401(k) Plan
An employer-sponsored defined contribution retirement plan that provides certain tax benefits to both employees and employers.
Abandonment
The giving up of property by the insured to the insurance company in order to collect the value of the property rather than restoring or
Absolute Assignment
The transfer of ownership of a life insurance policy to another person or entity. The assignee becomes the new policy owner.
Accelerated Death Benefit
Payment of a portion of a death benefit to the insured prior to the insured’s death if the insured is diagnosed as terminally ill.
Accident
An unplanned event, definite as to time and place, that results in injury or damage to a person or property.
Accidental Death Benefit
A benefit that typically equals the face value of the contract or principal sum, paid in addition to the face amount of a life insurance
Accounting
Process to help quantify an organization’s assets, liabilities, stakeholder equities, and cash flows at a point in time.
Accounting Rate of Return
In financial management, the measurement of the percentage return of average annual cash flows on initial investment.
Accounting System
Organized set of accounting methods, procedures, and controls to collect, record, classify, and present accurate and timely financial data for use in management decision-making.
Accumulation Phase
The period during which deposits are made and investment earnings accrue between purchase of a deferred annuity and the distribution of funds.
Accumulation Value
During the accumulation period of a deferred annuity, the amount paid for the annuity, plus interest earned, less the amount of any withdrawals and fees.
Acquisition
One organization takes over another organization and is established as the new owner with the ownership interests continuing unchanged.
Act of God
An event produced by a physical cause of nature, and not within human control or intervention.
Act of Nature
An event produced by a physical cause of nature, and not within human control or intervention.
Active Retention
Planned acceptance of losses to be financed internally through the use of deductibles on insurance policies, loss sensitive insurance plans, and deliberate non-insurance. See Passive
Activities of Daily Living
Person’s ability to perform such activities as bathing, dressing, toileting, maintaining continence, transferring, and eating.
Actual Cash Value
Replacement cost less an allowance for insurance depreciation, wear and tear, or obsolescence.
Actuarial Services
Provide information for risk financing from the calculation of future payouts of uncertain estimates.
Actuary
An individual who calculates premium rates, reserves, dividends, and other important statistics.
Acute Care
Care requiring constant monitoring and designed to treat or cure an illness, injury, or condition.
ACV
Abbreviation for Actual Cash Value. Defined as replacement cost less an allowance for insurance depreciation, wear and tear, or obsolescence.
ADL
Person’s ability to perform such activities as bathing, dressing, toileting, maintaining continence, transferring, and eating.
Admitted Assets
Assets whose value is included in the annual statement of an insurance company to insurance regulators; include cash and short-term deposits readily convertible into cash,
Admitted Company or Admitted Insurer
An insurance company authorized to do business in a state by that state’s insurance department, including being subject to the department’s regulations regarding financial security,
Admitted Insurance Company
An insurance company that is authorized and licensed to do business in a state.
Adult Day Care Center
A facility that provides long-term care services to adults during the day.
Adverse Selection
Individuals with poor health who are more apt to apply for or continue insurance than those with average or better-than-average health.
Agency
A relationship, express or implied, wherein one party (principal) delegates authority to another person (agent or proxy) to undertake certain activities for the principal. The
Agency Captive
A captive owned by an insurance agency or agencies formed for the purpose of insuring the risks of agency clients or to participate with an
Agency; Insurance
An office where insurance is sold. It may be directed towards property and liability insurance or life and health insurance, or both. Also, it might
Agent; Insurance
A representative of one or more companies, who solicits, completes applications, collects initial premiums, issues binders and/or conditional receipts, delivers policies, and services insurance contracts.
Aggregate Excess of Loss (Stop Loss or Loss Ratio)
The re-insurer pays when the ceding company’s aggregate net losses exceed a predetermined amount or proportion of premium income. For example, reinsurance covers 90% of
Aggregate Limit
The maximum amount of protection for all losses occurring under an insurance policy or funding arrangement during the specified term of the contract (usually one
Aggregate Loss Contracts
Similar to LPT’s in how they treat existing losses and the development of premium. However, unlike an LPT, a retrospective aggregate loss contract addresses gaps
ALAE
An expense directly assigned to or that arises from a particular claim; examples of Allocated Loss Adjustment Expense include court fees and outside legal counsel.
Aleatory Contract
A contract in which there is an unequal exchange between parties because the element of chance is involved in performance under the contract.
Alien Insurer
An insurance company formed and domiciled in a country outside the United States and permitted to do business in the US contingent on financial guarantees.
Allocated Loss Adjustment Expense
An expense directly assigned to or that arises from a particular claim; examples of Allocated Loss Adjustment Expense include court fees and outside legal counsel.
Allocated Loss Expense
An expense directly assigned to or that arises from a particular claim; examples of Allocated Loss Adjustment Expense include court fees and outside legal counsel.
Alternative Dispute Resolution
Method for resolving legal disputes other than full litigation through formal trial. Three types- mediation, arbitration, mini-trials or summary jury trials (SJT).
Alternative Risk Financing Facilities
Any risk financing mechanism that does not involve a commercial insurance company, e.g., captive insurers, risk retention group, pools, and individual self-insurance
Amortization
An accounting concept; expense (short-term) or capitalizing (long-term) of intermediate term costs (development costs); writing off the value of an intangible asset over its useful
Amount Subject
Total value at risk at a single location regardless of protective measures limited only be adequate separation between structures.
Annuitant
The individual on whose life the annuity is based and normally the person who receives the annuity payment.
Annuitize
The beginning of a series of payments from an annuity. This term also refers to the settlement (payout) of life insurance policy proceeds under a
Annuity
Payment of a benefit where an individual receives a regular stream of income from the insurer, for life or for a specified number of years.
Annuity Surrender Charge
A fee charged by the insurer for a partial or full withdrawal of funds made during a specified period.
Any Occupation
The insured is unable to perform the material and substantial duties of his or her own occupation and is not at work in any occupation.
API
Enables machines to interact with cloud software in the same way the user interface facilitates interaction between humans and computers.
Application
The statement of information given when a person applies for insurance. The insurer underwriter uses this information as a basis in determining whether the applicant
Application Program Interface
Enables machines to interact with cloud software in the same way the user interface facilitates interaction between humans and computers.
Appointment
Providers are selected or appointed to represent the organization for all insurance coverage or for a specific purpose; an insurance procurement provider selection method.
ARR
In financial management, the measurement of the percentage return of average annual cash flows on initial investment.
Asset
Anything of commercial value, including real or personal, tangible or intangible property.
Asset Purchase
Buyer purchases specified assets and specified liabilities of the seller. The buyer does not acquire the entire entity.
Assignment
The transfer of all or part of a policy owner’s legal rights under the policy contract to another person or entity.
Assisted Living Facility
A residential licensed facility that provides 24-hour care sufficient to assist clients who need long-term care.
Association Captive
A captive formed by a trade association to insure the risks of its member organizations who are involved in the same or similar industries.
Assumption of Risk
When one knowingly and voluntarily exposes themselves to a known danger.
Attending Physician Statements
Used when an application or medical examiner’s report regarding a life or health insurance applicant reveals conditions or situations, past or present, about which more
Auditor’s Opinion Letter
An accounting concept, a report on the auditor’s opinion of the correctness of the information and the freedom from material misstatements.
Auto
A land motor vehicle, trailer, or semi-trailer designed for use on public roads, but does not include “mobile equipment.”
Automatic Insureds
Persons who are granted insured status because they fit into a category or class of persons described in the policy provisions.
Avoidance
A risk control technique which totally eliminates an exposure to avoid the chance of a loss; avoidance eliminates both positive and negative outcomes.
B Value
In computing workers compensation experience modifications, a specific value taken from a rating manual table used to limit the effect of a single severe accident
Backdating
A procedure for making the effective date of a policy earlier than the application date. Backdating is often used to make the age at which
Bail Out Provision
An annuity contract clause that enables the owner of the contract to withdraw the invested money without surrender penalties if the annual interest rate drops
Bailee
Person or organization that has possession of the property of others, usually for storage, repair, or servicing. A dry cleaning operation is a common example
Bailment
Situation in which property of one has been entrusted to another. A bailment can be for the benefit of either party or both. The degree
Bailor
Person or organization that owns property that has been entrusted to another. The owner of a suit who has entrusted it to a dry cleaning
Balance Sheet
An accounting concept, a measurement of the assets and equities (liabilities and owners’ equity) in an organization as of a specific point in time.
Ballast Value
In computing workers compensation experience modifications, a specific value taken from a rating manual table used to limit the effect of a single severe accident
Basic Medical Policy
Provides limited benefits for hospital services, supplies and some physician expenses.
Basic Premium
In retrospectively rated plans, usually a percentage of the standard premium, often determined by multiplying the standard premium by a basic premium factor. It provides
Basic Premium Factor
In retrospectively rated plans, a factor based on the Table of Expense Ratios, the Table of Insurance Charges, and the individual loss limitation if selected.
Benchmarking
The process of comparing an organization’s business processes and performance measures to another organization’s processes and performance measures to provide a “snapshot” of the organization’s
Beneficiary
An individual who is eligible to receive or is receiving benefits under an insurance policy. (Also see Irrevocable Beneficiary, Primary Beneficiary, Secondary Beneficiary, and Contingent
Benefit Level Adjustment Factor
Factors calculated for each state by the National Council on Compensation Insurance (or other workers compensation rating agencies) representing the impact of regulatory changes on
Benefit-cost Ratio
Discounted values of the cash inflows divided by the net investment. Used to compare the net present value (PV) of various projects, particularly when funds
Binding Authority
Authority that is granted to the insurance agent as outlined in the company’s agent contract.
Blanket Insurance
A method for combining the value of property of different types or at different locations into a single limit of insurance on a property insurance
Bodily Injury
Bodily harm, sickness, or disease, including death that results from the harm, sickness, or disease.
Bond
Contract that guarantees the performance of a contract, as in surety bonding, or protects against the dishonesty of employees, and in fidelity bonding. Unlike many
Book Value
Historical cost less accumulated depreciation as recorded on the organization’s accounting records.
Bottom-up Pricing
Commonly known as loss rating; losses are trended to ultimate values for a pre-set number of years; units of exposure are trended for those same
Broad or Bulk IBNR (incurred but not reported)
Additional development on known claims or the increase in reserve value as the claim is investigated and settled.
Budgeted Losses
Planned retention based upon the portion of expected losses the organization is willing and able to retain.
Burglary
The taking of property from within a premises by a person unlawfully entering or breaking out of a premises as evidenced by marks of forcible
Business Decision
As related to the Business Judgment Rule, action must be taken in making business decisions. Not taking action is protected if it results from a
Business Ethics
Knowing what is right or wrong in the workplace and then doing what is right; fundamental ground rules of our work lives; the process of
Business Judgment Rule
Single most powerful defense available to a director or officer and recognizes that not all decisions of the directors or officers will benefit the organization
Business Overhead Expense Coverage
Insurance coverage that enables a business to remain open while the key person or business owner is disabled and unable to work.
Buy-Sell Agreement
An arrangement for the orderly disposition or transfer of a business interest that spells out what events specifically trigger the disposition of the business interest
Cancellable Policy
A policy, typically disability insurance or long-term care insurance, that can be cancelled at any time, or at a specified time, by the insurer.
Captive Expenses
Include management and acquisition expenses, domicile expenses such as annual licensing fees, actuarial expense, letter of credit expense, and other expenses not related to losses.
Captive Insurer
A closely held insurance company whose insurance business is supplied by and controlled by its owners and in which the insureds are the beneficiaries (adapted
Captive Pool
Group of individually owned captives that combine to re-insure one another; risk sharing among captives. See Pooling.
CAS
Professional society for actuaries in areas of insurance work other than life insurance. This society grants the designation of Associate and Fellow of the Casualty
Case Management
A team that carefully reviews and monitors the entire treatment process when unusually high expenses are projected or incurred for a condition.
Case Reserve
Amount the claims adjuster puts on an individual claim that has not yet been paid; there is no provision for development and IBNR (incurred but
Cash Discounting
Used to prepare cost-benefit analyses to determine the present value (or today’s value) of a future cash flow and/or determine the future value (or tomorrow’s
Cash Flow
Measure of cash flowing through an organization arising from operations, financing, and investing activities.
Cash Flow Plan
Insurance plans or retention plans that allow the insured, rather than an insurance carrier, to derive benefits from holding unused funds, either in the form
Cash Surrender Value
The amount of cash due an insured who surrenders a Cash Value Life Insurance policy.
Cash Value
The amount of cash due an insured who surrenders a Cash Value Life Insurance policy.
Casualty Actuarial Society
Professional society for actuaries in areas of insurance work other than life insurance. This society grants the designation of Associate and Fellow of the Casualty
Causality
In statistics, the relationship between one variable and another variable where the second variable is a direct consequence of the first.
CDHC
CDHC or Consumer-Driven Healthcare – Originated in the late 1990’s with the intention of increasing healthcare consumer awareness of the rising cost of healthcare by
Ceding Commission
Commission paid by the re-insurer to the primary insurer for the placement of the reinsurance. It is analogous to the commission paid to the producer
Ceding Company
Direct or primary insurer that contracts with a re-insurer to share all or a certain portion of the losses it has assumed under insurance contracts
Central Limit Theorem
In statistics, the theorem states that with an appropriately large sample, commonly values >30, that sample’s average can be treated as if it were drawn
Certified Insurance Counselor (CIC)
Certified Insurance Counselor (CIC) is an insurance professional designation. The CIC program was started by the National Alliance for Insurance Education & Research in Austin, Texas in 1969 by founder
Claim Reserve
Estimation of the liability for unpaid claims that have occurred as of a given date, including the IBNR claims, claims due but not yet paid,
Claims Management
Prompt resolution of an organization’s losses subject to insurance or an active retention program including claims by other entities to whom it may be legally
Claims Run
Listing of reported claims providing such information as the date of occurrence, type of claim, amount paid and amount reserved for each as of the
Closed-Panel HMO Model
The most restrictive HMO structure requiring insureds to receive benefits exclusively from contracted providers and facilities.
COBRA
A federal regulation that requires employers with 20 or more employees in a prior year to allow employees and their covered dependents who lose employer-sponsored
Coefficient of Determination
In statistics, the coefficient of determination, or r2, ranges between 0 and 1, and describes the strength of the regression relationship, or how well the
Coinsurance; Health
A form of cost sharing between the insured and the insurer. The insured is responsible for a stated percentage amount of eligible expenses, after satisfying
Coinsurance; Property and Casualty
A rating and underwriting concept that is designed to encourage an insured to purchase an amount of insurance nearly equal or equal to the full
Collateral
Property, usually in the form of funds or personal property, pledged to secure a debt or a loan; risk management definition of collateral – property,
Collateral Assignment
Assignment of a life insurance policy or its value as security for a loan. In the event of death of the assignor (owner/insured), the creditor
Combination Allocation Method
Each unit is assigned costs in a layered allocation model or a blended model that balances a mix of exposure-based and experience-based allocations based on
Common Law
Body of law consisting of prior precedents or rulings by judges and juries as to the facts of a case. These rulings form codes of
Common Stock
Share or shares of ownership in a corporation with rights to vote on management and corporate policy but not preferred over other classes of stock
Communication
Process of exchanging information using a shared set of symbols and a means of transmission; can range from very informal to very formal and from
Commutation
A provision that disburses the experience account back to the insured according to the original account.
Commutation Right
The right of a beneficiary to receive in a single lump-sum the remaining payments under an installment option selected for the settlement of the proceeds
Comparative Negligence
A defense based on a statutory modification of contributory negligence in which both parties are negligent and damages are apportioned between them according to their
Compensatory Damages
Money awarded in a civil lawsuit to make an injured person whole, including recompense for damaged property, lost wages or profits, pain, bereavement, medical expenses,
Competent Party
Under contract law, a party having legal capacity to enter into a contract, e.g., of legal age, mental capacity to understand the contract, and absent
Compounding
When an investor’s asset generates earnings and those earnings are reinvested back in the asset.
Comprehensive Major Medical Policy
Combines basic coverage and major medical coverage into one comprehensive policy that provides benefits for most medical expenses. Comprehensive Major Medical policies represent the majority
Concealment
The intentional deceit of a person or organization by failing to disclose complete and correct information.
Conceptual Bidding
Providers are invited to present general proposals, ideas, or concepts for handling the insurance coverage and services without specific pricing of any coverage or service;
Conditional Contract
An insurance contract in which the insurer’s promise is conditioned upon (dependent upon) certain things occurring or being done.
Conditional Receipt
A form normally required to be signed by an agent and given to a prospective life insurance policy insured/owner at the time a new application
Confidence Interval
In statistics, set of numbers believed to include an unknown population parameter.
Conflict of Interest
Situation that places one between the duty to the employer and the employee’s own self-interest; including a situation that has the appearance of a conflict
Consequential Loss
A loss or damage that results from an insured’s inability to use his/her property because of direct loss to the property of others.
Consolidated Omnibus Budget Reconciliation Act of 1985
A federal regulation that requires employers with 20 or more employees in a prior year to allow employees and their covered dependents who lose employer-sponsored
Construction Occupancy Protection Exposure
Also known as COPE – A term referring to a building structure’s construction, occupancy, protection and exposure; used by underwriting to determine the risk of
Consumer-Driven Healthcare
CDHC or Consumer-Driven Healthcare – Originated in the late 1990’s with the intention of increasing healthcare consumer awareness of the rising cost of healthcare by
Contestability Period
The time period during which the insurer is not obligated to pay a claim (usually two years, but depending on state law) because of material
Contestable Clause
A provision in an insurance policy setting forth the conditions and the period of time during which an insurer may contest or void a policy.
Contingent Beneficiary
The person who receives death benefits when a primary beneficiary does not survive the insured.
Contract Law
Body of law that governs the performance of a promise. An enforceable contract must have the following four characteristics: competent parties, agreement or assent, legal
Contractual Liability
Liability of another party assumed under a contract or agreement, either expressed or implied, as opposed to liability incurred directly, as in tort.
Contractual Risk Transfer
Assumption or limiting exposures of certain liabilities relating to another party. See non-insurance risk transfer.
Contribution by Equal Shares
When a Liability Insurance policy says it and another company will pay a share of the loss equally until either the loss is paid or
Contributory Negligence
When a person or organization adds in any way to his/her own injury and is barred from recovery.
Contributory Plan
A group health plan structured so the employer and employee share in the cost of the plan.
Controlling
The actions a risk manager takes to assess, regulate, and monitor work-in-progress and completed work; an element of the managerial process.
Convertibility
The right of a policy owner to exchange an existing policy for another insurance policy offered by the same insurer.
Coordination of Benefits
Provision found in group health policies, specifying how benefits will be paid when more than one insurer covers an insured.
Copayment
A flat fee the insured pays each time covered services are provided or prescription drugs are purchased and is paid directly to providers, facilities or
COPE
A term referring to a building structure’s construction, occupancy, protection and exposure; used by underwriting to determine the risk of offering a policy.
Corporation
A legal entity considered to be a separate tax and legal entity having an existence that is separate and distinct from its owners.
Correlation
Relationship of two or more variables; correlation does not imply causality.
Correlation Coefficient
In statistics, a measure of the strength of a linear relationship between two variables ranging from -1 to +1. When the correlation coefficient r =
Cost Containment
Also known as “managed care”, provides appropriate and adequate medical care consistent with an insured’s healthcare needs, while avoiding unnecessary medical services and related expenses.
Cost of Capital
Cost associated with various sources of financing to the organization and used to determine which alternative applications of funds are cost effective and should be
Cost of Goods Sold
1) labor, material, and overhead expenses including inventory shrinkage; 2) the purchasing or production costs and expenses, both direct and indirect, of the merchandise sold
Cost Sharing
Where insureds pay part of health insurance costs through deductibles, copayments, and coinsurance.
Cost-of-Living Rider
Policy wording change or form designed to adjust policy benefits in relation to the change in the economic climate. The majority of such riders are
Covered Expenses
All medical services covered by an insurance policy. Some health insurance plans will have a list of medical services they do not cover.
COVID-19
COVID-19 is a disease caused by a new strain of coronavirus. ‘CO’ stands for corona, ‘VI’ for virus, and ‘D’ for disease. Formerly, this disease
Credibility
In statistics, relative confidence (statistical reliability) associated with a given body of data (e.g., loss experience for an individual division) and expressed as a number
Credit Risk
A risk faced by finite risk insurers when paid losses exceed the premium payments made by the insured, either during the policy term or once
Crisis
Any critical incident that involves death, serious injury, or threat to people; damage to environment, animals, property and/or data; disruption of operations; threat to the
Crisis Management
Act or process of managing a crisis to prevent the occurrence of a catastrophic loss, if possible, and reduce the impact of catastrophic losses to
Critical Illness Supplemental Policy
Pays an up-front, lump-sum benefit on a tax-free basis when an insured receives a diagnosis of a critical illness or condition listed on the policy
Cross Section Analysis
An analysis that compares the organization’s performance with that of other organizations or divisions.
Current Assets
Cash or other assets that will be (or could be) converted into cash or consumed within an organization’s normal operating or accounting cycle (usually the
Current Liabilities
Liabilities that are expected to be paid within one year; short-term obligations.
Current Ratio
A liquidity ratio that measures the organization’s ability to pay bills over the short term; current assets divided by current liabilities.
Custodial Care
In health or Long Term Care insurance, the care that is needed for personal needs such as eating, dressing, and bathing, which can be provided
D-Ratio
Factor used in the workers compensation experience modification plan to separate the expected total losses into primary and excess losses. A D-ratio is the normal
Damages
A sum of money that compensates an injured party (an individual or organization).
DART Rate
A Bureau of Labor Statistics measure of injury and illness cases involving days away, restricted duties, or transfer to other duties during a return-to-work phase.
DB Plan
A plan that traditionally provides lifetime monthly annuity payments to a retiree, typically determined by a formula based on an employee’s personalized factors such as
DC Plan
A plan that allows participants and plan sponsors (optional) to contribute to a participant’s retirement account within the plan, but does not guarantee a specific
Death Benefit
The dollar amount of coverage that is paid to the designated beneficiary(s) of a policy upon the insured’s death.
Debt Ratio
Financial ratios measuring the ability of an organization to repay its creditors over the long term. Also a measure of the degree of leverage, or
Debt to Equity Ratio
Measure of the relationship of debt to equity; total debt divided by stockholders’ equity.
Decreasing Term Life Insurance
Provides a death benefit that declines throughout the term of the contract, reaching zero at the end of the term.
Deductible Plan
A loss sensitive insurance plan in which the insured agrees to reimburse the insurer for a specified amount for each claim.
Deductible; Health
The amount of eligible medical expenses an insured must pay each year before the policy pays for eligible benefits.
Deductible; Property and Casualty
Specified amount in an insurance policy that is either subtracted from amount payable under a loss or that an insured must pay before the insurance
Deferred Compensation
A plan that allows selected individuals to defer receipt of current income in favor of a delayed benefit, in accordance with a written agreement with
Defined Benefit Plan
A plan that traditionally provides lifetime monthly annuity payments to a retiree, typically determined by a formula based on an employee’s personalized factors such as
Defined Contribution Plan
A plan that allows participants and plan sponsors (optional) to contribute to a participant’s retirement account within the plan, but does not guarantee a specific
Depletion
An accounting concept; the reduction in inventory and a charge against income for the use of natural resources, e.g., oil, coal, forest growth.
Deposit Premium
The basic premium plus the full amount of the premium tax loading on the standard premium plus an escrow amount to provide for the initial
Depreciation; Accounting
An accounting concept, generally for tax management, that allows for the setting aside of funds to replace assets as they wear out by providing an
Depreciation; Insurance
A reduction in the settlement of a property claim to recognize wear and tear or obsolescence.
Development Factor
Factor designed to correct errors when estimating the reserves for known but unsettled losses and to make an allowance for incurred but not reported (IBNR)
Direct Writing System
A system where the producer is an employee of the insurer, writing direct and only with that company, and is not an independent contractor.
Directors and Officers Liability
Liability resulting from a director or officer of an organization committing a negligent act or omission, misstatement or misleading statement.
Disability Benefit
The benefit payable under a disability income policy or a disability provision of some other policy, such as a life insurance contract.
Disability Income Insurance
Provides a portion of income lost as the result of a total or partial disability.
Disappearance
When an insured once had the money and/or “securities,” and now does not know where they are.
Discount Rate
The organization’s average cost of capital, rate income can be earned, or its weighted cost of capital, commonly referred to as the WACC.
Discount Ratio
Factor used in the workers compensation experience modification plan to separate the expected total losses into primary and excess losses. A D-ratio is the normal
Discounted Losses
Liability estimates that have been reduced to reflect the potential to earn investment on funds set aside to pay losses which have occurred but not
Disinterestedness
As related to the Business Judgment Rule, a decision must be made in an independent and disinterested manner without expecting personal financial benefit unless the
Dividends
Distributions to shareholders of a corporation’s earnings. Dividends can also be distributed to policy owners of participating insurance policies that are usually issued by mutual
Doctrine of Reasonable Expectations
During a dispute being decided by the courts, the courts ask what a reasonable person would expect in a particular situation.
Domestic Insurance Company
One that is domiciled in a particular state, admitted or permitted to operate in their state of domicile and are closely regulated in that state
Domestic Insurer
An insurance company that is incorporated in, domiciled in, and organized under the laws of a state.
Domicile
Legal and regulatory jurisdiction under which an insurance company chooses to be formed and operate.
Double-declining Balance Depreciation
An accelerated depreciation method used for tax management purposes.
Due Care
As related to the Business Judgment Rule, a decision must be made based on reasonable and relevant information.
Due Diligence
Actions taken to investigate documents and records of a business and/or person prior to examination of a proposed action before it is undertaken, executing a
Duration of Benefits
The length of time long-term care insurance will pay maximum daily benefits.
Dynamics of Selling
The Dynamics of Selling Series is a multi-day insurance specific sales training course. Designed and taught by leading, insurance sales professionals who are active in
Earned Premium
Amount of the premium that has been “used up” during the term of a policy; for example, if a one-year policy has been in effect
Earnings Per Share
After-tax net income divided by number of common shares of stock outstanding.
Economic Risk
A general class of risk; risks arising from operations, economy, financial marketplace or entrepreneurial activities.
Effective Date
The date an insurance policy goes into effect, sometimes referred to as the policy date.
Eligibility Requirements
Requirements that an individual must meet in order to be eligible for coverage.
Elimination Period
The length of time an insured must be disabled under a disability income and long-term policy before receiving benefits.
ELR
When computing workers compensation experience modifications, the factor taken from actuarial tables used to calculate total expected losses for the specific classification given the audited
Emerging Risk
New exposures to loss for which a risk treatment has not been implemented; existing exposures to loss that are evolving, difficult to quantify and may
Empirical Rule
In statistics, the rule that nearly all values lie within 3 standard deviations of the mean for a normal distribution.
Employee
A person in the service of another under a contract of hire, who acts under the direction and control of the person who hired him/her.
Employee Benefit Plan
Any plan, fund, or program established or maintained for the purpose of providing employee benefits to its participants or beneficiaries (EISA).
Employee Participation
A percentage of eligible employee participation required before an insurer will write an employer-sponsored group plan.
Employee Pension Benefit Plan
Any plan that provides retirement benefits to employees or defers income for employees to periods after termination of employment.
Employee Retirement Income Security Act of 1974
A federal regulation enacted to protect participants and their beneficiaries. ERISA contains provisions that stand on their own and also added or amended provisions of
Employee Welfare Benefit Plan
Any plan that provides medical care or benefits for sickness, accident, disability, death, unemployment, vacation, training, day care, scholarships, or prepaid legal services, or any
Employer Contribution
The amount of premium an employer pays for employees and their dependents under the employer-sponsored group plan.
Endorsement
Used by an insurer to clarify or make revisions to particular provisions of a policy. Also called “riders.”
Endowment Life Insurance Contract
A type of permanent life insurance where the cash value will be equal to the originally chosen face amount/death benefit at a predetermined future date.
Enterprise Risk Management
A systemic process of identifying, analyzing, assessing, and responding to all risks, regardless of the source, that affects the achievement of an organization’s strategic and
EPO
A network of medical care providers structured in a similar manner to a PPO but have many of the requirements of an HMO.
Equity Indexed Life Insurance
A form of whole life, universal, or variable life insurance with the cash value account tied to a stock index, most commonly the Standard &
Ergonomics
1) the applied science of equipment and workplace design intended to maximize productivity by reducing operator fatigue and discomfort; 2) fitting the work environment to
ERISA
A federal regulation enacted to protect participants and their beneficiaries. ERISA contains provisions that stand on their own and also added or amended provisions of
ERM
A systemic process of identifying, analyzing, assessing, and responding to all risks, regardless of the source, that affects the achievement of an organization’s strategic and
Estate Tax
A tax payable to the federal government due to the death of an individual. It is a transfer tax based on the value of owned
Estimated Premium
Amount of premium charged at the time a policy is issued. The estimated premium based on estimated exposures times the negotiated premium rate. This amount
Estoppel
Legal concept that holds a party is barred or impeded by his/her own acts from claiming a right to the detriment of another party who
Ethical
Pertaining to standards of right conduct or practice arising out of ethics. See Business ethics.
Ethics
Moral principles of a group or individual as developed over time and with life experiences.
Evidence of Insurability
A statement of information and proof of health condition for underwriting of an insurance policy.
Ex gratia Payment
“From favor”, a payment to a claimant without regard to legal liability.
Excess Insurance
Insurance protection for limits above those contained in a primary policy or above a self-insured retention. Excess insurance usually does not include a duty to
Excess of Loss Reinsurance (non-proportional)
An agreement to share specified losses. The reinsurer indemnifies the primary insurer for the amount of loss in excess of a specified retention. The retention
Excess Per Occurrence
The reinsurer pays only when the aggregate loss from any one occurrence exceeds the predetermined retention of the ceding company. The primary use of excess
Excess Premium
Premium that is not a part of a loss sensitive rating formula. In a retrospective rating plan, the excess premium usually purchases the excess insurance
Excess Reinsurance
A form of Treaty reinsurance, where no insurance is ceded, only the losses are ceded.
Exclusions From Coverage
Exclusions vary from one policy to another and limit or eliminate the insurer’s exposure to certain types of losses that are catastrophic in nature, beyond
Exclusive Agency System
A system made up of agents who represent only one insurance company or a group of companies under common ownership or control.