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Insurance Terms
Jeopardy
235
Finance
Undergraduate 4
11/18/2013

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Term
Bailee
Definition
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.
Term
Bailees liability insurance
Definition
Insurance covering damage negligently caused by a bailee or employee to goods left in their care.
Term
Bailment
Definition
The act of delivering property in trust to another for a limited time and specific purpose.
Term
Bailor
Definition
The person delivering property to another in trust.
Term
Basic Causes of Loss
Definition
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.
Term
Basic Named Perils
Definition
Covered perils in a property insurance contract: fire, lightning, windstorm, civil commotion, smoke, hail, aircraft, vehicles, explosion and riot.
Term
Beach Plans
Definition
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.
Term
Betterment
Definition
A term used to express the difference in the value of property before loss and after restoration.
Term
Binder
Definition
An insurer’s agreement, by way of an agent, to provide non-life insurance on the spot, pending issuance of the policy contract.
Term
Binding Authority
Definition
The authority extended to an agent by an insurer to provide insurance, usually on a temporary basis, until a policy can be written.
Term
Blanket coverage
Definition
A means of insuring various items of property under one limit of liability.
Term
Blanket insurance
Definition
Insurance covering multiple items of property as a group. Covered property may be at one location or several.
Term
Bodily Injury
Definition
A term that refers to physical injury, sickness, or disease, or death resulting therefrom. In some jurisdictions "bodily injury" includes emotional injury.
Term
Bodily Injury Liability
Definition
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.
Term
Boiler & Machinery Insurance
Definition
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.
Term
Fidelity Bond
Definition
A bond that guarantees the principal’s honesty
Term
Surety Bond
Definition
A surety bond is the financial assumption of responsibility by one or more persons for fulfilling another’s obligations.
Term
Book of Business
Definition
The accounts written by an agent or company.
Term
Bordereau
Definition
A written schedule of insureds, premiums, and losses submitted to reinsurers under certain types of reinsurance agreements.
Term
Boycott
Definition
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.
Term
Broad form perils
Definition
A property insurance designation for coverage that extends beyond the basic named perils
Term
Broad form property damage endorsement
Definition
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.
Term
Broker
Definition
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.
Term
Builders Risk Insurance
Definition
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.
Term
Bumbershoot
Definition
A form of coverage similar to an umbrella, having to do with ocean marine risks
Term
Business Auto Policy
Definition
A standardized contract for writing liability and property coverage on commercial autos
Term
Business Income Coverage
Definition
Insurance protecting the income derived from an insured’s business activities when curtailed by a covered peril.
Term
Business Personal Property
Definition
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.
Term
Business Owners policy
Definition
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.
Term
Backdated Liability Insurance
Definition
Coverage procured for claims after a loss event has actually happened. This type of coverage is offered when the amount of the claim is very uncertain and potentially long delays in payment may result.
Term
back-to-back deductible
Definition
Refers to a deductible arrangement under which the deductible under the policy equals the policy limits.
Term
Bad Faith
Definition
A term describing blatantly unfair conduct that exceeds mere negligence by an insurance company.
Term
Bailee
Definition
A person or organization to which possession of the property of others has been entrusted, usually for storage, repair, or servicing.
Term
Bankruptcy Condition
Definition
A common insurance policy condition that prevents an insurer from being relieved of its obligations in the event of bankruptcy or insolvency of the insured or the insured's estate.
Term
Bareboat Charter
Definition
An agreement between a ship owner and a charterer (an individual or company chartering a vessel) that essentially gives the charterer complete responsibility for the vessel and its operation over the course of the charter.
Term
Bare Walls Coverage
Definition
Under this coverage, the condominium association insures only the bare structure of the individual condominium building; the structure, fixtures, and furnishings of collectively owned areas; and the collectively owned personal property of the association.
Term
Basic Causes of Loss Form
Definition
This form provides coverage for the following named perils: fire, lightning, explosion, smoke, windstorm, hail, riot, civil commotion, aircraft, vehicles, vandalism, sprinkler leakage, sinkhole collapse, and volcanic action.
Term
Basic Extended Reporting Period
Definition
In professional liability policies, this is the extending of the reporting period for 30 to 60 days at no additional charge when the insurer cancels or nonrenews the policy.
Term
Basic Limits
Definition
The minimum limits of liability that can be purchased by an insured.
Term
Basic Premium
Definition
In a retrospective rating plan, the policy standard (or subject) premium multiplied by the basic premium factor or basic premium ratio.
Term
Basket Aggregate
Definition
An aggregate loss limit (or deductible) applicable to multiple lines of coverage.
Term
Basket Deductible
Definition
deductible is a single retained limit designed to fund losses from multiple risks
Term
Basket Retention
Definition
Excess liability insurance that attaches once retained losses for several lines of coverage (e.g., workers compensation and general liability) reach a certain specified level.
Term
Batch Clause
Definition
A provision found in professional liability policies stating that only one deductible (or retention) applies per wrongful act, regardless of the number of claims resulting from that act.
Term
Batch Clause
Definition
A limitation provision, used most frequently in products liability and umbrella liability policies, that places coverage for all claims arising out of defective products produced in a single manufacturing run (or batch) within a single occurrence limit.
Term
Below Target Risk
Definition
The expected value of unfavorable deviations of a random variable from a specified target level.
Term
Beneficiary
Definition
A person named by the insured to receive the proceeds or benefits accruing under a life policy.
Term
Benefits
Definition
Compensation for loss and other services provided by insurers under terms of insurance contracts.
Term
Benefits Payable Exclusion
Definition
A standard exclusion in fiduciary liability policies precluding coverage for claims involving payment of benefits owed to a claimant, if monies are available within the plan to make such a payment.
Term
Best's rating
Definition
The rating system developed and published annually by A.M. Best Company that indicates the financial condition of insurers.
Term
Betterment Clause
Definition
A provision, often found in the physical damage section of automobile insurance policies, which stipulates that if the repair or replacement of the damaged parts results in better than "like kind or quality," the insurers will not pay for this net improvement.
Term
Betterment Clause
Definition
This clause is designed to preserve the concept of indemnity so the insured does not profit from the loss when the circumstances are such that it is impossible for the insurer to repair or replace the property without bettering the insured's position.
Term
Bifurcation
Definition
Usually refers to situations in which the issues of liability and damages are separated and tried independently.
Term
bilateral extended reporting period provision
Definition
An extended reporting provision found in a claims-made policy that allows the insured to purchase an extended reporting period (ERP) if either the insured or the insurer decides to cancel or nonrenew the policy.
Term
Bill of Lading
Definition
A document that serves both as a receipt for goods being shipped and a contract defining the extent of the transporter's liability.
Term
Binder
Definition
A legal agreement issued by either an agent or an insurer to provide temporary evidence of insurance until a policy can be issued.
Term
Black Lungs Benefits Act of 1973
Definition
This legislation, Title IV of the Federal Coal Mine Safety and Health Act (FCMS&HA) of 1969, and its various amendments provide coverage for mine workers whose exposure to coal dust has resulted in total disability or death due to chronic lung disease. The act grants coverage to address medical treatment and lost wages of the worker in the case of total disability and death benefits to the survivors and dependents in the event of death.
Term
Blanket Additional Insured Endorsement
Definition
An endorsement sometimes attached to liability insurance policies that automatically grants insured status to a person or organization that the named insured is required by contract to add as an insured.
Term
Blanket Limit
Definition
A single limit of insurance that applies over more than one location or more than one category of property coverage, or both.
Term
Blue Book
Definition
The regulatory report filed by life, accident, and health insurers in the United States, named for its cover.
Term
Boat Owners Policy
Definition
The most common type of watercraft policy for individuals and families. This policy combines property, liability, medical payments, and uninsured boatowners coverage.
Term
Bodily Injury
Definition
Liability insurance term that includes bodily harm, sickness, or disease, including resulting death.
Term
Bond
Definition
A three-party contract in which one party, the surety, guarantees the performance or honesty of a second party, the principal (obligor), to the third party (obligee) to whom the performance or debt is owed.
Term
Bonding
Definition
The process by which bonds are written.
Term
Bordereau
Definition
A report providing premium or loss data with respect to identified specific risks. This report is periodically furnished to a reinsurer by the ceding insurers or reinsurers.
Term
Borderline Risk
Definition
A person, organization, or property of doubtful underwriting quality.
Term
Bornhuetter-Ferguson technique
Definition
An actuarial technique for developing losses to estimate their ultimate amount.
Term
Borrowed Servant Rule
Definition
this rule applies when an express or implied contract of hire exists between the special employer and the injured worker, the worker is engaged primarily in work for the special employer, and the special employer controls the details of the work.
Term
Borrowed Servant Rule
Definition
common law legal doctrine stipulating that if an employer (usually referred to in this rule as the special employer) borrows a worker from another employer (usually referred to in this rule as the general employer), the special employer can be held liable for the borrowed employee's actions, despite the fact that a permanent employee-employer relationship does not exist.
Term
Brand Equity
Definition
The consumer confidence, loyalty, and favorable reputation that a business's product or service has earned in the marketplace.
Term
Brand Rehabilitation
Definition
Rebuilding consumer confidence and loyalty in a business or product following a product tampering, contamination, or similar event.
Term
Brands and Labels Endorsement
Definition
A property insurance endorsement that grants permission for the insured to remove labels from damaged goods or mark the items as "salvage," provided the goods are not damaged in the process.
Term
Breach
Definition
Failure to live up to the conditions or warranties contained in a contract.
Term
Breach of Contract
Definition
A material failure to fulfill one's contractual obligationsIn some cases, most notably construction defect claims, this has led to extensive litigation over what constitutes a breach of contract versus ordinary negligence.
Term
Break Point
Definition
The point at which layers of losses within a captive or risk retention group (RRG) are differentiated as being either "primary" or "excess" losses.
Term
Broad Causes of Loss Form
Definition
provides named perils coverage for the perils insured against in the basic causes of loss form (fire, lightning, explosion, smoke, windstorm, hail, riot, civil commotion, aircraft, vehicles, vandalism, sprinkler leakage, sinkhole collapse, volcanic action), plus the following additional perils: falling objects; weight of snow, ice, or sleet; water damage (in the form of leakage from appliances); and collapse from specified causes.
Term
Broad Evidence Rule
Definition
A valuation rule that has evolved in some states and does not adhere to the principle that the traditional measure of actual cash value (ACV) (replacement cost less depreciation) is the sole measure of value at the time of loss.
Term
Broad Form Contractual liability Insurance
Definition
Contractual liability insurance that covers liability transferred in a wide variety of business contracts.
Term
Broker
Definition
An insurance intermediary who/that represents the insured rather than the insurer.
Term
Brokerage Department
Definition
An insurance company department that aids brokers in placing business, frequently on a worldwide basis.
Term
Brokerage Market
Definition
Reinsurers that write business through reinsurance intermediaries.
Term
Buffer Layer
Definition
Any layer of insurance (or risk retention) that resides between the primary (burning) layer and the excess layers.
Term
Builders Risk Policy
Definition
A property insurance policy that is designed to cover property in the course of construction.
Term
Building Ordinance Coverage
Definition
Coverage for loss caused by enforcement of ordinances or laws regulating construction and repair of damaged buildings.
Term
Building Rate
Definition
The rate charged for property insurance on a building as opposed to the rate charged for property insurance on the contents of a building.
Term
Bullying
Definition
A type of conduct in which one person harasses another person over a time period, in a workplace environment.
Term
Burden of Proof
Definition
The standard by which a fact or a claim must be proven to prevail.
Term
Burglary
Definition
Theft of property from within a premises by a person who unlawfully enters or exits from the premises.
Term
Business Auto Policy
Definition
A commercial auto policy that includes auto liability and auto physical damage coverages; other coverages are available by endorsement.
Term
Business Continuity Plan
Definition
A written document summarizing steps to take in the event of a disaster—manmade or natural—assessing the business's ability to recover from the loss event and subsequent business interruption.
Term
Business Income Coverage
Definition
Commercial property insurance covering loss of income suffered by a business when damage to its premises by a covered cause of loss causes a slowdown or suspension of its operations.
Term
Business Risk
Definition
A risk of loss so closely tied to an insured's way of doing business that it is considered not to be an appropriate subject of insurance coverage; such risks are typically addressed as overhead (i.e., the cost of the loss is included in the price of the business's products or services) or as a subject for loss control.
Term
Business Use Class
Definition
A classification by vehicle usage, used in classifying commercial vehicles.
Term
Buyback Deductible
Definition
A deductible contained in the basic policy that may be removed by paying additional premium when full coverage is required.
Term
Buy/Sell Agreement
Definition
A contract among members of a firm that provides for the continuation of the business through an agreement by which each principal agrees that, in the event of his or her death, his or her estate will sell its interest back to the business entity for a predetermined amount.
Term
Abandonment
Definition
A clause in property insurance policies prohibiting the insured from abandoning damaged property to the insurer for repair or disposal.
Term
Abatement
Definition
The act or process of diminishing the presence of a pollutant (e.g., asbestos or lead) in either degree or intensity.
Term
Accept
Definition
To agree to insure.
Term
Accident
Definition
an event that must cause bodily injury (BI) or property damage (PD) to trigger coverage.
Term
Accommodation Line
Definition
When an insurer accepts from an agent, broker, or the insured—whose account is otherwise satisfactory—one or more lines of coverage that would ordinarily be declined if considered strictly on the merits of the individual risk.
Term
Account Current
Definition
A monthly statement to the insurer by its agent showing policy numbers, premiums written, return premiums, commissions, and net amount due to or from the insurer.
Term
Accreditation
Definition
Process in which a state passes all the National Association of Insurance Commissioners (NAIC) model acts and otherwise passes muster; commercial insurers domiciled there will be acceptable security in other states.
Term
Accredited Adviser in Insurance
Definition
Professional designation resulting from a joint effort of the Insurance Institute of America (IIA) and the Independent Insurance Agents of America (IIAA).
Term
Accumulation
Definition
In property-casualty (P&C) insurance, refers to the total combined risks that could be involved in a single loss event (involving one or more insured perils).
Term
Acquisition Costs
Definition
Direct costs an insurer incurs to "acquire" the premium
Term
Act-As-One Provision
Definition
In reinsurance contracts, a provision that is included to avoid the situation where multiple reinsurers are all part of the same dispute and each wants to appoint its own arbitrator.
Term
Act of God
Definition
An accident or event resulting from natural causes, without human intervention or agency, and one that could not have been prevented by reasonable foresight or care—for example, floods, lightning, earthquake, or storms.
Term
Act of God
Definition
This is a peril terminology found in ocean and inland marine policies.
Term
Actual Cash Value
Definition
the cost to repair or replace the damaged property, minus depreciation
Term
Actual Cash Value
Definition
The damaged property's "fair market value"
Term
Actuary
Definition
An individual who computes statistics relating to insurance, typically estimating loss reserves and developing premium rates.
Term
Additional Insured
Definition
A person or organization not automatically included as an insured under an insurance policy of another but for whom the named insured desires or is required to provide a certain degree of protection under its insurance policy.
Term
Additional Insured Endorsement
Definition
Policy endorsement used to add coverage for additional insureds by name
Term
Additional Living Expense Coverage
Definition
This coverage reimburses the insured for the cost of maintaining a comparable standard of living following a covered loss that exceeds the insured's normal expenses prior to the loss.
Term
Additional Named Insured
Definition
A person or organization, other than the first named insured, identified as an insured in the policy declarations or an addendum to the policy declarations.
Term
Adhesion Contract
Definition
Contract issued by one party that does not require signature by the other party to be valid.
Term
Adjuster
Definition
One who settles insurance claims.
Term
Adjuster
Definition
In liability insurance, the this person coordinates the insured's defense and participates in settlement negotiations.
Term
Admiralty Law
Definition
All areas of law relating to maritime activity, including personal injury (PI) liability, property damage (PD) liability, and maritime contracts.
Term
Admitted Assets
Definition
Assets whose value is included in the annual statement of an insurer to the state commissioner of insurance
Term
Admitted Insurer
Definition
A company licensed or authorized to sell insurance to the general public.
Term
Admitted Company
Definition
licensed on a state-by-state basis and differentiated from surplus lines insurers,
Term
Admitted Insurance
Definition
Insurance written by an insurer licensed to do business in the state or country in which the insured exposure is located.
Term
Admitted Insurer
Definition
An insurer licensed to do business in the state or country in which the insured exposure is located.
Term
Adverse Selection
Definition
An imbalance in an exposure group created when persons who perceive a high probability of loss for themselves seek to buy insurance to a much greater degree than those who perceive a low probability of loss.
Term
Advertising Injury
Definition
insures the following offenses in connection with the insured's advertising of its goods or services: libel, slander, invasion of privacy, copyright infringement, and misappropriation of advertising ideas.
Term
Advisory Endorsement
Definition
An endorsement developed by a rating bureau and distributed to member insurers but not filed with the state insurance departments on behalf of the member insurers.
Term
Affiliated Companies
Definition
Insurance companies linked together through common ownership or interlocking directorates.
Term
Age Discrimination in Employment Act
Definition
A law that prohibits the making of employment decisions (e.g., hiring, promotion) based on age.
Term
Agency
Definition
An office where insurance is sold. It may be directed toward property and liability insurance, life and health insurance, or both.
Term
Agency Agreement
Definition
written contract stipulating the arrangement between an insurance agency and the insurer it represents.
Term
Agency Agreement
Definition
Important details such as ownership of renewals, commission percentages, and duties and responsibilities of each party are usually spelled out in this agreement.
Term
Agent
Definition
the legal representatives of insurers, rather than policyholders, with the right to perform certain acts on behalf of the insurers they represent, such as to bind coverage.
Term
Agent of Record
Definition
The individual or company authorized to represent an insured in the purchase, servicing, and maintenance of insurance coverage with a designated insurer.
Term
Aggregate Limits
Definition
A limit in an insurance policy stipulating the most it will pay for all covered losses sustained during a specified period of time, usually a year.
Term
Aggregate Deductible
Definition
The maximum amount the insured can pay as deductibles over a specified period, typically 1 year.
Term
Aggregate Excess Amount
Definition
Provides coverage once the total claims for an annual period exceed a predetermined retention amount.
Term
Aggregate Excess of Loss Reinsurance
Definition
A form of reinsurance that stipulates participation by the reinsurer when aggregate excess losses for the primary insurer exceed a certain stated retention level.
Term
Aggregate Limit of Liability
Definition
An insurance contract provision limiting the maximum liability of an insurer for a series of losses in a given time period
Term
Agreed Value Provision
Definition
A commercial property insurance provision that suspends the coinsurance clause until a specified expiration date.
Term
Aleatory Contract
Definition
An agreement concerned with an uncertain event that provides for unequal transfer of value between the parties.
Term
Alienated Premises
Definition
Premises that have been sold or given away to another or abandoned.
Term
Alien Insurer
Definition
An insurer domiciled in and licensed under the laws of a country outside a given jurisdiction.
Term
Allegations
Definition
Unsupported assertions that each party to a dispute intends to prove.
Term
All-Inclusive Coverage
Definition
the condominium association master policy covers all real property in a residential condominium structure, including fixtures in individual units and any structural improvements, betterments, or additions that the individual unit owner has made.
Term
All-Inclusive Coverage
Definition
This provides coverage to replace a condominium unit to the condition it was in at the time of the loss.
Term
Allocated Expenses
Definition
In workers compensation insurance, expenses associated with handling a specific claim other than payments for medical or indemnity benefits
Term
allocated loss adjustment expense (ALAE)
Definition
Loss adjustment expenses that are assignable or allocable to specific claims. Fees paid to outside attorneys, experts, and investigators used to defend claims are examples
Term
Allocation
Definition
The assignment to individual policies of the obligation to defend or indemnify an insured when injury or damage has occurred during a succession of policy periods.
Term
All Risks Coverage
Definition
Property insurance covering loss arising from any fortuitous cause except those that are specifically excluded
Term
AM Best Rating
Definition
The ratings are often used to determine the claims-paying ability, suitability, service record, and financial stability of insurance companies.
Term
Alternative Market
Definition
A term commonly used in risk financing to refer to one of a number of risk funding that provide coverages or services outside the realm of that provided by most traditional property-casualty (P&C) insurers.
Term
AMERCO v. Commissioner
Definition
One of three cases decided in January 1991 in which premiums paid to wholly owned insurance companies were deemed deductible expenses. Substantial unrelated business, among other tests, was critical.
Term
American Institute for Chartered Property Casualty Underwriters
Definition
An independent nonprofit organization providing educational programs and professional certification to people engaged in the property-casualty (P&C) insurance industry.
Term
Annual Aggregate Deductible
Definition
The amount by which a loss or applicable coverage limit is reduced in order to determine the amount of the insured's recovery.
Term
Annual Statement
Definition
A yearly report required by the state insurance commissioner detailing an insurer's income, expenses, assets, and liabilities, along with other pertinent data.
Term
Annuitant
Definition
The recipient of periodic payments made over a specified period.
Term
Annuity
Definition
A stream of periodic payments made over a specified period.
Term
Anti-Indemnity Statute
Definition
A law that defines the scope of legal liability that one party may transfer to another in a contract.
Term
Apparent Agency
Definition
A legal doctrine applied in connection with estoppel stating that an agent has whatever power a reasonable person would assume that agent to have.
Term
Appeal
Definition
The submission of a decision to a higher court for its review and possible reversal.
Term
Application
Definition
A form providing the insurer with certain information necessary to underwrite a given risk.
Term
Application of Retention
Definition
Under an excess liability policy, the practice of specifying a retention amount that applies on a different basis to different types of covered loss.
Term
Apportionment
Definition
Involves the question of "how much" each of two or more policies covering a risk, which sustained a loss, will contribute to that loss.
Term
Appraisal Clause
Definition
Property insurance provision allowing either the insurer or the insured to demand a binding appraisal of damaged property in the event of a dispute as to its value and establishing the required appraisal procedure.
Term
Approval
Definition
Acceptance of a given risk by an insurer because the underwriting standards of the insurer have been met.
Term
"A" Rates
Definition
The underwriter develops these rates on an individual risk basis, according to what the underwriter believes is an equitable rate commensurate with risk involved.
Term
"A" rates
Definition
Judgment rates that do not have loss experience statistics as a foundation for their development.
Term
Arbitration
Definition
Referral of a dispute to an impartial third party chosen by the parties in the dispute who agree in advance to abide by the arbitrator's award issued after a hearing at which both parties have a chance to be heard.
Term
Arbitration Clause
Definition
Language providing a means of resolving differences between a reinsurer and the reinsured (or an insurer and an insured) without litigation.
Term
Assessment Company
Definition
An insurer retaining the right to assess additional charges above initial premium when those premiums are shown to be inadequate to cover the costs of operation.
Term
Assignee
Definition
The receiver of policy rights through an assignment.
Term
Assigned Risk Plan
Definition
A method of providing insurance required by state insurance codes for those risks that are unacceptable in the normal insurance market.
Term
Assignment
Definition
A transfer of legal rights under, or interest in, an insurance policy to another party.
Term
Assumption
Definition
The amount of risk accepted by a reinsurer
Term
Assumption of Risk
Definition
If a person knows the consequences of a particular act and voluntarily accepts that risk, he or she is solely responsible for any resulting injury.
Term
Auto Coverage Symbols
Definition
Numbers used to denote to what category of autos a commercial auto policy's various coverages will apply.
Term
Automatic Additional Insured Endorsement
Definition
This is sometimes attached to liability insurance policies that automatically grants insured status to a person or organization that the named insured is required by contract to add as an insured.
Term
Automatic Insureds
Definition
Persons or organizations that are provided with insured status by the terms of an unendorsed policy.
Term
Average rate
Definition
A single rate applying to property at more than one location that is a weighted average of the individual rates applicable to each location.
Term
Avoidance
Definition
A risk management technique whereby risk of loss is prevented in its entirety by not engaging in activities that present the risk.
Term
Calendar Year Experience
Definition
Experience developed on premium and incurred loss transactions occurring during the 12 calendar months beginning January 1, irrespective of the effective dates of the policies on which these transactions took place and irrespective of the dates of the accidents from which the loss transaction arose.
Term
Cancelable
Definition
Refers to the fact that most insurance contracts can be terminated by the insurer or the insured at any time.
Term
Cancel and Rewrite
Definition
Refers to an insurer's cancellation and reissuance of the same policy.
Term
Cancellation
Definition
The termination of an insurance policy or bond, before its expiration, by either the insured or the insurer.
Term
Capacity
Definition
The largest amount of insurance or reinsurance available from a company or from the market in general.
Term
Captive
Definition
An insurance company that has as its primary purpose the financing of the risks of its owners or participants.
Term
Captive
Definition
Typically licensed under special purpose insurer laws and operated under a different regulatory system than commercial insurers.
Term
Carriage of Goods by Sea Act (COGSA) of 1936
Definition
this Act contains a laundry list of 17 causes of loss for which the carrier or vessel is not liable as long as the carrier exercised reasonable steps to make the ship seaworthy and to handle/stow goods responsibly.
Term
Carrier
Definition
An insurance or reinsurance company that insures or "carries" the insurance or reinsurance.
Term
Cash-Flow Underwriting
Definition
The practice employed by risk-taking entities (underwriters) to justify granting coverage to and reducing premiums for firms that may not normally qualify under the insurer's written standards. .
Term
Cash Surrender Value
Definition
The amount of cash available to the insured in an individual life insurance policy when the insured cancels and surrenders the policy.
Term
Casualty Insurance
Definition
Insurance that is primarily concerned with the losses caused by injuries to persons and legal liability imposed on the insured for such injury or for damage to property of others.
Term
Catastrophe
Definition
A severe loss characterized by extreme force and/or sizable financial loss.
Term
Catastrophe Plan
Definition
A prepared strategy detailing how a particular organization will respond to a disaster.
Term
Catastrophic Loss
Definition
Loss in excess of the working layer, usually of such magnitude as to be difficult to predict and therefore rarely self-insured or retained.
Term
Causes of Loss
Definition
The perils that can bring about or trigger loss or damage. Can be direct (the action immediately precedes the loss) or indirect (part of an uninterrupted chain of events leading to the loss).
Term
Cede
Definition
When a company reinsures its liability with another.
Term
Ceding Company
Definition
The insurer that cedes all or part of the insurance or reinsurance it has written to a reinsurer.
Term
Certificate Holder
Definition
An entity that is provided with an insurance certificate as evidence of the insurance maintained by another entity.
Term
Certificate of Compliance
Definition
Statement issued by an insurance department or other regulatory authority confirming that an insurer is in compliance with applicable statute and regulation.
Term
Certificate of Insurance
Definition
A document providing evidence that certain general types of insurance coverages and limits have been purchased by the party required to furnish the certificate.
Term
Certified Act of Terrorism
Definition
A terrorist act that is eligible for coverage under the Terrorism Risk Insurance Act (TRIA).
Term
Certified Risk Manager
Definition
An independent education and designation program designed for professionals in risk management and related fields.
Term
Claimant
Definition
The person making a claim.
Term
Claims-Made Policy
Definition
A policy providing coverage that is triggered when a claim is made against the insured during the policy period, regardless of when the wrongful act that gave rise to the claim took place.
Term
Claims-Paid Policy
Definition
A liability insurance policy that is triggered at the time a claim is paid, rather than at the time a claim is first reported
Term
Claims Reserve
Definition
An amount of money set aside to meet future payments associated with claims incurred but not yet settled at the time of a given date.
Term
Class
Definition
Group of insureds who have similar exposures and experience and are grouped together for rating purposes.
Term
Classification
Definition
The system of establishing classes for rating purposes.
Term
Class of Business
Definition
Refers to an industry classification according to the perils insured and the exposure. The purpose is to group homogeneous risks for purposes of rate development.
Term
Clause
Definition
A section of a policy contract, or of an endorsement attached to it, dealing with a particular subject in the contract
Term
Coincidental Excess Coverage
Definition
The term coincidental excess coverage refers to the insurance provided by what would otherwise be a primary policy but contains an "excess" type other insurance clause stating that, with respect to a particular set of circumstances only, the policy is providing excess coverage.
Term
Co-Insurance Provision
Definition
A property insurance provision that penalizes the insured's loss recovery if the limit of insurance purchased by the insured is not at least equal to a specified percentage (commonly 80 percent) of the value of the insured property.
Term
Collision Insurance
Definition
A form of automobile insurance that provides for reimbursement for loss to a covered automobile due to its colliding with another vehicle or object or the overturn of the automobile.
Term
Combined Ratio
Definition
The sum of two ratios, one calculated by dividing incurred losses plus loss adjustment expense (LAE) by earned premiums (the calendar year loss ratio), and the other calculated by dividing all other expenses by either written or earned premiums
Term
Commercial Lines
Definition
Insurance lines used to cover commercial risks as opposed to personal lines, which cover personal risks.
Term
Common Law
Definition
Unwritten law derived from court case decisions based on custom and precedent. It is contrasted to statutory law.
Term
Comparative Negligence
Definition
The rule used in negligence cases in some states that provides for computing both the plaintiff's and the defendant's negligence, with the plaintiff's 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.
Term
Compensable
Definition
An injury or illness that meets the statutory standard and qualifies an employee to receive workers compensation benefits.
Term
Composite Rating
Definition
A method of rating insurance premiums on a singular rate developed to apply to all coverages according to a selected exposure basis.
Term
compulsory insurance requirements (international insurance)
Definition
The requirement that foreign countries impose on businesses to purchase certain types of insurance coverage to operate in the countryFrequently, these coverages must be purchased from an admitted insurer in the host country or from the foreign government itself.
Term
Commercial Property Program
Definition
A portfolio of coverage forms, policywriting procedures, and rating rules for insuring the property loss exposures of business entities.
Term
commercial property conditions form (ISO)
Definition
this form (CP 00 90) establishes the policy provisions with respect to the following issues: concealment, misrepresentation, and fraud;
Term
Commission
Definition
A certain percentage of premium produced that is retained as compensation by insurance agents and brokers.
Term
Commissioner
Definition
The title of the head of most state insurance departments.
Term
Common Accident
Definition
An accident in which two or more persons are injured.
Term
Community Rating
Definition
Rating based on the experience of a community in which the insureds reside, with reference to age, sex, occupation, or health.
Term
Completed Operations
Definition
Under a general liability policy, work of the insured that has been completed as called for in a contract, or work completed at a single job site under a contract involving multiple job sites, or work that has been put to its intended use.
Term
Concealment
Definition
A willful act of holding back information that may be pertinent to the issuance of an insurance policy even though the insured was not asked about that particular subject.
Term
Contingency Plan
Definition
Actions taken to address the loss of a specific key process or resource, such as a critical piece of equipment.
Term
Contingent Beneficiary
Definition
Secondary beneficiary who receives policy benefits if the primary beneficiary predeceases the named insured under a life insurance policy.
Term
Contract of Adhesion
Definition
This is offered intact to one party by another under circumstances requiring the second party to accept or reject the contract in total without having the opportunity to bargain over the wording.
Term
Contributory Negligence
Definition
Negligence of a plaintiff constituting a partial cause or aggravation of his or her injury.
Term
Cutoff
Definition
A termination provision in a reinsurance contract under which the reinsurer is not liable for losses taking place after the date of termination.
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