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Accidental Death and Dismemberment (AD&D) Insurance Term Definitions
We offer the following ADD Insurance Definitions in an attempt to help clarify the general terms used throughout our AD&D pages.
2nd to Die within the same accident option This type of policy covers two lives rather than just one life. It is usually a husband and wife. The policy only pays upon the death of the second person, when both are fatally injured in the same accident. This type of policy is much less expensive than insuring both individuals separate. This option would be of interest if both persons are able to sustain the family financially on their own, however the surviving children would need financial assistance upon the death of both parents. If you wish to have a quote including the 2nd to Die option, please include the occupation and age of the second person in the message field of the .
2nd to Die within the same policy period option This type of policy also covers two lives rather than just one life. It is usually a husband and wife. The policy only pays upon the death of the second person, when both are fatally injured in the same policy period, not necessarily in the same accident (a typical policy period being 1 year). This type of policy is much less expensive than insuring both individuals separate, and slightly more expensive than the 2nd to die in the same accident option. This option would be of interest if both persons are able to sustain the family financially on their own, however the surviving children would need financial assistance upon the death of both parents. If you wish to have a quote including the 2nd to Die option, please include the occupation and age of the second person in the message field of the .
Accident, Injury means accidental bodily Injury sustained by the Insured which is the direct cause of loss, independent of disease or bodily infirmity.
Accidental Death means an accidental bodily Injury that results in death.
Air Travel Only means while traveling in, including boarding and alighting from, a certified passenger aircraft provided by a commercial airline and operated by a properly certified pilot.
Beneficiary means the person(s) or entity named on the schedule page. If no Beneficiary is named, then the Insured's estate will be recognized as the Beneficiary. If more than one person or entity is named and not specified as to a percentage or specific benefit amount for that person or entity, then the benefit will be divided equally amongst those named. All death benefits under this certificate will be paid to the Beneficiary.
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Common Carrier means any form of transportation certified for hire to carry passengers.
Dismemberment means an accidental bodily Injury that results in a loss of a Member as described in the Benefit Provisions.
Elimination Period means the number of consecutive days You are Totally Disabled before a benefit is payable. The Elimination Period begins on the first day You are attended by a Physician who determines You to be Totally Disabled.
Insured means the person named on the schedule page.
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Material Duties means the duties which produce the majority of Your income within the occupation described on Your application for this insurance.
Mental or Nervous Disorders means any condition which includes any form of neurotic or psychotic condition or behavioral disorder due to any cause. Conditions may include, but are not limited to: psychiatric disorders, manic disorders, paranoia, schizophrenia, dementia, personality disorders, depression, anxiety, or an form of chemical imbalance affecting the brain.
Owner means the Insured unless an Owner other than the Insured is shown on the application. The Owner may be changed by written notice to Us at any time while the Insured is living. The Owner has all the rights and privileges under this certificate, including the right to name a Loss Payee, subject to Our prior agreement.
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Physician, Competent Medical Authority means an individual who is qualified to perform or prescribe surgical or manipulative treatment. A Physician must be recognized (licensed and chartered) by the state or country in which he or she is practicing, cannot be a relative of the Insured and must practice within the scope of his or her license. Treatment of an Accident must be within the knowledge or expertise of the Physician.
Pre-Existing Conditions are physical, mental or chemical conditions which arise from any Accident which was: 1) not disclosed on the application, and 2) for which You sought any medical advice or treatment prior to the effective date of this insurance or which caused symptoms for which an ordinarily prudent person would have sought medical advice.
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Principal Sum means the lump sum benefit payable in the event of a loss that stipulated a Principal Sum amount.
Regular Care means direct advice or direct supervision of treatment or therapy by a Physician who is competent to advise or supervise Your disability.
Subjective Pain means an alleged pain for which there is no detectable cause and is not supported by medical findings, physiological abnormality, trauma or Injury, disease, or viral invasion as a cause thereof.
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Substantial Duties means the duties that consume most of Your work time as described on Your application for this insurance.
Sudden Cardiac Arrest means a sudden cardiac arrest leading to death within seventy two (72) hours of the incident.
Term of Insurance means the time period beginning with the effective date and ending with the expiry date stated in the Schedule page.
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Terrorism or Act of Terrorism means an act, including but not limited to the use of force or violence and/or the threat thereof, of any person or group(s) of persons, whether acting alone or on behalf of or in connection with any organization(s) or government(s), committed for political, religious, ideological or similar purposes or reasons including intention to influence any government and/or to put the public, or any section of the public, in fear.
Underwriters, Our, We, Us refers to Certain Underwriters as Lloyd's of London.
War means war, declared or undeclared, invasion, hostilities, acts of foreign enemies, civil war, rebellion, insurrections, military or usurped power, martial law or confiscation by order of any government or public authority.
You, Your, Yourself means the Insured.
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Last updated on: 09/22/2011
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