Insurance scheme set up by the Institute of Directors for its members for up to £1 million indemnity and £25,000 insolvency defence claims and other extensive cover.
Insurance Encyclopedia
Dirty Bill
See: “Claused Bill.”
Dirty claim
Claim submitted with errors or one that requires manual processing to resolve problems or is rejected or denied for payment.
Disability
UK: 1. Disability Discrimination Act 1995 defines it as an impairment that is either physical or mental adversely affecting the person’s ability to carry out day to day activities. The adverse effect must be substantial and long-term. 2. Under income protection insurance and other health policies disability definitions are related to occupation. Disability could mean the inability of the insured to carry out (a) his own occupation; (b) any occupation for which he is suited by education, training and experience; (c) any occupation; or (d) specific tasks as defined in the activities of daily life or activities of daily work.
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MEDICAL,USA: 1. Impairment, loss of function (mental, physical, social), and inability to work either temporarily or permanently due to an injury or sickness. There are varying types (functional, occupational, learning); degrees (partial, total); and durations (short-term or long-term temporary, total, permanent) of disability. 2. For Social Security purposes, the inability to engage in substantial gainful activity by reason of any medically determinable physical or mental impairment that can be expected to result in death or to last for a continuous period of not less than 12 months. Special rules apply for workers aged 55 or older whose disability is based on blindness. The law generally requires that a person be disabled continuously for 5 months before he or she can qualify for a disabled worker cash benefit. An additional 24 months is necessary to qualify under Medicare. 3. In workers’ compensation cases, a condition that renders the insured employee incapable of performing one or more of the duties required by his or her regular occupation. 4. In disability insurance, the definition of disability is variable. Some policies pay benefits if the individual cannot return to the exact occupation he or she had before. Some pay only if the individual cannot do any job for which he or she is reasonably qualified. Some policies pay if the person has been disabled by an accident and not by illness. Some policies have several tests to determine whether the insured is disabled according to the policy.
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A medical condition or psychological affliction that limits the individual’s capability to engage in everyday activities. This may be a temporary or permanent circumstance.
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A physical condition which makes an insured person incapable of doing one or more duties of his occupation.
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US: A physical or a mental impairment that substantially limits one or more major life activities of an individual. It may be partial or total. (See Partial Disability; Total Disability.)
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Takes several forms and would depend upon the terms of the individual Policy. Major areas are partial, which is found under accident and health Insurance, permanent partial, which is found under workmen’s compensation, accident and health Insurance, permanent total disability which is found under workmen’s compensation Insurance, accident and health Insurance. Also temporary total and temporary partial which are found under workmen’s compensation, accident and health Insurances.
Disability assessment
See: functional capacity evaluation (FCE) .
Disability Benefit
Periodic payments, usually monthly, payable to participants under some retirement plans, if such participants are eligible for the benefits and become totally and permanently disabled prior to the normal retirement date.
Disability benefit (Health Insurance/Life Insurance)
A benefit paid to the insured upon being deemed partially or totally disabled. This benefit may be paid out from a disability policy or a clause of a life insurance policy.
Disability benefits
1. Payments for loss of income to an insured who is not able to work because of total and/or permanent disability for a covered injury or illness. Also called disability compensation . 2. Optional feature to a life insurance policy that provides for a waiver of premium and in some policies payment of monthly income if proof can be furnished that the insured has become totally and permanently disabled. 3. For Social Security disability, benefits are payable to people under full retirement age who have enough Social Security credits and who have a severe medical impairment (physical or mental) that is expected to prevent them from doing substantial work for a year or more or who have a condition that is expected to result in death.
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UK: Benefits added to life or income protection policies. They may include waiver of premium during periods of disability preventing the policyholder from following his normal occupation. The term has also been applied when periodic payments following temporary disablement from working are added to a life policy.
Disability benefits law (Health Insurance)
A law currently in effect in some states, including California, New York, Hawaii, and Rhode Island. The law mandates disability benefits be paid to workers by the employer for injuries that take place outside the workplace.
Disability buy sell (Health Insurance)
A type of income policy that funds a disability buy sell agreement to buy the interests of a disabled stockholder. See buy sell agreement .