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Tools & Resources » General Insurance Term Glossary

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GAAP reserves

Reserves that are calculated in accordance with generally accepted accounting principles.

general account

An undivided account in which life and health insurers formerly recorded all incoming funds. General accounts are still usually insurers' largest accounts, but since the early 1960s, life and health insurers have begun using other accounts as well. See also separate account.

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.

generally accepted accounting principles (GAAP)

The set of accounting principles used by most firms outside the life insurance industry and sometimes used by life and health insurance companies. GAAP is based on the going-concern concept of asset valuation.

GI rider

See guaranteed insurability (GI) rider.

good health provision

A provision contained in some group credit policies stating that a policy is void if the insured was not in good health when the application was signed or when the policy was delivered, whichever was specified in the contract.

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.

graded-premium whole life insurance

A type of whole life insurance in which premiums increase once or at specified points in time, such as every three years, until a premium that remains level is reached.

gross premium

The amount that policyowners actually pay for their insurance. The gross premium equals the net premium plus the loading.

group creditor life insurance

Group insurance coverage wherein a master contract is issued to cover the lives of current and future debtors of the policyowner. The beneficiary of such coverage is the policyowner.

group deferred annuity

A type of annuity sometimes used to fund a pension plan. Employer contributions under a group deferred annuity contract are used to purchase deferred annuities to provide for the retirement benefits of plan participants.

group insurance

Insurance that provides coverage for several people under one contract, called a master contract.

group ordinary life insurance

Group life insurance in which at least a part of the coverage is permanent and builds a cash-value.

guaranteed insurability (GI) rider

An amendment to a life insurance policy that gives the policyowner the right to purchase additional insurance of the same type as provided in the original policy. The additional insurance can equal no more than an amount specified in the policy contract and can be purchased at specified premium rates and at specified times without new evidence of insurability. Also called a policy purchase rider.

guaranteed-issue insurance

Insurance coverage for which there is usually no individual underwriting. All eligible members of a particular group of proposed insureds who apply for the policy and who meet certain conditions are automatically issued a policy.

guaranteed renewable policy

An individual health insurance policy that specifies that the insurer will continue the policy until the insured reaches a specified age, if premium payments are made when due. The insurer can change premium rates for broad classes of insureds. See also cancellable policy, conditionally renewable policy, noncancellable and guaranteed renewable policy, noncancellable policy, and optionally renewable policy.

guaranty association

In the insurance industry, an organization whose purpose is to protect policyowners from losses suffered through the insolvency of an insurance company.

H | Top

health insurance

Insurance covering medical expenses or income loss resulting from injury or sickness. Health insurance is a general category that includes many different types of insurance coverage, including hospital confinement insurance, hospital expense insurance, surgical expense insurance, major medical insurance, disability income insurance, dental expense insurance, prescription drug insurance, and vision care insurance. See also disability income insurance and medical expense insurance.

health maintenance organization (HMO)

An organization that provides comprehensive health care services for subscribing members in a particular geographic area. People enrolled in an HMO pay dues in return for the right to health care services at a lower-than-average cost. See also group practice model (GPM) and individual practice association (IPA).

history statement

An Attending Physician's Statement concerning a specific health history admitted by the proposed insured.

hold harmless release

A discharge stating that a payee will reimburse an insurance company if a subsequent claimant success fully challenges the disbursement of the policy's proceeds.

home-office-to-home-office arrangement

A manufacturer-distributor arrangement in which an insurance company that chooses not to offer a particular product or product line agrees to act as a brokerage general agent for certain product lines manufactured by another insurer.

home service agents

Exclusive or captive agents who work for home service companies and who collect premiums and provide service at the policyowner's residence. Home service agents offer monthly debit life, health, and fire insurance products as well as products for which premiums are billed by and remitted directly to the insurer. Some of their business may also be in industrial insurance. They market products primarily to middle and lower-middle income individuals and families. See also industrial insurance and monthly debit ordinary (MDO).

home service distribution system

A distribution system which is used primarily for individual insurance products and which employs agents who collect premiums and provide service at the policyowner's residence. Each home service agent works within a defined geographical territory. Home service agents offer monthly debit life, health, and fire insurance products as well as products for which premiums are billed by and remitted directly to the insurer. Some market industrial insurance. The home service market is usually middle and lower-middle income individuals and families. See also industrial insurance and monthly debit ordinary (MDO).

hospital confinement insurance.

A type of health insurance that provides a predetermined flat benefit amount for each day an insured is hospitalized. The benefit amount does not vary according to the amount of medical expenses the insured incurs, although some policies provide higher benefit amounts if the insured is in an intensive or cardiac care unit. Also called hospital indemnity insurance.

hospital-surgical expense insurance

A type of health insurance that provides benefits related directly to hospitalization costs and associated medical expenses incurred by an insured for treatment of a sickness or injury. Most hospital-surgical expense policies cover (a) hospital charges for room, board, and hospital services, (b) surgeon's and physician's fees during a hospital stay, (c) specified outpatient expenses, and (d) extended care services, such as convalescent or nursing home costs.

hour of service

As defined by ERISA in the United States, an hour for which an employee is entitled to be paid or is paid. An hour of service can be earned while the employee is performing services for the employer or during a period in which no service is performed due to vacation, holidays, illness, or other paid leaves of absence. See also year of service.

I | Top

illness perils

A classification used by health insurance underwriters to evaluate the type and degree of peril represented by a particular occupation. Illness perils include exposure to dust, poisons, and extreme temperatures. See also accident perils.

immediate annuity

An annuity under which income payments begin one period after the annuity is purchased.

immediate participation guarantee (IPG) contract

Similar to a deposit administration contract except that an IPG contract does not fully protect the plan sponsor against investment loss, nor does the IPG contract guarantee minimum investment returns. See also deposit administration contract.

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.

impairment rider

An attachment to a health insurance policy that excludes or limits coverage for a specific health impairment. Also called an exclusion rider or impairment waiver.

implied authority

The authority that a principal intends an agent to have and that arises incidentally from an express grant of authority. See agent and principal. Compare to apparent authority and express authority.

incentive coinsurance provisions

Provisions included in some dental policies that promote regular dental care by specifying that insurers will pay a higher percentage of dental expenses if the insured receives regular dental examinations.

incident of ownership

Any policy right including the right to (1) change the beneficiary, (2) cancel or surrender the policy, (3) assign the policy, (4) obtain a policy loan, or (5) use the policy as collateral for a loan.

income protection insurance policy

A type of disability income policy which specifies that an insured is disabled if that person suffers an income loss caused by a disability.

income replacement benefit

See recovery benefit.

income replacement ratio

The percentage of preretirement income that a retiree would need to receive after retirement in order to have a postretirement standard of living equivalent to his or her preretirement standard of living. This ratio is generally less than 100 percent, because some of an individual's expenses (i.e., taxes, commuting costs, clothing expenditures, savings needs) decrease after retirement. Also known as the replacement ratio.

incontestable clause

Life insurance policy clause that provides a time limit (usually two years) on the insurer's right to dispute a policy's validity based on material misstatements made in the application. See also contestable period.

increasing term insurance

A type of term insurance in which the death benefit of the policy increases during the term of coverage. The death benefit may increase at stated intervals by some specified amount or percentage, or it may increase according to increases in the cost of living.

indemnity

See contract of indemnity.

independent life brokers

Licensed brokers who operate independently and specialize in selling particular types of products or in meeting the business coverage or estate planning needs of certain target markets.

independent marketing organization (IMO)

A non-company affiliated organization that contracts with an insurance company to perform distribution and other marketing functions for one or more of the company's products or product lines.

independent property/casualty (P/C) brokers

Independent, multiple-line agents or agencies that are primarily engaged in the distribution of property/casualty products and that make up what is commonly known in the property/casualty insurance industry as the independent agency system or the American Agency System.

indeterminate premium life insurance

A type of nonparticipating whole life insurance that specifies both a maximum potential premium rate and a lower premium rate. The lower rate is paid by the policyowner for a specified period (from 1 to 10 years) immediately after the policy is purchased. Later, the premium rate may fluctuate according to the investment earnings of the insurance company, but the premium rate will never be larger than the maximum premium rate. Also called flexible premium life insurance, nonguaranteed premium life insurance, and variable premium life insurance.

indexation

In pension planning, the adjustment of postretirement benefits to compensate for the effects of inflation. Benefits are generally indexed to increase in accordance with an increase in the level of a price index such as the Consumer Price Index (CPI). See also cost-of-living adjustment (COLA).

indexed life insurance

A whole life plan of insurance that provides for the death benefit of the policy and, consequently, the premium rate to increase automatically every year in accordance with any increase in the Consumer Price Index (CPI).

individual account plan

A pension plan funded according to a defined contribution formula. Each participant's benefits are based on the amount contained in that individual's account. See defined contribution formula and defined contribution pension plan.

individual employer groups

A group insurance market segment composed of single employers providing coverage for employees through a policy—the master contract—issued to the employer.

individual fraud

A type of medical insurance fraud committed by individuals on their medical expense claims in order to obtain benefits in excess of their medical expenses. Contrast with provider fraud.

individual funding methods

Pension plan funding methods in which the amount of contributions necessary to fund a plan is determined by first separately calculating the contributions for each of the plan's participants and then adding these amounts to arrive at the total required contribution for the plan. Contrast with aggregate funding methods.

individual insurance

Insurance that is issued to an individual person, as contrasted with group insurance. Also called ordinary insurance. See also ordinary life insurance.

individual practice association (IPA)

A means of organizing a health maintenance organization (HMO) in which the participating physicians maintain their own separate offices. Such physicians usually treat both private patients and HMO members. See also group practice model (GPM).

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. See also Keogh Act and simplified employee pension (SEP).

industrial insurance

A form of life insurance which today accounts for a small percentage of the business sold through the home service distribution system but a considerable percentage of the insurance in force. It is characterized by (a) death benefits of $2,000 or less, (b) a weekly, biweekly, or monthly premium payment schedule, (c) the collection of premiums at the policyowner's residence by an agent, and (d) minimum underwriting requirements. See also home service distribution system.

in-house brokerage agency

A department established by an exclusive-agent company and staffed by company-employed brokerage sales people whose primary function is to solicit distribution agreements with other companies offering products that the exclusive-agent company itself does not manufacture. The company's agents can then broker business with those companies through the in-house brokerage agency.

initial deductible

See deductible.

initial premium

The first premium payable for an insurance contract.

initial reserve

The reserve on a policy at the beginning of any given policy year. The initial reserve includes the net annual premium then due.

inside build-up

See cash value.

insolvency clause

In the United States, a clause contained in most reinsurance contracts and required by most states which specifies that, if the ceding company becomes insolvent, the reinsurer must pay the ceding company or its liquidator all reinsurance which comes payable, without reduction, even if the ceding company or its liquidator has failed to pay all or a portion of any claim.

inspection receipt

A receipt given to the applicant when the applicant receives a policy for inspection. This inspection receipt states that the insurance is not in effect and that there has been no delivery of the policy in the legal sense.

inspection report

A report made by a consumer reporting agency concerning a proposed insured's lifestyle, occupation, and economic standing. An inspection report is considered an investigative consumer report, as defined by the Fair Credit Reporting Act. See also investigative consumer report.

installation

The term used to include all the activities from the time a prospect decides to purchase a group insurance policy to the time the master contract and its individual certificates are issued.

installment certificate

A certificate issued to the beneficiary of a life insurance policy that specifies the amount of each benefit payment and/or the period during which benefit payments will be made under a settlement option. An installment certificate also specifies whether a beneficiary is allowed to withdraw all or part of the funds during the payment period. See also settlement agreement and settlement options.

installment refund option

A form of life income option with refund which specifies that any proceeds remaining after the death of the beneficiary will be paid in installments to the contingent payee. Contrast with the cash refund option.

insurability provision

An insurance provision stipulating that, for a policy to become effective, the insured must still be insurable at the time of policy delivery according to the underwriting rules and practices of the company.

insurability statement

A questionnaire that an insurer may ask an applicant to complete when a considerable amount of time has elapsed between the time the application is received and the time the policy is actually issued. The purpose of the insurability statement is to determine if any insurability factors have changed since the original application was completed. Insurability statements help protect insurers from post-issue antiselection. See also antiselection.

insurability type temporary insurance agreement

An agreement issued in conjunction with a conditional premium receipt that provides temporary life insurance coverage as of the date specified in the agreement on the condition that the proposed insured is insurable. See also conditional premium receipts and temporary insurance agreements. Compare to approval type temporary insurance agreement.

insurable interest

A condition in which the person applying for an insurance policy and the person who is to receive the policy benefit will suffer an emotional or financial loss if the event insured against occurs. Without the presence of insurable interest, an insurance contract is not formed for a lawful purpose and, thus, is void from the start.

insurance

A system of protection against loss in which a number of individuals agree to pay certain sums of money, called premiums, to create a pool of money which will guarantee that the individuals will be compensated for losses caused by events such as fire, accident, illness, or death.

insurance agent

A representative of an insurance company who sells insurance. An insurance agent locates prospective insurance customers, determines the insurance needs of each customer, and assists the customer in applying for insurance. Typically, an insurance agent will deliver the policy when the application is approved, will collect the initial premium, and will provide customer service to policyowners. Also called an agent, a field underwriter, or a life underwriter. See also broker, detached agent, general agent (GA), personal producing general agent (PPGA), and soliciting agent.

Insurance Regulatory Information System (IRIS)

In the United States, an information system developed by the NAIC to help state regulatory agencies assess the financial stability of individual insurance companies by means of a series of ratios derived from the companies' statutory annual statements.

insurance trust

A common form of trust, created during the lifetime of the person who creates the trust, that is funded by insurance policies on the life of the trust's creator or by the proceeds of such policies.

insured funding

A method of funding a pension plan in which the plan sponsor purchases annuity or life insurance contracts on behalf of each participant. The insurance company guarantees a certain benefit to each retiree. See also group deferred annuity.

insurer

The party in an insurance contract that promises to pay a benefit if a specified loss occurs. Usually an insurance company.

insurer-administered group insurance plan

A group insurance plan for which the insurer performs the administrative work. This administrative work includes computing the amounts of the premiums due and mailing premium notices to the policyholder, usually monthly.

integrated deductible

A type of deductible included in some major medical expense plans that can be satisfied by amounts paid by the insured under basic medical expense plans. Contrast with corridor deductible.

integrated dental plan

A dental plan which is part of a major medical policy.

integrated pension plan

A private pension plan in which the benefits or contributions are coordinated with the benefits or contributions of a government-sponsored pension plan.

interest-adjusted cost

One figure calculated under the interest-adjusted net cost (IANC) method of comparing the costs of life insurance policies. The interest-adjusted cost represents the average annual cost of a policy and is calculated using premiums, dividends, and cash values. Also called the surrender cost index (SCI).

interest-adjusted net cost (IANC) method

A method of comparing the costs of life insurance policies. The IANC method weights dividends and cash values according to how far into the future the various amounts are payable. Under this method, three amounts are calculated: the interest-adjusted cost, the interest-adjusted payment, and the equivalent level annual dividend. Also known as the surrender cost index (SCI) method. See also cost comparison methods.

interest-adjusted payment

One figure calculated under the interest-adjusted net cost method of comparing the costs of life insurance policies. The interest-adjusted payment represents the average annual payment for the policy and is calculated using only premiums and dividends. Also called the net payment cost index.

interest option

A life insurance settlement option under which the proceeds of a policy are temporarily left on deposit with the insurer and the money earned on those proceeds is paid annually, semiannually, quarterly, or monthly to the beneficiary or other payee.

internal replacement

The surrender of one life insurance policy in order to buy another insurance policy that is issued by the same insurer.

interpleader

A method for settling a claim under which the insurer pays the policy proceeds to a court, stating that the company cannot determine the correct party to whom the proceeds should be paid, and asks the court to decide the proper recipient.

investigative consumer report

As defined by the Fair Credit Reporting Act, a consumer report that uses interviews with persons who are associated with, or who have knowledge of, the consumer in question in order to solicit information regarding the consumer's character, mode of living, or general reputation. See also inspection report.

investment-sensitive insurance

A general category of insurance products in which the death benefit and the cash value vary according to the insurer's investment earnings. In investment-sensitive insurance products, policyowners share a portion of the insurer's investment risk. The exact benefit amounts for these policies cannot be computed in advance, beyond any guaranteed minimums. The specific products that make up this category of insurance include variable annuities, variable life insurance, and variable universal life insurance. Also called interest-sensitive insurance.

investment year method (IYM)

An accounting method in which an insurer keeps records of the interest rates it earns annually on funds assigned each year to accounts within the general account. Also called the new money method. Compare to the portfolio method.

involuntary plan termination

The curtailment of a pension plan initiated by a government organization, such as the Pension Benefit Guaranty Corporation (PBGC) in the United States, rather than by the plan sponsor. Contrast with voluntary plan termination. See also distress termination and standard plan termination.

IPA

See individual practice association (IPA).

IRA

See individual retirement account (IRA).

irrevocable beneficiary

A beneficiary whose rights to the proceeds of a life insurance policy cannot be cancelled by the policyowner unless the beneficiary consents. See also beneficiary.

issuing bank

A mutual savings bank that sells and issues life insurance policies in its own name. Each issuing bank issues its own contracts, keeps its own records, and invests the assets of its own insurance department. See also agency bank and savings bank life insurance (SBLI).

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