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Resources
Auto Insurance
Health Insurance
Home Insurance
Life Insurance
Business Insurance
Auto Insurance
Bodily Injury Liability:
Physical injury or death to a third party for
which the policyholder is legally liable. This
coverage is commonly referred to as "BI" and is
usually written together with Property Damage
Liability (see definition below).
Collision:
This coverage pays for the damage and loss of
use of the policyholder's vehicle resulting from
an accident caused by collision with another
vehicle or object, such as a sign.
Deductible:
The amount predetermined by the policyholder
that must be paid out-of-pocket before the
insurance company will pay toward a loss.
Gap Insurance:
An optional coverage that will pay the
difference between the value of the vehicle at
the time of a total loss and the amount
remaining on the loan for the vehicle.
Insured:
Those persons covered by the automobile
insurance policy. Examples of an insured are the
policyholder (also called the "named insured"),
resident relative and someone using the vehicle
with permission.
Medical Payments:
This coverage pays for medical and funeral
expenses resulting from an accident regardless
of fault. Medical Payments coverage also will
cover injuries to passengers in your car or
someone else's car you are driving with
permission as well as injuries sustained in an
auto accident by you or a family member.
Other-than-collision:
Commonly known as "comprehensive," this coverage
pays for the damage and loss of use of the
policyholder's vehicle resulting from an
accident caused by an event other than a
collision or overturn. Such events may include
theft, vandalism and fire.
Physical Damage:
A
collective term commonly used to describe types
of coverage that apply to damage to your
vehicle. These types of coverage include
collision and other-than-collision (a.k.a.
"comprehensive")
Property Damage Liability:
Damage to someone's physical property, including
loss of use, for which the policyholder is
legally liable. This coverage is commonly
referred to as "PD" and is usually written
together with Bodily Injury Liability.
Rental Reimbursement:
An optional coverage that will reimburse the
policyholder for the cost of a rental car if
required due to a covered loss. This coverage
may pay part or all the cost of a rental car.
Underinsured Motorist:
Similar to Uninsured Motorist, this coverage
pays for bodily injury sustained by a covered
person resulting from an accident with an
at-fault driver who does not have enough
insurance to pay for the injuries.
Uninsured Motorist:
This coverage pays for bodily injury sustained
by a covered person resulting from an accident
with an at-fault driver who is uninsured or
flees the scene of the accident.
Health Insurance
Coinsurance:
The percentage of your medical costs you'll have
to pay after satisfying any applicable
deductibles.
Co-payment:
If you're insured under an HMO plan, a
co-payment is the amount you'll have to pay each
time you visit a health insurance provider.
Deductible:
If you're insured under an indemnity plan, the
deductible is the amount you'll have to pay
towards your medical expenses before the
insurance company begins to cover your claims.
Disability insurance:
A type of health insurance coverage that pays
you when you are unable to work for an extended
period because of an injury or other medical
condition. Coverage can be either long-term or
short-term.
Indemnity plan:
A type of health insurance coverage that lets
you choose your own doctors and pays for your
medical expenses-either totally, in part, or up
to a specified amount per day for a specified
number of days. This is also known as a
reimbursement plan.
Long-term care insurance:
A type of health insurance that provides for
skilled, intermediate, and custodial care in a
private home, adult daycare setting,
assisted-living facility, or nursing home.
Major medical insurance:
A type of health insurance coverage that
protects you against losses from catastrophic
illness or injury. It provides extremely broad
coverage with a very high maximum benefit.
Managed care:
A type of health insurance coverage that
includes health maintenance organizations
(HMOs), preferred provider organizations (PPOs),
and point of service (POS) plans. All of these
involve an arrangement between the insurer and a
selected network of doctors, hospitals, and
other healthcare providers.
Preexisting condition:
A medical condition that existed before your
health insurance policy became effective. Most
health insurance coverage plans require a
waiting period of three months to one year
before a preexisting condition will be covered.
Home Insurance
Actual Cash Value
(ACV) – This term describes the amount needed to
repair or replace damaged portions of your home
after depreciation. For example, your insurance
company will deduct for the age and condition of
a 12-year-old roof with a 15-year life
expectancy. Most insurance policies are written
on an ACV basis unless another form of valuation
is specified (see “Replacement Cost” below).
Claim
– A request for reimbursement for a loss. In
order to be paid, a claim must be the result of
a loss that is covered by the policy. For
example, a home insurance policy will not pay
for flood damage if flood peril is not covered
by the policy.
Deductible
– This is the amount a policyholder must pay
out-of-pocket for each claim or loss before the
insurance company will begin paying. Deductibles
may be a specific dollar amount (i.e., $1,000)
or a percentage of the home’s value at the time
of the loss.
Depreciation
– This term describes the decrease in value of
your home or personal property due to normal
wear and tear from the time your home was built
or the personal property was purchased.
Endorsement
– Also known as a “rider,” this term describes a
change added to the home insurance policy that
modifies its original terms.
Exclusion
– A person, event, situation or condition
specified in the home insurance policy to which
coverage under the policy does not apply. A
common example of an exclusion found in a
standard home insurance policy is flood damage.
Liability
– A legal obligation.
Loss of Use
(a.k.a. “Additional Living Expense”) – This term
describes coverage that pays for certain
additional expenses – such as lodging and food –
while your home is undergoing repair.
Medical Payments
– Coverage for medical expenses up to a
specified limit for persons accidentally injured
at your home. It applies regardless of fault,
but does not apply to injuries sustained by you
or anyone living with you. Other exclusions
usually apply.
Named-Perils Policy
– Also known as a “Basic” or “Broad” form
policy, this type of policy covers losses
resulting from any peril that is specifically
named as a covered peril in the policy.
Peril
– The action, event or condition that causes a
loss. Examples of perils include fire, wind and
theft. The home insurance policy will specify
which perils are covered.
Replacement Cost
– This term describes the amount needed to
repair or replace damaged property with
materials of similar kind and quality without
deducting for depreciation.
Special-Form Policy
– A policy that covers losses resulting from any
peril that is not specifically excluded from
coverage.
Life Insurance
Beneficiary:
A person other than a participant who may become
eligible to receive, or is receiving, benefits
under an insurance policy.
Cash surrender value:
The amount payable to an insured who surrenders
cash value life insurance, which terminates all
insurance benefits.
Convertible term life insurance:
A plan that permits you to exchange the term
life insurance policy for a permanent one at
some point.
Free look period:
Under the laws of some states, a period
(typically at least 10 days) during which time
you may cancel the policy without penalty.
Insurable interest:
A requirement that if you want to buy a life
insurance policy on someone else's life, you
must have an interest in that person remaining
alive or expect emotional or financial loss from
that person's death.
No-load policy:
A type of policy that some insurers sell
directly to consumers without having to pay
commissions to agents and brokers.
What is a Death Benefit Plus Cash Value?
Permanent (cash value) life insurance:
A type of life insurance that combines a death
benefit with a cash value component that builds
over time; offers lifetime protection.
Risk factors:
Factors that the insurance company takes into
consideration when calculating your premium for
permanent or term life insurance; these include
your age, your health, whether you use tobacco,
your family health history, and the type and
amount of life insurance you're buying.
Term life insurance:
A type of life insurance that provides coverage
for a specified period of time—generally one,
10, 20, or 30 years, or until the insured
reaches 65 or 70 years of age.
Universal life insurance:
A type of permanent life insurance in which the
cash value varies with the purchaser’s payments
and the insurer’s investment returns.
Variable life insurance:
A type of permanent life insurance in which the
cash value fluctuates depending on the
investments purchased by the purchaser for his
or her portfolio.
Whole life insurance:
A type of permanent life insurance. Whole,
universal, and variable life insurance each has
their own provisions, but all cover you for the
remainder of your life.
Business Insurance Common
Terms
Following are definitions of several terms
commonly used to describe different aspects of
business insurance coverage:
Actual Cash Value (ACV)
–
Coverage for the dollar amount needed to repair
or replace damaged property minus depreciation.
Blanket Insurance
–
Coverage for more than one type of property at a
single location or similar types of properties
at multiple locations.
Business Income (also called “Business
Interruption”) Insurance –
Coverage for lost net income and continuing
expenses for a specified period of time, as a
result of a cessation in normal business
activities due to a covered loss.
Business Owner’s Policy (BOP)
–
A package policy that combines property, general
liability, business income and other types of
coverages into a single policy.
Coinsurance (for property insurance)
–
A clause in the property policy requiring the
policyholder to carry an amount of insurance
equal to a specified percentage of the value of
the property. Compliance will result in full
payment on a covered loss minus the deductible.
Failure to comply will result in a penalty for
underinsurance.
Deductible
–
A dollar amount, usually a predetermined figure
(i.e., $1,000) or a percentage (i.e., 2% of the
value of the property) for which the
policyholder must pay before the insurance
company will pay for a covered loss.
Endorsement
–
A provision attached to an insurance policy that
amends the policy’s original terms.
Exclusion
–
A provision in a policy that eliminates coverage
for certain losses, people, locations or
conditions.
Liability Insurance
–
Coverage for covered claims of bodily injury or
property damage for which the policyholder is
legally liable.
Medical Payments
–
The specified amount for which the insurance
company agrees to reimburse the policyholder for
the medical expenses for bodily injury of a
third-party. Medical expenses usually are paid
regardless of fault.
Named-Peril Policy
–
An insurance policy that only covers losses
resulting from perils specifically named in the
policy.
Peril
–
An event or condition that causes a loss (e.g.,
fire, windstorm, theft, etc.).
Professional Liability Insurance
–
Coverage for professionals as determined by
their respective industry's expected standard of
care for claims of negligence, errors or
omissions causing damages to a client.
Replacement Cost
–
Coverage for the dollar amount needed to repair
or replace damaged property without deducting
for depreciation.
Special (or “Open”) Peril policy
–
An insurance policy that covers losses resulting
from any peril not specifically excluded in the
policy.
Umbrella
– Coverage for losses above the limit of the
underlying policy. Umbrella policies may also
broaden coverage for losses not normally covered
in the underlying policy. |