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ny insurance exam
NY insurance exam
266
Insurance
Professional
08/16/2018

Additional Insurance Flashcards

 


 

Cards

Term
transportation expenses
Definition
20 per day up to $600 is available. Coverage begins 48 hours after a theft loss and 24 hours for any other covered loss.
Term
in the insured trades vehicles, how does coverage apply
Definition

the newly acquired vehicle is automatically covered. Liability coverage is continuous until the end of the policy period. To continue physical damage coverage certain restrictions and limitations apply.

Term
What is insurance? 
Definition
Insurance is a social device for spreading the chance of financial loss among a large number of people. 
Term
Law of large numbers
Definition
a statistical concept that relates to probability. Insurers use this to determine their rates.
Term
What is UW
Definition
the process of selecting certain types of risks that have historically produced a profit and rejecting ones with too much risk. 
Term
Adverse selection
Definition
selection against the insurance company. 
Term
Reinsurance
Definition

a contract of indemnity against liability by which an insurance company procures another insurance company to insure it against loss or liability.

Term
Liability insurance
Definition
insurance that pays for a third party for a claim cause by negligence of the insured. 
Term
Declarations
Definition
the section of the policy that includes the identity and address of the named insured, the policy term or period, the amount of insurance against, the premium, and the deductible. 
Term
Insuring agreement
Definition
describes the covered perils, the risk assumed, the nature of coverage, or the reference o contractual agreement. 
Term
Conditions
Definition
This section sets provisions, rules of conduct, duties and obligations for the parties. 
Term
Exclusions and limitations
Definition
describe property, perils, hazards or losses arising from specific causes that are not covered by the policy. 
Term
Definitions
Definition
define important terms used in the policy language. 
Term
Endorsements
Definition
Used to add, delete or change any of the policy parts. 
Term
Abandonment
Definition

the insured cannot abandon the property to the insurance company in exchange for full insured value.

Term
Accident
Definition
A sudden and unforeseen event resulting in a financial loss. 
Term
Ambiguity
Definition
Ambiguous language in the policy provisions will usually be resolved in courts in favor of the insured. 
Term
Arbitration
Definition
Facilitate an agreement with the insured and the insurer when an agreement cannot be made between the two parties alone where they deliberate the value of the claim to a third party.
Term
Certificate of insurance
Definition
contains a general summary of the coverage. 
Term
Concurrent causation
Definition
involves a single loss caused by two or more perils, occurring simultaneously or in succession. 
Term
Contribution by equal shares
Definition
This calls for insurers to contribute equally up to the limit of thje policy having the smallest limit, whereupon that company stops paying. 
Term
Deductible
Definition
self insured part of an insured loss. 
Term
Direct loss vs indirect loss
Definition
direct loss is the direct consequence of a particular peril. Fire damage to an apartment is an example. 
Term
Excess insurance
Definition
policy that pays benefits only when coverage under other applicable insurance polices have been exhausted. 
Term
Indemnity
Definition
assumes that a claimant should only be restored to the approximate financial condition that existed prior to the loss. 
Term
Liberalization
Definition
- a clause in property/casualty insurance contracts which states that if the policy or endorsement forms are broadened and no additional premium is required, then all existing similar policies will be construed to include the broadened coverage. 
Term
Nonconcurrency
Definition
Situation that exists when the same property is covered by more that one policy, but the policies are not identical as to the extent of coverage provided. 
Term
Occurrence
Definition
A sudden and unforeseen event resulting in financial loss. It may also b e a continuous or repeated exposure to an event. 
Term
Pair or set Clause- 
Definition

A loss settlement condition that appears in many property insurance contracts including inland marine. States that if part or set is lost or damaged, the loss will be valued as the fair proportion of the total value of the set.

Term
Proof of loss
Definition
A form completed by the claimant listing property that has been either lost or damaged due to a covered loss. Must be completed and sent to the insurer in 60 days. 
Term
Proximate Cause
Definition
An unbroken chain of events that causes a loss. 
Term
Salvage
Definition
if the insurer pays a loss on behalf of the insured, the insurer is entitled to the salvage to reduce the claim. 
Term
Subrogation clause
Definition
Used when the insurer has paid a covered claim on behalf of the insured that is caused by another party.  The insurance company is then entitled to the insured’s right of recovery from the negligent party. 
Term
Transacting Insurance
Definition
In most states it means that any person who has contact with an insured involving insurance matters should be licensed. 
Term
Vacancy/Unoccupancy
Definition
Vacancy means the building is void of contents and people. Unoccupancy means the building is void of only people. 
Term
Cause of loss forms
Definition
State the perils that are to be insured against. 
Term
Named peril vs open peril
Definition

A named peril form lists the specific perils to be covered in the policy. The open peril form does not list the perils but provides broader coverage. Under open, all perils are covered except perils specifically listed as excluded in the policy.

Term
Loss Evaluation method
Definition

these methods are used to determine the value of loss.

Term
Actual cash value
Definition
the cost of replacement less depreciation. 
Term
Replacement cost
Definition
The current cost to purchase new, the item that was lost, with no deduction for depreciation. 
Term
Functional replacement cost
Definition
As reasonably close to the replacement of the lost or damaged item as possible. 
Term
Market value
Definition
usually antiques claims are adjusted on the basis of market value, the price that the market will support. 
Term
Agreed value
Definition
The value to be insured is agreed to by the insured and the insurer. 
Term
Stated amount
Definition
an agreed amount of insurance which is shown on the policy and that will be paid in the event of a total loss regardless of the actual value of the property. 
Term
Valued policy
Definition
a policy that states that in the event of a total loss, a specific amount will be paid, and that is set as the limit in the policy. Generally used on fine arts, jewelry, and furs. 
Term
Specific basis
Definition

a separate limit per item to be insured applies. Example would be a separate limit on the building or the contents.

Term
Blanket basis
Definition

One limit that applies to both building and contents. With Blanket insurance, usually more than one location is insured under a single limit.

Term
Reporting form
Definition
This allows the insured to report values to the company of the insured contents.  Requires a 100% coinsurance clause. 
Term
Coinsurance clause- 
Definition
a method of requiring the insured to insure at least 80% of the value of the property in exchange for premium discount. 
Term
Loss or settlement clause
Definition
functions similarly to the coinsurance clause discussed above. If the insured carries 80% of the replacement cost value of the structures, then in case of partial loss the loss is paid without deduction for depreciation. 
Term
Standard Mortgage clause
Definition
Protects the interests of the financial institutions against loss to real property caused by perils insured against. Grants coverage even if the insured intentionally caused the loss.
Term
Loss payable
Definition
Similar to the mortgagee clause but applies to chattel or movable personal property on which the insured has a loan. 
Term
No benefit to bailee
Definition
An insured’s property insurance policy protects the insured and not a bailee of the insured’s property. 
Term
Liability Losses
Definition
- A liability loss occurs when a person or entity is determined to have been responsible, or legally liable, for injury or loss to another person or liable for damage to another’s property and the law requires them to make financial restitution. 
Term
Constructive Total Loss
Definition
Occurs when the cost to repair damaged property exceed the value of the property after repairs have been made. 
Term
Negligence
Definition
defined as the lack of reasonable care that is required to protect others and property from unreasonable chance of harm. Intentional acts are never covered by liability policies. 
Term
Tort
Definition
a civil wrong that violates the rights of others. A person becomes legally liable by committing a tort. 
Term
Compensatory damages
Definition
Casualty policies cover bodily injury and property damage caused by the insured as a result of their negligence. 
Term
Special damages
Definition
 type of compensatory damages that the injured party receives for direct and specific expenses involved in the loss, such as medical expenses and loss of wages. 
Term
General damages
Definition
type of compensatory damages that reimburse the injured party for such things as pain and suffering ,disfigurement, and life altering issues such as loss of mobility and loss of consortium. 
Term
Punitive damages 
Definition
Casualty policies cover bodily injury and property damages caused by the insured as of their negligence. Intended to punish the defendant. 
Term
Contributory negligence
Definition
common law defense against negligence states that if an individual contributes to his or her own loss in away, the other cannot be held liable. 
Term
Comparative negligence
Definition
law that allows an injured party to collect from another party for a loss, even when the injured party contributed to his or her own loss. 
Term
Assumption of risk
Definition
when a person assumes this risk, he or she may be prevented from recovering from the negligent party. 
Term
Intervening cause
Definition
An independent action that breaks the chain of causation and sets up motion a new chain of events. 
Term
Statute of limitations
Definition
states have enacted laws as to when certain types of lawsuits must be filled. 
Term
Absolute Liability
Definition
exception to negligence rule. Is imposed by law on those participating in certain activities that are considered especially hazardous.  Individuals involved in such operations may be held liable for the damages of another, even though the individual was not negligent. 
Term
Vicarious liability
Definition
when another person may be held responsible for the negligent acts of another individual.  Usually seen when the employer is held responsible for the actions of an employee.
Term
Insuring agreement
Definition
outlines the promises made by the insurance company to the insured. All contracts have these.  Duty to defend.
Term
Exclusions
Definition
exposures for which the insurer is unwilling to provide coverage. All contracts have these. 
Term
Definitions
Definition
clarify the terms and conditions of a policy. Most but not all policies have this. 
Term
Conditions
Definition
outline the duties of each party in case of a loss as well as other items that require clarification.  
Term
Peril vs. Hazard
Definition
peril is the actual cause of loss. A hazard is any condition that increases the possibility of loss. 
Term
Physical Hazard
Definition
Any Hazard arising from the material, structural, or operational features of the risk from the persons owning or managing it. 
Term
Moral Hazard
Definition
a condition of morals or habits that increase the probability of a loss from a peril. 
Term
Morale Hazard
Definition
hazard arising out of an insured’s indifference to loss because of of the existence of insurance. 
Term
Pure Risk
Definition
A situation where there is only the possibility of loss.   
Term
Speculative risk
Definition
a situation where either profit or loss is possible. 
Term
Dynamic risk
Definition
type of risk associated with change. Example, spontaneous virus that infects a population. 
Term
Fundamental risk
Definition
affect entire groups of people or property within society. Floods, earthquakes, terrorism and economic collapse. 
Term
Particular Risk
Definition

These are the risks that only effect a single individual or family and not an entire community. Examples, theft of property, fire that burns down a home, or an auto accident.

Term
Avoidance
Definition
avoiding a hazard.
Term
Sharing a risk
Definition
this is a common method of risk management by members of insurance pools.
Term
Transfer of Risk
Definition
This is the most common of handling risk. 
Term
Assumption of risk
Definition
This is also known as risk risk retention. 
Term
Risk Reduction or Risk control
Definition
risk may be reduced via loss prevention methods. Examples are installing a sprinkler system in the building, a person stopping smoking or a planned weight loss program. 
Term
First party
Definition
the insured
Term
Second party
Definition
the insurance company
Term
Third party
Definition
the party that has been damaged by the first party. 
Term
Capacity to Contract
Definition
in order for the contract to be binding, all parties must have the necessary capacity to enter into the contract. 
Term
Legal Purposes-/Object
Definition
an insurance contract must not be written to cover an illegal activity or immoral purpose. 
Term
Offer and Acceptance
Definition
an applicant completes an application for coverage ( makes an offer) and the insurance company accepts it and returns a policy or binder. 
Term
Consideration
Definition
something that has value in the eyes of the law in which a promise receives something in return for a promise. 
Term
Aleatory contract
Definition
An insurance contract is aleatory, which means it is contingent on an uncertain event (a loss). Insureds who pay premium but have no losses will not receive claim payments under the policy. However, they will have peace of mind knowing they are covered if a loss occurs. 
Term
Contract of adhesion
Definition
the insurance company is the author of the contract and the insured must accept it “as is”. 
Term
Executory contract
Definition
Both sides must perform certain acts to make the contract legally enforceable. 
Term
Conditional contract
Definition
promises action in the event of a future occurrence. 
Term
Utmost Good faith
Definition
Both parties bargain in good faith. 
Term
Personal Aspect
Definition
the insurance contract is bound to the insurable interest of the insured person. 
Term
Principle of Indemnity
Definition
The contract must restore the insured to the financial position previously held before the loss. 
Term
Unilateral contract
Definition
the insured has agreed to pay a premium in exchange for the insurer’s promise to act in the future. 
Term
Representations
Definition
statements made on an application for insurance that the applicant believes to be true to the best of his or her knowledge and belief are known as representations.
Term
Misrepresentation
Definition
are untrue statements made by the insured, usually at the time when an application is made. 
Term
Concealment
Definition
is the failure of the insured to reveal relevant facts known to the insured when applying for insurance. 
Term
Fraud
Definition
an intentional act designed to deceive and induce another party with something of value.
Term
Breach of Warranty
Definition

Something that becomes part of the policy condition, based on information given by the insured in an application or inserted by the insurer in the policy.

Term
Warranty
Definition
Something that becomes part of the contract and is a statement that is considered to be a guarantee 100% of the time. 
Term
Reasonable Expectations
Definition
states that a policy includes coverage that an average person would reasonably expect it to include, regardless of what the policy actually provides. 
Term
Waiver
Definition
generally defined as the voluntary or intentional relinquishment of a known right.
Term
Estoppel
Definition
if someone intentionally or unintentionally creates the impression that a certain fact exists, and an innocent party relies on that impression and is damaged as a result, the guilty party may be legally prohibited from asserting that the fact does not exist. 
Term
New York standard fire policy
Definition
this form provides protection against direct loss from fire. 
Term
Dwelling vs. Homeover
Definition
dwelling insurance does not require the risk to be owner occupied. Nor does the Dwelling Policy automatically contain the peril of theft or personal liability coverages. The Dwelling policy is usually used to cover risks that may not qualify for the homeowner policy. This could consist of rental property, older homes, hunting cabins in rural areas. 
Term
Cause of loss forms
Definition
each form includes additional perils and a slightly higher premium is charged for the broadened coverage. 
Term
DP-1 
Definition
Basic: Fire, Lighting, Internal explosion. Vandalism can be added with endorsement. 
Term
DP-2 
Definition
Broad: all things from DP1 and Vandalism (without endorsement) also WC SHAVVER. Windstorm, Civil Commotion, Smoking, Hail, Aircraft, Vehicles, Volcanic Eruption, Explosion, Riot. 
Term
DP-3 
Definition

Open Perils, BIG AFFECT. Burglary, Ice and Snow, Glass Breakage, Accidental Discharge of water or steam, falling objects, freezing pipes, Electrical Damage, Collapse, tearing apart.

Term
Extended coverage perils
Definition
DP-1 provides the basic perils listed above. When a premium for extended coverage perils and vandalism or malicious mischief is shown in the declarations page, these coverage become part of the perils insured against. 
Term
what is added by extended perils for dp1
Definition

Windstorm or hail

Explosion

Riot or Civil Commotion

Vehicular Damage

Smoke

Volcanic Eruption

Vandalism

Term
DP-2 Broad Form definition
Definition
named peril policy that provides coverage for the structure or contents for the direct physical loss caused by fire, lightening and internal explosion plus it automatically includes the extended coverage perils and Vandalism with Malicious Mischief. 
Term
Damage by burglars
Definition
provides protection for the property damage caused by burglars, however the left of property is not covered unless added by endorsement. Excluded if the building has been vacant for more than 60 days. 
Term
Weight of ice, snow or sleet
Definition
covers damage to the insured building and/or contents due to the weight or ice excluding loss to an awning, fence, patio ,pavement ,swimming pool, foundation ,retaining wall, bulkhead, pier, wharf or dock. 
Term
Accidental Discharge- 
Definition
provides coverage for loss caused by the accidental discharge of water or steam from a plumbing, heating or air conditioning system, from a fire protective sprinkler system or from within a household appliance. Damage caused by sump, sump pump, and similar fixtures or equipment are not considered plumbing systems or household appliances. 
Term
Falling objects
Definition
provides coverage for damage caused by falling objects to the exterior premises. Damage to the inside is not covered unless there is damage to the outside first. 
Term
Freezing
Definition
Provides coverage for freezing of plumbing, heating or air conditioning.
Term
Artificially generated electrical current
Definition
the peril does not include loss to tubes, transistors, electronic components or circuitry that are part of the appliances, fixtures, computers, home entertainment units, or other types of electronic apparatus.  a fire caused by artificially generated electrical current would be covered. 
Term

DP-3 special form

Definition

1.   Open perils coverage on the dwelling or other structures. Note that under open peril the burden of proof is on the insurance company. 

2.   Named perils coverage on the personal property contents. Covers perils hat are the same as those provided by DP-2 form. Under named peril, the burden of proof is on the insured.

Term

DP-3 exclusions

Definition

1.   Losses excluded by the general exclusions (war, nuclear hazard, flood)

2.   Gradual and expected losses such as:

a.    Wear and tear, marring, deterioration, rust, mold, rot and contamination

b.    Inherent vice and latent defect

c.    Smoke from agricultural smudging or industrial operations

d.   Smog

e.    Mechanical breakdown

3.   tearing apart, cracking, burning or bulging

4.   losses caused by birds, vermin, rodents, insects or domestic animals

5.   wind, hail, ice, snow or sleet to antennas, lawns, plants, shrubs and trees

6.   Freezing-Provides coverage for freezing of plumbing, heating or air conditioning. Also applies to footings and other structures or devices that support all or part of a building or other structure.

7.   Theft of property not actually part of the insured dwelling or to a dwelling under construction.

 

 

Term

Direct Loss Coverages

Definition

          Coverage A Dwelling Building- coverage is provided on the dwelling as described in the declarations section of the dwelling policy as well as any structure attached to this dwelling (such as a garage). Insured sets this based on the replacement cost.  Coverage a does not apply to land because the land would be unharmed in case of loss to property.

          Coverage B other structures- 10% of the coverage A amount which is an additional amount of insurance under DP-2 and DP-3. However, in the DP-1 form, if the insured has a detached structure the 10% is included in the dwelling limit and is not an additional separate coverage limit.

Term

          Coverage B does not cover-

Definition

1.   Land, including land the property is located on.

2.   Any structure rented or held for rental to any person not a tenant of the dwelling, unless it is used solely as a private garage.

3.   Any structure used in whole or in part for commercial, manufacturing or farming. It does cover a structure that contains commercial property owned solely by the insured. or tenant of the dwelling provided that the property does not include gaseous or liquid fuel, other fuel.

4.   Gravemarkers including mausoleums.

Term
Coverage C personal property
Definition
in order to have coverage for the insured’s personal property, a limit must be shown on the declarations page and a premium must be paid. Insured chooses the limit based on the actual cash value of the property. This gives protection to personal property only at the insured location owned by the insured of members of his/her family residing with the insured and the usual to the occupancy of the dwelling.  The policy will provide 10% of the coverage limit for personal property off the premises on a worldwide basis.  If an insured purchases a new principle residence, coverage will automatically apply at the new location for 30 days immediately after the insured begins to move in their property.
Term
Personal property exclusions
Definition

1.   Accounts, bank notes, bills, bullion, coins, currency, deeds, evidence of debt, gold, passport.

2.   Animals, birds and fish.

3.   Aircraft.

4.   Boats (other than rowboats or canoes).

5.   Data including data stored in books of account, drawings or other papers of record, electronic data processing, tapes, wires, records discs.

6.   Credit cards or fund transfer cards

7.   Motor vehicles or other motorized land vehicles

8.   Hovercraft LOL

9.   Water or steam

10.                Gravemarkers

Term
Coverage D Fair rental value
Definition
the insurer will pay the fair rental value of that part of the described location rented to others or held for rental at the time of damage. Fair means the rental value minus expenses which do not continue while the property is unfit for use. 
Term

What is 

Homeowner Insurance

Definition

A multiline Policy, which means they combine property and casualty coverage in the same policy. They program provides the same property coverage that are available under the dwelling property program but also includes theft insurance and personal liability coverage under one contract.

Term
Restrictions to HO policy
Definition

HO-2, HO-3, HO-5, HO-8 covers owner-occupants which do not contain more than 4 families nor two roomers per family.

HO-4- tenants in non owned buildings used primarily for residential purposes.

H0-6- condominium coverage

Term
Is farm property covered under homeowners insurance? 
Definition
No, not under any HO policy. 
Term
What is defined as insured and residents under homeowners
Definition
immediate relatives living within the house hold and any person under the age of 21 and in the care of any person named. 
Term
How are students covered under homeowners
Definition

 if the student is 24 and a relative or 21 and in the care of someone named on the policy.

Term
Insured location means
Definition
the residence premises, part of other premises, other structures and grounds used by the insured as residence. 
Term
H0-2 
Definition
broadform, named peril. Fire, lighting, windstorm, hail, explosion, riot, aircraft, vehicular damage, smoke, vandalism, theft, volcanic eruption, falling objects, weight of ice, accidental discharge, freezing, sudden tearing apart or bulging. 
Term
H0-3 
Definition
open peril. Anything not specifically excluded is covered. Burden of proof is on the insurance company. 
Term
H0-5 
Definition
open peril. Considered the “deluxe” policy, provides coverage for both building and contents. 
Term
H0-4
Definition
cover the contents of a tenant living in a non owned structure. 
Term
H0-6 
Definition
Unit owners broad form- designed for condominiums. Covers a portion of the condo owned by the insured as well as his or her contents plus any improvements and betterments. 
Term
H0-8
Definition
most limited HO form. Provides very basic peril coverage designed to cover dwellings in which the replacement cost value is much greater than the market value. 
Term
Home owner policies provide four major coverage, what are they:
Definition

Coverage A-Dwellings, Coverage B- Other Structures, Coverage C- Personal property and Coverage D- Loss of use. Coverages B,C and D stack on top of an are paid in addition to the coverage a limit.

Home Owners- Coverage A-Dwellings- Full replacement cost as long as the insured carries 80% of the replacement cost value. The insured selects the limit for Coverage A.

Term
Coverage A provides coverage for
Definition

the dwelling listed in the declarations page of the policy, structures attached to the dwelling, materials or supplies located on or next to residence premises used to construct.

Term
Home Owners- Coverage B
Definition
Other Structures- 10% of the coverage of A for one or two family dwellings, 5% of coverage A for three to four family dwellings.  Other structure is a structure adjacent to the dwelling not physically attached to the dwelling. 
Term
Home Owners -Coverage C
Definition

Personal property- 50% of Coverage A for one or two family dwellings, 30% for a three family dwelling and 25% for a four family dwelling.

Full limit of C applies to personal property anywhere in the world. Covers personal property owned or used by the insured. Example: Insured borrows a lawnmower and its destroy by use by the insured, covered.

Term
Home Owners- Coverage D- 
Definition
Loss of Use- 30% of coverage A on Ho-2, HO-3 and HO-5; 30% of coverage C on HO-4 50% on HO-6, 10% of coverage A on HO-8
Term
Reasonable repairs
Definition
when the structure is damaged by an insured peril the policy provides coverage within the limits to pay for temporary repairs until the permanent repairs can be made. 
Term
Trees, shrubs and other plants
Definition
covered for limited specified perils including fire or lighting, explosion, riot or civil commotion, aircraft , vehicles not owned or operated by a resident in the dwelling, vandalism and malicious mischief, or theft. 
Term
Fire department service charge
Definition
coverage is provided for up to $500. This coverage is additional insurance and the deductible does not apply. 
Term
Property Removed (removal clause)- 
Definition

when the insured is removing property from the premises when endangered by a peril insured against, coverage applies to any direct loss from any cause for no more than 30 day while removed. This coverage is not additional insurance and does not increase the limits of the policy.

Term
Credit Card, Electronic Fund Transfer Card or Access Device, Forgery and Counterfeit Money (US or Canadian)- 
Definition

Covered for limit of $500. This coverage is additional insurance and the deductible does not apply.

Term
Loss Assessment
Definition
Pays up to $1,000 when the insured is assessed by a corporation or property owner’s association for damage to property owned collectively if damaged by a peril insured against under the insured’s policy. This coverage is additional insurance and is in addition to the limits of the policy. 
Term
Glass or Safety Glazing Material
Definition
Covers loss of doors and windows of the dwelling as a result of breakage of glass or safety glazing material. Under the HO-2, HO-3, and HO-5, this coverage is excluded if the dwelling has been vacant for 60 or more consecutive days, except for earth movement. Not additional insurance and does not increase the limits of the policy. 
Term
Collapse
Definition

Collapse covers direct physical loss to covered property involving abrupt falling down or caving in of a building or any part of it. It is found in all the homeowner forms except the HO-8. Collapse is not additional insurance and does not increase the limits of the policy. It covers:

The perils insured against in the policy

Decay hidden from view

Hidden vermin of insect damage

Weight of contents, equipment, animals, or people

Weight of rain collected on a roof and

Use of defective/methods when the collapse occurs during construction or remodelling.

Term
Landlord’s furnishings
Definition
provides up to $2,500 for landlords furnishings. This additional coverage excludes theft of these items. This coverage is not additional insurance and does not increase the limits of the policy.
Term
Building additions and alterations
Definition
included under the HO-4 tenants form for up to 10% of the personal property coverage limit and automatically included in the HO-6 condominium owner form. 
Term
Ordinance or law- provides up to 10% of coverage A
Definition
dwelling for increase costs the insured incurs due to the enforcement of any ordinance of law which requires or regulates the construction, demolition, remodelling or repair of the covered building damaged by a peril insured against. This coverage is additional insurance and is in addition to the limits of the policy. 
Term
Gravemarkers
Definition
Pays up to $5,000 for gravemarkers including mausoleums on or away from the residence premises by a peril insured against. This coverage is not additional insurance and does not increase the limits of the policy. 
Term
Insurable Interest
Definition
if more than one person has an insurable interest in the property covered, the insurer will not pay more than that person’s insurable interest or more than the limit of liability. 
Term
Coverage E
Definition
Personal liability which pays on behalf of the insured all sums he or she is legally obligated to pay others because of bodily injury and property to others, caused by an occurrence. The standard minimum limit is $100,000 per occurrence.  Will also pay defense expenses for the insured, even if the claim against the insured is groundless.
Term
Liability coverage
Definition
is third party coverage that takes care of medical bills, property damage, lost wages, pain and suffering, inconvenience, etc. that is incurred by a third party in an occurrence and caused by or is allegedly the fault of an insured and members of the insureds household. 
Term
Occurrence
Definition
refers to an accident, including repeated or continuous exposure to similar harmful conditions. 
Term
Bodily injury
Definition
includes bodily harm, sickness, disease, and death.
Term
Property damage
Definition
Personal liability covers insureds for claims of others due to bodily injury or property damage caused by an occurrence arising from things contained within declarations, personal activities such as sports, acts of resident employees within their duties, vacant land, individual or family cemetery plots. 
Term
Coverage F
Definition
Section 2 of the HO policy also includes coverage F which is considered good will coverage that pays the medical bills incurred by others in an accident, regardless of the fault or liability of the insured. Minimum limit is $1,000 per person per event. 
Term
Farm liability covers
Definition
Bodily injury, personal injury/advertising injury, and medical payments to others.
Term
What is one major difference in the basic farm form and broad form is
Definition

Broad form offers broader coverage for livestock

Term
farmers insurance, the special limit that applies to damage to outdoor radio and TV antennas and satellite dishes is- 
Definition
$1,000
Term
Farmers policy, if the insured carries 80% value on the farm, the insurer
Definition

will pay the full amount, after retention is exhausted, included all the repairs paid after they are completed.

Term
Farm liability
Definition
covers liability related to the use of farm equipment, such as hitting someone with your tractor. 
Term
Poultry under livestock is
Definition
not covered under a livestock policy
Term
Custom farming
Definition
is farming for others for a fee.
Term
In the custom farming endorsement, what is the threshold for receipts? 
Definition
$5,000. 
Term
Unscheduled farm personal property
Definition
covers farm personal property on a blanket basis both on and off the insured premises. A blanket limit for livestock can be added but is not initially included. An adult livestock (one year or older) will be 2,000 each. Younger is 1,000 each. Newly acquired livestock is covered for 25% of the blanket limit for 30 days from the time of acquisition. 
Term
Scheduled farm personal property
Definition
covers property for the limit shown in the declarations. Examples of property that can be covered under this is grain, farm products, poultry, computers, and related software that are part of the farming operations. 
Term
Mobile agricultural machinery and equipment form
Definition

for the scheduling of mobile equipment separately from other farm property. Coverage may also be provided on a blanket basis for most items except cotton pickers and combines which must be specifically scheduled. Open perils basis.

Term
Livestock floater
Definition
allows livestock to be covered on a scheduled or blanket basis. This is a named peril form and covers certain types of livestock including cattle, sheep, swine, goats, horses, mules and donkeys. Requires that stock be insured for 80% of its value. Poultry not included. 
Term

Flood insurance

According to NFIP

Definition

a general and temporary condition of partial or complete inundation of two or more acres of normally dry land area or of two or more properties from:

Overflow of inland or tidal waters

Unusual and rapid accumulation or runoff of surface water from any source

Mudflow.

Flood will cover mudflow, but not mudslide.

Term
If a community decides not to participate in a required flood plan
Definition
no federal assistance will be given to a community or any its residents, when there is a flood. 
Term
Dwelling form
Definition
The dwelling form is used with one to four family dwelling and eligible manufactured housing. It is also used to insure a unit within a residential condo. 
Term
Residential condominium building association policy
Definition
used to insure residential condos not in the emergency program.
Term
General property form
Definition
the general property form used for commercial establishments, residential condos in the emergency programs, timeshare building not in the condo style of ownership and cooperative buildings. 
Term
Single family home dwellings are the only 
Definition
buildings that may be insured on a replacement cost basis under a flood policy. 
Term
Major difference, RCBAP allow 
Definition
replacement cost while the general property form settles loss on an actual cash value basis. 
Term
Flood policies will pay up to $1,000 for 
Definition
avoidance measures which would be things like sandbags, supplies and labor used to protect the property
Term
Under a regular program, a national flood insurance policy will insure a single family residence for up to
Definition
$250,000
Term
Under the emergency program, a national flood insurance policy w ill insure single family residences for up to
Definition
$35,000
Term
The normal waiting period for flood insurance is
Definition
30 days
Term
Standard flood deductible under the regular program is 
Definition
$1,000
Term

Watercraft policies

Under home owners, coverage C provides 

Definition

$1,500 for structural damage to the watercraft as well as trailers and furnishings. This does not include theft.

Term
Homeowners provides liability for watercrafts under Coverage E under the terms 
Definition

Less that 50 horsepower

Motor boat-25 or less horsepower

Sailing vessel- less than 26 ft.

Stored watercraft

Boat is notified as under the policy with 45 days of acquisition.

Term
Part of watercraft policy is Liability coverage
Definition
provides coverage for bodily and property damage caused by  the insureds boat. 
Term
Part is Medical payments
Definition
Covers all necessary medical expenses incurred by an insured, family member, invitee or guest and claimed up to three years following a covered accident. 
Term
Part C is for uninsured boaters
Definition
pays damages that a covered person is legally entitled to recover from an uninsured operator. 
Term
Part D- Damage to watercraft or (hull coverage)- 
Definition
three parts, Salvage expense, towing and assistance, personal effects coverage. 
Term
Salvage expense coverage
Definition
should circumstances dictate, the policy will provide a maximum of one quarter of liability limits that apply. 
Term
Towing and assistance expense coverage
Definition
this coverage responds to a number of expenses that may be caused when a loss disables covered watercraft. 
Term
Control of property
Definition
states that any negligence on the part of a person who is beyond the insureds direction and control will not affect the insurance. 
Term
Legal Action Against the Insurer 
Definition
Before legal action may be taken against the insurer, an insured must have complied with all terms of the policy. 
Term
Other Insurance
Definition

If there is other insurance written on the same basis, recovery is pro rated with the other policies.

Term
Liberalization
Definition
If the insurer provides more liberal coverage by a revision that is introduced during the policy period or in the 45 days preceding the inception date, the revision applies immediately, as long as there is no extra premium involved. 
Term
Policy Period, Coverage Territory
Definition
Only losses that occur during the policy period shown in the Declaration are covered. 
Term
Transfer of Rights of Recovery Against Other to Us
Definition
This provision defines the subjugation rights under the policy when the insurer makes a payment to or for any person or organization, the named insured or any other. 
Term
Concealment, Misrepresentation or Fraud
Definition
Coverage will be void in case of concealment, misrepresentation or fraud. 
Term
No Benefits to Bailee
Definition
No person or organization other than the insured having custody of the property will benefit from this insurance. 
Term
Cancellation and Non-renewal
Definition
Advance notice of cancellation must be sent to the first named insured listed on the declarations page as well as any mortgagees. 10 days notice for non payment and 30 for any other reason. 
Term
Building and Personal Property Coverage Form
Definition
this form describes the property being covered for direct property losses.
Term
Coverage A commercial business covers
Definition
permanently installed fixtures. Machinery and equipment. Outdoor fixtures, personal property used to maintain or service the premises, outdoor furniture, floor coverings, certain appliances, additions, alterations, repairs in progress, including materials, supplies and temporary structures on or within 100 feet of the described premises.
Term
Coverage B commercial business covers
Definition
Business personal property owned by the insured and covered while located in the building, or structure described in the declarations, in the open or in a vehicle within 100 feet of the building, whichever distance is greater.
Term
Coverage C commercial business covers
Definition
Describes Personal Property of Others that is in the insured’s care, custody or control. While this form provides $2,500 coverage on Personal Property of Others under extensions of coverage, an insured that has property belonging to someone else on premises which exceeds the $2,500 limit, would consider a limit appropriate to values on the premises. 
Term
Property not covered commercial property
Definition
Accounts, bills, currency, deeds, food stamps, evidences of debt, money, notes or securities. Animals, unless owned by others and boarded by you, or if owned by you, only as “stock” while inside of building. Automobiles held for sale, bridges, roadways, walks, patios or other paved surfaces. Contraband or property in the course of illegal transportation and trade. Foundations of the building. 
Term
Debris removal commercial property
Definition

the policy provides up to 25% of the direct amount of the loss including the deductible to pay the debris removal. If debris is blown onto the Insured’s property, even if not owned by the insured, the policy provides up to $5,000 to remove it.

Term
Preservation of property
Definition
if the insured removes property from the premises when endangered by an insured peril the property is covered for any direct loss while it is being moved and while temporarily stored elsewhere for 30 days. 
Term
Fire department services charge
Definition
the limit is $1,000. A higher limit can be listed on the declarations page. 
Term
Increased cost of construction
Definition
this covers the increased cost involved in complying with building codes if the building was damaged by a covered cause of loss. Only available for buildings insured on a replacement cost basis and the maximum amount payable is lesser of 5% of the amount the building is insured for or $10,000.
Term
Electronic Data coverage provides 
Definition

up to $2,500 for the loss of the electronics data from a covered cause of loss.

Term
Newly acquired or constructed property commercial property
Definition
if the insured carries building coverage, a newly acquired building is covered for $250,000 for 30 days. 
Term
Newly acquired personal property commercials property
Definition
 if the insured  carries contents coverage, newly acquired personal property at another location is covered for $100,000 for a period of 30 days. 
Term
Personal effects and personal property of others
Definition
is covered for a limit of $2,500. Note: theft of personal effects is not covered. 
Term
Valuable papers and records
Definition
(other than electronic data) a limit of $2,500. Covers costs of restoring lost information. Money is not considered to be “valuable papers”. 
Term
Property off premises
Definition
Covers personal property away from the described premises up to $10,000 if it is, Temporary at a location a insured does not own, in storage, at a fair or trade show. 
Term
Outdoor Property
Definition
Fences, radio and television antennas, including satellite dishes, trees, shrubs and plants for up to a maximum of $1,000 but not more than $250 for any one tree, shrub or plant. 
Term
Non-owned detached trailers- 
Definition
There is limited coverage for non-owned detached trailers provided by a new coverage extension. The limit is $5,000. 
Term
Business Personal Property Temporarily in Portable Storage Units
Definition
A limit of $10,000 of coverage is provided for business personal property temporarily in storage units. 
Term
Outdoor Signs whether attached to the building or not
Definition

covered up to $2,500 for the perils covered by the policy.

Term
Party walls
Definition
the wall separates two buildings but is also a part of each building. 
Term
Recovered property
Definition

If the insured or the insurance company recovers property after a loss, the recovering party must notify the other promptly and inform it of the recovery.

Term
Builders Risk
Definition

This form covers property under construction and can be purchased by building contractors, subcontractors, and/or owners of the property.

Term
Condominium Association Form
Definition
This form covers a condominium association against direct physical loss or damage to buildings, business personal property, and premises personal property  of others in the care of the association. 
Term
Specific Basis
Definition
Building and contents can be specifically scheduled. 
Term
Blanket Coverage
Definition

When an insured has interdependent operations in two or more buildings or at more than one location, blanket limits are ordinarily recommended.

Term
Value Reporting Form
Definition
Reporting forms allow an insured with property that fluctuates in value to be protected at all times and to pay a premium based on the values actually at risk.
Term
Agreed Amount
Definition
When the actual value of the property may be in question before a loss, the insured completes a statement of values. 
Term
Business Income Coverage
Definition
to return the insured to the same financial position prior to a loss.
Term
Extra Expense Coverage
Definition
Covers losses that would not have been incurred had there been no underlying property loss. 
Term
Extended Business Income
Definition

This pays for loss of business income even after operations have been resumed, until the business has  been restored, but no more than 60 days from the date business resumed.

Term
Order of Civil Authority
Definition
pays business income and extra expenses on losses incurred when a civil authority prohibits access to the described premises because property other the described premises was damaged by a covered cause of loss. 
Term
Alterations and New Buildings
Definition
coverage pays business income and extra expenses losses incurred when a covered cause of loss damages a new building or an alteration or addition to a new building, damage to machinery, equipment, supplies, or building materials on or within 100 feet of the described premises are being used in construction. 
Term
Difference in Conditions Insurance
Definition
Written to cover certain perils 
Term
Monthly limit of indemnity
Definition
provides a second option to avoid the coinsurance clause. Can only be added for up to 4 months of coverage. 
Term
Agreed Value
Definition
an additional way to circumvent a possible coinsurance penalty. Insured submits a form that shows financial data for the previous 12 months. 
Term
A standard ISO homeowner policy is best described as 
Definition
Package policy that provides property and liability insurance
Term
Homeowner policies provide liability coverage for 
Definition
Property Damage and Bodily Injury is correct.
Term
Friendly fire
Definition
damage from a fire that was in its specified location
Term
unfriendly fire
Definition
It has left its place of containment.
Term
What does the "identity fraud expense" endorsement to a homeowner policy cover?
Definition

Covers expenses up to $15,000. This includes attorney fees to cover defense costs..

Term
Employers may elect to provide workers compensation insurance but are not required to do so. If they do not, 
Definition
they may be sued by employees for work-related injuries and occupational diseases.
Term
A first party claimant can be all of the following: 
Definition
an individual, corporation, association, partnership, or other legal entity.
Term
The Foreign Coverage Endorsement should be added to the company's workers compensation policy. However, this endorsement applies for 
Definition
for a period of no longer than 90 days.
Term
How long after being notified of an injury does an insurance carrier or self-insured employer have to contest the compensability of a workers' compensation claim?
Definition
Within 60 days 
Term
Subsequent Injury Fund
Definition
provide an incentive for employers to hire employees who have already suffered a work-related injury.
Term
maximum medical improvement
Definition
Two years from the date income benefits begin to accrue
Term
The required unmodified workers compensation premium is 
Definition
$500,000.
Term
Longshore harbor act
Definition
martime workers who are disabled from injuries sustained on the navigable waters of the US, loading, or unloading a vessel
Term
The Jones Act-AKA mercahnt marine act of 1920
Definition
allows for martime workers to sue employers for negligence that results from negligence of employer. 
Term
black lunger benefits act
Definition

compensation to coal miners

Term

 

Federal employees comp act

Definition
federal and postal workers protection
Term
federal employers liability act
Definition
appllies to railroads
Term
The premium charged for a standard Workers Compensation policy is based primarily on a company's: 
Definition
payroll
Term
severability of insurance
Definition
insurance applies separately to each insured. However, if more than one insured is involved in the same loss the limits are not increased.
Term
Marine-oil haulers are only required to carry
Definition
$1,000,000, look for key word here is "excess oil" and when followed up with "explosives" makes this freight hazardous requiring the $5,000,000 limit.
Term
Marketing distribution systems.
Definition
The selling of insurance products through the use of captive agents, independent agents, or insurance company employees in a call center 
Term

State adjuster information:

The penalty for a violation may not exceed 

Definition
$25,000 unless a greater or lesser penalty is specified in another insurance law in the state.
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