| Confused by life insurance terms you've heard
or read? Then use our indepth glossary for definitions of
the terms.
ACCIDENTAL DEATH AND DISMEMBERMENT (AD&D) RIDER
A supplementary benefit rider or endorsement that provides
for an amount of money in addition to the basic death
benefit of a life insurance policy. This additional amount
is payable only if the insured dies or loses any two limbs
or the sight of both eyes as the result of an accident.
Some AD&D riders pay one half of the benefit amount
if the insured loses one limb or the sight in one eye.
ACTUARY
A technical expert in life insurance, particularly in
mathematics. A person in this job applies the theory of
probability to calculate mortality rates, morbidity rates,
lapse rates, premium rates, policy reserves, and other
values.
ADJUSTABLE LIFE INSURANCE POLICY
A life insurance contract designed specifically to allow
the policyowner to alter the policy's plan by changing
the amount of the coverage or the amount of the premium.
The insurer calculates the specific plan of insurance
that can be provided based on the requested death benefit
and premium. Therefore, an adjustable life insurance policy
can use insurance plans that range from a term insurance
policy of short duration to a limited-payment whole life
insurance policy.
ANNUITY
(1) A series of payments made or received at regular intervals.
(2) A contract that provides for a series of payments
to be made or received at regular intervals.
BENEFICIARY
The person or other party designated to receive life insurance
policy proceeds. See also contingent beneficiary, irrevocable
beneficiary, primary beneficiary, and revocable beneficiary.
BENEFIT
The amount of money paid when an insurance claim is approved.
Also called the policy benefit.
BENEFIT OF SURVIVORSHIP
Describes the fact that annuity payments will be made
as long as the designated recipient is alive at the time
the payment is due. This concept is used in the calculation
of amounts due under life insurance settlement options.
BUSINESS-CONTINUATION INSURANCE
A type of business insurance designed to provide funds
so the remaining partners in a business, or the remaining
stockholders in a closely-held corporation, can buy the
business interest of a deceased or disabled partner or
stockholder.
CASH VALUE
In a life insurance policy, the amount of money, before
adjustment for factors such as policy loans or late premiums,
that the policyowner will receive if the policyowner allows
the policy to lapse or cancels the coverage and surrenders
the policy to the insurance company. Cash values are a
feature of most types of permanent life insurance, such
as whole life and universal life. Also called inside build-up
and policyowner's equity.
CONVERSION PRIVILEGE
(1) The right of a person who is covered by a group insurance
policy to convert his or her group coverage to coverage
under an individual insurance policy. Such a conversion
can be made when a person leaves the group, benefits are
downgraded or terminated for a specific class, or when
the group master policy is ended. (2) The right to change
insurance coverage in certain prescribed situations from
one type of policy to another. For example, the right
to change from an individual term insurance policy to
an individual whole life insurance policy.
CONVERTIBLE TERM INSURANCE
A type of term insurance that allows the policyowner to
change the term insurance policy to a whole life policy
without providing evidence of insurability. The premium
rate is normally based on the age of the insured at the
time of the conversion.
DEATH BENEFIT
The amount of money paid or due to be paid when a person
insured under a life insurance policy dies. This amount
does not include adjustments for outstanding policy loans,
dividends, paid-up additions, or late premium payments.
DEDUCTIBLE
A flat amount that an insured must pay before the insurance
company will make any benefit payments under a health
insurance policy. Also called the deductible amount or
initial deductible.
DEMUTUALIZATION
The process of converting a mutual insurance company to
a stock insurance company.
DISABILITY BENEFITS
Benefits that are payable periodically while an insured
continues to be disabled. "Being disabled" is
generally defined in terms of inability to work.
DOUBLE INDEMNITY
Death benefit coverage that pays an additional benefit
equal to the basic death benefit of the policy if the
insured's death is accidental.
ESTATE PLANNING
An insurance program designed not only to provide funds
for the prospect's dependents upon the death of the prospect,
but also to conserve, as much as possible, the personal
assets that the prospect wants to bequeath to heirs. Estate
planning usually involves accountants, lawyers, and the
trust officers of banks, as well as insurance agents.
FAMILY INCOME INSURANCE
A specialized individual policy that commonly combines
whole life insurance with decreasing term insurance. The
whole life insurance portion of the policy is usually
paid as a lump sum when the insured dies. The decreasing
term insurance portion of the policy provides an income
for a predetermined period to help support the insured's
family.
FIDUCIARY
A person or organization who holds, manages and has discretionary
authority and control over money belonging to another
person or organization, or who renders investment advice
in exchange for compensation. When an insurance company
manages pension funds, the insurance company is acting
as a fiduciary.
FRAUDULENT CLAIM
A type of claim that occurs when a claimant intentionally
uses false information in an attempt to collect policy
proceeds.
GENERAL AGENT (GA)
The individual in charge of a field office of an insurer
that uses the general agency distribution system. The
general agent is an independent entrepreneur who is under
contract to the insurer.
GRACE PERIOD
The length of time (usually 31 days) after a premium is
due and unpaid during which the policy, including all
riders, remains in force. If a premium is paid during
the grace period, the premium is considered to have been
paid on time.
IMPAIRMENT
Any aspect of the health, occupation, activities, or life-style
of a proposed insured that could increase his or her expected
mortality or morbidity.
INDIVIDUAL RETIREMENT ACCOUNT (IRA)
In the United States, a tax-sheltered savings plan that
allows some citizens to make pre-tax contributions to
an approved account. The contributions and investment
earnings are taxable as income only when paid out. Investors
can establish IRAs through a number of financial institutions,
including insurance companies.
JOINT AND SURVIVOR ANNUITY
An annuity under which a series of payments is made to
two or more annuitants. The annuity payments continue
until both or all of the annuitants have died. Also called
a joint and last survivorship annuity.
JOINT AND SURVIVORSHIP OPTION
A life insurance settlement option under which payments
will be made to two or more payees. These payments will
continue until both or all the named payees are deceased.
KEY EMPLOYEE
In pension planning in the United States, a highly paid
employee who satisfies any one of four criteria relating
to compensation and company ownership. The criteria are
described in legislation and tax rules. The amount of
benefits accrued to key employees in a pension plan, as
compared to benefits accrued to other employees, is the
major factor in determining whether the plan is a top-heavy
employee benefit plan.
KEY-PERSON INSURANCE
Life insurance purchased by a business on the life of
a person (usually an employee) whose continued participation
in the business is necessary to the firm's success and
whose death or disability would cause financial loss to
the company.
LEVEL PREMIUMS
Premiums that remain the same each year that the life
insurance policy is in force.
LIFE ANNUITY WITH PERIOD CERTAIN
A life annuity which promises that if the annuitant dies
before the end of a designated period (usually 5, 10,
or 20 years), the insurer will continue payments to a
contingent payee until the end of the designated period.
Also called a life income with period certain annuity.
LIFE INSURANCE
Insurance that provides protection against the economic
loss caused by the death of the person insured.
LONG-TERM CARE (LTC) INSURANCE
Coverage available on an individual or group basis to
provide medical and other services to patients who need
constant care in their own home or in a nursing home.
LONG-TERM DISABILITY INCOME INSURANCE
Disability income insurance which typically provides disability
income benefits that begin at the end of a specified waiting
period and that continue until the earlier of the date
when the insured person returns to work, dies, or becomes
eligible for pension benefits.
MATERIAL FACT
A fact that is relevant to an insurance company's underwriting
decision regarding issuing or rating a policy.
MATERIAL MISREPRESENTATION
In insurance, a misstatement by an applicant that is relevant
to the insurer's acceptance of the risk, because, if the
truth had been known, the insurer would not have issued
the policy or would have issued the policy on a different
basis.
MISREPRESENTATION
(1) A false or misleading statement made to induce a prospect
to purchase insurance. Misrepresentation is a prohibited
insurance sales practice. (2) A false or misleading statement
made by an applicant for insurance. Certain misrepresentations
provide a basis for the insurer to avoid the policy.
MISSTATEMENT OF AGE PROVISION
Life insurance policy wording that specifies the action
the insurer will take if, at the insured's death, the
insurer discovers that the insured's age was misstated
in the application and the misstatement has resulted in
an incorrect premium for the amount of insurance purchased.
In an individual life insurance policy, this provision
specifies that the policy's benefit amount will be adjusted.
In a group insurance policy, this provision generally
specifies that the policy's premium amount will be adjusted.
NONSMOKER RISK CLASS
An underwriting risk class that includes people who are
standard risks and who have not smoked cigarettes for
a specified period of time, usually 12 months, before
applying for insurance. People in the nonsmoker risk class
pay lower than standard premiums.
PARTIAL DISABILITY
A disability that prevents an insured from engaging in
some of the duties of his or her usual occupation or from
engaging in the occupation on a full-time basis.
PARTIAL DISABILITY BENEFIT
A flat amount specified in a disability income insurance
policy that is payable when the insured suffers a partial
disability. Usually the partial disability benefit is
half the full disability benefit.
PARTNERSHIP INSURANCE
A type of business insurance designed to provide funds
so the remaining partners in a business can buy the business
interest of a deceased or disabled partner. See also business-continuation
insurance.
PAYEE
The person to whom benefits are payable under a supplementary
contract.
POLICY
A written document that serves as evidence of an insurance
contract and contains the pertinent facts about the policyowner,
the insurance coverage, the insured, and the insurer.
PREMIUM
The payment, or one of a series of payments, required
by the insurer to put an insurance policy in force and
keep it in force.
PRIMARY BENEFICIARY
The party or parties who have first rights to receive
policy benefits when the benefits of an insurance policy
become payable.
REGISTERED REPRESENTATIVE
Any person who is licensed with the National Association
of Securities Dealers and who is engaged either in selling
securities as the agent or representative of a broker-dealer
or in training the sales persons associated with a broker-dealer.
REINSTATEMENT
The process by which a life insurance company puts back
in force a policy that had lapsed because of nonpayment
of renewal premiums.
REINSURANCE
A transaction between two insurance companies in which
one company purchases insurance from the other to cover
part or all of the risks that the first company does not
wish to retain in full.
RENEWAL PREMIUMS
Premiums payable after the initial premium.
RENEWAL PROVISION
(1) An individual life insurance policy provision that
gives the policyowner the right to continue the insurance
coverage at the end of the specified term without submitting
evidence of continued insurability. (2) A provision in
an individual health insurance policy describing the circumstances
under which the insurance company may refuse to renew
the coverage, may cancel the coverage, or may increase
the policy's premium rate.
RISK CLASS
A group of insureds who present a substantially similar
risk to the insurance company. Among the most common risk
classes used by life insurance companies are standard,
preferred, nonsmoker, substandard, and uninsurable.
SOCIAL SECURITY
In the United States, a program of the United States federal
government that provides retirement income, health care
for the aged, and disability coverage for eligible workers
and their dependents.
SOCIAL SECURITY DISABILITY INCOME (SSDI)
In the United States, a long-term disability income program
that provides benefits to disabled workers who are under
age 65 and who have paid a specified amount of Social
Security tax for a prescribed number of quarter-year periods.
SOLE PROPRIETORSHIP INSURANCE
Insurance on the life of the sole proprietor of a business.
Sole proprietorship insurance is used either to pay the
salary of someone hired to run the business after the
owner's death or disablement or to compensate the owner's
family for the loss of potential income due to the failure
of the business after the owner's death or disability.
TERM INSURANCE
Life insurance under which the benefit is payable only
if the insured dies during a specified period. See also
convertible term insurance, credit life insurance, decreasing
term insurance, deposit term insurance, family income
insurance, increasing term insurance, level term insurance,
mortgage redemption insurance, and renewable term insurance.
TESTAMENTARY DISPOSITION
In life insurance, the use of a will to indicate the person
or party to whom the proceeds of a life insurance policy
should be distributed.
TOTAL DISABILITY
When a disability begins, it is typically considered a
"total disability" if it prevents an insured
person from performing the essential duties of his or
her regular occupation. Under many insurance policies,
the definition of total disability changes at the end
of a specified period after the disability begins, usually
two years. Therefore, insureds are considered totally
disabled only if their disabilities prevent them from
working at any occupation for which they are reasonably
fitted by education, training, or experience.
TRIPLE INDEMNITY
A type of accidental death benefit coverage that pays
an additional benefit equal to twice the policy's basic
death benefit if the accident is sustained while the insured
is a passenger in a public conveyance operated by a licensed
common carrier, such as a bus, train, or airplane.
UNDERWRITER
(1) The person who assesses and classifies the potential
degree of risk that a proposed insured represents. (2)
The person or organization that guarantees that money
will be available to pay for losses that are insured against.
In this sense, the insurance company is the underwriter.
UNDERWRITING
(1) The process of assessing and classifying the potential
degree of risk that a proposed insured represents. Also
called selection of risks. (2) Providing guarantees that
money will be available to pay for losses that are insured
against.
UNIVERSAL LIFE INSURANCE
An unbundled whole life insurance product in which the
mortality, investment, and expense factors used to calculate
premium rates and cash values are expressed separately
in the policy. In a universal life insurance policy, any
applicable expense charges are deducted from the premium
and the remainder of the premium is then credited to the
policy's cash value. Each month the insurer deducts the
mortality and any other costs from the cash value and
credits the remainder of the cash value with interest.
VARIABLE ANNUITY
A form of annuity policy under which the amount of each
benefit payment is not guaranteed and specified in the
policy. The amounts of the benefit payments fluctuate
according to the earnings of a separate account fund.
VARIABLE LIFE INSURANCE
A form of whole life insurance under which the death benefit
and the cash value of the policy fluctuate according to
the investment performance of a separate account fund.
Most variable life insurance policies guarantee that the
death benefit will not fall below a specified minimum.
A minimum cash value is seldom guaranteed. Because the
policyowner assumes investment risk under variable life
insurance policies, these products are considered securities
contracts. In the United States, variable life insurance
policies must be registered with the Securities and Exchange
Commission (SEC), and only agents who have passed the
National Association of Securities Dealers (NASD) examination
may sell this product.
WHOLE LIFE ANNUITY
A mathematical term for a series of regular periodic payments,
each of which is made only if a designated payee is then
alive, with the payments continuing for that payee's entire
life.
WHOLE LIFE INSURANCE
Life insurance that remains in force during the insured's
entire lifetime, provided premiums are paid as specified
in the policy. Whole life insurance also builds a savings
element (called the cash value) as a result of the level
premium approach to funding the death benefit.
YEARLY RENEWABLE TERM (YRT) INSURANCE
Term life insurance that gives the policyowner the right
to continue the coverage at the end of each year. This
renewal right continues for a specified number of years
or until the insured reaches the age specified in the
contract. Also called annually renewable term (ART) insurance.
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