Glossary of Terms Used by New York Life Insurance Companies
Accelerated Benefits Rider A life insurance
rider provided by a Florida life insurance company that
allows for the early payment of some portion of the policy's
face amount should the insured suffer from a terminal illness
or injury.
Accidental Death Benefit Rider A life
insurance policy rider providing for payment of an additional
cash benefit related to the face amount of the base policy
when death occurs by accidental means.
Accidental Death Insurance Insurance
providing payment if the insured's death results from an
accident.
Agent An authorized representative
of an insurance company who sells and services insurance
contracts.
Annually Renewable Term A form
of renewable term insurance that provides coverage for one
year and allows the policy owner to renew his or her coverage
each year, without evidence of insurability. Also
called yearly renewable term.
Assignment The transfer of the ownership
rights of a Life Insurance policy from one person to another.
Attained Age Your current age. Your
attained age is one of the factors life insurance companies
use to determine your premiums. The older you are, the greater
chance you'll die while you are covered - so the higher
your premium.
Backdating A procedure for making the
effective date of a policy earlier than the application
date. Backdating is often used to make the age of the consumer
at issue lower than it actually was in order to get lower
premium. State laws often limit to six months the time to
which policies can be backdated.
Beneficiary The person designated
to receive the death benefit when the insured dies.
Binder A temporary insurance policy
that expires at the end of a specific time period or when
the permanent policy is written. A binder is given to an
applicant for insurance during the time the complete policy
paperwork is being completed.
Cash Benefits Money that is paid
to the insured upon settlement of a covered claim. Often
found with Hospital Income Programs, "cash benefits"
are paid directly to the insured rather than the doctor
or the hospital directly.
Cash Value The equity amount or "savings"
accumulation in a whole life policy.
Claim Notification to an insurance
company that payment of an amount is due under the terms
of the policy.
Conditional Receipt Given to
policy owners when they pay a premium at time of application.
Such receipts bind the insurance company if the risk is
approved as applied for, subject to any other conditions
stated on the receipt.
Contestable Clause A provision in an
insurance policy setting forth the conditions under which
or the period of time during which the insurer may contest
or void the policy. After that time has lapsed, normally
two years, the policy cannot be contested. Example: Suicide.
Contingent Beneficiary Person or persons
named to receive proceeds in case the original beneficiary
is not alive. Also referred to as secondary or tertiary
beneficiary.
Coverage Another word for insurance.
Insurance companies use the term coverage to mean either
the dollar amounts of insurance purchased ($200,000 of liability
coverage), or the type of loss covered (coverage for theft).
Conversion Privilege Allows the policy
owner, before an original insurance policy expires, to elect
to have a new policy issued that will continue the insurance
coverage. Conversion may be effected at attained age (premiums
based on the age attained at time of conversion) or at original
age (premiums based on ageat time of original issue).
Convertible Term A policy that may
be changed to another form by contractual provision and
without evidence of insurability. Most term policies
are convertible into permanent insurance.
Cross-Purchase Plan An agreement that
provides that upon a business owner's death, surviving owners
will purchase the deceased's interest, often with funds
from a life insurance policy.
Death Benefit The amount of money
paid to the beneficiary when the insured person dies.
Decreasing Term Insurance Term life
insurance from a Florida life insurance company on which
the face value slowly decreases in scheduled steps from
the date the policy comes into force to the date the policy
expires, while the premium remains level. The intervals
between decreases are usually monthly or annually.
Double Indemnity Payment of twice the
basic benefit in the event of loss resulting from specified
causes or under specified circumstances.
Evidence of Insurability Any statement
or proof of a person's physical condition, occupation, etc.,
affecting acceptance of the applicant for insurance.
Exclusions Specified hazards listed
in a policy for which benefits will not be paid.
Expiry The termination of a term life
insurance policy at the end of its period of coverage.
Face Amount The amount of insurance
provided by the terms of an insurance contract, usually
found on the first page of the policy. In a life insurance
policy, the death benefit.
Final Expenses Expenses incurred at
the time of a person's death. These include funeral costs,
court expenses associated with probating his or her will,
current bills or debt, and taxes. Depending on their circumstances,
the survivors may also want to pay the outstanding balances
of mortgage and loans.
First To Die Insurance Insurance policy
whose death benefit is paid to the surviving insured upon
the death of one of the insured's. There is no longer a
benefit once the benefit is paid, however, the surviving
insured usually has the option of purchasing a policy of
the same amount without providing evidence of insurability.
Fixed Benefit A death benefit,
the dollar amount of which does not vary.
Free Look Provision required
in most states whereby policy owners have up to 20 days
to examine their new policies at no obligation.
Funeral Expenses Expenses incurred
for a funeral and burial. These can include casket, vault,
grave plot, headstone and funeral director.
Grace Period Period of time after the
due date of a premium during which the policy remains in
force without penalty.
Graded Premium Policy A type
of whole life policy designed for people who want more life
coverage than they can currently afford. They pay a lower
premium rate that increases gradually over the first three
to five years and then remains constant over the life of
the policy.
Guaranteed Term A form of renewable
term insurance that remains in force as long as the premiums
are paid on time. With guaranteed term insurance, the insurance
company cannot terminate the policy during the term.
Guaranteed Insurability (Guaranteed Issue)
Arrangement, usually provided by rider, whereby additional
insurance may be purchased at various times without evidence
of insurability.
Incontestable Clause A clause in a
policy providing that a policy has been in effect for a
given length of time (two or three years), the insurer shall
not be able to contest the statements contained in the application.
In life policies, if an insured lied as to the condition
of his health at the time the policy was taken out, that
lie could not be used to contest payment under the policy
if death occurred after the time limit stated in the incontestable
clause.
In Force Insurance on which the premiums
are being paid or have been fully paid.
Insurability All conditions pertaining
to individuals that affect their health, susceptibility
to injury and life expectancy; an individual's risk profile.
Insurable Interest Requirement of
insurance contracts that loss must be sustained by the applicant
upon the death of another and it must be sufficient to warrant
compensation.
Insurance A formal social device
for reducing risk by transferring the risks of several individual
entities to an insurer. The insurer agrees, for a consideration,
to pay for the loss in the amount specified in the contract.
Insurance Policy The printed form which
serves as the contract between an insurer and an insured.
Insured The party who is being
insured. In life insurance, it is the person because of
his or her death the insurance company would pay out a death
benefit to a designated beneficiary.
Insurer Party that provides insurance
coverage, typically through a contract of insurance.
Irrevocable Beneficiary A beneficiary
that cannot be changed without that beneficiary's consent.
Increasing Term Insurance Term
life insurance in which the death benefit increases periodically
over the policy's term. Usually purchased as a cost of living
rider to a whole life policy.
Lapse Termination of a policy
upon the policy owner's failure to pay the premium within
the grace period.
Level Term Insurance Term coverage
on which the face value and premiums remain unchanged from
the date the policy comes into force to the date the policy
expires.
Life Expectancy The average number
of years remaining for a person of a given age to live as
shown on the mortality or annuity table used as a reference.
Life Insurance An agreement that guarantees
the payment of a stated amount of monetary benefits upon
the death of the insured.
Limited Pay Policy A type of whole
life insurance designed to let the policyholder pay higher
premiums over a specific period such as 10 or 20 years and
then not pay any premiums for the rest of his or her life.
Medical A document completed
by a physician or another approved examiner and submitted
to an insurer to supply medical evidence of insurability
(or lack of insurability) or in relation to a claim.
Medical Expenses Reasonable charges
for medical, surgical, x-ray, dental, ambulance, hospital,
professional nursing, prosthetic devices, and funeral expenses.
(The insurance company defines what is reasonable.)
Misrepresentation Act of making,
issuing, circulating or causing to be issued or circulated
an estimate, an illustration, a circular or a statement
of any kind that does not represent the correct policy terms,
dividends or share of surplus or the name or title for any
policy or class of policies that does not in fact reflect
its true nature.
Mortality Charge The charge for the
element of pure insurance protection in a life insurance
policy.
Mortality Cost The first factor considered
in life insurance premium rates. Insurers have an idea of
the probability that any person will die at any particular
age; this is the information shown on a mortality table.
Mortality Rate The number of deaths
in a group of people, usually expressed as deaths per thousand.
Mortality Table A table showing
the incidence of death at specified ages.
Non medical Insurance A contract
of life insurance underwritten on the basis of an insured's
statement of his health with no medical examination required.
Occupational Hazard A condition
in an occupation that increases the peril of accident, sickness,
or death. It usually will mean higher premiums.
Offer and Acceptance The offer may
be made by the applicant signing the application, paying
the first premium and, if necessary, submitting to physical
examination. Policy issuance, as applied for, constitutes
acceptance by the company. Or the offer may be made by the
company when no premium payment is submitted with the application.
Premium payment on the offered policy then constitutes acceptance
by the applicant.
Original Age The age you were when
you bought the policy.
Other Insured Rider A term rider
covering a family member other than the insured that is
attached to the base policy covering the insured.
Ownership All rights, benefits
and privileges under life insurance policies are controlled
by their owners. Policy owners may or may not be the insured.
Ownership may be assigned or transferred by written request
of current owner.
Para-Med (Paramedical) Examination The
medical examination of an applicant for Life Insurance.
Para-Med (Paramedical) A physician,
nurse, or para-med appointed by the medical director of
a Florida life insurance company to examine applicants.
Permanent Life Insurance A term loosely
applied to life insurance policy forms other than Group
and Term, usually Cash Value Life Insurance, such as Whole
Life Insurance.
Policy The printed document issued
to the policyholder by the company stating the terms of
the insurance contract.
Policy Holder The person who
owns a life insurance policy. This is usually the insured
person, but it may also be a relative of the insured, a
partnership or a corporation.
Preferred Risk A risk whose physical
condition, occupation, mode of living and other characteristics
indicate a prospect for longevity superior to that of the
average longevity of unimpaired lives of the same age.
Premium The periodic payment
required to keep an insurance policy in force.
Premium Flexibility The policy
holder's right to vary the amount of premium paid each month
towards a universal life policy.
Primary Beneficiary In life insurance,
the beneficiary designated by the insured as the first to
receive policy benefits.
Primary Policy The insurance policy
that pays first when you have a loss that's covered by more
than one policy.
Probate Costs The legal fees
and other costs incurred in the probate process, which is
the legal processing of your will. Assets that you leave
to other people through your will cannot be distributed
until the will is probated.
Provisions Statements contained in
an insurance policy which explain the benefits, conditions
and other features of the insurance contract.
Rated Coverage's issued at a
higher rate than standard because of some health condition,
or impairment of the insured.
Re-entry Option An option in
a renewable term life policy under which the policy owner
is guaranteed, at the end of the term, to be able to renew
his or her coverage without evidence of insurability, at
a premium rate specified in the policy.
Reinstatement Putting a lapsed
policy back in force by producing satisfactory evidence
of insurability and paying any past-due premiums required.
Renewable Term/Annual Renewable Term Term
insurance that may be renewed for another term without evidence
of insurability. Level term usually turns into renewable
term with increasing premiums after the level premium period.
Replacement A new policy written
to take the place of one currently in force.
Representation Statements made by applicants
on their applications for insurance that they represent
as being substantially true to the best of their knowledge
and belief but that are not warranted as exact in every
detail.
Revocable Beneficiary The beneficiary
in a life insurance policy in which the owner reserves the
right to revoke or change the beneficiary. Most policies
are written with a revocable beneficiary.
Rider An attachment to a policy
that modifies its conditions by expanding or restricting
benefits or excluding certain conditions from coverage.
Risk The chance of injury, damage,
or loss.
Risk Selection The method a home office
underwriter uses to choose applicants that the insurance
company will accept. The underwriter must determine whether
risks are standard, substandard or preferred and set the
premium rates accordingly.
Secondary Beneficiary An alternate
beneficiary designated to receive payment, usually in the
event the original beneficiary predeceases the insured.
Single Premium Policy A whole
life policy for people who want to buy a policy for a one-time
lump sum, and then be covered for the rest of their lives
without paying any additional premiums.
Standard Risk Person who, according
to a company's underwriting standards, is entitled to insurance
protection without extra rating or special restrictions.
Substandard Risk Person who is considered
an under-average or impaired insurance risk because of physical
condition, family or personal history of disease, occupation,
residence in unhealthy climate or dangerous habits.
Term Insurance Protection during limited
number of years; expiring without value if the insured survives
the stated period, which may be one or more years but usually
is five to twenty years, because such periods usually cover
the needs for temporary protection.
Term Period for which the policy runs.
In life insurance, this is to the end of the term period
for term insurance.
Tertiary Beneficiary In life insurance,
a beneficiary designated as third in line to receive the
proceeds or benefits if the primary and secondary beneficiaries
do not survive the insured.
Third-Party Owner A policy owner who
is not the prospective insured. The policy owner and the
insured may be, and often are the same person. If for example,
you apply for and are issued an insurance policy on your
life, then you are both the policy owner and the insured
and may be known as the policy owner-insured. If, however,
your mother applies for and is issued a policy on your life,
then she is the policy owner and you are the insured.
Underwriter Company receiving premiums
and accepting responsibility for fulfilling the policy contract.
Also, company employee who decides whether the company should
assume a particular risk; or the agent who sells the policy.
Uninsurable Risk A person who is not
acceptable for insurance due to excessive risk.
Universal Life An interest-sensitive
life insurance policy that builds cash values. The premium
payer has control over how the policy is structured. He
has the flexibility to eliminate the premiums (essentially
pay up the policy and pay no more premiums) or have the
premiums continue for life. It is a matter of juggling three
variables: the assumed interest rate, the cash value and
the premium payment plan. The policy is interest-sensitive,
and if interest rates change from the assumed interest,
it will affect the other two variables. In the past, many
Universal Life Policies were structured assuming a higher
interest rate then was actually received, therefore, most
of them have under performed. If you have a Universal Life
Policy, you should have it evaluated to see if it needs
to have the premiums adjusted to get it back on track. A
fourth variable that has not been a factor but could be
in the future, and the owner should be aware of, is the
Mortality variable. Universal Life policies are usually
structured assuming current mortality rates. The insurance
companies reserve the right to change those rates.
Variable Life Life insurance
under which the benefits relate to the value of assets behind
the contract at the time the benefit is paid. The assets
fluctuate according to the investment experience of funds
managed by the Florida life insurance company. Premium payments
may be fixed as to timing and amount (scheduled premium
variable life) or subject to change by the policy holder
(flexible premium variable life).
Waiver of Premium Rider or provision
included in most life insurance policies exempting the insured
from paying premiums after he or she has been disabled for
a specified period of time, usually six months.
Whole Life Insurance Life insurance
that is kept in force for a person's whole life as long
as the scheduled premiums are maintained. All Whole Life
policies build up cash values. Most Whole Life policies
are guaranteed as long as the scheduled premiums are maintained.
The variable in a Whole life Policy is the dividend which
could vary depending on how well the insurance is doing.
If the company is doing well and the policies are not experiencing
a higher mortality than projected, premiums are paid back
to the policy holder in the form of dividends. Policyholders
can use the cash from dividends in many ways. The three
main uses are: it can be used to lower or vanish premiums,
it can be used to purchase more insurance or it can be used
to pay for term insurance.
Yearly Renewable Term (YRT) (See Annually
Renewable Term)