An approach to partnership insurance to minimise the number of policies necessitated under individual trust policy arrangements. Each partner effects one policy on his own life under a discretionary trust in favour of the other partners who are normally the trustees in whom the proceeds are vested. When a claim arises they are then able to apportion the proceeds among themselves to repay the deceased or retiring partner’s share of the business.
Insurance Encyclopedia
Discrimination
Refusal of an insurer to provide comparable insurance or use comparable rates for certain individuals or groups with basic characteristics the same as those to whom the coverage or rates are offered. Unfair discrimination is prohibited by law.
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Prohibited by law, discrimination is the refusal to insure certain people who have the same characteristics as others who have been insured.
Disease
Term whose Insurance usages are more limited and specific than in general English. In an Insurance Policy a “disease” often is either any one of a specified list of pathological conditions or any illness which requires hospitalization.
Disease management
Coordinated program that follows specific diseases or conditions and their treatments and introduces treatment to get the best outcome, prevent recurrence, and reduce the cost of care. Such programs exist for individuals who have asthma, diabetes, depression, and lipid disorders. Pharmaceutical companies work with physicians who maintain databases of drugs used to treat these diseases and conditions. Sometimes called disease state management, outcomes management, population-based care, population-based care management , or care mapping .
Disease Management Covers for Health Insurance
For patients already suffering from chronic diseases like diabetes new products based on disease management platform are now available. Products include coverage for some medicines and regular laboratory tests on OPD basis in addition to othr coverage in the product. However, this category of products is still in its early stages in India.
Disease prevention
See: preventive care .
disease state management (DSM)
Overseeing a patient’s entire condition or disease state rather than treatment to individual components of a disease in isolation. Achievement of beneficial outcomes and cost effectiveness are emphasized. The patient’s overall condition is treated carefully analyzing side effects and cost of treatment.
Disenroll
1. Process in which a patient ends his or her health care coverage with a health plan. Generally this is now allowed unless a patient has been with a plan for at least 6 to 12 months. 2. In the Medicare program, a beneficiary may disenroll at the beginning of any given month if notice is given by a certain preceding deadline during the previous month.
Disenrollment
1. Member’s voluntary cancellation of membership in a managed care plan. 2. Involuntary disenrollment may occur because of a member’s change in employment.
Disfigurement
Abnormal color, shape, or structure of a body part that if visible may cause social rejection and/or poor self-image, causing a change in lifestyle and behavior.