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Actuarial Department

The department in an insurance company responsible for seeing that the company’s operations are conducted on a mathematically sound basis. In conjunction with other departments, it calculates premium and dividend rates, and determines what a company’s reserve liabilities should be. It also does the research needed to predict mortality and morbidity rates, to establish guidelines for selecting risks, and to determine the profitability of the company’s products.

Agreed Value

A type of income protection insurance policy where the monthly benefit amount is agreed between the insurer and the life insured at the outset of the policy. This amount may be up to 75% of the life insured’s taxable income, and the applicant’s income is usually verified by the insurer at the time of application (by the life insured supplying financial records such as income tax returns, balance sheets and/or profit & loss statements). In the event of a claim, further financial evidence is usually not required.

Assignment

An agreement under which one party – the assignor – transfers some or all of his ownership rights in a particular property to another party – the assignee. An example might be where a person assigns ownership of their Life Insurance policy to their bank to cover outstanding loans.

Beneficiary

The person or party the owner of an insurance policy names to receive the policy benefit if the insured event occurs.

Benefit

The amount of money paid when an insurance claim is approved.

Benefit Period

The time during which periodic income benefits will be paid to a claimant under an income protection insurance policy.

Business Expenses Insurance

Similar to Income Protection Insurance, but is designed to cover fixed business overhead costs such as premises rent, equipment leasing, electricity, the cost of a locum, the salaries of non-income producing staff, accounting and bank fees.

Business Insurance

Insurance that is intended to serve the insurance needs of a business rather than the needs of an individual.

Buy / Sell Insurance

Insurance that is intended to serve the insurance needs of business owners. Usually used in conjunction with a buy/sell agreement this defines the transfer of the shares of a business, from one owner to the remaining owner(s) in the event of death or total & permanent disability.

Children’s Trauma / Recovery Insurance

Provides for a lump sum payment in the event that the insured child is diagnosed as having suffered one of the specified conditions listed in the policy document. Most policies cover around 20 specified events, such as cancer, serious accidental injury, intensive care, meningitis and severe burns.

Claim Indexation Option

An option under an income protection policy whereby the monthly benefit amount is indexed to the rate of inflation. It is particularly valuable to people suffering with long term disabilities; as it ensures that the value of their monthly income protection benefit payment isn’t eroded by the effects of inflation over time.

Death Benefit

The amount of money paid or due to be paid when a person insured under a life insurance policy dies.

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.

Endowment Insurance

A type of life insurance that provides a benefit if death occurs during the term of coverage or if, at the end of the term of coverage, the insured is alive.

Estate Plan

A plan that addresses how best to preserve an individual’s assets after the individual dies. Life insurance is often an important part of an estate plan.

Exclusion

An attachment to an insurance policy that excludes or limits coverage for specific health impairment (such as a pre-existing condition), sporting activity (such as hang gliding), or a specific act (such as suicide or an act of war).

Free Look Period

The period of time after delivery of an insurance policy during which the policy owner may review the policy and return it to the company for a full refund of the initial premium.

Guaranteed Insurability (GI) Benefit

A benefit that gives the policy owner the right to purchase additional insurance of the same type as the basic policy without supplying evidence of the insured person’s insurability.

Guaranteed Renewable Policy

An insurance policy that the insurer is obliged to renew – as long as premiums are paid – at least until the insured attains the age limit specified in the policy, regardless of changes in the insured person’s health, occupation or lifestyle.

Health Insurance

Insurance that is generally designed to cover medical expenses resulting from injury or sickness. Benefits may include hospital and surgical expenses, dental, optical, physiotherapy and chiropractic expense insurance.

Income Protection Insurance

A type of insurance designed to compensate the insured person for a portion of the income they lose because of an injury or illness that prevents them from working. Generally, benefits for income protection insurance are provided for in the form of monthly payments.

Indemnity Option

A type of income protection insurance policy where the monthly benefit amount is defined at the outset of the policy but not substantiated by the life insured. This amount may be up to 75% of the life insured’s insurable income. <br><br>In the event of a claim, financial evidence is required by the insurer (by the life insured supplying financial records such as income tax returns, balance sheets and/or profit &amp; loss statements) and the benefit payment is limited to 75% of the life insured’s insurable income in the 12 months immediately prior to the date of disability.

Insurable Income

This is the income determined as insurable, and can be quite different to taxable income.&nbsp; For employees, it can include superannuation payments and some other add-backs. For self-employed, insurable income is defined as your revenue less the expenses incurred in generating that revenue.

Insurance

A system of protection against loss in which a number of individuals agree to transfer risk by paying certain sums of money, called premiums. These premiums create a pool of money which guarantees that the individuals will be compensated for losses caused by events such as fire, accident, illness, or death. &nbsp;

Insurer

The party in an insurance contract that promises to pay a benefit if a specified loss occurs. Usually an insurance company.

Key-Person Insurance

Insurance purchased by a business on the life of a person (usually an employee) whose continued participation in the business is necessary to the firm’s success and whose death or disability would cause financial loss to the company.

Lapse

The termination of an insurance policy because a renewal premium is not paid before the end of the grace period.

Level Premiums

Premiums that remain the same each year that the insurance policy is in force, and do not increase as the life insured gets older. The Level premium rate may either be guaranteed (never to increase) by the insurance company, or not guaranteed.

Life Insurance

Insurance that provides protection against the economic loss caused by the death of the person insured. Most policies also include a terminal illness benefit that allows the insured person to claim their benefit payment if they are diagnosed by a medical practitioner as being terminally ill, and likely to die within 12 months.

Medical Report

A report on a proposed insured’s health that is completed by a doctor and is based on a physical examination and questioning of the person to be insured. Such a medical report serves as part of a medical application

Needs Analysis

Part of the fact-finding stage in the personal advice process; the process of developing a detailed personal and financial picture in order to evaluate your insurance needs.

Nonsmoker

An underwriting risk class that includes people who have not smoked cigarettes (or other substances) for a specified period of time, usually 12 months, before applying for insurance. People in the nonsmoker risk class pay lower premiums than people who smoke.

Partial Disability

A disability that prevents the life insured from engaging in some of the duties of his or her usual occupation or from engaging in the occupation on a full-time basis.

Partial Disability Benefit

An amount specified in an income protection insurance policy that is payable when the insured suffers a partial disability. Usually the partial disability benefit is a proportion of the full disability benefit, and is based on the life insured’s capacity to earn an income, or the loss of income experienced from working part-time.

Policy Anniversary

The yearly anniversary of the date on which a policy was issued.

Policy Owner

The person or party who owns an insurance policy. The policy owner is not necessarily the person whose life is insured.

Premium

The payment or one of a series of payments, required by an insurance company to put an insurance policy in force and keep it in force.

Reinsurance

A type of insurance that one insurance company, known as the ceding company, purchases from another insurance company, the reinsurer, in order to transfer risks on insurance policies that the ceding company issued. <br><br>Retail insurers generally use reinsurance to reduce their level of exposure to large volumes of claims that would adversely impact on profitability.

Standard Premium Rate

The premium rate charged for insurance on a member of the standard risk class.

Stepped Premiums

Premiums that are based on the attained age of the insured person each year. As the life insured’s age increases over time, so do the premiums.

Substandard Premium Rate

The premium rate charged for an insured person that is classified as having a greater than average likelihood of loss, due to factors such as their health history, or height / weight ratio. This premium rate is higher than a standard premium rate, and is often referred to as a premium loading.

Suicide Exclusion

Life insurance policy wording which specifies that the proceeds of the policy will not be paid if the insured takes his or her own life within a specified period of time (usually 13 months) after the policy’s date of issue.

Total and Permanent Disability (TPD)

A condition that results in an insured person being unlikely ever to return to work. Several definitions of TPD exist complete with definitions considered totally disabled only if their disabilities prevent them from working at any occupation for which they are reasonably fitted by education, training, or experience.

Total Disability

A disability that meets the definition in an income protection policy and that entitles the insured to receive full income protection benefits. When a disability begins, it is typically considered a “total disability” if it prevents an insured person from performing the important duties of his or her regular occupation, they are under the care of a doctor, and not working in their own or any other occupation.

Trauma / Recovery Insurance

Provides for a lump sum payment in the event that the life insured is diagnosed as having suffered (and survives) one of the specified conditions listed in the policy document. Most policies cover around 35 specified events, with up to 80% of claims payments made for heart attack, stroke, cancer, and heart disease.

Underwriter

(1) The person who assesses and classifies the degree of risk that a proposed insured represents. <br />
(2) The person or organization that guarantees that money will be available to pay for losses that are insured against. In this sense, the insurance company is the underwriter.

Underwriting

The process of assessing and classifying the degree of risk that a proposed life insured represents.

Underwriting Department

The department in a life insurance company that selects the risks that the company will insure. The underwriting department tries to ensure that the actual mortality or morbidity rates of the company’s clients do not exceed the rates assumed when premium rates were calculated. The underwriter considers an applicant’s age, weight, physical condition, personal and family medical history, occupation, financial resources, and other selection factors to determine the degree of risk represented by the proposed insured.

Underwriting Requirements

The evidence required by an underwriter to successfully assess the eligibility of a proposed life insured for insurance cover. This may include medical records and the results of physical examinations, blood tests, and/or financial records. Underwriting requirements are graduated based on the proposed insured’s age and the amount of coverage requested

Waiting Period

In income protection insurance, a specified amount of time, beginning with the onset of the disability, during which benefits are not payable. Such waiting periods may last from 14 days to 2 years, and are chosen by the insured person when initially applying for the cover.

Whole Life Insurance

Life insurance that remains in force during the insured’s entire lifetime, provided premiums are paid as specified in the policy. Whole life insurance also builds a savings element (called the cash value).

Yearly Renewable Term (YRT) Insurance

Term life insurance, otherwise known as Life Insurance, that gives the policy owner the right to renew the coverage at the end of each year. This renewal right continues for a specified number of years or until the insured reaches the age specified in the contract.

Gerard has exceptional knowledge and understanding of the individuals need for security, and has great presentational skills. The team at LFG are the Best! They are very professional & accurate coupled with good communication.

J & M Allcock

Honest and informative about the different aspects of insurance needs to a business as well as an individual... excellent, quick and efficient service when I had to make a claim.

Mr Peter Mastores