FREQUENTLY USED LIFE INSURANCE TERMS
To help you understand life insurance, we have provided
below a general explanation of some frequently used terms. Note
that the exact definitions of these terms can vary from company
to company, from state to state, and from policy form to policy
form, even between forms of the same company. Always consult the
actual policy for the meaning of the terms applicable to your situation.
Absolute Assignment
Assignment by the policyowner of all
control and rights to a third party
Accident
An event that is unforeseen and unintended.
Accidental Death Benefit
When included, provides an extra benefit
generally equal to a multiple of the face amount in the event of
accidental death.
Accelerated Death Benefit
Allows policyholders who are terminally
ill to collect part of their death benefit while they are still
alive.
AD&D
Accidental Death and Dismemberment
insurance.
ADB
Accidental Death Benefit.
Age Limits
The ages above or below which a company
will not issue a given policy to a proposed insured.
Agent
An individual licensed by the state
and appointed by a company to solicit and negotiate insurance contracts
on its behalf.
Amendment
A form attached to the policy bearing
the language necessary to change the terms of the policy to fit
special conditions. Amendments must be agreed to in writing by the
policyholder and the company.
Applicant
The individual named as submitting
an application to the insurance company for a policy.
Application
A form on which the proposed insured
states facts requested by the company and on the basis of which
(together with other information, such as that received from medical
examiners, attending physicians, hospitals, investigators, and the
agent) the company decides whether or not to accept the risk, modify
the coverage offered, or decline the application.
Assignment Clause
Clause in the insurance policy that
governs any transfer by the policyholder of his rights in the policy.
Attained Age
The age an insured has reached on a
given date.
Authorized Company
A company permitted to sell insurance
within a state.
Automatic Premium Loan Provision
Allows the company to use, automatically,
whatever portion of the cash value is needed to pay premiums as
they fall due when the provision is included.
Aviation Clause/Rider
Limits or excludes coverage when the
insured is participating in specified types of air travel. Coverage
is usually confined to regularly scheduled flights of commercial
airlines.
Beneficiary
A person who may become eligible to
receive, or is receiving, benefits under a life insurance plan as
a result of the insured's death.
Beneficiary, Contingent
A secondary beneficiary, designated
to receive proceeds of a policy if the primary beneficiary does
not survive the insured. Must be named in the beneficiary designation
Beneficiary, Irrevocable
A named beneficiary whose status as
beneficiary cannot be changed without his or her permission, except
by his or her death.
Beneficiary, Primary
The person first designated to receive
the proceeds of a policy. Must be named in the beneficiary designation.
Cancellation
Termination of contract of insurance
in force by voluntary act of the company or insured, effected in
accordance with provisions in the contract or by mutual agreement.Carrier
An insurance company which "carries"
the insurance. (The term "company" is preferred because
of the possible confusion of "carrier" with transportation
terminology.)
Cash Surrender Value
That value in a policy which is the
property of the policyowner, and which may be expected by him should
he surrender the policy for cash.
Clause
A term used to identify a particular
part of a policy or endorsement.
Collateral Assignment
Assignment of a life or health insurance
policy as security for a loan or debt, the creditor to receive the
proceeds or values only to the extent of its interest.
Conditions
The part of an insurance contract setting
out the responsibilities of both the insured and the company.
Consideration
The exchange of value on which a contract
is based. In life and health insurance, the consideration from the
applicant is the premium and the statements in the application.
Consideration Clause
A clause in a life policy specifying
the premium due for the insurance protection and the frequency of
payment.
Contingent Beneficiary
Person or persons named to receive
benefits if the primary beneficiary is not alive.
Contract Of Insurance
A contract whereby a company agrees
to indemnify an insured for losses, provide other benefits, or render
services to, or on behalf of, an insured. (The contract of insurance
is often called an "insurance policy," but "policy"
is merely the evidence of the agreement.)
Convertible Term Insurance
A term policy which can be converted
to a permanent type of coverage without proof of insurability.
Death Benefit
The policy proceeds to be paid upon
the death of the insured.
Death Claim
A formal request for payment by the
company occasioned by the death of the insured. Can be made through
the agent, but may be made directly to the home office. Requires
Proof of Death (usually a certified copy of death certificate and
a claim form) and is made by beneficiary.
Declaration Page (Schedule Page)
The portion of an insurance policy
containing the demographic information regarding the risk.
Decreasing Term Insurance
Term insurance under which the amount
of coverage starts out at a certain face amount, and then gradually
decreases until the expiration date of the policy
Decreasing Term Rider
A rider providing decreasing term coverage
added to a permanent insurance policy.
Dismemberment
Loss, or loss of use of specified members
of the body, resulting from accidental bodily injury.
Double Indemnity
Payment of twice the basic benefit
in event of loss resulting from accidents or under specified circumstances.
Effective Date
The date on which an insurance policy
goes into effect, and from which protection is provided.
Endorsement
A form attached to the policy bearing
the language necessary to change the terms of the policy to fit
special circumstances and generally attached at the request of the
policyholder or to comply with statutory regulation.
Endowment Policy
A permanent life policy for which premiums
are paid for a limited number of years. If the insured is alive
at the end of this premium-paying period, he receives the face amount
of the policy then or at a later date. If the insured dies before
maturity of the policy. The beneficiary receives the proceeds.These
policies are usually not offered today.
Estate
Assets of an individual comprising
total worth. Includes life insurance in force
Estate Plan
The manner in which property will be
disposed of at death.
Exclusions
Stated exceptions to prior provisions
in a policy. Common exclusions would be death through flying in
a private airplane, riot, or state of war.
Executor
A person named in a will to settle
an estate.
Face Amount
The amount indicated on the face of
the policy that will be paid at death or when the policy matures.
Fraud
An intentional misrepresentation made
by a person with intent to gain advantage, and relied upon by a
second party to his or her detriment.
Grace Period
A period of time (commonly 31 days)
after premium-due date during which a policy remains in force without
penalty even though the premium due has not been paid.
Guaranteed Insurability Rider
A rider that provides that the insured
can purchase more insurance at specified ages or events without
proof of insurability.
Incontestable Clause
A clause in an insurance policy typically
providing that (except for fraud) after the policy has been in force
for a given length of time the company shall not be able to contest
it. Other policies usually use a variation of the clause entitled
"Time Limit on Certain Defenses."
Inspection
Independent checking on facts about
an applicant or claimant, usually by a commercial inspection agency.
Insurability
That condition of the proposed insured
as to age, occupation, physical condition, medical history, moral
fitness, financial condition and residence which makes him an acceptable
risk to an insurance company.
Insurable Interest
The proposed policy owner cannot buy
the insurance unless the death or disability of the insured would
result in a significant emotional or financial loss to the proposed
owner.
Insurance
A contract or device for the transfer
of the risks of individual entities to a company, which agrees,
for a consideration, to indemnify or pay a specified amount for
losses suffered by the insured.
Insurance Age
An age upon which current premium rates
may be established. The most common variations seen are based on
age at last birthday, age next birthday, or age at nearest birthday.
Insurance Commissioner
Common title for the head of a State
Department of Insurance. (In some states called "Superintendent"
or "Director".)
Insurance Department
A governmental agency in each state
charged with administration of the insurance laws including licensing
of agents and companies and regulation and examination of them.
In some jurisdictions, a division of some other state department
or bureau.
Insurance Policy
The entire written contract of insurance,
usually including the application.
Insurance Premium
A sum of money which, when paid to
the insurance company, puts into or maintains in force an insurance
contract. It reimburses the company for the risk assumed.
Insurance Risk
The chance of occurrence of an event;
in some usage, refers to the insured person.
Insured
The party to an insurance arrangement
to whom, or on behalf of whom, the company agrees to indemnify for
losses, provide benefits, or render service. It is preferred to
such terms as "policyholder," who may not be the insured.
Insurer
The party to an insurance arrangement
who undertakes to indemnify for losses, provide other pecuniary
benefits, or render service. It is desirable to use the word "insurer"
in preference to carrier or company since it is a functional word
and insurer is generally used in statutory law.
Insuring Clause
The clause in a policy that specifies
in brief the contract's intent and the parties thereto.
Joint Life Policy
A policy that insures the lives of
two or more people, paying the face amount upon the first death
of the persons covered.
Juvenile Insurance
Life insurance written on the life
of one not yet considered an adult for life insurance purposes.
Lapse
Termination of a policy because of
failure to timely pay enough premium to keep it in force.
Lapsed Policy
A policy for which the policyholder
has failed to timely pay enough premium to keep it in force beyond
the grace period.
Legal Reserve
The amount an insurer is required to
hold as a reserve, using the mortality table and a maximum assumed
interest rate prescribed by state law.
Level Premium
An insurance premium which remains
constant during the entire policy period.
Level Premium Term Insurance
Insurance for which the amount of premium
remains constant during the policy period.
Level Term Insurance
The amount of insurance protection
in the term policy remains constant during the policy period.
Level Term Rider
A level amount of term insurance added
to a permanent insurance policy.
License - Agent
A state license which enables an insurance
agent to do business in that state. Renewable periodically.
Life Expectancy
Average number of years of life remaining
for persons at any given age.
Life Insurance
Insurance paying a specified amount
on the death of the insured, to his estate or to a named beneficiary.
Loan Value
That amount of cash value in a policy
which may be borrowed by the owner.
Lump Sum
Proceeds of a policy taken all at once.
A single amount.
MIB (Medical Information Bureau)
An organization serving as a clearinghouse
of medical information on impaired risks reported to it by companies
who are members of the service and reported by the organization
to member companies as a source of underwriting information on applicants.
Misrepresentation
The use of written or oral statements
falsely representing the terms, benefits, or privileges of a policy,
or the health or condition of the proposed insured.
Misstatement Of Age Clause
Provides that if misstatement of age
is discovered after the policy's issued, the company can, if the
insured is currently alive, adjust the premium amount on future
premiums and request payment of any additional premium the policyowner
should have paid; or if the insured has died, adjust the face amount
of the policy to fit the premium that was paid at the correct age
before paying the claim.
Mortality
The average number of people who die
each year, providing one's chance or risk of dying at any given
age.
Mortality Table
A statistical table showing the number
of deaths for all ages from 0 to 100.
NAIC (National Association of Insurance
Commissioners)
An association of state insurance commissioners,
active in discussions of regulatory problems and in the formation
and recommendation of uniform practices and legislation.
Policy
The contract effecting insurance, or
the certificate thereof, by whatever name called, and including
all clauses, riders, endorsements, and papers attached thereto and
made a part thereof.
Policy Loan
A loan taken by the policyholder from
the company using the insurance cash value as collateral.
Policyowner
The person who has the right to exercise
the rights and privileges in the policy contract. Such person may
or may not be the Insured, depending on policy ownership and assignment,
if any.
Premium
(1) Part of the consideration for the
insurance. (2) The periodic payment made to keep a policy in force.
Premium Mode
The premium paying frequency selected
by the policyowner; that is, monthly, quarterly, semiannual, or
annual (or any other mode acceptable to the company).
Proof Of Death
A usual requirement before paying a
death claim is that a formal proof of death be submitted to the
company.
Proposed Insured
The person on whose life the policy
will be underwritten.
Reinstatement Clause
Provides the conditions under which
a lapsed policy may be reinstated.
Rider
A contract modification attached to
a policy that changes the conditions of the policy by expanding
or decreasing its benefits or excluding certain conditions from
coverage.
Risk
A person or thing insured. (Impaired
or sub-standard risk; an applicant whose physical condition -or
moral habits- do not meet the standard on which the rate is based.)
Settlement Option
A method of receiving life insurance
proceeds other than in a lump sum.
Standard Risk
A person entitled to life insurance
protection without extra rating or special restrictions.
Substandard Risk
A risk less acceptable (more expensive)
than standard.
Suicide Clause
States that if the insured commits
suicide within a specified period of time, the policy will be voided.
Paid premiums are usually refunded. The time limit is generally
one or two years.
Term Insurance
Life insurance which normally does
not have cash accumulation and is issued to remain in force for
a specified period of time, following which it is subject to renewal,
convertibility, or termination as per policy provisions.
Underwriter
A person trained in evaluating risks
and determining the rates and coverages that will be used for them.
Underwriting
The process of evaluating a risk for
the purpose of deciding whether to issue insurance coverage.