A |
INDEX |
Actual Cash Value |
Replacement Cost minus depreciation.
The cost of a new item of similar make and model, less
depreciation. (See Replacement
Cost) |
Accelerated Death Benefits |
A life insurance policy option
that provides policy proceeds to insured individuals over
their lifetimes, in the event of a terminal illness. This is
in lieu of a traditional policy that pays beneficiaries
after the insured’s death. Such benefits kick in if the
insured becomes terminally ill, needs extreme medical
intervention, or must reside in a nursing home. The payments
made while the insured is living are deducted from any death
benefits paid to beneficiaries. |
Accidental Death and Dismemberment (AD&D) Benefit |
A supplementary life insurance
policy benefit that provides for an amount of money in
addition to the policy’s basic death benefit. This
additional amount is payable if the insured dies as the
result of an accident or if the insured loses any two limbs
or the sight in both eyes as the result of an accident. |
Actuary |
An insurance professional
skilled in the analysis, evaluation and management of
statistical information. Evaluates insurance firms’
reserves, determines rates and rating methods, and
determines other business and financial risks. |
Additional
Insured |
In auto insurance, a person
(other than the Named Insured) or organization protected by
the policy through endorsement. This is typically (on an
auto policy) an auto leasing company or may be an employer
such as a real estate agency. |
Adjustable Life Insurance |
A form of life insurance that
allows policy owners to vary the type of coverage provided
by their policies as their insurance needs change. |
Admitted Company |
An insurance company licensed
and authorized to do business in a particular state. |
Aftermarket
Parts |
See Crash Parts,
Generic Auto Parts |
Agent |
A licensed transactor of insurance who
always represents the Insurance Company. Within the title of
Agent is the authority to Bind coverage. (see Broker)
|
Annuity |
A life insurance product that pays
periodic income benefits for a specific period of time or over
the course of the annuitant’s lifetime. There are two basic
types of annuities: deferred and immediate. Deferred annuities
allow assets to grow tax-deferred over time before being
converted to payments to the annuitant. Immediate annuities
allow payments to begin within about a year of purchase. |
Antique
Auto |
An automobile or truck, at least 25
years old which has been substantially restored to original
condition, and which is used exclusively for parades, shows,
and occasional drives. |
Appraisal |
A written estimate of value of
property to be insured completed by an individual trained to
render such estimate. (See
Arbitration) |
Arbitration |
Non-judicial resolution of dispute.
Arbitration usually (in auto insurance) concerns matters of at
fault parties in an accident, resulting liability for injury
and levels of such injury. Arbitration is conducted by a
single neutral arbitrator. If the parties cannot agree on an
arbitrator, then each shall select and the two so selected
shall appoint the single neutral arbitrator. In auto insurance
if the dispute involves the value of the vehicle or the amount
of damage the resolution may be accomplished by appraisal
which is conducted by three vehicle appraisers. (See
Appraisal) |
Auto
Insurance Policy |
There are basically six different
types of coverage's. Some may be required by law. Others are
optional. They are: |
|
- Bodily injury liability, for injuries the policyholder
causes to someone else.
- Medical payments or Personal Injury Protection (PIP) for
treatment of injuries to the driver and passengers of the
policyholder’s car.
- Property damage liability, for damage the policyholder
causes to someone else’s property.
- Collision, for damage to the policyholder’s car from a
collision.
- Comprehensive, for damage to the policyholder’s car not
involving a collision with another car (including damage
from fire, explosions, earthquakes, floods, and riots),
and theft.
- Uninsured motorists coverage, for costs resulting from
an accident involving a hit-and-run driver or a driver who
does not have insurance
|
|
|
B |
INDEX |
Bailee |
An entity (person or
organization) having legal possession of one's property
without having title (right to sell) to such property. The
best example of a Bailee is a dry cleaner. They have legal
possession of garments without having the right to sell such
garments. Bailees with regard to automobiles may be auto
repair facilities, valet parking, car washes, etc. |
Beneficiary |
The person or legal entity the owner
of an insurance policy names to receive the policy benefit if
the event insured against occurs. |
Bind |
The act of effecting coverage. |
Binder |
A temporary contract of insurance |
Binder Date |
The date and time that coverage is
bound or put into effect. (See Bind) |
Blanket
Insurance |
Coverage for more than one type of
property at one location or one type of property at more than
one location. Example: chain store |
Bodily
Injury |
Physical injury to the person of a
Third Party. This includes sickness, disease, pain and
suffering, emotional distress, loss of income and even death.
(See Third Party) |
Broker |
A licensed transactor of insurance who
represents the client. (See Agent; Bind0) |
Broker
Fee |
The fee for services rendered that is
charged by a Broker. Such a fee is in addition to or separate
from any Commission. (See Broker, Commission) |
|
|
C |
INDEX |
Cancel |
The act, of either party in an
insurance contract, of ending the contract prior to its
expiration. Both parties are required to give written notice
to the other party to effect such cancellation. The insurer is
required to give at least ten- (10) days notice prior written
warning of such cancellation. |
Cash
Payment Option |
One of several nonforfeiture options
included in life insurance policies and some annuity contracts
that allows a policy owner to receive the cash surrender value
of a life insurance policy or an annuity contract in a single
payment. Also known as cash surrender option. (See Cash
Surrender Value; Nonforfeiture
options) |
Cash
Surrender Value |
- For life insurance, the amount, before adjustments for
factors such as policy loans, that the owner of a
permanent life insurance policy is entitled to receive if
the policy does not remain in force until the insured’s
death.
- For annuities, the amount of a deferred annuity’s
accumulated value, less any surrender charges, that the
contract holder is entitled to receive if the policy is
surrendered during its accumulation period. Also known as
cash value and surrender value.
|
Classic
Auto |
An automobile which has been
substantially restored to original condition, the make and
model of which the public has shown an unusual degree of
interest (i.e. 1957 Ford Thunderbird, 1964 Chevrolet Impala
S/S, Early Mustang Convertibles, etc.) |
Collision |
(a) Impact of an automobile with
another object or person outside the vehicle or the upset
(overturning) of such vehicle; (b) That coverage which pays
for damage to our insured's vehicle, in the event of the
above. This coverage is usually subject to a deductible. (See
Deductible) |
Collision
Deductible Waiver (CDW) |
That coverage which, in the event our
insured's car is damaged in an accident which is the fault of
an identified Uninsured Motorist, waives (or eliminates) the
deductible requirement under the collision coverage when
repairing the auto. (See Collision;
Deductible) |
Combined
Single Limit (CSL) |
A limits structure for Bodily Injury
and Property Damage Liability or Uninsured Motorist Bodily
Injury coverage which provides one single limit, which is the
maximum payable for all damages in any one occurrence. Most
commercial auto insurance is written CSL. (See Split
Limits) |
Commission |
Compensation to the producing agent,
broker, or agency for writing and servicing the policy from
the insurance carrier. Generally a percentage of the Premium.
(See Premium) |
Comprehensive |
That coverage which pays for direct
and accidental damage to the insured's automobile, other than
that caused by Collision. All losses not specifically excluded
are covered and such coverage usually has a deductible. |
Conditions |
Also referred to as Terms and
Conditions. These are typically circumstances that must be
present for the coverage to apply. |
Contract |
A promise or series of promises that
are enforceable under the law. |
Crash Parts |
Sheet metal parts that are most often
damaged in a car crash. |
|
|
D |
INDEX |
Death Benefit |
- For a life insurance contract, the amount of money paid
by an insurer to a beneficiary when a person insured under
the life insurance policy dies.
- For an annuity contract, the amount of money paid to a
beneficiary if the contract owner dies before the annuity
payments begin.
|
Declarations |
Also known as the "Dec
Page" or merely the " Dec." That section of the insurance
policy that distinguishes one policy from all others. It
contains the insured's name, address, a description of the
property insured, the premium, etc. |
Deductible |
An amount of money which,
in the event of a covered loss, the insured is required to pay
prior to the insurer being liable for any damages. The purpose
of a deductible is to eliminate the expense of processing
small claims. |
Defense |
Coverage provided in most
liability policies, which pays for the cost of defending the
insured in the event of lawsuit regarding a covered loss.
Defense cost, in the auto policy, is said to be " unlimited,"
in that the policy requires the insurer to pay whatever is
necessary, however it is actually limited in that the insurer
can pay policy limits in damages and thereby avoid the defense
requirement entirely. |
Down
Payment |
An amount of money
(usually a percentage of the premium plus any fees) which the
insured must be paid in order for the coverage to be bound.
(See Bind) |
|
|
E |
INDEX |
Effective Date |
The date and time (usually at 12:01
a.m.) in which the policy contract begins. Actual coverage may
begin earlier than this due to a Binder. (See Binder
Date) |
Excess |
Coverage that applies only after some
other policy has paid its full policy Limit. This may result
from policy structure, such as in the case of an Excess
Liability or Umbrella policy, or as a result of two policies
applying to the same loss. (See Primary)
|
Excess
Liability Coverage |
Liability coverage that is written to
provide higher Limits than those available in the Primary
policy. This policy is only liable after the Primary policy
has paid its full Limits for a covered loss. It is used where
higher Limits of liability are needed, but the primary carrier
is unwilling or unable to provide such Limits. The Primary
policy may provide Limits of 15/30/5 and the Excess policy
85/270/45 to provide total Limits of 100/300/50. |
Exclusion |
Language in a policy (or which may be
endorsed onto a policy) which specifies that a given
circumstance is not covered. An example would be intentional
acts of the insured. If an insured were to damage property or
cause bodily injury on purpose, the policy will not provide
coverage due to the intentional acts exclusion. Another
example would be the Named Driver Exclusion, which states that
if a designated person specified by name is driving the
automobile at the time of loss, the policy will not provide
coverage. |
Extended Term Insurance |
One of several non-forfeiture options
included in life insurance policies that allows the owner of a
policy with a cash value to discontinue premium payments and
to use the policy’s net cash value to purchase term insurance
for the full coverage amount provided under the original
policy for as long a term as the net cash value can provide.
(See nonforfeiture
options)
|
|
|
F |
INDEX |
Fidelity Bond |
A form of protection that covers
policyholders for losses that they incur as a result of
fraudulent acts by specified individuals. It usually insures a
business for losses caused by the dishonest acts of its
employees. |
Fiduciary Bond |
A type of surety bond, sometimes
called a probate bond, which is required of certain
fiduciaries, such as executors and trustees, that guarantees
the performance of their responsibilities. |
First Party |
The insured. A first party loss is a
loss that involves injury and/or damage to the property of our
insured. (See Third Party) |
Floater |
Attached to a homeowners policy, a
floater insures movable property, covering losses wherever
they may occur. Among the items often insured with a floater
are expensive jewelry, musical instruments and furs. It
provides broader coverage than a regular homeowners policy for
these items. |
Flood Insurance |
Coverage for flood damage is
available from the federal government under the National Flood
Insurance Program but is sold by licensed insurance agents.
Flood coverage is excluded under homeowners policies and many
commercial property policies. However, flood damage is covered
under the comprehensive portion of an auto insurance policy. |
Fraternal Insurer |
A nonprofit organization that is
operated solely for the benefit of its members and that
provides its members with social and insurance benefits. Also
known as fraternal benefit society. |
|
|
G |
INDEX |
Gap Insurance |
An automobile insurance option,
available in some states, that covers the difference between a
car’s actual cash value when it is stolen or wrecked and the
amount the consumer owes the leasing or finance company.
Mainly used for leased cars. |
Good Driver |
- Someone who has been continuously licensed for three or
more years;
- Someone who has been continuously licensed in the U.S.
or Canada for eighteen months or more; and has less that
two traffic violations or only one at-fault accident not
involving bodily injuries in the last 36 months.
- Has not been convicted of a DUI or manslaughter on or
after January 1, 1996 - California law states that any
driver convicted of a DUI or manslaughter on or after
1/1/1996 will not be eligible for consideration as a good
driver for seven years from the conviction date. Good
drivers may not be refused insurance by any auto carrier
in the State of California and must be given a twenty
percent (20%) discount over the carrier's best rates
|
Generic
Auto Parts |
Auto crash parts produced by firms
that are not associated with car manufacturers. Insurers
consider these parts, when certified, at least as good as
those that come from the original equipment manufacturer
(OEM). They are often cheaper than the identical part produced
by the OEM. |
Gray
Market |
A vehicle which was built for sale
outside the U.S. These vehicles (usually built by Porsche,
Mercedes, or BMW) do not meet U.S. standards regarding
emission control, safety glass, lighting, etc. |
|
|
H |
INDEX |
Home Owner |
The person who pays the mortgage on
the house. |
|
|
I |
INDEX |
Insurance |
The contractual transfer of the
financial consequences of loss. |
Insured |
Anyone named on the declarations page
or driving the insured vehicle with the permission of an
insured. (See Permissive User)
|
Insuring Agreement |
Promise made by the insurance company,
which outlines its duties. Exclusions, Conditions and
definitions that appear later in the policy modify this
promise. |
|
|
L |
INDEX |
Liability |
The legal responsibility for injury
done by the insured to a Third Party, or damage done to their
property. (See Third Party0) |
Limits |
Maximum amounts payable under a given
coverage. May be per person, per occurrence, per day or per
year. (See Split Limits; Combined
Single Limit) |
Long Term Care Insurance |
Long-term care (LTC) insurance pays
for services to help individuals who are unable to perform
certain activities of daily living without assistance, or
require supervision due to a cognitive impairment such as
Alzheimer’s disease. LTC is available as individual insurance
or through an employer-sponsored or association plan. |
Long Term Disability Income Insurance |
A type of disability income insurance
that provides disability income benefits after short-term
disability income benefits terminate and continues until the
earlier of the date when the insured person returns to work,
dies, or becomes eligible for pension benefits. Contrast with
short-term disability income insurance. |
Loss
Payee |
Typically the finance company holding
title to the owned auto. |
|
|
M |
INDEX |
Medical Payments |
An optional auto coverage which pays
for the medical expenses of the Named Insured, members of
his/her family, and passengers of his/her car if injured in a
Collision accident. The Named Insured and Relatives are also
covered if struck as a pedestrian. This coverage is Excess to
any other medical insurance. (See Excess)
|
|
|
N |
INDEX |
Named Insured |
That person so listed on the
Declarations and his/her spouse if a resident of the same
household. |
NO-Fault Insurance |
Auto insurance coverage that pays for
each driver’s own injuries, regardless of who caused the
accident. No-fault varies from state to state. It also refers
to an auto liability insurance system that restricts lawsuits
to serious cases. Such policies are designed to promote faster
reimbursement and to reduce litigation. |
Non-Forfeiture Options |
The various ways in which a contract
owner may apply the cash
surrender value of an insurance or an annuity contract
if the contract lapses. In the United States, the typical
nonforfeiture options for life insurance are the Cash
Payment Option, the Extended
Term Insurance and the reduced paid-up insurance option.
(See Cash Payment Option;
Cash Surrender Value;
Extended Term
Insurance; reduced paid-up insurance option)
|
Non-Owned Auto |
A borrowed or rented automobile |
|
|
O |
INDEX |
Occurrence |
An event or series of events which causes Bodily Injury
and/or Property Damage. May include repeated or continuous
exposure to the same injurious condition. |
Operator |
In auto insurance, that person seated immediately behind the
steering controls of the automobile and no other person. |
|
|
P |
INDEX |
Permissive User |
An entity not listed on the policy,
using the insured's vehicle with permission. Depending on the
particular policy, certain individuals may not be covered,
even if given is permission by the insured. (See Exclusions) |
Policy |
A legal Contract which contains the
agreement between the Insurer and the Named Insured. A Policy
is made up of five (5) parts: |
|
- The Declarations
- The Insuring Agreement(s)
- The Exclusions
- The Conditions
- The Definitions
|
Policy
Jacket |
A preprinted brochure which contains
all policy language except that contained in the Declarations
Page and Endorsements. In the Policy Jacket you will find the
Insuring Agreement(s), Exclusions, Conditions and Definitions. |
Premium |
Consideration paid by the insured for
the policy. The cost of the policy. |
Primary |
That policy which must pay first in
the event of loss. This would be due to the wording of the
policy as in the case of an Excess Liability policy or where
two policies apply to the same loss. (See Excess)
|
Private
Passenger Auto |
A self propelled motor vehicle, with
neither more nor less than four wheels, designed for use upon
streets and highways and subject to motor vehicle registration
under the laws of California. |
Producer |
A fire and casualty licensee who, for
compensation, acts or aids in any manner of soliciting,
negotiating, or procuring the making of any insurance contract
on behalf of the insured. |
Producer Fee |
The fee charged by the producer for
services, which is in addition to the premium. |
Proof
of Non-Fault/ No B/I |
Documentation required by the insurer
to support not charging for an accident or not assigning
points for bodily injury in an accident. Acceptable forms are
limited to a police report, a letter from the previous insurer
or a letter from the carrier of the other party in the
accident. The insurer may accept a copy of the claims check
stub if it contains sufficient information. |
Property Damage |
Damage or destruction including loss
of use of a Third Party's property. Reduction in value is the
measure of Property Damage. |
Punitive and Exemplary Damage |
That form of damages, awarded by the
court, which is intended to punish the wrong-doer, not to
compensate the injured party. This form of damages is
generally not covered by a liability policy. |
|
|
Q |
INDEX |
Quote |
An estimate of the cost of insurance
given to a prospective client. This estimate does not
constitute an offer and therefore is not enforceable. It is
literally an invitation to the insured to make an offer. The
offer, which may be accepted or rejected, is the policy
application. |
|
|
R |
INDEX |
Reinstate with Lapse |
The act of re-activating a policy
which has ceased to be valid due to expiration or
cancellation. There is a period between the cessation of
coverage and its reinstatement during which the carrier
provided no coverage. (See Cancel) |
Rental
Reimbursement |
That optional coverage which will
reimburse the insured for the expense of renting a vehicle
while his/her vehicle is in the shop due to a covered loss.
Coverage is usually written with a per day Limit and a maximum
number of days per Occurrence. (See Limit;
Occurrence) |
Replacement
Cost |
The cost of replacing the damaged
property with new property of like kind and quality without
deduction for depreciation. (See Actual
Cash Value) |
|
|
S |
INDEX |
SR1P |
A form filed by the insurance company
with the California Department of Motor Vehicles (DMV) which
states that the insured has an auto insurance policy that
meets California financial responsibility requirements and
requires that the DMV be notified if such policy is cancelled.
The requirement to file such form is usually due to an
uninsured accident or due a negligent operator suspension.
(See SR23) |
SR22 |
A form filed by the insurance company
with the California Department of Motor Vehicles (DMV) which
is one of three (3) types: a) Owners filing - States that the
person named on the form is insured while driving any vehicle
that he/she owns subject to usual policy exclusions. b)
Operators filing - States that the person so named is insured
while driving any vehicle not owned subject to usual policy
exclusions. c) Broad Form Owner/Operator filing - States that
the person so named is insured while driving any vehicle. This
form requires that in the event of policy cancellation the DMV
be notified. (See SR1P) |
Split Limits |
A limits structure for Bodily Injury
and Property Damage Liability or Uninsured Motorist coverage
which provides, for Bodily Injury, one limit per person, which
is the maximum payable for all damages payable to any one
injured person, a separate limit per Occurrence, which is the
maximum payable for all Bodily Injury in any one occurrence,
and a third limit which is the maximum payable for Property
Damage in any one Occurrence. Most personal lines auto
insurance is written Split Limits. (See Limit;
Occurrence; Combined
Single Limit) |
Subrogation |
The transfer of the insured's legal
right against an injuring Third Party to the insurance
carrier. (See Third Party) |
|
|
T |
INDEX |
Third Party |
Someone not protected by the Insurance
Policy. Typically the other party in an auto accident. (See First Party) |
Towing |
The optional auto insurance coverage
which will reimburse the insured for the expense of towing or
repairs at the place of disablement in the event the vehicle
becomes disabled. Coverage is written with a per Occurrence
Limit. (See Occurrence; Limit)
|
Trailer
Liability |
Trailer Liability is always provided
by the towing vehicle. (See Liability) |
|
|
U |
|
Umbrella |
A broad liability coverage form that
provides another layer of liability coverage over all covered
personal lines exposures, (i.e., the auto policy, the
homeowner liability coverage, the boatowners policy, etc.).
The form also provides coverage for some exposures that are
not covered by the underlying policies such as coverage for
libel and slander (Personal Injury). (See
Liability) |
Uninsured Motorist Bodily Injury (UMBI) |
That coverage which, in the event our
insured is injured in an accident which is the fault of an
Uninsured Motorist, covers the Bodily Injury expense of the
Named Insured, Relatives and passengers in his/her auto. The
coverage is generally written with a per person and per
Occurrence limit. (See Occurrence,
Limit; Named
Insured) |
Uninsured Motorist Property Damage (UMPD) |
That coverage which, in the event our
insured's car is damaged in an accident which is the fault of
an Uninsured Motorist, pays the cost of repairing the auto.
This coverage is only written when the policy does not cover
collision and has a variable maximum Occurrence Limit. (See Collision
Deductible Waiver) |
|
|