Tamilnadu Chief Minister's Comprehensive Health Insurance Scheme

Monday 16 February 2015

Important words in Insurance

S.No
Important Words
SUMMARY
1                                                   
 proposer  
A person who requests to buy a policy for self, spouse or child.
2
Proposal form
This is a form to be filled by person who wishes to take a policy. (all a person in whose name policy is taken.
3
Policy holder
A person in whose name policy is taken.
4
Premium
Amount to buy a policy or installment. (Annually, semi annually, quarterly, monthly (ECS-electronic clearing system)
5
agent
Intermediate between company & policy holder. (one who sells policies on commission basis)
6
insurer
Insurance company who sells policy & also gives money (SA/maturity) at the end of the period.
7
contract
Agreement between company& policy holder. (one giving & one taking)
8
nominee
A person who receives the money on death of the life insured
9
rider
It can be taken along with normal policy for extra benefits (WOP, CI AD &D, SC, HC)
10
Sum assured
The limit of the policy amount. (risk amount- sum at risk)
11
claim
Payment of sum assured on death or maturity.
12
Risk/peril/hazard
Risk- chance of damage of loss, peril- event which might cause a loss, hazard- conditions that a peril would happen.
13
Coroner (investigator)
A person who investigates in case of death cases.
14
Medical referee
Panel of doctors who are appointed for medical checkups. (not company employee)
15
underwriter
He is a company employee who decides to give the policy or not

16
actuary
A person who decides the premium, bonus etc.
17
Utmost good faith
Declarations by the person that 
All information filled in proposal form are correct. 
18
indemnity
It is amount paid as per actual loss occurred applied for general insurance not applied for life insurance as Li is value contact.
19
Insurable interest
Policy taken on near & dear ones (profit if they are alive loss in case of their death). It arises at the time of inception of the policy.
20
Grace period
Extra time given for policy holder to pay the premium.  Yrly/Hif/Qtr 30 days 7 mtly 15 days.
21
lapse
Stops benefits of policy for nonpayment of premium after grace period.
22
revival
A process to re-start the lapse policy.
23
endorsement
A process to make changes in the policy document.
24
assignment
A process to transfer the rights or title to others (gift loan)
25
surrender
After paying 3 full  years premium a policy can be surrendered with s. charges (ULIP plans no surrender charges after 5 years).
26
Income tax 1961
Life insurance sec 80c (upto 1 lac) health/medical 80d (15k or 20k) & 10 10d tax free returns 9maturity & death)
27
Micro insurance
A policy for low income group (SA 5k to 50k) medical (KD to 30k) min premium Rs 15 per week.
28
MWP act 1874
(married women policy act) a special act to protect the women & upto 2 & more children’s
29
ombudsman
This is a court where policy holder can file a case against the company in case of dispute. (max 20lac & decision 90 days)
30
Moral & physical hazard
Risk which is external is physical hazard (height, weight) risk for habits, carelessness is intention is moral.
31
Saving products
Life insurance, bank, post office, gold silver, Mf shares etc.
32
Type of insurance
Life, non-life & reinsurance.
33
Health insurance
Individual, family floater, group & daily hosp benefit. ( fixed days & fixed amount)
34
Participants insurance
Agents, corporate agents, intermediaries, underwriter, acuturaries, TPA
35
Human life value
Every human being has a value (20 times of his income)
36
e-sales
Sales trough internet
37
Life insurance products
Pure term, pure endowment, endowment, (child, money back) ULIP group insurance etc
38
Pooling of risk
Similar risk faced by people, different people contribute premium. (life, car etc)
39
Mutual understanding
In a contract there are 2 parties they come together & agree for the same terms & conditions.
40
Paid up value
If premium is not paid after the grace  period it can be converted into paid up policy as it will have some surrender value. (total number of premium paid/total number of premium payable x sum assured)
41
inflation
If price of goods & services increase & value of money fall.
42
Fact finding
Collection of financial information from the customer(age, family history, income etc)
43
Investment priority
High, low & middle
44
Life cycle
Childhood, young, young married, with small child, with big child, pre-retirement etc
45
Insurance priority
Protection, income protection, child edu, medical, wealth creation, retirement.
46
churning
Convincing customer to shift from existing policy to new policy for earning high commission.
47
Participating plan
This plan has the right to participate in profits (bonus) of the company. (nonparticipating no bonus eg term, ULIP)
48
IRDA,SENBI, RBI
full form of these & relations of the same.
49
bonus
benefits above the S A paid to the policyholder after a certain period of time.
50
Clause & lien
clause is a condition which applies for high risk people (pilot, electrician) lien reduction of SA over a period of 5 years if risk is reducing over a period of time.
51
maturity
Benefits received at the end of the policy term.
52
underwriting
Process of checking the policy (to issue or not)
53
trustee
To whom benefits of policy to be paid. 9in case of MWP ACT)
54
ULIP
The policies which are related to share market.
55
NAV
Net asset value of 1 unit of share purchased.
56
Vesting age
The age of the child when the child attains maturity.  Mostly found in children
57
Risk retention & risk transfer
Keeping the risk with self. Transferring the risk by purchasing a insurance policy.
58
Locking period
Applicable for ULIP plans where the premiums have tp be parked for certain period.
59
Indisputable clause
Sec 45 if the insurer comes to know if any information in the policy is hidden.
60
Role of financial services
Where the agents help the policy holders to maintain a stable life. They also help the Govt  for smooth fuctioning.
61
Indirect channel
These are the channels who sell insurance on behalf of the insurer. (agents, bancassurance, brokers ETC)


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