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Glossary
of Terms
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A
Abandonment: As used in property
insurance, prohibits the insured from abandoning
damaged property to the insurance company for
repair or disposal.
Accelerated Benefits Rider: An
adjustment (rider) to a life insurance policy
that allows for the early payment of some portion
of the policy's face amount should the insured
suffer from a terminal illness or injury.
Accidental Death Benefit Rider:
An adjustment (rider) to a life insurance policy
that provides for payment of an additional cash
benefit when death occurs by accidental means.
This amount depends on the value of the policy.
Accidental Death Insurance:
An Insurance policy that provides payment if the
insured's death occurs as a results from an accident.
Accounts Receivable Coverage:
Covers loss of sums owed to the insured by its
customers that are uncollectible due to damage
by an insured peril to accounts receivable records.
Actual Cash Value (ACV):
Cost to repair or replace damaged property with
materials of like kind and quality, less depreciation
Additional Insured: A person
or organization for whom insured status is arranged
by endorsement.
Advertising Injury: General
liability coverage that insures against libel,
slander, invasion of privacy, copyright infringement,
and misappropriation of advertising in connection
with the insured's advertising of its goods or
services.
Agent: An authorized representative
of an insurance company.
Aggregate: The maximum
amount an insurance company will pay during the
policy.
All Risk Coverage:
Property insurance covering loss arising from
all causes of loss except those that are specifically
excluded.
Annually Renewable Term:
Term insurance that provides coverage for 1 year
and allows the policy owner to renew his or her
coverage each year.
Application: A form
with the information needed for an insurance company
to underwrite and rate a specific policy.
Assignment Assignment:
The transfer of ownership of a Life Insurance
policy from one person to another.
Attained Age: Your
current age. Your attained age is a factors life
insurance companies use to determine premiums.
Audit: A verification
of the financial records, usually payroll or receipts,
of an organization to determine exposures and
premiums.
Automobile: A land
motor vehicle, trailer or semitrailer designed
for travel on public roads, not including mobile
equipment.
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B
Backdating: Making the effective
date of a policy earlier than the date of application.
Backdating is often used to make the age of the
applicant lower than it actually was at the time
of application so that he/she can get a lower
premium. State laws often set limits to this.
Bailee Coverage: Coverage
on property left in the care of the insured for
storage, repair or servicing Basic Cause of Loss
Form: Property coverage for named perils: Fire,
Lightening, Explosion, Smoke, Windstorm, Hail,
Riot, Civil Commotion, Aircraft, Vehicles, Vandalism,
Sprinkler Leakage, Sinkhole Collapse, and Volcanic
Action.
Basic Limits: The minimum
limits of liability that can be carried by an
insured.
Beneficiary: The designated
person set to receive the death benefit if the
insured should die.
Best's Rating: A rating system
by A.M. Best Company giving the financial condition
of insurance companies.
Binder: A temporary insurance
policy that expires at the end of a specific time
period or when a permanent policy is written.
A binder is given to an applicant for insurance
during the time it takes the an insurance company
to complete the policy paperwork.
Bodily Injury by Accident Limit:
The most an insurer will pay under Part Two of
a Workers' Compensation Policy for claims arising
out of any one accident, regardless of how many
employee claims arise out of the accident.
Bodily Injury by Disease, Each
Employee: The most an insurer will pay under
Part Two of a Workers' Compensation Policy for
damages due to bodily injury by disease to any
one employee.
Bodily Injury by Disease-Policy
Limit: The most an insurer will pay under
Part Two of a Workers' Compensation Policy employee
bodily injury by disease claims during the policy
period regardless of the number of employees who
make such claims.
Bodily Injury Liability Limit:
The insured is legally liable for damages due
to bodily injury, sickness, or disease, including
resulting death.
Boiler & Machinery Insurance:
Coverage for loss caused by mechanical or electrical
equipment breakdown, including damage to the equipment.
Bond: A written agreement
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.
Brands and Labels Endorsement:
Property insurance coverage that allows the insured
to remove labels from damaged goods or mark the
items as 'salvage,' provided the goods are not
damaged in the process.
Broad Causes of Loss Form:
Property coverage for the named perils: Fire,
Lightening, Explosion, Smoke, Windstorm, Hail,
Riot, Civil Commotion, Aircraft, Vehicles, Vandalism,
Sprinkler Leakage, Sinkhole Collapse, Volcanic
Action, Breakage of Building Glass, Falling Objects,
Weight of Snow, Ice or Sleet, Water Damage (in
the form of leakage from appliances), and Collapse
from Specified Causes.
Building Ordinance Coverage:
Covers against loss caused by enforcement or ordinances
or laws regulating construction and repair of
damaged buildings.
Burglary: Theft of property
by forcible entry, which is evidenced by visible
signs, in a premises, by a person.
Business Auto Policy: Auto
Policy for businesses that includes auto liability
and auto physical damage coverages.
Business Income Coverage:
Insurance covering loss of income by a business
when operations are interrupted due to property
loss that is a covered cause of loss.
Business Interruption Coverage:
See Business Income Coverage.
Business Owners Policy (BOP):
A policy that combines property and liability
coverages for special types of small businesses.
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C
Cancellation: The termination of an insurance
policy usually before its expiration.
Care, Custody, or Control: An exclusion
of liability insurance which eliminates coverage
for damage to property in the insured's care,
custody or control.
Carrier: The insurance company which provides
coverage.
Cash Benefits: The Money that is paid
to the policy holder upon settlement of a covered
claim.
Cash Value: The equity amount or "savings"
accumulation in a whole life insurance policy.
Casualty Insurance: Insurance that covers
loss caused by injuries to persons and the legal
liability imposed on the insured for injury or
for damage to property of others.
Catastrophe: A severe loss causing sizable
financial loss.
Causes of Loss Forms: The commercial property
forms that define the covered causes of loss for
which coverage is provided. Commonly, there are
3 Cause of Loss Forms: Basic, Broad, and Special.
Certificate of Insurance: A document providing
evidence that insurance has been purchased.
Claim: A request by a policyholder or
a claimant for payment under a policy of insurance.
Claim Expense: Expenses of settling or
investigating a claim.
Claimant: The person presenting a claim.
Claims Reserve: An amount of money set
aside to meet claims reported but not paid.
Class: A group of businesses who have
common or similar exposures and are grouped together
for rating purposes.
Classification: The arranging or establishing
of business groups or categories for rating purposes.
Coinsurance Provision: An insurance provision
for property coverages in which the policyholder
must carry an amount of insurance that is at least
equal to a set percentage of the value of the
property in order to receive full payment of a
loss.
Collapse: Collapse of a building and collapse
of personal property within a building due to
specified causes (such as weight of snow, ice
or rain). Does not include collapse due to design
error or due to faulty workmanship or materials
if the collapse occurs after construction is complete.
Collision Insurance: Provides for payment
to a covered automobile resulting from the striking
of another object by a moving vehicle.
Commercial General Liability Policy (CGL):
A coverage which protects business organizations
against liability claims for bodily injury and
property damage. Those claims may be the result
of events at your place of business, from your
business operations, the products or services
you make or do, communications or advertisements
your business broadcasts.
Competitive State Funds: State-owned and
operated facilities that write Workers' Compensation
Insurance solely for that state.
Completed Operations: A General Liability
coverage for the work of the insured that has
been completed away from the business premises.
Comprehensive Auto Coverage: Covers an
automobile for loss or damage for all causes except
for those specifically excluded.
Compulsory Insurance: Insurance that is
required by law.
Concealment: Failure to disclose facts
which may void an insurance policy.
Conditional Receipt: Given to policy owners
when they pay a premium at the time of the application.
These receipts bind the insurance company, provided
your policy is approved, but are subject to any
other conditions stated on the receipt.
Conditions: Things agreed upon in an insurance
policy that state the rights and the requirements
of the insured and the insurer.
Consequential Loss: An indirect loss such
as the reduction in value of property that is
the result of a direct damage loss.
Constructive Total Loss: Term used when
damage to property is more than the value of the
property.
*Contestable Clause: A provision in an
insurance policy setting forth the conditions
or time period under which the insurance company
may contest or void the policy. After this time
has lapsed, typically 2 years, the policy cannot
be contested. Example: Suicide.
Contingent Beneficiary: Person or persons
designated to receive the value of an insurance
policy in case the original beneficiary is not
alive.
Contract: An agreement between two or
more parties with characteristics of mutual assent,
competent parties, a valid consideration and legal
subject.
*Coverage: Coverage is just another term
for Insurance. It can be used to mean either the
dollar amounts of insurance purchased ($500,000
of liability coverage), or the type of loss covered
(coverage for theft).
Convertible Term: A policy that may be
changed to another form by contractual provision
and without evidence of insurability. Most term
policies are convertible into permanent insurance.
Countersignature: The signature of a licensed
agent or representative on a policy that is required
to validate the policy.
Cross-Purchase Plan: An agreement that
provides that upon a business owner's death, surviving
owners will purchase the deceased's interest,
often with funds from life insurance.
Cumulative Injury: A type of injury which
occurs from the repetition of tasks over an extended
length of time.
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D
Data Processing or EDP Coverage: All risk
property insurance for electronic data processing
equipment (computers), computer programs, and
data including mechanical breakdown, electrical
injury, and changes in temperature and humidity.
Death Benefit: The amount of money paid
to the beneficiary when the insured person dies.
Decreasing Term Insurance: Term life insurance
on which the face value slowly decreases in scheduled
steps from the date the policy comes into force
to the date the policy expires, while the premium
remains level. The intervals between decreases
are usually monthly or annually.
Debris Removal: The cost of removal of
debris from covered property damaged by an insured
peril.
Deductible: The amount of loss which is
paid or absorbed by the insured prior to determining
the insurance company's liability.
Deposit Premium: The amount of premium
required at the beginning of a policy prior to
the actual premium being determined.
Depreciation: The reduction in value
of property over a period of time. Usually as
a result of age, wear and tear, or economic obsolescence.
Direct Damage: Causes of loss that produce
direct and straightforward property damage (without
interruption in time or deviation in space) from
the cause of the event to the damaged property.
Double Indemnity: Payment of twice the
basic benefit in the event of loss resulting from
specified causes or under specified circumstances.
Driver Other Car Endorsement: An endorsement
that can be added to an automobile policy that
gives protection while the insured designated
in the endorsement is driving a car other than
the one named in the policy.
Drop Down Provision: A clause used in
Umbrella policies providing that the Umbrella
will 'drop-down' over underlying policy aggregate
limits when they have been reduced or exhausted.
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E
Earned Premium: The amount of premium
that has been used for certain periods of time
Earth Movement or Earthquake.
Exclusion: An exclusion found in most
property insurance policies eliminating coverage
for earth movement or earthquake, except ensuing
fire.
Effective Date: The date on which an
insurance binder or policy goes into effect.
Electrical Damage or Injury Exclusion:
An exclusion usually contained in property insurance
policies eliminating coverage for damage to electrical
appliances caused by artificially generated currents,
except for ensuing fire or explosion.
Employee Dishonesty Coverage: Coverage
for theft of money, securities or property by
an employee.
Employee Leasing: A staffing method which
an employee leasing company provides all or most
of its client's employees.
Employers Excess Indemnity Insurance:
Insurance coverage purchased by employers that
do not subscribe to the Texas Workers' Compensation
law Employers Liability Coverage: Part 2 of the
Workers' Compensation policy which pays on behalf
of the employer all sums that the employer becomes
legally obligated to pay because of bodily injury
by accident or disease sustained by any employee
of the insured arising out of and in the course
of his employment by the insured.
Employment Practices Liability Insurance:
A form of liability insurance covering wrongful
acts arising from employment practices such as
wrongful termination, discrimination, and sexual
harassment.
Endorsement: A document attached to an
insurance policy that changes the original policy
provisions.
Equipment Floater: A property insurance
coverage for equipment that is often moved from
place to place.
Estimated Premium: A preliminary premium
amount that could be adjusted based on a variance
in exposures.
Evidence of Insurability: Any statement
or proof of a person's physical condition, occupation,
etc., affecting acceptance of the applicant for
insurance.
Excess and Surplus Lines Insurance: Coverage
that is provided by insurers not licensed in the
states where the risk is located.
Excess Liability Policy: A policy that
provides additional limits in excess of an underlying
liability policy.
Exclusions: Specified hazards listed in
a policy for which benefits will not be paid.
Expected or Intended: An exclusion for
injury or damage that is expected or intended.
Expediting Expense Coverage: Coverage
providing reimbursement of expenses for temporary
repairs and costs incurred to speed up the permanent
repair or replacement of covered property or equipment.
Expense Constant: A small flat expense
charged to Workers' Compensation policies.
Experience Modifier: A debit or credit
factor developed by measuring the difference between
the insured's actual past experience and the expected
or actual experience of the class of business.
Expiration: The ending date of an insurance
policy.
Exposure Base: The basis of rates that
are applied to determine premium. Some exposures
may be measured by payroll, receipts, sales, square
footage, area, man-hours or per unit.
Extra Expense Coverage: Coverage for
reimbursement of expenses in excess of normal
operating expenses that are incurred to continue
operations after a direct damage loss.
Extraterritorial Coverage: The coverage
for extending workers' compensation law to provide
benefits for workers hired in one state but injured
while working in another state.
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F
Face Amount: The amount covered by the
terms of an insurance contract, usually found
on the first page of the policy.
Fiduciary Liability: The liability placed
on trustees, employers, fiduciaries, and professional
administrators with respect to errors and omissions
in the administration of employee benefit programs.
Final Expenses: Expenses incurred at
the time of a person's death. These include but
are not limited to:funeral costs, court expenses,
current bills or debt, mortgages, loans, and taxes.
Fine Arts Coverage: Property insurance
for works of art.
Fire Department Service Charge Coverage:
Coverage in a property insurance policy for charges
incurred by the insured from a fire department
for their services in fighting a fire.
Fire Legal Liability Coverage: Liability
coverage for the insured's legal liability for
fire damage to premises rented by the insured.
Fire Wall: A wall designed to prevent
the spread of fire from one part of a building
to another.
Firewall: A computer that protects a
company's private network from outside Internet
users.
Fixed Benefit: A death benefit, the dollar
amount of which does not vary.
Flat Cancellation: The full cancellation
of a policy as of the effective date of coverage
which requires the return of paid premium in full.
Flood Coverage: Coverage for damage to
property caused by flood.
Flood Exclusion: A provision in most
all property insurance policies eliminating coverage
for damage by flood and possibly other types of
water damage, such as seepage and sewer backup.
Follow Form: An umbrella policy provision
that follows the underlying policy for coverages
and policy provisions.
Forgery or Alteration Coverage: Covers
loss due to the dishonesty of writing, signing,
or altering of checks and bank drafts.
Fortuitous Event: An event that is subject
to chance without the implication of suddenness.
Free Look: Trial period required in most
states where policy owners have up to 20 days
to examine their new policies with no obligation.
Frequency: The number of times that a
loss will occur within any given period of time.
Full Coverage: Any form of insurance
that provides payment in full of all losses caused
by the perils insured against without applying
a deductible or depreciation.
Funeral Expenses: Expenses including
casket, vault, grave plot, headstone, and funeral
director.
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G
Garage Liability Insurance: Insurance
coverage for the legal liability of automobile
dealers, garages, repair shops, and service stations
for bodily injury and property damage arising
out of their business operations.
Garagekeepers Coverage: Provides coverage
to owners of storage garages, parking lots, and
body and repair shops for their liability of damage
to automobiles left in their custody for safekeeping
or repair.
General Aggregate Limit: The maximum
amount of insurance payable during the policy
period for losses (other than those arising from
the products - completed operations hazards as
covered under the standard commercial general
liability policy).
General Liability Insurance: Insurance
protecting businesses from most liability exposures
other than automobile and professional liability.
Glass Insurance: A property insurance
policy covering breakage of building glass regardless
of cause.
Governing Classification: In Workers'
Compensation Insurance, the classification that
best describes the workers' compensation exposure
of an employer's business.
Grace Period: Period of time after the
due date of a premium during which the policy
remains in force without penalty.
Graded Premium Policy: A type of whole
life policy designed for people who want more
life coverage than they can currently afford.
They pay a lower premium rate that increases gradually
over the first 3 to 5 years and then remains constant
over the life of the policy.
Gross Negligence: Willful and wanton misconduct
Gross Vehicle Weight (GVW): The weight specified
by a manufacturer for the maximum total loaded
weight of a single vehicle.
Guaranteed Term: A form of renewable
term insurance that remains in force as long as
the premiums are paid on time. With guaranteed
term insurance, the insurance company cannot terminate
the policy during the term.
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H
Hired Automobile: An automobile whose
exclusive use has been temporarily given to another
for a monetary sum or other consideration. The
business auto definition of 'hired autos,' however,
includes autos borrowed except those borrowed
from employees or partners.
Hold Harmless Agreement: A contractual
agreement that requires one contracting party
to assume certain legal liabilities of the other
party.
Host Liquor Liability: Liability coverage
for hosts of business or social functions arising
out of the serving or distribution of alcoholic
beverages by a party not engaged in this activity
as a business enterprise.
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I
Improvements and Betterments: Additions
or changes made by a lessee at his own expense
to property that may not legally be removed. Usually
covered under the tenants property coverage.
Incontestable Clause: A clause in a policy
providing that a policy has been in effect for
a given length of time (2 or 3 years), the insurer
shall not be able to contest the statements contained
in the application. In life policies, if an insured
lied as to the condition of his health at the
time the policy was taken out, that lie could
not be used to contest payment under the policy
if death occurred after the time limit stated
in the incontestable clause.
Incurred Losses: The amount of paid claims
and loss reserves within a particular period of
time, usually a policy year. Customarily computed
as losses incurred during the period, plus outstanding
losses at the end of the period, less outstanding
losses at the beginning of the period.
Independent Adjuster: A claims adjuster
who provides adjustment services to insurance
companies but is not employed by them.
Independent Contractor: An individual
or company who has agreed, in writing, with another
party to perform a job or function on behalf of
that party.
Inflation Guard Provision: A provision
that increases the limit of insurance by a specified
percentage over a specified period of time to
offset inflation costs.
Insurability: The condition of the individual
wishing to be insured, including their health,
susceptibility to injury, and life expectancy.
Insurance: A formal social device for
reducing risk by transferring the risks of several
individual entities to an insurer. The insurer
agrees, for a consideration, to pay for the loss
in the amount specified in the contract.
Insurance Policy: The printed form which
serves as the contract between an insurer and
an insured.
Insurance to Value: Insurance written
in an amount equal to the value of the property
or which meets coinsurance requirements.
Insured: The party who is being insured.
In life insurance, it is the person because of
his or her death the insurance company would pay
out a death benefit to a designated beneficiary.
Insurer: The insurance company; Party
that provides insurance coverage, typically through
a contract of insurance.
Irrevocable Beneficiary: A beneficiary
that cannot be changed without that beneficiary's
consent.
Increasing Term Insurance: Term life insurance
in which the death benefit increases periodically
over the policy's term. Usually purchased as a
cost of living rider to a whole life policy.
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J
Joint Venture: A business relationship
when two or more persons join their labor or property
for a business undertaking and share profits.
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K
None available
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L
Lapse: Termination of a policy due to
the policy owner's failure to pay the premium
within the grace period.
Leasehold Interest: Property insurance
covering the loss suffered by a tenant due to
termination of a lease because of damage to the
leased premises by a covered loss.
Lessee: The person to whom a lease is
granted Lessor: The person granting the lease.
Liability: The legal obligation to pay
a monetary award for injury or damage caused by
one's negligent or statutorily prohibited action.
Liberalization Clause: A provision within
an insurance policy that broadens the coverage
if the insurance company offers a broader coverage
form within the first 45 days of coverage.
Lien: An obligation that can be held
by an individual who has an interest in a particular
matter or property.
Life Expectancy: The average number of
years a person is expected to live based on a
national average per age group, and other factors.
Life Insurance: Insurance coverage that
pays out a set amount of money to specified beneficiaries
upon the death of the individual who is insured.
Limit of Liability: The most an insurance
company agrees to pay in the case of loss.
Limited Pay Policy: A type of whole life
insurance designed to let the policyholder pay
higher premiums over a specific time period such
as 10 or 20 years so that they won't have to pay
any premiums for the rest of his or her life.
Longshore and Harbor Workers' Compensation
Act: A federal law that provides workers'
compensation benefits to employees of a vessel
injured in maritime employment - usually in loading,
unloading, repairing or building a vessel - but
not applicable to crew members.
Loss: The amount an insurance company
pays for damages under the terms of a policy.
Loss Adjustment Expense: The cost assessed
to a particular claim for investigating and adjusting
that claim.
Loss Constant: A flat charge added to
the premium of small workers' compensation policies
to offset higher loss ratios.
Loss Control: A technique that is put
in place to reduce the possibility that a loss
will occur or reduce the severity of those that
do occur.
Loss Payable Clause: An insurance clause
that authorizes loss payments to a person or entity
having an insurable interest in the covered property.
Loss Ratio: Percentage of losses incurred
against earned premiums.
Loss Report: A form showing reported
claims which provides information such as the
date of occurrence, type of claim, amount paid,
and amount reserved for each loss
Loss Reserve: An estimated amount set
aside for a particular claim that has not yet
been paid.
Lost Policy Release: A signed statement
by the named when the insured wishes to cancel
the policy, but has lost or mislaid the policy,
which releases the insurance company from all
liability or losses.
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M
Medical: A document completed by a physician
or another approved examiner and submitted to
an insurer (insurance company) in order to provide
medical information. This is usually done to determine
insurability (or lack of insurability) or is sometimes
done in relation to a claim.
Medical Expenses: Reasonable charges for
medical, surgical, x-ray, dental, ambulance, hospital,
professional nursing, prosthetic devices, and
funeral expenses. What is considered reasonable
is outlined in a policy.
Medical Payments, Auto: Coverage, which
is optional, under an auto policy to pay for medical
expenses for bodily injury caused by an auto accident,
regardless of fault. Coverage for persons other
than the named insured and his or her family members
is typically restricted to circumstances when
they are occupants of the insured auto.
Medical Payments, General Liability:
A general liability coverage that reimburses others,
regardless of fault, for medical or funeral expenses
incurred as a result of bodily injury or death
sustained by an accident.
Mexico Coverage: Coverage which is sometimes
provided under automobile policies for the operation
of an insured motor vehicle within Mexico, usually
limited to a stated number of miles from the U.S.
border.
Minimum Premium: The lowest amount of
premium to be charged for providing a particular
insurance coverage.
Misrepresentation: The act of knowingly
presenting false information.
Mobile Equipment: Equipment such as earthmovers,
tractors, diggers, farm machinery, forklifts,
etc., that even when self-propelled, are not considered
as automobiles for insurance purposes.
Monopolistic State Funds: States or Jurisdictions
where an employer must obtain workers' compensation
insurance from a state fund or qualify as a self-insurer,
as is allowed in five of the states: North Dakota,
Ohio, Washington, West Virginia, Wyoming, Puerto
Rico, and the U.S. Virgin Islands.
Mortality Rate: The number of deaths
in a group of people, usually expressed as deaths
per thousand.
Mortality Table: A table showing the incidence
of death at specified age groups.
Mortgage Clause: Property insurance provisions
granting protection for the mortgagee named in
the policy. It establishes that loss to mortgaged
property is payable to the insured and to the
mortgagee named in the policy.
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N
Named Perils Coverage: A property insurance
term referring to exact causes of loss specifically
listed as covered.
National Flood Insurance Program: A federally
funded program established to make flood insurance
available to properties located in participating
communities.
National Flood Insurance Program: A federally
funded program established to make flood insurance
available to properties located in participating
communities.
Nonadmitted Insurer: An insurance company
that is not licensed to do business in a specific
state. The insurers may write coverage through
an excess and surplus lines broker that is licensed
in these jurisdictions.
Nonowned Automobile: In commercial auto
policies, coverage for autos that are used in
connection with the named insured's business but
are neither owned, leased, hired, rented or borrowed
by the named insured. The term specifically applies
to vehicles owned by employees and used for company
business.
Nonsubscription: A Workers' Compensation
term used in Texas that refers to employers who
choose to be out of the workers' compensation
system. Firms that are proven negligent in causing
a worker's injury, can be held liable in tort,
since nonsubscribing employers waive the traditional
common law defenses available to employers subject
to workers' compensation laws.
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O
Original Age: The age you were when you
bought an insurance policy.
Other Insured Rider: The temporary addition
to an insurance policy, usually a member of the
direct family.
Ownership: All rights, benefits, and privileges
under life insurance policies are controlled by
their owners. Policy owners may or may not be
the insured. Ownership may be assigned or transferred
by written request of current owner.
Occupational Hazard: A condition in the
workplace that increases the chances of the an
accident, sickness, or death. It usually will
mean higher premiums.
Occurrence: A continual, gradual or repeated
exposure to substantially the same general harmful
conditions. General liability policies insure
liability for bodily injury or property damage
that is caused by an occurrence.
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P
Package Policy: A policy providing several
different coverages combined into one policy.
Refers to a policy providing both general liability
insurance and property insurance.
Payroll Limitation: A limit on the amount
of payroll for certain classifications used for
the development of premium.
Peril: Cause of loss such as fire, windstorm,
collision, etc.
Personal Auto Policy (PAP): A policy insuring
private-passenger autos owned by individuals.
Personal Injury: A General Liability
coverage for insurable offenses that cause harm,
other than bodily injury, such as false arrest,
detention or imprisonment, malicious prosecution,
wrongful eviction, slander, libel, and invasion
of privacy.
Personal Injury Protection (PIP): An
automobile insurance coverage mandated by law
in some states. The statutes typically require
insurers to provide or offer to provide first-party
benefits for medical expenses, loss of income,
funeral expenses, and similar expenses without
regard to fault.
Personal Property: All tangible property
not classified as real property such as contents.
Policy: The printed document given to
the insured, outlining the terms and conditions
of the Insurance coverage.
Policy Fee: A one-time charge per policy
that does not change with the size of the premium.
Policy Holder: The person who owns a
life insurance policy. This is usually the insured
person, but it may also be a relative of the insured,
a partnership or a corporation.
Policy Period: The term or duration of
a policy including the effective and expiration
dates.
Pollutant: An irritant or contaminant,
whether in solid, liquid, or gaseous form, including
smoke, vapor, soot, fumes, acids, alkalis, chemicals,
and waste.
Preferred Risk: A positive characteristic
of someone seeking to be insured. Usually means
a better likely hood for long life, and usually
means a lower premium.
Premises: The location where coverage
applies.
Premises-Operations: A category of hazard
ordinarily insured by a general liability policy
which is composed of those exposures to loss that
fall outside the defined 'products-completed operations
hazard,' including liability for injury or damage
arising out of the insured's premises or out of
the insured's business operations while such operations
are in progress.
Premium: The agreed upon, payment made
to keep an insurance policy in force, usually
a monthly payment.
Premium Flexibility: The policy holder's
right to vary the amount of premium paid each
month.
Primary Beneficiary: In life insurance,
the beneficiary designated by the insured as the
first to receive policy benefits.
Primary Policy: The insurance policy that
pays first when you have a loss that's covered
by more than one policy.
Pro Rata Cancellation: The cancellation
of an insurance policy with the return premium
being the full proportion of premium for the unexpired
term of the policy, without penalty for early
cancellation.
Product: Items manufactured, sold, handled,
distributed or disposed of by the named insured
or others involved with the named insured in the
course of their business. Includes containers,
parts and equipment, product warranties, and provision
of or failure to provide instructions and warnings.
Product Liability: The liability for
bodily injury or property damage a merchant or
manufacturer may incur as a consequence of some
defect in the product sold or manufactured.
Products-Completed Operations: General
Liability coverage for liability arising out of
the insured's products or business operations
conducted away from the insured's premises once
those operations have been completed.
Professional Liability: Coverage designed
to protect professionals such as physicians and
real estate brokers, against liability incurred
as a result of errors and omissions in performing
professional services.
Property Damage: In the general liability
policy, a physical injury to property, resulting
in the loss of use.
Property Insurance: First-party insurance
for real and personal property against physical
loss or damage.
Provisions: Details of an insurance policy
which explain the benefits, conditions, and other
features of the insurance contract.
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Q
None Available
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R
Real Property: Real estate including buildings
and vegetation.
Reentry Option: An option in a renewable
term life policy under which the policy owner
is guaranteed, at the end of the term, to be able
to renew his or her coverage without evidence
of insurability, at a premium rate specified in
the policy.
Reinstatement: Putting a lapsed policy
back in force by producing satisfactory evidence
of insurability and paying any past-due premiums
required.
Renewal Policy: A policy issued to replace
an expiring policy.
Rents or Rental Value Insurance: Insurance
that reimburses a building owner for loss of rental
income due to damage by an insured peril.
Replacement: A new policy written to
take the place of one currently in force.
Representation: Statements made by applicants
on their applications for insurance that they
represent as being substantially true to the best
of their knowledge and belief but that are not
warranted as exact in every detail.
Return Premium: The amount of premium
due the insured should the actual cost of a policy
be less than the insured previously paid.
Rider: An attachment to a policy that
modifies its conditions by expanding or restricting
benefits or excluding certain conditions from
coverage.
Risk: The chance of injury, damage, or
loss. Robbery: Theft of property while force is
used or threatened.
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Secondary Beneficiary: An alternate beneficiary
designated to receive payment, usually in the
event the original beneficiary predeceases the
insured.
Short-Term Cancellation: Cancellation
of an insurance policy prior to the expiration
date in which a penalty in the form of a less
than full pro-rata premium refund is allowed.
Single Premium Policy: A whole life policy
for people who want to buy a policy for a one-time
lump sum, and then be covered for the rest of
their lives without paying any additional premiums.
Special Causes of Loss Form: A cause of
loss form providing coverage from all causes of
loss unless specifically excluded or limited.
Specified Causes of Loss Coverage: Auto
physical damage coverage only for losses caused
by the perils listed in the policy.
Sprinkler Leakage Coverage: Coverage
for property damage caused by the accidental discharge
or leakage of water from automatic sprinkler systems
or other fire prevention devices.
Surplus Lines Insurance: Insurance written
by insurers not licensed in the states where the
risks are located and placed with such insurers
under the surplus line laws of the various states.
Before such placements can be made through specially
licensed surplus line agents and brokers, state
laws generally require evidence reported before
some predetermined future date ('sunset').
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Time Element Insurance: A term referring to property
coverage for loss of earnings or income resulting
from the inability to put damaged property to
its normal use.
Term Insurance: Protection during limited
number of years; expiring without value if the
insured survives the stated period, which may
be 1 or more years but usually is 5 to 20 years,
because such periods usually cover the needs for
temporary protection.
Term: Period for which the policy runs.
In life insurance, this is to the end of the term
period for term insurance.
Third-Party Owner: A policy owner who
is not the prospective insured. The policy owner
and the insured may be, and often are the same
person. If for example, you apply for and are
issued an insurance policy on your life, then
you are both the policy owner and the insured
and may be known as the policy owner-insured.
If, however, your mother applies for and is issued
a policy on your life, then she is the policy
owner and you are the insured.
Transit Coverage: Coverage on the insured's
property while in transit from one location to
another, over land.
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U
Umbrella Liability Policy: A policy designed
to provide additional protection against catastrophic
losses covered under liability policies, such
as the business auto policy, commercial general
liability policy, watercraft and aircraft liability
policies, and employers liability coverage. It
provides excess limits when the limits of the
underlying liability policies are used up by the
payment of claims and it drops down and picks
up where the underlying policy leaves off when
the aggregate limit of the underlying policy in
question is exhausted by the payment of claims.
It also provides protection against some claims
not covered by the underlying policies, subject
to a self-insured retention.
Underinsured Motorists Coverage: Provides
coverage for bodily injury, and in some states
property damage, for losses incurred by an insured
when an accident is caused by a motorist who does
not have sufficient insurance limits.
Underlying Coverage: The insurance or
coverage in place on the same risk that will respond
to loss before the excess policy is called on
to pay any portion of the claim.
Underwriter: Company receiving premiums
and accepting responsibility for fulfilling the
policy contract. Also, company employee who decides
whether the company should assume a particular
risk; or the agent who sells the policy.
Uninsurable Risk: A person who is not
acceptable for insurance due to excessive risk.
Universal Life: An interest-sensitive
life insurance policy that builds cash values.
The premium payer has control over how the policy
is structured. He has the flexibility to eliminate
the premiums (essentially pay up the policy and
pay no more premiums) or have the premiums continue
for life. It is a matter of juggling three variables:
the assumed interest rate, the cash value, and
the premium payment plan. The policy is interest-sensitive,
and if interest rates change from the assumed
interest, it will affect the other two variables.
In the past, many Universal Life Policies were
structured assuming a higher interest rate then
was actually received, therefore, most of them
have under performed. If you have a Universal
Life Policy, you should have it evaluated to see
if it needs to have the premiums adjusted to get
it back on track. A fourth variable that has not
been a factor but could be in the future, and
the owner should be aware of, is the Mortality
variable. Universal Life policies are usually
structured assuming current mortality rates. The
insurance companies reserve the right to change
those rates.
Unearned Premium: That portion of the
policy premium that represents the unexpired policy
term.
Uninsured Motorist Coverage: Provides
coverage for bodily injury, and in some states
property damage, for losses incurred by an insured
when an accident is caused by a motorist who is
not insured.
Utility Service Interruption Coverage:
Coverage for the loss to an insured due to lack
of incoming electricity which was caused by damage
from a covered cause of loss, such as a fire or
windstorm, to property away from the insured's
premises - usually the utility generating station.
Also referred to as off-premises power coverage.
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Vacancy Provision: Property insurance
provision found in commercial property policies
that restrict coverage in connection with buildings
that have been vacant for a specified number of
days, usually 60 days.
Valuable Papers and Records Coverage:
Coverage that pays the cost to reconstruct damaged
or destroyed valuable papers and records and usually
includes almost all forms of printed documents
or records except money or securities; data processing
programs, data, and media are usually excluded.
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W
Waiver of Premium: Rider or provision
included in most life insurance policies exempting
the insured from paying premiums after he or she
has been disabled for a specified period of time,
usually 6 months.
Waiver of Subrogation: Also known as 'transfer
of rights of recovery,' the relinquishment by
an insurer of the right to collect from another
party for damages paid on behalf of the insured.
Whole Life Insurance: Life insurance
that is kept in force for a person's whole life
as long as the scheduled premiums are maintained.
All Whole Life policies build up cash values.
Most Whole Life policies are guaranteed as long
as the scheduled premiums are maintained. The
variable in a Whole life Policy is the dividend
which could vary depending on how well the insurance
is doing. If the company is doing well and the
policies are not experiencing a higher mortality
than projected, premiums are paid back to the
policy holder in the form of dividends. Policyholders
can use the cash from dividends in many ways.
The three main uses are: it can be used to lower
or vanish premiums, it can be used to purchase
more insurance or it can be used to pay for term
insurance.
Workers' Compensation: Protection which
provides benefits to employees for injury or contracted
disease arising out of and in the course of employment.
Most states have laws which require such protection
for workers and prescribe the length and amount
of such benefits provided.
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X
None Available
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Y
None Available
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Z
None Available
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10727
White Oak Avenue
Suite 115
Granada Hills, CA 91344
Map
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Phone:
818-831-3368
Fax: 818-831-1268
License #: 0746116
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