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by special permission of LOMA. However, LOMA makes no representation or
endorsement, express or implied, regarding Berkshire Life Insurance Company
of America or its products or services
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RAA
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See retained asset account. |
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ratchet method
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See annual reset method. |
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rated policy
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An insurance policy that is classified as having a greater-than-average
likelihood of loss, usually issued with special exclusions,
a premium rate that is higher than the rate for a standard
policy, a reduced face amount, or any combination of these. |
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rate of return
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Investment earnings expressed as a percentage relative
to the invested principal. See also principal. |
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rate transmittal
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In group insurance, a document that is attached to a
Request for Proposal that specifies the agent’s proposed
rates for each type of insurance coverage for each class
of employees. See also Request for Proposal. |
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rating
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During the underwriting process for insurance, the act
of approving an application on a basis other than the basis
for which the policy was applied for, including actions such
as approving the application at a higher premium rate than
applied for or with less coverage than applied for. The resulting
policy is said to be a rated policy. |
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rating agency
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In the insurance industry, an independent organization
that evaluates the financial condition of insurers and provides
information to potential customers of and investors in insurance
companies. |
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rating downgrade
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A reduction in an insurer’s quality rating. A downgrade
often leads to a run on assets. Contrast with rating upgrade.
See also quality rating. |
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rating upgrade
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An increase in an insurer’s quality rating. A rating
upgrade is viewed as a sign of increased financial strength.
Contrast with rating downgrade. See also quality rating.
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ratio
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A comparison of two numeric values that results in a
measurement expressed as a percentage or a fraction. See
also financial ratio. |
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RBC ratio requirements
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See risk-based capital ratio requirements. |
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readability requirements
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Insurance laws that require insurers to reduce the amount
of technical jargon and legal language included in insurance
and annuity contracts. |
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real estate
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Land or anything attached to the land. Contrast with
personal property. |
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realization principle
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An accounting concept which states that a company should
recognize revenue when it is earned, regardless of when the
company receives the actual payment, so long as a legal and
reasonable expectation exists that the customer will remit
payment in full. |
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reasonable and customary limits
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A restriction insurers include in medical expense policies
which specifies that the amount paid for a claim must conform
to the amount most frequently charged for a medical procedure
in a given geographical area. |
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rebating
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An insurance sales practice in which an insurance agent
offers a prospect an inducement, such as a cash payment,
to purchase an insurance policy from that agent. The practice
of rebating is prohibited in most states. |
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recapture
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A process by which a ceding company takes back from a
reinsurer some or all ceded business. |
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recapture provision
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In a reinsurance arrangement, a contractual provision
that permits the ceding company to end or modify the reinsurance
arrangement by taking back from the reinsurer some or all
ceded business. |
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receivable
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A type of short-term asset representing an outside party’s
promise to pay cash to the holder of the asset. |
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receivables for agents’ debit balances
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A short-term asset based on agents’ obligations
to an insurer. |
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receivables purchase agreement
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A contract through which short-term assets known as receivables
are sold for cash. |
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receiver
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In the United States, the insurance commissioner, or
someone acting on the commissioner’s behalf, who is
responsible for formulating a plan to distribute an impaired
insurer’s assets and for making sure that the insurer’s
obligations to customers are fulfilled to the greatest extent
possible. Also known as conservator. |
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receivership
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In the United States, a legal condition under which a
state insurance commissioner takes control of and administers
a financially impaired insurer’s assets and liabilities.
Also known as conservatorship. |
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reciprocal method
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In accounting, a cost allocation method that fully recognizes
the services that service departments perform for each other. |
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reciprocity
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A reinsurance arrangement in which certain insurers and
reinsurers agree to cede business to each other and assume
risk from each other. |
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recording method
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A method of changing the beneficiary of a life insurance
policy under which the change is effective when the policyowner
notifies the insurer in writing of the change. Contrast with
endorsement method. |
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recording of transactions as executed
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In accounting, when a company records all authorized
and executed transactions in the correct accounting period,
in the correct accounts, and in the correct monetary amounts. |
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recurring disability
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In disability income insurance policies, a type of disability
that is the result of the same cause as for an original disability
and that reappears after the original period of disability
and an intervening period of recovery. |
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redlining
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A prohibited practice in which an insurer refuses coverage
to an applicant, or cancels an insured’s existing coverage,
solely because of the applicant’s or insured’s
geographic location. |
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reduced paid-up insurance option
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One of several nonforfeiture options included in life
insurance policies that allows the owner of a policy with
cash values to discontinue premium payments and to use the
policy’s net cash value to purchase paid-up insurance
of the same plan as the original policy. See also nonforfeiture
options. |
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reduction provision
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An insurance policy provision that reduces the amount
of the benefit payable for a specified loss. See also limitation. |
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reexamination
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In the United States, a regulatory examination of an
insurance company that is conducted as a follow-up to a comprehensive
or target examination and that is designed to determine whether
the insurer has complied with recommendations or directives
contained in a previous examination report. |
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referred lead
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In sales, the name of a prospect that a client has given
to a sales person or agent. |
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refinance
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An action taken by borrowers when they repay their debt
before repayment is due in order to make new borrowing arrangements
at lower interest rates. |
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refund annuity
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See life income with refund annuity. |
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refund life income option
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A method of receiving life insurance policy proceeds
under which the insurer uses the policy proceeds to purchase
a life income with refund annuity for the beneficiary/payee.
See also life income with refund annuity and settlement options. |
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regional office
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An insurance company office that is charged with many
of the same functions and operations as the company’s
home office but that is geographically closer to the market
it serves and generally reports to the home office. See also
home office.
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registered plan
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In Canada, a private retirement plan that meets the legal
requirements to receive favorable federal income tax treatment.
See also qualified retirement plan. |
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registered principal
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An officer or manager of a National Association of Securities
Dealers (NASD) member, who is involved in the day-to-day
operation of the securities business, has qualified as a
registered representative, and has an NASD Series 24 or 26
registration. |
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registered representative
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A sales representative or other person who has registered
with the National Association of Securities Dealers (NASD),
disclosed the required background information, and passed
one or more NASD examination. A registered representative
engages in the securities business on behalf of a NASD member
by soliciting the sale of securities or training securities
salespeople. |
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registered retirement savings plan (RRSP)
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A Canadian retirement account that is similar to individual
retirement accounts in the United States and that allows
individuals or their spouses (not employers) to make tax-deductible
contributions, subject to specified maximum amounts, for
the purpose of accumulating money for retirement. |
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registration statement
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A written statement containing detailed information about
a security and the issuer of that security, including specified
financial statements. |
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regular ordinary (RO) life insurance
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Ordinary life insurance products sold through the home
service insurance distribution system. |
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Regulation 60
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A New York state insurance regulation designed to protect
consumers against replacements that are not in the consumers’ best
interests. See also replacement. |
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regulations
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Rules or orders that are issued by administrative agencies
and that have the force of law. |
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regulatory compliance
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See compliance. |
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Regulatory Information Retrieval System (RIRS)
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A database maintained by the National Association of
Insurance
Commissioners (NAIC) that contains information on insurance
companies and individuals who have been the subjects of regulatory
or disciplinary actions. |
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rehabilitation
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(1) In disability income insurance, the process of helping
a disabled person return to work, either at her own occupation
or at another occupation if she is unable to perform the
duties of her own occupation (2) In insurer insolvencies
in the United States, a court-ordered process intended to
restore a financially troubled company to a financially sound
basis—the financially impaired insurer continues to
operate and to exist. Contrast with liquidation. See also
receivership. |
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reimbursement benefits
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See indemnity benefits. |
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reinstatement
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The process by which an insurer puts back into force
an insurance policy that has either been terminated for nonpayment
of premiums or continued as extended term or reduced paid-up
coverage. |
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reinstatement provision
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A provision in an individual life insurance, health insurance,
or annuity policy that describes the conditions a policyowner
must meet for the insurer to reinstate such a policy. See
also reinstatement. |
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reinsurance
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A transaction between two insurance companies in which
one company—the ceding company—transfers some
of its insurance risk to another company—the reinsurer.
The reinsurer agrees to reimburse the ceding company for
covered losses claimed under the policies that have been
reinsured according to the terms of the reinsurance agreement.
See also ceding company and reinsurer. |
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reinsurance allowance
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In a reinsurance agreement, the payment from a reinsurer
to a ceding company that represents a share of the ceding
insurer’s acquisition expenses and maintenance expenses
for items such as commissions, underwriting costs, policy
issue costs, and premium taxes. |
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reinsurance audit
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A formal examination of an insurer’s reinsurance
records to evaluate whether those records contain accurate
details and that ensures that both parties to a reinsurance
agreement understand and have complied with the terms of
the agreement. |
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reinsurance broker
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See reinsurance intermediary. |
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reinsurance certificate
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In a reinsurance arrangement, the document that notifies
the ceding company that reinsurance is officially in force. |
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reinsurance company
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See reinsurer. |
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reinsurance effective date
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The date upon which the reinsurance coverage for a specific
risk takes effect. |
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reinsurance intermediary
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A third party that acts as a go-between for a ceding
company and a reinsurer in effecting a reinsurance transaction.
A reinsurance intermediary helps ceding companies find appropriate
coverage for large-amount and unusual cases and can arrange
for sufficient reinsurance from multiple reinsurers if no
single reinsurance company will accept the entire risk. Also
known as reinsurance broker. |
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reinsurance pool
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In a reinsurance arrangement, a group of two or more
reinsurers who accept risk from a given insurer. |
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reinsurance premiums
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In indemnity reinsurance, premiums paid by a ceding company
to a reinsurer for reinsurance coverage.
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reinsurance recoverable
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A type of account receivable that is recorded in an account
titled amounts recoverable from reinsurers. This receivable
represents a balance that a reinsurer owes to the insurer,
usually for health insurance or another indemnity line of
business. |
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reinsurance treaty
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A formal written agreement that is negotiated and signed
by a ceding company and a reinsurer and that establishes
the terms and conditions by which risk can be submitted for
reinsurance. |
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reinsurer
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An insurance company that, for an exchange of value,
such as a payment, accepts insurance risks transferred from
another company—the ceding company—in a reinsurance
transaction. Also known as assuming company. See also ceding
company. |
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release
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A written document that a recipient of life insurance
policy proceeds must sign prior to receiving the policy’s
proceeds which states that the claimant has received full
payment of his claim and that he gives up any and all claims
that he has or might have against the insurer as a result
of that policy. |
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relevance
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In accounting, the quality of accounting information
that requires a company’s accounting information to
be useful, timely, and likely to affect an interested user’s
decisions.
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reliability
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In accounting, the quality of accounting information
that requires a company’s accounting records and financial
statements to present accurate, objective information that
is free from bias and misrepresentation. |
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renewable term insurance policy
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term life insurance policy that gives the policyowner
the option to continue the coverage at the end of the specified
term without presenting evidence of insurability, although
typically at a higher premium based on the insured’s
attained age. |
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renewal commission
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A sales commission paid to an insurance sales agent for
a specified number of years after the first policy year on
policies that the agent sold. The renewal commission rate
is generally lower than the first-year commission rate. |
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renewal expenses
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See maintenance expenses. |
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renewal premium
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Any insurance policy premium payable after the initial
premium. |
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renewal provision
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(1) A term life insurance policy provision that gives
the policyowner the right, within specified limits, to continue
the coverage for an additional policy term without providing
evidence of insurability. (2) An individual health insurance
policy provision that describes the circumstances under which
the insurer has the right to refuse to renew or the right
to cancel the coverage and the insurer’s right to increase
the policy’s premium rate. |
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renewal underwriting
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For group insurance plans, a type of underwriting in
which the underwriter reviews all the risk assessment factors
considered when the group was originally underwritten and
all changes in the group and its coverage between the previous
underwriting and the current time. |
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replacement
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In insurance, a transaction that occurs when a policyowner
surrenders an insurance policy or part of the coverage of
a policy in order to buy another policy. Replacements may
be external or internal. An external replacement occurs when
the new policy is issued by a different insurer than the
one that originally issued the policy. An internal replacement
is one in which the new contract is purchased from the same
insurer that issued the original contract. |
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replacement cost insurance
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A type of homeowners’ insurance that pays the policyowner
the full cost of replacing the lost or damaged property,
subject to a maximum amount. |
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Replacement of Life Insurance and Annuities Model Regulation
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In the United States, a National Association of Insurance
Commissioners (NAIC) model regulation that applies to life
insurance policies and annuities that are being replaced
and that is designed to ensure that insurers and agents provide
consumers with fair and accurate information about policies
so consumers can make buying decisions that are in their
own best interests. See also replacement. |
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replacement ratio
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In disability income insurance, the percentage of the
insured’s income that a disability policy will replace. |
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representation
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A statement made by a contracting party that is relevant
to the formation of the contract. Representations that are
not substantially true will invalidate the contract. Contrast
with warranty. |
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Request for Proposal (RFP)
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In group insurance, a document that provides detailed
information about the requested coverage and requests a bid
from the insurer for providing that coverage. |
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required capital
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An insurance company’s amount of capital and surplus
to support financial obligations that arise from an insurer’s
existing book of business. Required capital allows the insurer
to remain in business. Also known as committed capital. |
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required minimum distributions (RMDs)
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Amounts that participants in qualified retirement plans
and owners of traditional individual retirement arrangements
(IRAs) must begin to receive by a specified age or time.
Also known as minimum required distributions (MRD). |
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required reserve
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See policy reserve. |
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rescission
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A legal action in which a contract is declared void or
cancelled. An insurer usually seeks a rescission of an insurance
policy when there has been a material misrepresentation in
the insurance application. See also misrepresentation. |
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reserve
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See reserves. |
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reserve credit
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An accounting entry used by a ceding company to record
the reduction of reserves, due to the use of reinsurance,
in its Annual Statement or Annual Return. See also ceding
company, reinsurance, and reinsurer. |
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reserve destrengthening
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For an insurance company, the act of decreasing a reserve
liability amount, which results in an increase in the insurer’s
capital or surplus. Contrast with reserve
strengthening.
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reserves
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For an insurer, liability accounts that identify the
amounts of money that the insurer expects to need to meet
future business obligations. Although many different types
of reserves exist, insurers use the term to refer to policy
reserves. See also
contingency reserve and policy reserve. |
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reserve strengthening
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For an insurance company, the act of
increasing a reserve liability amount, which results in a decrease
in the insurer’s capital or surplus. Contrast with
reserve destrengthening. |
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reserve valuation
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A formal actuarial process of establishing a value for
an insurer’s required policy reserves. |
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resident corporation
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In Canada, a company that is incorporated under Canadian
law. See also foreign corporation.
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residual disability
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In disability income insurance, a condition in which
the insured is not totally disabled, but is still unable
to function as before the sickness or injury, and therefore
suffers a reduction in income of at least the percentage—typically
20 percent to 25 percent—specified in the disability
income plan. Also known as partial disability. |
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residual disability insurance
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See income protection insurance. |
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resisted claims
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Claims that an insurer has thus far refused to pay but
that it may pay in the future. Also known as disputed claims. |
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respite care
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In long-term care (LTC) insurance, temporary care provided
by a nursing home or other qualified LTC facility for an
insured receiving home health care. Respite care is designed
to give the primary caregiver in the home a break from the
day-to-day care of the insured. |
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responsibility accounting
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A system of policies and procedures that allows for revenues
and expenses to be assigned to a specified employee or organizational
level that is accountable for them. |
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responsibility center
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The area, function, or organizational unit that a specified
manager controls. |
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responsibility report
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A management accounting report that itemizes budgeted
and actual amounts that are under the responsibility manager’s
sphere of control and the corresponding variance for each
revenue or cost (expense). |
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restoration of benefits provision
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A provision in a long-term care (LTC) insurance policy
that allows an insured person who has used a portion of benefits
available under the LTC policy to regain a full benefit period
after a stated period of time has passed following the delivery
of the long-term care. |
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retained earnings
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The profits that a corporation holds to reinvest in the
business instead of paying the money out in dividends to
the corporation’s owners. |
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retention
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See persistency. |
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retention limit
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A specified maximum amount of insurance that an insurer
is willing to carry at its own risk without transferring
some of the risk to a reinsurer. |
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retired stock
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Stock that a company had previously issued, then later
repurchased at market price, with no intention of reselling
the stock at a later date. See also stock. |
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retrocession
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(1) A transaction by which a reinsurer cedes risks to
another reinsurer, known as the retrocessionaire. (2) The
unit of insurance that a reinsurance company cedes to a retrocessionaire.
(3) The document used to record the transfer of risk from
a reinsurer to a retrocessionaire. See also reinsurer, reinsurance,
and retrocessionaire. |
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retrocessionaire
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A reinsurer that assumes risks transferred from another
reinsurer. See also reinsurer, reinsurance, and
retrocession. |
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retrospective rating arrangement
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In group health insurance, a premium payment arrangement
under which the insurer agrees to charge the group policyholder
a lower monthly premium than it would normally charge based
on the group’s prior claim experience and the policyholder
agrees to pay an additional amount if, at the end of the
policy year, the group’s claim experience has been
unfavorable. |
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retrospective reserve valuation method
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For insurance companies, a method of computing a value
for a reserve liability by looking at a contract’s
past cash flows—its past premiums and benefits. Contrast
with prospective reserve valuation method. |
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retrospective review
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In a managed health care plan, the process in which the
utilization review organization reviews the necessity and
quality of the medical care an insured received in a hospital
following the hospitalization. See also managed health care
plan and utilization review (UR). |
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return
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The profit or compensation an investor earns for taking
a risk. |
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return of premiums option
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In long-term care (LTC) insurance, a nonforfeiture option
which provides that all or a portion of the premiums paid
for the LTC coverage are returned to the policyholder. |
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return on investment (ROI)
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See internal rate of return (IRR). |
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Revenue Canada
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See Canada Customs and Revenue Agency. |
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revenues
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The amounts earned from a company’s core business
operations. |
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revocable beneficiary
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A life insurance policy beneficiary whose right to the
policy’s proceeds can be cancelled or reduced by the
policyowner at any time before the insured’s death.
Contrast with irrevocable beneficiary. |
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RFP
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See Request for Proposal. |
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rider
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An amendment or addition to a contract that either expands
or limits the benefits payable under the contract. Also known
as endorsement. See also policy rider. |
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RIRS
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See Regulatory Information Retrieval System. |
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risk
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The chance or possibility of loss. |
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risk assessment
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In insurance underwriting, a process that involves ascertaining
the degree of risk represented by each proposed insured person
or group according to a range of criteria established when
a specific insurance product was designed. Also known as
risk selection and selection of risks. See also
underwriting. |
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risk-based capital (RBC) ratio requirement
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In the United States, requirements that enable state
regulators to evaluate the adequacy of an insurer’s
capital relative to the riskiness of the insurer’s
operations. |
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risk class
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In insurance underwriting, a grouping of insureds that
represent a similar level of risk to an insurance company.
See also declined risk class, preferred risk class, standard
risk class, and substandard risk class. |
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risk-return tradeoff
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An investment principle stating that the interplay between
investment risk and return usually results in higher risks
offering potentially higher returns, and lower risks offering
potentially lower returns. |
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risk selection
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See risk assessment. |
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risk tolerance
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The degree to which a person is willing to accept financial
risk. |
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RMDs
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See required minimum distributions. |
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RO life insurance
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See regular ordinary life insurance. |
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rolling budget
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A budget that allows a company to continually maintain
projections for a specified time period into the future.
Also known as continuous budget. |
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rollover
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A direct transfer of retirement funds from one qualified
plan to another plan of the same type or to an individual
retirement arrangement (IRA) that does not pass through the
hands of the owner and thus does not incur any tax liability
for the owner. Also known as direct rollover and direct transfer. |
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Roth IRA
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In the United States, a type of individual retirement
arrangement (IRA) that permits people within certain income
limits to make nondeductible annual contributions and to
withdraw money on a tax-free basis at retirement age. |
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routine checkup
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In insurance underwriting, a visit to a physician that
was not motivated by a symptom or health problem. |
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RRSP
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See registered retirement savings plan. |
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Rules Governing Advertisements of Accident and Sickness
Insurance
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In the United States, National Association of Insurance
Commissioners (NAIC) model regulation designed to prevent
unfair, deceptive, and misleading advertising and ensure
that insurers truthfully disclose the benefits provided by
health insurance policies as well as any limitations and
exclusions in those policies. |
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Rules Governing the Advertising of Life Insurance
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In the United States, National Association of Insurance
Commissioners (NAIC) model regulation designed to ensure
that life insurance advertising materials provide full and
truthful disclosure of all relevant information about a life
insurance policy. |
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run on assets
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A situation in which many customers at once demand to
withdraw their funds from a financial institution. |
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LOMA's Glossary of Insurance and Financial Services Terms
Copyright © 2002 LOMA (Life Office Management
Association, Inc.). Used with permission from the publisher. All
right reserved. Copying or downloading this information without
permission from the publisher is a violation of federal and
international law. For information on purchasing a copy of the
Glossary or for additional information on LOMA and its educational
programs, visit LOMA's Web site at www.loma.org. LOMA is a registered
service mark of the Life Office Management Association, Inc.
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