Concept

33 topics

Cash Value

ConceptLife

It grows tax deferred, belongs to the policyholder, and can be accessed by withdrawal up to basis, by policy loan, or by full surr...

Beneficiary Designation

ConceptLife

Primary beneficiaries come first, contingent beneficiaries receive only if no primary survives, and per stirpes wording passes a d...

Contestability Period

ConceptLife

During this period the insurer can investigate and deny a claim for material misrepresentation, even unintentional ones such as an...

Grace Period

ConceptLife

If payment arrives within the window nothing changes. If it does not, a life policy may lapse or trigger automatic premium loans t...

Health Savings Accounts

ConceptHealth

Contributions are deductible, growth is untaxed, and withdrawals for qualified medical expenses are tax free, a combination no oth...

Out-of-Pocket Maximum

ConceptHealth

After the cap is reached the insurer pays 100 percent of covered in network claims for the rest of the plan year. The ACA sets cei...

Replacement Cost vs Actual Cash Value

ConceptProperty

Actual cash value pays the depreciated worth of a lost item, so a 15 year old roof might return a fraction of reroofing cost, whil...

Usage-Based Insurance

ConceptAuto

Programs score mileage, time of day, hard braking, phone use, and speed patterns, offering discounts that can reach 30 to 40 perce...

Captive Insurance

ConceptBusiness

Structures range from single parent pure captives through group captives to rented cells. The appeal is retaining underwriting pro...

Self-Insurance

ConceptBusiness

Formal retention uses reserves, letters of credit, and for employee benefits, self funded health plans run under ERISA with stop l...

Mutual Insurance Companies

ConceptBusiness

The form traces to the mutual fire societies of the eighteenth century and remains dominant in US property casualty, with several ...

Surplus Lines Insurance

ConceptBusiness

Risks that go surplus lines include tough classes such as nightclubs, demolition contractors, and cannabis operations, unusual lim...

Claims Adjusters

ConceptBusiness

Staff adjusters work for insurers, independent adjusters contract to carriers especially in catastrophe surges, and public adjuste...

Premium

ConceptBusiness

The premium must cover expected claims, expenses such as commissions, taxes, and operations, and leave a margin, averaged over poo...

Deductible

ConceptBusiness

Higher deductibles cut premiums because they filter small claims and share cost, so raising an auto deductible from 250 to 1,000 d...

Underwriting

ConceptBusiness

Life underwriting uses medical exams, labs, prescription histories, motor vehicle records, and financial justification for the fac...

Actuarial Science

ConceptBusiness

Actuaries combine probability, statistics, and financial mathematics, credentialed through exam systems such as the Society of Act...

Moral Hazard

ConceptBusiness

Once covered, people may guard less against loss, from leaving doors unlocked to filing borderline claims, and insurers cannot wat...

Adverse Selection

ConceptBusiness

If only the sick insured, premiums would spiral until the healthy exit and the pool collapses, the classic death spiral of pre ref...

Risk Pool

ConceptBusiness

Each member pays a premium reflecting average expected loss plus loadings, and the unlucky few who suffer claims draw from the com...

Loss Ratio and Combined Ratio

ConceptBusiness

Loss ratio is incurred claims divided by earned premium, running near 60 to 80 percent in well run books depending on line. The co...

Policy Declaration Page

ConceptBusiness

It shows the named insured, policy period, covered locations and vehicles, coverage parts with limits, deductibles, premiums per c...

Reinsurance

ConceptReinsurance

Primary insurers, called cedents, buy it to smooth catastrophe volatility, protect surplus against large losses, gain capacity to ...

Treaty Reinsurance

ConceptReinsurance

Proportional treaties, quota share and surplus, share every risk by percentage or line, with ceding commissions and often profit s...

Facultative Reinsurance

ConceptReinsurance

Each submission is underwritten on its own facts, offered at a bespoke price, and accepted or declined, unlike treaty automatic fl...

Retrocession

ConceptReinsurance

Retro lets a reinsurer balance portfolios, cap peak exposures, and free capital, creating a chain from policyholder through insure...

Catastrophe Reinsurance

ConceptReinsurance

A program might sit 400 million in limits part of 250 million, meaning the reinsurer pays when one event net loss crosses 250 mill...

Insurance-Linked Securities

ConceptReinsurance

Cat bonds pay sponsors a layer of protection funded by investor principal: if a defined event or aggregate loss trigger hits, inve...

Insurable Interest

ConceptRegulation

The line between insurance and wager, it was pressed by courts and codified in England by the Life Assurance Act of 1774 after wag...

Subrogation

ConceptRegulation

If an insurer pays a fire claim caused by a neighbor faulty wiring, it can sue the neighbor and keep recoveries up to the amount p...

Coinsurance

ConceptHealth

In health insurance, an 80/20 plan means the insurer pays 80 percent of allowed charges after the deductible and the member pays 2...

Copayment

ConceptHealth

Copays make routine costs predictable: a plan might charge a set fee for a primary care visit, a higher one for a specialist, and ...

No-Fault Insurance

ConceptAuto

Massachusetts introduced the first no-fault auto system in the United States in 1971, and about a dozen states now use some form o...