An arrangement wherein an individual practice association provides medical services from physicians they have contracted with.
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individual practice organization (IPO)
See: independent practice association (IPA) .
Individual Rated Products
(i) Individual Experience rates : Actual claims experience of the concerned insured and his requirements determine the designing of the experience rates products, rates, terms and conditions. Typically insurance with a high frequency but low intensity of loss occurrence. (ii) Exposure Rated Products : Where rates, terms and conditions of cover are determined by an evaluation of the exposure to loss in respect of the risk concerned, independent of the actual claims experience of that risk. (iii) Insurance of large risks : Designed for individual large clients and where the rates, terms and conditions may be determined by reference to the international markets. As per IRDA File and use large risks are (a) Insurance for a total insured of Rs. 2,500 crores or more at one location for property insurance, material damage and business interruption combined. (b) Rs. 100 crore or more per event for liability insurance.
individual responsibility program (IRP)
Infrequently seen state program in which physicians accept all patients but refuse to accept reimbursement from any third party, private or government. The provider directly bills the patient and the patient applies to the insurance company for reimbursement.
individual retirement account (IRA)
Tax-deferred monies set aside for retirement in an approved account that allows individuals to make pretax contributions. Contributions and investment earnings are taxable as income when paid out of the account. IRAs can be established through financial institutions such as insurance companies and stock brokerages. Also see Section 408(k) of the Internal Revenue Code .
Individual Retirement Account (IRA) (Pensions)
A retirement plan for those under the age of 70.5 (70 plus six months), which allows them to reserve up to $2,000 a year for retirement.
Individual Risk
Any premium rating system which assigns specific premium rates to each individual insured or exposure, rather than assigning a class or manual rate. Individual rating is usually based on the class rating method, but the difference is that the premiums are adjusted according to the actual losses of the individual customers. The primary goal of individual risk rating is to price the coverage provided more accurately than if the rates were based only on manual or class rates.
Individual Risk Premium Modification Rating Plan
A plan which modifies the premium on large package policies by considering such factors as reduced expenses for handling costs (Expense Modification) and special characteristics of the risk not contemplated by the basic rate (Risk Modification).
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A plan wherein the premium is modified.
Individual specific stop loss
Situation when a member of a group of a managed care plan incurs insurance claims in excess of a certain dollar limit during the contract period and this excess it not charged against the group’s experience. Also see stop loss .
Individual trust policies for partners
Each partner effects life insurance on his own life in trust for his partners. A separate policy is required for each partner to ensure that each has funds with which to purchase a share of the deceased (or retiring) partner’s part of the business.