Act Of God An unpreventable accident or event that is the result of natural causes; for example, floods, earthquakes, or lightning.
Agent An authorized representative of an insurance company who sells and services insurance contracts.
Appraisal This term can be used in 2 different ways, First a survey by a claims representative or claims appraiser estimating the amount of damage to property and the cost to repair or the determination of a complete loss. Second would be a certified Appraisal on items that you would like sheduled such as Jewlery, Silver, Gold ect
Assessed Value The monetary worth of real or personal property as a basis for its taxation. This value, established by a governmental agency, is rarely used by insurers as a means to determine indemnification.
Asset Risk a measure of an asset's default of principal or interest or fluctuation in market value as a result of changes in the market.
Avalanche A slippage of built-up snow down an incline possibly mixed with ice, rock, and soil or plant life in what is called a debris avalanche. Avalanches are a major danger in the mountains during the winter as a large one can run for miles, and can create massive destruction of the lowered forest and anything else in its path.
Backdating A procedure for making the effective date of a policy earlier than the application date. Backdating is often used to make the age of the consumer at issue lower than it actually was in order to get lower premium. State laws often limit to six months the time to which policies can be backdated. On Property and casualty policies it is rare that the company will allow backdating of a policy.
Binder A temporary insurance form that is issued at the time of the application providing proof of coverage. It expires at the end of a specific time period or when the permanent policy is issued by the company.
Cancellation Termination of policy during the policy term.
Cataclysm Any great upheaval that causes sudden and violent changes, as an earthquake, war, great flood, etc..
Conditional Receipt Given to policy owners when they pay a premium at time of application. Such receipts bind the insurance company if the risk is approved as applied for, subject to any other conditions stated on the receipt.
Coverage Another word for insurance. Insurance companies use the term coverage to mean either the dollar amounts of insurance purchased ($200,000 of liability coverage), or the type of loss covered (coverage for theft).
In Force Insurance on which the premiums are being paid or have been fully paid. The policy has not expired.
Independent Agent An agent who represents more than one insurer.
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.
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. Insured is the person who purchased the policy
Insurer Party that provides insurance coverage, typically through a contract of insurance.
Lapse Termination of a policy upon the policy owner's failure to pay the premium and the date that the policy is re-written. The time frame in the middle is the lapse of coverage. No coverage provided during a lapse.
Market Value A term that describes what the current value of what you're insuring would be if you were to sell it.
Medical A document completed by a physician or another approved examiner and submitted to an insurer to supply medical evidence of insurability (or lack of insurability) or in relation to a claim.
Medical Expenses Reasonable charges for medical, surgical, x-ray, dental, ambulance, hospital, professional nursing, prosthetic devices, and funeral expenses. (The insurance company defines what is reasonable.)
Misrepresentation Act of making, issuing, circulating or causing to be issued or circulated an estimate, an illustration, a circular or a statement of any kind that does not represent the correct policy terms, dividends or share of surplus or the name or title for any policy or class of policies that does not in fact reflect its true nature.
Offer and Acceptance The offer may be made by the applicant signing the application, paying the first premium and, if necessary, submitting to physical examination. Policy issuance, as applied for, constitutes acceptance by the company. Or the offer may be made by the company when no premium payment is submitted with the application. Premium payment on the offered policy then constitutes acceptance by the applicant.
Personal Property All tangible property not permanently attached to real property. Like an automoble and everything attached to it are considered personal property.
Policy The printed document issued to the policyholder by the company stating the terms of the insurance contract.
Policy Holder The person who is insured by an insurance policy. This is usually the insured person, but it may also be a relative of the insured, a partnership or a corporation.
Port Of Repair Location of repair Facilities
Preferred Risk A risk whose physical condition, occupation, mode of living and other characteristics indicate a prospect for longevity superior to that of the average longevity of unimpaired lives of the same age.
Premium The amount of money an insurance company charges, based on a given rate, to provide the coverage described in the policy for a specified period of time, generally one year.
Primary Policy The insurance policy that pays first when you have a loss that's covered by more than one policy.
Probate Costs The legal fees and other costs incurred in the probate process, which is the legal processing of your will. Assets that you leave to other people through your will cannot be distributed until the will is probated.
Property Coverage Protection against the loss or damage to real (structure such as building) or personal property caused by specific perils covered in the insurance policy or contract.
Provisions Statements contained in an insurance policy which explain the benefits, conditions and other features of the insurance contract.
Reinstatement Putting a lapsed policy back in force by producing satisfactory evidence of insurability and paying any past-due premiums required.
Replacement Policy A new policy written to take the place of one currently in force.
Replacement Cost Coverage Coverage for the cost to completely replace your insured item or any part of it.
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.
Retention Unlike a deductible which is taken from each and every claim, a Retention limit is what must be paid by the insured only if coverage is available on the umbrella and not the underlying policy.
Rider An attachment to a policy that modifies its conditions by expanding or restricting benefits or excluding certain conditions from coverage. Sometimse refered to as an endorsement
Risk The chance of injury, damage, or loss.
Risk Selection The method a home office underwriter uses to choose applicants that the insurance company will accept. The underwriter must determine whether risks are standard, substandard or preferred and set the premium rates accordingly.
Standard Risk Person who, according to a company's underwriting standards, is entitled to insurance protection without extra rating or special restrictions.
Subrogation The right of the company to step into the shoes of the insured, following payment of a claim, to recover the payment from a third party responsible for the loss. Subrogation is limited to the amount paid on the policy.
Substandard Risk Person, property or automobile that is considered a hazzard because of condition, location or some other factor that makes the risk lower than the standard or norm.
Umbrella Policy Is an excess liability policy which will extend coverage over and above certian policies. Example: A persaonl umbrella will provide additional liability coverage over and above your Home, Personal Rental Property, Auto and Watercraft. Before an umbrella will respond, an underlying policy must be in place with the required underlying limits. The Umbrella limits provided start at $1,000,000 and will be increased in increments of $1,000,000 for an additional premium.
Underlying Limits The limits that must be maintained on a policy before the Umbrella policy will respond.
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.
Underwriting The process of examining, accepting or rejecting insurance risks, and classifying those selected, in order to charge the proper premium for each.
Uninsurable Risk A person who is not acceptable for insurance due to excessive risk.
Waiver of Deductible This is an endorsement to the standard automobile policy and if purchased will waive the deductible in the event of a collission claim and it is found that you are less than 50% at fault and you can identify the at fault person.
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.
Without Prejudice Occasionally claims may be paid which the underwriter feels are not actually covered by the policy. Such payments are "without prejudice" and are not to be treated as a precedent for future similar claims.