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Extended Glossary
A B C D E F G H I J K L M N O P Q R S T U V W
A
401(k) Plan
This type of plan is a qualified profit sharing or stock bonus plan under which
participants have the option to put money into the plan or receive the same
amount of money as taxable cash compensation. Amounts contributed to the plan
are not taxable to the participants until withdrawn from the plan. This type of
plan is mostly funded entirely or in part through salary reductions chosen by
employees. Salary reductions are restricted to an annual limit.
403(b) Plan
This type of plan is a tax-deferred annuity retirement
plan only available to employees of public schools and certain nonprofit
organizations.
Accelerated Benefits
This benefit is a provision in some life insurance
policies that allows insured’s who are terminally ill to take part or all of
their life insurance benefits before they die, mostly to pay for the care they need.
When the insured dies, if there is a remainder the death benefit is paid to the
beneficiary, just like a traditional life insurance policy.
Accrued Benefit
The amount of retirement benefit that has been accumulated on behalf of a
participating employee. In the case of
a defined benefit plan, an employee's accrued benefit would be expressed as the
amount he or she could expect to receive at normal retirement if no future
funds were contributed to the plan. In the case of a money-purchase plan or
profit-sharing plan, a participant's accrued benefit means the balance
presently accrued in his or her individual account.
Accrued Interest
Interest earned but not yet paid for a period of time that has elapsed since
the last interest payment.
Accrued Liability
The amount of money needed to offset a participant's accumulated benefits under
a retirement plan. A plan's accrued liability is equal to the difference
between the present value of future benefits promised and the present value of
future contributions. A plan is considered fully funded when the funds held
under the plan equal the plan's accrued liability. Conversely, when the assets
of a plan are less than its accrued liability, the plan is deemed to have an
unfunded accrued liability.
Accumulated Benefit Obligation
An accounting term representing the value of retirement benefits already earned
by an employee through prior service.
Accumulated Earnings Tax
A penalty tax imposed on a corporation's accumulated
earnings and profits in excess of $250,000 or, if greater, the reasonable needs
of the business. The accumulated earnings and profits for certain personal service
corporations are limited to $150,000, unless the accumulated earnings and
profits are for the reasonable needs of the personal service corporation.
Accumulated Surplus
A surplus accumulated by a corporation from its profits.
Accumulation Period
In retirement and annuity plans, the period when funds are accumulated for
later disbursement. This is in contrast to the income period, when the
accumulated funds are disbursed in the form of annuity or pension benefits.
Accumulation Trust
A trust in which the income is retained and not paid out to beneficiaries until
certain conditions are met.
Adjustable Term Insurance Rider (ATR)
An Adjustable Term Insurance Rider (ATR) is used to add death benefit coverage
to the base or primary policy. An Adjustable Term Insurance Rider allows the
policy owner to apply for the pattern of the death benefits appropriate for
anticipated needs.
Adjusted Gross Estate
The gross estate less debts, funeral costs, and administrative expenses. This is the starting point for the federal estate tax
computation.
Administration of an Estate
The court-supervised distribution of the probate estate of a deceased person. If there is a will, the will names an executor (the person
who manages the distribution). If not, the court appoints someone, who is
generally known as the administrator.
Administrator
An individual appointed by a probate court to handle the estate of a person who
died intestate. They have the same
duties as an executor.
Adverse Selection
Tendency of persons with a higher-than-average chance of loss to seek insurance
at standard (average) rates, which, if not controlled by underwriting, results
in higher-than-expected loss levels.
After-Tax Retirement Income
The distributions in the form of loans or withdrawals
taken from an insurance policy as retirement income. The retirement income is
adjusted by the policy owner's tax bracket for taxable distributions.
Agent
An individual or firm authorized to act on behalf of
another (called the principal), such as by executing transactions or selling
and servicing an insurance policy. The agent does not assume any financial risk
in the transaction.
Amount At Risk
The pure insurance element of a life insurance policy. The net amount at risk is equal to the difference between
the face value of the policy and its accrued cash value at a given time. The
net amount at risk decreases as the cash value increases each year. If the cash
value becomes the face value, the policy is said to mature or endow. From the
IRS perspective, a corridor of protection or net amount of risk must be
apparent in a life insurance policy if the policy is to retain its tax
advantaged treatment.
Ancestor
One from whom a person is descended, whether through father or mother. Also can mean one from whom an estate has descended.
Annual Gift Tax Exclusion
Every person is permitted to give away up to $10,000 per year (under 2001 law)
to any other person without incurring any gift tax liability. There is no limit
on the number of people who can receive these gifts in a year. To qualify for
this exclusion, the gift must be a gift of a present interest, meaning that the
recipient can enjoy the gift immediately and the donor must not have any
control over the asset after it is given away. This can present problems when
gifts are made to trusts. This exclusion can be doubled to $20,000 per person,
per year, if the donors are married and both spouses consent to join in making
the gift. This is called gift splitting. The $10,000 per year amount is indexed
for inflation.
Annuity
A contract sold by an insurance company designed to provide payments to the
holder at specified intervals, usually after retirement. Fixed annuities
guarantee a certain payment amount, while variable annuities do not, but may
have the potential for greater returns.
Articles of Organization
May also be called certificate of formation. This is the initial document filed
with the state to form or organize a Limited Liability Company (LLC). It
includes basic provisions concerning the life, nature, management, owners,
etc., of the LLC and becomes a matter of public record.
Asset Protection
The process of taking steps to minimize the risk of creditors or other
claimants from being able to reach your assets. This can include setting up a
different entity, such as a family limited partnership or limited liability
company for each property, business, etc.
Assets
Things of value owned by a person, family, or business. Everything of economic value that is
owned, whether real or personal property.
Assignment
Transfer of ownership or an asset to another person or party.
At-Risk
The at-risk rules limit the amount of tax losses that
can be deducted from a business or investment to the amount that is at-risk in
that investment. The amount at-risk includes the cash and the fair market value
of any property invested in the business. The amount at-risk (the deduction
limit) also includes debts for which the taxpayer is personally liable.
Attorney-in-fact(Power of
Attorney)
A person who holds a power of attorney, and therefore is legally designated to
transact business and execute documents on behalf of another person.
Automatic Premium Loan
Cash borrowed from a life insurance policy's cash value to pay an overdue
premium after the grace period for paying the premium has expired.
B
Before-Tax Earnings
A taxpayer's gross income from salary, commissions, sales, fees, etc., before
deductions for federal, state or other income taxes.
Beneficial Interest
A financial or other valuable interest arising from an
insurance policy regardless of who formally owns the policy.
Beneficiary
An individual, institution, trustee or estate which receives, or may become
eligible to receive, benefits under a will, insurance policy, retirement plan,
annuity, trust, or other contract.
Binder
A temporary, binding agreement, secured by a payment
to evidence good faith, used until a formal contract takes effect.
Broker
An individual or firm which acts as an intermediary
between a buyer and seller, usually charging a commission. For securities and
most other products, a license is required.
Buy-Sell Agreement
An agreement between the owners of a business that provides that the shares
owned by any one of them who dies or withdraws from the business shall be sold
to and will be purchased by the surviving co-owners or by the entity itself at
a value or formula previously agreed upon by the parties and stipulated in the
agreement. Also applies to buyout arrangements between owners and key
employees.
C
Capital Gain or Capital Loss
The profit or loss from the sale of a capital asset.
Capitalization
The total amount of the various securities issued by a corporation. Capitalization may include bonds, debentures, preferred
and common stock, long term debt and surplus. Bonds and debentures are usually
carried on the books of the issuing company in terms of their par or face
value. Preferred and common shares may be carried in terms of par or stated
value. Stated value may be an arbitrary figure decided upon by the board of
directors or may represent the amount received by the company from the sale of
the securities at the time of issuance.
Cash Surrender Value
The equity amount available to the owner of a life insurance policy should he
or she decide it is no longer wanted. Calculated separately from the legal reserve.
Cash Value
The equity amount available to the policy owner when a
life insurance policy is surrendered to the company, or the amount upon which
the total available for a policy loan is determined. During the early policy
years in a traditional whole life policy, the cash value is the reserve less a
surrender charge; in the later policy years, the cash surrender value usually
equals or closely approximates the reserve value.
COBRA
The Consolidated Omnibus Budget Reconciliation Act of 1986 (COBRA) is an
amendment to ERISA that provides continuation of group health coverage that
otherwise may be terminated. It requires employers with 20 or more
employees to offer terminated or retired employees the option to continue their
health coverage for 18 months at the employee’s expense. Those qualified may be
required to pay the entire premium for coverage up to 102% of the plan,
although this is generally cheaper than individual coverage. For
employees, termination of employment under any circumstances aside from gross
misconduct, or a reduction of hours, qualify you for COBRA. For spouses,
in addition to those terms, the covered employee becoming entitled to Medicare,
legal separation or divorce of the insured employee, or the death of said
employee entitles you to COBRA. And for dependents, all prior reasons
apply, with the addition of the loss of dependent status under the plan rules.
Codicil
A legal document, which supplements and changes an
existing will. Generally utilized to make minor changes to
the original will.
Collateral Assignment
When a life insurance contract is transferred to an
individual or other party as security for a debt. This usually temporary
assignment does not transfer all policy rights.
Collateral Assignment Method (Split Dollar)
A policy ownership arrangement under a split-dollar arrangement using life
insurance where the employee (or a third party) owns the policy and names a
personal beneficiary but assigns part of the policy or death benefit to the
employer as collateral for the employer's premium advances under the policy.
Community Property
Ten states (
Alaska
,
Arizona
,
California
,
Idaho
,
Louisiana
,
Nevada
,
New Mexico
,
Texas
,
Washington
, and
Wisconsin
) use some form of the community
property system to determine the interest of a husband and wife in property
acquired during marriage.
Concealment
Deliberate failure of an applicant for insurance to reveal a material fact to
the insurer.
Conditions
Provisions inserted in an insurance contract that qualify or place limitations
on the insurer's promise to perform.
Consideration
One of the elements of a binding contract; the exchange of values by the
parties to the contract. Such values
may be money, promises, property, etc. In insurance, the policy owner's
consideration is the first premium payment and the application; the insurance
company's consideration is the contract itself.
Contingent Beneficiary
Beneficiary of a life insurance policy who is entitled to receive the policy
proceeds on the insured's death if the primary beneficiary dies before the
insured; or the beneficiary who receives the remaining payments if the primary
beneficiary dies before receiving the guaranteed number of payments.
Convertible
Term life insurance that can be exchanged for a cash value life insurance
policy without evidence of insurability.
Corporate Owned Life Insurance (COLI)
Life insurance owed by a corporation, insuring the lives of its employees.
Cost of Insurance (COI)
The cost of insurance rate charged on the difference between the death benefit
and account value, also known as the net amount at risk. The cost of insurance
rate is set to cover more than the cost of providing the death benefit. The
cost of insurance rate helps cover administrative costs, taxes, and other
expenses. The cost is deducted from the account value monthly.
Cross Purchase Buy Sell Plan
In a cross purchase plan, the surviving owners (rather than the business
itself) agreed to buy the deceased or departing owner's business interests.
That purchase is made for an agreed-on price or according to an agreed-on
formula.
Cumulative Planned Premium
The total of the planned premiums scheduled to be paid to date by the policy
owner.
Cumulative Loan
The total of the annual loans and loan interest, if accrued, to date.
Cumulative Retirement Income
The total of the annual retirement income distributions projected to be taken
to date from an insurance policy whether by way of loans or withdrawals.
Custodianship
An ownership arrangement in which property management rights are given to a
custodian for the benefit of a child beneficiary under the Uniform Gifts to
Minors Act or the Uniform Transfers to Minors Act; a custodian's duties
resemble those of a trustee, although the custodian does not take legal title
to the trust property and custodianship ends when the minor reaches the age of
majority as specified by state law. May also apply to
property management rights of individuals who are determined to be incompetent
to handle their own affairs.
D
Death Benefit Only Arrangement (DBO)
A type of deferred compensation arrangement in which an employer agrees to pay
only a death benefit to a deceased employee's heirs rather than the customary
retirement benefit (and perhaps ancillary benefits) associated with
conventional deferred compensation.
Decedent
The person who has died.
Declarations
Statements in an insurance contract that provide information about the property
or life to be insured and used for underwriting and rating purposes and
identification of the property or life to be insured.
Deferred Compensation Plan
A plan in which the executive elects to defer
compensation into an account in the expectation of receiving the deferrals plus
earnings at retirement; may involve company contributions.
Defined Benefit Plan
A plan in which the company specifies the benefit the
plan will deliver. Typically involves only company contributions; company bears
the investment risk. (Examples: pension or cash balance plan).
Defined Contribution Plan
A plan in which the company defines the contribution
it will make to the employee's account in the plan rather than a fixed benefit
the employee will receive. Typically involves both company and employee
contributions; employee bears the investment risk.
Dental EPO
An exclusive provider organization is a network of dentists that are united
with the insurance company to provide care at a reduced cost. In return, the
EPO pays most of the cost of the patron’s dental care needs. An EPO is a closed
dental plan, so customers can only visit the dentists that are in the plan so
it differs from the PPO in that regard. Generally, an EPO does not pay the
dentists until services have been rendered for the customers.
Dental Indemnity Plan
An indemnity dental insurance plan is often called a traditional dental
coverage plan or a fee for service plan. In this particular type of dental
insurance plan, you have the choice to visit any dentist or dental care
professional you wish. Generally, you do not need to select your dentist from a
list of network providers or approved providers to qualify for benefits and
coverage.
Normally, you will need to pay a deductible on your
indemnity dental insurance. Once the deductible has been satisfied, the
insurance carrier will cover a portion of “usual and customary” dental costs.
How much your dental insurance will reimburse will differ according to the
carrier. However, many insurance carriers offering this type of plan could
possibly pay up to 100% of usual and customary dental costs.
Dental services will usually fall into one of four
types. Occasionally implantology will fall into a fifth category. Here is
a list of the four types and some examples of what falls into their respective
categories:
Type I (Diagnostic and Preventative)
- Oral
Examinations
- Cleanings
- X-rays
- Topical
Fluoride
Type II (Basic)
- Fillings
- Simple
Extractions
- General
Anesthesia
- Inlays,
Bridges
- Repair
Removable Dentures
- Periodontic
Services
Type III (Major)
- Crowns
- Root
Canals
- Inlays
and Onlays
- Dentures
- Bridges
- Denture
Adjustments/Relining
Type IV (Orthodontics)
Dental POS
A Dental point-of-service (POS) plan permits a member to use either a DHMO/DMO
network dentist or to seek care from a dentist not in the DHMO/DMO network.
Members decide in-network care or out-of-network care at the time they make
their dental appointment and typically incur higher out-of-pocket costs for
out-of-network care. Out-of-network care can be subject to deductible,
co-insurance, usual and customary fees, and benefit limitations.
Dental PPO
A preferred provider organization dental plan is dental coverage that is part
of a network insurance system. Dentists sign up for the PPO network hoping to
acquire more patients. The dentists offer lower rates for the clients of
a particular dental insurance carrier, in return for the referrals the
insurance company provides. Patients have the choice of choosing from a network
of specific dentists, or seek dental care out of the network. However,
choosing out-of-network care may result in higher fees or decreased benefits.
DHMO/DMO
A dental health maintenance organization is occasionally referred to as a
capitation dental insurance plan. It is a type of insurance where a group of
dentists, or a single dentist, joins in a contract with the DHMO/DMO to offer
dental treatment for the patients who are a part of the DHMO/DMO. The
organization pays the dentist a certain amount per patients per month who are
enrolled in the group. However, some carriers may implement a
fee-for-service basis in which the dentist is paid for the services rendered,
rather than a fixed amount per patient. Sometimes, if the contract
specifies, the patient pays a co-payment for certain treatments while paying
nothing for standard treatments such as exams and cleanings. In Addition,
there are usually no claim forms. In a DHMO/DMO, the patients must visit
only dentists that are part of the DHMO network.
Dower
The life estate of a widow in the property of her
husband. At common law a wife had a life estate in one-third (in value) of the
property of her husband who died without leaving a valid will or from whose
will she dissented. In many states common law dower has been abolished by
statute or never has been recognized.
Durable Power of Attorney
A written legal document which allows one person (the principal) to authorize
another person (the attorney-in-fact or agent) to act on his or her behalf with
respect to specified types of property, and which may remain in effect during a
subsequent disability or incompetency of the principal.
Durable Power of Attorney for Health Care
A written legal document which grants decision-making powers related to health
care to an agent; generally provides for removal of a physician, the right to
have the incompetent patient discharged against medical advice, the right to
medical records, and the right to have the patient moved or to engage other
treatment.
E
Economic Benefit
The value of the death benefit protection provided to employee under a split
dollar plan, as defined by IRS revenue rulings and notices. The economic
benefit amount is equal to the employee death benefit multiplied by the
economic benefit rate, plus the cost of "other benefits" that are
owned, controlled by or otherwise provided to the employee under the policy.
The economic benefit rate is an age specific rate per thousand, which may be
determined from government tables (i.e., IRS Table 2001 for individual
policies, or the rate calculated by applying the Greenberg to Greenberg formula
to IRS Table 2001 rates for joint survivor policies) or by using rates found in
Security Life of Dever's alternative term products (single life alternative
term or joint survivor alternative term).
Employee Benefit Plan
A plan established or maintained by an employer or
employee organization, or both, for the purpose of providing employees a
certain benefit, such as pension, profit-sharing, stock bonus, thrift medical,
sickness accident, or disability benefits.
Employee Benefit Trust
A trust established to hold the assets of an employee
benefit plan.
Endorsement
Written provision that adds to, deletes, or modifies
the provisions in the original contract.
Endorsement Method (
Split
Dollar)
A life insurance policy ownership arrangement under a split-dollar arrangement
in which the employer owns the policy and an endorsement to the policy spells
out the employee's rights.
EPO (Exclusive Provider Organization)
An EPO is an organization of providers which includes Physicians, Hospitals,
Pharmacies, Labs, etc. that have agreed to charge a discounted rate in
accordance to the allowable charges set by the insurance carrier. The
structure is similar to the HMO without the need of a primary care physician
(PCP). Since there is no PCP, there is no need for a referral.
Equity Split-Dollar
An arrangement in which the employer's share of the cash value and death
benefit of life insurance on an employee's life is confined to its aggregate
net premium payments; any cash value in excess of the employer's premiums
inures to the benefit of the other party (employee or third party). The
taxation of this arrangement is addressed in IRS Notice 2001-10.
ERISA
The Employee Retirement Income Security Act of 1974 (ERISA) is a federal law
covering all areas of employee retirement plans and providing protection for
those in these plans. ERISA requires the participants be provided with
plan information that covers plan features and funding. It also imparts fiduciary responsibilities for those managing and controlling plan assets, and if these duties are
breached participants have the right to sue for benefits and courts may take
actions against these fiduciaries. Also, it mandates plans to establish a
grievance and appeals for participants to get benefits from their plans.
Errors and Omissions Insurance
Liability insurance policy that provides protection against loss incurred by a
client because of some negligent act, error, or omission by the insured.
Estate
Everything of value (all property) that a person owns
while living or at the time of death.
Estate Planning
Process designed to conserve estate assets before and after death, distribute
property according to the individual's wishes, minimize federal estate and
state inheritance taxes, provide estate liquidity to meet costs of estate
settlement, and provide for the family's financial needs.
Estate Tax
A tax imposed on the transfer of property from a
decedent to his or her heirs, legatees or devisees.
Executor or Executrix
An individual or institution nominated in a will and appointed by a court to
settle the estate of a deceased.
F
Fair Market Value
The price at which an item can be sold at the present
time between two unrelated people, neither under compulsion to buy or sell.
Fiduciary
A person in the position of great trust and responsibility, such as the
executor of a will or the trustee of a trust.
Fixed-Period Option
Life insurance settlement option in which the policy proceeds are paid out over
a fixed period of time.
Future Interest
An ownership interest in property in which unlimited
possession or enjoyment of property is delayed until some future time.
G
General Partner
A general partner is a partner of a partnership who is personally liable for
all partnership debts and is permitted to participate in the management of the
partnership.
General Partnership
A partnership that has only general partners and no limited partners. Each partner is liable for all partnership debts and there
is no limited liability.
General Power of Appointment
A power of the donee (the one who is given the power) to pass on an interest in
property to whomever he pleases, including himself or his estate.
Gift
A voluntary transfer of property for which nothing of
value is received in return. If the Internal Revenue Service is to recognize a
transfer as a gift, the donor(s) must unconditionally transfer all title and
control of the property to the recipient(s) at the time the gift is given.
Gifting
A means of implementation of an estate plan through
gifts to intended successors in the ownership of assets owned by the person(s)
making the gifts.
Grace Period
Period of time during which a policyowner may pay an overdue premium without
causing the policy to lapse.
Grantee
A person to whom property is transferred by deed or to
whom property rights are granted by means of a trust instrument or some other
document.
Grantor
The person who establishes the trust. Also called the creator, settlor, donor or trustor.
Grantor Retained Annuity Trust
A trust in which the grantor retains the right to a set annual dollar amount
(the annuity) for a fixed term and gives the principal to others, such as the
grantor's children, at the end of that term. If the grantor survives until the
end of the annuity term, all of the trust principal will be excluded from the
grantor's estate for estate tax purposes. A grantor retained annuity trust is
sometimes referred to as a "GRAT."
Grantor Trust
For purposes of the income taxation of trusts, a trust in which the grantor or
a third party, because of certain rights to income or principal or certain
powers over the disposition of income and principal, is treated as the owner of
the trust and taxed on the income thereof. Consequently, a grantor trust is not
treated as a separate entity for income tax purposes.
Gross Estate
The total value of all property in which a deceased
had an interest. This must be included in his or her estate for federal tax
purposes.
Group "Carve Out" Life Insurance Plan
This plan is an alternative to group term insurance. It provides life insurance
coverage to selected employees by "carving out" all or a portion of
their coverage under an employer sponsored group term plan and then provides
them with individual policies. The plan can be designed as either a Bonus §162
Plan or a split dollar plan.
Group Life Insurance
Life insurance provided on a number of persons in a single master contract.
Physical examinations are not required, and certificates of insurance are
issued to members of the group as evidence of insurance.
Group-Term Life Insurance Program
An employer may provide employees with life insurance coverage through an IRC
§79 group-term policy, the first $50,000 of which generally produces no taxable
cost to the employee.
Guaranteed Investment Contract (GIC)
A debt instrument issued by an insurance company, usually in a large
denomination, and often bought for retirement plans. The interest rate paid is
guaranteed, but the principal is not.
Guaranteed Insurability
An insurance policy in which the insurer is required
to renew the policy for a specified amount of time regardless of changes to the
health of the insured. The agreement requires that premiums are paid on time
and that the insurer makes no changes except if a premium change is made for an
entire class of policyholders. Also called guaranteed renewable or conversion
privilege or convertible term insurance.
Guaranteed Net Surrender Value
The guaranteed surrender value which equals the
guaranteed net policy value minus the surrender charge, if any.
Guardian
A person legally entrusted with the care of, and managing the property and
rights of, another person, usually a minor child.
H
Heir
A person entitled by law to inherit part or all of the estate of an ancestor
who died without leaving a valid will.
HIPAA
The Health Insurance Portability and Accountability
Act of 1996 (HIPAA) is an amendment to ERISA that provides rights and
protections for participants and beneficiaries in group health plans who may
have preexisting medical conditions. What it does is limit exclusions for
these preexisting conditions, prohibit any discrimination of workers or beneficiaries
based on health condition, and allow opportunities for employees in special
situations to enroll in a new plan. In addition to group coverage, HIPAA
may also give you the privilege to obtain individual coverage if no group
health plan is accessible.
HMO (Health Maintenance Organization)
An HMO is an organization that provides its members with comprehensive
healthcare services through an established group of network providers including
doctors, hospitals, pharmacies, labs, etc. HMO's are proactive in their
approach to promote wellness and preventative medicine by encouraging physicals
and by offering discounts to services such as gyms and other wellness
facilities. In theory, early detection and prevention saves the carrier
money before medical conditions worsen and costs escalate.
Generally a primary care physician (PCP) is selected to oversee the medical
management of the member and act as the 'gatekeeper'. The PCP may be the
internist, pediatrician, or even a woman's gynecologist. One of their
roles as the gatekeeper is to authorize the services beyond their scope of
their expertise by way of a referral. The referral would often be
required for specialist visits, scheduled surgeries, diagnostic tests, and
hospitalizations. However 'open access' HMO's are becoming very popular
and now allow the participants to self refer. With an HMO, your choice of
doctors, hospitals, and other providers is restricted to a network except in
the case of an emergency. In most cases, preauthorization by the carrier
it is still required for treatment outside of the network. The network of
providers is paid by the carrier on a predetermined basis for the services
rendered. The cost to the member is usually limited to a small co-payment
which represents a percentage of the overall medical cost. Due to the
increasing costs of healthcare, cost sharing plans are becoming more common
passing more of the financial burden to the member by way of in-network
deductibles and/or coinsurance.
Human Life Value
For purposes of life insurance, the present value of the family's share of the
deceased breadwinner's future earnings.
I
Incapacity
The lack of ability to act on your own behalf.
Incidents of Ownership
Includes a variety of rights and powers that an insured decedent may have held
over a life insurance policy; the possession of one or more of these incidents
of ownership within three years of death will bring the policy proceeds into
the insured's gross estate.
Income Beneficiary
The beneficiary of a trust who is entitled to receive the income from it.
Incontestable Clause
A provision in a life insurance policy that prevents the insurer from revoking
coverage because of alleged misstatements by the insured after a specified
period, usually about two years.
Individual Retirement Account (IRA)
A tax-deferred retirement account for an individual that can be established by
a person with earned income. Earnings accumulate tax-deferred until the funds
are withdrawn beginning at age 59 ½ or later (or earlier, with a 10% penalty).
Insurable Interest
The expectation of a monetary loss that can be covered by insurance.
Insurance
Pooling of fortuitous losses by transfer of risks to insurers who agree to
indemnify insured’s for such losses, to provide other pecuniary benefits on their
occurrence, or to render services connected with the risk.
Insurance Trust
An irrevocable trust established to own an insurance policy or policies and
thereby prevent them from being included in the insured's estate.
Insuring Agreement
That part of an insurance contract that states the promises of the insurer.
Intangible Property
Property that cannot be touched and that represents real value such as bonds,
stock certificates, promissory notes, certificates of deposit, bank accounts,
contracts, leases, and other similar items.
Interest Credit
The nonguaranteed amount credited to the policy's account value based upon a
rate of interest specified by the insurance company.
Interest Option
Life insurance settlement option in which the principal is retained by the
insurer and interest is paid periodically.
Investment Gain/Loss
The total increase or decrease in account value as a result of investment
division performance during the policy year.
Irrevocable Beneficiary
Beneficiary designation allowing no change to be made in the beneficiary of an
insurance policy without the beneficiary's consent.
Irrevocable Trust
A trust that cannot be changed or terminated after it is established.
J
Joint Tenancy
A form of ownership shared with an unlimited number of
individuals. Each tenant owns an equal undivided share of the property.
K
Keogh Plan (HR-10 Plan)
Retirement plan individually adopted by self-employed persons.
L
Law of Large Numbers
Concept that the greater the number of exposures, the more closely will actual
results approach the probable results expected from an infinite number of
exposures.
Liability
A financial obligation, debt, claim, or potential loss.
Life Income Option
Life insurance settlement option in which the policy proceeds are paid during
the lifetime of the beneficiary. A certain number of guaranteed payments may
also be payable.
Life Insurance Planning
Systematic method of determining the insured's financial goals, which are
translated into specific amounts of life insurance, then periodically reviewed
for possible changes.
Limited Partner
A partner in a partnership who can't participate in
the management of the partnership's business. A limited partner's liability is
limited to loss of his investment in the partnership.
Limited Partnership
Form of partnership composed of both a general partner(s) and a limited
partner(s); the limited partners have no control in the management of the
company and are usually financially liable only to the extent of their
investment in the partnership.
Living Trust
A written legal document into which you place all of
your property, with instructions for its management and distribution upon your
disability or death.
Loan
Money that is lent. In life insurance a
loan can be taken against the cash value of a life insurance policy. If the
insured dies while there is an outstanding loan balance, the amount of the loan
and any unpaid interest due will be deducted from the death proceeds.
Loan Interest Charge
The annual interest expense charged to the policy owner on the amount borrowed
from a policy's cash value. If loan interest is not paid in cash, it is added
to the outstanding loan balance. The unpaid loan interest will then increase
the amount borrowed.
M
Marital Deduction
A deduction allowing for the unlimited transfer of any or all property from one
spouse to the other generally free of estate and gift tax.
Minor Child
A person who has not yet reached the legal age of majority. This age can differ with each state, but generally is
between 16 and 21 years. The term does not apply to an emancipated minor.
Minority Discount
A discount applied to the value of an interest in a
corporation, limited liability company or limited partnership that is not
publicly marketable to reflect the fact that a minority interest in the company
has less value than a controlling interest, since the holder of the former
cannot control business actions.
N
Needs Approach
Method for estimating amount of life insurance appropriate for a family by
analyzing various family needs that must be met if the family head should die
and converting them into specific amounts of life insurance. Financial assets are considered in determining the amount
of life insurance needed.
Net Amount at Risk
In life insurance, the difference between the face value of a life insurance
policy and its cash value (also known as "pure amount of
protection").
Nonforfeiture
Law
State
law requiring insurance companies to
provide at least a minimum nonforfeiture value to policyowners who surrender
their cash value life insurance policies.
Nonqualified Deferred Compensation Plan
A contractual arrangement that calls for paying an
individual or group of executives future benefits. It does not qualify for
favorable tax treatment, but has far fewer restrictions than qualified plans. Non-qualified
plans are unsecured and subject to risks; they must remain "unfunded"
to avoid current taxation.
O
Ownership Clause
Provision in life insurance policies under which the policyowner possesses all
contractual rights in the policy while the insured is living. These rights can generally be exercised without the
beneficiary's consent.
P
Partition
The judicial separation of the respective interests in
property of joint owners or tenants in common so each may take possession,
enjoy, and control his or her share of the property.
Partnership
A type of unincorporated business organization in which multiple individuals,
called general partners, manage the business and are equally liable for its
debts.
Personal Representative
An executor, administrator, or anyone else who is in charge of a decedent's
property.
Planned Premium
The premium amount specified by the policy owner as the amounts intended to be
paid at fixed intervals over a specified period of time. Premiums may be paid
on a monthly, quarterly, semi-annual or annual basis. If policy values are
adequate, the specified premium need not be paid, and can be changed at any
time. Within limits, premium payments that are more or less than the specified
premium amount may be permitted.
Policy Basis
The policy basis represents the policy owner's investment in the policy. Policy
basis is used in determining the taxable portion of a policy
distributions when a taxable event occurs. For example, the portion of
the surrender proceeds or withdrawal distribution that exceeds the policy basis
is reported as taxable income (gain).
Policy Loan
A loan made by an insurance company to a policyholder
on the security of the cash value of the policy.
POS (Point-of-Service)
POS is a type of managed care plan that offers in-network benefits as well as
out of network coverage. The in-network coverage is very similar to the
standard HMO and the plan designs can be customized in the same way.
Usually the only cost to the member is a small co-payment. The
out-of-network coverage's are similar to the traditional indemnity plans
whereby the member is indemnified for the services rendered as opposed to a
pre-arranged or contracted fee arrangement with the provider in an established
network. Point of Service plans allow the member to point to the service
they desire.
The out-of-network portion is generally subject to an annual deductible before
any reimbursement to the user. Once the deductible is reached, the member
is usually responsible for their share of the coinsurance up to a stop-loss
level. The coinsurance percentage can be as high as 50% and the
stop-loss level, which is the threshold as to when the coinsurance no longer
applies, can be as high as $20,000 or more. This coinsurance provision
normally applies to each and every procedure as well as for each and every
family member. Provider payments are subject to a 'usual, customary, and
reasonable', or UCR rate level which is based on the HIAA rates schedule.
This schedule generally represents the amount the insurance carrier will pay
for a procedure in a given region. The UCR level is a percentile that
depicts a percentage of providers that charge within the schedule. This
percentile can be increased to encompass a greater number of providers, thus allowing
a higher amount of covered charges.
Power of Appointment
A right given to another in a written instrument, such as a will or trust that
allows the other to decide how to distribute your property. The power of appointment is "general" if it
places no restrictions on who the distributees may be.
A power is "limited" or "special" if it limits the eventual
distributee.
Power of Attorney
A written legal document that gives an individual the
authority to act for another. If the authority is to act for the principal in
all matters, it is a general power of attorney. If the authority granted is
limited to certain specified things, it is a special power of attorney. If the
authority granted survives the disability of the principal it is a durable
power of attorney.
PPO (Preferred Provider Organization)
Similar to an EPO, a PPO is an organization of providers which includes
Physicians, Hospitals, Pharmacies, Labs, etc. that have agreed to charge a
discounted rate in accordance to the allowable charges set by the insurance
carrier. Unlike an EPO, the PPO allows the member to receive services
outside of this network subject to the conditions of the policy. This
structure is similar to the POS without the need of a primary care physician
(PCP) for services received in network. Since there is no PCP, there is
no need for a referral.
The out-of-network portion is generally subject to an annual deductible before
any reimbursement to the user. Once the deductible is reached, the member
is usually responsible for their share of the coinsurance up to a stop-loss
level. The coinsurance percentage can be as high as 50% and the
stop-loss level, which is the threshold as to when the coinsurance no longer
applies, can be as high as $20,000 or more. This coinsurance provision
normally applies to each and every procedure as well as for each and every
family member. Provider payments are subject to a 'usual, customary, and
reasonable’, or UCR rate level which is based on the HIAA rates schedule.
This schedule generally represents the amount the insurance carrier will pay
for a procedure in a given region. The UCR level is a percentile that
depicts a percentage of providers that charge within the schedule. This
percentile can be increased to encompass a greater number of providers, thus
allowing a higher amount of covered charges.
Primary Beneficiary
Beneficiary of a life insurance policy who is first entitled to receive the
policy proceeds on the insured's death.
Probate
A court procedure for settling the personal affairs of
a decedent by formally proving the validity of a will and establishing the
legal transfer of property to beneficiaries, or appointing an administrator and
supervising the legal transfer to property to heirs if there is no valid will.
Q
Qualified Plan
Plans that qualify for favorable tax treatment under the Internal Revenue Code,
and are subject to restrictive rules and extensive regulations. Qualified plans are secured by a trust, as opposed to a
nonqualified plan.
R
Rate
Price per unit of insurance.
Rebating
A practice-illegal in virtually all states-of giving a
premium reduction or some other financial advantage to an individual as an
inducement to purchase the policy.
Representative
Someone who is authorized to act on your behalf, such
as an executor or a trustee.
Revocable Beneficiary
Beneficiary designation allowing the policyowner the right to change the
beneficiary without consent of the beneficiary.
Revocable Trust
A trust that can be changed after it is established. Assets can be added or
removed from the corpus of the trust, the beneficiary(ies)
can be changed, and other changes including termination of the trust, are
allowed.
Rider
Term used in insurance contracts to describe a document that amends or changes
the original policy.
S
Section 2503(c) Trust for Minors
A trust designed to comply with Section 2503(c) of the
Internal Revenue Code so that a gift placed in such a trust for the benefit of
a minor will qualify for the gift tax annual exclusion although they are not
gifts of a present interest.
Section 303 Stock Redemption
When certain requirements are met, this section of the Internal Revenue Code
allows a shareholder's estate or heirs to sell to the deceased's closely held
corporation enough stock to pay federal and state death taxes, costs of estate
administration, and funeral expenses without the corporation's distribution
being treated as a dividend for income tax purposes
Section 401(k) Plan
A qualified profit sharing or thrift plan that allows
participants the option of putting money into the plan or receiving funds as
cash. The employee can voluntarily elect to have his or her salary reduced up
to some maximum limit, which is then invested in the employer's Section 401(k)
plan.
Section 457 Plan
A plan which provides an exclusion from gross income for a certain portion of
salary deferred by a participant under the plan of a state or local government,
a tax-exempt organization (excluding churches), or of an independent contractor
of such government or organization (e.g., a physician providing independent
services to a hospital).
Section 6166
A section of the Internal Revenue Code that allows for a 14-year spreadout of
the estate tax for estates that qualify (generally estates that include closely
held businesses or farms).
Secular Trust
An irrevocable trust which is a separate tax-paying entity from the company. Assets contributed to a secular trust are currently
taxable to the trust beneficiary. In contrast to a rabbi trust, a secular trust
is beyond reach of corporate creditors in the event of bankruptcy.
Settlement Option
Ways in which life insurance policy proceeds can be paid other than in a lump
sum, including interest, fixed period, fixed amount, and life income options.
Simplified Employee Pension (SEP) IRA
A retirement program for self-employed people or owners of small companies
allowing them to defer taxes on investments intended for retirement
Split
Dollar Plans
A method of purchasing life insurance in which the
premium payments and policy benefits are divided, usually between an employer
and employee. Many types of split dollar designs are possible. It can be a
valuable executive benefit that provides life insurance protection for an
executive's survivors at a minimal cost (the economic benefit cost) to the
employee.
State Death or Inheritance Taxes
The tax imposed by the state in which you live and/or
where your property is located, if different, on the transfer of that property
to another at your death.
Statute of Limitations
A statute, which bars lawsuits upon valid claims after the expiration of a
specified period of time. The period
varies by state law and for different kinds of claims.
Succession
A term used to describe transfers of asset ownership through inheritance,
gifting, preferential sale, or other means that fulfill the wishes of the
person(s) with present ownership of the assets.
Suicide Clause
Contractual provision in a life insurance policy stating that if the insured
commits suicide within two years after the policy is issued, the face amount of
insurance will not be paid; only premiums paid will be refunded.
Supplemental Executive Retirement Plan
A type of non-qualified deferred compensation plan often used to attract and
retain executives. Generally, the promised benefits are paid from the
employer's general assets, and no amounts are specifically earmarked for future
benefit payments. Usually the employee has no option to receive the funds as
current compensation.
Surrender Charge
The fee charged to a policy owner when a life
insurance policy or annuity is surrendered for its cash value.
T
Tangible Property
Property that is capable of being perceived by the senses - generally refers to
real estate, personal property, and moveable property that has value of its own
and is not merely a representation of real value. Land, machinery, buildings,
crops, and livestock are examples of tangible property.
Tax Basis
The owner's cost of an asset for income and estate tax
purposes as determined under the Internal Revenue Code and IRS regulations.
Term Insurance
Type of life insurance that provides temporary protection for a specified
number of years.
Testamentary Trust
A trust established after the death of the grantor
under the provisions of the grantor's will.
Testator
One who writes or has written and signs a will.
Trust
A legal arrangement in which an individual (the
trustor) gives fiduciary control of property to a person or institution (the
trustee) for the benefit of beneficiaries.
Trust Declaration or Trust Instrument
A document defining the nature and duration of the trust, the powers of the
trustee, and identifying the trust's beneficiary(ies).
Trustee
An individual or organization which holds or manages and invests assets for the
benefit of another.
U
Underwriting
The selection and classification of applicants for
insurance through a clearly stated company policy consistent with company
objectives.
Undivided Interest
The interest or right in property owned by each joint tenant or tenant in
common. Each tenant has equal right to use and enjoy the entire property. Unless
an agreement to the contrary exists, each tenant is entitled to an income share
proportional to his or her ownership interest. If the property is sold, the
sale proceeds are shared among tenants in proportion to the ownership shares
held by each tenant.
Universal Life Insurance
Life insurance which combines the low-cost protection of term insurance with a
savings component that is invested in a tax-deferred account, the cash value of
which may be available for a loan to the policy holder.
V
Vesting
An ERISA guideline stipulating that employees must be entitled to their entire
retirement benefits within a certain period of time even if they are no longer
with the employer.
W
Wait-and-See Buy-Sell Agreement
A special type of buy-sell agreement between the owners of a business and the
business itself, in which, typically, the business entity has a first option to
purchase a deceased owner's interest; the surviving owners then have a second
option to purchase any portion of the interest not already acquired by the
business; and finally, the business entity is required to purchase any
remaining interest not already sold under the two options.
Waiver-of-Premium Provision
Benefit that can be added to a life insurance policy providing for waiver of
all premiums coming due during a period of total disability of the insured.
Will
A person's (An
Individual’s) written declaration of desires
for disposal of his or her property after death.
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