Glossary
Of Insurance Terms Page 4
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Lapse:
Termination of a policy due to the policy owner's failure to pay
the premium within the grace period.
Leasehold
Interest: Property insurance covering the loss suffered
by a tenant due to termination of a lease because of damage to
the leased premises by a covered loss
Lessee:
The person to whom a lease is granted
Lessor:
The person granting the lease
Liability:
The legal obligation to pay a monetary award for injury
or damage caused by one's negligent or statutorily prohibited
action
Liberalization
Clause: A provision within an insurance policy that broadens
the coverage if the insurance company offers a broader coverage
form within the first 45 days of coverage
Lien:
An obligation that can be held by an individual who has
an interest in a particular matter or property
Life
Expectancy: The average number of years a person is expected
to live based on a national average per age group, and other factors.
Life
Insurance: Insurance coverage that pays out a set amount
of money to specified beneficiaries upon the death of the individual
who is insured.
Limit
of Liability: The most an insurance company agrees to
pay in the case of loss
Limited
Pay Policy: A type of whole life insurance designed to
let the policyholder pay higher premiums over a specific time
period such as 10 or 20 years so that they won't have to pay any
premiums for the rest of his or her life.
Longshore
and Harbor Workers' Compensation Act: A federal law that
provides workers' compensation benefits to employees of a vessel
injured in maritime employment - usually in loading, unloading,
repairing or building a vessel - but not applicable to crew members
Loss:
The amount an insurance company pays for damages under
the terms of a policy
Loss
Adjustment Expense: The cost assessed to a particular
claim for investigating and adjusting that claim
Loss
Constant: A flat charge added to the premium of small
workers' compensation policies to offset higher loss ratios
Loss
Control: A technique that is put in place to reduce the
possibility that a loss will occur or reduce the severity of those
that do occur
Loss
Payable Clause: An insurance clause that authorizes loss
payments to a person or entity having an insurable interest in
the covered property
Loss
Ratio: Percentage of losses incurred against earned premiums
Loss
Report: A form showing reported claims which provides
information such as the date of occurrence, type of claim, amount
paid and amount reserved for each loss
Loss
Reserve: An estimated amount set aside for a particular
claim that has not yet been paid
Lost
Policy Release: A signed statement by the named when
the insured wishes to cancel the policy, but has lost or mislaid
the policy, which releases the insurance company from all liability
or losses
Medical:
A
document completed by a physician or another approved examiner
and submitted to an insurer (insurance company) in order to provide
medical information. This is usually done to determine insurability
(or lack of insurability) or is sometimes done in relation to
a claim.
Medical Expenses: Reasonable charges for medical,
surgical, x-ray, dental, ambulance, hospital, professional nursing,
prosthetic devices, and funeral expenses. What is considered reasonable
is outlined in a policy.
Medical
Payments, Auto: Coverage, which is optional, under an
auto policy to pay for medical expenses for bodily injury caused
by an auto accident, regardless of fault. Coverage for persons
other than the named insured and his or her family members is
typically restricted to circumstances when they are occupants
of the insured auto
Medical
Payments, General Liability: A general liability coverage
that reimburses others, regardless of fault, for medical or funeral
expenses incurred as a result of bodily injury or death sustained
by an accident
Mexico
Coverage: Coverage which is sometimes provided under
automobile policies for the operation of an insured motor vehicle
within Mexico, usually limited to a stated number of miles from
the U.S. border
Minimum
Premium: The lowest amount of premium to be charged for
providing a particular insurance coverage
Misrepresentation:
The act of knowingly presenting false information.
Mobile
Equipment: Equipment such as earthmovers, tractors, diggers,
farm machinery, forklifts, etc., that even when self-propelled,
are not considered as automobiles for insurance purposes
Monopolistic
State Funds: States or Jurisdictions where an employer
must obtain workers' compensation insurance from a state fund
or qualify as a self-insurer, as is allowed in five of the states:
North Dakota, Ohio, Washington, West Virginia, Wyoming, Puerto
Rico and the U.S. Virgin Islands
Mortality
Rate: The number of deaths in a group of people, usually
expressed as deaths per thousand.
Mortality
Table: A table showing the incidence of death at specified
age groups.
Mortgage
Clause: Property insurance provisions granting protection
for the mortgagee named in the policy. It establishes that loss
to mortgaged property is payable to the insured and to the mortgagee
named in the policy
Named Perils Coverage: A property insurance term
referring to exact causes of loss specifically listed as covered
National
Flood Insurance Program: A federally funded program established
to make flood insurance available to properties located in participating
communities National Flood Insurance Program: A federally funded
program established to make flood insurance available to properties
located in participating communities
Nonadmitted
Insurer: An insurance company that is not licensed to
do business in a specific state. The insurers may write coverage
through an excess and surplus lines broker that is licensed in
these jurisdictions
Nonowned
Automobile: In commercial auto policies, coverage for
autos that are used in connection with the named insured's business
but are neither owned, leased, hired, rented or borrowed by the
named insured. The term specifically applies to vehicles owned
by employees and used for company business
Nonsubscription:
A Workers' Compensation term used in Texas that refers to employers
who choose to be out of the workers' compensation system. Firms
that are proven negligent in causing a worker's injury, can be
held liable in tort, since nonsubscribing employers waive the
traditional common law defenses available to employers subject
to workers' compensation laws
Original Age: The age you were when you bought
an insurance policy.
Other
Insured Rider: The temporary addition to an insurance
policy, usually a member of the direct family.
Ownership:
All rights, benefits and privileges under life insurance
policies are controlled by their owners. Policy owners may or
may not be the insured. Ownership may be assigned or transferred
by written request of current owner.
Occupational
Hazard: A condition in the workkplace that increases
the chances of the an accident, sickness, or death. It usually
will mean higher premiums.
Occurrence:
A continual, gradual or repeated exposure to substantially the
same general harmful conditions. General liability policies insure
liability for bodily injury or property damage that is caused
by an occurrence
Package Policy: A policy providing several different
coverages combined into one policy. Refers to a policy providing
both general liability insurance and property insurance
Payroll
Limitation: A limit on the amount of payroll for certain
classifications used for the development of premium
Peril:
Cause of loss such as fire, windstorm, collision, etc.
Personal
Auto Policy (PAP): A policy insuring private-passenger
autos owned by individuals
Personal
Injury: A General Liability coverage for insurable offenses
that cause harm, other than bodily injury, such as false arrest,
detention or imprisonment, malicious prosecution, wrongful eviction,
slander, libel and invasion of privacy
Personal
Injury Protection (PIP): An automobile insurance coverage
mandated by law in some states. The statutes typically require
insurers to provide or offer to provide first-party benefits for
medical expenses, loss of income, funeral expenses and similar
expenses without regard to fault
Personal
Property: All tangible property not classified as real
property such as contents
Policy:
The printed document given to the insured, outlining the terms
and conditions of the Insurance coverage.
Policy
Fee: A one-time charge per policy that does not change
with the size of the premium
Policy
Holder: 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.
Policy
Period: The term or duration of a policy including the
effective and expiration dates
Pollutant:
An irritant or contaminant, whether in solid, liquid, or gaseous
form, including smoke, vapor, soot, fumes, acids, alkalis, chemicals
and waste
Preferred
Risk: A positive characterisic of someone seeking to
be insured. Usually means a better likely hood for long life,
and usually means a lower premium.
Premises:
The location where coverage applies
Premises-Operations:
A category of hazard ordinarily insured by a general liability
policy which is composed of those exposures to loss that fall
outside the defined 'products-completed operations hazard,' including
liability for injury or damage arising out of the insured's premises
or out of the insured's business operations while such operations
are in progress
Premium:
The agreed upon, payment made to keep an insurance policy
in force, usually a monthly payment.
Premium
Flexibility: The policy holder's right to vary the amount
of premium paid each
month.
Primary
Beneficiary: In life insurance, the beneficiary designated
by the insured as the first to receive policy benefits.
Primary
Policy: The insurance policy that pays first when you
have a loss that's covered by more than one policy.
Pro
Rata Cancellation: The cancellation of an insurance policy
with the return premium being the full proportion of premium for
the unexpired term of the policy, without penalty for early cancellation
Product:
Items manufactured, sold, handled, distributed or disposed of
by the named insured or others involved with the named insured
in the course of their business. Includes containers, parts and
equipment, product warranties and provision of or failure to provide
instructions and warnings
Product
Liability: The liability for bodily injury or property
damage a merchant or manufacturer may incur as a consequence of
some defect in the product sold or manufactured
Products-Completed
Operations: General Liability coverage for liability
arising out of the insured's products or business operations conducted
away from the insured's premises once those operations have been
completed
Professional
Liability: Coverage designed to protect professionals
such as physicians and real estate brokers, against liability
incurred as a result of errors and omissions in performing professional
services
Property
Damage: In the general liability policy, a physical injury
to property, resulting in the loss of use
Property
Insurance: First-party insurance for real and personal
property against physical loss or damage
Provisions:
Details of an insurance policy which explain the benefits, conditions
and other features of the insurance contract.
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