much money you have earned or lost on an investment over time, assuming that all
dividends and capital gains are reinvested.
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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- BALANCED FUND
A mutual fund that tries to invest in a broadly diversified portfolio of
high-yielding securities, such as common stocks, preferred stocks, and bonds. Its share
price and return will vary; a fund that buys a mixture of common stocks, preferred stocks,
and bonds. Its goal is to blend long-term growth from stocks with income from dividends.
Because it must have at least one-fourth of its money invested in bonds and other debt
obligations, its price usually will not vary as much as that of a growth fund. BALANCE
SHEET
Provides a snapshot of a company's financial condition at one point in time. It
shows assets, including investments and reinsurance, and liabilities, such as loss
reserves to pay claims in the future, as of a certain date. It also states a company's
equity, known as policyholder surplus. Changes in that surplus are one indicator of an
insurer's financial standing.
BEAR MARKET
A falling market, or a market in which prices are generally decreasing. A bear
market in stocks is usually brought on by the anticipation of declining economic activity
while a bear market in bonds is usually caused by rising interest rates.
BENEFICIARY
A person who is named in a will, retirement plan, individual retirement account,
or insurance policy and who will inherit money or other property left by the decedent. A
trust or institution also can be named as a beneficiary.
BINDER
A temporary or preliminary agreement which provides coverage until a policy can
be written or delivered.
BLANKET COVERAGE
Insurance coverage for more than one item of property at a single location, or
two or more items of property in different locations.
BLUE CHIP STOCKS
These are stocks of well-established companies that have a history of earnings
and of paying dividends and increasing profits. These companies have reputations for sound
management and quality products. The stock prices tend to rise and fall in conjunction
with the overall market. These stocks are also known as large-cap stocks.
BODILY INJURY LIABILITY COVERAGE
Portion of an auto insurance policy that covers injuries the policyholder causes
to someone else.
BOILER AND MACHINERY INSURANCE
Often called Equipment Breakdown, or Systems Breakdown insurance. Commercial
insurance that covers damage caused by the malfunction or breakdown of boilers, and a vast
array of other equipment including air conditioners, heating, electrical, telephone, and
computer systems.
BOND MUTUAL FUND
This is a mutual fund that is primarily invested in bonds.
BONDS
Essentially loans or debt. When someone lends you money, he or she gets an IOU
that promises the loan will be repaid with interest. When you buy a bond, you're basically
buying that IOU. A bond certificate is like an IOU: it shows the amount loaned
(principal), the rate of interest to be paid on the loan and the date that the principal
will be paid back (maturity date). Bonds can be issued by government agencies, such as the
U.S. Treasury and by corporations to raise money.
BOOK OF BUSINESS
Total amount of insurance on an insurer's books at a particular point in time.
BORROWINGS
Borrowings are loans of any type.
BROKER
A licensed person or organization paid by you to look for insurance on your
behalf.
BULL MARKET
A rising market, or a market in which prices are generally increasing for stocks,
bonds, or commodities.
BURGLARY AND THEFT INSURANCE
Insurance for the loss of property due to burglary, robbery or larceny. It is
provided in a standard homeowners policy and in a business multiple peril policy.
BUSINESS INTERRUPTION INSURANCE
Commercial coverage that reimburses a business owner for lost profits and
continuing fixed expenses during the time that a business must stay closed because of a
covered peril, such as a fire.
BUSINESS OVERHEAD EXPENSE INSURANCE
A business disability policy designed to pay the ongoing expenses of a business
in the event the business owner becomes disabled.
BUSINESSOWNERS POLICY / BOP
A policy that combines property, liability, and business interruption coverages
for small to medium-sized businesses.
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- CAFETERIA PLANS
An employee benefits plan that allows employees to customize their benefit
package. Employees receive a fixed amount of dollars that can be allocated between several
fringe benefits. CANCELLATION
The termination of insurance coverage during the policy period. Flat cancellation
is the cancellation of a policy as of its effective date, without any premium charge.
CAPACITY
The supply of insurance available to meet demand. Capacity depends on the
industry's financial ability to accept risk. Reduced capacity leads to higher premiums,
but higher premiums eventually attract more capacity to the market.
CAPITAL
The amount of money you have invested. When your investing objective is capital
preservation, your priority is trying not to lose any money. When your investing objective
is capital growth, your priority is trying to make your initial investment grow in value.
CAPITAL GAIN
Profit from a sale of an investment constitutes a capital gain. For example, if
you bought a share of stock for $5 and later sold it for $7.50, you would have a capital
gain of $2.50.
CAPITAL GAINS TAX
Tax on the gain realized from the sale of capital assets such as stock, mutual
funds, business interests, or other asset. Long-term capital gains tax rates apply to
assets held longer than 12 months.
CAPITAL LOSS
Amount by which the proceeds from the sale of a capital asset are less than its
cost basis.
CAPTIVE AGENT
Representative of a single insurer or fleet of insurers who is obliged to submit
business only to that company, or at the very minimum, give that company first refusal
rights on a sale. In exchange, that insurer usually provides its captive agents with an
allowance for office expenses as well as an extensive list of employee benefits such as
pensions, life insurance, health insurance and credit unions.
CARRIER
Insurance company that actually underwrites and issues the insurance policy. The
term refers to the fact that the company carries (or assumes) certain risks for the
policyholder.
CARRYOVER
Refers to the process of shifting to a future taxable year those losses and other
deductions that exceed limits for the current tax year.
CARRYOVER BASIS
Basis in property that may 'carry over' from the transferor to the transferee.
Generally this occurs when there is an exchange of property, or property is transferred by
gift.
CASE MANAGEMENT
A system of coordinating medical services to treat a patient, improve care, and
reduce cost. A case manager coordinates health care delivery for patients.
CASH RESERVE
An emergency or contingency fund (or credit) set aside and held in an easily
accessible form (such as a savings account) for the purpose of meeting emergency expenses
and/or short-term cash flow needs.
CASH SURRENDER VALUE
Amount available to the owner if a life insurance policy or annuity is
surrendered. The amount represents the cash value minus surrender charges and any
outstanding loans due upon cancellation of the policy.
CASH VALUE
The cash within a permanent life insurance policy. Cash value is the premium paid
less the cost of insurance policy. Cash value is also adjusted by any investment
performance within the insurance policy.
CASH VALUE LIFE INSURANCE
A permanent insurance policy that builds cash value, often described as a savings
account within the policy.
CASUALTY
Liability or loss resulting from an accident.
CASUALTY INSURANCE
Casualty Insurance coverage is primarily for the legal liability of an individual
or organization that results from negligent acts and omissions causing bodily injury
and/or property damage to a third party. However, the term is broad and includes such
property insurance as aviation insurance, boiler and machinery insurance, glass insurance
and crime insurance.
CATASTROPHE
Term used for statistical recording purposes to refer to a single incident or a
series of closely related incidents causing severe insured property losses totaling more
than a given amount, currently $25 million.
CATASTROPHE BONDS
Risk securities that pay high interest rates and provide insurance companies with
a form of reinsurance to pay losses from a catastrophe such as those caused by a major
hurricane. They allow insurance risk to be sold to institutional investors in the form of
bonds, thus spreading the risk.
CATASTROPHE DEDUCTIBLE
A percentage or dollar amount that a homeowner must pay before the insurance
policy kicks in when a major natural disaster occurs. These large deductibles limit an
insurer's potential losses in such cases, allowing it to insure more property. A property
insurer may not be able to buy reinsurance to protect its own bottom line unless it keeps
its potential maximum losses under a certain level.
CATASTROPHE FACTOR
Probability of catastrophic loss, based on the total number of catastrophes in a
state over a 40-year period.
CATASTROPHE MODEL
Using computers, a method to mesh long-term disaster information with current
demographic and building data to determine potential losses for a given geographic area.
CERTIFICATE OF CREDITABLE COVERAGE
A document provided by your health plan that lets you prove you had coverage
under that plan. Certificates of creditable coverage will usually be provided
automatically when you leave a health plan. You can obtain certificates at other times as
well. See also Creditable Coverage.
CERTIFICATES OF DEPOSIT
Also known as CDs, these investment vehicles are usually issued by banks and
other financial institutions, and they pay a fixed rate of interest for a specific period
of time. Generally, amounts up to $100,000 in a bank are insured by the FDIC.
CLAIM
Notice to an insurer that under the terms of a policy, a loss maybe covered.
CLAIM WRITTEN
Request by an insured for the insurance company to cover an incurred loss,
usually submitted on the company's standard form.
CLAIMANT
Any person who asserts right of recovery.
CLASS OF STOCK
A type of share with particular rights and privileges such as the right to vote
on corporate matters. The most common classes of stock are common stock, voting preferred
stock, and non-voting preferred stock.
CLOSING COSTS
These are expenses involved in buying or selling real estate, such as points,
survey charges, title insurance fees, and filing fees for deeds.
COBRA
Consolidated Omnibus Budget Reconciliation Act, a federal law in effect since
1986. COBRA permits you and your dependents to continue in your employer's group health
plan after your job ends. If your employer has 20 or more employees, you may be eligible
for COBRA continuation coverage when you retire, quit, are fired, or work reduced hours.
Continuation coverage also extends to surviving, divorced or separated spouses; dependent
children; and children who lose their dependent status under their parent's plan rules.
You may choose to continue in the group health plan for a limited time and pay the full
premium (including the share your employer used to pay on your behalf) plus a 2%
administrative fee. COBRA continuation coverage generally lasts 18 months, or 36 months
for dependents in certain circumstances. See also State Continuation Coverage.
COINSURANCE
In property insurance, requires the policyholder to carry insurance equal to a
specified percentage of the value of property to receive full payment on a loss. For
health insurance, it is a percentage of each claim above the deductible paid by the
policyholder. For a 20 percent health insurance coinsurance clause, the policyholder pays
for the deductible plus 20 percent of his covered losses. After paying 80 percent of
losses up to a specified ceiling, the insurer starts paying 100 percent of losses.
COLLATERAL ASSET
Assets pledged to a lender until a loan is repaid. If the borrower defaults, the
lender has the legal right to seize the collateral and sell it to pay off the loan.
COLLATERAL ASSIGNMENT
Assignment of an asset (e.g., a life insurance policy's death benefit or its cash
surrender value) to a creditor as collateral for a loan.
COLLATERALIZED
Refers to a loan or other contract that is secured by collateral in the form of
property or other assets. In the case of a loan, the lender can exercise its right to
seize the collateral backing the loan in the event the borrower defaults.
COLLISION COVERAGE
Collision coverage refers to the part of an automobile insurance policy that
covers damage to a vehicle caused by an impact with another vehicle or object or a
rollover.
COMMERCIAL LINES
Products designed for and bought by businesses. Among the major coverages are
boiler and machinery, business interruption, commercial auto, comprehensive general
liability, directors and officers liability, fire and allied lines, inland marine, medical
malpractice liability, product liability, professional liability, surety and fidelity, and
workers compensation. Most of these commercial coverages can be purchased separately
except business interruption which must be added to a fire insurance (property) policy.
(See Commercial multiple peril)
COMMINGLED POOL
Like a mutual fund, a commingled pool combines your money with other investors'
money and is professionally managed. However, a commingled pool is set up differently.
While each mutual fund is a separate investment company, is registered with the Securities
and Exchange Commission, and is available to the general public, commingled pools are part
of a group trust maintained for qualified pension or profit sharing plans and is open only
to participants in those qualified retirement plans. A group trust must be maintained in
accordance with applicable Internal Revenue Code and Department of Labor regulations. It
can be invested just as a mutual fund can -- for example, it could track a particular
market index.
COMMISSION
Fee paid to an agent or insurance salesperson as a percentage of the policy
premium. The percentage varies widely depending on coverage, the insurer, and the
marketing methods.
COMMON LAW MARRIAGE
A marriage deemed valid under some state laws which is created by an agreement to
marry, followed by cohabitation between two people legally capable of making a marriage
contract. Such a marriage requires a mutual agreement to enter into a marriage,
cohabitation sufficient to establish the relationship of husband and wife, and an
assumption of marital duties and obligations. The cohabitation requirement (e.g., the
length of time the two people have to live together under the same roof) and other
criteria defining a common law marriage may vary from state to state.
COMMON POLICY PROVISIONS
Words, sentences, and paragraphs in an insurance policy that generally take the
form of clauses that govern the policy and that set forth the rights and obligations of
both insured and insurer under the policy. Common policy provisions for a life insurance
policy include the suicide clause, the incontestable clause, and the beneficiary clause.
COMMON STOCKS
When people talk about a company's stock, they usually mean common stock. When
you own common stock in a company, you share in its success or failure. As part owner, you
vote on important policy issues, such as picking the board of directors. If the company
prospers, you may get part of the profits, called a dividend. Also, the value of your
share of the company many go up; common stock generally has the most potential for growth.
However, that value also can drop if the company does poorly, and if it goes bankrupt
common stockholders are the last to receive any payment.
COMPLAINT RATIO
A measure used by some state insurance departments to track consumer complaints
against insurance companies. Generally, it is written as the number of complaints upheld
against an insurance company, as a percentage of premiums written. In some states,
complaints from medical providers over the promptness of payments may also be included.
COMPENSABLE INJURY
An injury that qualifies for benefits paid under workers' compensation.
COMPOUNDING
When you deposit money in a bank, it earns interest. When that interest also
begins to earn interest, the result is compound interest. Investing in a retirement plan
is different from putting money in the bank, but you still get the benefits of
compounding. Compounding occurs if bond income or dividends from stocks or mutual funds
are reinvested. Because of compounding, money has the potential to grow much faster.
COMPREHENSIVE COVERAGE
Comprehensive coverage refers to the part of an automobile insurance policy that
covers damage to a vehicle caused by miscellaneous hazards other than collision, such as
fire, theft, explosion, windstorm, hail, water or contact with an animal.
CONSERVATIVE
A conservative investment or strategy focuses primarily on capital preservation
rather than capital appreciation.
CONSUMER PRICE INDEX (CPI)
Measure of change in consumer prices, published monthly by the U.S. Bureau of
Labor Statistics in the Department of Labor. This index is widely used as a cost-of-living
benchmark to adjust Social Security payments and other payment schedules.
CONTENTS-ONLY COVERAGE
Coverage is for personal property items that are movable, that is, not attached
to the building's structure (the home), such as television sets, radios, clothes and
household goods. Not included under the coverage are animals, automobiles and boats.
CONTESTABILITY PERIOD
Period of time, generally two years, during which an insurance company can
declare a life insurance contract void because of misrepresentation or concealment by the
insured in obtaining the policy. Once this period has elapsed, the company cannot cancel
the policy or refuse to pay claims for any reason other than nonpayment of premiums.
CONTINUOUS COVERAGE
Health insurance coverage that is not interrupted by a break of 63 or more days
in a row. Employer waiting periods and HMO affiliation periods do not count as gaps in
health insurance coverage for the purpose of determining if coverage is continuous.
CONVERSION
Your right, when leaving a fully insured group health plan, to convert your
policy to an individual health plan. In Iowa, conversion coverage also extends to
surviving or divorced spouses, dependent children and children who lose their dependent
status under their parent's plan rules.
CONVERTIBLE TERM INSURANCE
Term life insurance coverage that can be converted into permanent life insurance
upon the policy's expiration. The insured generally cannot be denied permanent coverage or
charged an additional premium because of health problems.
COPAYMENT
Partial payment of certain medical costs that individual participants may be
required to make under a health insurance policy. For example, under your employer's
health plan, you might have to pay $5 toward each prescription.
COST BASIS
The original price of an asset, plus any additions and reinvested earnings, that
is used to determine capital gains or losses at the time of sale of the asset. In the case
of an inheritance, the cost basis is the appraised value of the asset at the time of the
donor's death
COUNTABLE ASSETS
In terms of eligibility for Medicaid, countable assets are anything of value you
own that is not exempt by law or otherwise inaccessible to you. Countable assets include,
but are not limited to: savings and checking accounts, stocks, bonds, CDs, Treasury notes
and bills, savings bonds, investment property and vacation homes, second vehicles,
livestock, IRAs and other retirement plans, mutual funds, precious metals and coins, and
whole life insurance above a certain surrender value. States use the total value of your
countable assets as one of three tests to determine your eligibility for Medicaid.
COVERED EXPENSES
In health insurance, reimbursement for an insured's medically-related expenses,
including, but not limited to surgery, medicines, hospitalization, ambulance service, and
X-rays.
COVERAGE FORMS
Attachments to an insurance policy to complete the coverage provided by the
policy.
COUPON RATE
A bond's coupon rate is stated on the bond. It tells how much interest the bond
will pay every year based on the bond's face value. For example, if you buy a $1,000 bond
with an 8% coupon rate, you'll get $80 a year in interest. Like a bond's face value, its
coupon rate never changes.
CREDIT INSURANCE
Commercial coverage against losses resulting from the failure of business debtors
to pay their obligation to the insured, usually due to insolvency. The coverage is geared
to manufacturers, wholesalers, and service providers who may be dependent on a few
accounts and therefore could lose significant income in the event of an insolvency.
CREDIT LIFE INSURANCE
Life insurance coverage on a borrower designed to repay the balance of a loan in
the event the borrower dies before the loan is repaid. It may also include disablement and
can be offered as an option in connection with credit cards and auto loans.
CREDIT SCORE
The number produced by an analysis of an individual's credit history. Some companies use insurance scores as an insurance underwriting and rating tool.
CROP-HAIL INSURANCE
Protection against damage to growing crops from hail, fire, or lightning provided
by the private market. By contrast, multiple peril crop insurance covers a wider range of
yield-reducing conditions, such as drought and insect infestation, and is subsidized by
the federal government.
CRUMMEY POWER
A right exercised by the beneficiary of a trust to withdraw money from the trust
for a limited amount of time each year.
CUMULATIVE TOTAL RETURN
This number tells you a fund's actual performance for a certain period of time. A
total return is expressed in a percentage and tells you how much money you have earned or
lost on an investment over time, assuming that all dividends and capital gains are
reinvested.
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- DEATH BENEFIT
The amount payable, as stated in a life insurance policy, to the designated
beneficiary(ies) upon the death of the insured. The amount paid is the face value, plus
any riders, less any outstanding loans. DEBT OBLIGATIONS
This is another name for bonds, mortgages, and other kinds of loans.
DECLARATION
Part of a property or liability insurance policy that states the name and address
of policyholder, property insured, its location and description, the policy period,
premiums, and supplemental information. Referred to as the "dec page."
DECLINE
The company refuses to accept the request for insurance coverage.
DEDUCTIBLE
The amount of the loss which the insured is responsible to pay before benefits
from the insurance company are payable. You may choose a higher deductible to lower your
premium.
DEFERRED ANNUITY
An annuity in which the income payments/withdrawals begin at some future date.
DEFINED BENEFIT PLAN
This is a type of retirement plans that provides a fixed amount of money after
you retire following a set number of years (in other words, the benefit is
"defined" in advance). Once you retire, the amount you receive is fixed and
usually does not increase with inflation.
DEFINED CONTRIBUTION PLAN
This is a type of retirement plan in which the level of contributions and the
benefits will vary, depending on the return from the investments. You don't owe any income
taxes on the money or any earnings until you make a withdrawal.
DEMAND LOAN
A loan with no set maturity date that can be called for repayment when the lender
chooses. Interest on these loans is usually billed at fixed intervals.
DEMUTUALIZATION
The conversion of insurance companies from mutual companies owned by their
policyholders into publicly-traded stock companies.
DENTAL INSURANCE
Individual or group plan that helps pay the costs of normal dental care as well
as damage to teeth from an accident.
DEPENDENT
An individual for whom the taxpayer provides at least 50 percent of the support
regardless of where they live. Generally the individual bears a specific relationship to
the taxpayer (i.e., child, sibling, parent) and/or resides primarily in taxpayer's
household.
DEPOSIT PREMIUM
The premium deposit paid by a prospective policyholder when an application is
made for an insurance policy. It is usually equal to at least the first month's estimated
premium and is applied toward the total policy premium when billed.
DEPRECIATION
A decrease in value due to age, wear and tear, etc.
DIFFERENCE IN CONDITIONS INSURANCE (DIC)
"All-risks" policy that covers other perils not insured by basic
property insurance contracts, supplemental to and excluding the coverage provided by
underlying contracts.
DIMINUTION OF VALUE
The idea that a vehicle loses value after it has been damaged in an accident and
repaired.
DIRECT PREMIUMS
Property/casualty premiums collected by the insurer from policyholders, before
reinsurance premiums are deducted. Insurers share some direct premiums and the risk
involved with their reinsurers.
DIRECT RESPONSE SYSTEM
A marketing method where insurance is purchased by customers without the
solicitation or advice of an agency (though an agent may be needed to complete the
transaction). Potential customers are solicited by advertising in the mail, newspapers,
magazines, television, and other media.
DEREGULATION
In insurance, reducing regulatory control over insurance rates and forms.
Commercial insurance for businesses of a certain size has been deregulated in many states.
DISABILITY
A physical or mental impairment that substantially limits one or more of an
individual's major life activities. Disability may be partial or total.
DISABILITY BENEFIT PERIOD
The period during which disability insurance benefits are paid. While this period
may vary between policies, benefits paid until age 65 are common for long-term policies
and benefits paid for 26 weeks are common for short-term policies.
DISABILITY INCOME RIDER
Addition to a life insurance policy stating that when an insured becomes disabled
for at least six months, premiums are waived. Depending on the rider, the insured may also
begin to receive monthly income payments from the policy.
DISABILITY INSURANCE
Also known as disability income insurance, this type of policy provides income
benefits to the insured if he or she becomes ill or is injured and can no longer work.
DISAPPEARING DEDUCTIBLE
Deductible in an insurance contract that provides for a decreasing deductible
amount as the size of the loss increases, so that small claims are not paid but large
losses are paid in full.
DISCHARGE OF BANKRUPTCY
Refers to a court order which terminates bankruptcy proceedings and frees the
debtor of legal responsibility for dischargeable debts and other specified obligations.
DISCOUNT RATE
The rate of interest banks must pay when they borrow funds from the Federal
Reserve to meet their reserve requirement.
DISCOVERY
Refers to the process by which a party to a legal action supplies the other party
with certain relevant information and/or documents (as required by law or by a judge)
either before or during the legal proceedings.
DISCRETIONARY INCOME
Amount of a consumer's income remaining after essentials such as food, housing,
and utilities and prior commitments have been paid.
DISCRETIONARY TRUST
A trust which allows the trustee discretion in making distributions of income or
principal to the beneficiary.
DISMEMBERMENT INSURANCE
A form of health insurance that provides payment when the insured loses one or
more limbs, or the sight in one or both eyes. This coverage is usually issued in
combination with accidental death insurance.
DISTRIBUTION
This refers to a withdrawal from your retirement account.
DIVERSIFICATION
This concept of spreading your money across different kinds of investments could
potentially moderate your investment risk. It's the idea of not putting all your eggs in
one basket. A diversified portfolio can help shield you from large losses because even if
some securities falter, others may perform well.
DIVIDEND
Distribution of a company's earnings to shareholders, generally on a quarterly
basis, paid in cash or additional shares of the company's stock. The dividend amount per
share is decided by the company's board of directors. Dividends must be declared as income
by the shareholder in the year received.
DIVIDEND ADDITION
An amount of paid-up life insurance purchased with a policy dividend and added to
the face amount of the policy.
DOLLAR COST AVERAGING
This is a method of investing. Money is invested at regular intervals in the same
investment. Because you invest the same amount each time, you automatically buy less of
the investment when its price is higher and more when its price is lower. Though the
method doesn't guarantee a profit or guard against loss in declining markets, the average
cost of each share is usually lower than if you buy at random times. For dollar cost
averaging to work you must continue to invest regularly over time and purchase shares in
both market ups and downs.
DOLLAR THRESHOLD
In certain states with no-fault auto insurance, the dollar threshold prevents
individuals from suing to recover for pain and suffering unless their medical expenses
exceed a specified dollar amount.
DOMESTIC INSURANCE COMPANY
Term used by a state to refer to any company incorporated there.
DOMESTIC PARTNER BENEFITS
Employer benefits offered to unmarried partners of employees. Although laws
regarding domestic partner benefits apply only to same-sex couples, in practice, many
employers offer domestic partner benefits to both same- and opposite-sex couples. Benefits
may include health insurance, leave to care for an ill partner, and bereavement leave at a
partner's death.
DOMICILE
The place an individual resides and that is intended to be the permanent
residence. Domicile does not refer to a summer home or a temporary residence. Once a
domicile has been established, it will remain so until the individual moves to a different
location with the intent of making that location the permanent residence.
DOUBLE INDEMNITY
Also called an accidental death benefit, a life insurance policy provision that
doubles payment of a designated death benefit when death results from certain specified
causes (usually certain types of accidents).
DOW JONES INDUSTRIAL AVERAGE
The most widely used indicator of how the country's industrial leaders are
performing. The DJIA is a formula based on the stock prices of 30 major industrial
companies. These 30 companies are chosen from sectors of the economy most representative
of our country's economic condition. There are three other Dow Jones Averages: the
transportation, the utility, and the composite.
DRIVER EDUCATION CREDIT
Discount on auto insurance premiums for which young drivers become eligible upon
completion of a driver education course.
DUPLICATION OF BENEFITS
Overlapping or identical medical insurance coverage under two or more separate
health plans.
DURABLE POWER OF ATTORNEY
Legal document which appoints an individual to act on the principal's behalf and
remains in effect even if the principal becomes incapacitated.
DWELLING POLICY
An insurance policy for liability covering a building's structure and usually its
contents when the building is used as a dwelling. This type of coverage is normally
purchased when the building can't be covered under a homeowner's policy (for example, when
the individual does not own a home).
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- EARLY WARNING SYSTEM
A system of measuring insurers' financial stability set up by insurance industry
regulators. An example is the Insurance Regulatory Information System (IRIS), which uses
financial ratios to identify insurers in need of regulatory attention. EARNED
INCOME
Income generated by providing goods or services and received in the form of wages
and salaries.
EARNED INCOME LIMIT
An annually adjusted limit that applies to Social Security recipients who
continue to work while receiving benefits. This applies only to individuals under age 70,
and limits earned income to an annually adjusted level, above which Social Security
benefits are reduced. Also known as the retirement earnings test.
EARNED PREMIUM
The portion of premium that applies to the expired part of the policy period.
Insurance premiums are payable in advance but the insurance company does not fully earn
them until the policy period expires.
EARNINGS RECORD
Record compiled by the Social Security Administration that shows an individual's
actual lifetime earnings as reported to the SSA by an employer, or for self-employed
individuals, by the Internal Revenue Service (IRS). Only earnings that are less than the
maximum earnings limit for that year are credited to the earnings record and will be used
to compute Social Security benefits.
EARTHQUAKE INSURANCE
Covers a building and its contents, but includes a large percentage deductible on
each. A special policy exists because earthquakes are not covered by standard homeowners
or most business policies.
ECONOMIC LOSS
Total financial loss resulting from the death or disability of a wage earner, or
from the destruction of property. Includes the loss of earnings, medical expenses, funeral
expenses, the cost of restoring or replacing property, and legal expenses. It does not
include noneconomic losses, such as pain caused by an injury.
ELECTRONIC COMMERCE / E-COMMERCE
The sale of products such as insurance over the Internet.
ELIMINATION PERIOD
A kind of deductible or waiting period usually found in disability policies. It
is counted in days from the beginning of the illness or injury.
EMPLOYEE BENEFIT PROGRAM
The collection of non-salary compensation offered by an employer that may include
health insurance, life insurance, disability insurance, pensions or other retirement
plans, tuition reimbursement, stock options, and child care benefits.
ENDORSEMENT
Amendment to the policy used to add or delete coverage. Also referred to as a
"rider."
ENROLLMENT PERIOD
The period during which all employees and their dependents can sign up for
coverage under an employer group health plan. Besides permitting workers to elect health
benefits when first hired, many employers and group health insurers hold an annual
enrollment period, during which all employees can enroll in or change their health
coverage. See also Group Health Plan, Special Enrollment Period.
ENVIRONMENTAL IMPAIRMENT LIABILITY COVERAGE
A form of insurance designed to cover losses and liabilities arising from damage
to property caused by pollution.
EQUITY
This term refers to stocks or stock investments. When you own part of something,
such as your home, you have equity in it. A stock is an equity investment because each
share means you own part of the company that issued it. An equity mutual fund buys
equities.
EQUITY CREDIT LINE
When someone grants you a line of credit for a certain amount, you have the
ability to borrow that amount as you need it. An equity credit line is backed by the
equity you have in your home -- in other words, the amount of the loan that you have
already paid off, not counting interest. If you can't repay the loan, the lender can lay
claim to that equity.
EQUITY FUND
This mutual fund invests primarily in stocks. The fund's goal is to make money
from increases in the prices of the stocks that it holds. An equity growth fund invests
primarily in growth stocks.
ERRORS AND OMISSIONS COVERAGE / E&O
A professional liability policy covering the policyholder for negligent acts and
omissions that may harm his or her clients.
ESCROW ACCOUNT
Funds that a lender collects to pay monthly premiums in mortgage and homeowners
insurance, and sometimes to pay property taxes.
ESTATE
All assets a person owns at the time of death, including securities, real estate,
business interests, physical property, and cash, less outstanding liabilities. The estate
is distributed to heirs according to the terms of the person's will or, if there is no
will, by court ruling.
ESTATE FREEZE
Techniques or methods used to control the future appreciation of assets for the
purpose of reducing estate taxes.
ESTATE PLANNING
The process of developing and implementing a master plan that facilitates the
distribution of your property after your death according to your goals and objectives.
ESTATE TAX
A tax imposed by the federal government and some state governments on the
transfer of assets to heirs.
EXCESS & SURPLUS LINES
Property/casualty coverage that isn't available from insurers licensed by the
state (called admitted insurers) and must be purchased from a non-admitted carrier.
EXCHANGE
This action refers to moving some or all of the money from your account from one
investment option to another.
EXCLUSION
Certain causes and conditions listed in the policy, which are not covered.
EXECUTION
The signing, sealing, and delivery of a contract or agreement making it valid.
Also, a broker who buys or sells shares of stock upon a client's request is said to have
executed an order.
EXECUTOR/EXECUTRIX
An individual or professional organization, such as a bank's trust department,
named in a will to administer an estate upon the death of the owner.
EXEMPT
Assets that are not considered for bankruptcy proceedings. Exempt is also used to
refer to assets not considered in the determination of eligibility for Medicaid.
EXPENSE RATIO
Percentage of each premium dollar that goes to insurers' expenses including
overhead, marketing, and commissions.
EXPERIENCE
Record of losses.
EXPIRATION DATE
The date on which the policy ends.
EXPOSURE
Possibility of loss.
EXTENDED COVERAGE
An endorsement added to an insurance policy, or clause within a policy, that
provides additional coverage for risks other than those in a basic policy.
EXTENDED REPLACEMENT COST COVERAGE
Pays a certain amount above the policy limit to replace a damaged home, generally
120 percent or 125 percent. Similar to a guaranteed replacement cost policy, which has no
percentage limits. Most homeowner policy limits track inflation in building costs.
Guaranteed and extended replacement cost policies are designed to protect the policyholder
after a major disaster when the high demand for building contractors and materials can
push up the normal cost of reconstruction.
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- FACE AMOUNT
The dollar amount to be paid to the beneficiary when the insured dies. It does
not include other amounts that may be paid from insurance purchased with dividends or any
policy riders. FAIR ACCESS TO INSURANCE REQUIREMENTS PLANS / FAIR PLANS
Insurance pools that sell property insurance to people who can't buy it in the
voluntary market because of high risk over which they may have no control. FAIR Plans,
which exist in 28 states and the District of Columbia, insure fire, vandalism, riot, and
windstorm losses, and some sell homeowners insurance which includes liability. Plans vary
by state, but all require property insurers licensed in a state to participate in the pool
and share in the profits and losses.
FAIR MARKET VALUE
The price that a willing buyer would pay a willing seller.
FARMOWNERS-RANCHOWNERS INSURANCE
Package policy that protects the policyholder against named perils and
liabilities and usually covers homes and their contents, along with barns, stables, and
other structures.
FEDERALLY ELIGIBLE
Status you attain once you have had 18 months of continuous creditable health
coverage. To be federally eligible, you also must have used up any COBRA or state
continuation coverage; you must not be eligible for Medicare, Medicaid, or a group health
plan; you must not have other health insurance; and you must apply for individual health
insurance within 63 days of losing your prior creditable coverage. When you are buying
individual health coverage, federal eligibility confers greater protections on you than
you would otherwise have in most other states. In Iowa you do not need to meet all of the
requirements of federal eligibility to have these protections. See also COBRA, Continuous
Coverage, Creditable Coverage, State Continuation Coverage.
FEDERAL GIFT TAX
A federal tax that is imposed on the transfer of securities, property, or other assets. The tax is based on the fair market value of the transferred assets and applies to transfers valued over $10,000 per individual per year (indexed for inflation).
FEDERAL INSURANCE ADMINISTRATION / FIA
Federal agency in charge of administering the National Flood Insurance Program.
FICA - FEDERAL INSURANCE CONTRIBUTIONS ACT
Commonly known as Social Security, it is a federal law that requires employers to
withhold wages and make payments to finance the Old Age, Survivors, Disability, and Health
Insurance (OASDHI) plan.
FEDERAL RESERVE BOARD
Seven-member board that supervises the banking system by issuing regulations
controlling bank holding companies and federal laws over the banking industry. It also
controls and oversees the U.S. monetary system and credit supply.
FIDELITY BOND
A form of protection that covers policyholders for losses that they incur as a
result of fraudulent acts by specified individuals. It usually insures a business for
losses caused by the dishonest acts of its employees.
FIDUCIARY
A person, company, or association that holds assets in trust for a beneficiary.
The fiduciary is charged with the responsibility of investing the assets wisely for the
beneficiary's benefit. Examples of fiduciaries include executors of wills and estates,
trustees, and those who administer the assets of underage or incompetent beneficiaries.
FIDUCIARY CAPACITY
A person is said to act in a fiduciary capacity when business is transacted, or
money and property are handled for the benefit of another. The term is not limited to
technical or express trusts, but may also apply to such offices or relations as attorneys,
guardians, executors, brokers, and agents.
FIDUCIARY INCOME TAX RETURN
An income tax return that is filed by the court representative or estate
administrator for a decedent's estate, trust, or a bankruptcy estate to report income,
deductions, gains, losses, distributions, income that is accumulated or held for future
distribution, income tax liability of the estate or trust, and employment taxes on wages
paid to household employees. The return is not required if the decedent's estate is not
probated.
FILE-AND-USE STATES
States where insurers must file rate changes with their regulators, but don't
have to wait for approval to put them into effect.
FINANCIAL GUARANTEE INSURANCE
Covers losses from specific financial transactions and guarantees that investors
in debt instruments receive timely payment of principal and interest if there is a
default. Raises the credit rating of debt to which the guarantee is attached. Investment
bankers who sell securities backed by loan portfolios use this insurance to enhance
marketability.
FINANCIAL RESPONSIBILITY LAW
A state law requiring that all automobile drivers show proof that they can pay
damages up to a minimum amount if involved in an auto accident. Varies from state to state
but can be met by carrying a minimum amount of auto liability insurance
FINITE RISK REINSURANCE
Contract under which the ultimate liability of the reinsurer is capped and on
which anticipated investment income is expressly acknowledged as an underwriting
component. Also known as Financial Reinsurance because this type of coverage is often
bought to improve the balance sheet effects of statutory accounting principles.
FIRE INSURANCE
Coverage protecting property against losses caused by a fire or lightning that is
usually included in homeowners or commercial multiple peril policies.
FIRST-PARTY COVERAGE
Coverage for the policyholder's own property or person. In no-fault auto
insurance it pays for the cost of injuries. In no-fault states with the broadest coverage,
the personal injury protection (PIP) part of the policy pays for medical care, lost
income, funeral expenses and, where the injured person is not able to provide services
such as child care, for substitute services.
FIXED ANNUITY
A contract issued by an insurance company allowing for a fixed rate of interest
in both the accumulation and income phases; periodically adjusted by the insurance
company.
FIXED INCOME SECURITIES
These securities pay a fixed rate of return by investing in government,
corporate, or municipal bonds, which pay such a fixed rate. These investments could offer
you an advantage in times of low inflation, but are not likely to protect you against the
declining buying power of your money during times of high inflation.
FLOATER
Attached to a homeowners policy, a floater insures movable property, covering
losses wherever they may occur. Among the items often insured with a floater are expensive
jewelry, musical instruments, and furs. It provides broader coverage than a regular
homeowners policy for these items.
FLOOD INSURANCE
Coverage for flood damage is available from the federal government under the
National Flood Insurance Program but is sold by licensed insurance agents. Flood coverage
is excluded under homeowners policies and many commercial property policies. However,
flood damage is covered under the comprehensive portion of an auto insurance policy.
FORCED PLACE INSURANCE
Insurance purchased by a bank or creditor on an uninsured debtor's behalf so if
the property is damaged, funding is available to repair it.
FOREIGN INSURANCE COMPANY
Name given to an insurance company based in one state by the other states in
which it does business.
FRAUD
Intentional lying or concealment by policyholders to obtain payment of an
insurance claim that would otherwise not be paid, or lying or misrepresentation by the
insurance company managers, employees, agents, and brokers for financial gain.
FREE LOOK PERIOD
The right of an insured to examine an insurance policy for a stated period, often
10 days, and if not satisfied, the right to return the policy and receive a full refund of
the initial premium.
FREQUENCY
Number of times a loss occurs. One of the criteria used in calculating premium
rates.
FRINGE BENEFITS
Non-cash benefits (such as group health insurance, term life insurance, and
disability insurance) made available to employees in addition to salary, but are generally
not taxable to the employee.
FRONTING
A procedure in which a primary insurer acts as the insurer of record by issuing a
policy, but then passes the entire risk to a reinsurer in exchange for a commission.
Often, the fronting insurer is licensed to do business in a state or country where the
risk is located, but the reinsurer is not. The reinsurer in this scenario is often a
captive or an independent insurance company that cannot sell insurance directly in a
particular country.
FULLY INSURED GROUP HEALTH PLAN
Health insurance purchased by an employer from an insurance company. Fully
insured health plans are regulated by the state of Iowa. See also Self-Insured Group
Health Plans.
FUTURE BENEFIT INCREASE RIDER
A rider attached to a disability insurance policy that guarantees the insured's
right to purchase additional coverage without going through medical underwriting to prove
physical insurability. Also called a Guaranteed Purchase Option Rider.
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- GAAP ACCOUNTING
Generally accepted accounting principles (GAAP) are used in financial statements
that publicly-held companies prepare for the Securities and Exchange Commission. GAIN
The profit made on a securities transaction realized when a stock, bond, mutual
fund, futures contract, or other financial instrument is sold for more than its purchase
price. When the security has been held for more than one year, the gain is taxable at more
favorable capital gain rates. If the asset is held for less than one year the gain is
taxed at regular income tax rates.
GAP INSURANCE
An automobile insurance option, available in some states, that covers the
difference between a car's actual cash value when it is stolen or wrecked and the amount
the consumer owes the leasing or finance company. Mainly used for leased cars.
GENETIC INFORMATION
Includes information about family history or genetic test results indicating your
risk of developing a health condition. A health plan cannot consider preexisting a
condition about which you have genetic information, unless that health condition has been
diagnosed by a health professional.
GLASS INSURANCE
Coverage for glass breakage caused by all risks; fire and war are sometimes
excluded. Insurance can be bought for windows, structural glass, leaded glass, and
mirrors. Available with or without a deductible.
GRACE PERIOD
A period (usually 31 days) after the premium due date, during which an overdue
premium may be paid without penalty. The policy remains in force throughout this period.
GRAMM-LEACH-BLILEY ACT
Financial services legislation, passed by Congress in 1999, that removed
Depression-era prohibitions against the combination of commercial banking and
investment-banking activities. It allows insurance companies, banks, and securities firms
to engage in each others' activities and own one another.
GROUP DISABILITY INSURANCE
A disability insurance policy that covers a group of individuals who are
affiliated in some way, either through an employer, trade association, or other
organization. Group disability coverage is generally less expensive than individual
disability coverage, however, benefits are limited to a stated length of time and the
maximum monthly income benefit is usually no more than 50 to 60 percent of earnings.
GROUP HEALTH PLAN
Health insurance (usually sponsored by an employer, union or professional
association) that covers at least 2 employees. See also Fully Insured Group Health Plan,
Self-Insured Group Health Plan.
GROWTH FUNDS
These funds try to make money from increases in the prices of stock that they
hold rather than from dividends. They are more risky than more conservative funds; their
value can rise and fall quickly, and they pay little or no dividends. However, over time
these funds have the potential to offer higher returns.
GROWTH AND INCOME FUND
This fund invests for both long-term growth from stocks as well as regular
dividend income. Some growth and income funds are weighted more heavily toward growth,
others toward income.
GROWTH STOCKS
Some companies' stocks have shown or are expected to show quick earnings and
revenue growth. These stocks may be more risky investments than most other stocks, and you
usually receive little or no dividend payments.
GUARANTEED INCOME CONTRACT / GIC
Often an option in an employer-sponsored retirement savings plan. Contract
between an insurance company and the plan that guarantees a stated rate of return on
invested capital over the life of the contract.
GUARANTEED INSURABILITY
An option that permits the policyholder to buy additional stated amounts of life
insurance at stated times in the future without evidence of insurability.
GUARANTEED ISSUE
A requirement that health plans must permit you to enroll regardless of your health status, age, gender, or other factors that might predict your use of health services. All health plans sold to small employers in Iowa are guaranteed issue.
GUARANTEED RENEWABILITY
A feature in health plans that means your coverage cannot be canceled because you
get sick.
GUARANTEED REPLACEMENT COST COVERAGE
Homeowners policy that pays the full cost of replacing or repairing a damaged or
destroyed home, even if it is above the policy limit.
GUARANTY FUND
The mechanism by which solvent insurers bail out the policyholders of companies
that fail. Such a fund is required in all 50 states, the District of Columbia, and Puerto
Rico, but what is included varies from state to state.
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HACKER INSURANCE
A coverage that protects businesses engaged in electronic commerce from losses
caused by hackers. HARD MARKET
A seller's market in which insurance is expensive and in short supply.
HARDSHIP WITHDRAWAL
Because of the tax advantages given to workplace retirement plans, they are
subject to certain withdrawal restrictions. Some 401(a), 401(k), and 403(b) plans have
hardship withdrawal provisions. If you have no other way of getting the money for a large
expense, you may be able to withdraw money from your retirement plan. However,
restrictions vary by plan. If you need money for the purchase of a primary home, medical
emergency costs, to prevent foreclosure on or eviction from your home, or college tuition,
you might be able to take money from your 401(k) or 403(b) plan for those expenses. If
your company's plan allows withdrawals, you'll owe ordinary income tax on the money you
take out, plus a possible 10% penalty if you're under age 59½. Federal income tax will be
withheld at a rate of 20% unless eligible rollover distributions are directly rolled over
to an Individual Retirement Account or another employer's plan. But if you have a 457
retirement plan, such a withdrawal may only be allowed for unforeseen emergencies that
cause you a severe financial hardship. Under these plans, the Internal Revenue Code does
not provide for hardship withdrawals. However, your employer may be ultimately responsible
for determining whether a certain instance constitutes an emergency for withdrawal
purposes.
HAZARD
A circumstance that increases the likelihood or probable severity of a loss.
HEALTH INSURANCE
A policy that will pay specified sums for medical expenses or treatments. Health
policies can offer many options and vary in their approaches to coverage.
HEALTH PLAN FLEXIBLE SPENDING ACCOUNT
Central fund into which employees contribute pre-tax earnings to pay for health
insurance premiums and uninsured medical costs. When the employee submits evidence of
medical expenses paid out-of-pocket, he or she is reimbursed from the fund.
HEALTH PLAN YEAR
The calendar period during which your health plan coverage is in effect. Many
group health plan years begin on January 1, while others begin in a different month.
HEALTH STATUS
When used in this guide, refers to your medical condition (both physical and
mental illnesses), claims experience, receipt of health care, medical history, genetic
information, evidence of insurability (including conditions arising out of acts of
domestic violence), and disability. See also Genetic Information.
HEIR
An individual who inherits some or all of the estate of a deceased person by
virtue of being in the direct line of descent, or being designated in a will or by legal
authority. The term is often applied to those who would inherit by will, deed, or
operation of law.
HIGH-YIELD BOND FUND
These mutual funds invest in high-yield bonds, sometimes known as
"junk" bonds. The chance that the company issuing such bonds will default on
that loan is higher than with other bonds. That's why higher-yield bonds usually pay a
higher interest rate to get people to buy them, but these bonds also have greater risk
associated with them.
HIPAA
The Health Insurance Portability and Accountability Act, better known as
Kassebaum-Kennedy, after the two senators who spearheaded the bill. Passed in 1996 to help
people buy and keep health insurance, even when they have serious health conditions, the
law sets basic requirements that health plans must meet. Since states can and have
modified and expanded upon these provisions, consumers' protections vary from state to
state.
HMO
Health maintenance organization. A kind of health insurance plan. HMOs usually
require you to get care from doctors who work for or contract with the HMO. They generally
do not require deductibles, but often do charge a small fee, called a co-payment, for
services like doctor visits or prescriptions. HMOs in Iowa can require affiliation
periods. See also Affiliation Period.
HOLD HARMLESS AGREEMENT
A clause in a contract in which one party agrees not to hold the other
responsible for, or to protect the other from, any claims.
HOLDING PERIOD
Length of time an asset is held by its owner.
HOME EQUITY
Credit offered to homeowners on the accumulated equity of their homes. The amount
of money available for these loans is based on how much the homeowner has actually paid so
far on the house itself, excluding other payments, such as interest on the mortgage.
HOMEOWNER INSURANCE
An elective combination of coverages for the risks of owning a home. Can include
losses due to fire, burglary, vandalism, earthquake, and other perils.
HOMESTEAD EXEMPTION
A state law provision that permits the home to be exempted from creditors claims.
HOSPICE
Facility that provides short-term continuous care in a home-like setting for
terminally ill people with a life expectancy of six months or less. Some health insurance
plans cover hospice stays up to a certain limit with no deductible.
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IMMEDIATE ANNUITY
An annuity that begins to make income payments immediately (or soon after) after
the first premium is paid, as opposed to a deferred annuity. INCAPACITY
The inability to properly care for one's property and/or person, or to make or
communicate rational decisions concerning one's affairs.
INCIDENTS OF OWNERSHIP
A policyowner's rights under a life insurance policy, including the right to
change the beneficiary and the right to surrender the policy for the cash value.
INCONTESTABLE CLAUSE
A policy provision in which the company agrees not to contest the validity of the
contract after it has been in force for a certain period of time, usually two years.
INCOME IN RESPECT OF A DECEDENT
All gross income that the decedent had a right to receive, but did not receive,
prior to death such as uncollected wages, deferred compensation, and pension benefits.
These income amounts are not included on the final Form 1040 but are reported on the
fiduciary return or the beneficiary's tax return.
INCOME MUTUAL FUND
This fund invests in securities that produce dividend income.
INCOME PROTECTION ALLOWANCE
An allowance that is based on the living costs of those family members who are
not attending post secondary school. The allowance is included when calculating the
expected family contribution as part of an application for federal student aid.
INCOME REPLACEMENT
Benefit in disability insurance policies where an injured or sick wage earner
receives a monthly income payment that is sufficient to replace a percentage of lost
earnings.
INCOME TAX
The annual tax on income that is levied by the federal government and by certain
state and local governments.
INCOMPETENCY
The inability to properly care for one's property and/or person, or to make or
communicate rational decisions concerning one's person.
INCURRED BUT NOT REPORTED LOSSES / IBNR
Losses that are not reported to the insurer or reinsurer until years after the
policy is sold. Liability claims may be filed long after the event that caused the injury
to occur. Asbestos-related diseases, for example, do not show up until decades after the
exposure. Also, estimates made about claims already reported but where the full extent of
the injury or property damage is not yet known. Insurance companies regularly adjust
reserves for such losses as new information becomes available.
INCURRED LOSSES
Losses occurring within a fixed period, whether or not adjusted or paid during
the same period.
INDEMNIFY
Provide financial compensation for losses.
INDEMNITY
The principle upon which all property/casualty insurance contracts are based.
According to this principle, the objective of insurance is to restore the insured to the
same financial position after a loss that he/she was in prior to the loss.
INDEMNITY PLAN
A type of health insurance plan that provides reimbursement of covered medical
expenses and gives plan participants considerable freedom to choose their own health care
providers.
INDEPENDENT AGENT
A contractor who represents different insurance companies, is not controlled by
any one company, and earns commissions from policies sold.
INDEX
A statistical composite that measures changes in the economy or in financial
markets by measuring the ups and downs of stock, bond, and commodities markets, and
reflecting market prices and the number of shares outstanding for the companies in the
index. Some well known indexes include the New York Stock Exchange Composite Index,
S&P 500, American Stock Exchange Composite Index, and Dow Jones Industrial Average.
INDEX FUND
A mutual fund that tries to match the results of a particular index, such as the
S&P 500, an unmanaged index of common stock prices. A bond index measures the bond
market's ups and downs by reflecting the behavior of a broad selection of bonds.
INDIRECT LOSS
A loss that arises from a peril, but is not directly and immediately caused by
it.
INDIVIDUAL POLICY
An insurance policy (life, health, or disability) that provides coverage for an
individual person (and, in some cases, his/her family members), as opposed to a group
policy that provides coverage for a group of individuals.
INDIVIDUAL RETIREMENT ACCOUNT
Also known as an IRA, this tax-advantaged retirement account allows an employed
person to invest up to $2,000 each year. Depending on your income, whether you're married,
and whether your employer offers a retirement plan at work, your contribution may be tax
deductible on your tax return.
INFLATION
When the price of goods and services rises, the result is called inflation. This
means that things you buy today at one price are likely to cost more in the future.
INFLATION RIDER
An attachment or amendment to an insurance policy that provides protection
against inflation by adjusting the level or amount of the benefit to keep pace with
inflation.
INFLATION RISK
It is the risk you run that the return on your investments will not keep up with
the cost of living. If they do not, your money will buy less and less as time goes on.
INLAND MARINE INSURANCE
A broad type of coverage developed for shipments that do not involve ocean
transport. Covers all forms of land and air transit. Floaters are included in this
category.
INSOLVENCY
Insurer's inability to pay debts. Insurance insolvency standards and the
regulatory actions taken vary from state to state. The last resort in the case of
insolvency is liquidation.
INSTALLMENT PAYMENTS
A sale made with the agreement that the purchased goods or services will be paid
for in fractional amounts over a specified period of time.
INSURABLE
An individual applicant who qualifies for an insurance policy based on the
coverage standards that are set by the insurance company.
INSURABLE INTEREST
A relationship between an insured person or property and the potential
beneficiary of the insurance. This requirement must be present at the time the life
insurance policy is applied for but doesn't need to exist at the time of the insured's
death. Insurable interest exists because there is a reasonable expectation that the
beneficiary will benefit from the continued life of the insured, or experience a loss at
the death of the insured.
INSURABLE RISK
Risks for which it is relatively easy to get insurance and that meet certain
criteria. These include being definable, accidental in nature, and part of a group of
similar risks large enough to make losses predictable. The insurance company also must be
able to come up with a reasonable price for the insurance.
INSURED
The policyholder - the person(s) protected in case of a loss or claim.
INSURER
The insurance company.
INTERMEDIATE BOND FUND
Generally, this is a mutual fund that buys bonds with maturities from three to
ten years.
INSURANCE PREMIUM
This is the amount you pay for your insurance policy.
INSURANCE REGULATORY INFORMATION SYSTEM / IRIS
Uses financial ratios to measure insurers' financial strength. Developed by the
National Association of Insurance Commissioners. Each individual state insurance
department chooses how to use IRIS.
INTEREST
The cost charged for the use of money, expressed as a rate per period of time,
usually one year (in which case it is called an annual rate of interest). The rate is
derived by dividing the dollar amount of interest by the amount of principal borrowed.
INTEREST RATE CAP
Method of limiting the interest-rate increases of an adjustable rate mortgage
(ARM). A periodic rate cap limits how much the interest rate can increase from one
adjustment period to the next. A lifetime cap limits the interest rate increase over the
life of the mortgage.
INTEREST-RATE RISK
The risk that changes in interest rates will adversely affect the value of an
investment portfolio. Interest-rate risk affects portfolios with large holdings in
long-term bonds or many dividend-paying utility company stocks because the value will fall
in the event interest rates rise.
INTERNATIONAL STOCK FUND
This type of fund buys securities of companies around the world. Because they are
affected by changes in value of various currencies, international funds involve greater
risk and greater potential return than U.S. investments.
INTERNET INSURER
An insurer that sells exclusively via the Internet.
INTERNET LIABILITY INSURANCE
Coverage designed to protect businesses from liabilities that arise from the
conducting of business over the Internet, including copyright infringement, defamation,
and violation of privacy.
INVESTMENT CONTRACTS
Investment contracts are offered to retirement savings plans by insurance
companies, banks, and other financial institutions. By investing in these contracts, plan
participants are essentially lending money to the financial institution. The institution
is, in turn, promising to pay a specified rate of interest on that loan and to repay
principle when the loan (contract) matures. These contracts are unsecured obligations, and
neither the FDIC, investment manager, nor the plan sponsor guarantees repayment.
INVESTMENT INCOME
Income generated by the investment of assets. Insurers have two sources of
income, underwriting (premiums less claims and expenses) and investment income. The latter
can offset underwriting operations, which are frequently unprofitable.
IOWA COMPREHENSIVE HEALTH ASSOCIATION (ICHA)
The state-run program for people with high health risks (called a high-risk
pool). ICHA also sells individual and family coverage to those who are federally eligible
and to certain individuals not eligible for a standard or basic individual health plan.
See also Federally Eligible.
IOWA INDIVIDUAL HEALTH BENEFIT REINSURANCE ASSOCIATION
An association established by the State of Iowa to help spread the cost of
insuring people with serious health conditions broadly across all participating insurance
companies. Every insurance company in the state of Iowa is required to participate.
Self-insured group health plans can participate on a voluntary basis. See also
Self-Insured Group Health Plan.
IRREVOCABLE BENEFICIARY
A beneficiary designation that cannot be changed.
IRREVOCABLE TRUST
A trust that cannot be altered, amended, revoked, or terminated by the settlor.
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JOINT LIFE EXPECTANCY
The probability that two people will live to specific ages according to a
mortality table.
JOINT UNDERWRITING ASSOCIATION / JUA
Insurers which join together to provide coverage for a particular type of risk or
size of exposure, when there are difficulties in obtaining coverage in the regular market,
and which share in the profits and losses associated with the program. JUAs may be set up
to provide auto and homeowners insurance and various commercial coverages, such as medical
malpractice.
JUDGMENT
Decision by a court of law ordering someone to pay a certain amount of money. The
term also refers to the condemnation awards by government entities in payment for private
property taken for public use.
JUDGMENT FORECLOSURE
A court judgment that terminates all interest and rights of a mortgagor
(borrower) in the property covered by the mortgage. Such a judgment usually results from
the mortgagor defaulting on the mortgage loan, exposing the mortgaged property to the
enforceable lien held by the lender (usually a bank). When a judgment foreclosure occurs,
the mortgaged property is generally sold under court supervision and the proceeds are used
to satisfy the outstanding mortgage debt.
JUNK BONDS
Corporate bonds with credit ratings of BB or less. They pay a higher yield than
investment grade bonds because issuers have a higher perceived risk of default. Such bonds
involve market risk that could force investors, including insurers, to sell the bonds when
their value is low. Most states place limits on insurers' investments in these bonds. In
general, because property/casualty insurers can be called upon to provide huge sums of
money immediately after a disaster, their investments must be liquid. Less than 2 percent
are in real estate and a similarly small percentage are in junk bonds.
KASSEBAUM-KENNEDY
(see HIPPA) requires all health plans to be guaranteed renewable. Your coverage
can be canceled for other reasons unrelated to your health status.
KEY PERSON INSURANCE
Insurance on the life or health of a key individual whose services are essential
to the continuing success of a business and whose death or disability could cause the firm
a substantial financial loss.
KIDNAP/RANSOM INSURANCE
Coverage up to specific limits for the cost of ransom or extortion payments and
related expenses. Often bought by international corporations to cover employees. Most
policies have large deductibles and may exclude certain geographic areas. Some policies
require that the policyholder not reveal the coverage's existence.
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- LADDERING
A method of staggering the purchase of certificates or bonds whereby, when the
investment matures, the funds can be reinvested in short or long-term investments
depending on the current interest rate. LAPSE
The expiration of a right or privilege when one party does not live up to its
obligations during the time allowed.
LAST IN FIRST OUT (LIFO)
This refers to a method used to distribute cash value withdrawals for policies
where the withdrawals are treated as first coming out of interest and are considered
taxable income.
LARGE GROUP HEALTH PLAN
One with more than 50 eligible employees.
LATE ENROLLMENT
Enrollment in a health plan at a time other than the regular or a special
enrollment period. Iowa requires fully insured group plans to cover you if you are a late
enrollee. However, you may be subject to a longer preexisting condition exclusion period.
See also Special Enrollment Period.
LAW OF LARGE NUMBERS
The theory of probability on which the business of insurance is based. Simply
put, this mathematical premise says that the larger the group of units insured, such as
sport-utility vehicles, the more accurate the predictions of loss will be.
LEHMAN BROTHERS AGGREGATE BOND INDEX
This unmanaged index of U.S. bonds, which includes reinvestment of any earnings,
is widely used to measure the overall performance of the U.S. bond market.
LEVEL TERM POLICY
This is a type of insurance that pays a level benefit in case of death during the
term of the policy. The premium is also level.
LIABILITIES
A claim on the assets of a company or individual to satisfy a debt.
LIABILITY INSURANCE
Protection for your negligent acts that result in bodily injury and/or damage to
another's property.
LIEN
A creditor's claim against assets to secure a debt. Liens may also be granted by
courts to satisfy judgments.
LIFE ANNUITY
An annuity that makes regular (e.g., monthly, quarterly, etc.) income payments
for the life of a person (the annuitant). The annuitant cannot outlive the payments. Upon
his/her death, however, all income payments cease and there are no beneficiary benefits.
LIFE ESTATE
A form of property ownership, also known as a life interest, giving the holder
(the life tenant) an interest in the property to possess, use, and enjoy the property, or
income from the property, for the duration of their life. Upon the death of the holder,
the remainder interest automatically reverts to the original owner or passes to a
beneficiary (known as the remainder person).
LIFE EXPECTANCY
The number of years a person is expected to live as determined by actuaries using
mortality (actuarial) tables This information is used to calculate annuity payments, life
insurance premiums, and annual minimum distributions from IRAs.
LIFE EXPECTANCY TABLES
Mortality tables that are used to calculate life expectancy figures.
LIFE INSURANCE
A policy that will pay a specified sum to beneficiaries upon the death of the
insured.
LIFE SETTLEMENTS
The purchase of life insurance contracts by a Viatical Settlement Company, for a fraction of the policy's face amount, from healthy individuals with a life expectancy of greater than two years These are also known as Senior Settlements, since the typical person selling his or her life insurance policy is at least 65 years old.
LIMIT
Maximum amount a policy will pay either overall or under a particular coverage.
LIMITED HEALTH INSURANCE
A health insurance contract that provides limited coverage in special
circumstances.
LIPPER RANKING
This fund ranking is calculated quarterly or annually by Lipper Analytical
Services of New York. Each fund is ranked within a universe of funds similar in investment
objective. Lipper Analytical Services, Inc. is an independent, nationally recognized
organization that reports on mutual fund total return performance and calculates fund
rankings.
LIQUIDITY
The ability to buy or sell an asset quickly, or to convert an asset to cash
quickly, and in large volume without substantially affecting the price of the asset. The
asset is considered "liquid."
LIVING BENEFITS PROVISION
In the event of a terminal illness where medical and long term care costs occur,
life insurance benefits that are payable to the insured prior to death through the use of
an accelerated death benefit rider (ADBR). Accelerated or 'living' benefits paid will
reduce the amount of death benefits payable to the beneficiary upon the insured's death.
LIVING TRUST
A revocable or irrevocable trust created during the life of the grantor that is
also known as an inter vivos trust.
LLOYD'S OF LONDON
A marketplace where underwriting syndicates, or mini-insurers, gather to sell
insurance policies and reinsurance. Originally, Lloyd's was a London coffee house in the
1600s patronized by shipowners who insured each other's hulls and cargoes.
LOAD
This is a sales charge added to the price of a mutual fund share. Mutual funds
that don't have sales charges are called no-load funds.
LOAN VALUE
The amount which can be borrowed at a specified rate of interest from the issuing
company by the policyholder, using the value of the policy as collateral. In the event the
policyholder dies with the debt partially or fully unpaid, then the amount borrowed plus
any interest is deducted from the amount payable.
LONG-TERM CARE INSURANCE
Coverage that, under specified conditions, provides skilled nursing, intermediate
care, or custodial care for a patient (generally over age 65) in a nursing facility or his
or her residence following an injury.
LONG-TERM COVERAGE
Disabilities that last more than two years are said to be long-term. Disability
policies that pay benefits for long-term disabilities are said to offer long-term
coverage.
LONG-TERM DISABILITY INSURANCE
A disability insurance policy that provides coverage in the form of monthly
income payments for as long as the insured remains disabled (usually up to age 65).
LONG-TERM INVESTING
Experts generally consider an investment a "long-term" one if it is
held for at least eight years, or long enough to outlast the longest amount of time the
stock market has stayed in an extended down cycle in the past.
LOOK BACK
The maximum length of time, immediately prior to enrolling in a health plan, that
can be examined for evidence of preexisting conditions. See also Preexisting Condition.
LOSS
A reduction in the quality or value of a property, or a legal liability.
LOSS ADJUSTMENT EXPENSES
The sum insurers pay for investigating and settling insurance claims, including
the cost of defending a lawsuit in court.
LOSS COSTS
The portion of an insurance rate used to cover claims and the costs of adjusting
claims. Insurance companies typically determine their rates by estimating their future
loss costs and adding a provision for expenses, profit, and contingencies.
LOSS FREQUENCY METHOD
Procedure used by insurance companies to project the number of future losses
within a given time frame. This prediction of future losses is used as the basis for
setting policyholder premiums.
LOSS OF INCOME
A definition of disability based on income loss, not on loss of occupation.
Loss-of-income disability definitions are used in residual disability (income replacement)
policies.
LOSS RATIO
Percentage of each premium dollar an insurer spends on claims.
LOSS RESERVES
The company's best estimate of what it will pay for claims, which is periodically
readjusted. They represent a liability on the insurer's balance sheet.
LOSS OF USE
Part of a standard homeowners policy that covers financial losses (up to a
certain limit) you suffer when your home is damaged and temporarily unfit to live in.
These losses generally refer to living expenses (e.g., hotel, dining, telephone) that you
must incur in order to maintain your usual standard of living until you move back into
your house.
LUMP-SUM DISTRIBUTION
When you withdraw all your money during one tax year from a retirement plan, such
as a 401(k) or 403(b) retirement account, you get a lump-sum distribution. This type of
withdrawal does not apply to some other retirement plans, such as 457 plans.
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- MAJOR MEDICAL PLAN
A kind of health plan that reimburses you or your health care provider on the
basis of services rendered. Major medical plans generally do not restrict you to a limited
network of providers for covered care. However, major medical plans often impose other
restrictions on covered services. For example, plans can require prior authorization of
hospital care or other expensive services. MALPRACTICE INSURANCE
Professional liability coverage for physicians, lawyers, and other specialists
against suits alleging negligence or errors and omissions that have harmed clients.
MANAGED CARE
A kind of health insurance plan. Like an HMO, managed care plans can limit
coverage to health care provided by doctors and hospitals that work for or contract with
them - also called "network providers." Often managed care plans will require
you to get permission (a "referral") from your family doctor before you get care
from a specialist in their network. Some managed care plans will reduce coverage for your
care if you go to a non-network provider or if you get specialist care without a referral.
See also HMO.
MANAGEMENT FEE
A mutual fund pays this fee to its investment manager or advisor for overseeing
the fund's investments. A management fee is usually between one-half and one percent of
the fund's share price, or net asset value.
MANUAL
A book published by an insurance or bonding company or a rating association or
bureau that gives rates, classifications, and underwriting rules.
MARINE INSURANCE
Coverage for goods in transit, and for the commercial vehicles that transport
them, on water and over land. The term may apply to inland marine but more generally
applies to ocean marine insurance. Covers damage or destruction of a ship's hull and cargo
and perils include collision, sinking, capsizing, being stranded, fire, piracy, and
jettisoning cargo to save other property. Wear and tear, dampness, mold, and war are not
included. (See Inland marine and Ocean marine)
MARKET RISK
If a child catches the flu, there's a good chance the rest of the family will,
too. Market risk works the same way for stocks and bonds. If investors are pessimistic,
the sentiment may spread, thereby tending to cause prices of all stocks to drop,
regardless of how well any one company is doing. You cannot eliminate market risk, but you
can take steps to reduce your exposure to it, such as diversifying your investments among
many different securities or investing in mutual funds, which offer built-in
diversification.
MARKETABLE SECURITIES
Securities that are easily sold or that can be readily converted into cash such
as government securities, banker's acceptances, and commercial paper.
MATERIAL MISREPRESENTATION
The policyholder / applicant makes a false statement of any material (important)
fact on his/her application.
MCCARRAN-FERGUSON
Federal law signed in 1945 in which Congress declared that states would continue
to regulate the insurance business. Grants insurers a limited exemption from federal
antitrust legislation.
MATURITY
This is the length of time (term) before a debt, a bond or policy is due to be
paid in full.
MEDICAID
A federal/state public assistance program created in 1965 and administered by the
states for people whose income and resources are insufficient to pay for health care.
MEDICAL PAYMENTS INSURANCE
A coverage in which the insurer agrees to reimburse the insured and others up to
a certain limit for medical or funeral expenses as a result of bodily injury or death by
accident. Payments are without regard to fault.
MEDICAL UTILIZATION REVIEW
The practice used by insurance companies to review claims for medical treatment.
MEDICARE
Federal program for people 65 or older that pays part of the costs associated
with hospitalization, surgery, doctors' bills, home health care, and skilled-nursing care.
MEDIGAP/MEDSUP
Policies that supplement federal insurance benefits particularly for those
covered under Medicare.
MISQUOTE
An incorrect estimate of the insurance premium.
MODIFIED ENDOWMENT CONTRACT (MEC)
A special class of life insurance. Funds withdrawn from a MEC policy in the form
of policy loans, partial surrenders, assignments, and pledges are treated as gross income
to the recipient and therefore subject to taxation.
MONEY MARKET FUNDS
These mutual funds invest in short-term securities but are not insured or
guaranteed by the government. Because the price of each share tends to stay at $1,
investors often use them to temporarily hold money to be invested later. The funds try to
maintain a $1 share price, but there is no assurance that they will.
MORTALITY (ACTUARIAL) TABLE
A statistical table showing the rate of death at each age in terms of the number
of deaths per thousand, indicating the probability of a certain number of people from a
group dying in a given year. Insurance companies and the IRS use mortality (actuarial)
tables to establish premiums for different age groups, to base life estates, and annuity
valuations.
MORTALITY CHARGE
The cost of the insurance protection based on a statistical projection of future
deaths.
MULTIPLE PERIL POLICY
A package policy, such as a homeowners or auto insurance policy, that provides
coverage against several different perils. It also refers to the combination of property
and liability coverage in one policy. In the early days of insurance, coverages for
property damage and liability were purchased separately.
MUNICIPAL BOND INSURANCE
Coverage that guarantees bondholders timely payment of interest and principal
even if the issuer of the bonds defaults. Offered by insurance companies with high credit
ratings, the coverage raises the credit rating of a municipality offering the bond to that
of the insurance company. It allows a municipality to raise money at lower interest rates.
A form of financial guarantee insurance.
MUNICIPAL LIABILITY INSURANCE
Liability insurance for municipalities.
MUTUAL FUND
Corporation or trust, managed by an investment adviser, that raises money from
shareholders and invests it in securities, such as stocks, bonds, options, commodities
and/or money market securities. Registered with the US Securities and Exchange Commission
under the Investment Company Act, mutual funds offer investors the advantages of
diversification and professional management for which they charge a management fee.
MUTUAL HOLDING COMPANY
An organizational structure that provides mutual companies with the
organizational and capital raising advantages of stock insurers, while retaining the
policyholder ownership of the mutual.
MUTUAL INSURANCE COMPANY
A company owned by its policyholders that returns part of its profits to the
policyholders as dividends. The insurer uses the rest as a surplus cushion in case of
large and unexpected losses.
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NAMED PERIL
Peril specifically mentioned as covered in an insurance policy.
NATIONAL FLOOD INSURANCE PROGRAM
Federal government-sponsored program under which flood insurance is sold to
homeowners and businesses.
NET ASSET VALUE
Also known as NAV, this is the share price (or dollar value) of one share of a
mutual fund. NAV is calculated at the end of every business day. It is figured by adding
up the value of all the securities and cash in the mutual fund's portfolio (its assets),
subtracting the fund's liabilities, and dividing that number by the number of shares that
the fund has issued. It does not include a sales charge. The NAV increases (or decreases)
when the value of the mutual fund's holdings increases (or decreases).
NET WORTH
A person's net worth is equal to the total value of all possessions, such as a
house, stocks, bonds, and other securities, minus all outstanding debts, such as mortgage
and revolving credit lines.
NO-FAULT
Auto insurance coverage that pays for each driver's own injuries, regardless of
who caused the accident. No-fault varies from state to state. It also refers to an auto
liability insurance system that restricts lawsuits to serious cases. Such policies are
designed to promote faster reimbursement and to reduce litigation.
NO-FAULT MEDICAL
A type of accident coverage in homeowners policies.
NO-LOAD
A mutual fund that does not charge a sales fee for mutual fund transactions, such
as buying and selling shares, is called a "no-load" fund.
NONCANCELLABLE GUARANTEED RENEWABLE
An insurance policy that is not subject to alteration, termination, or increase
in premium upon renewal.
NOTICE OF LOSS
A written notice required by insurance companies immediately after an accident or
other loss. Part of the standard provisions defining a policyholder's responsibilities
after a loss.
NUCLEAR INSURANCE
Covers operators of nuclear reactors and other facilities for liability and
property damage in the case of a nuclear accident and involves both private insurers and
the federal government.
NURSING HOME INSURANCE
A form of long-term care policy that covers a policyholder's stay in a nursing
facility.
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OCCUPATIONAL DISEASE
Abnormal condition or illness caused by factors associated with the workplace.
Like occupational injuries, this is covered by workers compensation policies.
OCCUPATIONAL HAZARD
Condition surrounding a work environment that increases the probability of death,
illness, or disability to a worker. This type of hazard is considered when evaluating an
application for insurance.
OCCURRENCE POLICY
Insurance that pays claims arising out of incidents that occur during the policy
term, even if they are filed many years later.
OCEAN MARINE INSURANCE
Coverage of all types of vessels and watercraft, for property damage to the
vessel and cargo, including such risks as piracy and the jettisoning of cargo to save the
property of others. Coverage for marine-related liabilities has been expanded to include
transit by rail, truck, etc.
OPEN COMPETITION STATES
States where insurance companies can set new rates without prior approval,
although the state's commissioner can disallow them if they are not reasonable and
adequate or are discriminatory.
OPEN ENROLLMENT PERIOD
A period of time, often once or twice a year, during which individuals are
permitted to enroll in group insurance plans.
OPEN PERIL COVERAGE
Insurance coverage for all risks other than those that the policy specifically
excludes.
ORDINANCE OR LAW COVERAGE
Endorsement to a property policy, including homeowners, that pays for the extra
expense of rebuilding to comply with ordinances or laws that did not exist when the
building was originally built.
ORDINARY LIFE INSURANCE
A life insurance policy that remains in force for the policyholder's lifetime.
ORIGINAL EQUIPMENT MANUFACTURER PARTS / OEM
Sheet metal auto parts made by the manufacturer of the vehicle.
OWN OCCUPATION
A term for a disability policy that provides benefits when the insured is unable
to perform the usual and customary duties of one's own occupation.
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- PACKAGE POLICY
A single insurance policy that combines several coverages previously sold
separately. Examples include homeowners insurance and commercial multiple peril insurance.
PAID UP ADDITIONS
An amount of paid up insuranced purchase with a policy dividend and added to the face amount of the policy.
PARTIAL DISABILITY
Inability of the insured to perform one or more of the important daily duties of
his or her regular occupation. The income payment to the insured is reduced from that of
total disability.
PAYEE
An insured individual or a beneficiary who receives a loss or benefit payment
from an insurer.
PERIL
The cause of a possible loss. For example, fire, theft, hail, windstorm, flood,
or theft.
PENSION PLANS
Also known as defined benefit retirement plans, these provide a specified amount
of money after you retire following a set number of years of service (in other words, the
benefit is "defined" in advance). Once you retire, the amount you receive is
fixed and usually does not increase with inflation.
PERMANENT
In the insurance context, permanent life insurance is ordinary life insurance
such as whole life--as opposed to term life insurance which expires unless renewed at the
end of each term.
PERSONAL LIABILITY INSURANCE
Part of a standard homeowners policy that covers financial losses you suffer when
you accidentally cause bodily injuries to others or damage to their property.
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