Beneficiary
The person(s) or entity(ies) designated
to receive an insurance policy's death benefit.
The various types of Beneficiaries are:
Primary Beneficiaries (those first entitled
to proceeds); Secondary Beneficiaries (those
entitled to proceeds if no primary beneficiary
is living when the insured dies); and Tertiary
Beneficiaries (those entitled to proceeds
if no primary or secondary beneficiaries
are alive when the insured dies).
Benefit
Period
The maximum amount of time you may receive
benefits for each Continuous Disability.
Subject to underwriting requirements, you
may choose a Benefit Period of two years,
five years or to your normal retirement
age at 66 or 67.
Cash
or Accrual Method
During a partial disability, while you are
collecting benefits under the "residual"
provision, proof of loss of earnings is
required. You can choose the accounting
method, cash or accrual, that is best for
you to determine monthly earnings. However
you must use the same method for any one
disability.
Commencement
Date
The first day of covered disability immediately
following the completion of the Waiting
Period.
Concurrent
Disability
A Disability caused by more than one Injury
or Illness. Benefits for a Concurrent Disability
will be paid as if there is only one Injury
or Illness. In no event will you be considered
to have more that one Disability at the
same time. Once a continuous period of Disability
starts, it will be one period of Continuous
Disability no matter what Injuries or Illnesses,
or how many, caused the Disability or cause
it to continue.
Conditional
Receipt
Given to policyowners when they pay a premium
at the time of application. Interim coverage
during the underwriting process may be provided
subject to the terms and conditions of the
receipt.
Continuous
Disability
Recurrent periods of Disability from the
same cause or causes are one period of Continuous
Disability if separated by Your Recovery
of less than twelve full months.
Cosmetic
or Transplant Surgery
After six months of coverage, total disability
due to cosmetic surgery or transplant surgery
will be considered the same as total disability
due to Illness.
Disability
Benefit/Benefits
Any payment or payments for Disability that
are made under the policy provisions.
Effective
Date
The date on which the policy becomes effective.
Future
Purchase Option Rider
This Rider allows you to buy additional
monthly Benefits on specific option dates
regardless of your health as long as your
earned income at that time justifies the
increase.
Grace
Period
The 31-day period immediately following
the due date of all premiums except the
first. The policy will continue in force
during the grace period. If a premium is
not paid by the end of its grace period,
all coverage will end as of the premium
due date.
Guaranteed
Renewable
As long as premiums are paid by the end
of each Grace Period, we cannot change any
part of the policy except its premium. After
three years we can change the premium but
only if the change applies to all policies
with like Benefits insuring the same Risk
Class.
Indexed
Cost of Living Indemnity Benefit Rider
This rider pays an additional monthly benefit
tied to the change in the Consumer Price
Index, starting on the 366th day of disability,
while a total or residual benefit is payable.
This additional benefit is recalculated
annually for each year of Continuous Disability.
Injury
Accidental bodily injury sustained by you:
1. After the Effective Date; and
2. While the policy is in force.
Insurance
Company Ratings
Provide information on insurance company
financial performance, stability claims
paying ability, and more. The five major
insurance industry ratings services are:
A. M. Best, Standard & Poor's, Moody's,
Duff & Phelps, and Weiss. Their top
ratings are: A. M. Best= A++, Standard &
Poor's= AAA, Moody's=Aaa, Duff & Phelps=AAA,
Weiss=A+.
Medical
Examination
Usually conducted by a licensed paramedic.
The medical report is part of the application,
becomes part of the policy contract and
is attached to the policy.
Non-Cancelable
Rider
Changes the policy and all riders from Guaranteed
Renewable to Non-cancelable and Guaranteed
Renewable. Provided that all premiums are
paid by the end of each Grace Period, we
cannot change the policy or its premiums.
Pre-Existing
Conditions
Any mental or physical condition for which:
1. You have consulted a Physician; or
2. You have received medical treatment or
services; or
3. You have taken prescribed drugs or medications;
or
4. A reasonably prudent person would have
sought medical advice,
care or treatment during the 365-day period
ending the day
before the policy's Effective Date.
Preferred
Risk Class
A class of individuals whose anticipated
mortality or morbidity (based on health,
family medical history, occupation, etc.)
is lower when compared to the Standard Risk
Class.
Premium
The periodic payment required to keep an
insurance policy in force.
Presumptive
Total Disability
Your total and permanent loss, because of
your injury or illness, of one of the following:
1. Speech
2. Hearing in both ears, not restorable
by hearing aids
3. Sight in both eyes (see below)
4. Use of both hands
5. Use of both feet
6. Use of one hand and one foot
Total and permanent loss of sight in both
eyes means that both eyes must measure at
or below 20/200, after reasonable efforts
are made to correct their vision, using
the most advanced medically acceptable procedures
and devices available.
Regular
Occupation
Your occupation at the time Disability begins.
If you have limited your practice to a professionally
recognized specialty in medicine or law,
the specialty will be deemed to be your
Regular Occupation.
Rehabilitation
Benefit
If you join a vocational rehabilitation
program, approved by us, while you are receiving
total disability benefits, we will continue
these benefits for up to 36 months, and
we will pay any reasonable costs for the
program not paid by other plans, policies
or programs.
Residual
Disability Rider
Provides a reduced Basic Monthly Benefit
if you are not Totally Disabled, but you
are Residually Disabled.
Rider
Any supplemental agreement attached to and
made a part of the policy that expands or
limits the policy's conditions, coverage,
or benefits.
Smoker
Rating
A higher premium rate charged to applicants
who use tobacco products. Insurers will
generally give a lower premium rate to buyers
who do not smoke or use tobacco. If you
smoked in the past, most carriers will consider
you a non-smoker if you have not smoked
for one year prior to applying for coverage.
Consumers should be aware that nicotine
can be detected in a variety of routine
screening tests that are now commonly required
by most insurance companies.
Standard
Risk Class
A class of individuals whose anticipated
mortality or morbidity, according to a company's
underwriting standards, is regarded as average.
Most insured are included in the Standard
Risk Class.
Supplemental
Social Insurance Rider
If you are receiving a Benefit for Total
Disability under a policy, this Rider will
pay additional Benefits, less any Legislated
Benefits (such as Social Security or Workers
Compensation) paid to you, for the same
period. This Benefit will be paid monthly.
This payment is in addition to any other
benefits payable under a policy.
Survivor
Benefit
An amount payable to the policyowner, the
policyowner's estate, or the policyowner's
designee should you die while receiving
total disability benefits.
Term
of Policy/Policy Renewability
Period for which the policy runs. Disability
Insurance is often annually renewable to
normal retirement age. Some policies may
continue after that as long as the policyholder
continues actively working and pays the
required premium.
Total
Disability/Totally Disabled
You are totally disabled if, due to injury
or sickness, you are:
Unable to perform the substantial and material
duties of your regular occupation;
Not engaged in any other gainful occupation;
and
Are under the care of a physician appropriate
for your injury or illness.
Total
Disability in Your Occupation Rider
Changes the definition of Total Disability
by allowing you to engage in another gainful
occupation while you are Totally Disabled
from your Regular Occupation.
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.
Uninsurable
Risk
An individual who is not accepted for insurance
due to excessive risk of loss.
Waiting
Period
That period, measured from the first day
of Your Disability, throughout which you
must be Disabled before Disability Benefits
become payable.
Waiver
of Premiums
Exempts the insured from paying premiums
after he or she has been Continuously Disabled
for a specified period of time.
THE DEFINITIONS
PROVIDED IN THIS WEB SITE ARE INTENDED FOR
GENERAL REFERENCE ONLY. ANY COVERAGE ISSUED
IS SUBJECT TO THE TERMS OF THE POLICY, WHICH
MAY CONTAIN OTHER EXCLUSIONS AND RESTRICTIONS.
SOME POLICY PROVISIONS MAY VARY BY STATE.
PRODUCTS MAY NOT BE AVAILABLE IN ALL STATES.
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