Florida Health Insurance Exam
Accident - ANSAn unplanned, unforeseen event which occurs suddenly and at an unspecified
place
Accident Insurance - ANSA type of insurance that protects the insured against loss due to
accidental bodily injury
Accidental Bodily Injury - ANSUnplanned, unforeseen traumatic injury to the body
Accidental Death and Dismemberment - ANSAn insurance policy which pays a specified
amount or a specified multiple of the insured's benefit if the insured dies, loses his/her sight, or
loses two limbs due to an accident
Accidental Death Benefits - ANSA policy rider that states that the cause of death will be
analyzed to determine if it complies with the policy description of accidental death
Activities of Daily Living - ANSActivities individuals must do every day such as moving about,
getting dressed, eating, bathing, etc.
Actual Charge - ANSThe amount a physician or supplier actually bills for a particular service or
supply
Adhesion - ANSA contract offered on a "take-it-or-leave-it" basis by an insurer, 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 insured
Admitted (Authorized) Insurer - ANSAn insurance company authorized and licensed to transact
insurance in a particular state
Adult Day Care - ANSA program for impaired adults that attempts to meet their health, social,
and functional needs in a setting away from their homes
Adverse Selection - ANSThe tendency of risks with higher probability of loss to purchase and
maintain insurance more often than the risks who present lower probability
Agent - ANSAn individual who is licensed to sell, negotiate, or effect insurance contracts on
behalf of the insurer
Aleatory - ANSA contract in which participating parties exchange unequal amounts. Insurance
contracts are this 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 - ANSAn insurance company that is incorporated outside the USA
Apparent Authority - ANSThe 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 - ANSThe amount Medicare determines to be reasonable for a service that is
covered under Part B of Medicare
Assignment - ANSA claim to a provider or medical supplier to receive payments directly from
Medicare
Attained Age - ANSThe age of the insured at a determined date
Attending Physician's Statement (APS) - ANSA statement usually obtained from the applicant's
doctor
Avoidance - ANSA 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 - ANSCoverage that provides benefits for room, board and
miscellaneous hospital expenses for a certain number of days during a hospital stay
Basic Medical Expense Insurance - ANSCoverage for doctor visits, x-rays, lab tests, and
emergency room visits; benefits, however, are limited to specified dollar amounts
Beneficiary - ANSThe person who receives the proceeds from the policy when the insured dies
Benefit Period - ANSThe length of time over which the insurance benefits will be paid for each
illness, disability or hospital stay
Birthday Rule - ANSThe method of determining primary coverage for a dependent child, under
which the plan of the parent whose birthday occurs first in the calendar year, is designated as
primary
Blanket Medical Insurance - ANSA policy that provides benefits for all medical costs, including
doctor visits, hospitalization, and drugs
Boycott - ANSAn unfair trade practice in which one person refuses to do business with another
until he/she agrees to certain conditions
Buyer's Guide - ANSA booklet that describes insurance policies and concepts, and provides
general information to help an applicant make an informed decision
Accident - ANSAn unplanned, unforeseen event which occurs suddenly and at an unspecified
place
Accident Insurance - ANSA type of insurance that protects the insured against loss due to
accidental bodily injury
Accidental Bodily Injury - ANSUnplanned, unforeseen traumatic injury to the body
Accidental Death and Dismemberment - ANSAn insurance policy which pays a specified
amount or a specified multiple of the insured's benefit if the insured dies, loses his/her sight, or
loses two limbs due to an accident
Accidental Death Benefits - ANSA policy rider that states that the cause of death will be
analyzed to determine if it complies with the policy description of accidental death
Activities of Daily Living - ANSActivities individuals must do every day such as moving about,
getting dressed, eating, bathing, etc.
Actual Charge - ANSThe amount a physician or supplier actually bills for a particular service or
supply
Adhesion - ANSA contract offered on a "take-it-or-leave-it" basis by an insurer, 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 insured
Admitted (Authorized) Insurer - ANSAn insurance company authorized and licensed to transact
insurance in a particular state
Adult Day Care - ANSA program for impaired adults that attempts to meet their health, social,
and functional needs in a setting away from their homes
Adverse Selection - ANSThe tendency of risks with higher probability of loss to purchase and
maintain insurance more often than the risks who present lower probability
Agent - ANSAn individual who is licensed to sell, negotiate, or effect insurance contracts on
behalf of the insurer
Aleatory - ANSA contract in which participating parties exchange unequal amounts. Insurance
contracts are this 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 - ANSAn insurance company that is incorporated outside the USA
Apparent Authority - ANSThe 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 - ANSThe amount Medicare determines to be reasonable for a service that is
covered under Part B of Medicare
Assignment - ANSA claim to a provider or medical supplier to receive payments directly from
Medicare
Attained Age - ANSThe age of the insured at a determined date
Attending Physician's Statement (APS) - ANSA statement usually obtained from the applicant's
doctor
Avoidance - ANSA 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 - ANSCoverage that provides benefits for room, board and
miscellaneous hospital expenses for a certain number of days during a hospital stay
Basic Medical Expense Insurance - ANSCoverage for doctor visits, x-rays, lab tests, and
emergency room visits; benefits, however, are limited to specified dollar amounts
Beneficiary - ANSThe person who receives the proceeds from the policy when the insured dies
Benefit Period - ANSThe length of time over which the insurance benefits will be paid for each
illness, disability or hospital stay
Birthday Rule - ANSThe method of determining primary coverage for a dependent child, under
which the plan of the parent whose birthday occurs first in the calendar year, is designated as
primary
Blanket Medical Insurance - ANSA policy that provides benefits for all medical costs, including
doctor visits, hospitalization, and drugs
Boycott - ANSAn unfair trade practice in which one person refuses to do business with another
until he/she agrees to certain conditions
Buyer's Guide - ANSA booklet that describes insurance policies and concepts, and provides
general information to help an applicant make an informed decision
