Georgia Life and Health Insurance / Actual
Questions & Certified Solutions 2025/2026.
Terms in this set (224)
Accident An unplanned unforeseen event which occurs suddenly at
an unspecified place
Accident insurance A type of insurance that protects the insured against loss due
to an accidental bodily injury
Accidental bodily injury Unplanned unforseen traumatic injury to the body
Accidental Death and An insurance policy which pays a specified number or specified
Dismemberment multiple of the insurer's benefit if the insured dies, loses his/her
sight, or loses two limbs due to an accident.
Acquired An infectious and incurable disease caused by the human
Immunodeficiency immunodeficiency virus (hiv)
Symdrome
Activities of daily living Activities individuals must do every day such as moving
about, getting dressed, eating, bathing, etc.
Actual charge The amount a physician or supplier actually bills for a particular
service or supply.
Adhesion A contract offered on a "take it or leave it" basis by an insured,
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 imsured.
Admitted (Authorized) An insurance company authorized and licensed to transact
Insurer business in a particular state.
Adult Day Care A program for impaired adults that attempts to meet their
health, social, and functional needs in a setting away from
their homes.
,Adverse Selection The tendency of risks witha higher probability of loss to
purchase and maintain insurance more often than the risks
who present lower probability
Agent An individual who is licensed to sell, negotiate, or effect
insurance contracts on behalf of an insurer.
Aleatory A contract in which participating parties exchange unequal
amounts. Insurance contracts are aleatory 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 An insurance company that is incorporated outside the
United States.
Alzheimer's Disease A disease that causes the victim to become dysfunctional
due to degeneration of brain cells and severe memory
loss.
Ancillary Additional, miscellaneous services provided by a hospital,
such as x-rays, anesthesia, and lab work, but not hospital
room and board expenses.
Apparent Authority The 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 The amount Medicare determines to be reasonable for a
service that is covered under part B of Medicare.
Assignment A claim to a provider or medical supplier to receive
payments directly from Medicare.
Attained Age The age of the insured at a determined date.
Attending Physician
A statement usually obtained from the applicant's doctor.
Statement (APS)
Avoidance A 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 Coverage that provides benefits for room, board and
Insurance miscellaneous hospital expenses for a certain number of days
during a hospital stay.
Basic Medical Expense Coverage for doctor visits, x-rays, lab tests, and emergency
Insurance room visits; benefits, however, are limited to specified
dollar amounts.
Beneficiary The person who receives the proceeds from the policy when
the insured dies.
Benefit Period The length of time over which the insurance benefits will be
paid for each illness, disability, or hospital stay
Birthday Rule The 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.
Boycott An unfair trade practice in which one person refuses to do
business with another until he or she agrees to certain
comditioms.
Blanket Medical Insurance A policy that provides benefits for all medical costs, including
doctor visits, hospitalization, and drugs.
Buyers Guide A booklet that describes insurance policies and concepts,
and provides general information to help an applicant make
an informed decision.
Cafeteria Plan A selection of health care benefits from which an employee may
choose the ones that he/she needs.
Capital Amount A percentage of the principal amount of a policy paid to the
insured if he/she suffered the loss of an appendage.
Organizations that process claims and pay benefits in an
Carriers
insurance policy
Cease and Desist Order A demand of a person to stop committing an action that is in
violation of a provision.
Questions & Certified Solutions 2025/2026.
Terms in this set (224)
Accident An unplanned unforeseen event which occurs suddenly at
an unspecified place
Accident insurance A type of insurance that protects the insured against loss due
to an accidental bodily injury
Accidental bodily injury Unplanned unforseen traumatic injury to the body
Accidental Death and An insurance policy which pays a specified number or specified
Dismemberment multiple of the insurer's benefit if the insured dies, loses his/her
sight, or loses two limbs due to an accident.
Acquired An infectious and incurable disease caused by the human
Immunodeficiency immunodeficiency virus (hiv)
Symdrome
Activities of daily living Activities individuals must do every day such as moving
about, getting dressed, eating, bathing, etc.
Actual charge The amount a physician or supplier actually bills for a particular
service or supply.
Adhesion A contract offered on a "take it or leave it" basis by an insured,
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 imsured.
Admitted (Authorized) An insurance company authorized and licensed to transact
Insurer business in a particular state.
Adult Day Care A program for impaired adults that attempts to meet their
health, social, and functional needs in a setting away from
their homes.
,Adverse Selection The tendency of risks witha higher probability of loss to
purchase and maintain insurance more often than the risks
who present lower probability
Agent An individual who is licensed to sell, negotiate, or effect
insurance contracts on behalf of an insurer.
Aleatory A contract in which participating parties exchange unequal
amounts. Insurance contracts are aleatory 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 An insurance company that is incorporated outside the
United States.
Alzheimer's Disease A disease that causes the victim to become dysfunctional
due to degeneration of brain cells and severe memory
loss.
Ancillary Additional, miscellaneous services provided by a hospital,
such as x-rays, anesthesia, and lab work, but not hospital
room and board expenses.
Apparent Authority The 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 The amount Medicare determines to be reasonable for a
service that is covered under part B of Medicare.
Assignment A claim to a provider or medical supplier to receive
payments directly from Medicare.
Attained Age The age of the insured at a determined date.
Attending Physician
A statement usually obtained from the applicant's doctor.
Statement (APS)
Avoidance A 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 Coverage that provides benefits for room, board and
Insurance miscellaneous hospital expenses for a certain number of days
during a hospital stay.
Basic Medical Expense Coverage for doctor visits, x-rays, lab tests, and emergency
Insurance room visits; benefits, however, are limited to specified
dollar amounts.
Beneficiary The person who receives the proceeds from the policy when
the insured dies.
Benefit Period The length of time over which the insurance benefits will be
paid for each illness, disability, or hospital stay
Birthday Rule The 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.
Boycott An unfair trade practice in which one person refuses to do
business with another until he or she agrees to certain
comditioms.
Blanket Medical Insurance A policy that provides benefits for all medical costs, including
doctor visits, hospitalization, and drugs.
Buyers Guide A booklet that describes insurance policies and concepts,
and provides general information to help an applicant make
an informed decision.
Cafeteria Plan A selection of health care benefits from which an employee may
choose the ones that he/she needs.
Capital Amount A percentage of the principal amount of a policy paid to the
insured if he/she suffered the loss of an appendage.
Organizations that process claims and pay benefits in an
Carriers
insurance policy
Cease and Desist Order A demand of a person to stop committing an action that is in
violation of a provision.
