GLOSSARY

Loss Reserve

Estimation of the liability for unpaid claims that have occurred as of a given date, including the IBNR claims, claims due but not yet paid,

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Loss Trending

Adjusting historical losses to account for inflationary trends so that the ultimate value is more current or meaningful. Loss trend factors are multiplied by actual

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Loss Triangulation

Study of changes, the relationship of one period to a previous period. The process involves graphs in which the data is displayed in an inverted

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Major Medical Policy

Provides greater benefits for services such as in-patient and out-patient hospital care, intensive care, physician charges and other medical services.

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Managed Care Plan

A partnership between insurers and providers through contracts to provide care at discounted costs for benefits defined in the policy.

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Managed Indemnity Plan

Incorporates basic utilization programs such as case management, pre-certification and recertification of certain services into a traditional indemnity plan.

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Managerial Accounting

An internal accounting system that provides accurate and timely financial information for use by managers to make short-term and day-by-day financial decisions.

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Managerial Model

Planning, organizing, leading and evaluating the resources of people, funds, materials, and time to protect the organization’s assets and positively affect the organization’s performance.

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Manual Rates

Rates as promulgated by a rating bureau before application of any credits, discounts, surcharges or deviations. Such rates are referred to as “manual rates” because

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Maturity

The date cash value equals the face value of a whole life or endowment policy and becomes payable to the policy owner.

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Maturity Value

The amount paid under a whole life insurance contract if the insured reaches the age of the mortality table on which the contract was based.

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Mean

Sum of all observations divided by the number of observations; the average (also known as the arithmetic mean).

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