| Accident and
Health Insurance: A type of coverage that pays benefits, sometimes
including reimbursement for loss of income, in case of sickness, accidental
injury or accidental death.
Actual Cash
Value: The cost of repairing or replacing damaged property with
property of the same kind and quality less depreciation (which means
in the same physical condition as the original property at
the time of damage).
Additional
Coverages: Extra coverage that can be purchased to provide protection
above and beyond that provided in the original or standard policy.
When such additional coverage is purchased, it becomes an Endorsement
or Rider to the original policy.
Adjuster:
An insurance company representative who seeks to determine the extent
of the firms liability for loss when a claim is submitted.
Agency:
An insurance sales office that is directed by a general agent, manager,
independent agent or company manager.
Agent:
A person licensed by a state insurance department who solicits,
negotiates or effects insurance contracts on behalf of one or more
insurers.
Appraisal:
A survey to determine a propertys insurable value or the amount
of loss.
Arson:
The willful and malicious burning of, or attempt to burn, any structure
or other property, often with criminal or fraudulent intent.
Assigned
Risk: A program administered by the state to guarantee the availability
of insurance to those not ordinarily acceptable to insurers. This
is sometimes referred to as the residual market.
Bailee:
One who has temporary possession of property belonging to another,
usually for storage, repair or servicing.
Basic Form:
An insurance policy providing coverage against a limited number
of specified perils.
Basic Limits:
The minimum limits of liability that can be purchased by an insured.
Basic Rate:
The manual rate from which discounts are taken or to which charges
are added to reflect the individual circumstances of a risk.
Blanket Coverage:
Insurance covering more than one item of property at a single location
or two or more items of property in different locations.
Block Policy:
Covers several different properties, shipments or locations under
one policy rather than under separate ones.
Boiler and
Machinery Insurance: Insurance covering the sudden and accidental
breakdown of boilers, machinery and electrical equipment. It
may cover damage to the machinery itself, damage to other property
and business interruption losses.
Bond:
A policy where one party, called the surety, obligates itself to
a second party, called the obligee, to answer for the default of
a third party, called the principal.
Broad Form
Policy: A policy providing coverage for the same perils covered
in the basic form, plus specified additional perils.
Burglary:
Breaking and entering into anothers property with felonious
intent.
Business
Income Coverage Form: A commercial property form providing coverage
for indirect losses resulting from property damage,
such as loss of business income and extra expenses incurred.
Business
Interruption Insurance: Protection for a business owner against
losses resulting from a temporary shutdown because of fire or other
insured peril. The insurance provides reimbursement for lost net
profits and necessary continuing expenses.
Business
Owners Policy: A policy providing broad property and liability
coverage in a single contract, it is designed for small and medium-sized
mercantile, office or apartment risks. Additional endorsements may
be required to cover a specific businesss risk.
Business
Personal Property: Traditionally known as contents,
this term actually refers to furniture, fixtures, equipment, machinery,
merchandise, materials and all other personal property owned by
the insured and the insureds business.
Captive Agent:
An agent who sells insurance for only one company, as opposed to
an independent agent who represents several companies.
Casualty
Insurance: Insurance concerned primarily with the insureds
legal liability for injuries to others or far damage to other persons
property; also encompasses such forms of insurance as plate
glass, burglary, robbery and aviation.
Claim:
A demand made by the insured, or the insureds beneficiary,
for payment of benefits provided by an insurance policy.
Coinsurance
Clause: A provision under which the insured agrees to carry
a certain amount of insurance equal to a specified percentage
of the propertys value in order to receive full payment for
a loss.
Collision
Insurance: A form of automobile insurance that covers loss to
the insureds own vehicle caused by its collision with another
vehicle or object or its upset. It does not cover bodily injury
or property damage liability arising out of the collision.
Combined
Single Unit: A policy with a single limit of liability applying
to bodily injury and property damage, and a corresponding limit
apply to medical payments. (Note: this policy has been replaced
by the personal auto policy.)
Commercial
Lines: Insurance coverages designed for and purchased by businesses,
professionals and commercial establishments, as opposed to personal
lines of insurance designed for and bought by individuals.
Comprehensive
Coverage: Physical damage coverage for losses to your automobile
by fire, theft, vandalism and numerous other perils. (Note: on personal
auto policies, this is now called other than collision
coverage.)
Compulsory
Insurance: Any form of insurance required by law.
Conditions:
Provisions of an insurance policy that state the rights and duties
of the insured or the insurer. Typical conditions have to do
with such things as the insureds duties in the event of loss,
cancellation provisions and the right of the insurer to inspect
the property.
Coverage:
The scope of protection provided under an insurance contract.
Data Processing
Coverage: A special form providing protection for loss due to
the breakdown of data processing systems. It also covers the cost
of putting the system back into operation.
Deductible:
The amount of an insured loss paid by the policyholder. For
example, if you select a deductible of $500 for loss due to fire,
you agree to pay the first $500 worth of damages to your business
if there is a fire on the premises.
Depreciation:
A decrease in the value of property over a period of time resulting
from use, obsolescence or wear and tear.
Disability
Insurance: A type of health insurance that pays a monthly income
to the policyholder when he or she is unable to work because of
an illness or accident.
Employee
Benefits: Benefits offered an employee at his or her place of
work covering medical expenses, disability, retirement and
death. These benefits are usually insurance coverages and are paid
in whole or in part by the employer.
Employers
Liability Coverage: Policy or section of the workers compensation
policy that provides coverage against the common law liability of
an employer for injuries to employees as distinguished from the
liability imposed by a Workers Compensation law. Employers liability
applies in situations where a worker does not come under these laws.
Endorsement:
An attachment to an insurance policy that amends and alters the
coverage provided in the policy. Also called a Rider.
Errors and
Omission Insurance: A form of insurance that protects the insured
for any loss sustained because of an error or oversight on his or
her part.
Exclusions:
Specific situations, conditions or circumstances that are listed
in the insurance policy as not being covered.
Exposure:
The state of being subject to the possibility of loss; the extent
of risk as measured by various standards such as payroll, gate receipts
and area.
Financial
Responsibility Law: A state law that requires the insured to
furnish evidence of ability to pay for property damage and injuries
to others, either before or after an accident.
Floater:
Property insurance for items that are moved from location to location,
covering losses wherever they occur. The insurance floats
with the property.
Fraud:
Deception or strategy used to deceive or cheat, including misrepresentation
or concealment.
Good Student
Discount: A discount granted to students with high scholastic ratings.
Guaranty
Fund: A state-run mechanism funded by insurance companies to
pay claims against insolvent insurance companies
Hazard:
Condition that creates or increases the chances of a loss.
Independent
Agent: An agent who represents more than one insurer, often
eight or more different companies.
Indemnify:
To provide financial compensation for losses.
Insurance:
A formal device for reducing the chance of loss by transferring
the risks of several individual entities to insurance companies.
Insurance
Fraud: Intentional lying or concealment by policyholders to
obtain payment of an insurance claim that otherwise would not be
paid.
Insured:
The party covered by an insurance arrangement, to whom an insurer
agrees to indemnify for losses, provide benefits or render
services.
Involuntary
Insurance Market: A state-authorized mechanism that guarantees
availability of insurance to all licensed drivers by assigning customers
to insurers on a rotating basis or providing coverage through pooling
arrangements.
Liability
Insurance: Insurance that pays and renders services on behalf
of a policyholder who is unintentionally, but legally responsible
for bodily injury or property damage that is caused to another person
and covered in the policy.
Marine Insurance:
A form of insurance primarily concerned with instruments of
transportation and communication and with goods in transit.
Medical Payments
Insurance: A form of insurance, optional in automobile policies,
that provides for the payment of medical and similar expenses without
regard for liability.
Mercantile
Risk: A term most often used in property insurance meaning a
retail or wholesale risk as contrasted with a service risk, a manufacturing
risk or a habitational risk.
Motor Vehicle
Record (MVR): The record of an automobile drivers accidents
and/or traffic violations.
Named Non-Owner
Policy: An automobile insurance policy issued to someone who
does not own an automobile, but who drives borrowed or rented vehicles.
Negligence:
A legal term describing the failure to use a reasonable degree of
care that an ordinary person, given similar circumstances, would
use. Liability insurance covers you in cases of negligence.
No-Fault
Insurance: Several states have passed laws (with many variations)
permitting an automobile accident victim to collect directly from
his/her own insurance company for medical or hospital expenses regardless
of who was at fault in the accident.
Non-Owned
Auto: Any autos not owned, leased, hired or borrowed.
Occupational
Accident: An accident arising out of or occurring in the course
of ones employment and caused by hazards inherent in or related
to it.
Occupational
Hazard: An occupational condition that increases the risk of
accident, sickness or death.
Package Policy:
A single insurance policy that combines several coyerages available
separately. For example, homeowners insurance is a package
policy, combining property, liability and theft coverages.
Peril:
A property insurance term referring to the possible cause of loss
such as a fire or windstorm.
Personal
Injury Protection (PIP): The formal name usually given to no-fault
benefits in states that have enacted mandatory or optional no-fault
automobile insurance coverages. PIP often includes benefits for
medical expenses, loss of work income, essential services, accidental
death and funeral expenses.
Policy:
A written contract for insurance between the insurance company
and the policyholder.
Premises:
The particular location of property or a portion thereof as designated
in a policy.
Premium:
The price of insurance protection for a specified risk for a specified
period of time.
Private Passenger
Automobile: Four-wheeled motor vehicles such as station wagons,
vans or other private passenger automobiles, designed for use on
public highways and subject to motor vehicle registration.
Product Liability
Insurance: Protection against financial loss arising out of
the legal liability incurred by a manufacturer, merchant or distributor
because of injury or damage resulting from the use of a covered
product.
Professional
Liability Insurance: Coverage for a professional practitioner,
such as a doctor or a lawyer, against liability claims for damages
resulting from alleged malpractice in the performance of the
insureds services. Often called malpractice insurance.
Radius of
Operation: A specific distance, commonly used to estimate rates
for automobiles. Beyond a certain number of miles, rates are increased.
Rate:
The cost of a unit of insurance as determined by insurance companies
and state regulators. The rate serves as the basis for the premium.
Regulation:
Supervision of business practices by a governmental entity.
Reinsurance:
Assumption by one insurance company of all or part of a risk undertaken
by another insurance company
Rental Car
Reimbursement: An optional coverage to temporarily pay for the
cost of a rental vehicle when your own automobile is damaged or
stolen.
Rider:
See Endorsement.
Risk:
This word has two meanings for insurers: (1) the chance of loss,
such as from a peril; and (2) the person or entity that is insured
by a policy
Safe Driver
Plan: A system in which points are assigned for traffic violations
and certain accidents. Each point adds a percentage surcharge to
the rating factor.
Specified
Causes of Loss: Automobile coverage for physical damage incurred
as a consequence of the specified perils of fire, lightning, explosion,
theft, windstorm, hail, earthquake, flood, vandalism, or the sinking,
burning, collision or derailment of any conveyance transporting
a covered auto.
Threshold
Level: The point at which the insured may bring tort action
under a modified no-fault auto plan. Many of these plans prohibit
tort action for pain and suffering unless medical bills exceed a
particular figure, or death or disfigurement occurs.
Towing Costs:
Optional automobile coverage that pays the cost up to a fixed amount
for the towing of a disabled automobile.
Underinsurance:
A condition in which the insurable value of property or possessions
exceeds that of the coverage carried by a policyholder
Underinsured
Motorist (UIM) Coverage: A coverage in an automobile insurance
policy under which the insurer will pay damages up to specified
limits for bodily injury, if the limits of liability under the liable
motorists policy are exhausted and he/she cannot pay the full
amount he/she is liable for.
Underwriter:
A company representative who reviews applications for insurance
coverage to ensure they are acceptable and appropriately priced.
Uninsured
Motorist (UM) Coverage: A coverage in an automobile insurance
policy under which the insurer will pay damages to the insured for
which another motorist is liable if that motorist is unable to pay
because he/she is uninsured. This coverage usually applies to bodily
injury damages only. Injuries to the insured caused by a hit-and-run
driver are also covered.
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