Injury arising out of oral
or written publication of material that slanders or libels an entity or
disparages an entity's goods, products, or services; violates an entity's
right of privacy; misappropriation of advertising ideas or style of doing
business; and infringement of copyright, title, or slogan.
Aggregate:
An aggregate is a total. The total
amount of liability for all claims in one policy year shall not exceed the
limit of liability as stated on your certificate of insurance.
Assault:
Any willful attempt to inflict
physical harm on you by another which results in injury
or damage.
Claim:
A demand for money or services; also
the filing of a suit or the starting of arbitration proceedings naming you
and alleging injury or damage
Claim Expenses: Fees charged by an attorney we designate; all other fees,
costs, and expenses, including interest on that part of any judgement that
does not exceed the limit of your coverage, which result from the investigation,
adjustment, defense and appeal of a claim
Claims-Made Policy:
Policy type that covers the named insured
for claims made and reported to the insurance company while the policy remains
in force.
Complaint: Official documentation required by an entity responsible for
regulating your professional conduct to trigger an investigation of you
for a medical incident covered by this policy.
Covered Expenses:
Only expenses for travel, food,
lodging, and wage loss incurred by you for your required
attendance at a disciplinary hearing or proceeding.
Damage:
Physical injury to tangible property,
including all resulting loss of use of that property; or loss of use of
tangible property that is not physically injured.
Disciplinary Hearing:
A hearing or professional review conducted
by any state or federal administrative agency, licensing or regulatory authority
responsible for regulating your professional conduct.
Fraud:
Intentional deception resulting in
damage to another, whether to his person, rights, property, or reputation.
Fraud usually consists of a misrepresentation, concealment, or nondisclosure
of a material fact, or at least misleading conduct, devices, or contrivance.
Incompetence:
The inability or lack of legal qualification
or fitness to discharge the required duty.
Injury:
Bodily injury, sickness, disease, mental
or emotional distress sustained by a person, or death resulting from such
injury
Liability Risk:
Liability loss or exposure where negligent
acts may occur for which an inpidual or organization may be held responsible.
The act must be injury to or property damage of Others. This coverage is
also known as "third party insurance".
Limits of Liability:
The maximum amount of coverage agreed
upon in the insurance contract that the company would pay in the event of
a loss.
Locum Tenens:
A Healthcare Provider who is serving
as a temporary relief or substitute.
Medical Incident:
Any act, error or omission in your providing
or failure to provide professional services, including your responsibility
for anyone acting under your direction or control.
Negligence:
The failure to exercise the proper degree
of care required by a prudent person.
Occurrence Policy:
Type of policy which will cover the
named insured for bodily injury or property damage to others which occurs
during the policy period, regardless of when the claim is actually reported
as long as the policy was in force at the time of the bodily injury or property
damage.
Personal Injury:
Injury arising out of testimony given
at or arising out of inquests; malicious prosecution; false arrest, detention,
imprisonment, wrongful entry or eviction or other invasion of the right
of private occupancy; libel, slander or other disparaging materials; a violation
of an inpidual's right to privacy; assault, battery, mental anguish, mental
shock or humiliation; advertising injury.
Personal Property:
Property other than buildings and their
appurtenances, consisting of furniture, fixtures, machinery and equipment
not permanently installed, all other personal property owned by you and
used in your practice, and merchandise held in storage for sale, raw materials
and in process or finished goods, including supplies used in their packing
or shipping.
Premises:
The location described on the certificate
of insurance; any additional premises used for professional purposes, for
which you have given notice to us, not less than 30 days after such premises
is to become insured under the policy.
Professional Services:
Those services for which you are licensed,
trained, and qualified to perform in your capacity as a healthcare provider
in the professions shown on the Certificate of Insurance. Also, your services
while acting as a member of a formal accreditation, standards of review,
or similar professional board or committee, including the directives of
such board or committee.
Underwriting:
The selection and classification of
profitable insureds through a clearly stated company policy consistent with
company objectives.
Workplace:
Any location used for professional purposes.
Glossary of Terms: Life and Disability Products
A.M. Best Co. - established in 1899, is one of the most authoritative insurance rating
and information sources in the world. There are several factors that influence an A.M. Best rating, including
global market position, balance sheet strength, sustained profitable growth, and the demonstrated success of its
management's strategies. These factors determine the rating of an insurance company, which vary in level:
A++ and A+ rated carriers are defined as Superior companies and are considered to have a very strong ability to
meet their obligations.
A and A- rated organizations are defined as Excellent companies and are considered to have a strong ability to
meet their obligations.
B++ and B+ companies are considered Very Good. While their financial strength may be more susceptible to unfavorable
changes in underwriting, economic or environmental conditions than insurers in the higher rating categories, they
still have a strong ability to meet their obligations.
Companies rated below B+ are considered Vulnerable; companies rated in these categories tend to present progressively
higher risks.
Cancer means a disease manifested by the presence of a malignant tumor. This tumor
must be characterized by the uncontrolled growth and spread of malignant cells, the invasion of tissue, or leukemia.
Dependent:
Lawful spouse, and/or Unmarried children whom you support and who are:
At least 15 days of age, but under age 19; or Full time students between the ages of 19 and 25.
"Children" includes stepchildren and adopted children who are supported by you. A child in the
process of adoption will be considered a dependent from the day he is supported by you.
Dismemberment
Loss of Sight means total loss of sight which cannot be restored by surgical or other means.
Loss of Hand means that a hand is permanently severed at or above the wrist.
Loss of Foot means that a foot is permanently severed at or above the ankle.
Eligible Survivor: means your lawful spouse if living on the date a benefit payment is
due. If the spouse is not living, the term means your dependent children.
Illness Period starts when you incur covered expenses while the Policy is in force. If
you go 45 days without incurring such expenses, we will consider treatment after that date as starting a new
Illness Period.
Terminal Illness means a medical condition which is expected to result in the insured
person's death within 6 months; and from which the insured person is not expected to recover.
Total Disability: Long Term Disability Customers
During the waiting period and the next 24 months, the complete inability of the person to perform the material duties
of his regular occupation; "his regular occupation" is that which the person was performing on the day
before total disability began.
After such 24 months, the complete inability of the person to perform the material duties of any gainful job for
which he is reasonably fit by training, education or experience.
The total disability must be a result of an injury or sickness. To be considered totally disabled, a person must
also be under the regular care of a physician.
Total Disability: Term Life Customers
Total Disability means that an insured person cannot perform any work or pay or profit. The disability must result
from an injury or sickness.
Waiting Period: means a period of consecutive days of total disability for which no
benefit is payable. The duration of the waiting period is shown in the Schedule of Benefits. The waiting period
begins on the first day of the total disability occurring after the effective date of a person's insurance.