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Glossary of Insurance Terms

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Death Benefit: The dollar amount of coverage that is paid to the designated beneficiary(s) of a life insurance policy upon the insured's death.

Decreasing Term Life Insurance: A type of term life insurance with a death benefit that decreases each year or policy anniversary. This type of life insurance is typically used to cover a loan balance that decreases over time.

Deductible: The amount of out-of-pocket expenses that m t be paid for health services by the covered person before :e health plan benefit payment begins. This is usually based on a calendar year.

Dental Care: The evaluation, diagnosis, prevention and/or treatment (non-surgical, surgical or related procedures) of diseases, disorders and/or conditions of the oral cavity, maxillofacial area and/or the adjacent and associated structures and their Impact on the human body; provided by a dentist, within the scope of his/her. education, training and experience, m accordance with the ethics of the profession and applicable law.

Dependent : An individual other than a health plan subscriber who is illegible to receive health care services under the subscriber´s contract. Generally, dependents are limited to the subscriber´s spouse and minor children.

Diagnostic Tests: Tests and procedures ordered by a physician to determine If the patient has a certain condition or disease based upon specific signs or symptoms demonstrated by the patient. Such diagnostic tools module, but are not limited to radiology, ultrasound, nuclear medicine, laboratory, pathology services or tests.

Disability Insurance (DI): A form of insurance coverage that provides a portion of income lost as the result of a total or partial disability caused by either an accident or an illness.

Double Indemnity: The payment of twice the basic benefit in the event of loss resulting from a specific cause or under specific circumstances. This is commonly referred to as an Accidental Death Benefit.

Drug Formulary: A listing of prescription medications which are approved for use and lor coverage by a Health Plan and which will be dispensed through participating pharmacies to a covered person. The list is subject to periodic review and modification by the Health Plan.

Durable Medical Equipment: Medically necessary equipment that is able to withstand repeated or prolonged use; primarily and customarily used to serve a medical purpose; not generally useful to a person in the absence of injury or sickness; and is suited for use in the home. This included supplies that are necessary for use with the equipment. This is commonly referred to as Medical Equipment.

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