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Adjuster - An insurance claims agent who evaluates insurance claims to determine the insurance company's liability according to the terms of a policy.
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Any Occupation - An any-occupation policy only provides total disability benefits if the insured is unable to work in any occupation.
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Appraisal - An assessment of property value (e.g. house value) or of the extent of property damage to determine the value of the property at the time of loss.
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Activities of Daily Living (ADL) - A term referring to eating, bathing, getting dressed, toileting, mobility, and continence, known as routine activities people do daily without assistance. The performance of these activities helps to determine the extent of long-term care and health coverage needed.
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Beneficiary - An individual who receives distributions from a policy.
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Claim - A formal request to an insurance company for coverage or compensation for a covered loss.
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Contract - A written agreement between the insured and the insurer.
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Co-payment/Co-insurance - Payment made by the insured in addition to the insurer's financial contribution.
- Deductible - The insured's financial responsibility in a policy; the amount of money paid by the insured in a claim before the insurance company kicks in.
- Endorsement - An amendment to a contract, like a life insurance policy, that changes the coverage provided in the policy.
- Gap Coverage - Also known as supplemental insurance; represents the amount needed to cover the difference between what you will get from your current coverage and what you will actually need to maintain your desired lifestyle.
- Insured - Also known as the policyholder, the person covered by an insurance policy.
- Insurer - A company that underwrites an insurance risk.
- Lapse - A policy that ends due to inadequate payment of the premium.
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Liability - Being responsible for an act or something that occurred
- Liability Coverage - Also referred to as liability insurance, this coverage protects the insured against claims from injuries and damage to other people and property.
- Loss - Damage sustained by the insured in consequence of an accident or occurrence.
- Own Occupation - An own-occupation policy provides coverage if you, the insured, become unable to perform your specific occupation, even if you are able to work in another field.
- Premium - The amount paid, either monthly or annually, for an insurance policy.
- Reinstatement - When a policy goes back into force after a temporary lapse due to nonpayment of premiums.
- Rider - Also known as an endorsement, a provision purchased in addition to a policy that provides supplemental benefits at an additional cost.
- Risk - The possibility of losses that involves exposure to financial damage.
- Surcharge - When an insurance company increases the rate due to a factor that increases your risk and likelihood of a loss.
- Term - The period covered by a policy.
- Underwriter - The person who evaluates and either accepts or rejects applications for a policy through an insurance company.