Shared Flashcard Set

Details

Insurance Agent
P & C Basics
120
Insurance
Professional
02/27/2015

Additional Insurance Flashcards

 


 

Cards

Term
Accident
Definition
A sudden unexpected and unintended event causing injury or damage
Term
Actual Cash Value
Definition
(ACV) An item's replacement cost minus depreciation
Term
Additional (Supplementary) Payments
Definition
In casualty policies, payments in addition to the policy limits for all expenses the insurer incurs; all reasonable expenses the insured incurs at the insurer's request to assist in the investigation or defense of a claim or suit; cost of bail bonds to release attachments; costs taxed against the insured; prejudgement interest awarded against the insurer; and interest that accrues after entry of a judgement.
Term
Aggregate Limit
Definition
The maximum limit of liability for all claims during the policy period
Term
Assignment (transfer of your rights and duties under this policy)
Definition
An insured cannot transfer (assign) ownership of a property or casualty insurance policy to another without written consent of the insurer.
Term
Bodily Injury Liability
Definition
Liability for Bodily Injury, sickness or disease sustained by a person, including death resulting from these at any time, caused by an occurence.
Term
Burglary
Definition
Taking property from inside the premises by a person unlawfully entering or leaving the premises as evidenced by marks of forcible entry or exit.
Term
Business Income Coverage Form
Definition
Pays for loss of business income during the period of restoration while operations are suspended due to a direct physical loss of or damage to property at the insured premises, caused by a covered cause of loss.
Term
Businessowners Policy
Definition
A multi-line package policy in a simplified form that provides property, liability, and other coverage extensions.
Term
Cancellation
Definition
Termination of an insurance policy before the end of the policy period by the insured or insurer.
Term
Certificate of Insurance
Definition
A document used to provide proof of the existence of a policy and coverage.
Term
Claims-made Form
Definition
Covers liability claims that are first made during the policy period for an accident or occurence that took place after a retroactive date and before the end of the policy period.
Term
Coinsurance
Definition
Obligates the insured to pay part of a loss if the coverage provided in the policy is less than a percentage of the value of the property at the time of loss.
Term
Collision Coverage
Definition
applies to loss due to the upset of a covered auto or its impact with another vehicle or object.
Term
Commercial General Liability
Definition
Part of the commercial package policy that provides liability coverage on a business.
Term
Commercial Package Policy (CPP)
Definition
Policy consisting of Common Policy Declarations and Common Policy Conditions, plus one or more coverage parts including: boiler and machinery, commercial auto, commercial general liability, commercial inland marine, commercial property, crime and farm.
Term
Conditions
Definition
Clauses or provisions in a policy that specify the rules of conduct for the insured and the insurer.
Term
Concealment
Definition
The willful withholding of material information in order to deceive another person.
Term
Contractual Liability
Definition
Liability for damages an insured has as a result of a contractual hold harmless agreement (wherein a person assumes liability for certain occurences, relieving another of the liability.)
Term
Custodian
Definition
In crime insurance, this is the insured, or any of his partners or employees, while having care and custody of property inside the premises, except for a person while acting as a watchperson or guard.
Term
Declarations
Definition
Statements made by the insured about the particular risk being insured.
Term
Deductible
Definition
A specified dollar amount or percentage of covered loss that the insured must pay for each occurence before the insurer is liable for payment for a loss.
Term
Deposit premium Audit
Definition
The insured pays an advance premium (deposit premium) at the beginning of the policy period. At the end of the policy period, the insured's records are audited by the insurer to determine the final premium owed. The insured then pays or is refunded the difference.
Term
Duties of the Insured
Definition
Following a property insurance loss, an insured has the following duties, designed to limit the insurer's loss: promptly notify the insurer or agent, protect the property from further damage, keep an accurate record of repair expenditures, prepare an inventory of damaged personal property, exhibit damaged property, provide the insurer with requested records, submit to an examination, and submit a signed sworn proof of loss.
Term
Dwelling Policy
Definition
A property insurance policy designed to cover buildings for individuals and families. It is personal lines coverage that does not include liability coverage unless endorsed.
Term
Earthquake Coverage
Definition
Insurance that covers losses resulting from damage done by an earthquake. Can be purchased as a separate policy, as an endorsement to a homeowners or dwelling policy, or as a covered cause of loss to most types of commercial policies. In can cover buildings and personal property.
Term
Employers Liability Coverage
Definition
Covers an employer's liabilityfor an employee's accidental or bodily injury or bodily injury by disease, in situations not covered by workers compensation laws.
Term
Equipment Breakdown Form
Definition
Provides boiler and machinery coverage, for loss due to breakdopwn of equipment built to operate under internal pressure or vacuum, electrical or mechanical equipment used to generate, transmit or use energy, and communication equipment and computer equipment.
Term
Errors and Omissions Insurance (E & O)
Definition
A professional Liability coverage that covers the insured against errors or omissions in the performance of his professional duties.
Term
Exclusions
Definition
Specify what the insurance company will not cover in terms of types of property, perils or losses. Policies will exclude perils because they are not insurable or because the basic premium does not cover the additional risk exposure or because other more specialized contracts more adequately provide coverage.
Term
Extensions of Coverage
Definition
Provisions which extend coverage, without an additional premium, to property not otherwise covered in the policy.
Term
Extra Expense
Definition
Extra expense incurred to continue operations at the premise or temporary location during the period of restoration.
Term
Fair Credit Reporting Act
Definition
A federal law designed to protect the privacy of consumer report information and to guarantee that the information supplied by credit reporting agencies is as accurate as possible. The FCRA requires an insurer to the applicant's consent before obtaining medical information, provide the applicant with a written disclosure within three days after requesting an investigative consumer report, and provide the applicant with a notice when they take an adverse action.
Term
Garage Coverage Form
Definition
Applies to damages resulting from bodily injury or property damage caused by a covered accident and resulting from garage operations.
Term
Garagekeepers Coverage
Definition
Liability for damage to property in the care, custody, and control of the insured. Businesses that service, repair, park, or store customers' vehicles left in their care need this coverage to insure their legal liability.
Term
Guard (or watchperson)
Definition
A person hired specifically to have care and custody of property inside the premises and who has no other duties.
Term
Hazard
Definition
A condition that creates or increases the chance of loss from Peril.
Term
Kinds of Hazards (3)
Definition
Physical, Moral, Morale
Term
Physical Hazard
Definition
a physical characteristic that increases the probability of a loss.
Term
Moral Hazard
Definition
Relates to a person's sense of right and wrong. It is a condition or personal habit that increases the probablity of a loss.
Term
Morale Hazard
Definition
relates to a person's attitude, as reflected in his personal and business habits. It is a condition related to carelessness or indifference.
Term
Hired Auto
Definition
Any auto the named insured hires, leases, rents, or borrows.
Term
Homeowners Policy
Definition
A package of insurance coverage designed specifically for the homeowner. Includes both property and liability coverages.
Term
Indemnity
Definition
The principle of indemnity holds that an insured should not make profit, but should be placed in the same financial condition he was in before the loss.
Term
Independent Contractors
Definition
Vicarious liability a person has for acts of hired independent contractors.
Term
Inland Marine Insurance
Definition
Covers four classes of property: domestic shipments, means of transportation or communication, personal property floater risks and commercial property floater risks.
Term
Insurable Interest
Definition
An interest that might result in financial loss. To receive payment on a property insurance claim, an insured must have an insurable interest in the subject of the insurance at the time a covered loss occurs.
Term
Insurance
Definition
A contract in which an insurer agrees to indemnify an insured (pay the amount the insured loses) or pay a specified amount in the event of a covered loss.
Term
Insured Contract
Definition
A type of contract or agreement necessary to the insured's business, which usually includes a "hold harmless" provision. The insured's liability policy will provide coverage for the liability assumed in an insured contract but not in other contracts.
Term
Insured
Definition
Any person covered by the policy
Term
Named Insured
Definition
A person named as an insured by the policy declarations.
Term
First Named Insured
Definition
A person who exercises the rights and duties as a representative of all named insureds.
Term
Additional Insureds
Definition
Persons added to the policy, because they have inadequate or no coverage of their own and could be liable for acts of the named insured or could create liability for the named insured.
Term
Insuring Agreement
Definition
The agreement in which the insurance company promises to pay for a loss resulting from any of the perils covered by the contract.
Term
Liability
Definition
Legal responsibility for one's actions that result in injury, death, or property damage.
Term
Limitations
Definition
The limits on the amount of insurance provided in the policy
Term
Limits of Liability
Definition
Property Insurance policies provide that the insurer will pay no more than the insurable interest of the insured, or the cost to repair or replace, or the value of the property, or the limit of liability (limit of insurance) specified in the policy.
Term
Specific Limit
Definition
A single amount of insurance on a specific item at a specific location.
Term
Scheduled Limits
Definition
A schedule of limits for a number of specific items at one or more location.
Term
Blanket Limit
Definition
A single limit of insurance to cover all items at one or more locations.
Term
Loss
Definition
Damage or injury caused by peril results in a loss
Term
Direct loss
Definition
Physical damage to the property or the actual loss of the property
Term
Indirect loss
Definition
or Consequential loss. Loss resulting from a direct loss. The loss of business or increased expense caused indirectly by a direct loss.
Term
Loss Settlement Provisions
Definition
Following an occurence covered by a liability insurance policy, the insured is required to promptly give written notice describing the accident to the insurer or agent, promptly forward all notices or legal papers relating to the accident and cooperate with the insurer in the investigation of a claim or suit.
Term
Material Fact
Definition
In insurance, a fact that would have caused the insurer or agent, promptly forward all notices or legal papers relating to the accident and cooperate with the insurer in the investigation of a claim or suit.
Term
Messenger
Definition
The insured, or any of his partners or employees, while having care and custody of property outside the premises.
Term
Mortgagee Rights
Definition
A mortgage clause in a property insurance policy protects the interest of a mortgagee who has a lien on the property. It provides for payment to the mortgagee as well as the insured, based on their interests in the property.
Term
Mysterious Disappearance
Definition
A disappearance of property without any possibility of determining the cause of the disappearance.
Term
Negligence
Definition
The failure to act as an ordinary, reasonable and prudent person would in the same or similar circumstances.
Term
Nonrenewal
Definition
An insurer's decision not to extend a policy past its expiration date or not renew the policy for an additional period after the current policy expires.
Term
Non-owned Auto
Definition
Any auto the named insured does not own, lease, rent, hire or borrow.
Term
Notice of Claim
Definition
Notice to the insurer that payment is requested for a covered loss, subject to all of the conditions and exclusions of the policy.
Term
Obligations of the Insurance Company
Definition
Following a loss, the insurance company has a duty to give the insured written notice of its intent to repair, or pay for the cost of repairing or replacing the damaged property; pay the insured or another person entitled to payment within the period following receipt of proof of loss, as set forth in the policy.
Term
Obligee
Definition
The person in a surety bond for whom work is to be done. He is in effect the insured.
Term
Obligor
Definition
The person in a surety bond who has an obligation to perform. Also called the principle.
Term
Occurence
Definition
An accident, including continuous or repeated exposure to substantially the same general harmful conditions, which results in bodily injury or property damage.
Term
Occurence Form
Definition
A general liability form providing coverage only if the loss or claim occurs during the policy period, as opposed to a claims-made form.
Term
Ocean Marine Insurance
Definition
Covers imports and exports against hazards involved in shipping transportation on navigable waters.
Term
Other insurance provisions
Definition
Limits the insurer's liability when more than one insurance policy covers the same loss so the insured cannot profit by collecting the full amount of the loss from more than one insurer. May provide for coverage to be prorated; provided on a promary/excess basis; or provided on a contribtion-by-equal-shares basis.
Term
Other than collision coverage
Definition
Often called "comprehensive" coverage. Applies to any direct and accidental loss not caused by collision.
Term
Owned auto
Definition
Any auto owned or acquired during the policy period.
Term
Per-occurence Limit
Definition
The limit of liability for all damages, whether property damage or bodily injury, resulting from one occurence.
Term
Per-person Limit
Definition
The limit of liability that applies to each individual injured.
Term
Peril
Definition
The occurence that causes a loss.
Term
Types of Perils
Definition

Named Peril Policies,

Open Peril Policies

Term
Named Peril Policies
Definition
List (name) the specific perils insured against.
Term
Open Peril Policies
Definition
Provide the most comprehensive coverage. Insure against direct loss except from those perils specifically excluded.
Term
Personal Injury Liability
Definition
Liability for injury other than bodily injury caused by an offense arising out of the conduct of the insured's business, such as false arrest, malicious prosecution, wrongful entry, slander or libel.
Term
Personal Injury Protection
Definition
Automobile medical coverage to individuals injured in an accident, regardless of fault.
Term
Premises and Operations
Definition
Liability for accidents occurring on the insured's business premises or as a result of the insured's business operations at someone else's premises.
Term
Principle
Definition
The person in a surety bond who is supposed to do something. Also called an obligor.
Term
Products and Completed Operations
Definition
Liability for bodily injury and property damage arising out of the insured's product or work when the product is out of the insured's possession and the occurence takes place away from any premises owned or rented by the insured.
Term
Professional Liability
Definition
Injury arising out of the insured's malpractice, errors or mistakes, or those of a person for whom he is legally responsible, in conducting his profession.
Term
Proof of Loss
Definition
A warranted, legal form used by the insured to submit loss information to the insurer.
Term
Property Damage Liability
Definition
Liability for physical injury to, or loss of use of, tangible property belonging to another caused by an occurence.
Term
Proximate Cause
Definition
The actual event which starts an unbroken chain of events leading to a loss or further losses.
Term
Replacement Cost
Definition
The cost to repair or replace a damaged item with new materials of like kind and quality, regardless of the amount of depreciation (wear and tear) the item has suffered.
Term
Representation
Definition
A statement considered to be true to the best knowledge of the person making it.
Term
Retroactive Date
Definition
The earliest date a general liability occurence could take place and be covered under a claims-made form.
Term
Risk
Definition
The uncertainty regarding a loss.
Term
Pure Risk
Definition
The Possibility of either a loss or no loss. The is insurable.
Term
Speculative Risk
Definition
The possibility of loss or gain. Not insurable.
Term
Robbery
Definition
The taking of property from a person by causing or threatening to cause that person bodily harm.
Term
Safe Burglary
Definition
The unlawful taking of property from within a locked safe or vault by unlawfully entering it, as evidenced by marks of forcible entry.
Term
Single Limit
Definition
One limit for all liability losses resulting from a single occurence.
Term
Sources of Insurability Information
Definition
Sources include the application filled out by the applicant; reports, opinions, and recommendations of the agent; inspection or engineering reports on the applicants property; insuring reporting and rating organizations and reports of consumer credit agencies and other financial reference services.
Term
Split Limits
Definition
Separate limits per occurence for bodily injury and/or property damage.
Term
Subrogation
Definition
Transfer of any rights the insured has to collect damages from the person responsible for a loss to the insurer after settlement of a claim.
Term
Surety
Definition
The insurance company issuing a surety bond. It guarantees that the work will be done or the obligee will be indemnified for his loss.
Term
Surety Bond
Definition
A guarantee that a specific obligation will be fulfilled. A three-party contract, as it involves a principle (obligor), and obligee ( the insured) and the surety (the insurance company).
Term
Temporary Substitute Auto
Definition
An auto or retailer not owned by the named insured while being used as a temporary substitute for a covered auto is out of normal use due to breakdown, repair, servicing, loss or destruction.
Term
Theft
Definition
Any act of stealing, including robbery, burglary, embezzlement, forgery, etc.
Term
Umbrella Liability Insurance
Definition
A broad type of liability insurance policy that provides coverage for losses payable that exceed the underlying insurance contract. Written on both commercial and personal policies.
Term
Unoccupancy
Definition
The term applying to a building that has no people or contents (eg, the tenants have moved out and the building is bare until is rerented.)
Term
Warranty
Definition
A statement that a person promises to be true; if it is not absolutely true, the policy can be voided or its coverage can be suspended.
Term
Workers Compensation Insurance
Definition
Covers the employer's liability for accidental injury during the policy period and for bodily injury by disease caused or aggravated by employment conditions during the policy period. It covers all benefits by the workers compensation laws in the states listed in the declarations.
Term
Basic Form
Definition

(DP 00 01) automatically covers direct physical loss to covered property caused by the following perils:

Fire, lightning, internal explosion (explosion of water heater, furnace, stove, etc. in  a covered building containing covered personal property.)

Term
extended coverage perils
Definition

Can be added for an additional premium.

Windstorm, aircraft, riot or civil commotion, vehicles, volcanic eruption, explosion, smoke. (WHARVVES)

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