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In the US, an "annuity" generally refers to a deferred investment contract that, upon "annuitization," will make regular payments (e.g., on
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However, treating insureds differently when there is no actuarially sound reason for doing so is unlawful discrimination.
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the system. The reinsurance market is dominated by a few very large companies, with huge reserves. In short, it is an in-house self-insurance vehicle. Balancing this are waiting periods, in particular for pre-existing conditions (usually referred to within the industry as PEA, which stands for "pre-existing ailment")