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FREQUENTLY USED HOME INSURANCE
TERMS
ACTUAL CASH VALUE:
A form of insurance that pays damages equal to the replacement value
of damaged property minus depreciation.
ADDITIONAL LIVING EXPENSES:
Extra charges covered by homeowners policies over and above
the policyholder's customary living expenses. They kick in when
the insured requires temporary shelter due to damage by a covered
peril that makes the home temporarily uninhabitable.
ADJUSTER: An individual
employed by a property/casualty insurer to evaluate losses and settle
policyholder claims. These adjusters differ from public adjusters,
who negotiate with insurers on behalf of policyholders, and receive
a portion of a claims settlement. Independent adjusters are independent
contractors who adjust claims for different insurance companies.
ADVERSE SELECTION:
The tendency of those exposed to a higher risk to seek more insurance
coverage than those at a lower risk. Insurers react either by charging
higher premiums or not insuring at all, as in the case of floods.
(Flood insurance is provided by the federal government but sold
mostly through the private market.) In the case of natural disasters,
such as earthquakes, adverse selection concentrates risk instead
of spreading it. Insurance works best when risk is shared among
large numbers of policyholders.
ALLIED LINES: Property
insurance that is usually bought in conjunction with fire insurance;
it includes wind, water damage, and vandalism coverage.
APPRAISAL: A survey
to determine a propertys insurable value, or the amount of
a loss.
BEACH AND WINDSTORM PLANS:
State-sponsored insurance pools that sell property coverage for
the peril of windstorm to people unable to buy it in the voluntary
market because of their high exposure to risk. Seven states (AL,
FL, LA, MS, NC, SC, TX) offer these plans to cover residential and
commercial properties against hurricanes and other windstorms. Georgia
and New York provide this kind of coverage for windstorm and hail
in certain coastal communities through other property pools. Insurance
companies that sell property insurance in the state are required
to participate in these plans. Insurers share in profits and losses.
BINDER: Temporary
authorization of coverage issued prior to the actual insurance policy.
BLANKET COVERAGE:
Insurance coverage for more than one item of property at a single
location, or two or more items of property in different locations.
BURGLARY AND THEFT INSURANCE:
For the loss of property due to burglary, robbery or larceny. It
is provided in a standard homeowners policy and in a business
multiple peril policy.
CATASTROPHE: Term
used for statistical recording purposes to refer to a single incident
or a series of closely related incidents causing severe insured
property losses totaling more than a given amount, currently $25
million.
CATASTROPHE DEDUCTIBLE:
A percentage or dollar amount that a homeowner must pay before the
insurance policy kicks in when a major natural disaster occurs.
These large deductibles limit an insurers potential losses
in such cases, allowing it to insure more property. A property insurer
may not be able to buy reinsurance to protect its own bottom line
unless it keeps its potential maximum losses under a certain level.
COINSURANCE: In
property insurance, requires the policyholder to carry insurance
equal to a specified percentage of the value of property to receive
full payment on a loss.
DECLARATION: Part
of a property or liability insurance policy that states the name
and address of policyholder, property insured, its location and
description, the policy period, premiums, and supplemental information.
Referred to as the dec page.
DEDUCTIBLE: The
amount of loss paid by the policyholder. Either a specified dollar
amount, a percentage of the claim amount, or a specified amount
of time that must elapse before benefits are paid. The bigger the
deductible, the lower the premium charged for the same coverage.
DIRECT PREMIUMS:
Property/casualty premiums collected by the insurer from policyholders,
before reinsurance premiums are deducted. Insurers share some direct
premiums and the risk involved with their re-insurers.
EARTHQUAKE INSURANCE:
Covers a building and its contents, but includes a large percentage
deductible on each. A special policy or endorsement exists because
earthquakes are not covered by standard homeowners or most business
policies.
E-COMMERCE: The
sale of products such as insurance over the Internet.
ENVIRONMENTAL IMPAIRMENT
LIABILITY COVERAGE: A form of insurance designed to cover
losses and liabilities arising from damage to property caused by
pollution.
ESCROW ACCOUNT:
Funds that a lender collects to pay monthly premiums in mortgage
and homeowners insurance, and sometimes to pay property taxes.
EXCESS AND SURPLUS LINES:
Property/casualty coverage that isnt available from insurers
licensed by the state (called admitted insurers) and must be purchased
from a non-admitted carrier.
EXCLUSION: A provision
in an insurance policy that eliminates coverage for certain risks,
people, property classes, or locations.
EXTENDED REPLACEMENT COST
COVERAGE: Pays a certain amount above the policy limit to
replace a damaged home, generally 120 percent or 125 percent. Similar
to a guaranteed replacement cost policy, which has no percentage
limits. Most homeowner policy limits track inflation in building
costs. Guaranteed and extended replacement cost policies are designed
to protect the policyholder after a major disaster when the high
demand for building contractors and materials can push up the normal
cost of reconstruction.
FAIR ACCESS TO INSURANCE
REQUIREMENTS PLANS/FAIR PLANS: Insurance pools that sell
property insurance to people who cant buy it in the voluntary
market because of high risk over which they may have no control.
FAIR Plans, which exist in 28 states and the District of Columbia,
insure fire, vandalism, riot, and windstorm losses, and some sell
homeowners insurance which includes liability. Plans vary by state,
but all require property insurers licensed in a state to participate
in the pool and share in the profits and losses.
FEDERAL INSURANCE ADMINISTRATION/FIA:
Federal agency in charge of administering the National Flood Insurance
Program. It does not regulate the insurance industry.
FIRE INSURANCE:
Coverage protecting property against losses caused by a fire or
lightning that is usually included in homeowners or commercial multiple
peril policies.
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.
FORCED PLACE INSURANCE:
Insurance purchased by a bank or creditor on an uninsured debtors
behalf so if the property is damaged, funding is available to repair
it.
FRAUD: Intentional
lying or concealment by policyholders to obtain payment of an insurance
claim that would otherwise not be paid, or lying or misrepresentation
by the insurance company managers, employees, agents, and brokers
for financial gain.
GUARANTEED REPLACEMENT
COST COVERAGE: Homeowners policy that pays the full cost
of replacing or repairing a damaged or destroyed home, even if it
is above the policy limit.
HOMEOWNERS INSURANCE POLICY:
The typical homeowners insurance policy covers the house, the garage
and other structures on the property, as well as personal possessions
inside the house such as furniture, appliances and clothing, against
a wide variety of perils including windstorms, fire and theft. The
extent of the perils covered depends on the type of policy. An all-risk
policy offers the broadest coverage. This covers all perils except
those specifically excluded in the policy. Homeowners insurance
also covers additional living expenses. Known as Loss of Use, this
provision in the policy reimburses the policyholder for the extra
cost of living elsewhere while the house is being restored after
a disaster. The liability portion of the policy covers the homeowner
for accidental injuries caused to third parties and/or their property,
such as a guest slipping and falling down improperly maintained
stairs. Coverage for flood and earthquake damage is excluded and
must be purchased separately.
HOUSE YEAR: Equal
to 365 days of insured coverage for a single dwelling. It is the
standard measurement for homeowners insurance.
HURRICANE DEDUCTIBLE:
A percentage or dollar amount added to a homeowners insurance
policy to limit an insurers exposure to loss from a hurricane.
Higher deductibles are instituted in higher risk areas, such as
coastal regions. Specific details, such as the intensity of the
storm for the deductible to be triggered and the extent of the high
risk area, vary from insurer to insurer and state to state.
INDEMNIFY: Provide
financial compensation for losses.
INFLATION GUARD CLAUSE:
A provision added to a homeowners insurance policy that automatically
adjusts the coverage limit on the dwelling each time the policy
is renewed to reflect current construction costs.
INSURABLE RISK:
Risks for which it is relatively easy to get insurance and that
meet certain criteria. These include being definable, accidental
in nature, and part of a group of similar risks large enough to
make losses predictable. The insurance company also must be able
to come up with a reasonable price for the insurance.
INSURANCE: A system
to make large financial losses more affordable by pooling the risks
of many individuals and business entities and transferring them
to an insurance company or other large group in return for a premium.
INSURANCE SCORE:
Insurance scores are confidential rankings based on credit information.
This includes whether the consumer has made timely payments on loans,
the number of open credit card accounts and whether a bankruptcy
filing has been made. An insurance score is a measure of how well
consumers manage their financial affairs, not of their financial
assets. It does not include information about income or race. Studies
have shown that people who manage their money well tend also to
manage their most important asset, their home, well. And people
who manage their money responsibly also tend to handle driving a
car responsibly. Some insurance companies use insurance scores as
an insurance underwriting and rating tool.
INSURANCE-TO-VALUE:
Insurance written in an amount approximating the value of the insured
property.
JOINT UNDERWRITING ASSOCIATION/JUA:
Insurers which join together to provide coverage for a particular
type of risk or size of exposure, when there are difficulties in
obtaining coverage in the regular market, and which share in the
profits and losses associated with the program. JUAs may be set
up to provide auto and homeowners insurance and various commercial
coverages, such as medical malpractice.
LIABILITY INSURANCE:
Insurance for what the policyholder is legally obligated to pay
because of bodily injury or property damage caused to another person.
LOSS: A reduction
in the quality or value of a property, or a legal liability.
LOSS ADJUSTMENT EXPENSES:
The sum insurers pay for investigating and settling insurance claims,
including the cost of defending a lawsuit in court.
MINE SUBSIDENCE COVERAGE:
An endorsement to a homeowners insurance policy, available in some
states, for losses to a home caused by the land under a house sinking
into a mine shaft. Excluded from standard homeowners policies,
as are other forms of earth movement.
MORTGAGE GUARANTEE INSURANCE:
Coverage for the mortgagee (usually a financial institution) in
the event that a mortgage holder defaults on a loan. Also called
private mortgage insurance (PMI).
MORTGAGE INSURANCE:
A form of decreasing term insurance that covers the life of a person
taking out a mortgage. Death benefits provide for payment of the
outstanding balance of the loan. Coverage is in decreasing term
insurance, so the amount of coverage decreases as the debt decreases.
A variant, mortgage unemployment insurance pays the mortgage of
a policyholder who becomes involuntarily unemployed.
MULTIPLE PERIL POLICY:
A package policy, such as a homeowners or business insurance policy,
that provides coverage against several different perils. It also
refers to the combination of property and liability coverage in
one policy. In the early days of insurance, coverages for property
damage and liability were purchased separately.
NAMED PERIL: Peril
specifically mentioned as covered in an insurance policy.
NON-ADMITTED ASSETS:
Assets that are not included on the balance sheet of an insurance
company, including furniture, fixtures, past-due accounts receivable,
and agents debt balances.
NOTICE OF LOSS:
A written notice required by insurance companies immediately after
an accident or other loss. Part of the standard provisions defining
a policyholder's responsibilities after a loss.
OCCURRENCE POLICY:
Insurance that pays claims arising out of incidents that occur during
the policy term, even if they are filed many years later.
ORDINANCE OR LAW COVERAGE:
Endorsement to a property policy, including homeowners, that pays
for the extra expense of rebuilding to comply with ordinances or
laws, often building codes, that did not exist when the building
was originally built. For example, a building severely damaged in
a hurricane may have to be elevated above the flood line when it
is rebuilt. This endorsement would cover part of the additional
cost.
PACKAGE POLICY:
A single insurance policy that combines several coverages previously
sold separately. Examples include homeowners insurance and commercial
multiple peril insurance.
PERIL: A specific
risk or cause of loss covered by an insurance policy, such as a
fire, windstorm, flood, or theft. A named-peril policy covers the
policyholder only for the risks named in the policy in contrast
to an all-risk policy, which covers all causes of loss except those
specifically excluded.
PERSONAL ARTICLES FLOATER:
A policy or an addition to a policy used to cover personal valuables,
like jewelry or furs.
PERSONAL LINES:
Property/casualty insurance products that are designed for and bought
by individuals, including homeowners and automobile policies.
POLICY: A written
contract for insurance between an insurance company and policyholder
stating details of coverage.
PREMISES: The particular
location of the property or a portion of it as designated in an
insurance policy.
PREMIUM: The price
of an insurance policy, typically charged annually or semiannually.
PROPERTY/CASUALTY INSURANCE:
Covers damage to or loss of policyholders property and legal
liability for damages caused to other people or their property.
Property/casualty insurance, which includes auto, homeowners and
commercial insurance, is one segment of the insurance industry.
The other sector is life/health. Outside the United States, property/casualty
insurance is referred to as non-life or general insurance.
RATE: The cost
of a unit of insurance, usually per $1,000. Rates are based on historical
loss experience for similar risks and may be regulated by state
insurance offices.
RATING BUREAU:
The insurance business is based on the spread of risk. The more
widely risk is spread, the more accurately loss can be estimated.
An insurance company can more accurately estimate the probability
of loss on 100,000 homes than on ten. Years ago, insurers were required
to use standardized forms and rates developed by rating agencies.
Today, large insurers use their own statistical loss data to develop
rates. But small insurers, or insurers focusing on special lines
of business, with insufficiently broad loss data to make them actuarially
reliable depend on pooled industry data collected by such organizations
as the Insurance Services Office (ISO) which provides information
to help develop rates such as estimates of future losses and loss
adjustment expenses like legal defense costs.
RENTERS INSURANCE:
A form of insurance that covers a policyholders belongings
against perils such as fire, theft, windstorm, hail, explosion,
vandalism, riots, and others. It also provides personal liability
coverage for damage the policyholder or dependents cause to third
parties. It also provides additional living expenses, known as loss-of-use
coverage, if a policyholder must move while his or her dwelling
is repaired. It also can include coverage for property improvements.
Possessions can be covered for their replacement cost or the actual
cash value that includes depreciation.
REPLACEMENT COST:
Insurance that pays the dollar amount needed to replace damaged
personal property or dwelling property without deducting for depreciation
but limited by the maximum dollar amount shown on the declarations
page of the policy.
RIDER: An attachment
to an insurance policy that alters the policys coverage or
terms.
RISK: The chance
of loss or the person or entity that is insured.
SALVAGE: Damaged
property an insurer takes over to reduce its loss after paying a
claim. Insurers receive salvage rights over property on which they
have paid claims, such as badly-damaged cars. Insurers that paid
claims on cargoes lost at sea now have the right to recover sunken
treasures. Salvage charges are the costs associated with recovering
that property.
SCHEDULE: A list
of individual items or groups of items that are covered under one
policy or a listing of specific benefits, charges, credits, assets
or other defined items.
SEWER BACK-UP COVERAGE:
An optional part of homeowners insurance that covers sewers.
SUBROGATION: The
legal process by which an insurance company, after paying a loss,
seeks to recover the amount of the loss from another party who is
legally liable for it.
TITLE INSURANCE:
Insurance that indemnifies the owner of real estate in the event
that his or her clear ownership of property is challenged by the
discovery of faults in the title.
TOTAL LOSS: The
condition of an automobile or other property when damage is so extensive
that repair costs would exceed the value of the vehicle or property.
UMBRELLA POLICY:
Coverage for losses above the limit of an underlying policy or policies
such as homeowners and auto insurance. While it applies to losses
over the dollar amount in the underlying policies, terms of coverage
are sometimes broader than those of underlying policies.
UNDERINSURANCE:
The result of the policyholders failure to buy sufficient
insurance. An underinsured policyholder may only receive part of
the cost of replacing or repairing damaged items covered in the
policy.
UNDERWRITING: Examining,
accepting, or rejecting insurance risks and classifying the ones
that are accepted, in order to charge appropriate premiums for them.
UNINSURABLE RISK:
Risks for which it is difficult for someone to get insurance.
VANDALISM: The
malicious and often random destruction or spoilage of another persons
property.
VOLCANO COVERAGE:
Most homeowners policies cover damage from a volcanic eruption.
WATER-DAMAGE INSURANCE
COVERAGE: Protection provided in most homeowners insurance
policies against sudden and accidental water damage, from burst
pipes for example. Does not cover damage from problems resulting
from a lack of proper maintenance such as dripping air conditioners.
Water damage from floods is covered under separate flood insurance
policies issued by the federal government.
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