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Property and Casualty Exam
Flash Cards for Property and Casualty Exam (SD)
197
Business
Professional
06/01/2010

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Term
Abandonment
Definition
The abdication of insured property in the hands of another, or into the possession of noe on ine particular.
Term
Accident
Definition
An unplanned, unforeseen event which occurs suddenly and at a specific place.
Term
Actual Cash Value
Definition
(ACV) The required amount to pay damages or for property loss, which is calculated based on the property's current replacement value minus depreciation.
Term
Additional Coverage
Definition
A provision in an insurance policy that allows for more coverage for speicifc loss expense without increase in premium.
Term
Additional Insureds
Definition
Individuals or business that are not named as insured on the declaration page, but are protected by the policy, usually in regard to a specific interest.
Term
Adhesion
Definition
A contract offered on a "take-it-or-leave-it" basis by an insurer, in which the insured's only option is to accept or reject the contract. Any ambiguities in the contract will be settled in favor of the insured.
Term
Admitted Insurer
Definition
An insurance company authorized and licensed to transact business in a particular state
Term
Adverse Selection
Definition
The endency of risks with higher probability of loss to purchase and maintain insurance more often than the risks who present lower probability.
Term
Agent
Definition
An individual who is licensed to sell, negotiate, or effect insurance contracts on behalf of an insurer.
Term
Agreed Value
Definition
A property policy with a provision agreed upon by the insurer and insured as to the amount of insurance that represents a fair valuation for the property at the time the insurance is written.
Term
Aleatory
Definition
A contract in which the participating parties agree to exhance unequal amounts. Insurance contracts are aleatory in that the amount the insured will pay in premiums is unequal to the amount the insurer will pay in the event of a loss.
Term
Alien Insurere
Definition
An insurance company that is incorporated outside the United States
Term
Apparent Authority
Definition
The appearance or the assumption of authority based on the actions, words, or deeds of the principal or because of circumstances the principal created.
Term
Appraisal
Definition
An assessment of property to determine either the correct amount of insurance to be written or the amount of loss to be paid.
Term
Arbitration
Definition
Method of claim settlement used when the insured and the insurer cannot agree upon the amount of the loss.
Term
Assignment
Definition
The transfer of a legal right or interest in an insurance policy. In property and casualty insurance, assignments of policies are usually valid only with the prior written consent of the insurer.
Term
Authorized Insurer
Definition
An insurance company that has qualified and received a Certificate of Athority from the Department of Insurance to transact insurance in the state.
Term
Auto
Definition
A land motor vehicle, trailer or semi-trailer designed for use on public roads, including attached machinery or equipment; auto does no include mobile equipment.
Term
Avoidance
Definition
A method of dealing with risk by deliberately keeping away from it (e.g. if a person wanted to avoid the risk of being killed in an airplane crash, he/she might choose never to fly in a plane.
Term
Bailee
Definition
A person or entity that has possession of personal property entrusted to him/her by the owner. For example, a television repair person that has possession of a customer's television would be a bailee.
Term
Beneficiary
Definition
The person who receives the proceeds from the insurance policy.
Term
Binder
Definition
A temporary contract that puts an insurance policy into force before the premium has been paid.
Term
Blanket Bond
Definition
A type of bond that covers losses caused by dishonest employees.
Term
Blanket Insurance
Definition
A single property insurance policy that provides coverage for multiple classes of property at one location, or provides coverage for one or more classes of property at multiple locations.
Term
Boycott
Definition
An unfair trade practice in which one person refuses to do business with another until he or she agrees to certain conditions.
Term
Builder's Risk Coverage Form
Definition
A commercial property form that covers buildings under construction.
Term
Building and Personal Property Coverage Form
Definition
A commercial property form that covers buildings, and/or their contents.
Term
Burglary
Definition
The forced entry into another's premises with felonious intent.
Term
Cancellation
Definition
The termination of an in-force insurance policy by either the insured orthe insurer prior to the expiration date shown in the policy.
Term
Casualty Insurance
Definition
A type of insurance that covers losses caused by injury to persons or damage to the property of others.
Term
Cease and Desist Order
Definition
A demand of a person to stop committing an action that is in violation of a provision.
Term
Certificate of Authority
Definition
A document that authorizes a company to start conducting business and specifies the kind(s) of insurance a company can transact. it is illegal for an insurance company to transact insurance without this certificate.
Term
Certificate of Insurance
Definition
A legal document that indicates that an insurance policy has been issued, and that states both the amounts and types of insurance provided.
Term
Claim
Definition
A demand made by the insured to cover a loss protected by the insurance policy.
Term
Class Rating
Definition
The practice of computing a price per unit of insurance that applies to all applicants possessing a given set of characteristics.
Term
Coercion
Definition
An unfair trade practice in which an insurer uses physical or mental force to persuade an applicant to buy insurance.
Term
Coinsurance
Definition
An agreement between an insurer and insured in which both parties are expected to pay a certain portion of the potential loss and other expenses.
Term
Commercial Lines
Definition
Type of insurance that pertains to business, mercantile or manufacturing establishments.
Term
Commissioner (Superintendent, Director)
Definition
The chief executive and administrative officer of a state insurance department.
Term
Common Law
Definition
An unwritten body of law based on past judicial decisions as well as usages and customs.
Term
Complaint
Definition
A written statement of liability claim given by the claimant; a reason for a lawsuit.
Term
Components
Definition
Factors that determine rates, including loss reserves, loss adjusting expenses, operating expenses and profits.
Term
Concealment
Definition
The withholding of known facts which, if material, can void a contract.
Term
Conditional Contract
Definition
A type of an agreement in which both parties must perform certain duties and follow rules of conduct to make the contract enforceable.
Term
Conditions
Definition
The section of an insurance policy that indicates the general rules or procedures that the insurer and the insured agree to follow under the terms of the policy.
Term
Consideration
Definition
The binding force in a contract that requires something of value to be exhanged for the transfer of risk. The consideration on the part of the insured is the representation made in the application and the payment of premium; the consideration on the part of the insurer is the promise to pay in the event of loss.
Term
Consultant
Definition
A person who, for a fee, offers advice, counsel, opinion, or service regarding the benefits, advantages, or disadvantages promised under a policy of insurance.
Term
Consumer Reports
Definition
Written and/or oral statements regarding a consumer's credit, character, reputation, or habits collected by a reporting agency from employment record, credit reports, and other public sources.
Term
Contract
Definition
An agreement between two or more parties enforceable by law.
Term
Controlled Business
Definition
An entity that obtains and possesses a license solely for the purpose of writing business on the owner, immediate family, relatives, employer and employees.
Term
Death Benefit
Definition
The amount payable upon the death of the person whose life is insured.
Term
Declarations
Definition
The section of an insurance policy containing the basic underwriting information, such as the insured's name, address, amount of coverage and premiums, and a description of insured locations, as well as any supplemental representations by the insured.
Term
Deductible
Definition
The portion of the loss that is to be paid by the insured before any claim benefits may be paid by the insurer.
Term
Defamation
Definition
An unfair trade practice in which one agent or insurer makes an injurious statement about another with the intent of harming the person's or company's reputation.
Term
Deposit Premium Audit
Definition
A condition that allows the insurer to audit the insured's books or records at the end of the policy term to make sure adequate premium has been collected for the exposure.
Term
Depreciation
Definition
The lessening of value of real and personal property due to age and wear and tear.
Term
Direct Losses
Definition
Physical damage to buildings and/or personal property as a result of direct consequence of a particular peril.
Term
Director (Commissioner, Superintendent)
Definition
The head of the state department of insurance.
Term
Disclosure
Definition
An act of identifying the name of the producer, representative or firm, limited insurance representative, or temporary insurance producer on any policy solicitation.
Term
Domestic Insurer
Definition
An insurance company that is incorporated in the state.
Term
Economic Loss
Definition
The estimated total cost (both insured and uninsured) of an accident.
Term
Endorsement
Definition
A printed addendum to a contract that is used to change the policy's original terms, conditions, or coverages.
Term
Estoppel
Definition
A legal impediment to denying a fact or restoring a right that has been previously waived.
Term
Excess Policy
Definition
A policy that only pays for loss after the primary policy has paid its limit.
Term
Exclusions
Definition
Causes of loss, exposures, conditions, etc. listed in the policy for which the benefits will not be paid.
Term
Exclusive or Captive Agent
Definition
An agent who represents only one company and is compensated by commissions.
Term
Experience Rating
Definition
Method of determining the premium based on the insured's own past loss experience.
Term
Exposure
Definition
A unit of measure used to determine rates charged for insurance coverage.
Term
Express Authority
Definition
The authority granted to an agent by means of the agent's written contract.
Term
Extensions of Coverage
Definition
A provision in some property policies which allows the extension of a major coverage to certain types of loss to property not specifically insured.
Term
FAIR Plan
Definition
Fair Access to Insurance Requirements plan is a state-run program that makes insurance obtainable to those in high risk areas who have been unable to acquire insurance through other channels.
Term
Fiduciary
Definition
An agent/broker who handles insurer's funds in a trust capacity.
Term
First Named Insured
Definition
The individual whose name appears first on the policy's declaration.
Term
Foreign Insurer
Definition
An insurance company that is incorporated in another state.
Term
Fraternal Benefit Society
Definition
A life or health insurance company formed to provide insurance for members of an affiliated lodge, religious, or fraternal organization with a representative form of government.
Term
Fraud
Definition
Intentional misrepresentation or deceit with the intent to induce a person to part with something of value.
Term
Functional Replacement Cost
Definition
The cost to replace damaged property with less expensive and more modern construction or equipment.
Term
Gross Negligence
Definition
Reckless behavior that shows disregard for the safety or lives of others.
Term
Hazard
Definition
A circumstance that increases the likelihood of a loss.
Term
Hazard, Moral
Definition
The effect of a person's reputation, character, living habits, etc. on his/her insurability.
Term
Hazard, Morale
Definition
The effect a person's indifference concerning loss has on the risk to be insured.
Term
Hazard, Physical
Definition
A type of hazard that arises from the physical characteristicsof an individual, such as a physical disability due to either current circumstance or a condition present at birth.
Term
Implied Authority
Definition
Authority that is not expressed or written into the contract, but which the agent is assume to have in order to transact the business of insurance for the principal.
Term
Indemnity
Definition
Compensation to the insured that restores them to the same financial position that they enjoyed prior to the loss.
Term
Independent Agents
Definition
Agents that sell the insurance products of several companies and work for themselves or other agents.
Term
Indirect Losses
Definition
Losses resulting from a peril, but not directly caused by it. May include business disruption, rent insurance, extra expenses, and other consequences that occur over time.
Term
Inflation Guard
Definition
A coverage extension that automatically increases amounts of insurance on buildings by an agreed upon percentage annually.
Term
Insurable Interest
Definition
Any interest an insured may have in property that is the subject of insurance, so that damage or destruction of that property would cause the insured financial loss.
Term
Insurance
Definition
The transfer of the possibility of a loss (risk) to an insurance company, which in turn spreads the costs of unexpected losses to many individuals.
Term
Insurance Policy
Definition
A contract between an insured and an insurance company which agrees to pay the insured for loss caused by specific events.
Term
Insured
Definition
The person or organization that is protected by insurance; the party to be indemnified.
Term
Insured Contract
Definition
A definition on liability forms that describes the types of contract in which liability is assumed by the insured and included for coverage in the policy. Examples are leases of premises, elevator maintenance agreements, easement agreements, and other agreements related to the insured's business.
Term
Insurer
Definition
An entity that indemnifies against losses, provides benefits, or renders services (also known as the "company" or "insurance company").
Term
Insurance Agreement
Definition
The section of insurance policy containing the insurer's promise to pay, the description of coverage provided and perils insured against.
Term
Intentional Tort
Definition
Any deliberate act that causes harm to another person.
Term
Interline Endorsement
Definition
A written amendment designed to eliminate redundancy and minimize the number of endorsements in the policy.
Term
Judgment Rating
Definition
An approach used when credible statistics are lacking or when the exposure units are so varied that it is impossible to construct a class.
Term
Law of Large Numbers
Definition
A principle stating that the larger the number of similar exposure units considered, the more closely the losses reported will equal the underlying probability of loss.
Term
Liability
Definition
Responsibility under the law.
Term
Liberalization
Definition
A property insurance clause that extends broader legislated or regulated coverage to current policies, as long as it does not result in a premium.
Term
Lien
Definition
A charge, security or encumbrance on property.
Term
Limit of Liability
Definition
The maximum amount for which an insurer is liable.
Term
Lloyd's Associations
Definition
Organizations that provide support facilities for underwriters or groups of individuals that accept insurance risk.
Term
Loss
Definition
The reduction, decrease, or disappearance of value of the person or property insured in a policy, by a peril insured against.
Term
Loss Payable Clause
Definition
A provision in property insurance that is used to cover the interest of a secured lender in personal property.
Term
Loss Ratio
Definition
A calculation used by insurance companies to relate income from loss expenses: loss ratio = (incurred losses + loss adjusting expense) / earned premium.
Term
Loss Valuation
Definition
A factor in determining the premium charged and the amount of insurance required.
Term
Market Value
Definition
A seldom used method of valuing a loss based upon the amount a willing buyer would pay to a willing seller for the property prior to the loss.
Term
Misrepresentation
Definition
A false statement or lie that can render the contract void.
Term
Monoline Policy
Definition
A policy written separately as a single coverage.
Term
Mutual Assessment Insurer
Definition
A mutual insurance company with the right to assess policyholder's additional amounts of premium to meet operational needs.
Term
Mutual Companies
Definition
Insurance organizations that have no capital stock, but are owned by the policyholders.
Term
Mysterious Disappearance
Definition
A disappearance of property that cannot be explained as to the location, time or the manner of property loss.
Term
Named Insured
Definition
The individual(s) whose name appears on the policy's declaration.
Term
Named Peril
Definition
The cause of loss specifically covered by the insurance policy. No coverage is provided for unlisted perils.
Term
Negligence
Definition
The failure to use the care that a reasonable, prudent person would under the same or similar circumstances.
Term
No Benefit to the Bailee
Definition
A provision that excludes any assignment or granting of any policy provision to any person or organization holding, storing, repairing, or moving insured property for a fee.
Term
Nonadmitted Insurer
Definition
An insurance company that has not applied, or has applied and been denied a Certificate of Authority and may not transact insurance.
Term
Nonconcurrency
Definition
A situation in which other insurance is wrtten on the same risk, but not on the same coverage basis.
Term
Nonrenewal
Definition
A termination of a policy by an insurer on the anniversary or renewal date.
Term
Notice of Claim
Definition
A provision that spells out an insured's duty to provide the insurer with reasonable notice in the event of a loss.
Term
Occurrence
Definition
A broader definition of loss, which differs from accident in that it includes losses caused by continuous or repeated exposure to conditions resulting in injury to persons or damage to property that is neither intended nor expected.
Term
Open Peril
Definition
Term used in property insurance to describe the breadth of coverage provided under an insurance policy form that insures against "any risk of loss" that is not specifically excluded.
Term
Pair and Set Clause
Definition
A clause included in many property and inland marine policies, which provides that the insurer is not obligated to pay for the total value of a set of items if only one item has been lost, damaged or destroyed.
Term
Partnership
Definition
A legal entity in which 2 or more persons agree to share the profits and losses of the business.
Term
Passive
Definition
A description of an anti-theft device or system for autos which is activated automatically when the driver turns the ignition key to the off position and the key is removed.
Term
Peril
Definition
The cause of a possible loss.
Term
Personal Lines Insurance
Definition
Type of coverage available to individuals and families for non-business risks.
Term
Policy Limits
Definition
The maximum amount an insured may collect, or for which an insured is protected under the terms of the policy.
Term
Policy Period
Definition
A period of time a policy is in effect (also known as Policy Term).
Term
Policyholder
Definition
The person in possession of an insurance policy; may or may not be the policyowner and/or insured.
Term
Policyowner
Definition
The person who is entitled to exercise the rights and privileges in the policy. This person may or may not be the insured.
Term
Premium
Definition
A periodic payment to the insurance company to keep the policy in force.
Term
Primary Policy
Definition
A basic, fundamental insurance policy which pays first with respect to other outstanding policies.
Term
Pro Rata
Definition
Proportional distribution of shares of the loss for each insurance policy written on a piece of property.
Term
Producer
Definition
A person who acts on the behalf of the insurer to sell, negotiate, or effect insurance contracts; also known as an agent.
Term
Proof of Loss
Definition
A sworn statement that must usually be furnished by the insured to an insurer before any loss under a policy can be paid.
Term
Proximate Cause
Definition
An act or event that is the immediate or actual cause of a loss.
Term
Pure Risk
Definition
Situations that can only result in a loss or no change; a gain is never possible. Pure risk is the only type insurance companies are willing to accept.
Term
Rebating
Definition
Any inducement offered in the sale of insurance products that is not specified in the policy.
Term
Reciprocal
Definition
Insurance resulting from an interchange of reciprocal agreements of indemnity among persons known as subscribers.
Term
Reduction
Definition
Lessening the possibility or severity of a loss.
Term
Reinsurance
Definition
A form of insurance whereby one insurance company (the reinsurer) in consideration of a premium paid to it, agrees to indemnify another insurance company (the ceding company) for part or all of its liabilities from insurance policies it has issued.
Term
Replacement Cost
Definition
The cost to replace damanged property with like kind and quality at current price, without any deduction for depreciation.
Term
Representations
Definition
Statements made by the applicant on the insurance application that are believed to be true, but are not guaranteed to be true.
Term
Retention
Definition
A method of dealing with risk by intentionally or unintentionally keeping a portion of it for the insured's account; the amount of responsibility assumed but not reinsured by the insurance company.
Term
Retrospective Rating
Definition
A self-rating plan under which the actual losses during the policy period determine the final premium (subject to a minimum and maximum premium).
Term
Right of Salvage
Definition
A provision in property insurance policy requiring that after payment of a total loss to insured property, the insured must transfer the title (or ownership) to the property to the insurer.
Term
Risk
Definition
Uncertainty as to the outcome of an event when two or more possibilities exist.
Term
Risk, Pure
Definition
The uncertainty or chance of a loss occurring in a situation that can only result in a loss or no change.
Term
Risk, Speculative
Definition
The uncertainty or chance of a loss occurring in a situation that involves the opportunity for either loss or gain.
Term
Robbery
Definition
The taking of property from another by using violence or the threat of violence.
Term
Salvage
Definition
The amount of money realized from the sale of damaged merchandise or property. A salvage clause is found in ocean marine insurance and usually states that the rescuers of a ship are entitled to the salvage of the ship and cargo.
Term
Settlement
Definition
The process by which an agreement is reached and a claim is resolved in liability insurance.
Term
Severability of Interests
Definition
A provision that insurance applies separately to each insured in a policy, treating each individual as the only insured.
Term
Sharing
Definition
A method of dealing with risk for a group of individual persons or businesses with the same or similar exposure to loss who share the losses that occur within that group.
Term
Specific Insurance
Definition
A property insurance policy that covers a specific kind of unit of property for a specific amount of insurance.
Term
Speculative Risk
Definition
The uncertainty or chance of a loss occurring in a situation that involves the opportunity for either loss or gain.
Term
Split
Definition
Separately stated limited of liability for different coverages, which may be stated on a per person, per occurrence, per policy period basis, or can be divided between bodily injury and property damage.
Term
Stated Amount
Definition
An amount of insurance scheduled in a property policy which is not subject to any coinsurance requirements in the event of a covered loss.
Term
Statute Law
Definition
The written law as enacted by a legislative (i.e. the laws of the state), which generally takes precedence in cases where both common law and statute law apply.
Term
Stock Companies
Definition
Companies owned by the stockholders whose investments provide the capital necessary to establish and operate the insurance company.
Term
Subrogation
Definition
The acquisition by an insurer of an insured's rights against any third party for indemnification of loss or other payment, to the extent that the insurer pays the loss.
Term
Superintendent (Commissioner, Director)
Definition
The head of the state department of insurance.
Term
Surety Bond
Definition
A guarantee that debts and obligations will be carried out, and the benefits will be paid for losses caused by nonperformance.
Term
Surplus Lines
Definition
Insurance for which there is no readily available, admitted market.
Term
Theft
Definition
Any act of stealing or removing property from its rightful owner. Encompasses both burglary and robbery.
Term
Third-Party Provisions
Definition
Insurance provisions that address the rights of someone other than the policyowner to have a secured financial interest in the insured property.
Term
Tort
Definition
A wrongful act or the violation of someone's rights that leads to legal liability. Torts are classified as intentional or unintentional (referred to as negligence).
Term
Transfer
Definition
A basic principle of insurance under which the risk of financial loss is assigned to another party.
Term
Twisting
Definition
A form of misrepresentation in which an agent persuades an insured/owner to cancel, lapse, or switch policies, even when it's to the insured's disadvantage.
Term
Unauthorized Insurer
Definition
An insurance company that has not applied, or has applied and been denied a Certificate of Authority.
Term
Underwriter
Definition
A person who evaluates and classifies risks to accept or reject them on behalf of the insurer.
Term
Underwriting
Definition
The process of reviewing, accepting or rejecting applications for insurance.
Term
Unilateral Contract
Definition
A contract that legally binds only one party to contractual obligations after the premium is paid.
Term
Unintentional Tort
Definition
The result of acting without proper care, generally referred to as negligence.
Term
Unoccupied
Definition
A property that has contents or furnishing in it, but is not being used or lived in.
Term
Vacant
Definition
A property that has no contents, furnishings, or occupants.
Term
Valued Policy
Definition
A policy used when it is difficult to establish the actual cash value of insured property after a loss occurs because of its rarity or uniqueness. Provides for payment of the full policy amount in the event of a total loss without regard to actual value or depreciation.
Term
Waiting Period
Definition
Time between the beginning of a disability and the start of disability insurance benefits.
Term
Warranty
Definition
A material stipulation in the policy that if breached may void coverage.
Term
Absolute Liability
Definition
A type of liability that occurs due to extremely dangerous operations, such as the use of explosives or working at extreme heights.
Term
Aggregate Limit
Definition
The maximum limit of coverage available under a liability policy during a policy year regardless of the number of claims that my be made or the number of accidents that may occur.
Term
Aleatory
Definition
A contract in which the participating parties agree to exchange unequal amounts. Insurance contracts are aleatory in that the amount the insured will pay in premiums is unequal to the amount the insurer will pay in the event of a loss.
Term
Bodily Injury Liability
Definition
Legal liability arising from death or physical trauma to a person as a result of a negligent or purposeful act and omissions by an insured.
Term
Combined Single
Definition
A single dollar limit of liability applying to the total of damages for bodily injury and property damage combined, resulting from one accident or occurrence.
Term
Comprehensive Coverage
Definition
Also known as Other Than Collision coverage, it covers losses by fire, theft, vandalism, falling objects, etc.
Term
Disability
Definition
A physical or mental impairment, either congenital or resulting from an injury or sickness.
Term
Legal Liability
Definition
A liability under the law that occurs when a person is responsible for injuries or damages to another due to negligence.
Term
Personal Injury Liability
Definition
Legal responsibility for an injury to the character of another person caused by libel, slander, false arrest, invasion of privacy and other acts.
Term
Property Damage Liability
Definition
Legal liability arising from physical damage to tangible property of others caused by the negligence of an insured.
Term
Strict Liability
Definition
A liability that refers to damages caused by defective products even though the manufacturer's fault or negligence cannot be proven.
Term
Umbrella Liability Policy
Definition
Coverage that provides extra protection against liability, and excess amount of insurance above the primary policy.
Term
Underinsured Motorist Coverage
Definition
Coverage in an automobile insurance policy under which the insurer will pay costs up to specified limits for bodily injury, if the liable driver's policy limits are exhausted and he/she cannot pay the full amount for which he or she is liable.
Term
Uninsured Motorist Coverage
Definition
Coverage that allows the named insured, resident relative(s) and passengers in a covered auto to collect sums another driver would be legally liable to pay for bodily injury resulting from an auto accident, providing the accident was caused by an uninsured motorist, a hit-and-run driver or a driver whose insurance company is insolvent.
Term
Vicarious Liability
Definition
A type of liability in which one person is responsible for the acts of another. For example, employers may be vicariously liable for the actions of their employees, and parents may be held responsible for negligent acts of their children.
Term
Workers Compensation
Definition
Benefits required by state law to be paid to an employee by an employer in the case of injury, disability, or death as the result of an on-the-job hazard.
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