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The A-Z of key insurance terms
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The glossary "The A-Z of key insurance terms" was produced
using authoritative in-house and external sources, and generally recognised
terminology methods. We specifically point out that the terms appearing in
this glossary are context-dependent. For that reason, we recommend that
their use in any other specific context be reviewed. Swiss
Life/Rentenanstalt can accept no claim or liability based on the use of a
term referred to in this glossary.
A
accumulated interest
Dividend
system in which the allocated annual dividends are credited to an
interest-bearing dividend account and paid out upon expiry or cancellation
of the underlying insurance
contract.
actuarial interest rate
Minimum interest rate applicable to the savings portion of cash
value life insurance premiums and
guaranteed over the entire insurance term.
actuarial reserve
Reserve calculated on actuarial principles to cover the insurer's
obligations.
AHV
cf. old age and
surviving dependants insurance
annuity
Periodically payable income benefit which is due either for a specified
period of time or for the life of the insured person.
anticipatory tax
cf. withholding
tax
application
cf. insurance
application
auditors
Experts who are independent of the employee benefits institution and also
of the employer, in the case of company-owned employee benefits
institutions, and who annually formally audit the management of the
employee benefits institution, its books and accounts, and its investment
of assets.
AVIG
cf. Federal Law on
Mandatory Unemployment Insurance and Insolvency Compensation
B
beneficiary
Person designated by the policyholder
by means of the beneficiary
clause, who then is entitled in his/her own right to the insured
benefits and able to make claims directly against the insurer.
beneficiary clause
Provision for the policyholder
to designate beneficiaries
to whom the benefits should be paid in the event of the policyholder's
death or, if so agreed, survival.
BVG
cf. Federal Law on
Occupational Retirement, Survivors' and Disability Pension Plans
C
cash value life insurance
Insurance that covers both death and survival benefits and always contains
a savings element and a guaranteed capital payout, which becomes due on a
date stipulated in advance.
commutation right
Provision in the regulations allowing the persons entitled to claim
benefits to request a lump-sum payment of their retirement
savings instead of a retirement pension, widow's
pension or disability
income.
compensation for grievous and permanent bodily and/or mental injury
Lump-sum payment within the framework of the UVG made to insured
persons having suffered lasting damage to their physical or mental
integrity due to an accident.
contract on the life of a third party
Insurance in which the policyholder
differs from the insured person
and gets no coverage.
conversion to paid-up insurance
Reduction of benefits during the term of insurance to such an extent that
no more premiums
are due for the remainder of the term.
coordinated salary
Part of the participant's
annual salary which must be insured in accordance with the BVG, ranging from
100% to 300% of the maximum AHV retirement pension and which
corresponds to the pensionable earnings minus the maximum AHV retirement
pension, with its lower limit fixed at 12.5% and its upper limit at 200% of
the maximum AHV retirement pension.
coordination offset
Sum of money which corresponds to the maximum AHV retirement pension and is deducted
from the annual salary in order to calculate the maximum insured annual
salary.
cost of living adjustment
Adjustment of current pensions to price
increases which is mandatory for surviving dependants' benefits and disability
income.
coverage
Protection that is guaranteed by the insurer under an insurance
contract and consists of previously agreed benefits.
current premium account
Account with an insurance company which consists of funds of the account
holder, earns interest and is used to cover part or all of the future premiums in
advance, as well as any interest owed on a policy loan,
with premium and loan interest payments being debited to the account as
they become due and from which withdrawals are possible.
D
deferral period
Interval before a deferred benefit becomes due.
defined benefit
Benefits system in which benefits are fixed by formula in advance and are
used to calculate the premiums.
defined contribution
Benefits system in which the benefits paid by employee benefits
institutions are determined by the contributions which are defined by
formula as a percentage of the participant's
insured salary.
designation of beneficiaries
Unilateral, revocable act embodying the right of the policyholder
to dispose of the insurance
benefit in favour of third parties, and of which the insurer has to be
notified for the provision to become valid.
disability
State of an insured
person who, as a result of a medically established illness or accident,
is entirely or partially unable to exercise his/her profession or any other
reasonable remunerative occupation which corresponds to his/her position in
life, knowledge and abilities.
disability income insurance
Insurance that provides regular substitute income payments in the form of a
waiver of
premium, an annuity,
a pension or a
lump sum for the insured person,
when his/her wage income is interrupted or terminated because of a
medically established illness or accident.
disability insurance (IV)
Mandatory federal insurance, for all persons insured within the AHV framework, to
cover an expected permanent or long-lasting loss of earning capacity
resulting from physical or mental damage due to a congenital defect,
illness or an accident.
dividend distribution
Policyholder
participation in surpluses generated by the insurance company, which can be
allocated according to various dividend
systems.
dividend system
Procedure for the allocation of dividends to policyholders
according to various methods.
E
ELG
cf. Federal Law on
Supplementary Benefits to the Old Age and Surviving Dependants Insurance
endowment insurance
Insurance where benefits are not only paid immediately in the event of
death of the insured
person but also on his/her survival at the policy's term.
entry age
Number corresponding to the difference between the inception date of the policy and the insured
person's birthday, used to determine the applicable premium rate and
expressed in whole years.
entry generation
Totality of participants,
having reached the age of 25 years at the time of the effective date of the
BVG on 01.01.1985,
but who have not yet reached retirement age and who therefore cannot attain
the contribution limit required for mandatory benefits coverage.
Within its financial means, each employee benefits institution is obliged
to issue special provisions in favour of the entry generation, and to give
preferential treatment to older participants, especially to those with low
incomes.
exemption from creditors' claims
Privilege granted to protect families so that their insurance entitlement
is excluded from execution of a court order for enforcement of debt and
that can be invoked by spouses and/or descendants of the policyholder,
if he/she has previously named them as beneficiaries.
F
face amount
cf. sum
insured
fact that is relevant to a risk assessment
Fact of major importance in evaluating a risk and influencing
such risk, the recording of which permits the insurer to make a
concrete assessment of the probability of an insured event's
occurring to a specific insured person.
failure to observe the disclosure requirement
Failure to disclose or wrongful disclosure of facts relevant to a risk assessment
which were known, or must reasonably be supposed to have been known to the
applicant at the time of concluding an insurance
contract and which should have been disclosed to the insurer in
writing.
Federal Law on Accident Insurance (UVG)
Federal law on mandatory insurance for employees who work in Switzerland to
cover benefits in the event of occupational accidents, non-occupational
accidents and occupational
diseases.
Federal Law on Mandatory Unemployment Insurance and Insolvency
Compensation (AVIG)
Federal law intended to grant insured
persons adequate compensation for the loss of earnings due to
unemployment, a temporary reduction in working hours, bad weather or
insolvency of the employer and to prevent impending or fight existing
unemployment through labour market measures.
Federal Law on Occupational Retirement, Survivors' and Disability
Pension Plans (BVG)
Swiss federal law regulating occupational
provisions with the objective of enabling aged persons, survivors and
disabled persons to maintain their accustomed standard of living in an
adequate manner, together with the Swiss Federal Social Security benefits.
Federal Law on Supplementary Benefits to the Old Age and Surviving
Dependants Insurance (ELG)
Federal law on supplementary benefits, provided in accordance with the AHV to which Swiss
citizens who are usually resident in Switzerland are entitled, as long as
their qualifying annual income does not exceed a limit to be fixed
according to certain conditions.
Federal Office of Private Insurance (FOPI)
Supervisory
authority assigned by the Federal Council to monitor private insurance
companies, which complements the Federal Department of Justice and Police
in being responsible for monitoring compliance with directives.
final age
Age of the insured
person at expiry of the insurance
contract.
final dividends
Bonus system in which allocated dividends are credited to a separate
interest-bearing account with the company and paid out in the event of
death, or, if so agreed, survival, but not in the case of early termination
of the insurance
contract.
FOPI
cf. Federal Office of
Private Insurance
fully funded system
Funding method used by insurance institutions and employee benefits
institutions to calculate premiums on the
basis of future insurance entitlements and legal rights to future pension payments,
while the pensions correspond to the contributions accrued and invested at
interest during the participant's
active professional life.
future provisions
Totality of the measures enacted by the Swiss Confederation to cover old
age, survivorship and disability,
which are based on the Three Pillar
System in conformity with the Swiss Federal Constitution, Art. 111.
G
General Policy Conditions (GPC)
Standard clauses which are formulated for various insurance
contracts and define the general rights and obligations of the parties.
GPC
cf. General Policy
Conditions
I
in advance
Feature denoting that a payment is due before or at the inception of a
payment period.
in arrears
Feature denoting that a payment is due at the end of a payment period.
increase of benefits
Bonus system in which dividends are used to increase the sum insured.
inheritance benefit
Protection from the insured
person's creditors, accorded by law to a designated beneficiary
whom the policyholder
must also have named as an heir to his/her estate before his/her decease.
insurance application
First professed intention of the prospective policyholder
to apply to the insurer
for an insurance
contract, by which the applicant is bound for two weeks, or, if there
is a medical examination by a doctor, for four weeks, during which period
the insurer has to accept or reject the applicant's proposal.
insurance benefit
Monetary indemnity in the form of a lump sum or a pension, or
service, which is due from an insurer under the
terms of an insurance
contract and to which an insured person,
a policyholder
or other entitled person submits a claim following the occurrence of the insured event
or - in some forms of life insurance
- when the date specified in the policy has been
reached.
insurance contract
Contract in which the insurance company undertakes a legal obligation to
pay out benefits to the insured person
or to a beneficiary
in return for a premium,
if a stipulated peril
materialises.
insurance policy
Written agreement stating the obligations and responsibilities of each
contracting party which is the basis for concluding an insurance
contract and serves as proof of such a contract.
In particular, the insurance policy contains the particulars of the policyholder,
the insured
person and the beneficiary
as well as details on the inception, period and term of the contract, the insurance
benefits, premiums
and, possibly, special terms and conditions.
insurance year
Twelve-month period whose beginning and end do not necessarily coincide
with the calendar year.
insured event
In a general insurance context, case in which a risk, i.e. an event
against which insurance was taken out, has materialised, giving rise to an
entitlement to the insurance
benefits.
Within the BVG
framework, vicissitudes in human life which represent the basis for occupational
provisions and arise when one of the risks of old age, death or disability
materialises and a claim to an insurance benefit ensues.
insured peril
cf. insured
risk
insured person
Party covered by an insurance
policy and who is granted protection against certain, feared risks as stated in
the insurance
contract.
insured risk
Uncertain future event that is detrimental and may eventually materialise,
and therefore constitutes an element of the insurance
contract that is essential to coverage.
insurer
Contracting party legally bound to the policyholder
to make payments if the insured event
materialises.
IV
cf. disability
insurance
J
joint administration
Rules within the BVG
framework according to which employers' and employed persons'
representatives must be present in equal numbers in those bodies of a
registered employee benefits institution that pass plan rules and decide on
funding and asset management.
L
life insurance
Risk
insurance intended as protection against the financial consequences of
the death of the insured person
which takes the form of payment of a previously agreed lump sum or pension to a beneficiary,
if the insured person dies during the term of insurance.
In the case of pure life insurance, without any endowment
insurance component, no payments are due if the insured person survives
the term of insurance.
M
mathematical reserve
Sum of money accumulating gradually during the term of the insurance from
the savings
premiums and the interest earned during the insurance term to form the
endowment sum.
medical examination
Medical assessment consisting of a health questionnaire and possibly a
physical checkup, both of which applicants for insurance must furnish in
order for the insurer
to ascertain if they meet its underwriting
standards.
morbidity table
Chart showing incidence of death and loss of health experienced for a given
group of insured
persons over time and constituting the foundation upon which the
expected costs of life insurance
and health insurance are based.
mortality table
Chart showing the rate of death at each age in terms of number of deaths
per thousand and which is used to set rates for pension
insurance.
O
occupational disease
Illness that is wholly or mainly employment-related and due to contact with
harmful substances or the performance of certain tasks.
occupational provisions
Form of future
provisions stipulated in the Swiss Federal Constitution, intended to
enable aged persons, survivors and disabled persons to maintain their
accustomed standard of living when combined with Swiss Federal Social
Security (AHV/IV), and which obliges
employers to insure their employed persons with an employee benefits
institution for enterprises, state administrative offices and associations,
or at a similar institution, and to assume at least half of the
contributions.
offset system
Dividend
system in which the annual bonus is used to reduce premiums for the
current insurance
year.
old age and surviving dependants insurance (AHV)
Mandatory state insurance to provide future cover for basic subsistence
requirements, and giving benefits coverage for old
age and death for the entire population.
P
participant
cf. insured
person
pay as you go basis
Procedure by which the benefits for pensioners are financed on a yearly
basis from the contributions of the active population and the employers as
a percentage of salaries and from taxes and subsidies levied by the state,
and in which no funds can be set aside for the payment of future
obligations, as income must equal expenditure in each year.
pension
cf. annuity
peril
cf. risk
policy
cf. insurance
policy
policy loan
Prepayment amounting at most to the cash surrender
value of an insurance
policy which the policyholder
can borrow at interest from the insurer either by
pledging the policy
as security or as set out in BVG Art. 30a-f on
encouraging home ownership.
Policyholder
Party that concluded the insurance
contract under which the party itself and/or other natural or legal
persons receive coverage.
Pool
Association of insurers,
sharing business according to a defined formula in order to increase their
insurance capacity for particular risks or losses.
Premium
Sum of money which is paid once or periodically by the policyholder
in order to receive coverage by the
insurance company.
premium deposit account
Account with an insurance company which consists of funds of the account
holder, earns interest and is used exclusively to cover part or all of the
future premiums
in advance, as well as any interest owed on a policy loan,
with premiums and interest being debited to the account as they become due,
and from which withdrawals may not be made.
premium payer
Person to whom premium
notes and, if necessary, reminder notices shall be forwarded by the insurer.
premium rate
Sum of all actuarial elements necessary to describe the financial coverage of a risk.
present value
Current worth of a certain sum of money due on a specified future date,
after taking interest into consideration.
pure endowment
Insurance
policy under which the sum due at maturity is payable only if the insured person
survives to the end of the stated endowment period, while no benefit is
paid if the insured person dies during the endowment period, thereby
representing insurance for retirement provisions only.
R
rate
Premium
payable for CHF 1.00 in insurance
benefits.
reinstatement
Restoration of a lapsed policy in whole or
in part, so that the sum insured
is equal to or less than previously.
reinsurance
Coverage that
insurance companies buy for their own protection, corresponding to a
sharing of insurance between insurers and
reinsurers.
retirement savings
Sum of money forming the basis for the retirement pension according
to the BVG and
consisting of the retirement credits plus interest for the period during
which the participant
has belonged to an employee benefits institution and the vested benefits
plus interest credited to the participant by previous employee benefits
institutions.
risk
Possibility that an expected or feared, uncertain and generally random
event will materialise and, consequently, trigger a need for financial
means that will be covered by the insurer.The main
risks in life
insurance are old age, disability and
death.
risk insurance
Insurance which covers the risks of death or disability.
S
savings premium
Part of the net premium
in cash
value life insurance that, together with interest, determines the
annual increase of the mathematical
reserve.
single allocation
Within the framework of group insurance, a contribution paid to the
employee benefits institution which is used, in particular, as a
supplementary payment to purchase e.g. years of employment, or as an
extraordinary contribution in the event of an increase in salary.
single premium
Within the framework of individual insurance, premium paid once
and the insurance
policy is fully paid up with no further premiums required.
social security administration office
Agency of the federal government, a canton or a Swiss professional
association, operating as a public entity and responsible for administering
old age and surviving
dependants insurance and disability insurance,
for setting the level and handling the payment of contributions, attendance
allowances and pensions
covered, as well as for maintaining individual accounts.
special measures
Sum of money to be made available by every employee benefits institution
and amounting to 1% of the coordinated
salary of all the participants
required to contribute to retirement benefits, which serves in particular
to improve the entry
generation's benefits and to adjust current pensions to
increases in the cost of living.
subrogation
Right of the employee benefits institution to demand that a participant
or his/her dependants assign their claims against any liable third party or
its liability insurer
to the employee benefits institution in cases of personal injury to such a
participant, provided that this right has been stipulated in the
regulations.
sum insured
Maximum amount agreed upon by the parties, which will be paid by the insurer at the
occurrence of the insured event
and which in property insurance is determined by the value of the insured
property, while it corresponds to the insurance
benefit in personal insurance.
supervisory authority
Federal authority which is responsible for supervising employee benefits
institutions of national or international character as well as those
providing benefits for state-owned companies under the occupational
provisions framework and which is embodied by the Federal Office of
Social Insurance.
surrender
Right of the entitled person to demand that the insurer buy back,
in whole or in part, an insurance
policy in which the insured event
will materialise with certainty, provided that premiums have
been paid for at least 3 years or, in the case of a term shorter than 30
years, for at least 1/10th of the term specified in the contract.
surrender value
Sum of money corresponding to the actuarial
reserve minus the surrender charge.
T
Three Pillar System
The Swiss concept of future
provisions for aged persons, survivors and disabled persons which is
based on three pillars comprising Swiss Federal Social Security (AHV/IV), occupational
provisions and individual private provisions.
transfer of entitlement
A legal act in written form by which a right under an insurance
contract is transferred to a third party, accompanied by the transfer
of the policy
and by a written notice to the insurer.
U
underwriting
Process of examining, accepting or rejecting applicants and persons to be
insured on the basis of their state of health and their economic
circumstances, and classifying those selected, in order to charge the
proper, i.e. normal, high or discounted rate for each.
UVG
cf. Federal Law on
Accident Insurance
V
vested benefits insurance
Insurance which is concluded in order to maintain partial coverage of occupational
provisions, if vested benefits which fall due when a participant
withdraws from an employee benefits institution may not or cannot be
transferred to the employee benefits institution of his/her new employer,
in accordance with the Federal Law on Vested Benefits and the Ordinance on
Vesting in Pension Plans.
W
waiting period
Time between the materialisation of the insured event
and the moment the insurance company's obligation to pay benefits begins.
waiver of premium
Release of an insured person
from the payment of premiums
due, in the event of his/her disability
occurring during the term of insurance.
withholding tax
A federal tax on the returns of moveable property, lottery winnings and insurance
benefits which is levied at source and which is refunded by the Swiss
Confederation or the relevant canton to the recipients of payments that
have been diminished by such taxation in accordance with the Federal Law on
Withholding Tax.
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