Actual Cash Value (ACV) “Actual Cash Value” is the replacement cost of property damaged or destroyed at the time of loss, with deduction for depreciation. Actual cash value cannot exceed the applicable limit of liability shown in the declarations of the policy, nor the amount it would cost to repair or replace such property with material of like kind and quality within a reasonable amount of time after a loss.
Adjuster The person who handles the settlement of claims on behalf of an insurance company, either as an employee of the company or an independent engaged by contract. Also called a claims representative.
Agent The representative of an insurance company responsible for selling and servicing policies. An agent can be an employee representing only one company (sometimes called a “captive agent” or a “direct writer”) or an “independent agent” who, through contractual agreements, may represent several different companies without being an employee of any of them.
Applicant A person who signs and submits a written application for insurance coverage.
Arson The willful, unlawful burning of property. If it is proved the policyholder was responsible for the arson, the insurance company will not pay for the loss.
Auto Medical Payments Optional automobile coverage that pays for medical expenses incurred by the insured driver or his or her passengers, without regard to who is responsible for the accident.
Automobile Insurance Contractual protection against losses resulting from the ownership and use of an automobile. Coverages common in auto policies include FIRE, THEFT, COMPREHENSIVE, COLLISION, PROPERTY DAMAGE and BODILY INJURY LIABILITY, and UNINSURED MOTORIST.
Benefit The money to be paid by an insurance company under the terms of the insurance policy.
Binder A legal agreement between an insurance buyer and an insurance company or its agent. It provides temporary insurance coverage until a policy is either issued or refused.
Blanket Policy A policy that covers a group of people (such as employees of the same company) or several properties of exposures (kinds of possible losses) under a single contract.
Beneficiary The person(s) named in the policy to receive the life insurance proceeds upon the death of the insured.
Bodily Injury Injury to the body of a person as specifically defined in an insurance policy. Bodily injury liability is the legal responsibility for medical and related cost that may result from injury to the life or health of another person.
Cancellation The termination of an insurance policy either by the insured party or the insurance company before its normal expiration date. A cancelable policy includes a provisions that the contract can be terminated by either party upon notice to the other. By contrast, a non-cancelable policy cannot be canceled by the insurance company during its specified term (unless non-payment of premium).
Carrier A trade term for an insurance company.
Claim A demand for payment by a policyholder to an insurance company, or by an injured party to the policyholder, for recovery of a loss.
Clause A section of a policy which deals with a particular subject, such as coinsurance clause.
Collision Coverage Insurance against a loss resulting from damage to the covered auto through collision with another object or upset of the auto.
Comprehensive Coverage Covers damage to the auto not resulting from collision. For example: An auto is parked near a building being painted and becomes splattered with paint. Most claims paid under this coverage are for fire, theft, and windshield breakage.
Conditions The part of an insurance policy that spells out the responsibilities of the policyholder and the insurance company.
Coverage The guarantee to pay if specific losses occur, according to the terms of the insurance policy.
Debris Removal Clause This clause extends insurance coverage to include the cost of debris removal resulting from damage caused by a covered loss up to a specified limit of loss. The clause is an additional property insurance coverage.
Demolition Coverage An optional coverage with some fire policies that provides for the cost of demolishing portions of a building still intact after a fire or explosion. Such demolition is sometimes required by ordinance for safety reasons or by the building code in connection with rebuilding.
Declaration Normally the first page of a policy (also referred to as the Dec Page), it includes the insured’s name, how long the coverage applies, and how much insurance is being provided.
Face Amount The amount stated on the face of the policy that will be paid in case of death. It does not include additional amounts payable under accidental death or other special provisions, or acquired through the application of policy dividends.
Fraud Deception or action intended to cheat. In insurance, ordinarily involves intentional misrepresentation or concealment.
Insurance A contractual agreement that calls for one party, in exchange for a consideration, to reimburse anther party for certain specified losses. The insurance contract is called a policy. The consideration is called a premium.
Insurability Acceptability to the company of an applicant for insurance.
Lapse Expiration or cancellation of an insurance policy by nonpayment of premium.
Larceny The unlawful taking of money or property belonging to another.
Level Premium (Life Insurance) Life insurance for which the premium remains the same from year to year. The premium is normally more than the actual cost of protection during the earlier years of the policy and less than the actual cost in the later years. The building of a reserve is a natural result of level premiums. The payments in the early years, together with the interest that is to be earned, serves to balance out the underpayment of the later years.
Liability A condition of being bound by law to do something, enforceable in the courts. For insurance purposes it most often involves the payment of damages.
Libel Publication of defamatory information. This CAN be covered by liability insurance.
Lien A hold or claim one party has on the property of another, usually as security for the debt or other obligation. For example, a home mortgage or loan on a car.
Limits The largest total amount the insurance company will pay for covered losses. Many policies have multiple limits – a certain amount per person, another amount per accident, and sometimes, an aggregate limit on all losses paid during the policy term (ie…. 100/300/100). In this example, the first 100 represents $100,000 bodily injury coverage PER PERSON. The 300 represents $300,00 per accident for bodily injury. The last 100 represents $100,000 limit for property damage.
Loss of Use In the event you could not live in your home after an insured peril occurs, the homeowners policy offers payment of temporary living quarters while you are waiting for repair work to be completed. You would also have additional expenses such as food and laundry paid for as well.
Ordinance or Law Coverage
(1) Coverage for Loss to the Undamaged Portion of the Building – Pays for the loss of value of an undamaged portion of the existing building which must be demolished and/or removed to conform with municipal ordinance, code, etc.
(2) Demolition Cost – Pays for the cost of demolition of the undamaged portions of the building necessitated by the enforcement of building, zoning, or land use ordinance or law.
(3) Increased Cost of Construction – Pays for any increased expenses incurred to replace the building with one conforming to building laws or ordinances, or to repair the damaged building so that it meets the specifications of current building laws or ordinances.
Permanent (Life Insurance) Any form of life insurance except term; generally insurance that builds up a cash value, such as whole life.
Physical Damage Normally refers to the comprehensive and collision coverages of an auto policy.
Policyowner 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.
Premiums Payments to the insurance company to buy a policy and to keep it in force.
Replacement Cost Coverage Unlike other types of insurance, replacement cost insurance does not depreciate your property of contents values. Every covered item that needs to be replaced will be treated as if it were brand new.
Renewable Term Insurance Term insurance which can be renewed at the end of the term, at the option of the policy owner and without evidence of insurability, for a limited number of successive terms. The rates generally increase at each renewal as the age of the insured increases.
Subrogation The legal process by which an insurance company seeks from a third party who may have caused the loss, recovery of the amount paid to the insured.
Term Insurance Life insurance that does not build up cash value and where the premium normally increases as the insured gets older.
Towing and Labor Costs Coverage This endorsement is used to extend your Automobile policy to reimburse you, up to a predetermined limit per disablement, for towing charges or other specified costs when your auto is disabled by a covered period.
Uninsured/Underinsured Motorist Coverage Optional coverage that pays the policyholder in the event an accident is caused by a driver who has no liability insurance or whose insurance is not adequate to cover the full amount of damages for Bodily Injury Losses.
Universal Life Insurance A flexible premium life insurance policy under which the policyowner may change the death benefit from time to time (with satisfactory evidence of insurability for increases) and vary the amount or timing of premium payments. Premiums (less expense charges) are credited to a policy account from which mortality charges are deducted and to which interest is credited at rates which may change from time to time.
Whole Life Insurance A basic type of permanent life insurance which can provide lifetime protection at a level premium. Premiums must generally be paid for as long as the policy is in force.
Workers Compensation (1) A schedule of benefits payable to an employee for injury, disability, dismemberment, or death as a result of occupational hazard. The payments are a liability of the employer. (2) Insurance agreeing to pay the Workers Compensation benefits required by law on behalf of the employer.