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Key Terms

Are You Confused by All the "Technical" Terms in Your Insurance Policy?

Below are listed some of the most common terms you will hear relative to insurance coverage. There are many more terms that you may be unfamiliar with, but are still very important to understand before making final coverage decisions. We encourage you to contact our professional staff if you have any questions that aren't answered here.

General Terms  |  Auto Terms  |  Homeowners Terms  |  Life Terms


General Terms

Actual Cash Value
A form of insurance that pays damages equal to the replacement value of damaged property minus depreciation.

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.

Appraisal
A survey to determine a property's insurable value, or the amount of a loss.

Arbitration
Procedure in which an insurance company and the insured or a vendor agrees to settle a claim dispute by accepting a decision made by a third party.

Mediation
Nonbinding procedure in which a third party attempts to resolve a conflict between two other parties.

Binder
Temporary authorization of coverage issued prior to the actual insurance policy.

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.

Endorsement
A written form attached to an insurance policy that alters the policy's coverage, terms, or conditions. Sometimes called a rider.

Exclusion
A provision in an insurance policy that eliminates coverage for certain risks, people, property classes, or locations.

Extended Coverage
An endorsement added to an insurance policy, or clause within a policy, that provides additional coverage for risks other than those in a basic policy.

Group Insurance
A single policy covering a group of individuals, usually employees of the same company or members of the same association and their dependents. Coverage occurs under a master policy issued to the employer or association.

Liability Insurance
Insurance for what the policyholder is legally obligated to pay because of bodily injury or property damage caused to another person.

Life Insurance
See Ordinary life insurance; Term insurance; Whole life insurance

Limits
Maximum amount of insurance that can be paid for a covered loss.

Medical Payments Coverage
A coverage in which the insurer agrees to reimburse the insured and others up to a certain limit for medical or funeral expenses as a result of bodily injury or death by accident. Payments are without regard to fault.

Mortgage Guarantee Insurance
Coverage for the mortgager (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.

Named Peril
Peril specifically mentioned as covered in an insurance policy.

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.

Premium
The price of an insurance policy, typically charged annually or semiannually.

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.

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 policy's coverage or terms.

Risk
The chance of loss or the person or entity that is insured.

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

Travel Insurance
Insurance to cover problems associated with traveling, generally including trip cancellation due to illness, lost luggage and other incidents.

Underinsurance
The result of the policyholder's 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.

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.

Underwriting
Examining, accepting, or rejecting insurance risks and classifying the ones that are accepted, in order to charge appropriate premiums for them.

Unearned Premium
The portion of a premium already received by the insurer under which protection has not yet been provided. The entire premium is not earned until the policy period expires, even though premiums are typically paid in advance.

Auto Insurance Terms

State law requires auto insurance, but the stipulated coverage is often a "minimum" level. Below are listed the most common terms as applied to vehicle insurance policies for both basic coverage as well as extended coverage.

General liability
Covers damage you cause to other people's property and injuries to the people themselves.

Collision coverage
Covers damage to your own vehicle in an accident.

Comprehensive (i.e. other-than-collision damage)
Covers fire damage to your vehicle, theft, break-ins, vandalism, as well as natural disasters (earthquake, hail, hurricane, flood, etc…unless the vehicle is overturned, then it is considered a collision)..

Medical payments insurance/Bodily injury
Usually in the range of $5,000 to $10,000, covers medical expenses for injuries. This "good-faith" coverage guarantees immediate medical payments for you, your passengers and other parties, regardless of who is at fault. It also covers you and members of your household in any accident involving an automobile, whether you are on foot, on a bicycle, in a friend's car.

Personal Injury Protection (PIP) Coverage Limits: $5K, 10K, 35K
For the treatment of injuries to the driver and passengers of the policyholder's car. Similar to Medical Payments Coverage, but also includes higher limits to $35k, extra money for lost wages, losss of use and funeral expenses.

Property damage liability
For damage the policyholder causes to someone else's property.

Uninsured motorist (UM) and underinsured motorist (UIM) coverage
Protects you if you are injured in an accident with others who themselves carry insufficient or no liability insurance.

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.

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.

Gap Insurance or Residual Debt coverage
An automobile insurance option 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. This is mainly used for leased or new cars.

Extra coverages
Include expenses for towing, labor, temporary replacement vehicles, etc. These are generally defined as add-ons or "endorsements" to your policy.

Homeowners Insurance Terms

The typical homeowner's 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.

Water Damage Insurance Coverage
Protection is provided in most homeowners insurance policies against sudden and accidental water damage, from burst pipes for example. This coverage does not cover damage from problems resulting from a lack of proper maintenance such as dripping air conditioners or a leaking roof. Water damage from floods is covered under separate flood insurance policies issued by the federal government.

Note: Leaking pipes and other water damage issues can be covered by a Farmers Home Warranty Plan. Call or email us for details

Title Insurance
This insurance 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.

Additional Living Expenses
This is for extra charges covered by homeowner's policies over and above the policyholder's customary living expenses. They kick in when the insured requires additional monies to live elsewhere (temporary shelter such as apartment or rented home) due to damage caused by a covered peril that makes the home temporarily uninhabitable.

Earthquake Coverage
Covers a building and its contents, but includes a large percentage deductible on each. A special policy or endorsement exists because standard homeowners or most business policies do not cover earthquakes.

Fire Insurance
Coverage protecting property against losses caused by a fire or lightning that is usually included in homeowners or commercial multiple peril policies.

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.

Guaranteed Replacement Cost Coverge
Homeowners policy that pays over and above the stated policy limits (% above varies from company to company) to restore your home.

Life Insurance Terms

Life insurance is intended to protect those left behind when the insured passes on. There are a number of types of policies to accomplish this. Which is best suited for your personal situation is best determined by having one of our insurance professionals review your needs and goals. Here are the most common policy types and terms.

Whole Life Insurance
The oldest kind of cash value life insurance that combines protection against premature death with a savings account. Premiums are fixed and guaranteed and remain level throughout the policy's lifetime.

Waiver
The surrender of a right or privilege. In life insurance, a provision that sets certain conditions, such as disablement, which allow coverage to remain in force without payment of premiums.

Universal Life Insurance
A flexible premium policy that combines protection against premature death with a type of savings vehicle, known as a cash value account, that typically earns a money market rate of interest. Death benefits can be changed during the life of the policy within limits, generally subject to a medical examination. Once funds accumulate in the cash value account, the premium can be paid at any time but the policy will lapse if there isn't enough money to cover annual mortality charges and administrative costs.

Term Insurance
A form of life insurance that covers the insured person for a certain period of time, the "term" that is specified in the policy. It pays a benefit to a designated beneficiary only when the insured dies within that specified period which can be one, five, 10 or even 20 years. Term life policies are renewable but premiums increase with age.

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.

Business Insurance Terms
Businesses have unique, and sometimes complex, insurance requirements. In the current litigious environment there is a critical need to have coverage that will help preserve the viability of the business under a myriad of situations. Some of the basic considerations and terms are listed here.

Liability protection
This will vary from business to business. A retail business is more at risk for potential suits than a business that is not open to the public. Also, in some states, courts tend to respond more positively to lawsuits, increasing both the likelihood of successful lawsuits and the amount of damages awarded. In today's lawsuit-conscious society, higher liability limits are extremely important and relatively inexpensive.

Property insurance can be purchased on the basis of the property's actual value, on its replacement cost, or on an agreed amount. The differences among the three are:

Actual Cash Value
This is replacement cost of the item minus depreciation. For example, a new desk may cost $500. If your 7-year-old desk gets damaged in a fire, it might have depreciated 50%. Therefore, insurance would pay you $250.

Replacement Coverage
This coverage pays the cost of replacing an item without deducting for depreciation. So today's cost for a desk of a size and construction similar to the 7-year-old one damaged by fire would determine the amount of compensation. If it costs $500 today, that would be the replacement coverage.

Agreed Amount
Art objects, antiques and other unique items are usually insured at an amount agreed upon when the policy is being written. An appraiser values the goods to be insured and the business owner and the insurer agree upon an amount that the insurer will pay if the goods are destroyed due to a covered peril.

Check your policy. If you prefer replacement coverage and do not already have it, this coverage can be added to your policy. Inflation-guard coverage, which automatically increases your insurance amount a certain percentage, protects against rising construction costs. Your Trusted Choice® agent can advise you of the costs involved.

Business Property Considerations
Basic property insurance policies generally cover losses caused by fire or lightning and the cost of removing property to protect it from further damage (e.g., removing inventory or equipment from a damaged building so it won't be stolen). "Extended perils," including windstorm, hail, explosion, riot and civil commotion, and damage caused by aircraft, automobiles or vandalism, are usually covered in a standard policy. Other important perils, often not covered and considered "optional" in almost all standard policies, include earthquake and flood damage, building collapse, and glass breakage.

Property insurance can be written as either "named peril" policies or so-called "all risk" policies. A named peril policy provides coverage for those perils specifically named in the policy. An all risk policy covers loss by any perils not specifically excluded in the policy. The term "all risk" does not mean that all perils will be covered and, to avoid confusion, is often replaced with the term "special form" or "special causes of loss" coverage.

The best thing to do is to take a complete inventory of all your business property, determine all of its value and decide if each is worth insuring. Then check to see that the items on the inventory list are included in the basic business property policy and covered for the correct amount. If not, ask your Trusted Choice® agent about the cost of purchasing additional coverage to meet your needs.

You also need to consider your business situation. Are you planning a major expansion? Does your inventory have a decidedly peak season (like a toy store in December)? Or does it fluctuate throughout the year (like a clothing store)? Is your liability limit high enough in light of the new job contract you just signed? Business policies are designed to be added to or subtracted from to meet your needs. Be sure to discuss changes to your business with your Trusted Choice® agent so that he or she can be sure your policy still provides adequate coverage.

Some common additional coverages for business property include (although this list is by no means all-inclusive):

Boiler and Machinery Insurance
Even if you do not own a boiler, you may need this coverage. The term "boiler and machinery insurance" is gradually being replaced with terms such as "equipment breakdown" or "mechanical breakdown" coverage. This insurance provides coverage against the sudden and accidental breakdown of boilers, machinery or equipment, including computer systems and telephones/communication systems. Coverage usually includes reimbursement for property damage, expediting expenses (e.g., express transportation charges), and business interruption losses.

Builders Risk Coverage
This covers buildings in the course of construction. Depending on the policy, this coverage can be for either the building's value at the time of loss or its full value at the time of completion.

Building Ordinance Coverage
Provides coverage when a community has a building ordinance stating that when a building is damaged to a specified extent (usually 50%), it must be completely demolished and rebuilt in accordance with current building codes rather than repaired. Special attention is required when establishing the amount of insurance.

Business Interruption Insurance
This covers the loss of earnings as a result of damage or loss of business property. Reimbursement for salaries, taxes, rents, and other expenses plus net profits that would have been earned during the period of interruption can be included.

Commercial Crime Coverages
This covers money and securities, stock and fixtures against theft, burglary and robbery both on and off the insured premises and from both employees and outsiders.

Debris Removal Coverage
Covers the cost of removing debris after damage from fire or other covered peril that requires debris removal before reconstruction of the damaged building can begin. This is not part of fire insurance coverage and must be added as an endorsement.

Fidelity Bonds
This covers business owners for losses due to dishonest acts by their employees.

Glass Coverage
This provides coverage for glass breakage such as store windows and plate glass on office fronts.

Inland Marine Insurance
Primarily covers property in transit such as from warehouse to warehouse or warehouse to retail store, as well as other people's property left on your business premises, such as clothes left at a dry cleaning business or an employee's personal effects left in the company locker room.

Insurance for Loss of Lease Income or Value
This covers the loss of income when rental property is damaged or destroyed and the loss of value when the owner of the rental property also used some of its space for business. If the tenant of the destroyed or damaged building is forced to rent space elsewhere at a higher cost, this is called loss of lease value.

Wrap-up Insurance
Broad policy coordinated to cover liability exposures for a large group of businesses that have something in common. Might be used to insure all businesses working on a large construction project, such as an apartment complex.

Key Person Insurance
Insurance on the life or health of a key individual whose services are essential to the continuing success of a business and whose death or disability could cause the firm a substantial financial loss.

 

 

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