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Dictionary of Insurance Terms -P-

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  • Package Policy: A combination of two
    or more individual polices or coverages into a single policy. A homeowners
    policy, for example, is a package combining property, liability and theft
    coverages for the homeowner.

  • Paid-up Insurance: Insurance on
    which all required premiums have been paid. The term is frequently used
    to mean the reduced paid-up insurance available as a nonforfeiture option.

  • Partial Disability: The result
    of an illness or injury which prevents an insured from performing one or
    more of the functions of his/her regular job.

  • Partial Disability: A benefit sometimes
    found in disability income policies providing for the payment of reduced
    monthly income in the event the insured cannot work full time and/or is
    prevented from performing one or more important daily duties pertaining
    to his occupation.

  • Participating Insurance: Insurance
    issued by an insurance company providing participation in dividend distribution.

  • Participating Policy: One under
    which the policy owner is entitled to receive shares of the divisible surplus
    of the insurer. Such shares are commonly called dividends.

  • Pension Benefit
    Guaranty Corporation (PBGC):
    The Federal body responsible for administering
    the plan termination insurance program under ERISA.

  • Pension Plan: A plan established and
    maintained by an employer, group of employers, union or any combination,
    primarily to provide for the payment of definitely determinable benefits
    to participants after retirement.

  • Peril: The cause of a possible loss, such as
    fire, windstorm, theft, explosion, or riot.

  • Persistency: A term used to refer to the
    length of time insurance remains continuously in force.

  • Personal Articles Floater:
    A form of coverage designed to meet the needs for insurance on property
    of a moveable nature. The coverage usually protects against all physical
    loss, subject to special exclusions and conditions. Examples of property
    covered include jewelry, furs, silverware, fine arts.

  • Personal Injury Protection
    (PIP):
    First-party no-fault coverage in which an insurer pays, within
    the specified limits, the wage loss, medical, hospital and funeral expenses
    of the insured.

  • Personal Lines: Those types of insurance,
    such as auto or home insurance, for individuals or families rather than
    for businesses or organizations.

  • Personal representative: A
    person appointed through the will of a deceased or by a court to settle
    the estate of one who dies.

  • Physical Damage: Damage to or loss
    of the auto resulting from collision, fire, theft or other perils.

  • Plan Administrator: The person
    or persons controlling the money or property contributed to the plan, usually
    designated in the plan agreement.

  • Point-of-Service Plans: Often
    known as open-ended HMOs or PPOs, these plans permit insureds to choose
    providers outside the plan yet are designed to encourage the use of network
    providers.

  • Policy: The printed legal document stating
    the terms of the insurance contract that is issued to the policyholder
    by the company.

  • Policy: A contract of insurance.

  • Policy: The legal document issued by the company
    to the policyholder, which outlines the conditions and terms of the insurance;
    also called the policy contract or the contract.

  • Policy Dividend: A refund of part
    of the premium on a participating life insurance policy reflecting the
    difference between the premium charged and actual experience.

  • Policy Loan: A loan made by a life insurance
    company from its general funds to a policyholder on the security of the
    cash value of a policy.

  • Policy Reserves: The measure of the
    funds that a life insurance company holds specifically for fulfillment
    of its policy obligations. Reserves are required by law to be so calculated
    that, together with future premium payments and anticipated interest earnings,
    they will enable the company to pay all future claims.

  • Policy Term: That period for which an
    insurance policy provides coverage.

  • Policyholder: The person who owns a life
    insurance policy. This is usually the insured person, but it may also be
    a relative of the insured, a partnership or a corporation.

  • Policyholder: A person who pays a premium
    to an insurance company in exchange for the insurance protection provided
    by a policy of insurance.

  • Policyholders’ Surplus: Sum
    left after liabilities are deducted from assets. Sums such as paid-in capital
    and special voluntary reserves are also included in this term. This surplus
    is an additional financial protection to policyholders in the event a company
    suffers unexpected or catastrophic losses. In effect, it is the financial
    base that permits a company to sell insurance.

  • Pollution Liability: Exposure
    to lawsuits for injury or cleanup costs that result from pollution damage

  • Pool: An organization of insurers or reinsurers
    through which particular types of risk are underwritten and premiums, losses
    and expenses are shared in agreed upon amounts.

  • Preferred Stock: Evidence of ownership
    which entitles the owners to receive dividends from the corporation before
    the common stockholders and which usually also provides a prior claim to
    corporate assets if the corporation is dissolved.

  • Premium: The sum paid by a policyholder to
    keep an insurance policy in force.

  • Premium finance: allows the insured to pay
    part of the premium when coverage takes effect and pay the rest during
    the policy period.

  • Premium Loan: A policy loan made for
    the purpose of paying premiums.

  • Premium Tax: A tax, imposed by each state,
    on the premium income of insurers doing business in the state.

  • Primary Beneficiary: See Beneficiary.

  • Primary Insurance: Insurance that
    pays compensation for a loss ahead of any other insurance coverages the
    policyholder may have.

  • Probate: The court supervised process of validating
    or establishing a distribution for assets of a deceased including the payment
    of outstanding obligations.

  • Probate estate That portion of the
    assets and liabilities whose distribution is supervised by the courts in
    the probate process.

  • Probationary Period: A period
    from the policy date to a specified time, usually 15 to 30 days, during
    which no sickness coverage is effective. It is designed to eliminate a
    sickness actually contracted before the policy went into effect.

  • Product Liability: legal liability
    incurred by a manufacturer, merchant, or distributor because of injury
    or damage resulting from the use of its product.

  • Product Liability Insurance:
    Protection against financial loss arising out of the legal liability incurred
    by a manufacturer, merchant, or distributor because of injury or damage
    resulting from the use of a covered product.

  • Professional Review
    Organization (PRO):
    An organization in which practicing physicians
    assume responsibility for reviewing the propriety and quality of health
    care services provided under Medicare and Medicaid.

  • Proof of Loss: Documentation presented
    to the insurance company by the insured in support of a claim so that the
    insurer can determine its liability under the policy.

  • Proof of Loss: Documentary evidence
    required by an insurer to prove a valid claim exists. It usually consists
    of a claim form completed by the insured and the insured’s attending physician.
    For medical expense insurance itemized bills must also be included.

  • Property Damage Coverage:
    An agreement by an insurance carrier to protect an insured against legal
    liability for damage by an insured automobile to the property of another.

  • Property Insurance: Insurance providing
    financial protection against the loss of, or damage to, real and personal
    property caused by such perils as fire, theft, windstorm, hail, explosion,
    riot, aircraft, motor vehicles, vandalism, malicious mischief, riot and
    civil commotion, and smoke.

  • Property Insurance: Provides financial
    protection against loss or damage to the insured’s property caused by such
    perils as fire, windstorm, hail, etc.

  • Proration: The adjustment of benefits paid
    because of a mistake in the amount of the premiums paid or the existence
    of other insurance covering the same accident or disability.

  • Prototype Plan: A standardized plan,
    approved and qualified as to its concept by the Internal Revenue Service,
    which is made available by life insurance companies, banks and mutual funds
    for employers’ use.

  • Provision: A part (clause, sentence, paragraph,
    etc.) of an insurance contract that describes or explains a feature, benefit,
    condition, requirement, etc. of the insurance protection afforded by the
    contract.

  • Proximate Cause: The dominating cause
    of loss or damage; an unbroken chain of events between the occurrence and
    damage.

  • Punitive Damages: a court awarded
    amount that exceeds the economic losses and general damages of a defendant
    and is intended solely to punish the plaintiff