Acceptance of a proposal or risk on condition.
Insurance Encyclopedia
Accepted value
A value on insured property accepted by the insurer as its true value and thus not disputable in the absence of proof of fraud on the part of the insured.
Accepting assignment
1. A Medicare Part B agreement in which a Medicare participating physician agrees to accept 80% of the approved charge from the fiscal intermediary and 20% from the patient after the patient’s deductible has been met.
2. Transfer of the legal interest in an insurance policy to another person, typically when property is sold; or in life insurance, only valid with the insurance company’s consent.
3. Transfer of an individual’s right to receive payment under an insurance contract.
Accepting office
An insurance company that accepts a reinsurance.
Access
Refers to an individual’s ability to obtain needed medical care, such as facility location, transportation, operating hours, cost of care, availability of medical services, and patient acceptability of services.
Access fee
Amount paid by a health insurer to a network Per Member Per Month (PMPM) to use the network’s providers.
Access to Justice Act 1999
The law governing conditional fee agreements and after-the-event legal insurance (AEI) has been revised. The court can order a losing party to pay any increase in both the successful party’s normal lawyer fee and the successful party’s premium for insurance against being ordered to pay the other side’s costs. When instructed, solicitors must inform their clients of the availability of alternative funding, such as AEI.
Access to Medical Records Act 1988
Allows the proposer of a life insurance policy to inspect medical records. The insurer must obtain the proposer’s written consent before contacting his doctor for a report, but the proposer has the right to inspect the report before it is submitted to the insurer. If the proposer believes the report is misleading, he may request changes. If the doctor refuses, the proposer has two options: withdraw permission and risk losing the insurance offer, or add comments to the report.
Access to Records Clause
A provision in a reinsurance agreement that allows the Reinsurer access to the Ceding Company’s books, records, and other reinsurance-related documents and information. This includes related accounting, underwriting, and claims information for the purpose of obtaining information about the reinsurance agreement or its subject matter from the Reinsurer.
Accessibility of services
The ability to obtain medical care and services when a patient requires them.