delawareinsurance.gov

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Definitions (43)

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adjuster


An individual employed by a property/casualty insurer to evaluate losses and settle policyholder claims. These adjusters differ from public adjusters, who negotiate with insurers on behalf of policyholders, and receive a portion of a claims settlement. Independent adjusters are independent contractors who adjust claims for different insurance compa [..]
Source: delawareinsurance.gov

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advanced premium tax credit


The Affordable Care Act provides a new tax credit to help you afford health coverage purchased through the Health Insurance Marketplace. Advance payments of the tax credit can be used right away to lower your monthly premium costs. If you qualify, you may choose how much advance credit payments to apply to your premiums each month, up to a maximum [..]
Source: delawareinsurance.gov

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affordable care act


the most common formal name for the health care reform law passed by Congress in 2010. Its full title is the Patient Protection and Affordable Care Act, or PPACA. The most widely used unofficial name for the healthcare reform law is Obamacare.
Source: delawareinsurance.gov

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agent/producer


a licensed representative of an insurance company who solicits, negotiates, or effects contracts of insurance and provides service to the policyholder for the insurer.
Source: delawareinsurance.gov

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application


a signed statement of facts requested by the insurance company on the basis of which the company decides whether or not to issue the coverage. The application becomes part of the health insurance contract when it is attached to and made a part of the contract.
Source: delawareinsurance.gov

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assignment


the signed authorization by the policyholder for the insurance company to pay benefits directly to the hospital, doctor, or other provider.
Source: delawareinsurance.gov

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beneficiary


the person or party designated by the policy terms to receive the proceeds upon the death of the insured.
Source: delawareinsurance.gov

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benefits


the dollar amount payable by the insurance company to the claimant, assignee, or beneficiary under each coverage.
Source: delawareinsurance.gov

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claim


a formal request to the insurance company for payment of benefits under the insurance contract.
Source: delawareinsurance.gov

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cobra


If you lose your job and you worked for an employer who has more than 20 employees, you may be able to continue your group coverage for up to 18 or 36 months under COBRA, a federal law. For information on eligibility and the length of time you can continue your coverage, call the U.S. Department of Labor at (202) 219-8776 or visit http://www.dol.go [..]
Source: delawareinsurance.gov


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