Spouse and dependents of an active member of the United States government military services (e.g., Army, Navy, Air Force, Marines, Coast Guard). This phrase is used more frequently in the TRICARE health care program.
Insurance Encyclopedia
Active duty service member (ADSM)
Active member of the United States government military services (e.g., Army, Navy, Air Force, Marines, Coast Guard).
Active investment management
Occurs when pension funds are used to purchase and sell particular investments to secure growth above the level of a chosen benchmark.
Active Malfunction
A Products Insurance term. If the product instead of bringing a benefit to the user, actually damages the user’s property, it is an active malfunction. An example is bug killer which when applied to a crop, damages the crop. Active malfunctioning is covered.******In products insurance, a defect or malfunction in a product that damages the property of the user.
Active member
A current employee of a pension scheme engaged in building up pension benefits in an occupational pension scheme. During a contribution holiday a member may still accumulate extra pension benefits without payments into the scheme.
Active Underwriter
The individual at the underwriting box with principal authority to accept insurance and reinsurance risk on behalf of the members of a syndicate.
****
The person at the underwriting box at Lloyd’s with principal authority from the managing agent to accept risks on behalf of the syndicate he represents.
*****
in the Lloyd’s market, an underwriter who is authorised to accept risks on his/her own account and on behalf of names in the syndicates for whom he/she acts.
Actively at work
Group life or health policy term requiring a new member (or a member increasing cover) to be at work or on holiday on the day of joining or increasing the cover, and not absent due to sickness or industrial action. Cover may begin on the employee’s return to work, either automatically or with the insurer’s consent.
******
Some group health insurance policies stipulate that if an employee is not actively at work on the day the policy goes into effect, the coverage will not begin until the employee return to work.
Actively at work provision
Rider in a group insurance contract that states if an employee is absent from work due to illness, injury, or other specific reasons, on the date the employee’s coverage is due to begin, then insurance will not begin until the date the employee returns to work. For a dependent, a plan may require that, if in the hospital on the effective date, that date is deferred until the dependent’s release from the hospital.
Activities of Daily Living
A list of activities, normally including mobility, dressing, bathing, toileting, transferring, and eating which are used to assess degree of impairment and determine eligibility for some types of insurance benefits.
Activities of Daily Living (ADL) (ADLs)
Activities of daily living (ADLs) are those activities we undertake in a normal day to care for ourselves. They include bathing, grooming, feeding ourselves, shopping, and transporting ourselves from place to place. ADLs are used by disability insurance companies and long-term care providers to determine if an insured is eligible for benefits. The ADLs normally considered for insurance benefits are bathing, dressing, toileting, transferring (e.g., moving in and out of a bed or chair), continence, and eating.
*******
1. Physical nonoccupational activities used to determine eligibility for long-term care such as bathing, continence, dressing, eating, mobility, transferring in and out of bed or a chair, using the toilet, and walking. ADLs are used to measure how dependent a person may be on requiring assistance in performing any or all of these activities. Compare with instrumental activities of daily living (IADLs). 2. In workers’ compensation cases, these activities may include self-care, communication, physical activity, sensory function, hand functions, travel, sexual function, sleep, and social and recreational activities.
*********
Everyday living functions and activities normally performed unaided by individuals. They include eating, dressing, bathing, climbing stairs, etc. ADLs are the basis for assessing claims under long-term care insurances and similar disability contracts. A claim is triggered when an individual is unable to perform activities of this type unaided.