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Property & Casualty Insurance License Ohio
Chapters 3
37
Insurance
Professional
01/20/2014

Additional Insurance Flashcards

 


 

Cards

Term
1st, 2nd, 3rd parties
Definition
the insured is the first party to an insurance contract, the insurer is the second party, and an unknown party that suffers harm is the third party
Term
Tort
Definition
  • a wrongful act, other than a breach of contract, that violates a duty or the rights of another and for which compensation may be sought from the responsible party
  • Civil or criminal
  • Intentional or intentional
Term
Vicarious Liability
Definition
  • liability assigned to one party for the conduct of another, based solely on a relationship between the two
  • Parent child
  • employer/employee
Term
Negligence
Definition
  • Failure to use ordinary care.
  • Example, running a red light.
Term
Gross Negligence
Definition
  • Failure to exhibit any sort of care through recklessness or deliberate indifference to the well-being of others
  • Example: Driving under influence
Term
Attractive Nuisance
Definition
  • artificial condition on land that attracts children
  • children are considered invitees to the premises if it contains an attractive nuisance
Term
Loss of Consortium
Definition
  • Compensation to a husband or wife for the loss of companionship of a spouse
Term
Compensatory Damages
Definition
  • Awarded to the injured party for the actual loss sustained
  • Either Special damages or General Damages
Term

Compensatory Damages

(Special damages)

Definition
  • actual and known expenses
  • Ex: Bills earnings
Term

Compensatory Damages

(General Damages )

Definition
  •  losses that cannot be calculated objectively and assigned a specific dollar value
  • Pain and suffering
  • disfigurment
Term
Punitive Damages
Definition
  • award to an injured party, in addition to compensatory damages
  • Used to discourage wrongerdoer from repeating
Term
Bodily Injury
Definition
  • physical injury, including sickness, disease, and death caused by the acts or omissions of an insured
  • expenses include medical bills, lost wages, mental anguish, pain and suffering
Term
Property Damage Liability
Definition
  • arising from physical damage to tangible property
  • include the actual cost of repair or replacement of the damaged property
  • and inability to use damaged property (loss of use).
Term
Medical Payments Coverage
Definition
  • Coverage for the bodily injury of third parties sustained on an insured location or as a result of the insured’s activities.
  • Payments are made regardless of the insured’s negligence
Term
Personal Injury Liability
Definition
  • arising from specific offenses committed by an insured that results in injury other than bodily injury or property damage
  • Slander libel false arrest
Term
Accident
Definition
A sudden, unforeseen, unintended, and unplanned event from which loss or damage results.
Term
Occurrence
Definition
  • An accident includes continuous or repeated exposure to the same general harmful conditions.
  • Leaking pipe
Term
Notice of Loss
Definition
  • Insured must notify the insurer in writing
  • include the named insured, policy number
  • details about the time, place, circumstances of the occurrence
  • names and addresses of any claimants and witnesses.
Term
Proof of Loss
Definition
statement made by the insured and provided to the insurer that provides necessary details for the insurer to determine its liability
Term
Negligence
Definition
failure to use the same degree of care a reasonable and prudent person would use when given the same knowledge and set of circumstances
Term
4 Must have elements of negligence
Definition
  • Duty is owed (injured party prove wrongdoer owed duty)
  • Violation of Duty (Violated that duty owed)
  • Violation of Duty is Proximate Cause (Prove the the wrongdoers negligence was the procimate cause)
  • Foreseeable Consequence (Prove the damges were forseeable)
Term
Defenses
Definition

insured may use :

  • Common law -Law practiced as the result of judicial or court decisions (case law and precedents)
  • Satutory law-Written law enacted by legislatures
Term
Contributory Negligence
Definition
  • Prevents recovery for damages caused by a negligent party if the claimant was negligent to any extent.
  • (Claimant neg = NO recovery)
Term
Assumption of Risk
Definition
  • Prevents recovery if the claimant knowingly assumed the risk.
  • Ex- sky diving
Term
Intervening Cause
Definition

Prevents/limits recovery if:

  • separate negligent act occurs after the original negligent act
  • but before damage occurs
  • must be unexpected and unforeseen
Term
Comparative Negligence
Definition

Damages are reduced in proportion to the degree of the claimant’s negligence

  • example, if the claimant is 5% negligent and the wrongdoer is 95% negligent, the claimant may recover 95% of damages.
Term
Statute of Limitations
Definition
  • length of time during which legal proceedings may be initiated
  • established by federal or state law
Term
Absolute liability
Definition
  • often associated with dangerous animal ownership
  •  abnormally dangerous activities
  • a claimant does not have to prove fault in order to collect damages

 

Term
Strict Liability
Definition
applies when a manufacturer is held liable whether or not its product was defective in causing injuries
Term
No-Fault Liability
Definition
  • restrict the rights of the injured party to sue unless the injuries are severe
  • AKA personal injury protection (PIP).
Term
A party injured in an auto accident is not allowed to sue the negligent party who caused the accident under which of the following laws?
Definition
No-fault
Term
Pro Rata Liability
Definition
  • Clause that in the event more than one insurance policy covers a loss, each will pay its share of loss in proportion to the total insurance on the risk.
  • Example: A pays 250,000 and B pays 500,000

250,000+500,000=750,000

So a pay 1/3 = 250,000

Term

Limits of Liability

(Per Occurrence Limit )

Definition
  • The most the policy will pay for all losses arising out of any one occurrence
Term

Limits of Liability

(Per Person Limit)

Definition
  • The most the policy will pay for loss to any one person injured in any one loss
Term

Limits of liability

(Aggregate Limits)

Definition
The most the policy will pay for all losses submitted during the policy period
Term

Limits of Liability

(Split Limit)

Definition

The most the policy will pay for loss of different types that occur as a result of any one loss

  • Per person limit(Bodily)/Per Occurrence(Bodily)/Per Occurrence(Property)
  • Ex: 100/300/100
Term

Limits of liability

(Combined Single Limit)

Definition
The most the policy will pay for all losses of all types resulting from any one occurrence
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