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ABANDONED
PROPERTY
Property that has been unclaimed for a
period of time specified by individual
states and has been turned over to the
state.
ACCIDENT
An event or repeated exposure to
conditions that unexpectedly causes
injury or damage during the policy
period.
ACTUAL
CASH VALUE
An amount equivalent to the fair market
value of the stolen or damaged property
immediately preceding the loss. For real
property, this amount can be based on a
determination of the fair market value
of the property before and after the
loss. For vehicles, this amount can be
determined by local area private party
sales and dealer quotations for
comparable vehicles.
ACTUARY
A specialist trained in mathematics,
statistics, and accounting who is
responsible for rate, reserve and
dividend calculations and other
statistical studies.
ADDITIONAL LIVING EXPENSES
If you are temporarily forced to move
out of your house due to damage from a
fire or a windstorm, you would incur
additional living expenses. For example:
a temporary rental home or hotel room,
cost to park your car at night or have
laundry done at the Laundromat. These
costs, above and beyond what you
normally pay, are additional living
expenses.
ADDITIONAL VEHICLE
A vehicle acquired during the policy
period in addition to those already
listed in the Declarations.
ADMITTED COMPANY
An insurance company authorized and
licensed to do business in a given
state.
AGENT
A licensed person or organization
authorized to sell insurance by or on
behalf of an insurance company.
ALCOHOL-RELATED
A non-fatal auto accident is defined as
alcohol-related if the police accident
report indicates there is evidence of
alcohol present. It does not necessarily
mean that the driver or passengers were
tested for alcohol. The National Highway
Safety Administration defines a fatal
auto accident as alcohol-related or
alcohol-involved if either a driver, or
pedestrian, had a measurable or
estimated blood alcohol concentration [BAC]
of 0.01 grams per deciliter or above.
ANNUAL STATEMENT
A report to the state insurance
department of the year’s financial
results. The insurer’s income and
expenses are stated in detail as well as
its assets and liabilities.
APPRAISAL
An evaluation to determine the insurable
value of your property before you buy a
policy, or to determine the amount of a
loss when you file a claim.
ASSESSMENT
An amount of money you are required to
pay, usually to repair damage to
property in which you have a communal
interest. An example would be a
homeowners’ association that requires
each of the homeowners to pay a fee for
snow removal from the sidewalks.
ASSETS
The items on the balance sheet of the
insurer which show the book value of
property owned.
ASSIGNED RISK
Insurance companies are legally required
to participate in state-mandated
programs - - often called assigned risk
plans - - that make coverage available
to drivers who can not obtain it
otherwise, perhaps due to a poor driving
record or lack of driving experience.
Since state laws require all drivers to
carry insurance, the state in which the
driver lives will assign the policy to
an insurance company doing business
there.
AUTOMOBILE INSURANCE
Coverage on the risks associated with
driving or owning an automobile. It can
include collision, liability,
comprehensive, medical, and uninsured
motorist coverages.
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BASE
RATE
The dollar charge for a given coverage
for one car year prior to the
application of rating factors.
BINDER
A temporary or preliminary agreement,
which provides coverage until a policy,
can be written or delivered.
BODILY INJURY-LIABILTY
Bodily injury liability coverage
protects you against financial loss
[including the cost of your legal
defense], when you are legally held
liable for injuring other persons in an
automobile accident. Liability insurance
for both bodily injury [BI] and property
damage [PD], or proof of financial
responsibility, are required by state
law. These two coverages together, are
often referred to as liability
insurance.
BODILY INJURY-UNINSURED
Bodily injury uninsured or underinsured
coverage protects you in situations
where you have been injured and the
other driver has inadequate coverage or
no insurance at all. Your insurance
company would then pay you, up to the
limit of your policy, for the injuries
you suffered.
BROKER
A licensed person or organization paid
by you to look for insurance on your
behalf.
BUSINESS
A trade, profession or occupation.
BUSINESS USE
The use of a vehicle for the purposes of
the business or occupation
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CANCELLATION
The termination of insurance coverage
during the policy period. Flat
cancellation is the cancellation of a
policy as of its effective date, without
any premium charge.
CLAIM
Notice to an insurer that under the
terms of a policy, a loss may be
covered.
CLAIMANT
The first or third party. That is any
person who asserts right of recovery.
CO-INSURANCE
Provision in an insurance policy,
usually optional, under which the
policyholder, for a reduced rate, agrees
to maintain insurance equal to a
specified percentage of the value of the
property covered. Policyholders who fail
to maintain the minimum amount of
coverage specified, assume a
proportionate share of the loss.
CATASTROPHE REINSURANCE
A form of excess of loss reinsurance
which indemnifies the reinsured for
catastrophic loss events in excess of a
specified amount, up to a specific
limit.
COLLISION
The impact of a vehicle with another
object or vehicle, or the upset of a
vehicle.
COLLISION INSURANCE
Collision insurance is automobile
insurance coverage that reimburses you
for damage to your own car when the
damage results from overturning your car
or from colliding with another object.
The other object does not have to be a
car - - a run-in with a tree or a brick
wall would be covered under the
collision provision of a policy.
Collision insurance is a type of
physical damage coverage and also a
first-party coverage. First Party
coverage pays the policy owner - - that
is, you. If you have injured someone
else or damaged their property,
third-party coverage pays for their
losses. Liability insurance is called
third party coverage, because it pays
for losses sustained by third parties -
- that is, other people. [the second
party is your insurance company.]
Collision coverage pays for damage to
your car regardless of who is at fault
in the accident. This means you will not
have to wait for the other driver to pay
for damage to your car before you get it
fixed. If the other person was at fault,
your insurance company will try to
recover what it paid you from his or her
insurance company.
COMMISSION
That portion of the premium paid to the
agent as compensation for services.
COMPREHENSIVE INSURANCE
Comprehensive insurance reimburses you
for damage to your own car from causes
other than collision or overturning. The
comprehensive portion of your policy
pays for loss due to perils like hail,
flood, theft, fire, glass breakage,
falling objects, missiles, explosions,
earthquakes, windstorms, vandalism or
malicious mischief, riot or civil
commotion, and collision with a bird or
an animal - - in other words, just about
everything except for collision and
normal wear and tear. Comprehensive
insurance is a physical damage coverage
and also a first-party coverage.
First-party coverage pays the policy
owner - - that is, you. If you have
injured damaged their
property, third-party coverage pays for
their losses. [The second party is your
insurance company.] When you look at a
policy's comprehensive coverage, check
for exclusions or limitations. If you
have a special audio system installed in
your car, for example, you should make
sure your policy would cover the cost of
the equipment if it were damaged or
stolen. It is also important to know if
the policy pays for the actual cash
value of damaged or stolen property [its
current value after depreciation has
been subtracted or the full amount
required to replace it today.]
CONDITIONS
The provisions of an insurance policy
stating the rights and obligations of
both parties in the contract - - you and
the insurance company.
COVERAGE
Coverage is another word for insurance.
Insurance companies use the term
"coverage" to mean either the dollar
amount of insurance purchased, as in,
"You have $200,000 of liability
coverage," or the type of loss covered,
such as, "This policy includes coverage
for theft."
Coverage for Audio, Visual and Data
Electronic Equipment and Tapes,
Records, Discs and Other Media
Covers the direct and accidental
loss to any electronic equipment
that receives or transmits audio,
visual or data signals, that is not
designed solely for the reproduction
of sound, and that is permanently
installed in your covered auto. It
also covers the direct and
accidental loss to any accessories
used with such equipment and tapes,
records, discs or other media that
are in your covered auto and are
property of yours or a family
member.
Coverage for Damage to Your Covered
Auto (Physical Damage Coverage)
Insures against damage to an insured
auto caused by collision and other
than collision losses.
COVERAGE TERRITORY
Geographic region where coverage is
available under the Personal Auto
Policy. Includes the United States and
its territories and possessions, Canada
and Puerto Rico. Coverage is also
provided if the auto is damaged while
being transported between these ports.
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DECLARATIONS
Section of the Policy that shows who is
insured, what property is covered, when
and where coverage is effective, and how
much coverage applies. Also known as DEC
Page.
DECLINE
The company refuses to accept the
request for insurance coverage.
DEDUCTIBLE
The amount of the loss which the insured
is responsible to pay before benefits
from the insurance company are payable.
You may choose a higher deductible to
lower your premium.
DEPRECIATION
A decrease in value due to age, wear and
tear, etc.
DWELLING
COVERAGE
Dwelling coverage protects your house
and any structures attached to your
home, like the garage and the screened
porch. Materials on your property that
are being used to expand or repair the
house - - the lumber being used to add
another wing, for example, would also be
covered.
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EARNED
PREMIUM
The amount of the premium that has been
"used up" during the term of a policy.
For example, if a one-year policy has
been in effect six months, half of the
total premium has been earned.
ENDORSEMENT
Amendment to the policy used to add or
delete coverage. Also referred to as a
"rider."
EXCESS
INSURANCE
Insurance that applies only after limits
of primary insurance have been
exhausted.
EXCLUSION
Certain causes and conditions, listed in
the policy, which are not covered.
EXPENSES
Outflows or other using up of assets or
incurrence of liabilities (or a
combination of both) during a period
from delivering or producing goods,
rendering services, or carrying out
other activities that constitute the
entity’s ongoing major or central
operations.
EXPENSE RATIO
The percentage of the premium dollar
devoted to paying expenses of an
insurer, other than losses.
EXPERIENCE
(1) The loss record. It can be that of
an insured, an agent, a territory, a
type of insurance written, or any other
category. (2) A statistical compilation
relating losses to premiums
EXPIRATION DATE
The date on which the policy ends.
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FACE
AMOUNT
The dollar amount to be paid to the
beneficiary when the insured dies. It
does not include other amounts that may
be paid from insurance purchased with
dividends or any policy riders.
FAIR
PLAN
A program established by law that makes
property insurance available and
affordable to insured's who might be
otherwise uninsurable because of
"environmental hazards."
FAMILY
MEMBER
A person related to the insured, or his
or her spouse, by blood, marriage or
adoption who lives in the named
insured’s household.
FINANCIAL RESPONSIBILITY LAWS
State laws that require owners or
operators of autos to provide evidence
that they have funds to pay for
automobile losses for which they might
become liable.
FIRE
INSURANCE
Coverage for loss of or damage to a
building and/or contents due to fire.
FIRST-PARTY
COVERAGE
There are three parties named in an
insurance policy. You and your family
are the first party; the insurance
company is the second party; and anyone
to whom you cause injury or damage is
the third party. First-party coverage is
insurance coverage whereby your own
insurance company pays for your losses.
Collision and comprehensive auto
insurance are examples of first-party
coverage. By contrast, liability
insurance is third-party coverage; it
pays other people for injuries you
cause.
FLOATER
A floater is a type of insurance that
covers movable property - - like
jewelry, for example - - wherever it is,
within limits stated in the contract.
The coverage "floats" with the property.
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GAINS
Increases in equity (net assets) from
peripheral or incidental transactions of
an entity during a period except those
that result from revenues or investments
by owners
GUARANTEED INSURABILITY
An option that permits the policyholder
to buy additional stated amounts of life
insurance at stated times in the future
without evidence of insurability.
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HAZARD
A hazard is anything that increases the
likelihood or severity of a loss. For
instance, ice on a bridge is a hazard
because it increases the chance your car
will skid. A pile of oily rags stored in
a basement is a hazard because it
increases the chance of a fire
HEALTH
INSURANCE
A policy that will pay specified sums
for medical expenses or treatments.
Health policies can offer many options
and vary in their approaches to
coverage.
HOMEOWNER INSURANCE
An elective combination of coverages for
the risks of owning a home. Can include
losses due to fire, burglary, vandalism,
earthquake, and other perils.
HOUSEHOLD GOODS POLICY
A household goods policy covers personal
property only. It excludes liability
coverage - - insurance that pays for
damages you cause to another person.
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INCONTESTABLE CLAUSE
A policy provision in which the company
agrees not to contest the validity of
the contract after it has been in force
for a certain period of time, usually
two years.
INCREASED TRANSPORTATION EXPENSE
COVERAGE
Extends Transportation Expense coverage
to non-owned autos and increases the
limits to $30 per day to a maximum of
$900. Formerly called Rental
Reimbursement Coverage. Other limits may
be available.
INCURRED
LOSS
The losses occurring within a fixed
period, whether or not adjusted or paid
during the same period. As an example,
in Workers' Compensation claims, losses
occur during a given policy period, but
benefits may continue to be paid for
many years. The estimated value of the
total claim would be an incurred loss
for the policy period during which the
loss occurred.
INSURABLE INTEREST
An economic interest in the safety or
preservation of the subject of insurance
from loss, destruction or financial
impairment.
INSURED
The policyholder - the person(s)
protected in case of a loss or claim.
INSURER
The insurance company.
INSURING
AGREEMENT
Sections of the insurance policy that
states what losses will be indemnified,
what property is covered and which
perils are insured against.
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JOINT
OWNERSHIP COVERAGE
The purpose of this coverage is to
provide coverage for individuals, other
than husband and wife, residing in the
household or nonresident relatives who
jointly own a private passenger auto or
a pickup or van that has a gross vehicle
weight of less than 10,000 lbs. and is
not used for the delivery or
transportation of goods and materials
JOINT
TENANCY
Joint tenancy is property owned by two
or more parties in such a way that at
the death of one, the survivors retain
complete ownership of the property.
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LEGAL
LIABILITY
Legal obligation imposed on a party for
negligence, failure to fulfill
contractual obligations or violation of
law.
LIABILITIES
Probable future sacrifices of economic
benefits arising from present
obligations of a particular entity to
transfer assets or provide services to
other entities in the future as a result
of past transactions or events.
LIABILITY
Liability is any legally enforceable
obligation. Liability insurance covers
you for money you are legally obliged to
pay because a court has found that you
were responsible for damage to another
person's property.
LIABILITY
INSURANCE
Liability insurance pays claims against
you and your legal defense costs, when
you are legally responsible for an
accident in which you have injured
another person or damaged his or her
property.
LIFE
INSURANCE
A policy that will pay a specified sum
to beneficiaries upon the death of the
insured.
LIMIT
Maximum amount a policy will pay either
overall or under a particular coverage.
LOSS
A loss is the basis for an insurance
claim. For example, you have had a loss
if the value of your car is reduced
because another car hit it.
LOSS
ASSESSMENT
A loss assessment is an expense you may
incur as a member of a condominium or
co-op owners association. The
association itself typically owns an
insurance policy, but can assess its
members for damage or liability claims
that exceed its own policy limits. For
example, your building's roof needs to
be replaced after a violent storm. The
new roof costs $500,000. Unfortunately,
the association's policy limit for
damage to the property is $250,000. The
cost difference would be split among the
members of the association. Your own
loss assessment coverage will pay for
assessments the association makes
against you.
LOSS
PAYEE
Party, other than the insured (such as a
lending institution), having an
insurable interest in the vehicle
insured. Also called a Lienholder.
LOSS
RATIO
The losses divided by the premiums paid.
The numerator (losses) can be incurred
or losses paid, and the denominator
(premium) can be earned premiums or
written premiums, depending on what use
is going to be made of the loss ratio.
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MATERIAL
MISREPRESENTATION
The policyholder / applicant makes a
false statement of any material
(important) fact on his/her application.
For instance, the policyholder provides
false information regarding the location
where the vehicle is garaged.
MEDICAL
EXPENSES
Medical expenses are reasonable charges
for medical, surgical, x-ray, dental,
ambulance, hospital, professional
nursing, and prosthetic devices.
MEDICAL
PAYMENTS INSURANCE - AUTOMOBILE
Medical payments insurance is coverage
that reimburses you and your passengers
[whether or not they are members of your
family] for medical or funeral expenses
stemming from an accident, regardless of
who was responsible for the accident.
MEDICAL
PAYMENTS INSURANCE - HOMEOWNERS
Medical payments insurance is
homeowner's coverage that compensates
others who sustain an injury while on
your property, or whom you injure
accidentally. [Like a delivery boy who
slips on a banana peel in your kitchen,
or a guest your child accidentally hits
with a badly pitched ball.] This
coverage excludes the people who live in
your house.
MISQUOTE
An incorrect estimate of the insurance
premium.
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NAIC -
NATIONAL ASSOCIATION OF INSURANCE
COMMISSIONERS
An association of state insurance
commissioners formed for the purpose of
exchanging information and of developing
uniformity in the regulatory practices
of the several states through drafting
model legislation and regulations.
NAMED
PERILS
Named perils are the specific dangers a
policy insures you against - - such as
fire, windstorm, and hail in a
homeowner's policy. These perils are
named or listed in the policy.
NEGLIGENCE
The failure to use the degree of care
that is required by law to protect
others from harm.
NFIP
- NATIONAL FLOOD INSURANCE PROGRAM
A federal program providing flood
insurance for fixed property.
NO-FAULT INSURANCE
If you are involved in an auto accident,
your insurance company pays you, your
passengers or a pedestrian injured by
your car for financial losses like
medical expenses and lost wages due to
the accident, regardless of who is at
fault.
NON-ADMITTED ASSETS
Assets that do not qualify under state
law for insurance statement purposes.
Examples would be furniture, fixtures,
agents’ debit balances, and accounts
receivable which are over 90 days old.
NON-OWNED VEHICLE
An auto that is not furnished or
available for the regular use of the
insured or any family member.
NON-RENEWAL
Decision made by the insurance company
not to extend coverage for another
policy period after the current policy
period expires.
NOTARY PUBLIC
A public officer who executes
acknowledgments of deeds or writings in
order to render them available as
evidence of the facts therein contained;
administers oaths and affirmations as to
the truth of statements contained in
papers or documents requiring the
administration of an oath.
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OCCURRENCE
An accident, including continuous or
repeated exposure to substantially the
same general harmful conditions.
OTHER
INSURANCE
A Personal Auto Policy provision that
describes how much the insurer will pay
when more than one insurance policy or
coverage applies to the same loss.
OTHER
STRUCTURE COVERAGE
Separate structures on your property - -
like utility sheds, guest houses,
gazebos and pool houses - - are covered
under other structures coverage.
Dwelling coverage in a homeowner's
policy only protects your house and
attached structures.
OTHER
THAN COLLISION COVERAGE
(OTC)
Covers damage to a covered auto caused
by something other than collision
coverage, such as hail, glass breakage
and theft. Also called Comprehensive
Coverage.
OTHER
VEHICLES
The term other vehicles refers to any
other vehicles you buy over the next
year. [Just be sure to tell your
insurance carrier within 30 days of
purchase.] You do not need to buy a new
policy to insure other vehicles you may
own; you can add them to your existing
policy with a policy endorsement.
OWNER
IF OTHER THAN INSURED
An insured is a person [or an
institution] covered by an insurance
policy. An owner other than insured
would be someone [either an individual
or a company] who is purchasing the
policy for you, or you if you are
purchasing the policy for someone else.
OUT
OF STATE COVERAGE
Liability Coverage that modifies the
Personal Auto Policy to meet other
states' financial responsibility
requirements and other state laws
concerning out-of-state drivers when the
covered auto is being driven in that
state.
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PARTIAL
LOSS
A loss which does not completely destroy
the insured's property or render it
worthless.
PERIL
The cause of a possible loss. For
example, fire, theft, or hail.
PERSONAL
AUTO POLICY
Easy-to-read auto policy that provides
broad Liability and Physical Damage
coverage for both owned and non-owned
autos used, maintained or operated by
the insured and his or her family. The
Personal Auto Policy is a package policy
because it contains both property and
liability coverages.
PERSONAL
INJURY PROTECTION [PIP]
This is a special form of insurance that
pays for your medical expenses and loss
of income because of an automobile
accident. PIP pays for expenses you have
actually incurred up to a specific,
per-person dollar amount. PIP is a
broader form of medical payments
insurance. It is also an integral part
of the no-fault insurance concept. In
fact, states that have no-fault laws
require drivers to buy PIP. It is also
offered as an optional coverage in some
states without no-fault laws. This
coverage varies greatly from state to
state.
PERSONAL INVENTORY
Most of the contents of your house is
covered by homeowner's insurance, but if
you are like most people, you will not
be able to remember everything you own
after a major loss like a fire - - let
alone what you paid for everything! That
is the information you should list in a
personal inventory.
PERSONAL PROPERTY COVERAGE
This part of your homeowner's policy
protects your belongings anywhere in the
world, but there are a few limitations
you should know about: (1) There are
restrictions on the amount a standard
homeowner's policy will pay on some
items - - jewelry or furs, for example
[you can buy additional coverage for
them separately]. (2) The standard
reimbursement for items that are
damaged, lost, or stolen is their actual
cash value - - [original value minus
depreciation]. If you want to be
reimbursed for what it will cost to
replace them, select the replacement
cost option. (3) Although the policy
covers your possessions everywhere, it
pays less for losses incurred off your
property. For example, a homeowner's
policy might pay only 10% of its usual
limit for loss on an item that your
child took away to college.
PERSONAL PROPERTY EXCLUSION &
LIMITATIONS
There are some important exclusions and
limitations on the coverage for personal
property. A homeowner's policy does not
cover:
Software or disks
Animals, birds, or fish
Motor vehicles
Aircraft and aircraft parts
Property of persons who are your
tenants, unless they are related to
you
Paper records, drawings, account
books
Coverage for other personal items is
also limited. It is important to read
the list of exclusions and limitations
on your individual policy. You may want
to purchase additional insurance for
items you own that have only limited
coverage in a homeowner's policy.
PHYSICAL DAMAGE COVERAGE
Physical damage coverage insures you
against damage to your car. The physical
damage section of an automobile policy
can include both comprehensive coverage
- - which protects you against theft and
vandalism, among other things - - and
collision coverage.
POLICY
The written contract of insurance.
POLICY
LIMIT
The maximum amount a policy will pay,
either overall or under a particular
coverage.
POLICY PERIOD
Period of time listed in the Declaration
when coverage under the policy is in
effect.
POLICYHOLDER
A policyholder is a person who pays a
premium to an insurance company in
exchange for the protection detailed in
an insurance policy.
POLICYHOLDER SURPLUS
Residual interest in the assets of a P&C
Co. that remains after deducting its
liabilities.
PREMIUM
The amount of money an insurance company
charges for insurance coverage.
PREMIUM
FINANCING
A policyholder contracts with a lender
to pay the insurance premium on his/her
behalf. The policyholder agrees to repay
the lender for the cost of the premium,
plus interest and fees.
PREMIUM
NOTICE
A form notice from an insurer or agency
to a policyowner that a premium will be
due on a given date.
PRIMARY
POLICY
A primary policy is the insurance policy
that pays first when you have a loss
that is covered by more than one policy.
Let's say you buy an umbrella policy, in
order to get more liability insurance
than is provided in your homeowner's
policy. Your homeowner's policy is your
primary policy. The umbrella policy
would start paying for a loss only after
your homeowner's policy had paid for
that loss up to its limit of coverage.
PRIVATE
PASSENGER AUTO
A four-wheel motor vehicle, other than a
truck, owned or leased for at least six
continuous months.
PROPERTY
DAMAGE - LIABILITY
Property damage - Liability is insurance
coverage that pays for your financial
loss if you are found liable for damages
to a third party - - i.e., anybody who
is not also covered by your policy.
Members of your family who are covered
by your insurance policy are not
considered third parties.
PROPERTY
DAMAGE -UNINSURED MOTORIST
Property damage uninsured or
underinsured coverage protects you in
situations where your vehicle has been
damaged by another driver who does not
have adequate coverage or has no
insurance at all, and can not pay for
your losses. With this coverage, your
own insurance company would pay up to
the limit of your policy, to have your
car repaired or replaced.
PRO-RATA
CANCELLATION
When the policy is terminated midterm by
the insurance company, the earned
premium is calculated only for the
period coverage was provided. For
example: an annual policy with premium
of $1,000 is cancelled after 40 days of
coverage at the company's election. The
earned premium would be calculated as
follows: 40/365 days X $1,000 = $110.
PUNITIVE
DAMAGES
Damages awarded to a plaintiff that are
meant to punish the defendant for
anti-social actions rather than
reimburse the plaintiff for loss.
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QUOTE
An estimate of the cost of insurance,
based on information supplied to the
insurance company by the applicant.
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RATING
FACTOR
Characteristics that differ depending on
the individual risk that is being rated,
such as the type of vehicle to be
insured and the age and sex of the
insured driver. For most personal auto
coverages, they are used to modify the
finished rate
REINSURANCE
A transaction wherein the reinsurer, for
a consideration, agrees to assume an
agreed upon portion of the financial
loss exposure from the ceding company,
REINSTATEMENT
The restoring of a lapsed policy to full
force and effect. The reinstatement may
be effective after the cancellation
date, creating a lapse of coverage. Some
companies require evidence of
insurability and payment of past due
premiums plus interest.
RENEWAL
A renewal is a new policy or a standard
certificate from an insurance company,
stating that the conditions of your old
policy will stay in effect for a
specified period of time.
RENTER'S
POLICY
A renter's policy is a homeowner's
policy that has been adapted to the
needs of people who rent. It provides
coverage for both your personal property
and/or personal liability, but excludes
damage to the structure itself, since
that belongs to the landlord. It is also
called a tenant's policy.
REPLACEMENT COST FOR CONTENTS
Replacement cost is an essential concept
to understand. A policy covering your
belongings for actual cash value sounds
fine - - but it will not pay enough to
replace them if they are destroyed or
damaged. Why not? Because an item's
actual cash value is its value minus
depreciation. Let's say you bought a new
television 5 years ago for $600. Could
you sell it for the same $600 today?
Considering its age and wear and tear,
and all the new features available on
TV's now, you would probably only get
around $150. If your television were
stolen or damaged, that $150 is all you
would get from the insurance company
with an actual cash value policy. If you
want enough money to be able to replace
your television with a new set, you need
replacement cost coverage.
REPLACEMENT VALUE
The cost to repair or replace an insured
item. Some insurance only pays the
actual cash or market value of the item
at the time of the loss, not what it
would cost to fix or replace it. If you
have personal property replacement cost
coverage, your insurance will pay the
full cost to repair an item or buy a new
one once the repairs or purchases have
been made.
RESERVE
(1) An amount representing actual or
potential liabilities by an insurer to
cover debts to policyholders. (2) An
amount allocated for a special purpose.
Note that a reserve is usually a
liability and not an extra fund. On
occasion a reserve may be an asset, such
as a reserve for taxes not due yet.
RESIDENT
The term resident has a special legal
connotation. It is not necessarily
limited to the people currently living
in your house. A son or daughter away at
school or in the military may still be
considered a resident of the household,
if he or she intends to return and
considers it home.
RETURN PREMIUM
A portion of the premium returned to a
policyowner as a result of cancellation,
rate adjustment, or a calculation that
an advance premium was in excess of the
actual premium.
REVENUES
Inflows or other enhancement of assets
of an entity or settlement of
liabilities (or a combination of both)
during a period from delivering or
producing goods, rendering services, or
other activities that constitute the
entity’s ongoing major or central
operations.
RIDER
Usually known as an endorsement, a rider
is an amendment to the policy used to
add or delete coverage.
RISK
From your point of view, risk is the
chance of injury, damage or loss.
Insurance companies sometimes refer to
their policyholders as risks - - as in,
"Because of her good driving record,
she's a good risk."
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SCHEDULE
A list of items covered by an insurance
policy with their descriptions and
values.
SERVICE
CHARGE
A fee charged by the insurer when the
installment payment option is chosen by
the insured.
SHORT-RATE CANCELLATION
When the policy is terminated prior to
the expiration date at the
policyholder's request. Earned premium
charged would be more than the pro-rata
earned premium. Generally, the return
premium would be approximately 90
percent of the pro-rata return premium.
However, the company may also establish
its own short-rate schedule.
SINGLE
LIMIT
A policy with a single limit of
liability pays up to a single maximum
amount for any type of liability loss.
By contrast, a policy with split limits
pays different maximum amounts for
different types of losses.
SOLICITOR
A licensed employee of a fire and
casualty agent or broker who may act for
the agent or broker in some
circumstances.
SPLIT
LIMIT
Split limits restrict the maximum amount
that a policy will pay for a specific
type of loss, such as property damage
and bodily injury. A split limits auto
insurance policy, for example, might pay
$50,000 per person and $150,000 per
accident in bodily injury benefits, and
$50,000 in property damage per accident.
By contrast, a single limit policy might
pay up to $200,000 for all property
damage and bodily injury resulting from
a single accident. Although the total
amount of coverage is the same, the
single limit policy is more flexible,
because it does not cap the amount that
can be paid for any type of loss.
STATED
AMOUNT INSURANCE
Insurance written to cover an item of
property for a specific amount of
insurance.
SUBROGATION
The substitution of one person in place
of another with reference to a lawful
claim, demand or right. In the case of
insurance, this principle of law has
been incorporated into all policies.
Upon payment of a loss to an insured,
the insurance company is entitled to the
insured's legal and equitable rights
against third parties. These rights are
only those related to the loss, and the
company is only entitled to the extent
of its loss payment.
SURCHARGE
An extra charge applied by the insurer.
For automobile insurance, a surcharge is
usually for accidents or moving
violations.
SURRENDER
To terminate or cancel a life insurance
policy before the maturity date. In the
case of a cash value policy, the
policyholder may exercise one of the
nonforfeiture options at the time of
surrender.
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TAX ID
NUMBER
Each company or corporation has a Tax ID
number. However, if Tax ID is asked of
any individual, social security number
should be entered in the place of Tax
ID.
TEMPORARY
SUBSTITUTE AUTO
An auto or trailer that the named
insured does not own that is used as a
temporary substitute for a vehicle that
is out of normal use because of
breakdown, repair, servicing, loss, or
destruction.
TERM
The period of time for which a policy is
issued.
TORT
Tort is a legal term meaning a wrongful
act, resulting in injury or damage, on
which a civil action may be based.
TOWING AND LABOR COVERAGE
Coverage that pays for charges incurred
by the insured for towing and labor
charges.
TRAILER
Vehicle designed to be pulled by a
private passenger auto, pickup or van
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UMBRELLA
LIABILITY INSURANCE
Umbrella liability insurance covers
losses in excess of the limits imposed
in your primary liability insurance
policies, such as auto and homeowner's
insurance. An umbrella policy may also
protect you in situations not covered by
primary automobile liability policies.
UNDERWRITING
The process of selecting applicants for
insurance and classifying them according
to their degrees of insurability so that
the appropriate premium rates may be
charged. The process includes rejection
of unacceptable risks.
UNEARNED
PREMIUM
That portion of the written premium
applicable to the unused part of the
period for which the premium has been
paid. Thus, in the case of an annual
premium, at the end of the first month
of the premium period, eleven-twelfths
of the premium is unearned.
UNINSURED MOTOR VEHICLE
A vehicle that has no Liability
coverage, has Liability coverage that
does not meet the state’s financial
responsibility requirement, is driven by
an unidentified hit-and-run driver, or
has invalid Liability coverage because
the insurer is insolvent or denies
coverage.
UNINSURED/UNDERINSURED MOTORIST COVERAGE
Uninsured motorist coverage pays for
injuries sustained by you and your
passengers caused by an uninsured
motorist. Underinsured motorist coverage
pays when you or your passengers are
injured as a result of negligence by
someone with insufficient liability
insurance to cover your losses. The
definition of an underinsured motorist
varies from state to state.
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VEHICLE USE
Insurance companies want to know how you
are using your car:
•Pleasure
[or occasional use] - if you do not
use the car in your occupation, or
business
•Business
- if you use the car in your
occupation, profession or business
•Farm
- if you use this vehicle chiefly on
a farm or ranch
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WAITING
PERIOD
A period of time set forth in a policy
that must pass before some or all
coverages begin.
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YOUR
COVERED AUTO
Vehicles listed in the policy
Declarations and, under certain
circumstances, newly acquired autos and
replacement autos.
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