Measurement in actuarial underwriting that uses age and sex risk of medical costs of a population relative to another population.
Tag: USA
Age/sex rates (ASRs)
In a managed care contract, a structure of capitation payments based on members’ ages and genders. ASRs are used to calculate premiums for the purpose of group billing. Also called table rates.
Age/sex rating
See: age/sex rates (ASRs).
Aged
Under Social Security, an individual 65 years and older whose income and resources are within supplemental security income (SSI) limitations.
Aged enrollee
Individual age 65 or older who is enrolled in the supplemental medical insurance (SMI) program.
Agency
See: insurance company.
Agency agreement
Contract between a principal and an agent that explains the scope of the insurance agent’s authority. See agent.
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The steamship line appoints the steamship agent and defines the specific duties and areas of responsibility of that Agent.
Agency company
Insurance company that markets products via independent or self-employed agents.
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An insurance company that produces business through an agency network. See Direct writer.
Agency for Healthcare Research and Quality (AHRQ)
Formerly Agency for Health Care Policy and Research (AHCPR), which is part of the U.S. Department of Health and Human Services. It is the lead agency charged with supporting research designed to improve the quality of health care, reduce its cost, and broaden access to essential services. AHRQ’s broad programs of research bring practical, science-based information to medical practitioners and to consumers and other health care purchasers. AHRQ’s mission is to improve the quality, safety, efficiency, and effectiveness of health care for all Americans.
Agency system
Method in which insurance companies use commissioned agents to sell and deliver individual insurance policies. It is the most common system and has branch office distribution and general agency distribution systems. Also called ordinary agency system.