Abandonment:
As used in property insurance, prohibits the insured from abandoning damaged
property to the insurance company for repair or disposal
Accelerated
Benefits Rider: An adjustment (rider) to a life insurance policy
that allows for the early payment of some portion of the policy's face amount
should the insured suffer from a terminal illness or injury.
Accidental
Death Benefit Rider: An adjustment (rider) to a life insurance policy
that provides for payment of an additional cash benefit when death occurs
by accidental means. This amount depends on the value of the policy.
Accidental
Death Insurance: An Insurance poicy that provides payment if the
insured's death occurs as a results from an accident.
Accounts
Receivable Coverage: Covers loss of sums owed to the insured by
its customers that are uncollectible due to damage by an insured peril to
accounts receivable records
Actual
Cash Value (ACV): Cost to repair or replace damaged property with
materials of like kind and quality, less depreciation
Additional
Insured: A person or organization for whom insured status is arranged
by endorsement
Advertising
Injury: General liability coverage that insures against libel, slander,
invasion of privacy, copyright infringement and misappropriation of advertising
in connection with the insured's advertising of its goods or services
Agent: An
authorized representative of an insurance company.
Aggregate:
The maximum amount an insurance company will pay during the policy
All
Risk Coverage: Property insurance covering loss arising from all
causes of loss except those that are specifically excluded
Annually
Renewable Term: Term insurance that provides coverage for one year
and allows the policy owner to renew his or her coverage each year.
Application:
A form with the information needed for an insurance company to underwrite
and rate a specific policy
Assignment
Assignment: The transfer of ownership of a Life Insurance policy
from one person to another.
Attained
Age: Your current age. Your attained age is a factors life insurance
companies use to determine premiums.
Audit:
A verification of the financial records, usually payroll or receipts, of an
organization to determine exposures and premiums
Automobile:
A land motor vehicle, trailer or semi-trailer designed for travel on public
roads, not including 'mobile equipment'.
Backdating: Making
the effective date of a policy earlier than the date of application. Backdating
is often used to make the age of the applicant lower than it actually was
at the time of application so that he/she can get a lower premium. State
laws often set limits to this.
Bailee
Coverage: Coverage on property left in the care of the insured
for storage, repair or servicing
Basic
Cause of Loss Form: Property coverage for named perils: Fire,
Lightening, Explosion, Smoke, Windstorm, Hail, Riot, Civil Commotion,
Aircraft, Vehicles, Vandalism, Sprinkler Leakage, Sinkhold Collapse and
Volcanic Action
Basic
Limits: The minimum limits of liability that can be carried by
an insured
Beneficiary: The
designated person set to receive the death benefit if the insured should
die.
Best's
Rating: A rating system by A.M. Best Company giving the financial
condition of insurance companies
Binder: A
temporary insurance policy that expires at the end of a specific time period
or when a permanent policy is written. A binder is given to an applicant
for insurance during the time it takes the an insurance company to complete
the policy paperwork.
Bodily
Injury by Accident Limit: The most an insurer will pay under
Part Two of a Workers' Compensation Policy for claims arising out of any
one accident, regardless of how many employee claims arise out of the
accident
Bodily
Injury by Disease, Each Employee : The most an insurer will pay
under Part Two of a Workers' Compensation Policy for damages due to bodily
injury by disease to any one employee
Bodily
Injury by Disease-Policy Limit : The most an insurer will pay
under Part Two of a Workers' Compensation Policy employee bodily injury
by disease claims during the policy period regardless of the number of
employees who make such claims
Bodily
Injury Liability Limit: The insured is legally liable for damages
due to bodily injury, sickness, or disease, including resulting death
Boiler & Machinery
Insurance: Coverage for loss caused by mechanical or electrical
equipment breakdown, including damage to the equipment
Bond:
A written agreement in which one party, the surety, guarantees the performance
or honesty of a second party, the principal (obligor), to the third party
(obligee) to whom the performance or debt is owed
Brands
and Labels Endorsement: Property insurance coverage that allows
the insured to remove labels from damaged goods or mark the items as 'salvage,'
provided the goods are not damaged in the process
Broad
Causes of Loss Form: Property coverage for the named perils:
Fire, Lightening, Explosion, Smoke, Windstorm, Hail, Riot, Civil Commotion,
Aircraft, Vehicles, Vandalism, Sprinkler Leakage, Sinkhole Collapse, Volcanic
Action, Breakage of Building Glass, Falling Objects, Weight of Snow, Ice
or Sleet, Water Damage (in the form of leakage from appliances) and Collapse
from Specified Causes
Building
Ordinance Coverage: Covers against loss caused by enforcement
or ordinances or laws regulating construction and repair of damaged buildings
Burglary:
Theft of property by forcible entry, which is evidenced by visible signs,
in a premises, by a person
Business
Auto Policy: Auto Policy for businesses that includes auto liability
and auto physical damage coverages
Business
Income Coverage: Insurance covering loss of income by a business
when operations are interrupted due to property loss that is a covered
cause of loss
Business
Interruption Coverage: See Business Income Coverage
Business
Owners Policy (BOP): A policy that combines property and liability
coverages for special types of small businesses.
Cancellation:
The termination of an insurance policy usually before its expiration
Care,
Custody or Control: An exclusion of liability insurance which
eliminates coverage for damage to property in the insured's care, custody
or control
Carrier:
The insurance company which provides coverage
Cash
Benefits: The Money that is paid to the policy holder upon settlement
of a covered claim.
Cash
Value: The equity amount or "savings" accumulation in a whole
life insurance policy.
Casualty
Insurance: Insurance that covers loss caused by injuries to persons
and the legal liability imposed on the insured for injury or for damage
to property of others
Catastrophe:
A severe loss causing sizable financial loss
Causes
of Loss Forms: The commercial property forms that define the
covered causes of loss for which coverage is provided. Commonly, there
are 3 Cause of Loss Forms: Basic, Broad and Special
Certificate
of Insurance: A document providing evidence that insurance has
been purchased
Claim:
A request by a policyholder or a claimant for payment under a policy of
insurance
Claim
Expense: Expenses of settling or investigating a claim
Claimant:
The person presenting a claim
Claims
Reserve: An amount of money set aside to meet claims reported
but not paid
Class:
A group of businesses who have common or similar exposures and are grouped
together for rating purposes
Classification:
The arranging or establishing of business groups or categories for rating
purposes
Coinsurance
Provision: An insurance provision for property coverages in which
the policyholder must carry an amount of insurance that is at least equal
to a set percentage of the value of the property in order to receive full
payment of a loss
Collapse:
Collapse of a building and collapse of personal property within a building
due to specified causes (such as weight of snow, ice or rain). Does not
include collapse due to design error or due to faulty workmanship or materials
if the collapse occurs after construction is complete
Collision
Insurance: Provides for payment to a covered automobile resulting
from the striking of another object by a moving vehicle
Commercial
General Liability Policy (CGL): A coverage which protects business
organizations against liability claims for bodily injury and property
damage. Those claims may be the result of events at your place of business,
from your business operations, the products or services you make or do,
communications or advertisements your business broadcasts
Competitive
State Funds: State-owned and operated facilities that write Workers'
Compensation Insurance solely for that state
Completed
Operations: A General Liability coverage for the work of the
insured that has been completed away from the business premises
Comprehensive
Auto Coverage: Covers an automobile for loss or damage for all
causes except for those specifically excluded
Compulsory
Insurance: Insurance that is required by law
Concealment:
Failure to disclose facts which may void an insurance policy
Conditional
Receipt: Given to policy owners when they pay a premium at the
time of the application. These receipts bind the insurance company, provided
your policy is approved, but are subject to any other conditions stated
on the receipt.
Conditions:
Things agreed upon in an insurance policy that state the rights and the
requirements of the insured and the insurer
Consequential
Loss: An indirect loss such as the reduction in value of property
that is the result of a direct damage loss
Constructive
Total Loss: Term used when damage to property is more than the
value of the property
*Contestable
Clause: A provision in an insurance policy setting forth the
conditions or time period under which the insurance company may contest
or void the policy. After this time has lapsed, typically two years, the
policy cannot be contested. Example: Suicide.
Contingent
Beneficiary: Person or persons designated to receive the value
of an insurance policy in case the original beneficiary is not alive.
Contract:
An agreement between two or more parties with characteristics of mutual
assent, competent parties, a valid consideration and legal subject
*Coverage: Coverage
is just another term for Insurance. It can be used to mean either the dollar
amounts of insurance purchased ($500,000 of liability coverage), or the
type of loss covered (coverage for theft).
Convertible
Term: A policy that may be changed to another form by contractual
provision and without evidence of insurability. Most term policies are
convertible into permanent insurance.
Countersignature:
The signature of a licensed agent or representative on a policy that is
required to validate the policy
Cross-Purchase
Plan: An agreement that provides that upon a business owner's
death, surviving owners will purchase the deceased's interest, often with
funds from life insurance.
Cumulative
Injury: A type of injury which occurs from the repetition of
tasks over an extended length of time.
Data
Processing or EDP Coverage: All risk property insurance for electronic
data processing equipment (computers), computer programs and data including
mechanical breakdown, electrical injury and changes in temperature and
humidity
Death
Benefit: The amount of money paid to the beneficiary when the
insured person dies.
Decreasing
Term Insurance: Term life insurance on which the face value slowly
decreases in scheduled steps from the date the policy comes into force
to the date the policy expires, while the premium remains level. The intervals
between decreases are usually monthly or annually.
Debris
Removal: The cost of removal of debris from covered property
damaged by an insured peril
Deductible:
The amount of loss which is paid or absorbed by the insured prior to determining
the insurance company's liability
Deposit
Premium: The amount of premium required at the beginning of a
policy prior to the actual premium being determined
Depreciation:
The reduction in value of property over a period of time. Usually as a
result of age, wear and tear, or economic obsolescence
Direct
Damage: Causes of loss that produce direct and straightforward
property damage (without interruption in time or deviation in space) from
the cause of the event to the damaged property
Double
Indemnity: Payment of twice the basic benefit in the event of
loss resulting from specified causes or under specified circumstances.
Driver
Other Car Endorsement: An endorsement that can be added to an
automobile policy that gives protection while the insured designated in
the endorsement is driving a car other than the one named in the policy
Drop
Down Provision: A clause used in Umbrella policies providing
that the Umbrella will 'drop-down' over underlying policy aggregate limits
when they have been reduced or exhausted.
Earned
Premium: The amount of premium that has been used for certain
periods of time
Earth
Movement or Earthquake Exclusion: An exclusion found in most
property insurance policies eliminating coverage for earth movement or
earthquake, except ensuing fire
Effective
Date: The date on which an insurance binder or policy goes into
effect
Electrical
Damage or Injury Exclusion: An exclusion usually contained in
property insurance policies eliminating coverage for damage to electrical
appliances caused by artificially generated currents, except for ensuing
fire or explosion
Employee
Dishonesty Coverage: Coverage for theft of money, securities
or property by an employee
Employee
Leasing: A staffing method which an employee leasing company
provides all or most of its client's employees
Employers
Excess Indemnity Insurance: Insurance coverage purchased by employers
that do not subscribe to the Texas Workers' Compensation law
Employers
Liability Coverage: Part 2 of the Workers' Compensation policy
which pays on behalf of the employer all sums that the employer becomes
legally obligated to pay because of bodily injury by accident or disease
sustained by any employee of the insured arising out of and in the course
of his employment by the insured
Employment
Practices Liability Insurance: A form of liability insurance
covering wrongful acts arising from employment practices such as wrongful
termination, discrimination and sexual harassment
Endorsement:
A document attached to an insurance policy that changes the original policy
provisions
Equipment
Floater: A property insurance coverage for equipment that is
often moved from place to place
Estimated
Premium: A preliminary premium amount that could be adjusted
based on a variance in exposures
Evidence
of Insurability: Any statement or proof of a person's physical
condition, occupation, etc., affecting acceptance of the applicant for
insurance.
Excess
and Surplus Lines Insurance: Coverage that is provided by insurers
not licensed in the states where the risk is located
Excess
Liability Policy: A policy that provides additional limits in
excess of an underlying liability policy
Exclusions: Specified
hazards listed in a policy for which benefits will not be paid.
Expected
or Intended: An exclusion for injury or damage that is expected
or intended
Expediting
Expense Coverage: Coverage providing reimbursement of expenses
for temporary repairs and costs incurred to speed up the permanent repair
or replacement of covered property or equipment
Expense
Constant: A small flat expense charged to Workers' Compensation
policies
Experience
Modifier: A debit or credit factor developed by measuring the
difference between the insured's actual past experience and the expected
or actual experience of the class of business
Expiration:
The ending date of an insurance policy
Exposure
Base: The basis of rates that are applied to determine premium.
Some exposures may be measured by payroll, receipts, sales, square footage,
area, man-hours or per unit
Extra
Expense Coverage: Coverage for reimbursement of expenses in excess
of normal operating expenses that are incurred to continue operations
after a direct damage loss
Extraterritorial
Coverage: The coverage for extending workers' compensation law
to provide benefits for workers hired in one state but injured while working
in another state.
Face
Amount: The amount covered by the terms of an insurance contract,
usually found on the first page of the policy.
Fiduciary
Liability: The liability placed on trustees, employers, fiduciaries
and professional administrators with respect to errors and omissions in
the administration of employee benefit programs
Final
Expenses: Expenses incurred at the time of a person's death.
These include but are not limited to:funeral costs, court expenses, current
bills or debt, mortgages, loans and taxes.
Fine
Arts Coverage: Property insurance for works of art
Fire
Department Service Charge Coverage: Coverage in a property insurance
policy for charges incurred by the insured from a fire department for
their services in fighting a fire
Fire
Legal Liability Coverage: Liability coverage for the insured's
legal liability for fire damage to premises rented by the insured
Fire
Wall: A wall designed to prevent the spread of fire from one
part of a building to another
Firewall:
A computer that protects a company's private network from outside internet
users
Fixed
Benefit: A death benefit, the dollar amount of which does not
vary.
Flat
Cancellation: The full cancellation of a policy as of the effective
date of coverage which requires the return of paid premium in full
Flood
Coverage: Coverage for damage to property caused by flood
Flood
Exclusion: A provision in most all property insurance policies
eliminating coverage for damage by flood and possibly other types of water
damage, such as seepage and sewer backup
Follow
Form: An umbrella policy provision that follows the underlying
policy for coverages and policy provisions
Forgery
or Alteration Coverage: Covers loss due to the dishonesty of
writing, signing or altering of checks and bank drafts
Fortuitous
Event: An event that is subject to chance without the implication
of suddenness
Free
Look: Trial period required in most states where policy owners
have up to 20 days to examine their new policies with no obligation.
Frequency:
The number of times that a loss will occur within any given period of time
Full
Coverage: Any form of insurance that provides payment in full
of all losses caused by the perils insured against without applying a
deductible or depreciation
Funeral
Expenses: Expenses including casket, vault, grave plot, headstone
and funeral director.
Garage
Liability Insurance: Insurance coverage for the legal liability
of automobile dealers, garages, repair shops and service stations for
bodily injury and property damage arising out of their business operations
Garagekeepers
Coverage: Provides coverage to owners of storage garages, parking
lots and body and repair shops for their liability of damage to automobiles
left in their custody for safekeeping or repair
General
Aggregate Limit: The maximum amount of insurance payable during
the policy period for losses (other than those arising from the products
- completed operations hazards as covered under the standard commercial
general liability policy)
General
Liability Insurance: Insurance protecting businesses from most
liability exposures other than automobile and professional liability
Glass
Insurance: A property insurance policy covering breakage of building
glass regardless of cause
Governing
Classification: In Workers' Compensation Insurance, the classification
that best describes the workers' compensation exposure of an employer's
business
Grace
Period: Period of time after the due date of a premium during
which the policy remains in force without penalty.
Graded
Premium Policy: A type of whole life policy designed for people
who want more life coverage than they can currently afford. They pay a
lower premium rate that increases gradually over the first three to five
years and then remains constant over the life of the policy.
Gross
Negligence: Willful and wanton misconduct
Gross
Vehicle Weight (GVW): The weight specified by a manufacturer
for the maximum total loaded weight of a single vehicle
Guaranteed
Term: A form of renewable term insurance that remains in force
as long as the premiums are paid on time. With guaranteed term insurance,
the insurance company cannot terminate the policy during the term.
Hired
Automobile: An automobile whose exclusive use has been temporarily
given to another for a monetary sum or other consideration. The business
auto definition of 'hired autos,' however, includes autos borrowed except
those borrowed from employees or partners
Hold
Harmless Agreement: A contractual agreement that requires one
contracting party to assume certain legal liabilities of the other party
Host
Liquor Liability: Liability coverage for hosts of business or
social functions arising out of the serving or distribution of alcoholic
beverages by a party not engaged in this activity as a business enterprise.
Improvements
and Betterments: Additions or changes made by a lessee at his
own expense to property that may not legally be removed. Usually covered
under the tenants property coverage
Incontestable
Clause: A clause in a policy providing that a policy has been
in effect for a given length of time (two or three years), the insurer
shall not be able to contest the statements contained in the application.
In life policies, if an insured lied as to the condition of his health
at the time the policy was taken out, that lie could not be used to contest
payment under the policy if death occurred after the time limit stated
in the incontestable clause.
Incurred
Losses: The amount of paid claims and loss reserves within a
particular period of time, usually a policy year. Customarily computed
as losses incurred during the period, plus outstanding losses at the end
of the period, less outstanding losses at the beginning of the period
Independent
Adjuster: A claims adjuster who provides adjustment services
to insurance companies but is not employed by them
Independent
Contractor: An individual or company who has agreed, in writing,
with another party to perform a job or function on behalf of that party
Inflation
Guard Provision: A provision that increases the limit of insurance
by a specified percentage over a specified period of time to offset inflation
costs
Insurability: The
condition of the individual wishing to be insured, including their health,
susceptibility to injury and life expectancy.
Insurance: A
formal social device for reducing risk by transferring the risks of several
individual entities to an insurer. The insurer agrees, for a consideration,
to pay for the loss in the amount specified in the contract.
Insurance
Policy: The printed form which serves as the contract between
an insurer and an insured.
Insurance
to Value: Insurance written in an amount equal to the value of
the property or which meets coinsurance requirements
Insured: The
party who is being insured. In life insurance, it is the person because
of his or her death the insurance company would pay out a death benefit
to a designated beneficiary.
Insurer: The
insurance company; Party that provides insurance coverage, typically through
a contract of insurance.
Irrevocable
Beneficiary: A beneficiary that cannot be changed without that
beneficiary's consent.
Increasing
Term Insurance: Term life insurance in which the death benefit
increases periodically over the policy's term. Usually purchased as a
cost of living rider to a whole life policy.
Joint
Venture: A business relationship when two or more persons join
their labor or property for a business undertaking and share profits.
Lapse: Termination
of a policy due to the policy owner's failure to pay the premium within
the grace period.
Leasehold
Interest: Property insurance covering the loss suffered by a tenant
due to termination of a lease because of damage to the leased premises
by a covered loss
Lessee:
The person to whom a lease is granted
Lessor:
The person granting the lease
Liability:
The legal obligation to pay a monetary award for injury or damage caused
by one's negligent or statutorily prohibited action
Liberalization
Clause: A provision within an insurance policy that broadens the
coverage if the insurance company offers a broader coverage form within
the first 45 days of coverage
Lien:
An obligation that can be held by an individual who has an interest in a
particular matter or property
Life
Expectancy: The average number of years a person is expected to
live based on a national average per age group, and other factors.
Life
Insurance: Insurance coverage that pays out a set amount of money
to specified beneficiaries upon the death of the individual who is insured.
Limit
of Liability: The most an insurance company agrees to pay in the
case of loss
Limited
Pay Policy: A type of whole life insurance designed to let the
policyholder pay higher premiums over a specific time period such as 10
or 20 years so that they won't have to pay any premiums for the rest of
his or her life.
Longshore
and Harbor Workers' Compensation Act: A federal law that provides
workers' compensation benefits to employees of a vessel injured in maritime
employment - usually in loading, unloading, repairing or building a vessel
- but not applicable to crew members
Loss:
The amount an insurance company pays for damages under the terms of a policy
Loss
Adjustment Expense: The cost assessed to a particular claim for
investigating and adjusting that claim
Loss
Constant: A flat charge added to the premium of small workers'
compensation policies to offset higher loss ratios
Loss
Control: A technique that is put in place to reduce the possibility
that a loss will occur or reduce the severity of those that do occur
Loss
Payable Clause: An insurance clause that authorizes loss payments
to a person or entity having an insurable interest in the covered property
Loss
Ratio: Percentage of losses incurred against earned premiums
Loss
Report: A form showing reported claims which provides information
such as the date of occurrence, type of claim, amount paid and amount reserved
for each loss
Loss
Reserve: An estimated amount set aside for a particular claim
that has not yet been paid
Lost
Policy Release: A signed statement by the named when the insured
wishes to cancel the policy, but has lost or mislaid the policy, which
releases the insurance company from all liability or losses.
Medical: A
document completed by a physician or another approved examiner and submitted
to an insurer (insurance company) in order to provide medical information.
This is usually done to determine insurability (or lack of insurability)
or is sometimes done in relation to a claim.
Medical
Expenses: Reasonable charges for medical, surgical, x-ray, dental,
ambulance, hospital, professional nursing, prosthetic devices, and funeral
expenses. What is considered reasonable is outlined in a policy.
Medical
Payments, Auto: Coverage, which is optional, under an auto policy
to pay for medical expenses for bodily injury caused by an auto accident,
regardless of fault. Coverage for persons other than the named insured
and his or her family members is typically restricted to circumstances
when they are occupants of the insured auto
Medical
Payments, General Liability: A general liability coverage that
reimburses others, regardless of fault, for medical or funeral expenses
incurred as a result of bodily injury or death sustained by an accident
Mexico
Coverage: Coverage which is sometimes provided under automobile
policies for the operation of an insured motor vehicle within Mexico,
usually limited to a stated number of miles from the U.S. border
Minimum
Premium: The lowest amount of premium to be charged for providing
a particular insurance coverage
Misrepresentation: The
act of knowingly presenting false information.
Mobile
Equipment: Equipment such as earthmovers, tractors, diggers,
farm machinery, forklifts, etc., that even when self-propelled, are not
considered as automobiles for insurance purposes
Monopolistic
State Funds: States or Jurisdictions where an employer must obtain
workers' compensation insurance from a state fund or qualify as a self-insurer,
as is allowed in five of the states: North Dakota, Ohio, Washington, West
Virginia, Wyoming, Puerto Rico and the U.S. Virgin Islands
Mortality
Rate: The number of deaths in a group of people, usually expressed
as deaths per thousand.
Mortality
Table: A table showing the incidence of death at specified age
groups.
Mortgage
Clause: Property insurance provisions granting protection for
the mortgagee named in the policy. It establishes that loss to mortgaged
property is payable to the insured and to the mortgagee named in the policy.
Named
Perils Coverage: A property insurance term referring to exact
causes of loss specifically listed as covered
National
Flood Insurance Program: A federally funded program established
to make flood insurance available to properties located in participating
communities National Flood Insurance Program: A federally funded program
established to make flood insurance available to properties located in
participating communities
Nonadmitted
Insurer: An insurance company that is not licensed to do business
in a specific state. The insurers may write coverage through an excess
and surplus lines broker that is licensed in these jurisdictions
Nonowned
Automobile: In commercial auto policies, coverage for autos that
are used in connection with the named insured's business but are neither
owned, leased, hired, rented or borrowed by the named insured. The term
specifically applies to vehicles owned by employees and used for company
business
Nonsubscription:
A Workers' Compensation term used in Texas that refers to employers who
choose to be out of the workers' compensation system. Firms that are proven
negligent in causing a worker's injury, can be held liable in tort, since
nonsubscribing employers waive the traditional common law defenses available
to employers subject to workers' compensation laws.
Original
Age: The age you were when you bought an insurance policy.
Other
Insured Rider: The temporary addition to an insurance policy,
usually a member of the direct family.
Ownership: All
rights, benefits and privileges under life insurance policies are controlled
by their owners. Policy owners may or may not be the insured. Ownership
may be assigned or transferred by written request of current owner.
Occupational
Hazard: A condition in the workkplace that increases the chances
of the an accident, sickness, or death. It usually will mean higher premiums.
Occurrence:
A continual, gradual or repeated exposure to substantially the same general
harmful conditions. General liability policies insure liability for bodily
injury or property damage that is caused by an occurrence.
Package
Policy: A policy providing several different coverages combined
into one policy. Refers to a policy providing both general liability insurance
and property insurance
Payroll
Limitation: A limit on the amount of payroll for certain classifications
used for the development of premium
Peril:
Cause of loss such as fire, windstorm, collision, etc.
Personal
Auto Policy (PAP): A policy insuring private-passenger autos
owned by individuals
Personal
Injury: A General Liability coverage for insurable offenses that
cause harm, other than bodily injury, such as false arrest, detention
or imprisonment, malicious prosecution, wrongful eviction, slander, libel
and invasion of privacy
Personal
Injury Protection (PIP): An automobile insurance coverage mandated
by law in some states. The statutes typically require insurers to provide
or offer to provide first-party benefits for medical expenses, loss of
income, funeral expenses and similar expenses without regard to fault
Personal
Property: All tangible property not classified as real property
such as contents
Policy: The
printed document given to the insured, outlining the terms and conditions
of the Insurance coverage.
Policy
Fee: A one-time charge per policy that does not change with the
size of the premium
Policy
Holder: The person who owns a life insurance policy. This is
usually the insured person, but it may also be a relative of the insured,
a partnership or a corporation.
Policy
Period: The term or duration of a policy including the effective
and expiration dates
Pollutant:
An irritant or contaminant, whether in solid, liquid, or gaseous form,
including smoke, vapor, soot, fumes, acids, alkalis, chemicals and waste
Preferred
Risk: A positive characterisic of someone seeking to be insured.
Usually means a better likely hood for long life, and usually means a
lower premium.
Premises:
The location where coverage applies
Premises-Operations:
A category of hazard ordinarily insured by a general liability policy which
is composed of those exposures to loss that fall outside the defined 'products-completed
operations hazard,' including liability for injury or damage arising out
of the insured's premises or out of the insured's business operations while
such operations are in progress
Premium: The
agreed upon, payment made to keep an insurance policy in force, usually
a monthly payment.
Premium
Flexibility: The policy holder's right to vary the amount of
premium paid each
month.
Primary
Beneficiary: In life insurance, the beneficiary designated by
the insured as the first to receive policy benefits.
Primary
Policy: The insurance policy that pays first when you have a
loss that's covered by more than one policy.
Pro
Rata Cancellation: The cancellation of an insurance policy with
the return premium being the full proportion of premium for the unexpired
term of the policy, without penalty for early cancellation
Product:
Items manufactured, sold, handled, distributed or disposed of by the named
insured or others involved with the named insured in the course of their
business. Includes containers, parts and equipment, product warranties
and provision of or failure to provide instructions and warnings
Product
Liability: The liability for bodily injury or property damage
a merchant or manufacturer may incur as a consequence of some defect in
the product sold or manufactured
Products-Completed
Operations: General Liability coverage for liability arising
out of the insured's products or business operations conducted away from
the insured's premises once those operations have been completed
Professional
Liability: Coverage designed to protect professionals such as
physicians and real estate brokers, against liability incurred as a result
of errors and omissions in performing professional services
Property
Damage: In the general liability policy, a physical injury to
property, resulting in the loss of use
Property
Insurance: First-party insurance for real and personal property
against physical loss or damage
Provisions: Details
of an insurance policy which explain the benefits, conditions and other
features of the insurance contract.
Real
Property: Real estate including buildings and vegetation
Re-entry
Option: An option in a renewable term life policy under which
the policy owner is guaranteed, at the end of the term, to be able to renew
his or her coverage without evidence of insurability, at a premium rate
specified in the policy.
Reinstatement: Putting
a lapsed policy back in force by producing satisfactory evidence of insurability
and paying any past-due premiums required.
Renewal
Policy: A policy issued to replace an expiring policy
Rents
or Rental Value Insurance: Insurance that reimburses a building
owner for loss of rental income due to damage by an insured peril
Replacement: A
new policy written to take the place of one currently in force.
Representation: Statements
made by applicants on their applications for insurance that they represent
as being substantially true to the best of their knowledge and belief but
that are not warranted as exact in every detail.
Return
Premium: The amount of premium due the insured should the actual
cost of a policy be less than the insured previously paid
Rider: An
attachment to a policy that modifies its conditions by expanding or restricting
benefits or excluding certain conditions from coverage.
Risk: The
chance of injury, damage, or loss.
Robbery:
Theft of property while force is used or threatened.
Secondary
Beneficiary: An alternate beneficiary designated to receive payment,
usually in the event the original beneficiary predeceases the insured.
Short-Term
Cancellation: Cancellation of an insurance policy prior to the
expiration date in which a penalty in the form of a less than full pro-rata
premium refund is allowed
Single
Premium Policy: A whole life policy for people who want to buy
a policy for a one-time lump sum, and then be covered for the rest of
their lives without paying any additional premiums.
Special
Causes of Loss Form: A cause of loss form providing coverage
from all causes of loss unless specifically excluded or limited
Specified
Causes of Loss Coverage: Auto physical damage coverage only for
losses caused by the perils listed in the policy
Sprinkler
Leakage Coverage: Coverage for property damage caused by the
accidental discharge or leakage of water from automatic sprinkler systems
or other fire prevention devices
Surplus
Lines Insurance: Insurance written by insurers not licensed in
the states where the risks are located and placed with such insurers under
the surplus line laws of the various states. Before such placements can
be made through specially licensed surplus line agents and brokers, state
laws generally require evidence reported before some predetermined future
date ('sunset').
Time
Element Insurance: A term referring to property coverage for
loss of earnings or income resulting from the inability to put damaged
property to its normal use
Term
Insurance: Protection during limited number of years; expiring
without value if the
insured survives the stated period, which may be one or more years but usually
is five to twenty years, because such periods usually cover the needs for temporary
protection.
Term: Period
for which the policy runs. In life insurance, this is to the end of the
term period for term insurance.
Third-Party
Owner: A policy owner who is not the prospective insured. The
policy owner and the insured may be, and often are the same person. If
for example, you apply for and are issued an insurance policy on your
life, then you are both the policy owner and the insured and may be known
as the policy owner-insured. If, however, your mother applies for and
is issued a policy on your life, then she is the policy owner and you
are the insured.
Transit
Coverage: Coverage on the insured's property while in transit
from one location to another, over land.
Umbrella
Liability Policy: A policy designed to provide additional protection
against catastrophic losses covered under liability policies, such as
the business auto policy, commercial general liability policy, watercraft
and aircraft liability policies and employers liability coverage. It provides
excess limits when the limits of the underlying liability policies are
used up by the payment of claims and it drops down and picks up where
the underlying policy leaves off when the aggregate limit of the underlying
policy in question is exhausted by the payment of claims. It also provides
protection against some claims not covered by the underlying policies,
subject to a self-insured retention
Underinsured
Motorists Coverage: Provides coverage for bodily injury, and
in some states property damage, for losses incurred by an insured when
an accident is caused by a motorist who does not have sufficient insurance
limits
Underlying
Coverage: The insurance or coverage in place on the same risk
that will respond to loss before the excess policy is called on to pay
any portion of the claim
Underwriter: Company
receiving premiums and accepting responsibility for fulfilling the policy
contract. Also, company employee who decides whether the company should
assume a particular risk; or the agent who sells the policy
Uninsurable
Risk: A person who is not acceptable for insurance due to excessive
risk.
Universal
Life: An interest-sensitive life insurance policy that builds
cash values. The premium payer has control over how the policy is structured.
He has the flexibility to eliminate the premiums (essentially pay up the
policy and pay no more premiums) or have the premiums continue for life.
It is a matter of juggling three variables: the assumed interest rate,
the cash value and the premium payment plan. The policy is interest-sensitive,
and if interest rates change from the assumed interest, it will affect
the other two variables. In the past, many Universal Life Policies were
structured assuming a higher interest rate then was actually received,
therefore, most of them have under performed. If you have a Universal
Life Policy, you should have it evaluated to see if it needs
to have the premiums adjusted to get it back on track. A fourth variable that
has not been a factor but could be in the future, and the owner should be aware
of, is the Mortality variable. Universal Life policies are usually structured
assuming current mortality rates. The insurance companies reserve the right
to change those rates.
Unearned
Premium: That portion of the policy premium that represents the
unexpired policy term
Uninsured
Motorist Coverage: Provides coverage for bodily injury, and in
some states property damage, for losses incurred by an insured when an
accident is caused by a motorist who is not insured
Utility
Service Interruption Coverage: Coverage for the loss to an insured
due to lack of incoming electricity which was caused by damage from a
covered cause of loss, such as a fire or windstorm, to property away from
the insured's premises - usually the utility generating station. Also
referred to as 'off-premises power coverage'.
Vacancy
Provision: Property insurance provision found in commercial property
policies that restrict coverage in connection with buildings that have
been vacant for a specified number of days, usually 60 days
Valuable
Papers and Records Coverage : Coverage that pays the cost to
reconstruct damaged or destroyed valuable papers and records and usually
includes almost all forms of printed documents or records except money
or securities; data processing programs, data and media are usually excluded.
Waiver
of Premium: Rider or provision included in most life insurance
policies exempting the insured from paying premiums after he or she has
been disabled for a specified period of time, usually six months.
Waiver
of Subrogation: Also known as 'transfer of rights of recovery,'
the relinquishment by an insurer of the right to collect from another
party for damages paid on behalf of the insured
Whole
Life Insurance: Life insurance that is kept in force for a person's
whole life as long as the scheduled premiums are maintained. All Whole
Life policies build up cash values. Most Whole Life policies are guaranteed
as long as the scheduled premiums are maintained. The variable in a Whole
life Policy is the dividend which could vary depending on how well the
insurance is doing. If the company is doing well and the policies are
not experiencing a higher mortality than projected, premiums are paid
back to the policy holder in the form of dividends. Policyholders can
use the cash from dividends in many ways. The three main uses are: it
can be used to lower or vanish premiums, it can be used to purchase more
insurance or it can be used to pay for term insurance.
Workers'
Compensation: Protection which provides benefits to employees
for injury or contracted disease arising out of and in the course of employment.
Most states have laws which require such protection for workers and prescribe
the length and amount of such benefits provided.
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