Insurance Terminology

Admitted Assets

• Insurer assets which can be valued and included on the balance sheet to determine financial viability of the company.

• Assets that are not recognized in the financial statements of an insurer.

• Liabilities that an insurer must pay to policyholders.

• Investments that are not liquid and cannot be easily converted to cash.

Accidental Bodily Injury

• Injury caused by a deliberate act.

• Unexpected injury to a person.

• Injury resulting from a natural disaster.

• Injury due to negligence.

Aggregate Cost Payments

• Method of reimbursement of a health plan with a corporate entity that directly provides care.

• A payment model based on the number of patients treated by a healthcare provider.

• A fixed fee paid to healthcare providers for each patient visit.

• A system where patients pay out-of-pocket for all healthcare services.

Alternative Workers' Compensation

• Standard workers' compensation coverage

• Employer's liability and excess workers' compensation

• General liability insurance

• Health insurance for employees

Allied Lines

• Coverages generally written with property insurance, e.g., glass, tornado, windstorm and hail.

• Types of coverage that only include fire and theft.

• Insurance policies that cover personal liability only.

• Coverage for damages caused by natural disasters only.

Accident Only

• An insurance contract that provides coverage for death, dismemberment, disability, or hospital and medical care caused by or necessitated as a result of accident or specified kinds of accident.

• An insurance policy that covers all types of medical expenses regardless of the cause.

• A type of insurance that only covers accidents occurring during work hours.

• An insurance plan that provides coverage for natural disasters and their consequences.

Arbitration

• A binding dispute resolution tactic whereby a conciliator with no interest in the outcome intercedes.

• A process where parties negotiate directly without any third-party involvement.

• A legal procedure where a judge makes a binding decision on a case.

• An informal discussion between parties to reach a mutual agreement.

Accident Only or AD&D

• Policies providing coverage for death, dismemberment, disability, or hospital and medical care caused by or necessitated as a result of accident or specified kinds of accidents.

• Policies that cover only medical expenses for illnesses unrelated to accidents.

• Insurance plans that provide coverage for natural causes of death and illness.

• Plans that offer financial support for long-term disability due to chronic conditions.

Authorized Control Level Risk Based Capital

• Theoretical amount of capital plus surplus an insurance company should maintain.

• The minimum amount of capital required by law for all insurance companies.

• The total assets of an insurance company minus its liabilities.

• The amount of capital that an insurance company can invest in high-risk assets.

Aircraft

• Coverage for aircraft (hull) and their contents; aircraft owners' and aircraft manufacturers liability to passengers, airports and other third parties.

• Insurance for ground vehicles and their operators.

• Liability coverage for maritime vessels and their crew.

• Protection against natural disasters for commercial properties.