Premium Tax
A state tax on premiums paid by its residents and businesses and collected by insurers.
Country Specific
Open Competition States
States where insurance companies can set new rates without prior approval, although the state’s commissioner can disallow them if they are not reasonable and adequate or are discriminatory.
Non-Admitted Insurer
Insurers licensed in some states, but not others. States where an insurer is not licensed call that insurer non-admitted. They sell coverage that is unavailable from licensed insurers within the state.
Net US GAAP Reserves
Net US GAAP Benefit Reserves less DAC and PVFP
National Association of Insurance Commissioners (NAIC)
An association of the chief insurance regulatory officials of the 50 states, the District of Columbia, American Samoa, Guam, Puerto Rico and the Virgin Islands. NAIC website
Minimum Continuing Capital and Surplus Requirement (MCCSR)
Canadian regulatory capital requirement. Set by using required factors against certain risk elements of the business. Some amounts are set through stochastic analysis.
MEDIGAP/MEDSUP
Policies that supplement federal insurance benefits particularly for those covered under Medicare. A Medigap plan is a Medicare supplement insurance plan that pays for a portion of a patient’s out of pocket medical expenses under Medicare. Medigap health insurance coverage is standardized, so all plans of the same type are the same, no matter what … Read more
MEDICARE
Federal program that pays part of the costs associated with hospitalization, surgery, doctors’ bills, home health care, and skilled-nursing care. Medicare is the federal health insurance program for: People who are 65 or older Certain younger people with disabilities People with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD) … Read more
MEDICAID
A federal/state public assistance program created in 1965 and administered by the states for people whose income and resources are insufficient to pay for health care.
MCCARRAN-FERGUSON Act
Federal law signed in 1945 in which Congress declared that states would continue to regulate the insurance business. Grants insurers a limited exemption from federal antitrust legislation.