LOMA's Glossary appears on the Web site
by special permission of LOMA. However, LOMA makes no representation or
endorsement, express or implied, regarding Berkshire Life Insurance Company
of America or its products or services
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PAC system
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See preauthorized check system. |
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package selling
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An insurance sales method that involves putting a simple
insurance plan into a standardized presentation and then
looking for customers who can use that package of coverage. |
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paid-up additional insurance option
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An option, available to the owners of participating life
insurance policies, that allows the policyowner to use policy
dividends to purchase additional insurance on the insured’s
life; the paid-up additional insurance is issued on the same
plan as the basic policy and in whatever face amount the
dividend can provide at the insured’s attained age.
See also dividend, participating policy, and policy dividend
options. |
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paid-up policy
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An insurance policy that requires no further premium
payments but continues to provide coverage. |
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paramedical report
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The portion of an insurance application designed to be
completed by the proposed insured and a medical technician,
a physician’s assistant, or a nurse, rather than a
physician. The proposed insured answers questions about his
or her health history and the examiner records the results
of certain physical measurements. In life insurance, the
paramedical report is known as Part II of the insurance application.
See also medical report and Part II. |
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par policy
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See participating policy. |
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Part I
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The section of a life insurance application that identifies
the proposed insured (and the policyowner, if different from
the proposed insured), specifies the amount and type of coverage
requested, and provides basic insurability information. See
also Part II. |
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Part II
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The section of a life insurance application that provides
medical information about the proposed insured. See also
medical report, paramedical report, and Part I. |
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partial disability
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See residual disability. |
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partial surrender provision
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See policy withdrawal provision.
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participating policy
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A type of insurance policy that allows policyowners to
receive policy dividends. Also known as par policy. See also
dividend. |
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partnership insurance
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A type of business insurance that provides cash so that
the remaining partners in a business can buy the business
interest of a deceased or disabled partner. See also business
continuation insurance plan. |
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par value of a bond
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See bond principal. |
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par value of stock
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The designated legal value assigned to each outstanding
share of common stock; primarily used for accounting purposes.
Also known as nominal value and face value. |
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payback period
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In capital budgeting, the number of years that must pass
before the earnings a product produces equal the initial
investment in the product. |
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payee
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(1) The person or party who is to receive insurance policy
proceeds in accordance with the terms of a settlement agreement.
See also settlement agreement. (2) The person, usually the
annuitant, who receives periodic annuity benefit payments
according to the terms of an annuity contract. See also annuitant. |
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payment of insurance money into court
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In Canada, a procedure available to insurers in the common
law jurisdictions under which an insurance company that cannot
determine which claimant is entitled to receive insurance
policy proceeds may pay the proceeds to a court and ask the
court to decide the proper recipient and thus obtain a valid
discharge. In Quebec, an insurer in such a situation can
obtain a valid discharge by paying the policy proceeds to
the Minister of Finance. See also interpleader. |
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payout options
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The methods available to an annuity contract owner for
the distribution of the annuity’s accumulated value.
(1) The lump sum distribution method allows the contract
owner to receive the balance of his account in a single payment.
(2) The fixed period option provides that the annuity’s
accumulated value will be paid out over a specified period
of time. (3) The fixed amount option provides that the annuity’s
accumulated value will be paid out in a preselected payment
amount until the accumulated value is exhausted. (4) A life
annuity option provides that periodic income payments will
be tied in some manner to the life expectancy of a named
individual. See also life annuity. |
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payout options provision
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An annuity contract provision that grants the contract
owner several choices as to how the insurer will distribute
the contract’s accumulated value. Also known as settlement
options provision. See also payout options. |
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payout period
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(1) The period during which a payee receives payments.
(2) The period during which an insurer makes annuity benefit
payments. Also known as liquidation period and annuitization
period. |
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payroll deduction method
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An automatic insurance premium payment technique whereby
a policyowner’s employer deducts insurance premiums
directly from the employee’s paycheck. |
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PBGC
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See Pension Benefit Guaranty Corporation. |
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PCP
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See primary care physician. |
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pension
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A lifetime monthly income benefit payable to a person
upon his or her retirement.
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Pension Benefit Guaranty Corporation (PBGC)
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In the United States, a federal corporation that is responsible
for guaranteeing the payment of retirement benefits for participants
in defined benefit retirement plans when those plans become
financially unable to pay benefits. See also Employee Retirement
Income Security Act (ERISA). |
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Pension Benefits Act
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A law enacted by the federal government and each of the
provincial governments in Canada to govern the terms and
operation of private pension plans. |
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pension fund
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(1) Assets used to pay the pensions of retirees. (2)
An investment management company that manages the assets
used to pay the pensions of retirees. |
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pension plan
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An agreement under which an employer or employee organization
establishes a plan to provide covered employees with a lifetime
monthly income benefit that begins at their retirement. The
covered employees are pension plan participants. The entity
that establishes or maintains the pension plan is the pension
plan sponsor. |
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pension plan administrator
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See plan administrator. |
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pension plan beneficiary
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The individual who receives benefits under a pension
plan. Current or former plan participants, as well as dependents,
spouses, and survivors of plan participants, can all be pension
plan beneficiaries. |
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pension plan document
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A detailed legal agreement establishing the existence
of a pension plan and specifying the rights and obligations
of various parties to the pension plan. |
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pension plan valuation method
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See actuarial cost method. |
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per capita beneficiary designation
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A type of life insurance policy beneficiary designation
in which the life insurance benefits are divided equally
among the designated beneficiaries who survive the insured.
For example, if the policy specifies two beneficiaries, but
only one is surviving at the time of the insured’s
death, then the remaining beneficiary receives the entire
policy benefit. Contrast with per stirpes beneficiary designation. |
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percentage-of-income rule
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In life insurance, a rule that underwriters use to determine
the amount of money an applicant can afford to spend on insurance
according to the applicant’s income. Insurers often
stipulate that a maximum of 20 percent of an applicant’s
gross income can be used to buy life insurance. Also known
as 20-percent rule. See also factor table. |
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performance plan
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See master budget. |
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period budget
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A budget that covers a specific time frame, such as one
month or one year, and expires at the end of that time frame. |
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period certain
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The stated period over which an insurer makes periodic
benefit payments under an annuity certain. See also annuity
certain. |
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period certain annuity
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See annuity certain.
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periodic annuity payment factor
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Number that shows, for annuitants at a given age, the
periodic income payment amount that a contract owner can
purchase for each $1,000 of single premium applied. |
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periodic fee
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An amount that an insurer charges the owner of an unbundled
insurance product, at predetermined intervals, for example,
every year or month, to compensate the insurer for administrative
expenses. |
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periodic level-premium annuity
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See level premium policies. |
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period of confinement
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In long-term care (LTC) insurance, a continuous time
period during which an insured person is receiving uninterrupted
long-term care at an acute hospital, a skilled nursing facility,
or another inpatient facility. |
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permanent account
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In accounting, a balance sheet account that has a balance
at the beginning of each accounting period. |
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permanent flat extra premium
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See flat extra premium method.
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permanent life insurance
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Life insurance that provides coverage throughout the
insured’s lifetime, provided premiums are paid as stated
in the policy, and also provides a savings element. Contrast
with term life insurance. |
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persistency
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A measure of how long the various policies in a group
of policies remain in force as a result of the continued
payment of renewal premiums. |
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persistency bonus
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A sum of money paid as compensation to an insurance agent
when a policy continues in force beyond an initial period,
usually five years. |
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persistency rate
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For a specified group of insurance contracts, a measure
of the percentage of contracts that remain in force during
a specified period, such as a year. Contrast with lapse rate. |
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personal history interview (PHI)
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In insurance underwriting, a conversation with the proposed
insured during which an underwriter clarifies information
and gathers additional information needed for underwriting. |
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personal line of credit
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See line of credit. |
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personal property
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Any property that is not real estate, including goods
such as clothing, furniture, and automobiles, and intangible
items such as contractual rights. In Quebec, known as moveable
property. Contrast with real estate. |
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personal-producing general agency (PPGA) system
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A nonagency building insurance distribution system that
uses personal-producing general agents to distribute insurance
and annuity products. See also nonagency building distribution
system and personal-producing general agent. |
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personal-producing general agent
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A commissioned insurance sales agent who generally works
alone, is not housed in one of an insurer’s field offices,
engages primarily in the sales of new policies, and holds
contracts with several insurers. |
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personal selling distribution system
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A distribution system in which commissioned or salaried
salespeople sell products through verbal and written presentations
made to prospective purchasers. |
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per stirpes beneficiary designation
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A type of life insurance policy beneficiary designation
in which the life insurance benefits are divided among a
class of beneficiaries; for example, children of the insured.
The living members of the class and the descendants of any
deceased members of the class share in the benefits equally.
Contrast with per capita beneficiary designation. |
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PHI
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See personal history interview. |
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physical damage insurance
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In property casualty insurance, coverage for losses the
insured incurs due to damage to his covered automobile caused
by collision or other perils. |
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physical examinations provision
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An individual health insurance policy provision that
gives the insurer the right to conduct a medical examination
of the insured at the insurer’s expense when reasonably
necessary to the settlement of a pending claim. |
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Physicians’ Current Procedural Terminology
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One of the most commonly used codes for medical treatments
that health care providers use to communicate information
about medical expense claims to insurers. See also diagnostic
and treatment codes and International Classification of Diseases
and Related Health Problems (ICD). |
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physiological age
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For a person, the relative age or youthfulness of his
or her vital organs and their functioning. |
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plan administrator
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(1) In a group insurance plan, the party responsible
for handling the administrative aspects of the plan. (2)
For purposes of the Employee Retirement Income and Security
Act (ERISA) in the United States, the individual or organization
designated in a retirement plan’s summary plan description
as being responsible for assuring the plan complies with
applicable regulatory requirements. |
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plan continuation valuation
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An assessment of the value of a pension plan that is
based on the assumption that the plan will continue in operation.
Contrast with plan termination valuation. |
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plan document
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(1) A document that specifies the terms of a retirement
plan. (2) For purposes of the Employee Retirement Income
and Security Act (ERISA) in the United States, a written
document by which a qualified retirement plan must be established
and maintained and that describes the benefits provided by
the plan, the plan’s funding, and the procedure that
will be followed to amend the plan.
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plan participant
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An employee or union member who is covered by a group
retirement plan that is sponsored by the employer or union.
See also plan sponsor. |
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plan sponsor
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The employer or union that establishes a group retirement
plan for the benefit of plan participants. See also plan
participant. |
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plan termination valuation
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An assessment of the value of a pension plan that is
based on the assumption that the plan is being terminated
as of the valuation date. Contrast with plan continuation
valuation. |
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plan trustee
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An individual or entity appointed by a qualified retirement
plan sponsor who holds legal title to the retirement plan
assets on behalf of the plan participants. See also plan
participant and plan sponsor. |
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PNO policy
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See premium notice ordinary policy. |
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point of service (POS) plan
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See open-ended HMO. |
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point-to-point method
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For an equity-indexed annuity, a method for crediting
excess interest that involves comparing the value of the
index at the start of the annuity contract term to its value
at the end of the term to determine what, if any, excess
interest has accrued because of a change in the index. |
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policy
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A written document that contains the terms of the contractual
agreement between an insurance company and the owner of the
policy. |
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policy accounting
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See premium accounting. |
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policy acquisition expenses
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Any costs that an insurer incurs related to obtaining
and issuing new insurance business. |
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policy and contract claims
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An insurer’s liabilities for all types of insurance
policy and annuity contract claims that must be settled.
Also known as claim liabilities. |
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policy anniversary
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As a general rule, the date on which coverage under an
insurance policy became effective. |
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policy benefit
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See benefit.
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policy charge
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An amount that an insurer adds to a policy’s premium
or deducts from a policy’s cash value in order to pay
for the insurer’s expenses and to provide the insurer
with a profit. Also known as policy fee. |
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policy dividend
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See dividend.
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policy dividend options
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Ways in which the owner of a participating insurance
policy may receive policy dividends. See also additional
term insurance option, cash dividend option, dividend accumulations
option, paid-up additional insurance option, and premium
reduction option. |
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policy filing
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The act of submitting a contract form and any other legally
required forms and documents to the insurance departments
of the states and provinces where the insurance or annuity
contract will be issued and sold. |
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policy form
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A standardized contract form, drafted by an insurer and
filed with insurance regulators, that shows the terms, conditions,
benefits, and ownership rights of a particular insurance
product. |
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policy grace notice
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A written notification from an insurance company to a
policyowner notifying the policyowner that the policy’s
grace period is about to expire. Also known as lapse notice. |
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policyholder
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In group insurance, the employer or other type of organization
that decides what kind of coverage to purchase for the group,
negotiates the terms of the master contract, enters into
a group insurance contract with the insurer, and usually
administers part or all of the coverage. Contrast with policyowner.
See also group insurance. |
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policy illustration
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See sales illustration. |
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policy issue
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The insurance company function that involves preparing
the insurance contract, including modifying the applied-for
coverage according to instructions from the underwriter,
and facilitating the delivery of the policy to the customer,
usually by way of the agent who sold the insurance. |
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policy lapse
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See lapse. |
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policy liability
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See policy reserve. |
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policy loan
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A loan that an insurer makes to the owner of a permanent
life insurance policy that is secured by the policy’s
cash value. When the policy’s benefits are paid, the
amount of any outstanding loan is deducted from the policy
benefits. |
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policy loan provision
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A provision that is included in permanent life insurance
policies that build a cash value and that specifies the terms
on which a policyowner may obtain a loan. See also policy
loan. |
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policyowner
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The person or other entity that enters into an individual
contract of insurance with an insurer and actually owns the
individual insurance policy. Contrast with policyholder. |
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policyowner dividend liabilities
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In insurance accounting, amounts that represent all policyowner
dividends that have been declared by an insurer’s board
of directors, but which have not yet been paid to policyowners. |
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policyowner dividend payment options
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See policy dividend options. |
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policyowner service
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In an insurance company, all customer service activities
performed for agents and for the people or parties who own
or hold insurance policies and annuities. Also known as customer
service and client service. |
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policy premium method (PPM)
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A type of prospective gross level-premium reserve valuation
method that is used by insurers in Canada. See gross reserve
valuation method and prospective reserve valuation method. |
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policy proceeds
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See benefit. |
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policy prospectus
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See prospectus. |
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policy reserve
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For an insurer, a liability amount that, together with
future premiums and investment income, the insurer estimates
it will need to pay contractual benefits as they come due
under in-force policies. Policy reserves represent the insurer’s
obligations to customers. Also known as contractual reserve,
legal reserve, and statutory reserve. |
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policy rider
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An addition to an insurance policy that becomes a part
of the insurance contract and that is as legally effective
as any other part of the policy. Riders usually expand or
limit the benefits payable under the contract. Also known
as endorsement. |
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policy rights
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The contractual rights of an insurance policy owner,
such as the right to the policy values, the right to assign
the values to another party, and the right to designate the
beneficiary of the policy proceeds upon the death of the
insured. |
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policy summary
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A written statement that describes specific elements
of the insurance policy being considered for purchase and
provides the consumer with cost comparison information. |
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policy term
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The specified period of time during which a term life
insurance policy provides coverage. |
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policy withdrawal provision
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A universal life insurance policy provision that permits
the policyowner to reduce the amount in the policy’s
cash value by withdrawing up to the amount of the cash value
in cash. Also known as partial surrender provision. |
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pooling
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A method of calculating group insurance premium rates
by which the insurer considers several small groups as one
large group for risk assessment purposes. Contrast with experience
rating. |
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population mortality table
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A chart that shows rates of death for the general population,
based on data from a population census. |
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portability
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The degree to which an individual’s insurance coverage
or pension benefits can be continued when the participating
individual leaves the providing benefit plan. |
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portfolio
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In investments, a diversified collection of various securities
usually assembled by an investor for the purpose of meeting
a defined set of financial goals. |
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portfolio method
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An accounting method that insurers use for deferred annuities
that credits all funds in the contract owner’s annuity
account with one specified current rate of interest, regardless
of when the money was placed in the account. Contrast with
new money method. |
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positive leverage effect
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An effect of earning a better profit due to the presence
of leverage. See also financial leverage and total leverage. |
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POS plan
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See open-ended HMO. |
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post-notice
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A notice that must be sent to an insurance applicant
if an underwriter denies an application or rates a policy
based wholly or partially on information contained in a report
from a consumer reporting agency. See also consumer credit
report and pre-notice. |
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PPA
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See preferred provider arrangement. |
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PPGA
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See personal producing general agency. |
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PPM
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See policy premium method. |
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PPO
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See preferred provider organization. |
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preadmission certification
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Authorization from an insurer approving nonemergency,
inpatient hospital treatment. Also known as precertification. |
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precedent
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A court’s decision which must generally be followed
by that court and the lower courts in the same jurisdiction
in cases involving the same issue and substantially the same
facts. |
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precertification
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See preadmission certification. |
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predictive quality
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A characteristic of accounting information that enables
interested users to form a reasonably accurate estimate of
a company’s financial strength or earnings potential. |
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pre-existing condition
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(1) According to most group health insurance policies,
a condition for which an individual received medical care
during the three months immediately prior to the effective
date of her coverage. (2) According to most individual health
insurance policies, an injury that occurred or a sickness
that first appeared or manifested itself within a specified
period—usually two years—before the policy was
issued and that was not disclosed on the application for
insurance. |
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pre-existing conditions provision
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An individual and group health insurance policy provision
which states that benefits will not be paid for pre-existing
conditions until the insured has been covered under the policy
for a specified length of time.
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preference beneficiary clause
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A life insurance policy provision which states that if
the policyowner does not name a beneficiary, then the insurer
will pay the policy proceeds in a stated order of preference.
Also known as succession beneficiary clause. |
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preferred beneficiary
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In Canada, a spouse, child, parent, or grandchild named
as the beneficiary in any life insurance policy issued before
July 1, 1962. A preferred beneficiary’s written consent
is required for the policyowner to change the beneficiary
to anyone outside this group of family members, to obtain
a policy loan, to surrender a policy, or to assign a policy.
The 1962 revision of the Uniform Life Insurance Act abolished
the vested rights of this class of beneficiaries. |
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preferred provider arrangement (PPA)
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A contract between a health care insurer and a health
care provider or group of providers who agree to provide
specified covered services to insureds. |
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preferred provider organization (PPO)
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A managed health care plan that arranges with health
care providers for the delivery of health care at a discounted
cost and provides incentives for PPO members to use the health
care providers who have contracted with the PPO, but that
also provides some coverage for services rendered by health
care providers who are not part of the PPO network. See also
managed health care plans and preferred provider arrangement
(PPA). |
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preferred risk class
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In insurance underwriting, the group of proposed insureds
who represent a significantly lower than average likelihood
of loss within the context of the insurer’s underwriting
practices. Contrast with declined risk class, standard risk
class, and substandard risk class. |
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preferred stock
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A type of equity security that represents ownership in
a corporation that typically does not carry the voting rights
of common stock, but does carry a stated dividend rate that
is paid prior to any payment of common stock dividends by
the same company. Contrast with common stock. See also dividends. |
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pre-funded inflation protection option
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In a long-term care (LTC) insurance policy, a provision
that guarantees that the policy’s daily benefit amount
will increase by a certain amount or percentage each year
after the insured person reaches age 65, the cost of which
is built into the policy’s premium structure.
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Pregnancy Discrimination Act
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In the United States, a federal law that requires employers
to treat pregnancy, childbirth, or related medical conditions
the same as any other medical condition. |
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premature distributions
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Withdrawals from a deferred annuity made before the contract
owner is age 59_. |
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premium
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(1) In insurance, a specified amount of money an insurer
charges in exchange for the coverage provided by an insurance
policy or annuity contract. (2) In reference to bond prices,
the excess of a bond’s market price over the bond’s
par value. |
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premium accounting
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The accounting process that encompasses the maintenance
of detailed accounting records and reports of insurance policy
transactions. Also known as policy accounting. |
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premium bond
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A bond that has a market price that is greater than the
bond’s principal or par value. Contrast with discount
bond. |
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premium deposits
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Amounts that an insurer’s policyowners leave on
deposit with the insurer to pay for future premiums.
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premium income
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The revenue that insurance companies receive from insurance
and annuity policy sales. |
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premium notice ordinary (PNO) policy
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In the home service insurance distribution system, an
insurance policy that usually has a minimum face amount of
$10,000 to $15,000, and for which premiums are paid through
the mail, automatic bank draft, payroll deduction, or electronic
funds transfer (EFT). |
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premium payment mode
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For insurance policies, the frequency
(monthly, quarterly, or annually) at which renewal premiums
are payable. |
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premium receipt
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A written acknowledgment that an insurer has received
the initial premium submitted with an application for insurance.
A premium receipt typically provides the proposed insured
with some type of temporary insurance coverage while the
application for insurance is being underwritten. See also
temporary insurance agreement. |
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premium reduction option
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An option, available to the owners of participating insurance
policies, that allows the insurer to apply policy dividends
toward the payment of renewal premiums. See also dividend
and policy dividend options. |
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premiums outstanding
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For Canadian insurers, individual life insurance and
annuity premiums that were due on or before the Annual Return
date, but for which the insurer has not yet received payment
by that date. In the United States, these amounts are called
uncollected premiums. |
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premium suspense account
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For insurance accounting purposes, a liability account
used to record transactions that are intended as premiums
but which the insurer cannot accept as income until a particular
event occurs. |
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premium tax
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A tax that a state or province levies on an insurer’s
premium income earned within that state or province. |
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pre-need funeral insurance
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A form of insurance that provides funds to pay for the
insured’s funeral and burial, which have been arranged
while the insured is living. Also known as pre-need insurance. |
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pre-notice
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A notice that must be given to an insurance applicant
by an insurer that discloses clearly and adequately to the
applicant that the insurer may use a consumer reporting agency
to compile a consumer report on the insurance applicant.
See also consumer credit report and post-notice. |
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preplacement
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In a reinsurance arrangement, the period during which
a reinsurance analyst reviews the request for coverage, establishes
appropriate records and reserves facilities for the case,
and follows up on reserved facilities that have been inactive
for a specified period of time. See also reinsurance. |
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prescription drug coverage
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Insurance that provides benefits for the purchase of
drugs and medicines that are prescribed by a physician and
that cannot be purchased without a doctor’s prescription. |
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present value (PV)
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The amount of money that must be invested today in order
to accumulate a specified amount of money by a certain date.
Contrast with future value (FV). |
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present value interest factor (PVIF)
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A number that represents the present value of $1.00 discounted
at an interest rate of i percent for n periods. A present
value interest factors table shows the present value of $1.00
for various interest rates and a number of periods. Contrast
with future value interest factor (FVIF). |
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present value interest factor for an annuity (PVIFA)
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A number that represents the present value of a $1.00
annuity at a given rate of interest and for a stated number
of periods. Contrast with future value interest factor for
an annuity (FVIFA). |
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present value of an annuity
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The amount that must be invested now in order to provide
for a specified, equally spaced series of equal future payments,
given a specified interest rate and a specified number of
periods. Contrast with future value of an annuity. |
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