Insured classification of individuals whose physical conditions are less than standard or who have a dangerous occupation or hobby. An additional premium is required because of the likelihood of loss from an impairment.
Insurance Encyclopedia
Substantial comorbidity
Medical condition that coexists with the primary cause for hospitalization (principal diagnosis) and affects the patient’s treatment and length of stay by at least 1 day in approximately 75% of the cases.
Substantial complication
Condition that occurs during the hospitalization and prolongs the length of stay by at least 1 day in approximately 75% of the cases.
substantial financial risk (SFR)
Incentive arrangement that places the physician or physician group at risk for amounts beyond the risk threshold, if the risk is based on the use or costs of referral services. The risk threshold is 25%. However, if the patient panel is greater than 25,000 patients, then the physician group is not considered to be at substantial financial risk because the risk is spread over the large number of patients. Stop loss and beneficiary surveys would not be required.
Substitute agent
A person or body appointed in accordance with part K of the Underwriting Byelaw.
Substituted expenses
Expenses incurred to prevent or reduce a loss for which the marine insurer would have been liable. The expenses may not qualify as general average expenditure but they can substitute for expenses that do qualify. If the substitution shows a saving, the substituted expenses are allowed in general average.
Substitution
The replacement of one insurer by another, as where the first ceases to underwrite.
Subterms
1. In the ICD-9-CM diagnostic code book, words or phrases that appear under a main term and identify site, type, or etiology for diseases, conditions, or injuries. 2. See modifying terms.
Subterranean fire
It refers to a fire of volcanic origin but would embrace a fire in a coalfield or oil well. The risk, and earthquake, are excluded from the standard fire policy but are insurable in the UK as an additional (special) peril.
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The Fire caused beneath the surface of the earth.
Subtraction
Act of removing an overlying structure to better visualize the structure being examined (i.e., imposing one x-ray on top of another).