Insurance Information
Cancellation The discontinuance of an insurance policy before its normal expiration date, either by the insured or the company. Captive Agent A licensed insurance agent who sells insurance for only one company. Captive Insurance Company A company owned solely or in large part by one or more non- insurance entities for the primary purpose of providing insurance coverage to the owner or owners. Casualty Insurance Insurance concerned with the insured's legal liability for injuries to others or damage to other persons' property; also encompasses such forms of insurance as plate glass, burglary, robbery and workers' compensation. Catastrophe Event which causes a loss of extraordinary magnitude, involving a large number of people, such as a hurricane or tornado. Cede To transfer all or part of a risk written by an insurer (the ceding, or primary company) to a reinsurer. Certificate of Insurance A statement of coverage issued to an individual insured under a group insurance contract, outlining the insurance benefits and principal provisions applicable to the member. Cession Amount of the insurance ceded to a reinsurer by the original insuring company in a reinsurance operation. Claim A request for payment of a loss which may come under the terms of an insurance contract. Claimant Vehicle Vehicle owned or driven by another party involved in a loss. Claims Adjuster Person who investigates and/or settles claims - an agent, company adjuster, independent adjuster, adjustment bureau, or public adjuster Class Factor Class factors (also referred to as driver class factors) are based on the age of the driver and the usage of the vehicle. It is one of the main components used in rating auto policies. The factor is applied to the base rate and specific coverages. Collision A form of insurance protecting the insured against loss resulting from any damage to the insured's vehicle caused by collision with any object whether or not it was the insured's fault. Requires comprehensive coverage. Collision for Rental Vehicle Collision coverage, which may be purchased on liability only policies to cover rented vehicles. Coverage only available in state of Alaska. Collision Full Glass No deductible for glass damage resulting from a collision. Deductible applies to all other damage. Collision Liability Buy Back Available in Michigan, this coverage will pay the $500 that a Michigan resident is responsible for if they damage the property of another in an at fault accident. Collision Waiver Deduction Collision deductible would be waived ONLY if vehicle is damaged by an AT-FAULT uninsured motorist. Requires CL and UMBI. Coverage only available in state of California Combined Ratio Basically, a measure of the relationship between dollars spent for claims and expenses and premium dollars taken in; more specifically, the sum of the ratio of losses incurred to premiums earned and the ratio of commissions and expenses incurred to premiums written. A ratio above 100 means that for every premium dollar taken in, more than a dollar went for losses, expenses, and commissions. Combined Single Limit Liability limits that specify a single dollar amount for combined Bodily Injury and Property damage, without showing specific limits for each indiviudal coverage. For instance the combined single limit for the policy is $100,000. The individual coverages are not given specific limits and limited only by the aggregate amount of coverage. Commercial Auto Insurance Provides coverage to a business for losses that arise out of vehicles which are owned or used by the business. Commercial General Liability Policy Commercial liability policy drafted by the Insurance Services Office containing two coverage forms-an occurrence form and a claims-made form. Commercial Lines A general term for any type of insurance (property, casualty, health, life, etc.) purchased by businesses, organizations, institutions, governmental agencies or other commercial establishments to protect risks associated with their operations. Commission The part of an insurance premium paid by the insurer to an agent or broker for his services in procuring and servicing the insurance. Commissioner A state officer who administers the state's insurance laws and regulations. In some states, this regulator is called the director or superintendent of insurance. Comparative Negligence Under this concept a plaintiff (the person bringing suit) may recover damages even though there is contributory negligence. His or her recovery, however, is reduced by the amount or percent of that negligence. Comprehensive Loss caused by factors other than collision: ex. Missiles or falling objects; fire; theft or larceny; explosion or earthquake; windstorm; hail; water or flood; malicious mischief or vandalism; riot or civil commotion; contact with a bird or animal; or breakage of glass. Comprehensive Full Glass Comprehensive with no deductible for glass damage only. Deductible does apply to other comprehensive losses. In FL, CPG applies to windshield ONLY. Coverage not available in every state. Comprehensive Personal Liability Insurance Protection against loss arising out of legal liability to pay money for damage or injury to others for which the insured is responsible. It does not include automobile or business operation liabilities. Refers to the general liability (not auto related) exposures that accompany a person's non-business activities. For example, your dog bites someone or you hit someone with a golf ball. This coverage is generally available to our Fulltimers as a form of coverage to replace their Homeowner's Liability that they lose when they sell their house and RV Fulltime. Comprehensive Rental Vehicle Comprehensive coverage, which may be purchased on a liability-only policy to cover rented vehicles. Available only in AK. Compulsory Auto Liability Insurance Insurance laws in some states require motorists to carry at least certain minimum auto coverages. Concealment Deliberate failure of an applicant for insurance to reveal a material fact to the insurer. Concurrent Causation Legal doctrine that states when a property loss is due to two causes, one that is excluded and one that is covered, the policy provides coverage. Consideration One of the elements for a binding contract. Consideration is acceptance by the insurance company of the payment of the premium and the statement made by the prospective policyholder in the application. Consumer Report A variety of information about the consumer including, prior loss reports (PLR), motor vehicle reports (MVR), and credit score. Contract A binding agreement between two or more parties for the doing or not doing of certain things. A contract of insurance is embodied in a written document called the policy. Contractual Liability Legal liability of another party that the business firm agrees to assume by a written or oral contract to a declared limit. Contribution by Equal Shares Type of other-insurance provision often found in liability insurance contracts that requires each company to share equally in the loss until the share of each insurer equals the lowest limit of liability under any policy or until the full amount of loss is paid. Contributory Negligence Any negligence on the part of the plaintiff which contributed to the cause of the accident may bar the plaintiff from recovery against a negligent defendant, even if the defendant was more negligent than the plaintiff. Coverage The scope of protection provided under a contract of insurance; any of several risks covered by a policy. Credit Score A number that is obtained from a credit bureau vendor. The number, which is also referred to as a score is the result of applying the consumers credit file information against a standard insurance industry model. The score does not enable anyone to determine specifically what information was in the consumer's credit file.
Insurance Information
Immediate Annuity An annuity that commences benefit payments immediately after a specified interval (one month or one year). This type of annuity is nearly always purchased with a single premium. Imputed Negligence Case in which responsibility for damage can be transferred from the negligent party to another person, such as an employer. Incurred Claims Incurred claims equal the claims paid during the policy year plus the claim reserves as of the end of the policy year, minus the corresponding reserves as of the beginning of the policy year. The difference between the year end and beginning of the year claim reserves is called the increase in reserves and may be added directly to the paid claims to produce the incurred claims. Indemnification Compensation to the victim of a loss, in whole or in part, by payment, repair, or replacement. Indemnity Legal principle that specifies an insured should not collect more than the actual cash value of a loss but should be restored to approximately the same financial position as existed before the loss. Independent Adjuster Claims adjuster who offers his or her services to insurance companies and is compensated by a fee. Independent Agent An independent contractor who sells insurance usually on behalf of more than one insurance company under the independent agency system. Independent agents operate their own business, own the records of the policies sold through them, and are compensated by commissions or fee. Indirect Loss Property loss from a peril that is not the immediate cause of loss; an indirect loss (e.g. a business interruption loss, extra expense, lost rent, etc.) arising out of an insured's inability to use property damaged by another peril. Inheritance tax A tax based on an estate's value at the time of the owner's death. A federal unified tax is assessed on the combined value of the estate and qualifying gifts so that estate taxes cannot be avoided by gifts in anticipation of death. Insolvent Having insufficient financial resources (assets) to meet financial obligations (liabilities). Inspection In property and casualty insurance, the insurer retains the right to make inspections and surveys relating to the insurability of the risk and the premiums charged. The insurer also reserves the right for inspection of property for which a loss arises and claim presented. Installments When a policy is placed on a payment plan, multiple equal installments due in the future are created. Insurability The risk-associated qualities of a person or entity that meet an insurer's underwriting standards and therefore make the insurer willing to offer coverage at a standard premium. Insurable Interest The person who stands to lose financially in the event of a loss. For example, loss to an automobile, home, or contents. Insurable Risk A risk that meets the following criteria: 1. The insured loss must have a definite time and place; 2. The insured event must be accidental; 3. The insured must have an insurable interest in the subject of coverage; 4. The insured risks must belong to a sufficiently large group of homogeneous exposure units to make losses predictable; 5. The risk must not be subject to a catastrophic loss where a large number of exposure units can be damaged or destroyed in a single event; 6. The coverage must be provided at a reasonable cost; 7. The chance of loss must be calculable. Insurance A system under which individuals, businesses, and other organizations or entities, in exchange for payment of a sum of money (a premium), are guaranteed compensation for losses resulting from certain perils under specified conditions. Insurance Adjuster An insurance company employee who is responsible for settling or adjusting claims. Insurance Commissioner The senior official in a state's department of insurance or other insurance regulatory agency. Insurance Company An organization chartered to operate as an insurer. Insurance Examiner The insurance department representative assigned to audit the books or the market conduct of an insurance company. Insurance Exchange An insurance marketplace or organization patterned after Lloyd's of London, formed during the 1980s in New York City, Miami, Florida, and Chicago, Illinois. Exchanges were formed to write large or unique risks, generally on a surplus lines basis, and to write reinsurance business. Both the New York and Florida exchanges have suspended operations. Insurance Guaranty Funds Plans established and administered individually at the state level which assess solvent insurers in order to settle the unpaid claims of a insolvent company and to return unearned premiums to its policyholders. Insurers each pay a proportional share of the losses based on their premium volume in the state. Frequently funds are set up in such a way as to have immediate access to assets of the insolvent insurer (rather than waiting until liquidation proceedings are completed). In many states, funds are given priority before general creditors to obtain assets of insolvent insurers. In some states, solvent insurers are permitted tax offsets against money paid into guarantee funds. Insurance Services Offices Members: Rating bureaus, actuarial associations and other insurance research groups. Objectives: Provides statistical and actuarial information, policy forms and related services to insurers. Functions as an insurance advisory organization and statistical agent. Publishes rate manuals, plans, policy forms and endorsements and other materials. Insured The person whose insurable interest is protected under an insurance policy; the one to whom or at whose direction an insurer reimburses losses, pays benefits, or provides services. The term is generally preferred to policyholder. Insured Loss Ratio The ratio that a reinsurer's percentage of losses incurred bears to premiums earned. Insured Vehicle A vehicle which is covered by an insurance policy or any vehicle which meets the definition of a covered auto according to the language of the insurance policy. Insurer The party to the insurance contract who promises to pay losses or benefits. Also, any corporation engaged primarily in the business of furnishing insurance to the public. Insuring Agreement That part of an insurance contract that states the promises of the insurer. Insuring Clause The clause which sets forth the type of loss being covered by the policy and the parties to the insurance contract. Interest The price for the use of money, expressed as a percentage of the amount borrowed; the charge paid by a borrower to a lender Inter vivos Trust An ordinary trust established by a person while living to manage and distribute assets to other living persons. (Inter vivos is Latin for "between the living.") Intestate Dying without having made a legal will; a person who has died without leaving a will Investment Income An insurance company's earnings from its investment portfolio, including interest, dividends, capital gains, and rent.
Insurance Information (cont'd)
Qualification Period The period during which the insured must be totally disabled before becoming eligible for residual disability benefits. Qualified Impairment Insurance A form of substandard or special class insurance, which restricts benefits for the insured person's particular condition. Qualified Plan A plan which the Internal Revenue Service approves as meeting the requirements of Section 401(a) of the 1954 Internal Revenue Code. Such plans receive tax advantages. Qualified terminable interest property A category of property, created by the Economic Recovery Tax Act, which by a deceased spouse's will entitles the surviving spouse to all income from the property for life, with that income payable at least annually, and precludes anyone including the spouse from appointing the property to anyone else during the spouse's life. |
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