1. Contact by, or on behalf of, one party, without the knowledge of the opposing party. 2. In a workers’ compensation case, this means that neither party may have communication with a judge, arbitrator, agreed medical evaluator (AME), or qualified medical evaluator (QME) without knowledge of the other party.

1. See physical examination (PE or PX) . 2. Audit of an insurer’s records, transactions, methods, and assets by a state insurance department or by internal or external auditors or accountants.

Representative of a state department of insurance who performs official audits and investigates the compliance of insurance companies to regulations.

Group life or disability insurance that is presented to a specific category of insureds for enrollment that is more than normally allowed. This is based on the total number for the case.

Medical insurance coverage that has a high maximum amount of benefits and is usually for supplementing older, low-limit major medical health insurance. It has a high deductible.

MEDICAL,USA: 1. Insurance policy or bond that covers the insured against certain hazards. It applies only to loss or damage in excess of a stated amount. 2. Portion of a line that exceeds the insurance company’s net line or retention. 3. Insurance policy that pays over the primary amount of coverage.
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A secondary coverage that pays in excess of the primary policy. Excess insurance does not pay unless the amount lost exceeds a specified amount.
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UK: An insurance adding an excess layer to a primary insurance or other excess layers. It does not contribute to a loss until the limit of the primary or underlying insurances has been reached. Excess layers are used in liability insurance where the limits of indemnity of the underlying insurances do not meet the requirements of the insured.
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Coverage that applies on top of underlying insurance that is primary—insurance that pays until its coverage limit is exhausted at which point the excess coverage takes over. Also see Umbrella liability insurance.
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Insurance Policy designed to provide coverage over one or more similar primary coverage, and which does not pay until the primary Insurer has paid its limit for a particular loss.

Difference between the minimum rate of interest that is guaranteed on dividends left with the company and the interest actually credited.

Provision in an insurance policy designed to cut off the insurance company’s loss at a certain point. It may be an aggregate payable under the policy, maximum payable for any one disability, or the like. See stop loss .