Association or connection between an individual and a health care provider in which the provider delivers care to the patient based on orders from another physician and the provider either gives services and supplies, reports diagnoses, or provides results directly to another provider who interacts with the patient. For example, a radiologist or a pathologist would be considered to have indirect treatment relationships with patients because they provide diagnostic services requested by other providers and furnish results to the patient through the direct treating physician.
Tag: RAW
Indisputability Clause
A clause in a policy providing that after a stated period the insurer may not dispute the validly of the policy in the absence of fraud on the part of the insured, thus relieving the insured of the consequences of any innocent non-disclosure or misrepresentation.
Indisputable clause
Same as INCONTESTABLE CLAUSE.
Individual
Under the Health Insurance Portability and Accountability Act (HIPAA), the person who is the subject of protected health information.
Individual account plan
Retirement plan that is funded in accordance with a formula based on a certain percentage of the participant’s compensation.
Individual account plan (Pensions)
A pension plan, usually a defined contribution or profit-sharing plan, which generates a separate account for each person in the plan. The benefits generated are based on the amount within each individual account, as well as the gains and losses.
Individual Approach for Crop Insurance
The approach seeks to indemnify the farmer to the full extent of the losses and the premium to be paid by him is determined with reference to his own past yield and loss experience.
Individual arrangement (IA)
Occupational pension scheme for a named employee. The scheme is insured and is normally established by an exchange of letters between the employer and employee. Where the letter does not incorporate a declaration of trust it is linked with a formal declaration of trust to ensure that the arrangement is legally enforceable. IAs are Inland Revenue approved.
Individual bonds/mini bonds
Enable individual investor to pursue own objectives by way of a separate fund.
Individual Capital Adequacy Standards (ICAS)
Mechanism in calculating enhanced capital requirements (ECR) based on an industry-wide assumptions to allow for differences in the risk profiles of individual firms of insurers, both life and non-life. ICAS operates through Individual Capital Guidance that is usually set above ECR and will be affected by whether firms’ risk assessment processes follow all the FSA’s guidance. See RISK-BASED CAPITAL.