
Consumer > Glossary of Insurance Terms - L
- Lapsed policy
- A policy terminated at the end of the grace period because of nonpayment of premiums and no value to be loaned against to cover the due premium.
- Liability
- Individual responsibility for causing, through negligence, injury to another person or damage to another person's property.
- Liability insurance
- Insurance covering the policyholder's legal liability for injuries to another person or damages to another person's property for which the insured is legally liable.
- Licensed health care practitioner
- Any physician, registered nurse, licensed or certified social worker, or any other individual who meets such requirements as may be prescribed by the Secretary of the Treasury.
- Lifetime benefit maximum
- The total amount an insurance company will pay for health care services over your lifetime. If the cost of the benefits you receive since enrolling in a plan exceeds this amount, your coverage ends and no additional services will be covered.
- Like kind and quality parts
- Refers to the use of replacement parts which are of the same kind and quality as the original parts.
- Limited Service Health Organizations (LSHO)
- A health care plan that makes available to its enrollees a limited range of health care services, such as dental or eye care, performed by providers selected by the organization.
- Limiting charge
- The maximum a physician who does not accept assignment may legally charge for a Medicare-covered service.
- Lock-in
- A contractual provision by which members, except in cases of unforeseen out-of-area urgently needed care or emergency care, are required to receive all their care from the managed care plan's network or health care providers.
- Loss settlement provision
- Section of the insurance policy that specifies how insured losses will be settled or adjusted.
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