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Insurance Glossary...

Accidental Damage (Home)
Insurance that covers your personal possessions and to an extent your property against accidental damage. Most insurance providers either repair or replace possessions when a claim is made.

Accidental Death Benefit (Life)
This normally refers to a cash lump sum paid to the beneficiaries of a life insurance policy when the policy owner dies due to accident. Not all life insurance policies include accidental death.

Annual Policy
An insurance policy e.g. auto, health or home, that is renewed or updated on an annual basis. This type of policy offers the insured the opportunity to choose a different provider without incurring penalties.

Beneficiary
The named person or persons who benefit from the pay-out of an insurance policy. For example, the main beneficiary of a life insurance policy is normally the spouse or another family member of the deceased, whereas the beneficiary of a health insurance policy is the person named on the policy.

Benefit Period (Health)
The benefit period of a health insurance policy refers to the number of days on which benefits are claimed by the person named on the policy or one of their dependants. Most policies run from 1st Jan through to 31st December with regards to benefit days.

Claim
A claim on an insurance policy occurs when the insured, or the beneficiaries of the policy in the case of life insurance, ask for the benefits named in the policy to be paid. So for example making a claim on a health insurance policy will result in medical bills or other related expenses being paid.

Co-insurance (Home)
The requirement of a policy holder to arrange property insurance that is equal to a specified percentage of the value of the property. If adequate property insurance isn’t held there is a risk of non-payment on some losses when they are claimed for.

Collision Insurance (Auto)
Part of an auto insurance policy that covers physical damage to the insured car that occurs as a result of a collision with an inanimate object. This section of a policy is automatically included in comprehensive cover.

Comprehensive (Auto)
A type of auto insurance policy that pays to repair any physical damage to the insured car or to replace it if stolen. Physical damage in this case refers to collision damage and other types of damage not associated with collision e.g. cracked windscreen, fire damage or vandalism.

Convertible (Life)
Describes a term life insurance policy that can be converted into a whole life policy without the need for medical tests and physical examinations. A whole life policy can’t be denied in these circumstances.

Co-payment (Health)
A fixed fee that an insured individual is required to pay towards the cost of health services, in addition to the amount paid by their insurance policy. For example, some physicians stipulate a co-payment of $10 each time an appointment is attended.

Coverage
A list of eventualities that are included as part of an insurance policy. For example, a health insurance policy will list all medical procedures, illnesses and injuries that are covered and can be claimed for. Similarly a life insurance policy will list both life and death benefits.

Deductible
The fixed amount that an insurance policy holder has to pay before the benefits of an insurance policy become viable e.g. an auto insurance policy might have a deductible of $200 and so the insured will have to pay the first $200 of any claim.

Elimination Period
Also known as the waiting period, this is the amount of time a policy holder has to wait between filing an insurance claim and actually collecting the benefits.

Excess
The size of the claimable benefits above the minimum amount of coverage noted on the insurance policy. For example, the minimum or primary coverage of a health insurance policy may be $100,000 however the excess will allow benefits to be paid up to $1million.

Exclusion
Anything not specifically covered by an insurance policy. Most policies will clearly state any exclusions that apply.

Face Amount (Life)
The maximum amount of money that a life insurance policy will pay out at the time of death or at maturity.

Grace Period
The amount of time that an insurance policy remains valid after a payment is missed. The grace period on most insurance policies is 31 days and a payment made during this period is considered to be on time. Anything after 31 days and the insurance policy can legally be cancelled by the insurance provider.

Guaranteed Issue Right (Health)
The right of an individual to purchase health or life insurance without undergoing a physical exam.

Indemnity (Home)
A payment of compensation for a loss. The payment can be made in the form of a monetary payment, the repair of a damaged item or the replacement of an item lost, stolen or beyond repair.

Insurance Broker
A financial expert who acts as an intermediary between the insured and the insurer. Brokers often have access to insurance products on the market that the general public know little about and can therefore ensure the best policy for the lowest premiums.

Living Benefits (Life)
Also known as accelerated death benefits, these are benefits that allow you to claim on your life insurance policy whilst still living. A policy with living benefits can help to pay for long term care, nursing care and to live life to the full if diagnosed with a terminal illness.

Mortgage Insurance (Health)
An addition to a health insurance policy that covers any outstanding mortgage should the policy holder be unable to work in the long term.

Non-standard Auto (Auto)
A type of auto insurance policy specifically designed for high-risk drivers and those who have previously been refused insurance. These policies have notoriously high premiums.

Out-of-pocket Limit
The maximum amount of money that an insured individual is required to pay before the benefits of a health insurance policy take over.

Package Policy
The combination of two or more forms of insurance into a single all-encompassing policy. For example a home owner policy is a combination of property insurance, accidental damage insurance and liability insurance.

Premium
The amount payable by the insured to guarantee the benefits of an insurance policy. Most insurance policies accept monthly premium payments however some will specify a single annual payment due at the beginning of the policy terms.

Quotation
A close estimate of the premium that will be payable for a specific insurance policy.

Risk class (Auto and Health)
A measure of how likely an insured person is to claim on an insurance policy. For example a young female who doesn’t smoke would probably be classed as ‘preferred’ whereas a 60 year old male who has smoked throughout their adult life would be classed as ‘standard’ or ‘substandard’ by an insurance underwriter.

Standard Auto (Auto)
Auto insurance policies designed for competent, low risk drivers who have had none or very few insurance claims.

Surrender Charge (Life)
A fixed fee charged to holders of life insurance policies when they make the decision to cash in their policy or annuity.

Term
The length of time an insurance policy runs for. For example home and auto insurance policies generally run for one year before being renewed whereas health insurance policies can run for upwards of 10 years.

Term Life Insurance
A life insurance policy that runs for a specific length of time before terminating. Most term policies run for the same length of time as the insured individual’s mortgage so that in the event of their death any outstanding mortgage will be paid from the insurance benefits. It is often possible to convert a term life insurance policy into a whole life policy instead of terminating it altogether.

Underwriter
A highly trained individual whose job it is to assess risks associated with an individual in order to determine the premiums and coverage limits of their insurance policy.

Waiver of Premium
A clause that is included in some life insurance policies that allow the policy to remain valid even though the premiums cease to be paid by the insured. The reasons for non-payment are limited to disability and the inability to work for health reasons though.

Whole Life Insurance
A life insurance policy that continues to run right up until the insured individual’s death. If this type of policy is cancelled for any reason it is very rare that the insured gets any of their premiums refunded.
 

 

 
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