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 policy 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.
Bailer 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, Sinkhole
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 (oblige) 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 coverage's
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 coverage's 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 coverage's 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 coverage's 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
Garage keepers 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
Lesser: 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
No admitted 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
No owned 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
No subscription: 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 no subscribing 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 workplace 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
coverage's 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 characteristic 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