CAFETERIA PLANS
An employee benefits plan that allows employees to customize their benefit
package. Employees receive a fixed amount of dollars that can be allocated between several
fringe benefits. CANCELLATION
The termination of insurance coverage during the policy period. Flat cancellation
is the cancellation of a policy as of its effective date, without any premium charge.
CAPACITY
The supply of insurance available to meet demand. Capacity depends on the
industry's financial ability to accept risk. Reduced capacity leads to higher premiums,
but higher premiums eventually attract more capacity to the market.
CAPITAL
The amount of money you have invested. When your investing objective is capital
preservation, your priority is trying not to lose any money. When your investing objective
is capital growth, your priority is trying to make your initial investment grow in value.
CAPITAL GAIN
Profit from a sale of an investment constitutes a capital gain. For example, if
you bought a share of stock for $5 and later sold it for $7.50, you would have a capital
gain of $2.50.
CAPITAL GAINS TAX
Tax on the gain realized from the sale of capital assets such as stock, mutual
funds, business interests, or other asset. Long-term capital gains tax rates apply to
assets held longer than 12 months.
CAPITAL LOSS
Amount by which the proceeds from the sale of a capital asset are less than its
cost basis.
CAPTIVE AGENT
Representative of a single insurer or fleet of insurers who is obliged to submit
business only to that company, or at the very minimum, give that company first refusal
rights on a sale. In exchange, that insurer usually provides its captive agents with an
allowance for office expenses as well as an extensive list of employee benefits such as
pensions, life insurance, health insurance and credit unions.
CARRIER
Insurance company that actually underwrites and issues the insurance policy. The
term refers to the fact that the company carries (or assumes) certain risks for the
policyholder.
CARRYOVER
Refers to the process of shifting to a future taxable year those losses and other
deductions that exceed limits for the current tax year.
CARRYOVER BASIS
Basis in property that may 'carry over' from the transferor to the transferee.
Generally this occurs when there is an exchange of property, or property is transferred by
gift.
CASE MANAGEMENT
A system of coordinating medical services to treat a patient, improve care, and
reduce cost. A case manager coordinates health care delivery for patients.
CASH RESERVE
An emergency or contingency fund (or credit) set aside and held in an easily
accessible form (such as a savings account) for the purpose of meeting emergency expenses
and/or short-term cash flow needs.
CASH SURRENDER VALUE
Amount available to the owner if a life insurance policy or annuity is
surrendered. The amount represents the cash value minus surrender charges and any
outstanding loans due upon cancellation of the policy.
CASH VALUE
The cash within a permanent life insurance policy. Cash value is the premium paid
less the cost of insurance policy. Cash value is also adjusted by any investment
performance within the insurance policy.
CASH VALUE LIFE INSURANCE
A permanent insurance policy that builds cash value, often described as a savings
account within the policy.
CASUALTY
Liability or loss resulting from an accident.
CASUALTY INSURANCE
Casualty Insurance coverage is primarily for the legal liability of an individual
or organization that results from negligent acts and omissions causing bodily injury
and/or property damage to a third party. However, the term is broad and includes such
property insurance as aviation insurance, boiler and machinery insurance, glass insurance
and crime insurance.
CATASTROPHE
Term used for statistical recording purposes to refer to a single incident or a
series of closely related incidents causing severe insured property losses totaling more
than a given amount, currently $25 million.
CATASTROPHE BONDS
Risk securities that pay high interest rates and provide insurance companies with
a form of reinsurance to pay losses from a catastrophe such as those caused by a major
hurricane. They allow insurance risk to be sold to institutional investors in the form of
bonds, thus spreading the risk.
CATASTROPHE DEDUCTIBLE
A percentage or dollar amount that a homeowner must pay before the insurance
policy kicks in when a major natural disaster occurs. These large deductibles limit an
insurer's potential losses in such cases, allowing it to insure more property. A property
insurer may not be able to buy reinsurance to protect its own bottom line unless it keeps
its potential maximum losses under a certain level.
CATASTROPHE FACTOR
Probability of catastrophic loss, based on the total number of catastrophes in a
state over a 40-year period.
CATASTROPHE MODEL
Using computers, a method to mesh long-term disaster information with current
demographic and building data to determine potential losses for a given geographic area.
CERTIFICATE OF CREDITABLE COVERAGE
A document provided by your health plan that lets you prove you had coverage
under that plan. Certificates of creditable coverage will usually be provided
automatically when you leave a health plan. You can obtain certificates at other times as
well. See also Creditable Coverage.
CERTIFICATES OF DEPOSIT
Also known as CDs, these investment vehicles are usually issued by banks and
other financial institutions, and they pay a fixed rate of interest for a specific period
of time. Generally, amounts up to $100,000 in a bank are insured by the FDIC.
CLAIM
Notice to an insurer that under the terms of a policy, a loss maybe covered.
CLAIM WRITTEN
Request by an insured for the insurance company to cover an incurred loss,
usually submitted on the company's standard form.
CLAIMANT
Any person who asserts right of recovery.
CLASS OF STOCK
A type of share with particular rights and privileges such as the right to vote
on corporate matters. The most common classes of stock are common stock, voting preferred
stock, and non-voting preferred stock.
CLOSING COSTS
These are expenses involved in buying or selling real estate, such as points,
survey charges, title insurance fees, and filing fees for deeds.
COBRA
Consolidated Omnibus Budget Reconciliation Act, a federal law in effect since
1986. COBRA permits you and your dependents to continue in your employer's group health
plan after your job ends. If your employer has 20 or more employees, you may be eligible
for COBRA continuation coverage when you retire, quit, are fired, or work reduced hours.
Continuation coverage also extends to surviving, divorced or separated spouses; dependent
children; and children who lose their dependent status under their parent's plan rules.
You may choose to continue in the group health plan for a limited time and pay the full
premium (including the share your employer used to pay on your behalf) plus a 2%
administrative fee. COBRA continuation coverage generally lasts 18 months, or 36 months
for dependents in certain circumstances. See also State Continuation Coverage.
COINSURANCE
In property insurance, requires the policyholder to carry insurance equal to a
specified percentage of the value of property to receive full payment on a loss. For
health insurance, it is a percentage of each claim above the deductible paid by the
policyholder. For a 20 percent health insurance coinsurance clause, the policyholder pays
for the deductible plus 20 percent of his covered losses. After paying 80 percent of
losses up to a specified ceiling, the insurer starts paying 100 percent of losses.
COLLATERAL ASSET
Assets pledged to a lender until a loan is repaid. If the borrower defaults, the
lender has the legal right to seize the collateral and sell it to pay off the loan.
COLLATERAL ASSIGNMENT
Assignment of an asset (e.g., a life insurance policy's death benefit or its cash
surrender value) to a creditor as collateral for a loan.
COLLATERALIZED
Refers to a loan or other contract that is secured by collateral in the form of
property or other assets. In the case of a loan, the lender can exercise its right to
seize the collateral backing the loan in the event the borrower defaults.
COLLISION COVERAGE
Collision coverage refers to the part of an automobile insurance policy that
covers damage to a vehicle caused by an impact with another vehicle or object or a
rollover.
COMMERCIAL LINES
Products designed for and bought by businesses. Among the major coverages are
boiler and machinery, business interruption, commercial auto, comprehensive general
liability, directors and officers liability, fire and allied lines, inland marine, medical
malpractice liability, product liability, professional liability, surety and fidelity, and
workers compensation. Most of these commercial coverages can be purchased separately
except business interruption which must be added to a fire insurance (property) policy.
(See Commercial multiple peril)
COMMINGLED POOL
Like a mutual fund, a commingled pool combines your money with other investors'
money and is professionally managed. However, a commingled pool is set up differently.
While each mutual fund is a separate investment company, is registered with the Securities
and Exchange Commission, and is available to the general public, commingled pools are part
of a group trust maintained for qualified pension or profit sharing plans and is open only
to participants in those qualified retirement plans. A group trust must be maintained in
accordance with applicable Internal Revenue Code and Department of Labor regulations. It
can be invested just as a mutual fund can -- for example, it could track a particular
market index.
COMMISSION
Fee paid to an agent or insurance salesperson as a percentage of the policy
premium. The percentage varies widely depending on coverage, the insurer, and the
marketing methods.
COMMON LAW MARRIAGE
A marriage deemed valid under some state laws which is created by an agreement to
marry, followed by cohabitation between two people legally capable of making a marriage
contract. Such a marriage requires a mutual agreement to enter into a marriage,
cohabitation sufficient to establish the relationship of husband and wife, and an
assumption of marital duties and obligations. The cohabitation requirement (e.g., the
length of time the two people have to live together under the same roof) and other
criteria defining a common law marriage may vary from state to state.
COMMON POLICY PROVISIONS
Words, sentences, and paragraphs in an insurance policy that generally take the
form of clauses that govern the policy and that set forth the rights and obligations of
both insured and insurer under the policy. Common policy provisions for a life insurance
policy include the suicide clause, the incontestable clause, and the beneficiary clause.
COMMON STOCKS
When people talk about a company's stock, they usually mean common stock. When
you own common stock in a company, you share in its success or failure. As part owner, you
vote on important policy issues, such as picking the board of directors. If the company
prospers, you may get part of the profits, called a dividend. Also, the value of your
share of the company many go up; common stock generally has the most potential for growth.
However, that value also can drop if the company does poorly, and if it goes bankrupt
common stockholders are the last to receive any payment.
COMPLAINT RATIO
A measure used by some state insurance departments to track consumer complaints
against insurance companies. Generally, it is written as the number of complaints upheld
against an insurance company, as a percentage of premiums written. In some states,
complaints from medical providers over the promptness of payments may also be included.
COMPENSABLE INJURY
An injury that qualifies for benefits paid under workers' compensation.
COMPOUNDING
When you deposit money in a bank, it earns interest. When that interest also
begins to earn interest, the result is compound interest. Investing in a retirement plan
is different from putting money in the bank, but you still get the benefits of
compounding. Compounding occurs if bond income or dividends from stocks or mutual funds
are reinvested. Because of compounding, money has the potential to grow much faster.
COMPREHENSIVE COVERAGE
Comprehensive coverage refers to the part of an automobile insurance policy that
covers damage to a vehicle caused by miscellaneous hazards other than collision, such as
fire, theft, explosion, windstorm, hail, water or contact with an animal.
CONSERVATIVE
A conservative investment or strategy focuses primarily on capital preservation
rather than capital appreciation.
CONSUMER PRICE INDEX (CPI)
Measure of change in consumer prices, published monthly by the U.S. Bureau of
Labor Statistics in the Department of Labor. This index is widely used as a cost-of-living
benchmark to adjust Social Security payments and other payment schedules.
CONTENTS-ONLY COVERAGE
Coverage is for personal property items that are movable, that is, not attached
to the building's structure (the home), such as television sets, radios, clothes and
household goods. Not included under the coverage are animals, automobiles and boats.
CONTESTABILITY PERIOD
Period of time, generally two years, during which an insurance company can
declare a life insurance contract void because of misrepresentation or concealment by the
insured in obtaining the policy. Once this period has elapsed, the company cannot cancel
the policy or refuse to pay claims for any reason other than nonpayment of premiums.
CONTINUOUS COVERAGE
Health insurance coverage that is not interrupted by a break of 63 or more days
in a row. Employer waiting periods and HMO affiliation periods do not count as gaps in
health insurance coverage for the purpose of determining if coverage is continuous.
CONVERSION
Your right, when leaving a fully insured group health plan, to convert your
policy to an individual health plan. In Iowa, conversion coverage also extends to
surviving or divorced spouses, dependent children and children who lose their dependent
status under their parent's plan rules.
CONVERTIBLE TERM INSURANCE
Term life insurance coverage that can be converted into permanent life insurance
upon the policy's expiration. The insured generally cannot be denied permanent coverage or
charged an additional premium because of health problems.
COPAYMENT
Partial payment of certain medical costs that individual participants may be
required to make under a health insurance policy. For example, under your employer's
health plan, you might have to pay $5 toward each prescription.
COST BASIS
The original price of an asset, plus any additions and reinvested earnings, that
is used to determine capital gains or losses at the time of sale of the asset. In the case
of an inheritance, the cost basis is the appraised value of the asset at the time of the
donor's death
COUNTABLE ASSETS
In terms of eligibility for Medicaid, countable assets are anything of value you
own that is not exempt by law or otherwise inaccessible to you. Countable assets include,
but are not limited to: savings and checking accounts, stocks, bonds, CDs, Treasury notes
and bills, savings bonds, investment property and vacation homes, second vehicles,
livestock, IRAs and other retirement plans, mutual funds, precious metals and coins, and
whole life insurance above a certain surrender value. States use the total value of your
countable assets as one of three tests to determine your eligibility for Medicaid.
COVERED EXPENSES
In health insurance, reimbursement for an insured's medically-related expenses,
including, but not limited to surgery, medicines, hospitalization, ambulance service, and
X-rays.
COVERAGE FORMS
Attachments to an insurance policy to complete the coverage provided by the
policy.
COUPON RATE
A bond's coupon rate is stated on the bond. It tells how much interest the bond
will pay every year based on the bond's face value. For example, if you buy a $1,000 bond
with an 8% coupon rate, you'll get $80 a year in interest. Like a bond's face value, its
coupon rate never changes.
CREDIT INSURANCE
Commercial coverage against losses resulting from the failure of business debtors
to pay their obligation to the insured, usually due to insolvency. The coverage is geared
to manufacturers, wholesalers, and service providers who may be dependent on a few
accounts and therefore could lose significant income in the event of an insolvency.
CREDIT LIFE INSURANCE
Life insurance coverage on a borrower designed to repay the balance of a loan in
the event the borrower dies before the loan is repaid. It may also include disablement and
can be offered as an option in connection with credit cards and auto loans.
CREDIT SCORE
The number produced by an analysis of an individual's credit history. Some companies use insurance scores as an insurance underwriting and rating tool.
CROP-HAIL INSURANCE
Protection against damage to growing crops from hail, fire, or lightning provided
by the private market. By contrast, multiple peril crop insurance covers a wider range of
yield-reducing conditions, such as drought and insect infestation, and is subsidized by
the federal government.
CRUMMEY POWER
A right exercised by the beneficiary of a trust to withdraw money from the trust
for a limited amount of time each year.
CUMULATIVE TOTAL RETURN
This number tells you a fund's actual performance for a certain period of time. A
total return is expressed in a percentage and tells you how much money you have earned or
lost on an investment over time, assuming that all dividends and capital gains are
reinvested.