OK Life & Health key terms
OK Life & Health · Get comfortable with the vocabulary.
- Insurable interest
- Related: Beneficiary, Underwriting
A financial or love-and-affection stake in a person's continued life or health that must exist when a policy is applied for, otherwise the contract is void.
- Beneficiary
- Related: Per stirpes, Insurable interest
The person or entity named in a policy to receive death benefits. A primary beneficiary is first in line; a contingent beneficiary receives the money if the primary dies first.
- Per stirpes
- Related: Beneficiary
A beneficiary distribution method that divides a deceased heir's share among that heir's own descendants, rather than among all surviving heirs equally.
- Free look period
- Related: Grace period, Cash value
A state-mandated window, commonly 10 to 30 days after delivery, during which a policyowner may cancel a new policy for a full premium refund.
- Grace period
- Related: Free look period, Nonforfeiture options
The time after a premium due date, typically 30 or 31 days, during which coverage stays in force before a policy can lapse for nonpayment.
- Cash value
- Related: Nonforfeiture options, Paid-up additions
The savings component inside permanent life insurance that builds over time and belongs to the policyowner, who may borrow against it or withdraw it.
- Nonforfeiture options
- Related: Cash value, Grace period
Choices guaranteed by permanent policies for using accumulated cash value if premiums stop: cash surrender, reduced paid-up insurance, or extended term insurance.
- Extended term option
- Related: Nonforfeiture options, Reduced paid-up option
A nonforfeiture choice that uses existing cash value to buy a term policy of the same face amount for whatever period that money will purchase.
- Reduced paid-up option
- Related: Nonforfeiture options, Extended term option
A nonforfeiture choice that converts cash value into a smaller face-amount permanent policy that requires no further premiums and stays in force for life.
- Policy loan
- Related: Cash value
Money borrowed from an insurer against a permanent policy's cash value. Interest accrues, and any unpaid balance reduces the death benefit.
- Term life insurance
- Related: Renewable term, Convertible term
Coverage that pays a death benefit only if the insured dies during a set period, with no cash value and generally the lowest premium for a given face amount.
- Renewable term
- Related: Term life insurance, Convertible term
A term policy feature letting the owner continue coverage at the end of the term without new evidence of insurability, though the premium rises with attained age.
- Convertible term
- Related: Term life insurance, Whole life insurance
A term policy feature allowing the owner to exchange coverage for a permanent policy without proving insurability, usually at a premium based on attained age.
- Whole life insurance
- Related: Convertible term, Cash value
Permanent coverage with level premiums, guaranteed cash value, and a death benefit payable whenever death occurs, provided premiums are maintained.
- Universal life insurance
- Related: Indexed universal life, Cash value
Permanent coverage with flexible premiums and an adjustable death benefit, where cash value grows at a declared interest rate and costs are deducted monthly.
- Indexed universal life
- Related: Universal life insurance
Universal life whose cash value interest is tied to an external market index, subject to a floor that limits loss and a cap that limits gain.
- Variable life insurance
- Related: Variable annuity, Cash value
Permanent coverage whose cash value is invested in separate accounts chosen by the owner, so value fluctuates with market performance and is not guaranteed.
- Paid-up additions
- Related: Policy dividend, Cash value
Small additional amounts of permanent coverage bought with policy dividends or extra premium payments, increasing both death benefit and cash value.
- Policy dividend
- Related: Paid-up additions
A return of surplus paid to owners of participating policies. It is not guaranteed and is generally received income-tax free as long as it does not exceed premiums paid.
- Accelerated death benefit
- Related: Waiver of premium, Beneficiary
A rider that lets a terminally or chronically ill insured collect part of the death benefit early, which reduces the amount later paid to beneficiaries.
- Waiver of premium rider
- Related: Accelerated death benefit
A rider that keeps a policy in force without premium payments while the insured is totally disabled, usually after a waiting period of several months.
- Underwriting
- Related: Insurable interest, Attending physician statement
The insurer's process of evaluating an applicant's health, habits, occupation, and finances to classify risk and decide whether and at what price to issue coverage.
- Attending physician statement
- Related: Underwriting
A medical report requested by an underwriter from an applicant's own doctor to clarify health history, treatment, or prognosis before a coverage decision.
- Misstatement of age
- Related: Incontestability clause
An error in the insured's stated age; insurers adjust the death benefit to what the premium paid would have bought at the correct age rather than voiding the policy.
- Incontestability clause
- Related: Misstatement of age, Suicide clause
A provision barring the insurer from contesting a policy for misrepresentation after it has been in force for a set period, commonly two years.
- Suicide clause
- Related: Incontestability clause
A provision limiting the death benefit to a refund of premiums if the insured dies by suicide within a stated period, typically two years from issue.
- Reinstatement
- Related: Grace period
Restoring a lapsed policy by paying overdue premiums with interest and providing proof of insurability, usually available within a limited window after lapse.
- Annuity
- Related: Variable annuity, Surrender charge
A contract that pays a stream of income, either for a set period or for life, funded by premiums that accumulate and are then annuitized.
- Variable annuity
- Related: Annuity, Variable life insurance
An annuity whose contract value is invested in separate accounts, so payments vary with market results; it must be sold with a prospectus.
- Surrender charge
- Related: Annuity
A fee deducted when an annuity or cash-value policy is canceled early, used to recover the insurer's upfront sales costs and declining over time.
- Accidental death and dismemberment
- Related: Principal sum, Capital sum
Coverage that pays a stated amount when an accident causes death or the loss of a limb or sight, typically paying less for dismemberment than for death.
- Principal sum
- Related: Capital sum, Accidental death and dismemberment
The amount an accidental death and dismemberment policy pays for accidental death or loss of two limbs or sight, as distinct from the smaller capital sum.
- Capital sum
- Related: Principal sum
The portion of an accidental death and dismemberment benefit paid for loss of one limb or sight of one eye, usually a fraction of the principal sum.
- Coordination of benefits
- Related: Deductible, Coinsurance
Rules that prevent double payment when a person is covered by two health plans, naming one plan primary and letting the other pay only remaining costs.
- Deductible
- Related: Coinsurance, Out-of-pocket maximum
The amount an insured must pay out of pocket for covered services each period before the health plan begins paying its share of the cost.
- Coinsurance
- Related: Deductible, Out-of-pocket maximum
The percentage split of covered costs shared between insurer and insured after the deductible, such as the plan paying 80 percent and the member 20 percent.
- Out-of-pocket maximum
- Related: Coinsurance, Deductible
The most an insured pays in a period for covered in-network care, including deductibles and coinsurance, after which the plan pays 100 percent.
- Pre-existing condition
- Related: Underwriting, Elimination period
A health problem diagnosed or treated before coverage began, which a policy may exclude or delay covering for a stated period.
- Elimination period
- Related: Pre-existing condition, Residual disability
The waiting time after a disability or illness begins before benefits become payable, functioning like a time deductible on disability income policies.
- Residual disability
- Related: Elimination period, Own occupation
A partial disability benefit that pays a portion of the full monthly amount when the insured can work but earns less than before the disability.
- Own occupation
- Related: Any occupation, Residual disability
A disability definition that pays benefits when the insured cannot perform the duties of their own specific job, even if able to work elsewhere.
- Any occupation
- Related: Own occupation
A stricter disability definition that pays only when the insured cannot perform the duties of any job for which they are reasonably suited by training or experience.