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death benefit
The amount of money paid or due to be paid when a person insured under
a life insurance policy dies. This amount does not include adjustments
for outstanding policy loans, dividends, paid-up additions, or late
premium payments. See also basic death benefit and policy proceeds.
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death claim
A request for payment under the terms of a life insurance policy.
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debit
See territory.
debits
In the numerical rating system, debits represent underwriting factors
that have an unfavorable effect on an individual's mortality rating.
Debits are assigned positive values. See also credits and numerical
rating system.
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debtor-creditor groups
A group composed of lending institutions -- banks, credit unions, savings
and loan associations, finance companies, retail merchants, and credit
card companies -- and their debtors. See also group creditor life insurance.
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decreasing term insurance
A type of term life insurance in which the amount of coverage decreases
during the term of coverage.
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decrement
A reduction in the number of participants in a pension plan caused by
factors such as retirement, disability, death, or termination.
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deductible
The amount of money you must pay up front each year to cover your medical
care expenses before your insurance policy starts paying.
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deferral date
A date some time after the first anniversary of a group insurance policy
to which an insurance company defers the payment of the policy's first
renewal premium. An insurance company might defer this payment so that
it could use the full first year's experience to help calculate the
new premium.
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deferred annuity
(1) A series of payments in which the first payment is postponed (deferred)
for one or more periods. (2) An annuity contract under which premiums
are accumulated at interest but the annuity payment period is postponed
(deferred) for one or more periods. See also deferred life annuity and
group deferred annuity.
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deferred compensation
plan
A plan established by an employer to provide benefits to an employee
at a later date, such as after the employee's retirement.
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deferred life annuity
A deferred annuity that provides a series of payments, each of which
is made only if a designated person is alive.
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deferred premium arrangement
In group insurance, an agreement between an insurer and a policyholder
to lengthen a group insurance policy's grace period, on a permanent
basis, usually by 30, 60, or 90 days. This arrangement allows the policyholder
to use the deferred premium amounts for the length of time by which
the grace period is extended. The arrangement is usually only granted
to companies with excellent credit ratings. Also called a premium-delay
arrangement.
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deferred premiums
Premiums that are due after a policy's statement date but before the
next policy anniversary.
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Deferred Profit Sharing
Plan (DPSP)
In Canada, a type of profit-sharing plan in which employer contributions,
up to certain limits, are tax deductible for the employer and tax deferred
for the employee, and in which the employee can withdraw the benefit
before retirement. The ways that plan funds can be invested are restricted.
See also profit-sharing plan.
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defined benefit formula
A formula used to determine the periodic payment amounts that each participant
in a defined benefit pension plan will receive at retirement. The benefit
amount is often related to number of years of participation in the plan.
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defined benefit pension
plan
A pension plan that specifies the benefits that the plan promises to
pay to a participant upon retirement, with the benefits determined according
to a specified formula. Contrast with defined contribution pension plan.
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defined contribution
formula
A formula that describes the amount of money that will be deposited
into a pension plan each year on behalf of each plan participant. Usually,
the contribution is a specified percentage of the participant's compensation.
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defined contribution
pension plan
A pension plan that specifies the amount of annual contributions that
the plan sponsor will make on behalf of a plan participant. A defined
contribution plan does not guarantee a specific amount of retirement
benefits. A participant's benefits at retirement are based on the amount
that has been contributed to the participant's account, plus investment
earnings. Contrast with defined benefit pension plan.
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demutualization
The process of converting a stock insurance company to a mutual insurance
company.
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dental maintenance organization
An organization like an HMO which provides only dental care.
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dentist-consultant
A licensed dentist who understands the underwriting intent of dental
plan language as well as the accepted standards of dental practice,
and who advises insurers as to the appropriateness of dental treatment.
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dependent life insurance
Group life insurance made available to group members, usually on an
optional and contributory basis, to cover the spouse, children, or other
dependents of the group member. It is usually sold in small amounts
which are intended to pay funeral expenses.
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deposit administration
contract
A funding vehicle for a pension plan in which the plan sponsor places
plan assets in an insurance company's general account. When a plan participant
retires, the insurer withdraws sufficient funds from the general account
to buy an immediate annuity for the plan participant. A deposit administration
contract usually protects the plan sponsor against investment loss and
guarantees minimum investment returns. See also immediate annuity and
immediate participation guarantee (IPG) contract.
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deposit term insurance
A type of level term insurance that requires a substantially larger
premium payment in the first year than the amount of level annual premiums
payable in subsequent years.
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determination letter
In the United States, a ruling by the Internal Revenue Service (IRS)
as to whether the design of a pension plan satisfies the criteria necessary
for the plan to be a qualified plan.
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deviated rate
In group creditor insurance in the United States, a premium rate for
a contributory plan which is higher than the prima facie rate and based
on the group's actual claims experience. Insurers can charge a deviated
rate only after the prima facie rate has been in effect for a certain
period of time and only after being granted permission by the state
insurance commissioner. Contrast with prima facie rate.
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diagnostic related groups
(DRGs)
In the United States, a prospective payment method used in the Medicare
Program, in which payment is not based on the number and kinds of medical
services that a patient receives, but instead is based on the diagnosis
of each patient.
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direct response distribution
system
In insurance, a distribution system that relies on advertisements, telephone
solicitations, and mailings to generate sales. No agents visit customers
to induce sales.
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direct response marketing
A method of selling insurance products directly to the consumer, usually
through direct mail, advertising in print and broadcast media, or by
telephone solicitation, without the use of insurance agents.
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disability
Inability to work due to an injury or sickness. See also partial disability,
presumptive disability, and total disability.
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disability benefits
Benefits that are payable periodically while an insured continues to
be disabled. "Being disabled" is generally defined in terms of inability
to work. See also total disability.
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disability buy-out insurance
Insurance that provides cash funds to a business or professional partnership
so that the business interests of a totally disabled partner or stockholder
may be purchased if the disability is long-term or permanent.
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disability income insurance
A type of health insurance designed to compensate insured people for
a portion of the income they lose because of a disabling injury or illness.
Generally, benefits for disability income insurance are provided for
the disabled person in the form of monthly payments. Sometimes called
loss of time insurance. See also long-term disability income insurance
and short-term disability income insurance.
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disability table
(1) A tabulation of the probabilities of becoming disabled at each age,
plus certain related figures. (2) A tabulation of the number of persons
who are still disabled at each age and the duration of disability, plus
certain related figures.
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disabled life annuity
A series of payments, each of which is contingent on a person being
alive and still disabled.
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discharge provision
Part of a small estates statute which releases an insurance company
from liability under an insurance contract if it pays the proceeds to
the deceased insured's estate. See small estates statutes.
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Discontinuity Index
A test required by the NAIC Model Life Insurance Disclosure Regulation
and designed to disclose instances in which policy illustrations have
been manipulated so that they present an unrealistic progression of
premiums, dividends, and benefits.
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disintermediation
The process of removing money from a financial intermediary in order
to earn a higher yield somewhere else, usually with another financial
intermediary. Historically, disintermediation, through policy loans
or surrendered policies, has been a major problem for life and health
insurers during periods of economic depression and high inflation.
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distress termination
In pension and employee-benefit plans, the curtailment of a plan which
does not have sufficient funds to cover all the benefits to which the
plan's participants are entitled. Contrast to standard plan termination.
See also involuntary plan termination and voluntary plan termination.
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distribution expenses
Expenses involved in making insurance products available to the general
public. These expenses include agent compensation, group sales representatives'
salaries, and postal, printing, and telecommunications expenses for
those companies that use direct response marketing.
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distribution system
In an insurance company, the network of organizations and individuals
that performs all the marketing activities required to convey a product
from an insurer to its customers.
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dividend
(1) A refund of excess premium paid to the owner of an individual participating
life insurance policy. Such a dividend is paid out of an insurer's divisible
surplus. Also called a policy dividend or a policyowner dividend. See
also divisible surplus. (2) The portion of a group insurance premium
that is returned to a group policyholder whose claims experience is
better than had been expected when the premium was calculated. Also
called experience rating refund, experience refund, and retroactive
rate reduction. (3) A periodic payment paid by a business to a stockholder.
Dividends paid in cash are called cash dividends. Dividends paid in
the form of additional shares of stock are called stock dividends.
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dividend accumulations
Amounts that result when a policyowner decides to leave the policy dividends
owed to him or her on deposit with the insurer. Also called dividend
credits.
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dividend expenses
When an insurer calculates policyowner dividends, dividend expenses
represent the amount of money that it costs the insurer to maintain
each policy in force for the current year.
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dividend interest rate
The interest rate that represents the actual rate being earned on an
insurer's present investments. The dividend interest rate is used to
calculate policyowner dividends.
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dividend options
Several alternatives that participating policyowners can choose from
to indicate the manner in which they want to receive their share of
the insurance company's divisible surplus. See accumulation at interest
option, additional term insurance option, automatic dividend option,
cash payment option, dividend accumulations, enhancement type policy,
paid-up additions, and premium reduction option.
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dividend rate of mortality
The rate of mortality (for a given age) that an insurer chooses to use
in calculating policyowner dividends. The dividend rate of mortality
is the mortality rate currently experienced by the insurer on the policies
it has sold.
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divisible surplus
The portion of an insurance company's earnings that is available for
distribution to the owners of the company's participating policies.
See also surplus.
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doctrine of reasonable
expectations
A doctrine applied by some courts under which the reasonable expectations
of policyowners and beneficiaries will be honored, even though the language
of the policy does not literally support these expectations.
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domestic corporation
From the point of view of a particular state in the United States, a
company incorporated under the laws of that state. Compare to alien
corporation and foreign corporation.
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double indemnity
Death benefit coverage that pays an additional benefit equal to the
basic death benefit of the policy if the insured's death is accidental.
See also accidental death benefit (ADB) rider.
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dread disease policy
See limited coverage policy.
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drinking criticism
An underwriting term for evidence of alcohol abuse or alcoholism.
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dual-choice provision
In the United States, part of the Health Maintenance Organization Act
of 1973 which requires employers that meet certain specifications to
offer health insurance through a federally qualified HMO as an alternative
to a traditional health insurance plan.
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dual registration
The licensing of registered representatives with more than one broker-dealer.
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duplicate coverage inquiry
(DCI) form
In the United States, a form filled out by a health insurance company
claim office and sent to another company in order to ascertain whether
an accident or injury for which the first company has received a claim
is also insured by the second company.
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