Glossary
of Insurance Terms
P
- W Terms
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PACKAGE
POLICY
A combination of two or more individual policies or coverages into
a single policy. A homeowner’s policy, for example, is a package combining
property, liability and theft covereges for the homeowner.
PERIL
The cause of a possible loss, such as fire, windstorm, theft, explosion,
or riot.
PERSISTENCY
A term used to refer to the length of time insurance remains continuously
in force.
PERSONAL ARTICLES FLOATER
A form of coverage designed to meet the needs for insurance on property
of a moveable nature. The coverage usually protects against all physical
loss, subject to special exclusions and conditions. Examples of property
covered include jewelry, furs, silverware, fine arts.
PERSONAL INJURY PROTECTION (PIP)
First-party no-fault coverage in which an insurer pays, within the
specified limits, the wage loss, medical, hospital and funeral expenses
of the insured.
PHYSICAL DAMAGE
Damage to or loss of the auto resulting from collision, fire, theft
or other perils.
PREMIUM TAX
A tax assessed at the state level usually on gross premiums written.
The tax rate varies from state to state.
PRIMARY INSURANCE
Insurance that pays compensation for a loss ahead of any other insurance
coverages that policyholder may have.
PRODUCTS LIABILITY INSURANCE
Protection against financial loss arising out of the legal liability
incurred by a manufacturer, merchant or distributor because of injury
or damage resulting from the use of a covered product.
PROOF OF LOSS
Documentation presented to the insurance company by the insured in
support of a claim so that the insurer can determine its liability
under the policy.
PROPERTY DAMAGE COVERAGE
An agreement by an insurance carrier to protect an insured against
legal liability for damage by an insured automobile to the property
of another.
PROPERTY INSURANCE
Provides financial protection against loss or damage to the insured's
property caused by such perils as fire, windstorm, hail, etc.
PROXIMATE CAUSE
The dominating cause of loss or damage; an unbroken chain of events
between the occurrence and damage.
RATING TERRITORY
A geograchical grouping in which like hazards tend to equalize
and permit the establishment of an equitable rate for the territory.
REINSURANCE
The purchase of insurance by an insurance company from another insurance
company (reinsurer) to provide it protection against large losses
on cases it has already insured.
REINSURANCE FACILITY
An alternative mechanism to service those insureds that cannot obtain
insurance in the voluntary market. Premiums and losses for the business
ther is ceded to the facility are pooled and all insurers share according
to their proportion of the voluntary market.
RENTER'S POLICY
A package type of insurance that includes coverage similar to a homeowner’s
policy to cover the liability exposure and the personal property of
a renter of tenant in a building.
REPLACEMENT COST
The cost to repair or replace property at costs prevailing at time
of loss; the cost to replace, repair or rebuild property without considering
depreciation. (see Actual Cash Value)
RESIDUAL MARKET
A source of insurance available to applicants who are unable to obtain
insurance through ordinary methods in the voluntary market. (see AIP,
JUA, FACILITY)
RETENTION
The net amount of risk retained by an insurance company for its own
account or that of specified others, and not reinsured.
RETROSPECTIVE RATING
Rating procedure which allows adjustment of an insured's final rate
on the basis of the insured's own loss experience.
SALVAGE
Recovery made by an insurance company by the sale of property
which has been taken over from the insured as a part of loss settlement.
SELF-INSURANCE
A form of risk financing through which a firm assumes all or a part
of its own losses.
SPECIAL DAMAGES
Compensation awarded for actual economic losses, such as medical expenses
and lost wages. (see GENERAL DAMAGES)
STATUATORY ACCOUNTING PRINCIPLES (SAP)
Principles required by statute which must be followed by an insurance
company when submitting its financial statements to the various state
insurance departments. Such principles differ form the Generally Accepted
Accounting Principles (GAAP).
STOCK COMPANY
A company organized and owned by stockholders, as distinguished from
the mutual form of company which is owned by its policyholders.
SUBROGATION
Process by which one insurance company seeks reimbursement from another
company or person for a claim it has already paid.
SURETY BOND
An agreement providing for monetary compensation should there be a
failure to perform specified acts within a stated period. The surety
company, for example, becomes responsible for fulfillment of a contract
if the contractor defaults.
SURPLUS
The net worth of a company, i.e. the amount by which assets exceed
liabilities. Adequate net worth is necessary for the protection of
policyholders against unforeseen losses.
TERM INSURANCE
Life or health insurance protection during a limited number of
years but expiring without value if the insured survives the stated
period.
THIRD PARTY
The claimant under a liability policy. So called because the person
making the claim is not one of the two parties, insured and insurer,
to the insurance contract.
THRESHOLD (NO-FAULT)
The point, measured in money, time or other ways, beyond which tort
liability can be established. Until that point is reached, reparations
must be paid within the provisions of the no-fault plan, with no recourse
to the courts.
TORT
A civil wrong, other than a breach of contract, for which a court
of law will afford legal relief, such as injuring someone by an act
of negligence in driving an auto.
TWISTING
The practice of inducing by misrepresentation, or inaccurate of incomplete
comparison, a policyholder in one company to lapse, forfeit or surrender
his insurance for the purpose of taking out a policy in another company.
UMBRELLA LIABILITY
A form of insurance protection against losses in excess of amounts
covered by other liability insurance policies; also protects the insured
in many situations not covered by the usual liability policies.
UNDERWRITE
To determine whether an individual is insurable under the policy for
which he has applied and at what premium rate.
UNDERWRITING PROFIT AND LOSS
The profit of loss experienced after deducting from earned premiums
that incurred losses and expenses of doing business, but before provision
for federal income tax. It excludes investment transactions.
UNEARNED PREMIUM
The portion of a property/casualty insurance premium which applies
to the portion of the policy period that has not yet expired.
UNINSURED/UNDERINSURED MOTORIST COVERAGE
Pays the policyholder and passengers in his/her car for losses sustained
by reason of bodily injury, caused by the owner or operator of an
uninsured of inadequately insured automobile.
VERBAL THRESHOLD
In no-fault auto insurance states with a verbal threshold, victims
are allowed to sue in tort only if their injuries meet certain verbal
descriptions of he types of injures that render one eligible to recover
for pain and suffering.
VOLUNTARY MARKET
The market where one seeking insurance obtains insurance in the open
market with no help from the state, through an insurer of his or her
own selection.
WHOLE LIFE INSURANCE
A plan of insurance for the whole of life. It includes straight
life on which premiums are payable until death.
WORKERS' COMPENSATION
A system (established under state law) which provides payments to
employees who are injured in the course of employment, irrespective
of fault.