Shared Flashcard Set

Details

Property & Casualty Insurance License Ohio
Chapers 2
43
Insurance
Professional
01/20/2014

Additional Insurance Flashcards

 


 

Cards

Term
Property insurance
Definition
  • a two-party contract between the insured (first party) and the insurer (second party).
  • referred to as first-party insurance, as it covers loss to property owned by the insured
Term
Pro Rata Cancellation
Definition
  • Insurer Cancels
  • unearned premium is the premium refunded to the insured for the number of days coverage was not in place.
Term
Short Rate Cancellation
Definition
  • cancellation of insurance that incurs a financial penalty.
  • insurer retains a portion of the unearned premium to cover costs
Term
Proximate Cause
Definition
  • The primary cause of loss
  • first event in the unbroken chain of events that resulted in loss
Term
Inherent Vice
Definition
  •  causes it to damage or destroy itself
  • Rust rot fading paint
  • NOT covered by property policy
Term
Binder
Definition
  • A legal agreement issued by an insurance company or a producer that provides temporary proof of insurance
  • Max 60 days
Term
Concurrent Causation
Definition
  • perils simultaneously cause a loss
  • insurer must pay the loss even if one of the perils is excluded
Term
Concurrency/Concurrent Policies
Definition
  • The existence of two or more policies covering the same exposures
  • having the same policy periods
  • same coverage triggers
Term
Non-
Concurrency/Non-Concurrent Policies
Definition
  • The existence of two or more policies covering the same exposures
  • don’t have the same policy periods
  • may create a coverage gap when underlying liability policies and an umbrella policy are non-concurrent
Term
Types of Property Losses
Definition
  • Direct Loss
  • Indirect Loss or Consequential Loss
Term
Direct Loss
Definition
A loss that causes direct damage to property without an intervening cause
Term
Indirect Loss or Consequential Loss
Definition
  • A loss that is not the direct result of a peril.
  • Can't have thos W/O direct loss
Term
Replacement Value
Definition
  • The cost to replace property with property of like kind and quality, at current pricing
  • without a deduction for depreciation

 

Term
Actual Cash Value (ACV)
Definition
  • The cost to repair or replace property at its replacement value, minus depreciation.
  • Vaule-Depreciation=ACV
Term
Functional Replacement Value
Definition
  • cost to replace property with other property that performs the same function with similar efficiency
  • property is not identical
Term
Frame
Definition
A building that has a roof, floor, and supports of combustible material, usually wood, and combustible interior walls.
Term
Jointed Masonry
Definition
  • exterior walls of masonry or fire-resistive rated for not less than one hour
  • combustible floors and roofs
Term
Noncombustible
Definition
  • buildings and its walls, floors, and structural framework are constructed of noncombustible materials.
Term
Masonry Noncombustible
Definition
  • Buildings with exterior walls of masonry or
  • made of fire-resistive construction with a rating of not less than one hour
  •  noncombustible floors and roofs
Term
Fire Resistive
Definition
  • entire building and roof are constructed of reinforced concrete and steel
  • 2-hour fire resistive rating
Term
Modified Fire Resistive
Definition
  • walls, floors, and roof of a structure must have a fire resistive rating of at least 1 hour
  • but less than 2 hours
Term
Methods of Writing Property Insurance Limits
Definition
  • Specific Limit
  • Scheduled Limit
  • Blanket Limit
Term
Specific Limit
Definition
  • Insures a single item of property for a single limit of insurance

ONE item ONE policy

Term
Scheduled Limit
Definition
  • Insures one or more items of property on a single policy and the amount of insurance applying to each item is shown on a schedule

2+ items ONE policy

Term
Blanket Limit
Definition
  • Insures property located at more than one location
  • more than one type of property at the same location
  • OR both
Term
Standardized Policy Structure
Definition
  • Declarations
  • Isuring Agreement
  • Conditions
  • Exclusions

 

DICE

Term
Declarations/Dec Page
Definition

 

  • Who- insurer/insured
  • What- property being insured
  • Where- location and address
  • When- Effictive & expiration dates
  • How much- Limits of liability & annual premiums
Term
Insuring Agreement 
Definition
  • States what perils are covered
Term
Liberalization Clause
Definition
  • broadens coverage with no increase in premium
  • No endorsement needed
Term
Subrogation
Definition
  • Subrogation allows the insurer to recover from the party that caused a loss
  • Prevents the insured from collecting twice
  • Helps the insurer control expenses and premiums
  • holds the responsible third party accountable
Term
Duties in the Event of Loss (property basics)
Definition

obligations of the insured:

  • written notice to the insurer(How When & Where)
  • Notifying the police if a theft occurred
  • Cooperating with the insurer in the investigation
  • Protecting property from further damage
  • Preparing an inventory
  • Allowing: inspect on any damaged property and examine books and records.
  • Submitting proof of loss (Tine & Cause, other insurance, evidence & recipts)
Term
Common Exclusions to policy structure
Definition
  • Ordinance or law
  • Earth movement
  • War
  • Utility OFF-premises
  • nuclear hazard
  • Gov Action
  • Fungus wet rot dry rot bacteria
  • neglected
  • intentional loss

 

Term
Additional Coverages
Definition
  •  automatically included in property policies without an additional premium
  • paid in addition to those stated in the insuring agreement
  • Examples:

debris removal, collapse, and fire department service charges

Term
Types of Insureds
Definition
  • Named insured
  • Insured
  • First Named insured
  • Additional Insured
Term
Named Insured
Definition
  • Person/Organization designated on Dec page
  • Broadest coverage

 

Term
Insured
Definition
  • person or organization protected by an insurance contract
Term
First Named Insured
Definition
  • Person or organization whose name appears first on dec page
  • Can cancel the policy
  • Responsable for paying PREMIUM
Term
Additional Insured
Definition
  • Person or organization not normally protected
  • Added endorsment provides protection
Term
Coinsurance
Definition
common property policy provision that requires the insured maintain a certain limit of insurance coverage in order to avoid a penalty in the event of a partial loss
Term
M owns a building that is insured for $200,000 with an 80% Coinsurance Clause. A loss of $12,000 occurs and the actual cash value of the property at the time of loss is $300,000. How much will be recovered?
Definition

$10,000

First, determine the amount of coverage there should have been ($300,000 x .8 = $240,000). Divide what was insured by what should have been ($200,000/240,000 = 5/6) times the amount of loss ($12,000) = $10,000.

Term

Which statement is false?

 
 
  • Open peril policies cover only those perils that are stated in the Declarations
  • Named peril policies cover only perils that are stated in the insuring agreement
  • An extension is coverage that is included beyond the face amount
  • Co-insurance results in a reduced rate
Definition
Open peril policies cover only those perils that are stated in the Declarations
Term

All of the following are incorrect, except:

 
 
  • The termination of a policy due to nonpayment of a premium is a reinstatement
  • The actuarial department of an insurance company is responsible for the underwriting of policies
  • A nonrenewal is when the insurer terminates a policy on or after the expiration date
  • A loss ratio is determined by dividing operating expenses by total premium
Definition
A nonrenewal is when the insurer terminates a policy on or after the expiration date
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