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Abandonment:
As used in property insurance, prohibits
the insured from abandoning damaged
property to the insurance company for
repair or disposal
Accelerated Benefits Rider:
An adjustment (rider) to a life
insurance policy that allows for the
early payment of some portion of the
policy's face amount should the insured
suffer from a terminal illness or injury
Accidental Death Benefit Rider:
An adjustment (rider) to a life
insurance policy that provides for
payment of an additional cash benefit
when death occurs by accidental means.
This amount depends on the value of the
policy
Accidental Death Insurance:
An Insurance poicy that provides payment
if the insured's death occurs as a
results from an accident
Accounts Receivable Coverage:
Covers loss of sums owed to the insured
by its customers that are uncollectible
due to damage by an insured peril to
accounts receivable records
Actual Cash Value (ACV):
Cost to repair or replace damaged
property with materials of like kind and
quality, less depreciation
Additional Insured: A
person or organization for whom insured
status is arranged by endorsement
Advertising Injury:
General liability coverage that insures
against libel, slander, invasion of
privacy, copyright infringement and
misappropriation of advertising in
connection with the insured's
advertising of its goods or services
Agent: An authorized
representative of an insurance company
Aggregate: The maximum
amount an insurance company will pay
during the policy
All Risk Coverage:
Property insurance covering loss arising
from all causes of loss except those
that are specifically excluded
Annually Renewable Term:
Term insurance that provides coverage
for one year and allows the policy owner
to renew his or her coverage each year
Application: A form
with the information needed for an
insurance company to underwrite and rate
a specific policy
Assignment Assignment:
The transfer of ownership of a Life
Insurance policy from one person to
another
Attained Age: Your
current age. Your attained age is a
factors life insurance companies use to
determine premiums
Audit: A verification
of the financial records, usually
payroll or receipts, of an organization
to determine exposures and premiums
Automobile: A land
motor vehicle, trailer or semi-trailer
designed for travel on public roads, not
including 'mobile equipment'
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Backdating:
Making the effective date of a
policy earlier than the date of
application. Backdating is often
used to make the age of the
applicant lower than it actually was
at the time of application so that
he/she can get a lower premium.
State laws often set limits to this
Bailee Coverage:
Coverage on property left in the
care of the insured for storage,
repair or servicing
Basic Cause of Loss Form:
Property coverage for named perils:
Fire, Lightening, Explosion, Smoke,
Windstorm, Hail, Riot, Civil
Commotion, Aircraft, Vehicles,
Vandalism, Sprinkler Leakage,
Sinkhold Collapse and Volcanic
Action
Basic Limits: The
minimum limits of liability that can
be carried by an insured
Beneficiary: The
designated person set to receive the
death benefit if the insured should
die
Best's Rating: A
rating system by A.M. Best Company
giving the financial condition of
insurance companies
Binder: A temporary
insurance policy that expires at the
end of a specific time period or
when a permanent policy is written.
A binder is given to an applicant
for insurance during the time it
takes the an insurance company to
complete the policy paperwork
Bodily Injury by Accident
Limit: The most an insurer
will pay under Part Two of a
Workers' Compensation Policy for
claims arising out of any one
accident, regardless of how many
employee claims arise out of the
accident
Bodily Injury by Disease,
Each Employee : The most an
insurer will pay under Part Two of a
Workers' Compensation Policy for
damages due to bodily injury by
disease to any one employee
Bodily Injury by
Disease-Policy Limit : The
most an insurer will pay under Part
Two of a Workers' Compensation
Policy employee bodily injury by
disease claims during the policy
period regardless of the number of
employees who make such claims
Bodily Injury Liability
Coverage: Protects the
insured as the owner or driver of a
vehicle for all sums which the
insured becomes legally obligated
to pay because of bodily injury to
an injured third party. This
coverage also pays defense costs
against legal actions
Boiler & Machinery Insurance:
Coverage for loss caused by
mechanical or electrical equipment
breakdown, including damage to the
equipment
Bond: A written
agreement in which one party, the
surety, guarantees the performance
or honesty of a second party, the
principal (obligor), to the third
party (obligee) to whom the
performance or debt is owed
Brands and Labels
Endorsement: Property
insurance coverage that allows the
insured to remove labels from
damaged goods or mark the items as
'salvage,' provided the goods are
not damaged in the process
Broad Causes of Loss Form:
Property coverage for the named
perils: Fire, Lightening, Explosion,
Smoke, Windstorm, Hail, Riot, Civil
Commotion, Aircraft, Vehicles,
Vandalism, Sprinkler Leakage,
Sinkhole Collapse, Volcanic Action,
Breakage of Building Glass, Falling
Objects, Weight of Snow, Ice or
Sleet, Water Damage (in the form of
leakage from appliances) and
Collapse from Specified Causes
Building Ordinance Coverage:
Covers against loss caused by
enforcement or ordinances or laws
regulating construction and repair
of damaged buildings
Burglary: Theft of
property by forcible entry, which is
evidenced by visible signs, in a
premises, by a person
Business Auto Policy:
Auto Policy for businesses that
includes auto liability and auto
physical damage coverages
Business Income Coverage:
Insurance covering loss of income by
a business when operations are
interrupted due to property loss
that is a covered cause of loss
Business Interruption
Coverage: See Business
Income Coverage
Business Owners Policy
(BOP): A policy that
combines property and liability
coverages for special types of small
businesses
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Cancellation:
The termination of an insurance
policy usually before its expiration
Care, Custody or Control:
An exclusion of liability insurance
which eliminates coverage for damage
to property in the insured's care,
custody or control
Carrier: The
insurance company which provides
coverage
Cash Benefits: The
Money that is paid to the policy
holder upon settlement of a covered
claim
Cash Value: The
equity amount or "savings"
accumulation in a whole life
insurance policy
Casualty Insurance:
Insurance that covers loss caused by
injuries to persons and the legal
liability imposed on the insured for
injury or for damage to property of
others
Catastrophe: A
severe loss causing sizable
financial loss
Causes of Loss Forms:
The commercial property forms that
define the covered causes of loss
for which coverage is provided.
Commonly, there are 3 Cause of Loss
Forms: Basic, Broad and Special
Certificate of Insurance:
A document providing evidence that
insurance has been purchased
Claim: A request by
a policyholder or a claimant for
payment under a policy of insurance
Claim Expense:
Expenses of settling or
investigating a claim
Claimant: The
person presenting a claim
Claims Reserve: An
amount of money set aside to meet
claims reported but not paid
Class: A group of
businesses who have common or
similar exposures and are grouped
together for rating purposes
Classification: The
arranging or establishing of
business groups or categories for
rating purposes
Coinsurance Provision:
An insurance provision for property
coverages in which the policyholder
must carry an amount of insurance
that is at least equal to a set
percentage of the value of the
property in order to receive full
payment of a loss
Collapse: Collapse
of a building and collapse of
personal property within a building
due to specified causes (such as
weight of snow, ice or rain). Does
not include collapse due to design
error or due to faulty workmanship
or materials if the collapse occurs
after construction is complete
Collision Coverage: Protects
your vehicle against direct and
accidental loss by collision with
another vehicle or fixed object
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 Coverage: Also
known as "Other than Collision
Coverage," this is sometimes
referred to as fire and theft. A
more accurate description is loss to
your vehicle caused by other than
collision. This includes coverage
against perils such as hitting an
animal, vandalism, riot, floods,
wind and hail, as well as fire and
theft
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
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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
Debris Removal: The
cost of removal of debris from
covered property damaged by an
insured peril
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
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
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Face
Amount: The amount covered
by the terms of an insurance
contract, usually found on the first
page of the policy
Fiduciary Liability:
The liability placed on trustees,
employers, fiduciaries and
professional administrators with
respect to errors and omissions in
the administration of employee
benefit programs
Final Expenses:
Expenses incurred at the time of a
person's death. These include but
are not limited to:funeral costs,
court expenses, current bills or
debt, mortgages, loans and taxes
Fine Arts Coverage:
Property insurance for works of art
Fire Department Service
Charge Coverage: Coverage
in a property insurance policy for
charges incurred by the insured from
a fire department for their services
in fighting a fire
Fire Legal Liability
Coverage: Liability
coverage for the insured's legal
liability for fire damage to
premises rented by the insured
Fire Wall: A wall
designed to prevent the spread of
fire from one part of a building to
another
Firewall: A
computer that protects a company's
private network from outside
internet users
Fixed Benefit: A
death benefit, the dollar amount of
which does not vary
Flat Cancellation:
The full cancellation of a policy as
of the effective date of coverage
which requires the return of paid
premium in full
Flood Coverage:
Coverage for damage to property
caused by flood
Flood Exclusion: A
provision in most all property
insurance policies eliminating
coverage for damage by flood and
possibly other types of water
damage, such as seepage and sewer
backup
Follow Form: An
umbrella policy provision that
follows the underlying policy for
coverages and policy provisions
Forgery or Alteration
Coverage: Covers loss due
to the dishonesty of writing,
signing or altering of checks and
bank drafts
Fortuitous Event:
An event that is subject to chance
without the implication of
suddenness
Free Look: Trial
period required in most states where
policy owners have up to 20 days to
examine their new policies with no
obligation
Frequency: The
number of times that a loss will
occur within any given period of
time
Full Coverage: Any
form of insurance that provides
payment in full of all losses caused
by the perils insured against
without applying a deductible or
depreciation
Funeral Expenses:
Expenses including casket, vault,
grave plot, headstone and funeral
director
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Garage
Liability Insurance:
Insurance coverage for the legal
liability of automobile dealers,
garages, repair shops and service
stations for bodily injury and
property damage arising out of their
business operations
Garagekeepers Coverage:
Provides coverage to owners of
storage garages, parking lots and
body and repair shops for their
liability of damage to automobiles
left in their custody for
safekeeping or repair
General Aggregate Limit:
The maximum amount of insurance
payable during the policy period for
losses (other than those arising
from the products - completed
operations hazards as covered under
the standard commercial general
liability policy)
General Liability Insurance:
Insurance protecting businesses from
most liability exposures other than
automobile and professional
liability
Glass Insurance: A
property insurance policy covering
breakage of building glass
regardless of cause
Governing Classification:
In Workers' Compensation Insurance,
the classification that best
describes the workers' compensation
exposure of an employer's business
Grace Period:
Period of time after the due date of
a premium during which the policy
remains in force without penalty
Graded Premium Policy:
A type of whole life policy designed
for people who want more life
coverage than they can currently
afford. They pay a lower premium
rate that increases gradually over
the first three to five years and
then remains constant over the life
of the policy
Gross Negligence:
Willful and wanton misconduct
Gross Vehicle Weight (GVW):
The weight specified by a
manufacturer for the maximum total
loaded weight of a single vehicle
Guaranteed Term: A
form of renewable term insurance
that remains in force as long as the
premiums are paid on time. With
guaranteed term insurance, the
insurance company cannot terminate
the policy during the term
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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
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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
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Joint
Venture: A business
relationship when two or more
persons join their labor or property
for a business undertaking and share
profits
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Lapse:
Termination of a policy due to the
policy owner's failure to pay the
premium within the grace period
Leasehold Interest:
Property insurance covering the loss
suffered by a tenant due to termination
of a lease because of damage to the
leased premises by a covered loss
Lessee: The person to
whom a lease is granted
Lessor: The person
granting the lease
Liability: The legal
obligation to pay a monetary award for
injury or damage caused by one's
negligent or statutorily prohibited
action
Liberalization Clause:
A provision within an insurance policy
that broadens the coverage if the
insurance company offers a broader
coverage form within the first 45 days
of coverage
Lien: An obligation
that can be held by an individual who
has an interest in a particular matter
or property
Life Expectancy: The
average number of years a person is
expected to live based on a national
average per age group, and other factors
Life Insurance:
Insurance coverage that pays out a set
amount of money to specified
beneficiaries upon the death of the
individual who is insured
Limit of Liability: The
most an insurance company agrees to pay
in the case of loss
Limited Pay Policy: A
type of whole life insurance designed to
let the policyholder pay higher premiums
over a specific time period such as 10
or 20 years so that they won't have to
pay any premiums for the rest of his or
her life
Longshore and Harbor Workers'
Compensation Act: A federal law
that provides workers' compensation
benefits to employees of a vessel
injured in maritime employment - usually
in loading, unloading, repairing or
building a vessel - but not applicable
to crew members
Loss: The amount an
insurance company pays for damages under
the terms of a policy
Loss Adjustment Expense:
The cost assessed to a particular claim
for investigating and adjusting that
claim
Loss Constant: A flat
charge added to the premium of small
workers' compensation policies to offset
higher loss ratios
Loss Control: A
technique that is put in place to reduce
the possibility that a loss will occur
or reduce the severity of those that do
occur
Loss Payable Clause: An
insurance clause that authorizes loss
payments to a person or entity having an
insurable interest in the covered
property
Loss Ratio: Percentage
of losses incurred against earned
premiums
Loss Report: A form
showing reported claims which provides
information such as the date of
occurrence, type of claim, amount paid
and amount reserved for each loss
Loss Reserve: An
estimated amount set aside for a
particular claim that has not yet been
paid
Lost Policy Release: A
signed statement by the named when the
insured wishes to cancel the policy, but
has lost or mislaid the policy, which
releases the insurance company from all
liability or losses
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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. Unlike PIP (or no fault)
coverage, Medical Payments coverage
only pays for medical expenses
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
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Named
Perils Coverage: A property
insurance term referring to exact
causes of loss specifically listed
as covered
National Flood Insurance
Program: A federally funded
program established to make flood
insurance available to properties
located in participating communities
National Flood Insurance Program: A
federally funded program established
to make flood insurance available to
properties located in participating
communities
Nonadmitted Insurer:
An insurance company that is not
licensed to do business in a
specific state. The insurers may
write coverage through an excess and
surplus lines broker that is
licensed in these jurisdictions
Nonowned Automobile:
In commercial auto policies,
coverage for autos that are used in
connection with the named insured's
business but are neither owned,
leased, hired, rented or borrowed by
the named insured. The term
specifically applies to vehicles
owned by employees and used for
company business
Nonsubscription: A
Workers' Compensation term used in
Texas that refers to employers who
choose to be out of the workers'
compensation system. Firms that are
proven negligent in causing a
worker's injury, can be held liable
in tort, since nonsubscribing
employers waive the traditional
common law defenses available to
employers subject to workers'
compensation laws
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Occupational
Hazard: A condition in the
workkplace that increases the
chances of the an accident,
sickness, or death. It usually will
mean higher premiums
Occurrence:
A continual, gradual or repeated
exposure to substantially the same
general harmful conditions. General
liability policies insure liability
for bodily injury or property damage
that is caused by an occurrence
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
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Package
Policy: A policy providing
several different coverages combined
into one policy. Refers to a policy
providing both general liability
insurance and property insurance
Payroll Limitation:
A limit on the amount of payroll for
certain classifications used for the
development of premium
Peril: Cause of
loss such as fire, windstorm,
collision, etc.
Personal Auto Policy (PAP):
A policy insuring private-passenger
autos owned by individuals
Personal Injury: A
General Liability coverage for
insurable offenses that cause harm,
other than bodily injury, such as
false arrest, detention or
imprisonment, malicious prosecution,
wrongful eviction, slander, libel
and invasion of privacy
Personal Injury Protection
(PIP): An automobile
insurance coverage mandated by law
in some states. The statutes
typically require insurers to
provide or offer to provide
first-party benefits for medical
expenses, loss of income, funeral
expenses and similar expenses
without regard to fault
Personal Property:
All tangible property not classified
as real property such as contents
Policy: The printed
document given to the insured,
outlining the terms and conditions
of the Insurance coverage
Policy Fee: A
one-time charge per policy that does
not change with the size of the
premium
Policy Holder: The
person who owns a life insurance
policy. This is usually the insured
person, but it may also be a
relative of the insured, a
partnership or a corporation
Policy Period: The
term or duration of a policy
including the effective and
expiration dates
Pollutant: An
irritant or contaminant, whether in
solid, liquid, or gaseous form,
including smoke, vapor, soot, fumes,
acids, alkalis, chemicals and waste
Preferred Risk: A
positive characterisic of someone
seeking to be insured. Usually means
a better likely hood for long life,
and usually means a lower premium
Premises: The
location where coverage applies
Premises-Operations:
A category of hazard ordinarily
insured by a general liability
policy which is composed of those
exposures to loss that fall outside
the defined 'products-completed
operations hazard,' including
liability for injury or damage
arising out of the insured's
premises or out of the insured's
business operations while such
operations are in progress
Premium: The agreed
upon, payment made to keep an
insurance policy in force, usually a
monthly payment
Premium Flexibility:
The policy holder's right to vary
the amount of premium paid each
month
Primary Beneficiary:
In life insurance, the beneficiary
designated by the insured as the
first to receive policy benefits
Primary Policy: The
insurance policy that pays first
when you have a loss that's covered
by more than one policy
Pro Rata Cancellation:
The cancellation of an insurance
policy with the return premium being
the full proportion of premium for
the unexpired term of the policy,
without penalty for early
cancellation
Product: Items
manufactured, sold, handled,
distributed or disposed of by the
named insured or others involved
with the named insured in the course
of their business. Includes
containers, parts and equipment,
product warranties and provision of
or failure to provide instructions
and warnings
Product Liability:
The liability for bodily injury or
property damage a merchant or
manufacturer may incur as a
consequence of some defect in the
product sold or manufactured
Products-Completed
Operations: General
Liability coverage for liability
arising out of the insured's
products or business operations
conducted away from the insured's
premises once those operations have
been completed
Professional Liability:
Coverage designed to protect
professionals such as physicians and
real estate brokers, against
liability incurred as a result of
errors and omissions in performing
professional services
Property Damage Liability
Coverage: 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
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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
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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')
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Term:
Period for which the policy runs. In
life insurance, this is to the end
of the term period for term
insurance
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
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
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
Towing and Labor Coverage: If
your vehicle is temporarily disabled
on the road, it will pay your actual
expense up to $25, $50, or
$75 (depending on the option you
select) to have your vehicle towed
or for roadside labor to repair your
auto
Transit Coverage:
Coverage on the insured's property
while in transit from one location
to another, over land
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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
Unearned Premium:
That portion of the policy premium
that represents the unexpired policy
term
Uninsurable Risk: A
person who is not acceptable for
insurance due to excessive risk
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
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
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
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Waiver of
Premium: Rider or provision
included in most life insurance policies
exempting the insured from paying
premiums after he or she has been
disabled for a specified period of time,
usually six months
Waiver of Subrogation:
Also known as 'transfer of rights of
recovery,' the relinquishment by an
insurer of the right to collect from
another party for damages paid on behalf
of the insured
Whole Life Insurance:
Life insurance that is kept in force for
a person's whole life as long as the
scheduled premiums are maintained. All
Whole Life policies build up cash
values. Most Whole Life policies are
guaranteed as long as the scheduled
premiums are maintained. The variable in
a Whole life Policy is the dividend
which could vary depending on how well
the insurance is doing. If the company
is doing well and the policies are not
experiencing a higher mortality than
projected, premiums are paid back to the
policy holder in the form of dividends.
Policyholders can use the cash from
dividends in many ways. The three main
uses are: it can be used to lower or
vanish premiums, it can be used to
purchase more insurance or it can be
used to pay for term insurance
Workers' Compensation:
Protection which provides benefits to
employees for injury or contracted
disease arising out of and in the course
of employment. Most states have laws
which require such protection for
workers and prescribe the length and
amount of such benefits provided
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