1. Generally refers to the Social Security Act, and titles referred to are titles of that Act. 2. Term for legislation that passed through Congress and was signed by the President or passed over his veto. Also called law or statute.
Tag: USA
Act of God
A natural event outside of any human control, such as an earthquake.*********Accident or event that results from natural causes without human intervention and could not be prevented by foresight such as flood, lightning, earthquake, tornado, or storm.********Acts of naturethe term was once widely used to distinguish between manmade events, such as, fire, collision, and nature’s rampages in wind and flood.
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An accident, an event that is the result of natural cause without any human intervention or agency, that could not have been prevented by reasonable foresight or care, such as floods lighting earthquake or storms.
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Natural occurrences (earthquake, typhoon, etc.) that no amount of human foresight could have avoided. It is a defence against strict liability in tort, e.g. Rylands v. Fletcher. In Nichols v. Marsland (CA 1876) the defendant was not liable when exceptionally violent storms caused his artificial lakes to flood his neighbour’s land, but the defence is of very restricted application.
Active
1. In business, producing profit or interest (active funds). 2. In insurance, may refer to a group or individual member or subscriber’s status that is currently in effect.
Active duty family members (ADFM)
Spouse and dependents of an active member of the United States government military services (e.g., Army, Navy, Air Force, Marines, Coast Guard). This phrase is used more frequently in the TRICARE health care program.
Active duty service member (ADSM)
Active member of the United States government military services (e.g., Army, Navy, Air Force, Marines, Coast Guard).
Actively at work provision
Rider in a group insurance contract that states if an employee is absent from work due to illness, injury, or other specific reasons, on the date the employee’s coverage is due to begin, then insurance will not begin until the date the employee returns to work. For a dependent, a plan may require that, if in the hospital on the effective date, that date is deferred until the dependent’s release from the hospital.
Actual acquisition cost
Prescription drug program phrase that means the actual cost of a drug to the pharmacy or to the managed care plan that contracts with the pharmacist.
Actual charge
1. Fee the physician charges for service or supplier bills for a supply item at the time the insurance claim is submitted to the insurance company or government payer. 2. In the Medicare program, the fee is often more than the amount Medicare approves. See approved charge and assignment.
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The actual amount charged by a Medical Practitioner for medical services rendered.
Actuarial balance
Difference between the summarized income rate and the summarized cost rate over a given valuation period.
Actuarial cost method
Method of calculating the annual amount a plan sponsor must contribute to fund a specific set of defined benefit pension plan (DBPP) benefits for a group of participants.