Life insurance policy provision that states if the insured takes his or her own life, then the proceeds of the policy will not be paid.
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UK: Clause in a life insurance policy enabling the insurer to avoid the contract if death occurs by suicide within a specified time (one or two years of inception). Some offices omit the exclusion altogether.

Ratio of the present value of expenditures to the present value of the taxable payroll for the years in a given period. In this context the expenditures are on an incurred basis and exclude costs for those uninsured persons for whom payments are reimbursed from the general fund of the U.S. Treasury and for voluntary enrollees, who pay a premium in order to be enrolled. The summarized cost rate includes the cost of reaching and maintaining a target trust fund level known as a contingency fund ratio . Because a trust fund level of about 1 year’s expenditures is considered to be an adequate reserve for unforeseen contingencies, the targeted contingency fund ratio used in determining summarized cost rates is 100% of annual expenditures. Accordingly, the summarized cost rate is equal to the ratio of (1) the sum of the present value of the outgo during the period, plus the present value of the targeted ending trust fund level, plus the beginning trust fund level, to (2) the present value of the taxable payroll during the period.

Ratio of (1) the present value of the tax revenues incurred during a given period (from both payroll taxes and taxation of Old Age, Survivors, and Disability Insurance [OASDI] Program benefits), to (2) the present value of the taxable payroll for the years in the period.

Under the Health Insurance Portability and Accountability Act (HIPAA), data that may be individually identifiable health information and summarizes the claims history, claims expenses, or types of claims experienced by individuals for whom a plan sponsor has provided health benefits under a group health plan.

Document the fiscal agent sends to the provider and/or beneficiary, showing the service or supplies received, allowable charges, amount billed, the amount TRICARE paid, how much deductible has been paid, and the patient’s cost-share.

1. Document containing all provisions of the managed care plan that must be written in layman’s language, which is a requirement of the Employee Retirement Income Security Act (ERISA). 2. Description of a group insurance plan that must be given to all plan participants and to the Department of Labor. See benefit limitations, explanation of coverage (EOC) , and plan document .