underinsurance


Also found in: Dictionary, Financial.
A generic term for health insurance policies that require large out-of-pocket payments, and provide suboptimal coverage for common conditions

underinsurance

Managed care A generic term for insurance policies that require large out-of-pocket payments, and provide suboptimal coverage for common conditions Examples Lack of coverage for catastrophic medical expenses, pre-exisiting condition clauses, benefits-not-provided clauses, deductibles, coinsurance. See Underinsured.
References in periodicals archive ?
The key message is that you should talk to your insurance broker about any concerns you have, it's much better to discuss and correct any issues prior to a claim than it is to deal with the consequences of underinsurance when a claim occurs.
The first is that a carrier must provide to its homeowners a full explanation of the term "underinsurance" including examples, and show how settlement is affected at the time of a loss.
In this declaratory-judgment action, Emcasco says that it is only required to cover the difference between what Tufano received from the two drivers collectively ($395,000) and what she contracted for with Emcasco ($500,000), so that Emcasco only owes her $105,000 in underinsurance coverage.
For example, in a suit against an insurance broker that seeks damages for underinsurance on a piece of property, alleging both negligence and fraud, the fraud claim would be excluded under typical broker Errors and Omissions (E&O) liability policies.
A common indicator of a household's exposure to high OOP expenses, sometimes referred to in the literature (and here as well) as underinsurance, is when these exceed a particular share of household income--most commonly 10 percent, and often less if the household is poor (Cunningham 2009; Schoen et al.
Fourth, we will discuss the fundamentals of the ACA-model of "universal health coverage." Fifth, we will assess the current landscape of US healthcare, emphasizing important quantitative trends, including the persistent problems of uninsurance and underinsurance. Sixth, we will examine how a process of corporate consolidation--in part through the emergence of "accountable care organizations"--is unfolding within the American health care landscape.
Insurers are trying to grow the market by expanding their customer base by increasing consumer awareness of specialist products, better targeting their products through partnerships, reducing underinsurance, and adapting their distribution strategies to consumer purchasing preferences.
Respondents cited underinsurance as a potential cause for dentists prescribing antibiotics.
Anna Maria D'hultser, secretary general of Geneva Association, the global insurance industry's leading think tank, said underinsurance (gap in protection) is an important issue not only in developed and emerging economies but also in the Middle East and North Africa (Mena) region.
Based on the 2012 Underinsurance Study in Malaysia undertaken by University Kebangsaan Malaysia and LIAM in 2013, the average mortality gap for each member of a family is about RM100,000 to RM150,000.
A leading global and property and construction consultancy reported that the average level of underinsurance for owners of commercial properties is 60 per cent.
dollars to develop new solutions to help developing economies tackle underinsurance and improve their resilience against the economic impact of natural catastrophes.