Common Insurance Terms

Insurance Terms

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Actual cash valueThe present-day value of property measured in cash, arrived at by taking the replacement cost and deducting for depreciation brought about by physical wear and tear and obsolescence.ActuaryA person concerned with the application of probability and statistical theories to the practical problems of insurance and related fields. Actuarial responsibilities extend to the calculation of premiums, evaluation of various reserves, forecasting of financial results on both a long-range and a short-range basis.Additional insuredA person, other than the one in whose name an insurance policy is written, who is protected against loss by terms of the policy.AgentA representative of the insurer in negotiating, servicing or effecting insurance contracts.AggregateThe maximum limit of liability payable by an insurance carrier on behalf of a policyholder during any given policy periodAll risk insuranceThe name given to a policy which covers against the loss caused by all perils except those that are specifically excluded by the terms of the policy.Allied linesTypes of insurance associated with property insurance, which may include earthquake, sprinkler leakage, and income and extra expense coverage.ApplicationA form or document used by a person seeking insurance to provide information about their operations, and to indicate type and amount of coverage desired.AppraisalAn estimate of quantity, quality, or value. The term also refers to the report setting forth the estimate and conclusion of value.ArbitrationIf a dispute arises between the insured and the company in regard to the amount of the loss, someone approved by both parties can be appointed to consider the facts and render a judgment. The arbitrator's decision is binding and final on both parties.Attractive nuisanceA dangerous place, condition or object, which is particularly attractive to children. In these cases the courts have frequently held that where "attractiveness" exists, the owner is under a duty to take steps to prevent injury to those that may be attracted and the owner may be held liable for failure to do so.AuditA survey of the policyholder's records to determine the actual exposures for which premium should be paid to the insurance company.Aviation insuranceContractual protection against losses connected with airline accidents on domestic scheduled airplanes.

B

back to topBenefitsThe sum of money provided in an insurance policy to be paid for certain types of loss under the terms of an insurance policy.BinderA temporary insurance contract pending the execution of the policy contract. It should contain a definite time limit, should be in writing, and clearly designate the company in which the risk is bound, the amount and the perils insured against, as well as the type of insurance.Blanket coverageCoverage under a single limit for two or more items, (e.g. building and/or contents) two or more locations, or a combination of items and/or locations.Bodily injury liabilityInsurance protection against loss arising out of the liability imposed upon the insured by law for damages because of bodily injury, sickness or disease sustained by any person or persons other than employees.BrokerAn insurance broker ordinarily is a solicitor of insurance who does not represent insurance companies in a capacity as agent but places orders for coverage with companies designated by the insured or with companies of his own choosing. The term "broker" frequently is used incorrectly to designate an agent of more than one insurance company.BurglaryBreaking and entering into premises of another, with felonious intent, and with visible signs of forced entry. Most insurance policies specifically define burglary under their own terms, so it is wise to make sure the term "burglary" in your policy provides the coverage you need.

C

back to topCarrierThe insurance company that provides or "carries" the insurance.Casualty insuranceThe coverage of loss or liability arising from an accident or mishap excluding certain types of loss which by law or custom are considered as falling exclusively within the scope of other types of insurance such as fire or marine. It includes, but is not limited to, employees' liability insurance, workers compensation insurance, public liability insurance, automobile liability insurance, plate glass insurance, burglary and theft insurance; also personal liability insurance, forgery, power plant and aviation insurance.CatastropheA sudden and severe calamity or disaster. An event which causes a loss of an extraordinarily large amount of money.Certificate of insuranceDocument used to provide evidence of coverage to an interested third party.Chartered Property and Casualty Underwriter (C.P.C.U.)A designation conferred by the American Institute of Property and Liability Underwriters to one who has completed a course of instruction and passed a series of examinations.ClaimA demand for payment under an insurance contract or bond. The estimated or actual amount of a loss.Claim severityThe average cost of each claim.ClassificationThe underwriting or rating group into which a particular risk must be placed, as determined by the risk's type of business, location and other factors. Classifying persons, property or operations as a basis for tabulating statistical experience and determining premium rates.CoinsuranceAn arrangement by which the insured, in consideration of a reduced rate agrees to carry an amount of insurance equal to a percentage of the total value of the property insured.Commercial linesThe various kinds of insurance written for businesses.Commercial multiple-line policyA package policy featuring a broad range of property and liability coverages designed for businesses.Comparative negligenceA rule used in negligence cases in some states that provides for computing both the plaintiffs and the defendant's negligence, with the plaintiffs damages being reduced by a percentage representing the degree of his or her contributing fault. If the plaintiff's negligence is found to be greater than the defendant's, the plaintiff will receive nothing and will be subject to a counter claim by the defendant.Competitive state fundA state fund writing insurance in competition with private insurers.Compulsory auto liability insuranceA state law requiring motorists to obtain minimum auto liability coverages for bodily injury and property damages.ConcealmentThe withholding of material facts regarding the nature of an insurance risk or loss. Withholding essential information from the insurer in negotiating an insurance contract or in making a claim.Consequential lossA loss not directly caused by damage to property but which arises as a result of such damage (i.e., loss of rent).ContractAn agreement entered into by two or more parties by the terms of which one or more of the parties, for a consideration, undertakes to do or to refrain from doing some act or acts in accordance with the wishes of the other party or parties. A contract to be valid and binding must be entered into by competent parties, be bound by a consideration, possess mutuality, represent an actual meeting of minds, and cover a legal and moral act.Contributory negligenceThe lack of care on the part of the individual, which helped cause the accident.CoverageA guarantee against specific losses provided under the terms of an insurance policy. It is used interchangeably with the words "insurance" or "protection" and also may refer to the amount of protection afforded under an insurance policy or to the insurance contract itself.

D

back to topDeclarationsThat part of an insurance contract which contains information regarding the insurance risk on the basis of which the policy is issued. A statement by the applicant for insurance, usually relative to underwriting information.DeductibleThe amount of a loss, which the insured has to pay.DepreciationLoss in value. The difference between the replacement cost new and present value.Direct writerAn insurance company which sells its policies through salaried employees or agents who represent it exclusively, rather than through independent local agents or insurance brokers. The insurer that contracts with the insured as distinguished from the reinsurer.DividendA share of the earned surplus apportioned for distribution and reflective of the difference between the premium charged and the actual loss experience. In a mutual or participating company, it is the return to the policyholder out of the earnings of the company. In a stock or nonparticipating insurance company, it is the division of the profits among the stockholders of the company. A refund of part of the premium on a participating life insurance policy.

E

back to topEarned premiumThat part of an insurance premium which pays for the protection the insurance company has already given on a policy.Employer's liability insuranceProtects an employer against the claims for damages, which arise out of the injuries to employees in the course of their work. Employer's liability insurance provides protection in cases not covered by workers' compensation insurance.EndorsementA provision added to a policy, to effect a change or alteration of terms or conditions; must be signed by an executive of the company and attached to and made part of the policy to be valid.ExclusionA provision of part of the insurance contract limiting the scope of the coverage. The causes and conditions listed in the policy, which are not covered.ExposureThis term may refer to the state of being subject to the possibility of loss or the extent of risk as measured by payroll, receipts, area or other standards.

F

back to topFAIR planA government insurance cooperative program that makes various forms of property insurance readily available to persons who have difficulty obtaining this protection.Fidelity bondA form of insurance, which protects the covered employer against loss due to the dishonesty of his employees. A bond that reimburses an employer named in the bond for the amount lost due to any covered act of dishonesty by an employee. Blanket fidelity bonds embrace groups of employees.FiduciaryA person who occupies a position of special trust and confidence, especially handling or supervising the financial affairs or funds of another.Financial responsibility lawA statute requiring motorists to furnish evidence of ability to pay damages, either before or after an accident.Fire insuranceContract prescribed by each state subject to modification by endorsements insuring against direct loss from fire, lightning and other defined causes.Fleet policyAn insurance contract covering a number of vehicles with a single owner.Floater policyA policy under the terms of which protection follows movable property, covering it wherever it may be (e.g., a policy on tourist's baggage).Flood insuranceContract of protection for damage caused by overflowing or rising water.

G

back to topGrace periodA period of time, usually thirty-one days following the premium due date, during which a premium may be paid. The policy remains in force throughout this period.

H

back to topHazardA specific situation that introduces or increases the probability of the occurrence of a loss arising from a peril, or that may influence the extent of a loss.

I

back to topIncurred lossesLosses occurring within a fixed period, whether adjusted and paid or not.InsuredAn individual or business organization protected in case of loss of property or life under the terms of an insurance policy.

J

back to topJoint Underwriting Association (JUA)A system used to provide insurance to individuals or businesses that fail to secure coverage in the voluntary market. Although only certain companies issue policies at one rate level and handle claims for those insured, all of the companies providing insurance in that state must bear the ultimate costs.

L

back to topLiability limitsThe sum or sums beyond which a liability insurance company does not protect the insured on a particular policy. The majority of policies covering liability for bodily injury have two limits: a limit of liability to any one person; and another limit, usually higher, for any single accident where more than one person is involved.LitigationThe act of carrying on a lawsuit.LossThe basis for a claim of indemnity or damages under the terms of an insurance policy. Any diminution of quantity, quality or value of property.Loss ratioThe percentage of losses to premiums.

M

back to topMalicious mischiefInjury to the rights or property of another with a wicked or perverse intent.Multi-peril policyContrary to what the name might imply, the term "multi-peril policy" does not mean a policy insuring against two or more perils. Instead, it is a policy that combines fire and casualty and marine coverages in a single contract such as the homeowner's policy.Multiple-line policyA package that combines traditional property and liability insurance lines coverages.Mutual insurance companiesCompanies with no capital stock, owned by policyholders. The earnings of the company over and above the payments of the losses and operating expenses and reserves are the property of the policyholders.

N

back to topNamed perilsNamed perils or hazards, policies name the specific perils or hazards the policy insures against. All risk policies do not name the perils specifically.NegligenceFailure to do what a reasonably prudent individual would ordinarily do under the circumstances of a particular case, or doing what a prudent person would not have done. Negligence may be caused by acts of omission, commission or both.No-fault automobile insuranceA form of insurance by which an insurance company pays for a policyholder's financial loss resulting from an automobile accident without concern for who was at fault.Notice of lossThe conditions of the insurance policy require that any person sustaining a loss against the property insured by the policy shall forthwith (immediately) give notice to the company of such loss. This notice must precede recovery, unless waived by the insurer. The notice is required in writing, although many companies accept a notice by telephone.

O

back to topOccurrenceA continued or repeated exposure to conditions, which results in a loss. Also, a policy clause stipulating all damages that arise out of the same general conditions are considered as arising from one occurrence.

P

back to topPackage policiesCombination policies wherein several coverages are included in one contract.PerilCause of a possible loss, such as fire, theft, explosion, etc.PolicyholderThe individual or firm in whose name an insurance policy is written. Synonymous with insured.PoolA group of insurance companies that have joined together for the purpose of sharing certain risks on an agreed-upon basis.PremisesA particular location or portion thereof as stated by the policy contractProximate causeThe primary cause of an event, which in a natural and continuous sequence, unbroken by any new cause, produced that event, and without which that event would not have happened. For example, water sprayed from the hose of a fire fighter may damage a house, but the primary or proximate cause, of course, was the fire itself.

R

back to topRateThe cost of insurance per unit used as a means or base for the determination of premiums.Rating bureauAn organization that performs insurance-related services for its members, most notably, rate making based on statistical data.Rating territoryIn some property and casualty lines rating territory refers to a geographical grouping within which insureds tend to share an exposure to similar risks. This practice helps establish rates for the territory.ReinsuranceAcceptance by an insurer called a reinsurer, of all or part of the risk of loss of another insurer. Thus, the risk of loss is spread and a disproportionately large loss under a single policy does not fall on one company.Rents or rental value insuranceProtection against the loss of rents resulting from an insured peril.Replacement cost property insuranceInsurance providing the amount payable to the insured as the replacement cost of the property new, rather than the depreciated value applied to the building structures or contents.ReserveFunds which are set aside by an insurance company for the purpose of meeting obligations as they become due. A liability set up by an insurer for a particular purpose.Retrospective ratingA technique which permits adjustments of the final premium for a risk based on the loss experience of the insured during the period of protection between maximum and minimum limits.RiderA document or form containing special provisions that are not contained in the policy contract. Such forms are to be added or attached to the policy.RiskA person or thing insured.Risk Control serviceAn inspection or engineering service designed to help reduce a policyholder's exposure to loss.Risk managementThe practice of analyzing all noncompetitive (non-production) exposure to risk of loss (loss by fortuitous or accidental means) and taking steps to minimize those potential or real losses to levels acceptable to the organization.

S

back to topSalvageDamaged property taken by an insurer after it has paid the claim in order to minimize its losses.ScheduleAn enumeration of various properties covered by a policy. A system for computing rates.Self-insuranceAn individual or firm's systematic provision of a fund to provide for all or part of its losses.Short rate cancellationThe termination of an insurance policy or bond before its expiration either by the insured or the company. The notice necessary before such cancellation becomes effective is almost always stated in the insurance contract.Standard provisionsThose clauses that certain state codes prescribe as being inserted in contracts of insurance; Contract provisions in general used by insurers, adopted by a group of insurers, approved by a state insurance department, or required by statute, either literally, in substance, or in a form more favorable to the insured.Stock companyA company owned by a number of investors or stockholders.SubrogationThe right of the insurance company to recover from a third party the amount paid under the policy.Surety bondAn instrument providing for monetary compensation should there be a failure to perform any specific acts within a stated period.SuretyshipAll forms of obligations to pay the debt or default of another. The function of being a surety.Surplus lineBusiness which would otherwise be subject to regulation as to rates or coverage, placed in non-admitted markets on an unregulated basis in accordance with the Surplus or Excess Line provisions of state insurance laws.SyndicateGroup of companies or other underwriters who join together to insure a certain property which may be of such value, or of such high hazard, or so expensive to underwrite that it can be done more efficiently on a cooperative basis.

T

back to topTheft insuranceProtection for the loss of property due to stealing, including the crimes of burglary, robbery, and larceny.TortA legal wrong committed on a person or property apart from a responsibility in a contract.

U

back to topUnderwriterThe individual whose duty it is to determine the acceptability of insurance risks; a person whose duty it is to select risks and determine the amounts and terms by which the insurance company will accept the risks.Underwriting profitThe profit or loss an insurance company experiences after deducting incurred losses and business expenses from earned premiums. This amount excludes investment income and is determined before the provision of federal income tax.
 

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