Shared Flashcard Set

Details

property and casualty ch 4 FL
n/a
13
Insurance
Undergraduate 2
08/20/2013

Additional Insurance Flashcards

 


 

Cards

Term
the amount payable by the insurer
Definition

 

  • The formula used in the example above is amount carried / amount needed * the amount of loss = the amount payable by the insurer.
  •  For instance, if you carried a $100,000.00 coverage limit when in fact the amount needed to meet the policy requirements is $200,000.00 and you have a partial loss of $50,000.00, the company would only pay $25,000.00 of the partial loss which is 50% of the loss. 
Term
cancellation
Definition
  • After the first 90 days of contract, the insurer may only cancel for misrepresentation, non-payment of premium, failure to comply with underwriting requirements, a substantial change in the risk, or if all policies in a given class of insureds are being cancelled.

    • Exception: Insurers may cancel policies with 45-days advance notice if the Office of Insurance Regulation (OIR) determines that the early cancellation of the policies is necessary to protect the best interests of the public or policyholders. The OIR must also approve the insurer’s plan for early cancellation or nonrenewal.

Term
nonrenewal
Definition

Property Insurance Corporation must give a 45-day advance written notice for policies being assumed by an authorized insurer.

Home and motor vehicle policy combined: 90-days advance notice of nonrenewal for policies

Insured less than 5 years, not effective during hurricane season:100-days advance notice 

Insured less than 5 years, effective during hurricane season: 100-days notice or by June 1st, whichever is earlier

Insured 5 or more years: 120-days advance notice if the policy has been in effect for at least 5 years with the insurer or its affiliate

Term
HO Policy consists of:
Definition
  • Declarations
  • one of 6 forms 
  • mandatory and optional endorsements
Term
Inflation Guard
Definition
 a provision  in homeowners insurance policies so values increase on a yearly basis.This provision helps prevent problems of homes being underinsured
Term
Loss Assessment Coverage
Definition
The condo unit owners policy also provides Loss Assessment Coverage. It pays for your share of expenses for a covered loss to common property shared by all unit owners, up to the coverage limit. Policies must include at least $2,000 of loss assessment coverage with a deductible no greater than $250.
Term
Insured’s duties after a loss
Definition
  • the insured should promptly notify their agent or insurance company, and review the Conditions
  • The insured has a responsibility to mitigate damages to their property, or protect the property from further damage. The insured should make reasonable temporary repairs and keep accurate records and receipts of those repairs
  • The insured should also compile an inventory of all damaged personal property
  • The insured must cooperate with the company in the investigation of the claim
Term
Notice of Windstorm or Hurricane Claim
Definition
Under current Florida law, these claims are barred unless notice was given to the insurer in accordance with the terms of the policy within 3 years after the hurricane first made landfall or the windstorm caused the covered damage.
Term
Sinkhole Claim Investigation & Payment after May 17, 2011
Definition

Florida law requires insurance companies, upon receipt of a claim for a sinkhole loss to a covered building, to inspect the premises to determine if there is structural damage. repairs to the structure and contents must be completed within 12 months after entering into a contract for the repair. Unless:

  • There is a mutual agreement between the insurer and the policyholder; The claim is involved with the neutral evaluation process The claim is in litigation; or The cliam is under appraisal or mediation.

Term
Timeframe for Payment of Claim
Definition
Within 90 days after a company receives notice of a new, reopened or supplement property insurance claim, the company must pay or deny the claim. If the settlement amount is contested, the company should pay all uncontested amounts within the 90-day timeframe unless the failure to pay the claim or the uncontested amount is caused by factors beyond the control of the company. Any payment (portion or entire claim) paid more than 90 days after the company receives notice of the claim, or paid more than 15 days after there are no longer factors beyond the control of the company, whichever is later, will bear interest according to Section 55.03, Florida Statutes
Term
Valued Policy Law
Definition
In the event of the total loss of any building, structure, or mobile home, the insurer’s liability under the policy for the loss is the face amount of the policy, if such loss was caused by a covered peril
Term
INSURANCE SERVICES OFFICE
Definition
writes standard HO forms and endorsements
Supporting users have an ad free experience!