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Accident
- An unexpected loss that occurs at a specific time and place. |
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Actual Cash Value (ACV) - The cost to replace
an item of property at the time of loss, less an allowance for depreciation.
Often used to determine the amount of reimbursement for a loss. |
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Adjuster - A person who investigates and
settles losses for an insurance carrier. |
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Additional Coverages - Supplemental insurance
coverages that apply only in certain circumstances, have reduced or separate
limits of liability or require you to meet certain requirements before they
are applicable. Also called “coverage extensions,” “other coverages”
and “extended coverages.” |
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Annual Policy - Insurance policy written for
a term of one year or renewed one year at a time. |
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Application - The statement of information
that you give when applying for an insurance policy and that an insurance
company uses to help decide if it will issue the policy and what premium
will be charged. |
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Arbitration - Determination by impartial
experts of the value of property or the extent of damage. Many insurance
polices provide for appraisals when the company and you cannot agree on the
amount or the extent of a loss. Arbitration also may be used to resolve
liability and policy-coverage issues in certain situations. |
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Audit - An examination of the books of
accounts, vouchers and other records of a person, corporation, firm or other
organization for the purpose of ascertaining the accuracy or inaccuracy of
the record. |
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Business Owners Package -
a separate policy that includes property and liability coverage. |
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Binder - A written or oral contract issued
temporarily to place insurance in force immediately prior to issuance of a
new policy or endorsement of an existing one. A binder is subject to payment
of the premium and provides coverage under the terms of the policy to be
issued, unless otherwise specified. |
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Bodily Injury Liability - Protects you from
financial loss when you are held liable for the injury or death of others
because of an auto accident, including the legal and court cost to defend
you in a covered lawsuit |
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Burglary - The loss of property due to theft
when there is visible evidence of forcible entry to the exterior of the
building. |
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Cancellation - The discontinuation of an
insurance policy before its normal expiration date. |
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Catastrophe - A single event causing numerous
losses exceeding a large specified total cost set by an insurance company.
Normally a company would have reinsurance for loss payments in excess of the
specified amount. Tornadoes, hurricanes and other violent weather are the
most common catastrophes. |
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Claim - A request for payment for a loss,
which may come under the terms of an insurance contract. There are two types
of claims. A first-party claim is one made by the policyholder for
reimbursement by his or her company. A third-party claim is one by a person
against a policyholder of another company and the payment, if any, will be
made by that company. |
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Coinsurance - An arrangement in a health
insurance policy whereby you pay a portion of the expenses, and the
insurance company pays the rest. |
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Collision - Pays for the repair or
replacement expenses for damage to your covered auto caused by a collision.
The limit of your Collision Coverage will not exceed the actual cash value
of your auto at the time of the accident less the deductible |
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Comprehensive (other than collision/OTC) -
Protects your covered auto from damage other than collision. Types of losses
usually covered are fire, theft, glass breakage, vandalism, windstorm, flood
and hail. The limit of your coverage will not exceed the actual cash value
of your auto at the time of accident, less deductible. |
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Concealment - Failure to disclose detail to
the insurance company that might affect your insurance coverage. |
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Condominium Insurance - A policy that covers
unit owners for personal property and liability separate from the insurance
the condo association carries. |
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Coverage - The amount of protection provided
by an insurance policy. |
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Declaration - A portion of an insurance
policy that includes the policyholder’s name, address, effective date,
expiration date, types and amounts of coverage and premium. |
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Deductible - is the initial amount you must
pay before the insurance company can start to reimburse. The deductible is
the amount of risk you take on, and the remainder of the loss is the risk
that the insurance company assumes |
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Depreciation - The loss of value of property
over a period of time. |
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Endorsement - An addition to a
property/casualty insurance policy. |
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Exclusion - The denial of coverage for
certain perils, individuals, locations or property. |
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Expiration Date - The date on which an
insurance policy ceases to be in effect. |
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Exposure - Possibility of loss. |
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Face Amount - The amount of money to be paid
to beneficiaries if the policyholder dies or when the policy matures,
exclusive of amounts specified in special provisions. |
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First Party - A policyholder. |
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Floater - A type of insurance coverage on
moveable possessions like art, jewelry and furs that protects against loss
of property, regardless of where the object is lost, stolen or damaged. |
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Fraud - The intentional concealment or
misrepresentation of facts for the purpose of collecting insurance benefits
or selling policies. |
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Group Insurance - A type of insurance
obtained through membership to an organization or association or by working
for an employer. |
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Hazard - A situation that causes property
loss, personal injury or death. An example of a hazard is frayed wiring; it
is a condition that creates or increases the chance of loss. |
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Health Insurance - Insurance that covers
payments for medication or to medical providers and hospitals. |
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Homeowner’s Insurance - A type of insurance
that includes coverage for loss or damage of property, additional living
expenses incurred as a result of property loss or damage and personal
liability. |
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Incidental Business Endorsement - an
endorsement added to your existing homeowners policy which covers structures
or equipment you use for your business. |
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In-Home Business Owners Policy - a single
policy that some insurance companies offer that combines homeowners and
business owners coverage into a single policy. |
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Indemnity - Insurance benefits or
reimbursement for loss. |
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Inflation guard is an endorsement that is
added to your homeowners policy. It increases the face amount of the policy
by a stated percentage to compensate for inflation. The advantage of this
endorsement is that it ensures that your home is always insured to value. |
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Insurable Interest - A financial interest
(risk) which the insured(s) must posses at time of loss. Examples of
insurable interests are lien holders, mortgagees and owners. |
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Insurance - A social device (legal contract
or policy) for the transfer of risk through the accumulation of funds.
Through insurance individuals with similar risks contribute to a fund out of
which their losses can be paid, distributing risks and losses to a large
group of people. When a large group of people contributes money to a fund
out of which their losses can be paid, it is called “pooling of risks.”
The larger the group, the better it works financially. |
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Insured - Person covered by an insurance
policy. |
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Lapsed Policy - An insurance policy that is
no longer effective due to the non-payment of premiums either by the due
date or after the grace period has ended. |
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Liability - An obligation that can be legally
enforced. |
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Liability Insurance - This type of insurance
provides protection from financial legal obligations. Also known as casualty
insurance. |
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Liability Limit - The total amount of money
for which an insurance company agrees to cover the holder of a liability
insurance policy. |
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Medical Payments - Pays for reasonable
medical expenses if you or others in your auto are injured in a covered auto
accident. It also provides coverage if you or another family member living
with you are hurt while riding in another persons auto. This coverage pays
regardless of fault. |
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Moral Hazard - Risks caused by the behavior
of a policyholder, like intentionally setting a fire to collect insurance. |
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Mortgage Insurance - A type of life insurance
that pays the remainder of the policyholder’s mortgage when the individual
dies. |
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Named Perils
- Property insurance coverage
for loss from certain situations specifically listed in the policy rather
than protection from loss due to any cause except those specifically
excluded. |
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National Flood Insurance
Program (NFIP) - Federal
government-sponsored insurance that covers the policyholder for property
losses caused by floods. |
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Negligence - A failure to exercise a level of
care that could result in injury, death or loss of or damage to property. |
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No-fault Automobile Insurance - A type of
insurance that covers injuries and losses as a result of a car accident
regardless of who caused the accident. |
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Notice of Loss - The act of informing an
insurance company of a loss. |
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Occupational Hazard - Dangers inherent to a
job that increase the likelihood of illness, injury or death. |
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Omnibus Clause - A provision in a car
insurance policy that covers drivers of the policyholder’s car. |
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Package Policy - Two or more types of
insurance combined into a single policy. A homeowner’s policy package
might include coverage for property and liability. |
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Peril
- An actual cause of loss. Examples of
peril are fire, theft and windstorms. |
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Personal Injury Protection Automobile Insurance
(PIP) - Type of insurance that covers medical expenses, loss of income and
other expenses that result from a car accident. |
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Personal Lines - Insurance policies for
individuals and families, as opposed to business insurance. |
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Physical Hazards - Tangible risks like faulty
electrical wiring, inferior building materials or poorly constructed heating
or air-conditioning systems. |
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Policy
- A written insurance contract. |
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Policyholder - The owner of an insurance
contract. |
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Premiums - Payments in exchange for insurance
coverage. |
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Proof of Loss - Documentation you submit to
the insurance company when filing a claim. |
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Property Damage Liability Insurance - A type
of insurance that protects you from financial responsibility for damage to
another person’s property. |
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Property Insurance - A type of insurance that
covers you for loss or damage to possessions. |
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Real Property - A home and the land it is
attached to. |
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Rental Reimbursement - To rent a substitute
auto due to a loss covered by your Collision or Comprehensive coverages. |
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Renter’s Insurance - A type of insurance
that protects policyholders who are tenants. Also known as tenant’s
insurance. |
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Replacement Cost Property Insurance - A type
of insurance that pays you the amount to replace property at today’s price
rather than the depreciated value. |
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Rider - An addition to an insurance policy. |
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Risk - The chance of loss. Insurance
companies view an individual or the property insured - a car or house, for
example - as risks, because that person or property could sustain a loss. |
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Schedule - A list that itemizes insured
property or possessions and the amount for which they are insured. |
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Second Party - Language in an insurance
contract that refers to the insurance company. |
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Tenant’s Insurance - A type of insurance
that protects policyholders who are tenants. Also known as renter’s
insurance. |
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Term Insurance - A type of life insurance
that expires after a predefined number of years. |
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Third Party - An individual who seeks to be
reimbursed by a liability insurance policy. |
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Towing and Labor - This coverage is available
only if your insured auto has Comprehensive coverage. It helps to reimburse
expenses you may incur if your covered auto is temporarily disabled. |
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Umbrella Liability - Coverage above the
standard liability level. |
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Underwriting - The process of selecting risks
for insurance and determining the amount and the terms of the risk the
insurance company will accept. |
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Uninsured Motorists - Protects you and other
passengers in your auto if you are injured in a covered auto accident by an
uninsured or hit-and-run driver, who is held legally responsible for your
injuries. It pays the medical expenses and related expenses you've incurred
up to the coverage limits you select |
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Underinsured Motorist (UIM) Coverage protects
you and anyone in your household against eligible bodily injury losses, up
to the UIM limits you purchased, when you cannot recover the losses from an
at-fault motorist because the at-fault motorist’s liability limits are too
low to cover your expenses |
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Vandalism - The deliberate destruction of
property |