Ancillary activities clause

Support activities so closely related to the ‘Business of the insured that they are regarded as integral to it. The definition of ‘Business’ in liability policies extends to include ownership, maintenance and repair of premises, the provision and management of canteens, social, sports or welfare organisations for the benefit of employees and the insured’s ambulance, first aid (excluding medical practitioners) and fire services. The private work clause brings in a non-business situation, i.e. cover applies to the execution of private work by employees for any director or senior official of the insured.

Ancillary charge

Fee for an ancillary service that is sometimes billed as an additional service such as anesthesia, laboratory, pharmacy, or radiology charge and which may exceed the managed care plan’s maximum allowable.

Ancillary medical services

1. Supportive professional services other than room, board, and routine hospital services that are incidental to the hospital stay and provided by the facility such as ambulance, anesthesia, blood administration, drugs, laboratory tests, pharmacy, operating room, x-rays, medical, surgical, and central supplies; physical, occupational, and speech therapy; and inhalation therapies. Also called inpatient ancillary services. 2. In a medical office setting, ancillary medical services may consist of diagnostic tests such as x-rays or laboratory tests.

Ancillary risk

For an insurer, authorised by the FSA to insure a principal risk under one of the general classes of insurance, it means a risk included in another class that is connected with the principal risk. Ancillary risks can be insured (a) when concerned with the object covered against the principal risk, and (b) when included in the same policy covering the principal risk. However, risks arising under credit insurance, suretyship and legal expense insurance cannot be treated as ancillary risks but legal expenses cover permitted as ancillary in travel policies, or when connected with the use of sea-going vessels.

And arrival

In marine insurance practically all return premiums by agreement are and arrival’. This means that an underwriter will not be liable to pay the return unless the ship is safe at expiry of the policy.

Anesthesia formula

Payment formula is performed by taking the base anesthesia procedure units and adding them to the time reported, as well as units for physical status modifiers, qualifying circumstances, and any other allowed units or charges. This sum is multiplied by a conversion factor.