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P&C
Course Definitions
| Term | Definition |
|---|---|
| Certificate of Insurance | A Statement evidencing that a policy has been written and stating the coverages in general. |
| Coinsurance / Insurance to Value | a Requirement that the insured carry insurance equal to a specified percentage of the value, to be fully indemnified under the policy. Provides a proper basis for setting rates. |
| Limits of Liability | The sum or sums beyond which a liability insurance company does not protect the insured on a particular policy. |
| Personal / Injury Liability | Liability insurance coverage for third party claims for damages which are other than physical such as libel slander, false arrest, wrongful eviction and invasion of privacy. |
| Bodily Injury Liability | The Liability which may arise from injury or death of another person. |
| Property Damage Liability | Protection against liability for damage to the property of another not in the care, custody and control of the insured, as distinguished from liability for bodily injury. |
| Fair Credit Reporting Act | Public law requires that an applicant be advised that a consumer report may be requested and given info regarding the agency should applicant be declined. |
| Claims Made policy form | Policy providing liability coverage only if a written claim is made during the policy period or any applicable extended reporting period. |
| Deposit premium / Audit | The premium deposit required by the company on those forms of insurance subject to periodical premium |
| Insured Contract | Definition which shapes the extent of contractual liability coverage by describing the types of contracts which are insured. |
| Other Insurance | The existence of another contract covering the same interest and perils. |
| Binders | Is a temporary contract of insurance, oral or written, offered by an insurer of agent pending issuance of the policy. It is usually written for a period of thirty days or sixty days and remains in force for that period or until permanent policy is either |
| Mortgagee Rights | Mortgagees right of recovery shall not be defeated by any act or neglect of the insured and giving the mortgagee other rights and privileges. |
| Other Insurance Provision | a Provision found in practically every insurance policy, stating what is to be done in case any other contract of protection embraces the same property and / or hazard. |
| Liability | Any legally enforceable obligation. |
| Occurrence | a Sudden, unexpected, unforeseen event resulting in a loss including repeated and continuous exposure to conditions. |
| Insurance | A social device that protects people and businesses against certain types of losses. |
| Indemnity | insurance is designed to restore the policyholder to the same financial condition enjoyed prior to the loss. |
| Peril | is the cause of a potential loss. It is immediate and specific. |
| Hazard | anything that increases the seriousness of a loss. 3 Types: Physical= oily rags ex. Moral= arsonist Morale= who cares? A condition that gives rise to a peril. |
| Representations | on an application, facts that the applicant represents as true and accurate to the best of his or her knowledge and belief. |
| Warranties | a statement made on an application for insurance that is warranted to be true in all respects. |
| Subrogation | policyholder transfers the right of legal action against a responsible third party to the insurer. |
| Salvage | property taken over by an insurance company to reduce its loss. |
| Insurable Interest | in order to purchase insurance, one must have an insurable interest in the subject of the insurance. In P&C, insurable interest must exist at time of loss. |
| Theft | any act of stealing. |
| Burglary | breaking entering into premises of another, with felonious intent and with visible signs of forced entry. |
| Robbery | the felonious taking by force or fear of force, of the personal property of another. |
| Mysterious Disappearance | the vanishing of insured property in an unexplained manner. |
| Proof of Loss | formal statement made by the insured to the insurance company regarding a loss. |
| Negligence | failure to do what a reasonably prudent person would do under the same circumstances. |
| Unoccupancy | furnished but unused. |
| Vacancy | has neither occupants or contents. |
| Elements of a Contract | to establish a valid contract you need: (C.L.A.P.) Legally competent parties Offer and acceptance Valid consideration Legality of purpose |
| Risk | the uncertainty about loss. Only pure risks are insurable these involve the uncertainty of loss without any possibility of gain. |
| Proximate Cause | when an uninterrupted chain of events resulting from a negligent act causes a loss. |
| Concealment | the with-holding of facts by an applicant for insurance that affects an insurance risk or loss. |
| Assignment | transfer of rights in a policy to other than the policyholder. |
| Appraisal | means to settle indemnification disputes. |
| Limitations | exclusions, exceptions, or reduction of coverage contained in a policy. |
| Exclusions | causes, conditions or property listed in the policy which are not covered and for which no benefits are payable. |
| Pair and Set Clause | in the case of a loss the insurance company may repair or replace any part, or pay the value before and after the loss. |
| Declarations | a portion of an insurance contract that informs who and what is covered, in addition to when coverage is effective. |
| Loss | is any reduction in the quality, quantity or value of something Direct - property is lost, stolen, damaged, or destroyed. Indirect - related to direct losses may also be covered. Loss of housing or business due to fire eg. |
| Actual Cash Value | is equal to the replacement cost less depreciation. |
| Replacement Cost | the cost of replacing property without deduction for depreciation. |
| Right of Salvage | insurance companies generally have a right to salvage property which has only been partially damaged or which has been destroyed but still has a salvage value. |
| Cancellation | termination of contract of insurance in force by voluntary act of the insurance company or insured by contract provision or mutual agreement. |
| Nonrenewal | termination of insurance coverage at an expiration date or anniversary date. |
| Definition of the Insured | the party to an insurance arrangement to whom, or on behalf of whom, the insurance company agrees to indemnify for losses, provide benefits or render service. |
| Abandonment | the insured cannot just hand over the insurance company, declaring it unsuitable without other pieces from a grouping to be paid for the property as a loss even though it was not damaged. |