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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. ACV
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. 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.
Beneficiary
The person(s) named in the policy to receive the life insurance proceeds
upon the death of the insured.
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 employees of the same
company) or several properties of exposures (kinds of possible losses)
under a single contract.
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 the 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.
Cash (Surrender) Value
The amount that is available in cash for loans and that may be available
for withdrawals. Accessing Cash Surrender Value may reduce the death
benefit and may increase the risk of lapse.
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.
Convertible Term Insurance
Term insurance which can be exchanged (converted), at the option of
the policyowner and without evidence of insurability, for a permanent
insurance policy.
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.
Dividend
A return of part of the premium on participating insurance that is based
on the insurer's investment, mortality, and expense experience. Dividends
are not guaranteed.
Exclusions
Provisions of an insurance policy that state what the company will NOT
pay for.
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 call a policy. The consideration is called
a premium.
Insurability
Acceptability to the company of an applicant for insurance.
Insured or Insured Life
The person on whose life the policy is issued.
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 involve 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.
Loan (Policy Loan)
A loan made by a life insurance company from its general funds to a
policyowner on the security of the cash value of a policy.
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.
Paid-up Insurance
Insurance that will remain in force with no need to pay additional premiums.
Participating Policy
A life insurance policy that is eligible for the payment of dividends
by the insurer (see also Dividend).
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 policyowner 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.
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.

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