A
"A" (or Judgment) Rates
- Rates that are based on the judgment of the underwriter
on an individual risk basis and not supported by loss experience.
Abandonment - A term that
applies to property and signifies both a relinquishing of
it and the letting go of all legal rights to it, as well,
with the intent to claim a total loss. Abandonment of property
to an insurance company is something insureds are expressly
prohibited from doing in most property polices.
Abandonment clause - A
property policy provision that stipulates that the insurer
need not accept any damaged property that the insured chooses
to relinquish.
Absolute liability - The
performance of an act so dangerous as to be sufficient to
trigger liability regardless of the degree of negligence.
Triggering explosives is often used as an example. Sending
workers aloft for construction or repair at elevated heights
is another. ``Strict liability'' is another term that is sometimes
used.
Accident - An unforeseen,
unintended, and unexpected event, which occurs suddenly and
at a definite place. See Occurrence.
Accident frequency - The
rate of occurrence of accidents. Along with accident severity,
it is taken into account in ratemaking.
Accident severity - The
measure of the seriousness of a claim, measured in, for example,
dollars. Along with frequency, it is taken into account in
ratemaking.
Accident year experience
- Measures premiums and losses relating to accidents which
occurred during a 12-month period.
Accommodation line - Normally
unacceptable risks that are written as an ``accommodation''
to an agent or broker who has an overall profitable relationship
with the insurer. For example: a personal auto risk with a
teenage driver of a sports car might be written if the other
lines of insurance which it carries for the customer were
profitable; or if the agency has had a good and profitable
relationship with the insurer.
Account current - A monthly
statement provided by an insurer detailing an agent's premiums,
commissions, cancellations, and endorsements.
Account selling - Account
selling is trying to handle all of a client's insurance needs,
rather than providing for only a portion of those needs.
Accounts receivable insurance
- Pays for the cost of reconstructing accounts receivable
records that have been damaged or destroyed by a covered peril.
Even more important, it covers any payments that cannot be
collected because records cannot be reconstructed.
Acquisition cost - The
expense undertaken to acquire new business. The concept applies
to both agents and companies. The largest portion of an insurer's
acquisition cost is agent's or sales representative's commission
or bonus.
Act of God - Acts of nature
? the term was once widely used to distinguish between man-made
events, i.e., fire, collision, and nature's rampages in wind
and flood.
Active malfunction - In
products insurance, a defect or malfunction in a product that
damages the property of the user.
Actual cash value (ACV )
- A method for placing value on property as of the time of
its loss or damage. ACV may be determined as replacement cost,
new, less depreciation. The market value of an item may be
used to help determine actual cash value. Contrast with replacement
cost.
Actual cash value appraisal
- An appraisal to determine the actual cash value of a building
and related personal property.
Actuary - A person highly
trained in mathematics and statistics who calculates rates
and dividends, and provides other statistical information
for an insurance company.
Additional insured
- One who qualifies as ``insured'' under the terms
of a policy even though not named as insured. Officers of
a corporation may be included as insureds under the terms
of a policy written in the name of the corporation.
Additional living expense insurance
- This coverage, found in homeowners forms, provides
payment for extra expenses made necessary by the insured's
inability to reside in the insured dwelling because of a covered
loss -- for example, restaurant meals and hotel bills. The
amount payable is the difference between normal household
expenses and the increase.
Adhesion contract - A standardized
set of agreements offered by one (usually the stronger) party
to another on a ``take it or leave it'' basis. An insurance
policy is an example of such a contract. The insurer offers
a personal auto policy, for example, that an individual may
``adhere to'' (or not) but in any case the individual may
not change any of its terms. Because it has the stronger position,
the insurance company has the burden to spell out its terms
precisely. Such contracts are interpreted strictly against
the author of the contract. Not to be confused with aleatory
contract.
Adjuster - A person who
may act either on behalf of the insurance company or the insured
in settling a claim. Employee adjusters work for an insurer;
independent adjusters represent the insurance company on a
fee basis; and public adjusters represent the insured on a
fee basis.
Admitted assets - The highly
liquid assets of an insurer permitted by the state to be taken
into account when reporting financial condition.
Admitted company - An insurance
company that is licensed (admitted) to conduct business within
a given state.
Admitted market - The range
of insurance available through admitted companies.
Advance premium - Also
called ``deposit premium,'' an advance premium is a downpayment
on what will be the final premium, in policies where the final
premium is subject to audit.
Adverse selection - The
tendency of poorer than average risks to buy and maintain
insurance. Adverse selection occurs when insureds select only
those coverages that are most likely to have losses.
Adverse underwriting decision
- Any decision made by an underwriter that is not favorable
to the insured. Such decisions involve termination, declination,
higher rates, or reduction in coverage. Another example is
the placing of a risk in a residual market or with an unauthorized
insurer.
Advertising injury - Claim
arising out of slander, libel, copyright infringement, or
misappropriation of advertising ideas. Coverage is provided
as part of coverage B of the commercial general liability
policy.
Affinity marketing - Targeting
marketing efforts toward one group or category of client.
Examples include: grocery stores; all the employees of one
company; or employees in one industry. Group business is a
type of affinity marketing.
Agency company - An insurance
company that produces business through an agency network.
See direct writer.
Agency contract - The legal
agreement between an insurance agency and the in-surer detailing
the terms of representation.
Agency plant - The total
force of agents representing an insurer.
Agent - One who solicits,
negotiates or effects contracts of insurance on be-half of
an insurer. His right to exercise various functions, his authority,
and his obligations and the obligations of the insurer to
the agent are subject to the terms of the agency contract
with the insurer, to statutory law, and to common law.
Agent's appointment - The
act by an insurer that grants an agent the authority to act
as an agent for the insurer. In most states, agents must be
licensed and appointed, prior to being allowed to sell insurance.
Agent's authority - The
authority of an insurance agent to act on behalf of the insurer
he or she represents. There are several types including: express
authority (authority to act on specific instructions only);
implied authority (actions taken in accordance with prevailing
custom); or apparent authority (actions based on appearances
created by the agent and acquiesced to by the principal).
Agents errors and omissions insurance
- Insurance obtained by the insurance agent to guard
against loss caused by an unintentional failure to properly
insure (or recommend insurance to) a client.
Agent's license - A certificate
of authority from the state that permits the agent to conduct
business.
Aggregate deductible -
A deductible provision in some property insurance contracts
where all covered losses during a year are figured together
and an insurer pays only when the aggregate deductible amount
is exceeded.
Aggregate excess reinsurance
- A type of excess reinsurance treaty that sometimes is called
stop loss or excess of loss ratio reinsurance. The retention
in this type of agreement is calculated based on all losses
over the period of time that is stated in the treaty. The
reinsurer is responsible for the amount of losses between
the retention and the limit on the treaty.
Aggregate limit - The maximum
amount an insurer will pay under a policy in any one policy
period.
Agreed amount clause -
An agreement between underwriter and insured whereby, in exchange
for the purchase of coverage in an amount specified by the
underwriter, the insured is protected from a coinsurance penalty.
Agreed value clause - Though rare, some policies cover for
a value agreed upon at the time of writing; if the property
is lost because of an insured peril, the amount stated in
the policy will be paid. Fine arts insured under a personal
articles floater or homeowners scheduled personal property
endorsement are examples.
Aircraft coverages - Though
aircraft have long been an important element in the lives
of most Americans, insurance of aircraft exposures has remained
outside the mainstream of property and liability insurance
markets. Aircraft hull and liability insurance is the counterpart
of personal or commercial auto policies coverage. Aircraft
products insurance is the counterpart of products liability
coverage. Air cargo insurance is mirrored in motor truck cargo.
Hangarkeepers liability is akin to garagekeepers coverage.
As with any specialty line of insurance, the absence of standardized
forms limits practice to specialists in the line.
Alcoholic Beverage Control (ABC)
laws , see Dram shop laws.
Aleatory contract - A contract
in which the number of dollars to be given up by each party
is not equal. Insurance contracts are of this type, as the
policyholder pays a premium and may collect nothing from the
insurer or may collect a great deal more than the amount of
the premium if a loss occurs. Not to be confused with contract
of adhesion.
Alien insurer - An insurance
company formed under the laws of a country other than the
one it is doing business in.
Alienated premises - Property
that has been sold by an insured.
All risks - A property
policy expression now out of fashion. It was used to designate
contracts that promised coverage against "all risks of direct
physical loss" in contrast to forms that covered for specific,
named perils. The word "all" came to be perceived as open
to broader interpretation than insurers intended and it was
dropped in favor of the promise to cover "risks of physical
loss." See Named perils and also Open perils.
Allied lines - Lines of
insurance that cover for perils other than fire, that are
usually sold with fire insurance, e.g., "fire and allied lines."
Alternative dispute resolution (ADR)
- Methods other than lawsuits that are designed
to resolve legal disputes. Examples are arbitration and mediation.
Ambiguity - A standard
policy provision that proves to be ambiguous may be interpreted
in the light most favorable to the insured.
American Agency System
- The system of selling insurance through agents who receive
omissions in lieu of salary.
American Association of Insurance
Services (AAIS) - An association of insurance companies
providing filing and various technical services on behalf
of its member companies.
Americans with Disabilities Act (ADA)
- Passed by Congress in 1990, this act requires
that "reasonable accommodation" be made in public accommodations,
including the workplace, for those with physical or mental
disability.
American College, The -
An educational institute conferring the Chartered Life Underwriter
(CLU) designation.
American Lloyds - Unincorporated
associations of individual underwriters who assume specified
portions of liability under each policy issued. There is no
connection with Lloyd's of London.
Anniversary date - The
anniversary of the original date of issue of a policy as shown
in the declarations.
Annual aggregate deductible
- A deductible applied annually to the total amount paid in
claims during a policy period. Claims are generally subject
to a per-occurrence deductible; the aggregate is the limit
beyond which no further deductibles are applied.
Anti-coercion laws - Usually
contained in a section of the state code entitled "Unfair
Trade Practices," these provisions define the use of coercion
as an unfair practice and, hence, a violation of the state
law.
Anti-rebating laws - Laws
found in all but two states which prohibit an agent's refunding
part of a commission to an applicant as an inducement for
placing insurance through the agent. California and Florida
allow rebating of commissions on a limited basis.
Apparent authority - The
perceived ability of an agent to bind an insurance contract
to an insurance company. If an agent or agency holds themselves
out as representing a particular company it is reasonable
for the public to assume that such authority is established
contractually, even if it is not. Apportionment - The method
of dividing a loss between multiple insurers that cover the
same loss.
Appraisal - A determination
of the value of property for the purposes of determining the
proper amount of insurance to be bought or in adjusting a
loss.
Appurtenant structure -
Another structure on the same premises as the principal structure.
A detached garage on a dwelling premises is "appurtenant"
to the dwelling. Older homeowners forms refer to the "other
structures" protected under the HO Coverage B as "appurtenant
structures."
Arbitration clause - The
clause in an insurance policy that spells out how disagreements
over a claim are settled.
Arson - The intentional
setting afire of property.
Assigned risk - A risk
not be generally acceptable to any insurance company but for
which the law says that insurance must be acquired. Personal
auto liability is one such necessary coverage. Insurance companies
doing personal auto business in a state can be required to
accept assignment of a portion of the state's unacceptable
drivers as insureds.
Assigned risk plan , see
Auto insurance plan.
Association captive - A
captive insurer owned by the members of a sponsoring organization
or group, such as a trade association.
Assumed liability - Liability
assumed under contract or agreement. More commonly known as
contractual liability.
Assured - A party who is
a potential beneficiary of an insurance contract. The synonym
"insured" is more commonly used.
Attorney-in-fact - An individual
who is given authority to execute legal documents, including
bonds; or the manager of a reciprocal exchange, which is an
insurance arrangement whereby risk is transferred to other
members. The attorney-in-fact need not be a lawyer.
Attractive nuisance - Condition
that can attract and injure children. The occupants of land
on which such a condition exists are liable for injuries to
children. Examples of attractive nuisance: swimming pools;
earth moving equipment; playground equipment.
Audit - Some policies (such
as workers compensation) are written subject to an audit.
Since workers compensation premium is based on the insured's
payroll, the insurer is entitled to audit the insured's records
at the end of the policy to verify that it has collected an
adequate premium for the amount of payroll to which it was
exposed.
Authorized insurer - An
insurer granted permission by a state to sell specific lines
of insurance within that state.
Auto insurance plan - Program
set up by various states to ensure that everyone with a valid
driver's license will be able to purchase auto insurance.
All auto insurers operating within a state are assigned insureds
in proportion to the amount of auto premium written.
Automobile liability insurance
- Insurance in which the insurer agrees to pay all sums for
which the insured is legally obligated because of bodily injury
or property damage arising from the ownership, maintenance,
or use of an auto.
Automobile medical payments
- Insurance applying to the medical, hospital, or funeral
expenses of anyone injured while on or in an insured automobile.
The coverage is not dependent on liability, being triggered
simply by an accident. It may be included in either the Business
Auto Policy or the Personal Auto Policy. See also Premises
medical payments.
Auto physical damage insurance
- Insurance on the vehicle, itself. This usually is broken
down into collision and other than collision coverages.
Automobile shared market
- A program in which all automobile insurers in each state
make coverage available to car owners who are unable to obtain
auto insurance in the voluntary market.
B
Bailee - One who has is
charged with the care of the property of another. For example,
a garage is bailee of a customer's ("bailor's") car (the "bailment")
and a jeweler is a bailee of customers' jewelry while in for
repair or appraisal.
Bailees customers' insurance
- Insurance designed to reimburse a bailee's customers for
loss without regard to liability.
Bailees floater - An inland
marine form that covers — on an open perils basis — a bailee's
interest in personal property of others.
Bailees liability insurance
- Insurance covering damage negligently caused by a bailee
or employee to goods left in their care.
Bailment - The act of delivering
property in trust to another for a limited time and specific
purpose.
Bailor - The person delivering
property to another in trust.
Bankers blanket bond -
A bond designed to indemnify for loss of money, securities,
etc., caused by: dishonesty of employees; robbery or theft
from the premises; or robbery or theft while the insured property
is in transit.
Basic causes of loss -
The perils of fire, lightning, and removal of property from
premises endangered by those perils as shown in the standard
1943 New York fire policy.
Basic named perils - Covered
perils in a property insurance contract: fire, lightning,
windstorm, civil commotion, smoke, hail, aircraft, vehicles,
explosion and riot.
Beach plans - Sometimes
known as windstorm plans or pools, these are plans devised
by coastal states to insure the windstorm exposure of coastal
properties. The plans operate in a manner similar to a joint
underwriting association, with participation by all insurers
operating within a state.
Bench error - A mistake
in the production process of a product that causes a loss.
Such losses are usually covered.
Betterment - A term used
to express the difference in the value of property before
loss and after restoration. If a 20-year roof is damaged by
an insured peril and it has to be replaced in its 15 th year
and the restoration renews the 20-year life expectancy, the
owner has obtained a 15-year betterment in the roof. Without
replacement cost insurance on the roof, the owner is expected
to reimburse the insurance company for the "betterment" entailed
in the restoration. Also see Improvements and betterments.
BI - A shorthand expression
for "bodily injury."
Bid bond - Guarantees an
owner, the "obligee," that the accepted contractor will actually
undertake the work and that the contractor will furnish performance,
payment, and, perhaps, maintenance bonds — or that the contractor
will pay the owner the difference between the amount of the
contractor's accepted bid and the bid of another contractor
who has to be called in to complete the project.
Binder - An insurer's agreement,
by way of an agent, to provide non-life insurance on the spot,
pending issuance of the policy contract.
Binding authority
- The authority extended to an agent by an insurer
to provide insurance, usually on a temporary basis, until
a policy can be written.
Blanket bond - An employee
dishonesty or fidelity bond covering all persons of a group
or class; as opposed to bonds naming specific individuals
(name schedule) or positions (position schedule).
Blanket coverage - A means
of insuring various items of property under one limit of liability.
Blanket insurance - Insurance
covering multiple items of property as a group. Covered property
may be at one location or several.
Bobtailing - A trucking
term that means the driving of the tractor portion of a semi
after the trailer has been delivered and removed. A special
trucking endorsement, Truckers Insurance for Non-Trucking
Use, may be necessary when bobtailing.
Bodily injury - A term
that refers to physical injury, sickness, or disease, or death
resulting therefrom. In some jurisdictions "bodily injury"
includes emotional injury.
Bodily injury liability
- Legal obligation that flows from the injury or death of
another person. This insurance is commonly limited to bodily
injury liability derived by way of negligence, but coverage
of liability by way of contract (holding another harmless)
is also possible.
Boiler & machinery insurance
- Fired vessels, steam generators, mechanical and
or electrical objects and turbines, are all examples of "objects"
that might be listed for coverage under a boiler and machinery
policy. Coverage is for damage to covered property caused
by an accident to an object identified in the policy's schedule.
Coverage includes extra expense, automatic 90-day coverage
at new locations, defense against liability claims, and supplementary
payments like those provided under public liability policies.
Bond - A document for expressing
surety. A bond engages three entities; the "surety" (bonding
company) sells the bond to the "principal" for the purpose
of paying the amount the principal will owe to the "obligee"
upon failure of the "principal" to perform some act or provide
some service under agreed terms.
Bond, fidelity - A bond
that guarantees the principal's honesty.
Bond, surety - A surety
bond is the financial assumption of responsibility by one
or more persons for fulfilling another's obligations.
Book of business - The
accounts written by an agent or company. It can be ex-pressed
in a number of ways such as "total book" of business, "book
of auto business," "homeowners business," etc.
BOP (Businessowners policy),
see Businessowners policy.
Bordereau - A written schedule
of insureds, premiums, and losses submitted to reinsurers
under certain types of reinsurance agreements.
Boycott - Another practice
defined as "unfair" under most states' codes. Such a practice
which occurs when someone in the insurance business refuses
to do business with someone else until that person complies
with certain conditions or concessions.
Broad form perils - A property
insurance designation for coverage that extends beyond the
basic named perils.
Broad form property damage endorsement
- A commercial general liability endorsement that
removes the care, custody, or control exclusion relating to
the property of others and replaces it with a less stringent
one.
Broker - One who represents
the insured in arranging insurance. A broker may also serve
as the agent of an insurance company. Typically, a broker
does not have binding authority.
Builders risk insurance
- A variation of property coverage specifically applicable
to construction projects. It is commonly written in an amount
to cover the value of the structure when completed. The premium
charged takes into account that values at risk increase gradually
over the term of the policy.
Bumbershoot - A form of
coverage similar to an umbrella, having to do with ocean marine
risks.
Business Auto Policy (BAP )
- A standardized contract for writing liability and property
coverage on commercial autos.
Business income coverage
- Insurance protecting the income derived from an insured's
business activities when curtailed by a covered peril. Coverage
includes reasonable extra expense the insured undertakes to
expedite return to business operations.
Business income, dependent properties
- Covering loss to an insured when the operations
of a key supplier, customer, or "leader property" on which
the insured's operations are dependent, is shut down by a
covered peril. Also referred to as "contingent business income."
Business personal property
- A term relating to "contents" of a commercial enterprise.
It may include furniture, fixtures, machinery and equipment
as well as stock, all other chattels owned by the insured,
and even use interest in building improvements and betterments.
Businessowners policy (BOP)
- A package of property and liability insurance for small
and medium size businesses, the BOP owes its origin to the
success of the homeowners policy.
"Buy-Back" deductible -
A deductible that may be eliminated for an additional premium
in order to provide "first-dollar" coverage.
C
Calendar year experience
- Underwriting result based on earned premiums and booked
incurred losses for the same calendar year reporting period,
regardless of the dates of the loss events. Booked incurred
losses include paid losses, beginning of year to end of year
changes in case reserves, and IBNR.
Cancellation; flat, pro rata, or
short rate - In a flat cancellation the full premium
is returned to the insured. A pro rata cancellation means
the insurer has charged for the time the coverage was in force.
Short rate cancellation entails a penalty in excess of pro
rata for early termination.
Capacity - An insurer's
(or reinsurer's) top limit on the amount of coverage it has
available. The term may also refer to the total available
in the respective insurance or reinsurance market.
Captive agent - A representative
of a single insurer. In the case of captive agents, the insurer
owns and controls expiration dates and policy records. A captive
agent is a member of what may be called an exclusive agency
system.
Captive insurer - An enterprise
with all the authority to perform as an insurance company,
but is organized by a parent company for the express purpose
of providing the parent company's insurance.
Care, custody, or control
- An expression common to liability insurance contracts.
It refers to an exclusion in the policy eliminating coverage
for damage to property of others that is in the insured's
"care, custody, or control." The insured has a bailee relationship
to the property, in other words, making the insured liable
for the care of the property beyond damage caused by negligence.
A bailees floater is often used to cover the insured's obligation
for the care of such property.
Cargo insurance - An inland
marine or ocean marine policy covering cargo in the care,
custody, or control of the carrier.
Cash-flow underwriting
- Name given to an insurer's practice of "nonselectively"
writing business in order to generate greater amounts of cash
for in-vestment purposes.
Casualty insurance - The
type of insurance concerned with legal liability for losses
caused by bodily injury to others or physical damage to property
of others.
Catastrophe (excess) cover
- Another term for catastrophe reinsurance, wherein the ceding
company is indemnified by the reinsurer after a specified
loss amount is reached, for losses caused by catastrophes.
Causes of loss forms - The reference is commonly to property
insurance con-tracts and the form in question details those
perils to which the coverage will respond. Though any property
insurance contract must name the perils it intends to cover,
e.g., crop hail, earthquake, perils of transit, and so on,
the most commonly used general forms are the basic and broad
named perils forms and the special form. In contrast to the
named perils forms, that list specific perils for coverage,
the special form contract covers simply risk of direct physical
loss, relying on exclusions to delimit and define the coverage.
Cede - The transfer of
all or part of a risk written by an insurer to a reinsurer.
Cedant - A ceding insurer
or reinsurer. Ceding means to contractually transfer a portion
of a risk or risks to a reinsurer.
Ceding commission - The
cedant's acquisition costs and overhead expenses, taxes, licenses
and fees, plus a fee representing a share of expected profits,
which often is expressed as a percentage of the gross reinsurance
premium.
CERCLA , see Superfund.
Certificate of insurance
- A written description of insurance in effect as of the date
and time of the certificate. The certificate does not ordinarily
confer any rights on the holder, i.e., the issuing insurer
does not promise to inform the holder of change in or cancellation
of coverage.
CGL (Commercial General Liability)
see Commercial general liability.
CIC - Certified Insurance
Counselor.
CLU - A designation — Chartered
Life Underwriter — conferred upon successful completers of
a series of studies of life insurance and related disciplines
designed by The American College.
CPCU - A designation —
Chartered Property Casualty Underwriter — conferred upon successful
completion of a series of 10 exams on insurance and related
disciplines designed by the American Institute of Chartered
Property Casualty Underwriters.
Civil commotion - One of
the extended coverage perils, paired with the peril "riot,"
which refers to a less widespread or generalized event than
"riot" might be thought to encompass.
Claim Expense - The expense
of adjusting a claim, such as investigation and attorneys'
fees. It does not include the cost of the claim itself.
Claims-made coverage
- A type of public liability insurance that responds
only to claims for injury or damage that are brought (to the
insurer) during the policy period (or during a designated
extended reporting period beyond expiration). This development
was in response to "long tail" claims, such as those related
to asbestosis injury, carrying over many years and multiple
layers of coverage limits. However, most public liability
policies are written on an "occurrence" basis, covering injury
or damage occurring during the policy period even if a claim
is brought months or even years later.
Clash cover - A type of
catastrophe reinsurance for casualty insurance. The retention
is equal to the highest limit of any one insurance policy
covered by the agreement. Clash cover is written to cover
all losses from one source, such as a construction site.
Class rates - When property
or people share a certain number of characteristics relevant
to the cost of providing them with insurance (such as a male
driver under the age of 25 without an accident) underwriters
can develop insurance rates that reflect the exposures represented
by the "class" and offer insurance based on a class rate rather
than by computing individual rates for each member.
Clause - A provision or
condition affecting the terms of a contract. Coinsurance,
cancellation, and subrogation clauses are typical insurance
contract clauses.
Clean-up costs - Generally,
those costs associated with the clean up of pollution.
Close or closely held corporation
- A corporation that is owned by a small number
of individuals who are related. A close corporation fills
its own vacancies.
Coercion - Another act
defined by most states as an "unfair trade practice." This
one occurs when someone in the insurance business uses physical
or mental force to persuade another to transact insurance.
Coinsurance clause - "Coinsurance"
refers to the bargain between commercial property owners and
the insurance industry. This clause in property policies encourages
the property owner to gauge coverage needs by possible, not
probable, maximum loss. With $1 million at risk but a probable
maximum loss of $100,000, for example, the property owner
would probably buy $100,000 insurance and bank on avoiding
the larger disaster. The bargain offered by the insurance
industry is a reduced rate per $100 of coverage if the owner
agrees to buy coverage at a specified relation (80% commonly)
to value (to possible maximum loss in other words). If the
insured accepts the bargain but events prove the amount of
insurance is inadequate to the stated coinsurance percentage,
the insured becomes "coinsurer" in the same ratio as the amount
of insurance bears to the amount that should have been carried.
Collapse - A property insurance
peril, subject to its own specific agreement in property policies,
which otherwise insure on an open perils basis.
Collision damage waiver
- When paired with an auto rental agreement, the rental car
company agrees to waive the renter's responsibility for any
physical damage to the rental car in exchange for an additional
payment. Sometimes called a "loss damage waiver."
Collision insurance - A
type of physical damage insurance available for automobiles.
Coverage is triggered when damage is caused by striking against
another object.
Combined ratio - The sum
of an insurance company's loss ratio and expense ratio; used
as an indicator of profitability for insurance companies.
Combined Single Limit (CSL)
- Liability policies commonly offer separate limits that apply
to bodily injury claims and to claims for property damage.
"50/100/25" is shorthand under such a policy for $50,000 per
person/$100,000 per accident for bodily injury claims and
$25,000 for property damage. A combined single limits policy
might cover for $100,000 per covered occurrence whether bodily
injury or property damage, one person or many.
Commercial blanket bond
- A bond that covers the named insured against employee dishonesty.
A single coverage amount applies to any one loss, regardless
of the number of employees involved.
Commercial General Liability (CGL)
- The CGL policy is an ISO form, widely used to
provide commercial enterprises with premises and operations
liability coverage, products and completed operations insurance
and personal injury coverage. Premises medical payments coverage
is often included as well.
Commercial lines - A distinction
marking property and liability coverage writ-ten for business
or entrepreneurial interests as opposed to personal lines.
Commissioner of Insurance
- The official in a state (or territory) responsible for administering
insurance regulation; sometimes called the Superintendent
or Director of Insurance.
Common area - The part
of a building or premises either owned by or used by all tenants
or tenant-owners of the building (e.g. the swimming pool at
a condominium).
Comparative negligence
- A variation of contributory negligence, in which the comparative
degree of negligence for each party to an accident is taken
into account when awarding damages.
Compensatory damages -
The award, usually monetary, that is intended to compensate
the claimant for injury sustained.
Completed operations insurance ,
see Products and completed operations.
Completion bond - A bond
that guarantees a lending institution or other mortgagee that
a building or other construction that they have lent money
on will be completed on time so it can used as collateral
on the loan.
Comprehensive personal liability
insurance - Provides individuals and family members
with protection from legal liability for most accidents caused
by them in their personal lives. Note that any legal liability
claims submitted while in the course of business activities
are not covered.
Comprehensive physical damage (automobile
) - Traditional name for physical damage coverage
for losses by fire, theft, vandalism, falling objects, and
various other perils. On Personal Auto Policies, this is now
called "other than collision" coverage. On commercial forms,
it continues to be called "comprehensive" coverage.
Concurrent causation -
When two perils contribute concurrently to a property loss,
one excluded and the other not, the effect of the exclusion
tends to be voided in a policy covering on an open perils
basis. A concurrent causation exclusion is found in current
forms.
Condition - One of the
obligations of either the insured or the insurer imposed in
the insurance contract.
Condominium - Type of dwelling
where the structure is owned jointly while spaces within the
structure are owned individually. Special property and liability
forms cover the interests of the condominium association and
of unit owners.
Condominium association coverage
- A policy that provides coverage for the building,
elements of the building, and liability needs for those who
collectively own a piece of property.
Condominium unit owners form
- A policy that provides coverage for the personal property,
owned elements of a unit, and liability for the individual
unit owner.
Consequential loss - An
indirect consequence of direct loss to property. Business
income may be lost when a store burns down, or frozen goods
may spoil when windstorm causes an interruption of power.
Consequential or indirect loss is not generally insured by
policies covering direct damage (i.e., by fire or wind as
in these examples), but insurance is readily obtainable separately
for most such consequential exposures — business income coverage
being among the most common.
Construction bond - A bond
that guarantees the owner of a building under construction
that it will be completed. If the contractor cannot finish
the work, the insurer is obligated to see that the work is
performed.
Constructive total loss
- This condition is said to exist when the cost of repairs
exceeds the actual cash value of damaged property.
Contingent business income ,
see Business income, dependent properties.
Contingent liability -
Liability imposed on a business entity (individual, partnership,
or corporation) for acts of a third party for which the business
entity is responsible.
Contract of adhesion , see
Adhesion contract.
Contractors equipment floater
- Coverage designed for the special needs of contractors to
insure their machinery and other equipment.
Contractual liability -
Liability that does not arise by way of negligence but by
assumption under contract. For example, in certain leases,
a tenant may assume a landlord's liability to others for unsafe
conditions on the premises. Some such assumptions are covered
automatically under the Commercial General Liability form.
Contributory negligence
- A defense to a negligence action in which it is asserted
that the claimant failed to meet the standard required for
his or her own protection, and that that failure contributed
to the loss.
Controlled business - The
amount of insurance countersigned, issued or sold by a producer
covering that producer's interests, immediate family, or employees.
Many states limit the amount of controlled business that may
be written, by placing a maximum percentage of all business
that may be "controlled."
Convention (or Statement) blank
- The uniform annual financial statement that must be filed
by all insurers, as prescribed by the National Association
of Insurance Commissioners. The convention blank must be filed
annually in an insurer's home state and every state in which
it is licensed to do business.
Corporation - A business
whose articles of incorporation have been approved in some
state. For insurance purposes, the type of business structure
helps to determine who is insured on the policy.
Countersignature - An authorized
signature of agent or company representative on an insurance
policy. Usually pertains to policies sold by an agent of the
insurer located in another state.
Court bonds , see Judicial
bonds.
Coverage trigger - In liability
insurance, the "trigger" is the event that brings coverage
into play. It may be either an occurrence of bodily injury
or property damage; or, in a form with a claims-made trigger,
the formal making of a claim.
Covered loss - An accident,
including accidental damage by forces of nature, that brings
a contract of insurance into play.
Credit card forgery - A
criminal act involving the illegitimate use of credit cards
to obtain goods or money. Limited coverage for such losses
is automatically provided in most homeowners policies.
Crime insurance - A broad
category covering loss of property through criminal activity
— from employee dishonesty to burglary and robbery, computer
fraud, and forgery.
Crop insurance - Insurance
covering growing crops against hail, wind, and fire. Protection
against a broader range of perils can often be arranged as
well.
D
Daily - The document—now
more commonly found in electronic than in paper form — that
provides insurer and agent with a quick reference to all pertinent
information relative to a contract of insurance: insured's
identification, location, coverage, term, premium, and so
on. Sometimes referred to as a "daily report."
Data processing insurance
- Coverage for electronic media, computers, and other electronic
data processing equipment.
Deadheading - A trucking
term that means the driving of a tractor-trailer that is empty,
usually on the return trip from delivering goods. A special
trucking endorsement, Truckers Insurance for Non-Trucking
Use, may be necessary when deadheading.
Debris removal clause -
A consequential coverage commonly included in direct loss
policies. For example, fire policies provide limited recovery
for the insured's cost of removing the debris after a covered
fire. Not to be confused with removal.
Declarations page - That
part of a property or liability insurance policy that discloses
information pertinent to the coverage promised including names,
addresses, limits, locations, term, premium, forms, and so
on. The same information, perhaps in a shorthand version,
is contained as well in the daily.
Deductible - The part of
the loss that is to be borne by the insured.
Demolition insurance -
When a building is damaged beyond a certain point, say 50%
destroyed, local building codes may direct that the structure
be razed. Insurance to cover this exposure (and the lost value
of the undamaged but newly razed part) can and clearly should
be arranged whenever it exists. Increased cost of construction
coverage to meet current building codes should be provided
as well.
Dependent properties , see
Business income, dependent properties.
Deposit premium - When
the price of insurance is tied to fluctuating values or costs
that cannot be known until the end of the policy period, inventory
or payroll are two common examples, a deposit or provisional
premium or estimated premium may be charged at the outset
of a policy with final adjustment to come at the end of the
term.
Depositor's forgery insurance
- Coverage against loss due to forged checks, notes, etc.
Limited coverage is automatically included in homeowners contracts.
Commercial establishments can purchase crime coverage with
this feature.
Depreciation - As property
ages and becomes worn it often loses value. That loss of value
must be taken into account in any adjustment of property insurance
that covers loss of actual cash value.
Difference In Conditions (DIC)
- Property insurance obtained through the excess and surplus
lines market to supplement and expand on the property coverage
available through admitted markets. DIC has been called the
"property umbrella" policy.
Direct damage - Physical
damage caused to property by a peril such as fire or lightning.
Direct loss - The immediate
consequence of the action of an insured peril. A fire-damaged
structure is a "direct loss" by fire. In contrast, see Consequential
loss.
Direct premiums - Premiums
collected from policyholders before premiums for reinsurance
are paid.
Direct writer - An insurer
that sells coverage directly via its own employees. Contrast
with independent agent.
Directors and officers liability
insurance - A form of errors and omissions insurance
covering the directors and officers of corporations against
suits alleging they committed wrongful act(s).
Discovery period - The
period of time, commonly one year, after the termination of
a surety bond during which covered loss may be discovered,
reported, and covered.
Dishonesty, Disappearance, and Destruction
("3-D") policy - The name once applied to a form
used for comprehensive crime coverage. Now known as ISO Form
C.
Dram shop laws - State
laws pertaining to selling and serving alcoholic beverages
and the public liability these activities may entail. Also
called alcoholic beverage control (ABC) laws.
Dram shop liability insurance ,
see Liquor liability insurance.
Drive Other Car (DOC) endorsement
- A business auto or garage policy endorsement providing
coverage for named individuals while driving nonowned autos
in situations unrelated to the business of the insured.
Druggists liability insurance
- A form of professional liability insurance for druggists.
Duty to defend - Part of
the insuring agreement of many policies. The insurer has the
duty to defend the insured in event of a covered loss.
Dwelling forms - Forms
for coverage of dwellings and personal property that are not
eligible for homeowners coverage. Tenant occupied rental properties
are commonly insured under these forms.
E
e-business - The transaction
of business by way of electronic media, such as telephones,
fax machines, computers, and video-teleconferencing equipment.
This generally is broader than e-commerce although some may
view e-business and e-commerce as interchangeable terms.
e-commerce - The buying
and selling of goods by way of electronic media, such as telephones,
fax machines, computers, and video-teleconferencing equipment.
Earned premium - Portion
of a premium for which the insurer has already provided protection.
Earnings insurance - A
simplified form of insurance covering business income loss,
limited to a set percentage of the policy's total amount for
recovery of proved loss for each 30-day period.
Earth movement - Subject
to an exclusion in property policies, this peril includes
earthquake, landslide, mudflow, etc.
Effective date - The date
shown in the declarations of a policy upon which coverage
is to take effect.
Employee dishonesty coverage
- Insurance protecting employers from loss due to theft by
their employees.
Employers liability insurance
- A feature of standard workers compensation policies, this
coverage applies to liability that may be imposed on an employer
outside the provisions of a workers compensation law.
Employers nonownership liability
- Employers who buy commercial auto coverage on
a basis other than "any auto" have this exposure whenever
an employee uses his or her own auto on the employer's behalf.
Employment practices liability insurance
- Coverage against allegations of illegal or discriminatory
hiring and firing practices, sexual harassment of employees,
and so on.
Endorsement - An amendment
to a policy form.
Enterprise-wide risk management
- An effort to categorize, measure, and treat all types of
risk that may adversely affect a business. It includes both
traditional hazard risks and other business risks, such as
risks posed by competitors, by economic developments, and
natural conditions the business cannot control, and by general
operations.
Environmental Impairment Liability
Insurance , see Pollution liability insurance.
Equipment floater , see
Floater.
ERISA - An acronym standing
for the 1974 Employee Retirement Income Security Act which
regulates certain employee benefit plans.
Errors and omissions coverage
- A type of professional liability insurance, protecting the
insured against claims alleging bodily injury or property
damage caused by the professional or technical incompetence
of the insured.
Estimated premium , see
Deposit premium.
Estoppel - The legal doctrine
that a party may be precluded from denying that certain rights
exist if, by behavior or implication that such rights did,
in fact, exist, another party has acted upon this information
to his or her detriment.
Ex gratia payment - A payment
by an insurer to an insured for which there is no contractual
liability. Such payments are sometimes made as a goodwill
gesture if there is the possibility of a misunderstanding
or a mistake.
Examination under oath
- Found in the conditions section of many insurance policies,
the insurer's right to examine an insured under oath following
a loss.
Excess insurance - Coverage
that applies on top of underlying insurance that is primary,
i.e., that pays until its coverage limit is exhausted at which
point the excess coverage takes over.
Excess or surplus lines market
- The range of insurance available through non-admitted insurers,
i.e., insurance companies that are not licensed in a particular
state or territory. Specific provisions of state or territorial
law control placements.
Exclusive agency system ,
see Captive agent.
Expense ratio - The dollar
amount that represents acquisition and service costs, expressed
as a percentage of written premium.
Experience - A record of
losses.
Experience modification
- The raising or lowering of premiums under terms of an experience-rating
plan.
Experience rating - A method
of rating that uses past experience to establish current rates.
Explosion - An extended
coverage peril and currently a covered peril in nearly every
policy of property insurance. The peril remains distinct from
steam boiler explosion, which is covered by boiler & machinery
insurance.
Extended coverage - An
early and indivisible "package" of property insurance perils
said to have been devised to make possible the spread of windstorm
insurance beyond the highly exposed coastal and plains states.
For those whose exposure to windstorm was less, "extended
coverage" also encompassed smoke damage, hail, riot and civil
commotion, aircraft and vehicle damage, and explosion insurance.
Included here for historic purposes only since the term, "extended
coverage," is no longer in general use.
Extended non-owner liability
- A personal auto policy endorsement that provides broader
liability coverage for specifically named individuals. When
attached, it covers: (1) non-owned autos furnished for the
regular use of an insured; (2) use of vehicles to carry persons
or property for a fee; and (3) broader coverage for business
use of vehicles.
Extended period of indemnity
- A time for recovery of proved business income loss after
physical property is restored and business reopened. The 30-day
extension included in many business income forms may be extended
by endorsement.
Extended recovery period ,
see Extended period of indemnity.
Extended reporting period ,
see Claims-made coverage.
Extra expense insurance
- Depending on an insured's requirements, this coverage may
be purchased as a supplement to business income insurance,
applying to expediting expenses that aid in quickly restoring
the insured's operations after a covered loss; or it can be
the primary coverage sustaining the extra cost of continuing
doing business for those insureds who would find it extremely
damaging to fail to meet customer commitments, e.g., newspapers,
dairies, etc.
F
Factory mutual - A mutual
insurance company insuring only properties that meet high
underwriting standards. The typical risk is fire-resistive
construction with a central station alarm.
Facultative reinsurance
- A separate reinsurance agreement that is negotiated for
a particular risk or insurance policy.
Fair Credit Reporting Act
- Public Law 91-508 requires that an insurer tell an applicant
if a consumer report may be requested. The applicant must
also be told the scope of the possible investigation. Should
the application be declined because of information contained
in that report, the applicant must be given the name and address
of the reporting agency. The insurer may not reveal the contents
of the report. Only the agency that compiled the report may
release its contents.
FAIR plan - An acronym
for Fair Access to Insurance Requirements, these plans have
been established in many states to make fire and extended
coverage (and homeowners in some states) available in areas
otherwise not addressed by the voluntary market.
Fair rental value - An
amount payable to an insured homeowner for loss of rental
income due to damage that makes the premises uninhabitable.
Farmowners-ranchowners policy
- A "homeowners" type package policy adapted to include farm
and ranch exposures.
FEMA - Federal Emergency
Management Agency. This agency administers the National Flood
Insurance Program.
Fidelity bond , see Employee
dishonesty coverage.
Fiduciary - A generic term
for persons or legal entities such as executors, trustees,
and guardians appointed by the court, under a will, or by
a trust to manage, control, or dispose of the property of
others.
Fiduciary bonds , see Judicial
bonds.
Fiduciary liability insurance
- This insurance covers claims arising from: (1) a breach
of the responsibilities or duties imposed on a benefit plan
administrator; or (2) a negligent act, error, or omission
of the administrator.
File and use rating laws
- State laws that permit the use of new rates by an insurance
company without first obtaining the approval of that state's
insurance department.
Financial responsibility clause
- The clause in an auto policy stating that, when the policy
is certified as future proof of financial responsibility,
then the policy will comply with the financial responsibility
laws to the extent required.
Financial responsibility law
- When applied to automobile operations, this term signifies
the minimum statutory limits of an operator's responsibility
for bodily injury and property damage caused by negligent
operation of the vehicle.
Fine arts floater , see
Floater.
Fire - Combustion evidenced
by a flame or glow. Insurance distinguishes between a "hostile"
fire (one out of bounds) and "friendly" fire (such as that
contained within the firebox of a stove).
Fire department service charge
- A fee that may be imposed by a fire department for responding
to a call. Most fire coverage agreements include indemnification
provisions for such eventualities.
Fire legal liability -
Public liability policies routinely exclude coverage for damage
to property in an insured's care, custody, or control. This
leaves a big gap in a tenant's coverage, a gap partially filled
by an exception in the commercial general liability policy
that restores limited coverage for fire damage to the landlord's
building. Perhaps the best benefit of the exception is to
call attention to the exposure so arrangements can be made
for broader coverage at appropriate limits.
Fire mark - An insignia,
attached to the outside of a house, that represented the insurer
of the house.
First named insured - An
insurance policy may have more than one party named as insured.
In such cases, the first named insured attends to policy "housekeeping,"
i.e., pays premiums, initiates (or receive notice of) cancellation,
or calls for interim changes in the contract. This is spelled
out in commercial policies in the "common policy conditions."
Fixtures - Generally, something
tangible that is fixed or attached, as to a building, so that
it becomes an appendage or structural part.
Flat cancellation , see
Cancellation.
Fleet policy - Written
for a risk that has five or more vehicles.
Flesch test - A method
to determine the degree of ease or difficulty for reading
material. It counts not only the number of words in a sentence,
but also the number of syllables in each word. Some states
require that insurance con-tracts be written so that they
have a certain readability level (often, 8 th grade).
Floater - An inland marine
form covering movable property wherever located within territorial
limits.
Flood - A general and temporary
condition of partial or complete inundation of dry land caused
by the overflow of the natural boundaries of a body of water
or the unusual and rapid accumulation of surface water runoff.
Some insurance policies that include flood as a covered peril
only insure against damage caused by overflow of the natural
boundaries of a body of water, but other policies also may
insure against surface water losses.
Flood insurance - Flood
insurance, like earthquake coverage, is usually only of interest
to those relatively few whose property is exposed. Consequently,
losses among this small group will be high and premiums can
be prohibitive. However, in 1968 the Federal government stepped
in to help property owners in designated "flood plains" with
the National Flood Insurance Act of 1968. Coverage is not
only available, but may even be required to obtain financing
for exposed properties.
Flood Insurance Rate Map (FIRM )
- Provided by FEMA (Federal Emergency Management Agency),
this map delineates base flood elevations and flood risk zones,
and is used for rating purposes for flood insurance.
Forgery or alteration coverage
- This type of insurance covers loss sustained through forgery
or alteration of outgoing negotiable instruments made or drawn
by the insured; drawn on the insured's account(s); or made
or drawn by someone acting as the insured's agent. This includes
loss caused by any of the following: (1) Checks or drafts
made or drawn in the insured's name, payable to a fictitious
entity; (2) Checks or drafts, including payroll checks, executed
through forged endorsements; and (3) Alteration of the amount
of a check or draft.
Form - The central document
or documents of an insurance contract. Forms may be altered
by endorsement.
Fraud - The intentional
perversion of the truth in order to mislead someone into parting
with something of value.
Friendly fire , See Fire.
Fronting - The practice,
in reinsurance, of the ceding company retaining only a small
portion of a risk and ceding the remainder to a reinsurer.
Functional replacement cost -
The cost to repair or replace damaged property with materials
that are functionally the equivalent of the damaged or destroyed
property. For example: replacing a solid mahogany banister
with a pine banister.
Fur floater , see Floater.
Furriers customers insurance ,
see Bailees floater.
G
Gap coverage - Insurance
for a lessee designed to cover the difference in selling price
between a vehicle's actual cash value, and the payout left
on a lease.
Garage policy - One of
the early package policies, it is written for automobile dealers
and may include liability insurance for garage operations,
automobile operations, physical damage coverage on garage
owned autos, bailees coverage on customers cars, and auto
and premises medical payments coverage.
Garagekeepers liability
- A bailee coverage applying to automobiles. Commonly included
in garage policies, it may be written to provide coverage
for limited perils or for comprehensive physical damage, with
or without collision damage coverage. Coverage may be expressed
as covering the legal liability of the garagekeeper or amended
to cover on a direct basis, as primary insurance or excess.
General liability insurance ,
see Commercial general liability.
Glass insurance - Commercial
property form that covers plate glass, glass signs, lettering,
etc.
Gross earnings coverage
- An outdated term for business income coverage.
Guarantee funds - State
mandated funds collected from licensed insurers and maintained
as backup protection for policyholders of bankrupt insurers.
Guiding principles - Suggested
procedures for establishing primacy of coverage in situations
involving loss under a variety of coverage forms and, perhaps,
more than one interested party. Last promulgated in the 1960s,
the spirit of the principles survives because insurers apparently
find that the prescribed procedures commonly lead to equitable
settlements for all parties.
H
Hangarkeepers legal liability
- A bailee coverage for those charged with the care of aircraft
owned by their customers.
Hard market - A condition
of the insurance marketplace in which insurance is difficult
to obtain, and relatively expensive.
Hazard - Generally, a condition
that increases the possibility of loss.
Hazardous waste - Term
generally used to refer to pollutants or contaminants which
result from industrial processing and must be disposed.
Highly Protected Risk (HPR) -
A building meeting certain standards of fire protection, which
is therefore eligible for a reduced rate.
Hired auto - A nonowned
auto that may be borrowed as well as rented or leased by the
insured. Personal auto policy insureds are covered automatically
for hired autos, but business auto policy insureds may not
be.
Hold harmless agreement
- A contractual assumption by one party of the liability exposure
of another. Lease agreements, for example, commonly require
the tenant to hold the landlord harmless for bodily injury
or property damage experienced by others on the premises.
Hole-in-one insurance -
Coverage designed for amateur golf tournaments in which there
is a substantial cash prize for anyone making a hole-in-one.
Holistic risk management
- See Enterprise-wide risk management.
Homeowners insurance -
An early and hugely successful example of "packaged" property
and liability insurance. A mid-twentieth century insurance
development was introduction of the so-called "multi-line
era" in which insurers became empowered to write both property
and liability forms of insurance, making way for the first
packaging of these coverages within a single policy.
Host liquor liability -
Part of the CGL, this covers the incidental serving of alcohol
by an insured who is not in the business of serving alcohol.
Hostile fire , see Fire.
HPR - See Highly protected
risk.
Housekeeping - A generalized
term that refers to the overall care, cleanliness, and maintenance
of an insured's property.
Hull insurance - Ocean
marine insurance covering physical damage to the ship or vessel
insured. Usually, written on an "all-risks" basis.
I
Impaired property - A liability
exclusion relating to the insured's faulty products or work
that results in an "impairment" to the property to which it
is attached assuming the insured can salvage the situation
by replacing the property or redoing the work.
Improvements and betterments
- Anything that adds to the value of property. Commonly used
to describe a tenant's use interest in fixtures added to the
landlord's building. May also refer to permanent changes made
by a condominium unit-owner to his/her unit, such as the addition
of new kitchen cabinets.
Increased cost of construction
- A damaged building may have to be upgraded to be repaired
under building codes in force at the time of reconstruction.
Building owners in such situations need guidance in buying
insurance to cover this added exposure.
Incurred losses - The value
of claim payments plus reserves.
Indemnity - A fundamental
concept governing insurance: compensation for loss or injury
sustained.
Independent adjuster -
An individual or member of a firm who contracts with insurers
to investigate claims and suggest appropriate settlements.
Contrast with Public adjuster.
Independent agent - A "retailer"
of insurance who, by contractual arrangement with a number
of insurance companies, sells and services property and liability
insurance. The independent agent "owns" the policy information
and expiration dates of his client's coverage and thus controls
renewals and their placement.
Independent Insurance Agents of America
(IIAA) - An association of insurance agents who
are independent contractors, and represent one or more insurers.
Sometimes referred to as the "Big I."
Indirect damage - Sometimes
referred to as indirect loss, this is loss resulting from
a peril, but not directly caused by that peril. An example
is fire damaging a freezer (direct damage), with resultant
food spoilage (indirect damage).
Inflation guard endorsement
- An endorsement attached to an insurance policy whereby the
limits of liability on a piece of property are increased on
a regular basis by a certain percentage in order to offset
increasing building costs associated with inflation.
Inherent vice - A flaw
in an item of property that will, in time, reveal itself and
show the property as damaged. Property insurance does not
normally cover such damage.
Inland marine insurance
- Property insurance signaling broad coverage of properties
exposed to the transportation peril and those subject to being
used or kept at a location other than the insured's customary
premises. Eligible property is identified in the Nationwide
Definition of Marine Insurance.
Innkeepers legal liability
- A bailee coverage purchased by innkeepers to cover the property
of their guests.
Insolvency fund - See Guarantee
funds.
Inspection Report - A report
prepared for an insurer by an outside organization. It provides
information about an applicant's or insured's physical, financial,
and moral attributes.
Insurable interest - The
potential for financial loss associated with damage or destruction
of property.
Insurable risk - The exposure
to significant, measurable accidental loss from identifiable
perils. The exposure, while not catastrophic, must be shared
by a sufficient number of potential insureds so that the cost
of loss for one can be measured and affordably shared throughout
the market.
Insurance - A mechanism
whereby risk of financial loss is transferred from an individual,
company, organization, or other entity to an insurance company.
Insurance contract - A
legal document defining circumstances under which the insurer
will pay, and the amount to be paid. Also see Insurance policy.
Insurance exchange - See
Reciprocal exchange.
Insurance Institute for Highway Safety
- A not-for-profit research organization, well known
for its auto "crash tests."
Insurance policy - The
document containing the contract between the insured and the
insurer which defines the rights and duties of the contracting
parties.
Insurance Services Office (ISO)
- An organization providing statistical information, actuarial
analyses, policy language, and related services for the insurance
industry.
Insurance to value - The
concept of purchasing sufficient insurance coverage so as
to closely approximate the value of the property being insured.
Insured - The party or
parties whose interests are covered in a nonlife insurance
contract. The less common term Assured is sometimes used synonymously.
Insuring agreement - In
an insurance contract, the insurer's promise to pay.
Integrated risk financing
- A type of risk financing designed to provide integrated
protection against catastrophic losses. It may incorporate
both traditional and non-traditional types of exposures, or
it may include only traditional property and casualty risks.
Interline endorsements
- Commercial endorsements that apply, or could apply, to more
than one coverage as part of a package policy.
J
Jacket - The cover of an
insurance policy; it usually contains the name of the insurer,
its address, etc.
Jettison - Act of throwing
overboard part of a vessel's cargo or hull in hopes of saving
a ship from sinking.
Jewelers block insurance
- A policy especially designed for jewelers, it offers a combination
of coverages protecting against risks of physical loss to
property at the jeweler's premises, property in transit, or
customers' property in the insured's care.
Jewelry floater , see Floater.
Joint and several liability
- A legal doctrine whereby a creditor or claimant may demand
payment or sue one or more of the parties separately, or all
of them together.
Joint Underwriting Association (JUA)
- These are insurance pools representing all insurers
in a state. A few "servicing carriers" act on behalf of all
the insurers, issuing policies, receiving fees, and handling
claims. They are reimbursed for losses, and receive fees from
the JUA to cover operating costs.
Joint venture - A venture
in which two businesses join together to share risk or expertise
on a specific project or group of projects.
Jones Act - The Federal
act through which maritime workers are provided workers compensation
coverage (which ordinarily responds to the mandates of particular
states).
Judicial bonds - Two types
of bonds available to guarantee faithful performance of court
appointed duties. Fiduciary bonds guarantee the faithful performance
of persons entrusted by the courts in the management, conservation,
and disposition of property. Litigation bonds (or "court bonds")
are required in court actions. Bail bonds and appeals bonds
are litigation bonds; where the bond amount is forfeited if
the bonded person disappears or the appeal is lost.
Jumbo risk - A policy of
insurance written with exceptionally high limits.
K
Keeton-O'Connell , see No
fault auto insurance.
Key employee insurance
- Life insurance written on the life of an organization's
officer or other key employee, the loss of whom would cause
the organization financial hardship.
Kidnap-Ransom insurance
- A specialty coverage offered in the surplus and excess lines
markets that responds to ransom demands for recovery of kidnap
victims.
L
Lapse - Termination of
a policy because of failure to pay the premium.
Larceny - The unlawful
taking of personal property of another.
Latent defect - A hidden
flaw that will, in time, cause property damage that is uninsurable.
Such damage is uninsurable because the element of chance is
no longer present.
Law of large numbers -
An underlying principle of insurance; the larger the number
of participants in a given arrangement, the more accurate
the rate is to the exposure.
Leased worker - A worker
leased from another organization on a long-term basis.
Leasehold interest insurance
- The insurable interest is that of a tenant who has some
years remaining under a favorable lease that is subject to
termination upon significant damage to the leased property.
Legal liability - Liability
imposed by law; this includes liability based on negligence,
strict liability, or contractual liability.
Libel - Written defamation
of another's reputation.
Liberalization clause -
A feature of property policies that promises that any future
change in the company's form that would broaden coverage with
no change in premium will automatically apply under the policy
currently in force.
License and permit bonds
- Suretyship guaranteeing that the principal will abide by
the rules and obligations imposed by licensing laws or ordinances.
For example, an electrician may have to post such a bond guaranteeing
compliance with building codes before being licensed by a
municipality.
Limited partnership - A
form of partnership that consists of one or more general partners,
who actively engage in the business, and one of more special
partners, who are not liable for the debts of the partnership
beyond their initial financial contribution. Commercial insurance
policies usually differentiate in the "Who Is Insured" section
between corporations, partnerships, and other business models.
Therefore, the type of model being insured is important.
Liquor liability insurance
- Liability coverage for owners and operators of establishments
selling or serving alcoholic beverages. Litigation bonds,
see Judicial bonds.
Livery use - An exclusion
in automobile liability policies applying to the use of autos
to carry persons for hire as in a taxi service. A share-the-ride
car pool is not "livery use."
Livestock insurance - Life
insurance on livestock covering death by named perils.
Lloyd's of London - An
association of individuals, called "names," or groups of individuals
who write insurance for their own accounts. Lloyd's had its
be-ginning in 17 th century London in Edward Lloyd's coffee
house.
Loading and unloading exclusion
- A feature of commercial general liability (CGL) policies
intended to separate that coverage from the automobile exposure.
The CGL coverage ends at the point where an item is picked
up for loading onto an auto and resumes at the point where
the item is deposited upon unloading.
Long tail - Refers to liability
under policies written on an occurrence basis. Claims stemming
from injury or damage occurring years earlier can be presented
for coverage long after the policy has expired. Contrast with
Claims-made.
Longshore and Harbor Worker's Act
- A Federal law that specifies compensation amounts
for injured longshore and harbor workers. Formerly referred
to as the Longshoremen's and Harbor Workers Act.
Loss - An unintentional
decline or disappearance in value arising from an event.
Loss adjustment expenses
- Payments by an insurer for the investigation and settling
of claims. They include the cost of defending a lawsuit in
court.
Loss assessment coverage
- Insurance responding to property or liability loss of a
property owners association that are not covered by the association's
master policy.
Loss control - Actions
to reduce the frequency or severity of losses. Installing
locks, burglar or fire alarms and sprinkler systems are loss
control techniques.
Loss costs - Loss data
that has been modified by insurance advisory organizations
by necessary loss development, trending, and credibility processes
in order to arrive at the statistical cost of losses to be
used in establishing a premium rate.
Loss development - An actuarial
method to detect and |