Amendment:
An official document that serves as a revision to the
original life insurance policy.
Application:
A form that the proposed insured completes with personal,
financial and familial history information and used
by the insurer (life insurance company) to decide whether
or not to accept the risk and determine the proposed
insured's underwriting classification.
B
Beneficiary (-ies):
The entity (relative, business, trustee, etc.) selected
by the owner of the life insurance policy to whom the
proceeds are payable in the event of the insured's death
(See also Contingent and Primary beneficiary).
Benefits:
The monetary amount paid (or payable) and/or services
provided to the insured by the life insurance company
under the terms of the life insurance contract.
C
Claim:
A request for payment of the contractual benefits by
the insurer that is made by the insured or the beneficiary.
Concealment:
Refers to a fact that is intentionally not disclosed
to the insurance company that could affect either the
premium or the settlement of a loss. Concealment of
material fact may be cause to void the contract.
Conditional Receipt:
A temporary contract that requires the life insurance
company to provide conditional coverage during the underwriting
process when premium is submitted with the application
and the life insurance applicant has been examined.
Contestable Period:
A period of time during which the insurer can cancel
or contest the policy. For life insurance, the contestable
period is normally two years.
Contingent Beneficiary:
A secondary beneficiary designated by the insured to
receive the benefits of the life insurance policy if
the named primary beneficiary is deceased when the proceeds
become payable.
Convertible (Convertibility
Option or Conversion Privilege):
The right of an individual to change the form of the
original life insurance policy without evidence of insurability.
For a example, a term life insurance policy may be convertible
to permanent insurance without a new medical examination.
Coverage Amount:
The face amount of the life insurance policy. This is
the amount of benefit the insurer would pay in the event
of the insured's death.
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D
Date of Issue:
The date printed on the life insurance policy that indicates
when the policy was issued. This date may be different
than the policy date, which is the date the policy went
into effect.
E
Effective Date (Policy Date):
The date the life insurance policy is effective and in force.
Evidence Clause:
A statement in the life insurance policy relating to
the investigation of a claim and requiring the insured
to cooperate fully in an investigation by providing
any records and taking exams that would satisfy the
adjuster and the validity of the claim.
Evidence of Insurability:
Health information such as a medical exam or an attending
physician's statement required to satisfy life insurance
underwriting requirements.
Expiry:
The date a term life insurance policy terminates coverage.
F
Face Amount:
The death benefit amount of a life insurance policy.
Free Look:
An opportunity for the policyholder to examine the terms
of a new policy and surrender it for a complete refunds
of premium if not fully satisfied. This period is usually
10, 20 or 30 days, depending on the state in which the
policy is written in.
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G
Grace Period:
A period of 30 or 31 days after the premium due date
when the insured can pay the premium and keep the policy
current while the policy remains in force.
Group Life Insurance:
Life insurance offered to members of a group, usually
employees. The employee typically has a master policy
and all employees are offered some coverage without
any underwriting requirements. The premiums may be paid
by the employer, the employee or both.
H
Hazardous Activities:
Any activity that increases one's risk of peril or danger.
On an insurance application, scuba diving, aviation,
sky diving, and racecar driving are examples of hazardous
activities that are taken into account when an insurance
company decides whether or not to accept the risk of
insuring the applicant.
Human Life Value:
The quantitative value of the future earnings of a wage
earner. By calculating the human life value, one may
determine the amount of life insurance to purchase on
an applicant. By determining the average income of a
wage earner, the number of years the wage earner is
going to work and the present value of the income of
the wage earner, one can calculate the human life value
of a wage earner.
I
Impaired Risk:
A person with a substandard physical condition such
as a history of stroke or heart attack who would be
a higher probability of risk for the insurer. An applicant
who engages in hazardous activities could also be an
impaired risk.
Inspection Report:
A report prepared by an inspection organization for
the insurance company that summarizes the financial,
physical, moral or other attributes of an applicant
for insurance. Inspection reports are typically required
for applicants applying for larger amounts of life insurance.
Insurance:
A mechanism for reducing the risk of many by contractually
transferring the risk to an insurer, thereby pooling
the risk in return for monetary considerations from
the insured.
Insured:
The person who is covered by an insurance policy.
Insurer:
The party who offers protection to the insured as outlined
in the policy.
Irrevocable Beneficiary:
A beneficiary who can be changed only through written
consent from that beneficiary.
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J
Joint Life and Survivor Insurance:
Insurance coverage that is written on two or more persons
and payable at the death of the last of those insured.
This type of insurance is typically used for estate
planning purposes.
K
Key Employee Insurance:
Insurance on a key employee whose loss of services would
cause hardship for the employer. The employer is the
owner, beneficiary and payer of the policy.
L
Lapse:
The termination of an insurance policy for failure to
pay the policy's premium.
Level Premium Term Insurance:
A term life insurance policy where the premium paid
remains the same throughout the term of the policy.
Life Expectancy:
A calculation made to determine the number of years
a person is expected to live according to a particular
mortality table. This is one of the considerations in
determining life insurance premiums.
Limitations:
The maximum amount of insurance coverage available under
a policy or exclusion of certain described premises.
Lump Sum:
A single payment from the insurer for the total benefit
amount due, instead of a series of installment payments.
Life insurance face amounts may be paid in lump sum,
if requested by the beneficiary.
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M
Medical Information Bureau (MIB):
The organization that maintains a secure, centralized
computer facility that stores the coded health history
of persons who have applied for insurance from subscribing
companies in the past. This information is then available
to other insurance companies for future insurability
evaluations.
Misrepresentation:
Inaccurate information provided by the applicant during
the application process. Providing inaccurate information
with the intent to receive a lower premium in considered
intent to defraud.
N
Non-assignable Policy:
Prohibits a policyowner from transferring the rights
of a policy to a third party.
Notice of Cancellation:
A written notice stating that the insurer will cancel
a policy or that the insured is requesting the cancellation
of the policy.
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O
Offer and Acceptance:
The submission of an application for an insurance policy
by the applicant and in the case of a life insurance
application, a first premium payment ("Offer"),
followed by an issuance of a policy by the insurer ("Acceptance").
Overinsured:
A circumstance in which the amount of insurance benefits
exceeds the value of damages. For life insurance, an
applicant considered overinsured will not be offered
additional coverage unless the applicant replaces their
current coverage.
P
Paramedical Exam:
A medical examination performed by a non-physician medical
professional used to determine an applicant's health
risk. The health risk is used in determining insurability
and premium classification for life and health insurance.
Permanent Life Insurance:
A policy that provides coverage throughout the insured's
lifetime, with no policy expiration date, as long as
premium payments are made. This policy may also build
cash value.
Policy:
A legal document that details the terms of an agreement
between an insurance company and a policyowner.
Policy Date:
The date on which a policy is in effect. This may be
different than the issue date, if the policy was backdated.
Policy Fee:
A flat charge, added to the basic premium cost, used
for the administrative expenses the insurance company
incurs in processing a policy.
Policy Not Taken:
A Policy is not taken when an applicant decides not
to accept the policy. If a policy was prepaid and the
applicant declines the policy within the free-look period,
the premium is fully refunded to the applicant.
Policyholder:
Person(s) or other entity who is the owner of the insurance
policy.
Policyowner:
See Policyholder.
Premium:
The payment(s) necessary to keep an insurance policy
in force. Premiums are calculated based on the applicant's/insured's
risk level of incurring a loss.
Primary Beneficiary:
The entity (relative, business, trustee, etc.) selected
by the owner of the policy to whom the proceeds are
payable in the event of the insured's death.
R
Reinstatement:
Placing a policy back in force that was previously discontinued
due to lack of premium payment(s) after the grace period
has expired.
Renewable Term Life Insurance:
A term life insurance policy that may be renewed annually
by the policyowner annually without any further evidence
of insurability.
Revocable Beneficiary:
A life insurance beneficiary who can be removed or changed,
by the policyowner, at any time prior to the death of
the insured.
Rider:
An endorsement to an original policy that adds, removes
or changes a condition(s) in the original policy.
S
Section 1035 Exchanges:
A section of the Internal Revenue Code that allows for
taking the proceeds of one life insurance policy or
annuity and immediately investing them into another
life insurance policy or annuity, without having to
pay taxes on any gains.
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T
Term Life Insurance:
A type of low-cost, life insurance that only pays benefits
if the insured dies during the specified period of time.
Term life insurance does not build cash value.
Termination:
The cancellation of an insurance policy by the insurance
company or the insured.
Tertiary Beneficiary:
The third beneficiary to a life insurance policy eligible
for policy benefits should the primary and secondary
beneficiaries not survive.
U
Underwriter:
The party who assesses the applicant's/insured's risk
level, establishes the corresponding premium(s) and
assures that funds will be available to pay to the insured
in the event of a loss.
Unilateral Contract:
A legal contract in which only one party makes any legally
enforceable promises. A life insurance policy is a unilateral
contract since the insurer writes the contract and makes
future promises and the insured pays the premium in
exchange for such considerations.
Uninsurable Risk:
The risk of incurring a loss is so high that an insurer
will not offer coverage.
Universal Life Insurance:
An adjustable type of life insurance that provides both
term life insurance coverage and a savings vehicle side
account with a guaranteed minimum return on the investment.
This type of life insurance also allows the policyowner
to change the amount of coverage and premiums throughout
the duration of coverage.
V
Variable Life Insurance:
An investment-oriented type of permanent life insurance
that provides both life insurance coverage and a savings
vehicle through sub-accounts with the amount of return
linked to an underlying portfolio of securities. Variable
life insurance has a fixed premium and a guaranteed
minimum death benefit.
Voidable:
An insurance policy that can be cancelled by either
the insurer or the insured if either side breaches any
term(s) in the contract.
W
Waiver of Premium:
When a life insurance company no longer requires that
an insured party make premium payment if he/she has
become disabled for longer than six months. The insurance
policy remains in full force even though premium payments
are no longer required.
Whole Life Insurance:
A type of life insurance that remains in full force
for the insured's entire life, as long as premiums are
paid.