A newly introduced (2004) examination-based qualification recognising the technical’ development achieved by those with a growing understanding of the industry. It requires candidates to pass a 110 credit threshold. Successful CII members can apply to use the designation ‘Dip CII’. See ADVANCED DIPLOMA IN INSURANCE.
Insurance Encyclopedia
Diplomate
See: board certified .
Direct Action
In English law a third party does not as a rule have a right of direct action against a liability insurer, but in some legal systems he has.
Direct billing
A system for the collection of premiums whereby the insurance company directly bills the insured for the premium in lieu of the conventional collection of premiums by the agent or broker. The insurer sends a statement to the agent, usually monthly, recording the premiums collected directly, and credits the agent with the commission on those items.
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HEALTH: Direct billing is when a service provider directly bills the customer. the meaning varies slightly depending on whether the term is used in a health insurance context or a property and casualty (general) insurance context.In a health insurance context, direct billing is the process of a healthcare provider billing an insurance company directly for services rendered to a policyholder. It saves the patient from having to do all the paperwork on their own. In other words, it makes the process of filing health insurance claims easier and less time-consuming.
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MEDICAL,USA: Standard traditional type of bill from an insurance company that is sent to the insured to notify him or her that the monthly, quarterly, or annual premium is due.
Direct business
Insurance placed with an insurer direct and not through an intermediary.
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UK,REFERENCE: See: Direct Insurer.
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The primary cover provided by the insurer for the insured policyholder, as opposed to any reinsurance cover provided for the insurer. Also, known as primary business.
Direct care
Under the TRICARE program, medical care given in a military treatment facility. Also called in-house care .
Direct claim payment
System in which members of an insurance plan transact claims straight to the payer instead of submitting claims through an employer.
Direct consequences of Fire covered under the scope of the Fire Policy
(a) Damage during or immediately following a Fire caused by (i) smoke (ii) scorching (iii) falling walls: (b) damage caused by Fire brigade in the discharge of their duties e.g., (i) damage caused by water, and (ii) damage caused by blowing up the property to prevent spreading of Fire, and (c) damage to property removed from a burning building caused by exposure to weather provided the removal was made in an endeavor to mitigate loss.
Direct contract model
Health plan that contracts straight to private practice physicians or provider groups in a locale rather than through an intermediary or managed care company (e.g., open panel health maintenance organization [HMO]).
Direct contracting
See: direct contract model .