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A
acts of God:
natural occurrences beyond control such as floods, earthquakes,
etc.
actual cash
value (ACV): replacement cost minus depreciation
additional
living expense: a coverage found in the Dwelling Property
and Homeowners Programs which reimburses the insured for the
additional cost of living resulting from a covered peril that
makes the insured premises "uninhabitable."
advertising
injury: an injury arising out of material that slanders
or libels a person in an advertising context, including infringement
of copyright, title or slogan.
agreed amount:
an amount of insurance coverage agreed upon by the insured
and insurer, which represents a fair value of the property
at the time of policy inception.
all risk: a
policy that covers the risk of loss or all perils except those
that are specifically excluded. Also called open perils policy.
arbitration:
a process by which insurance companies usually settle
their differences when one company subrogates against another.
The decision at arbitration is final and binding.
assigned risk:
special plans which are created to provide auto and workers
compensation insurance for individuals unable to obtain same
in the voluntary market.
attractive
nuisance: in negligence cases, situations which "attract"
children and are inherently dangerous, such as swimming pools
and construction sites.
audit: a
formal review of an initial premium computation.
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binder: a
temporary contract of insurance, oral or written, offered
by an insurer while a policy is pending. It is usually written
for a period of 30 or 60 days and remains in force until a
permanent policy is either issued or denied.
blanket insurance:
a single policy written on an insureds interest
for the following situations: two or more different types
of properties at one location, two or more pieces of the same
type of property at one location, two or more different types
of property at two or more locations.
bodily injury
liability: coverage which agrees to pay all sums which
the insured becomes legally obligated to pay for bodily injury
(including death) sustained by any person in an occurrence.
bonds: there
are two general types of bonds. Fidelity bonds address employee
dishonesty and surety bonds address the guarantee of performance.
business auto
policy: insures a variety of commercial motor vehicles
under one policy, such as a construction companys fleet
of trucks and cars.
business income
insurance: provides for lost income resulting from the
cessation of business due to a covered direct loss.
businessowners
policy (BOP): a commercial package policy designed primarily
for small and medium-sized apartment, office and mercantile
risks.
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cancellation:
the act of terminating an insurance policy during the
policy period.
care, custody
and control: a phrase used in property and liability insurance
to indicate an individuals possession and responsibility
for property, owned by another. Also known as the 3 Cs.
casualty insurance:
primarily refers to coverage designed to address the liability
of individuals and organizations resulting from negligent
acts in their personal, business or professional roles including:
general liability, automobile, workers compensation, crime
insurance and bonds.
causes of loss
forms: forms used in commercial building and persona property
coverage which describe the perils covered as well as the
exclusions.
certificate
of insurance: a document that evidences the existence
of insurance coverage.
coinsurance
clause: an agreements between the insurer and insured
whereby the insurer agrees to provide a reduced premium rate
for coverage and the insured agrees to carry a specified percentage
of the replacement cost of the building.
collision:
a physical damage auto coverage which covers loss to an
insured vehicle caused by collision with another object or
overturn.
comparative
negligence: in workers compensation law defenses, a negligent
employee may recover a portion of his damages.
completed operations:
operations are completed when all operations to be performed
under a contract or at a given site have been completed, or
a portion of the work has been put to its intended use.
comprehensive
coverage: a physical damage auto coverage which covers
losses to an insured vehicle caused by missiles or falling
objects, theft, explosion, windstorm, flood, contact with
birds or animals, etc.
concealment:
the failure to disclose a material fact. A fact is material
if it would have changed the underwriting judgment on the
policy in question.
conditions:
provisions in an insurance contract that describe the
rights and duties of the insured and insurer.
contingent
liability: liability which arises out of the work done
by independent contractors.
contractual
liability: coverage which provides bodily injury and property
damage for occurrences arising out of the liability assumed
by the insured under a specified contract.
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declarations:
the portion of an insurance contract featuring names and
addresses, insurance type, policy period, premiums and rates,
etc.
depreciation:
the lessening of the value of real and personal property
due to age, wear and tear, etc.
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earned premium:
premium which has been paid by the insured and which has
been earned from the insurers point of view for protection
provided.
excess liability:
liability coverage which provides higher limits as opposed
to the coverage for expanded liability expenses provided by
extended liability coverage.
exclusions:
details of what the contract will not cover.
expiration
date: the date on which an insurance policy ceases to
provide coverage.
exposure: all
businesses have certain commercial liability exposures such
as premises-operations, products-completed operations, contracts,
contingent liability, personal injury and advertising injury.
extended coverage
(EC) perils: a grouping of perils which include windstorm,
civil commotion, smoke, hail, aircraft, vehicles, volcanic
eruption, explosion and riot.
extra expense
insurance: an indirect loss property coverage designed
for businesses that cannot afford to shut down following direct
damage by a covered peril.
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fire insurance:
often used to describe property insurance since fire is
the most basic property peril.
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garagekeepers
legal liability: or garagekeepers coverage, pays all sums
the insured legally must pay as damages for loss to a covered
auto left in the insureds care, custody and control.
garage liability:
pays all sums which an insured legally must pay as damages
because of bodily injury or property damage to which the insurance
applies, caused by an accident and resulting from the ownership,
maintenance or use of a covered auto.
general liability
insurance: deals with such exposures as premises-operations,
products-completed operations, etc.
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hazards: any
condition that gives rise to a peril.
improvements
and betterments: a term used to describe the property
improvements made by a tenant to the apartment which he/she
rents.
indemnity:
a term describing the purpose of property insurance
to reimburse or compensate for a covered loss.
inland marine:
covers property exposed to loss from transportation on
land.
insurance:
a method of handling pure risk by spreading it over a
large number of similar exposure units to predict individual
losses with some accuracy.
insurance to
value: in property insurance, the ratio of the amount
of insurance carried to the replacement cost value of an insured
property. Insured parties should strive to carry an amount
of insurance as close as possible to 100% of the replacement
cost.
insuring agreement:
one of four parts of the insurance contract which describes
the obligations assumed by the insurance company. In short,
it is the language that provides a policys coverage.
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judgment: an
amount of money awarded to a third party in negligence cases
in a court of law.
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liability insurance:
addresses the responsibilities of an insured based on a particular
exposure such as premises-operations, products-completed operations,
automobile, etc.
libel: involves
the dissemination of false information about another individuals
character or reputation through the written word.
limit of liability:
the maximum amount the insurer will pay for any one loss.
loss: in
property insurance, an unintended, unforeseen reduction in
economic value.
loss of use:
the inconvenience caused to an individual for the inability
to use property.
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mysterious
disappearance: describes the disappearance of insured
property without information as to how the loss occurred.
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named insured:
the insureds named in the Declarations of an insurance
policy.
named perils:
a named perils policy actually lists the perils covered.
negligence:
an unreasonable or imprudent act, but not an intentional
act.
nonowned auto:
an auto used by the insured that is leased, hired or borrowed.
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occurrence:
a sudden, unexpected, unforeseen event resulting in financial
loss including repeated and continuous exposure to conditions.
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pair and set
clause: appears in many property policies describing how
a claim should be handled when one item of a pair or set is
damaged, lost or destroyed.
peril: the
immediate, specific cause of a loss.
personal injury:
an injury, other than bodily injury, arising out of one
or more of the following actions: false arrest, detention
or imprisonment; malicious prosecution; wrongful entry into
or eviction of a person from a dwelling that person occupies;
slander or libel against a person or organization; violation
of rights of privacy.
personal liability:
pays on behalf of the insured, all sums which the insured
becomes legally obligated to pay as damages because of bodily
injury or property damage caused by an occurrence resulting
from personal premises and activities.
personal property
floater: an all risk personal inland marine floater providing
unscheduled personal property coverage, worldwide, on all
risk basis.
physical damage:
in automobile coverage, this term is used to include collision
and comprehensive insurance.
premium: the
cost of an insurance policy developed by multiplying a companys
rate per thousand dollars for insurance by a multiple of one
thousand dollar units.
products liability:
the claim of negligence involving the products exposure
usually is based on one of the following: improper product
design, improper product assembly, failure to inspect product,
failure to warn of dangerous characteristics, deceptive advertising,
failure to foresee possible misuse.
professional
liability: arises from a failure to use due care and the
degree of skill required and expected of a particular profession.
proof of loss:
a form developed by insurance companies to be completed
by insured to substantiate property claims.
property damage
liability: coverage which agrees to pay, on behalf of
the insured, all sums which the insured becomes legally liable
to pay for property damage.
property insurance:
coverage of real property (land) and personal property
against physical loss or damage from covered perils.
pro rata liability
(other insurance): if more than one insurance policy is
written on property, each policy must pay a proportionate
share of the loss, each must not match the loss.
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rate: the
per unit cost of insurance which, when multiplied by a multiple
of one thousand units, equals the premium.
replacement
cost (RC): the amount of money it would cost to replace
a damaged or destroyed item with one of like kind and quality
at the time of loss.
risk: uncertainty
concerning financial loss; the chance of loss.
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scheduled insurance:
to schedule something in insurance terms is to list or
specify it on a form.
short rate:
when an insured cancels an insurance policy, unearned
premium is returned on a short rate basis with a charge deducted
for administration cost.
slander: involves
the oral dissemination of false information about another
individuals character or reputation.
subrogation:
a process by which the insurance company, after paying
its insured for a loss, assumes the insureds rights
of recovery against a responsible third party and proceeds
accordingly.
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umbrella liability
coverage: designed to provide coverage for higher limits
than are generally available under basic liability policies
or liability exposures either limited or excluded under basic
liability policies.
underinsured
motorist coverage: covers the insured when involved in
an accident with a driver who has auto liability insurance,
but the limits are insufficient to compensate for damages.
underwriting:
the process by which prospective insureds are reviewed
or examined for their acceptability as insureds.
unearned premium:
premium which has been paid to an insurance company, but
which has not been earned from the insurers standpoint.
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vacancy: refers
to a building which is unfurnished and not being used as a
dwelling or for business.
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windstorm:
the peril involving damage by wind, including high winds,
cyclones, tornadoes and hurricanes.
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