0 - Key Insurance Terms

Disclosure

An act of identifying the name of the producer, representative or firm, limited insurance representative, or temporary insurance producer on any policy solicitation

Exclusive or Captive Agent

An agent who represents only one company and is compensated by commissions

Fiduciary

An agent/broker who handles insurer's funds in a trust capacity

Coinsurance

An agreement between an insurer and insured in which both parties are expected to pay a certain portion of the potential loss and other expenses

Contract

An agreement between two or more parties enforceable by law

Appraisal

An assessment of property to determine either the correct amount of insurance to be written or the amount of loss to be paid

Controlled Business

An entity that obtains and possesses a license solely for the purpose of writing business on the owner, immediate family, relatives, employer and employees

Agent

An individual who is licensed to sell, negotiate, or effect insurance contracts on behalf of an insurer

Admitted Insurer

An insurance company authorized and licensed to transact business in a particular state

Authorized Insurer

An insurance company that has qualified and received a Certificate of Authority from the Department of Insurance to transact insurance in the state

Foreign Insurer

An insurance company that is incorporated in another state

Domestic Insurer

An insurance company that is incorporated in the state

Alien Insurer

An insurance company that is incorporated outside the United States

Coercion

An unfair trade practice in which an insurer uses physical or mental force to persuade an applicant to buy insurance

Defamation

An unfair trade practice in which one agent or insurer makes an injurious statement about another with the intent of harming the person's or company's reputation

Boycott

An unfair trade practice in which one person refuses to do business with another until he or she agrees to certain conditions

Accident

An unplanned, unforeseen event which occurs suddenly and at a specific place

Common Law

An unwritten body of law based on past judicial decisions as well as usages and customs

Hazard

A circumstance that increases the likelihood of a loss

Building and Personal Property Coverage Form

A commercial property form that covers buildings, and/or their contents

Builder's Risk Coverage Form

A commercial property form that covers buildings under construction

Deposit Premium Audit

A condition that allows the insurer to audit the insured's books or records at the end of the policy term to make sure adequate premium has been collected for the exposure

Bailee

A person or entity that has possession of personal property entrusted to him/her by the owner

Consultant

A person who, for a fee, offers any advice, counsel, opinion, or service regarding the benefits, advantages, or disadvantages promised under a policy of insurance

Disability

A physical or mental impairment, either congenital or resulting from an injury or sickness

Excess Policy

A policy that only pays for loss after the primary policy has paid its limit

Endorsement

A printed addendum to a contract that is used to change the policy's original terms, conditions, or coverages

Agreed Value

A property policy with a provision agreed upon by the insurer and insured as to the amount of insurance that represents a fair valuation for the property at the time the insurance is written. This is best for items whose value do not fluctuate much.

Additional Coverage

A provision in an insurance policy that allows for more coverage for specific loss expense without increase in premium

Extensions of Coverage

A provision in some property policies which allows the extension of a major coverage to certain types of loss to property not specifically insured

Complaint

A written statement of a liability claim given by the claimant; a reason for a lawsuit

Components

Factors that determine rates, including loss reserves, loss adjusting expenses, operating expenses and profits

FAIR Plan

Fair Access to Insurance Requirements plan is a state-run program that makes insurance obtainable to those in high risk areas who have been unable to acquire insurance through other channels

Bodily Injury Liability

Legal liability arising from death or physical trauma to a person as a result of a negligent or purposeful act and omissions by an insured

Burglary

The forced entry into another's premises with felonious intent

First Named Insured

The individual whose name appears first on the policy's declaration Flood - A general and temporary condition of partial or complete inundation of normally dry land areas from overflow of inland or tidal waters or from the unusual and rapid accumulation or runoff of surface waters from any source

Depreciation

The lessening of value of real and personal property due to age and wear and tear

Beneficiary

The person who receives the proceeds from the insurance policy

Assignment

The transfer of a legal right or interest in an insurance policy

Commercial Lines

Type of insurance that pertains to business, mercantile or manufacturing establishments

Aleatory

A contract in which the participating parties agree to exchange unequal amounts

Adhesion

A contract offered on a "take-it-or-leave-it" basis by an insurer, in which the insured's only option is to accept or reject the contract

Claim

A demand made by the insured to cover a loss protected by the insurance policy

Cease and Desist Order

A demand of a person to stop committing an action that is in violation of a provision

Certificate of Authority

A document that authorizes a company to start conducting business and specifies the kind(s) of insurance a company can transact

Auto

A land motor vehicle, trailer or semi-trailer designed for use on public roads, including attached machinery or equipment; auto does not include mobile equipment

Certificate of Insurance

A legal document that indicates that an insurance policy has been issued, and that states both the amounts and types of insurance provided

Estoppel

A legal impediment to denying a fact or restoring a right that has been previously waived

Fraternal Benefit Society

A life or health insurance company formed to provide insurance for members of an affiliated lodge, religious, or fraternal organization with a representative form of government

Avoidance

A method of dealing with risk by deliberately keeping away from it (e

Combined Single

A single dollar limit of liability applying to the total of damages for bodily injury and property damage combined, resulting from one accident or occurrence

Blanket Insurance

A single property insurance policy that provides coverage for multiple classes of property at one location, or provides coverage for one or more classes of property at multiple locations

Binder

A temporary contract that puts an insurance policy into force before the premium has Powered by ExamFX - Online Training & Assessment been paid

Conditional Contract

A type of an agreement in which both parties must perform certain duties and follow rules of conduct to make the contract enforceable

Blanket Bond

A type of bond that covers losses caused by dishonest employees

Hazard, Physical

A type of hazard that arises from the physical characteristics of an individual, such as a physical disability due to either current circumstance or a condition present at birth

Casualty Insurance

A type of insurance that covers losses caused by injury to persons or damage to the property of others

Absolute Liability

A type of liability that occurs due to extremely dangerous operations, such as the use of explosives or working at extreme heights

Exposure

A unit of measure used to determine rates charged for insurance coverage

Comprehensive Coverage

Also known as Other Than Collision coverage, it covers losses by fire, theft, vandalism, falling objects, etc

Implied Authority

Authority that is not expressed or written into the contract, but which the agent is assumed to have in order to transact the business of insurance for the principal

Exclusions

Causes of loss, exposures, conditions, etc

Additional Insureds

Individuals or business that are not named as insured on the declaration page, but are protected by the policy, usually in regard to a specific interest

Fraud

Intentional misrepresentation or deceit with the intent to induce a person to part with something of value

Domicile of Insurer

Insurer's location of incorporation and the legal ability to write business in a state

Arbitration

Method of claim settlement used when the insured and insurer cannot agree upon the amount of the loss

Experience Rating

Method of determining the premium based on the insured's own past loss experience

Direct Losses

Physical damage to buildings and/or personal property as a result of direct consequence of a particular peril

Gross Negligence

Reckless behavior that shows disregard for the safety or lives of others

Abandonment

The abdication of insured property into the hands of another, or into the possession of no one in particular

Apparent Authority

The appearance or the assumption of authority based on the actions, words, or deeds of the principal or because of circumstances the principal created

Express Authority

The authority granted to an agent by means of the agent's written contract

Consideration

The binding force in a contract that requires something of value to be exchanged for the transfer of risk

Commissioner (Superintendent, Director)

The chief executive and administrative officer of a state insurance department

Functional Replacement Cost

The cost to replace damaged property with less expensive and more modern construction or equipment

Hazard, Morale

The effect a person's indifference concerning loss has on the risk to be insured

Hazard, Moral

The effect of a person's reputation, character, living habits, etc

Economic Loss

The estimated total cost (both insured and uninsured) of an accident

Director (Commissioner, Superintendent)

The head of the state department of insurance

Aggregate Limit

The maximum limit of coverage available under a liability policy during a policy year regardless of the number of claims that may be made or the number of accidents that may occur

Deductible

The portion of the loss that is to be paid by the insured before any claim benefits may be paid by the insurer

Class Rating

The practice of computing a price per unit of insurance that applies to all applicants possessing a given set of characteristics

Actual Cash Value (ACV)

The required amount to pay damages or for property loss, which is calculated based on the property's current replacement value minus depreciation

Declarations

The section of an insurance policy containing the basic underwriting information, such as the insured's name, address, amount of coverage and premiums, and a description of insured locations, as well as any supplemental representations by the insured

Conditions

The section of an insurance policy that indicates the general rules or procedures that the insurer and insured agree to follow under the terms of the policy

Adverse Selection

The tendency of risks with higher probability of loss to purchase and maintain insurance more often than the risks who present lower probability

Cancellation

The termination of an in-force insurance policy by either the insured or the insurer prior to the expiration date shown in the policy

Concealment

The withholding of known facts which, if material, can void a contract

Consumer Reports

Written and /or oral statements regarding a consumer's credit, character, reputation, or habits collected by a reporting agency from employment records, credit reports, and other public sources

Concurrent causation

multiple events leading to one loss Death Benefit - The amount payable upon the death of the person whose life is insured