(2026/2027) Rated A+
Accident ✔✔An unplanned unforseen event which occurs suddenly at an unspecified place
Accident insurance ✔✔A type of insurance that protects the insured against loss due to an
accidental bodily injury
Accidental bodily injury ✔✔Unplanned unforseen traumatic injury to the body
Accidental Death and Dismemberment ✔✔An insurance policy which pays a specified number
or specified multiple of the insurer's benefit if the insured dies, loses his/her sight, or loses two
limbs due to an accident.
Acquired Immunodeficiency Symdrome ✔✔An infectious and incurable disease caused by the
human immunodeficiency virus (hiv)
Activities of daily living ✔✔Activities individuals must do every day such as moving about,
getting dressed, eating, bathing, etc.
,Actual charge ✔✔The amount a physician or supplier actually bills for a particular service or
supply.
Adhesion ✔✔A contract offered on a "take it or leave it" basis by an insured, in which the
insured's only option is to accept or reject the contract. Any ambiguities in the contract will be
settled in favor of the imsured.
Admitted (Authorized) Insurer ✔✔An insurance company authorized and licensed to transact
business in a particular state.
Adult Day Care ✔✔A program for impaired adults that attempts to meet their health, social, and
functional needs in a setting away from their homes.
Adverse Selection ✔✔The tendency of risks witha higher probability of loss to purchase and
maintain insurance more often than the risks who present lower probability
Agent ✔✔An individual who is licensed to sell, negotiate, or effect insurance contracts on behalf
of an insurer.
,Aleatory ✔✔A contract in which participating parties exchange unequal amounts. Insurance
contracts are aleatory in that the amount the insured will pay in premiums is unequal to the
amount the insurer will pay in the event of a loss.
Alien Insurer ✔✔An insurance company that is incorporated outside the United States.
Alzheimer's Disease ✔✔A disease that causes the victim to become dysfunctional due to
degeneration of brain cells and severe memory loss.
Ancillary ✔✔Additional, miscellaneous services provided by a hospital, such as x-rays,
anesthesia, and lab work, but not hospital room and board expenses.
Apparent Authority ✔✔The appearance or the assumption of authority based on the actions,
words, or deeds of the principal or because of circumstances the principal created.
Approved Amount ✔✔The amount Medicare determines to be reasonable for a service that is
covered under part B of Medicare.
, Assignment ✔✔A claim to a provider or medical supplier to receive payments directly from
Medicare.
Attained Age ✔✔The age of the insured at a determined date.
Attending Physician Statement (APS) ✔✔A statement usually obtained from the applicant's
doctor.
Avoidance ✔✔A method of dealing with risk (e.g. if a person wanted to avoid the risk of being
killed in an airplane crash, he/she might choose never to fly in a plane).
Basic Hospital Expense Insurance ✔✔Coverage that provides benefits for room, board and
miscellaneous hospital expenses for a certain number of days during a hospital stay.
Basic Medical Expense Insurance ✔✔Coverage for doctor visits, x-rays, lab tests, and
emergency room visits; benefits, however, are limited to specified dollar amounts.
Beneficiary ✔✔The person who receives the proceeds from the policy when the insured dies.