Reasonable and Customary Charge
A charge for health care, which is consistent with the going rate or charge in a certain geographical area for identical or similar services.
A provision in some health insurance policies which specifies a period of time during which the recurrence of a condition is considered a continuation of a prior period of disability or hospital confinement.
(1) Restoration of a totally disabled person to a meaningful occupation, (2) A provision in some long-term disability policies that provides for continuation of benefits or other financial assistance while a totally disabled insured is retaining or attempting to resume productive employment.
The acceptance by one or more insurers, called reinsurers, of a portion of the risk underwritten by another insurer who has contracted for the entire coverage.
Renewable Term Life Insurance
A renewable life policy permits the owner of the policy to automatically renew the policy beyond its original term by acceptance of a premium for a new policy term without evidence of insurability.
Residual Disability Benefits
A provision in an insurance policy that provides benefits in proportion to a reduction of earnings as a result of disability, as opposed to the inability to work full-time.
Providing limited (negative) assurance on a client's financial statements based on inquiries and analytical procedures in accordance with the Statements on Standards for Accounting and Review Services (SSARS) issued by the AICPA. The objective of a review is significantly different from that of a compilation or audit.
A document which amends the policy or certificate. It may increase or decrease benefits, waive the condition of coverage, or in any other way amend the original contract.
This information should not be construed as legal advice or a legal opinion on any factual situation. This summary is for illustrative purposes and is not a contract. It is intended to provide a general overview, at the time first posted, of the topics described. Only the insurance policy can give actual terms, conditions and exclusions.