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N
Named Perils Policy
Coverage in a property policy that provides protection against
loss from only the perils specifically listed in the policy rather
than protection from physical loss. Examples of named perils are
fire, windstorm, theft, smoke, etc.
Negligence
Failure to use that care which a reasonable and prudent person
would have used under the same or similar circumstance. Negligence
may be constituted by acts of either omission or commission or
both.
Net Premium
A portion of the premium rate designed to cover benefits of the
policy, but not expenses, contingencies, or profit Net Premiums
Earned Net premiums written adjusted for the increase or decrease
during the year of the liability for unearned premiums
Net Premiums Written
This item represents gross premiums written (direct and reinsurance
assumed) less reinsurance ceded
Net Retention
The final amount of insurance retained by the company after reinsuring
such amounts as it did not wish to retain
No Claims Bonus
A reduction in the price of an insurance policy because no claims
have been made on it
No-Fault
A type of insurance mechanism whereby the right to sue another
party for damages caused by negligence is limited and, in exchange,
expanded first party benefits are offered. Mainly used in Vehicles
insurance Policy.
Nominee
Nominee is the person who is nominated to receive the amount under
a policy and to give a valid discharge to the insurer on settlement
of claim under a life insurance policy
Obligatory Treaty
A reinsurance contract under which business must be ceded in accordance
with contract terms and must be accepted by the reinsurer
Occupational Hazards
Occupations which expose the insured to greater than normal physical
danger by the very nature of the work in which the insured is
engaged, and the varying periods of absence from the occupation,
due to the disability, that can be expected
Ombudsman
An authority established either by the company or the Government
for the quick redressal of grievances
Open cover
Gives to insured automatic insurance protection so that there
is no risk of any shipments remaining uninsured through oversight
Open Form
A continuous policy written on a reporting basis
Operative Clause
Defines the class and nature of business covered by a specific
reinsurance treaty
Package Policy
A combination of two or more individual polices into a single
policy. A householders policy, for example, is a package
policy.
Partial Disability
The result of an illness or injury which prevents an insured
from performing on or more of the functions of his/her regular
job
Particular Average
A term meaning an accidental and usually a partial loss
suffered by one interest and not chargeable against others
Peril
The event insured against; the cause of possible loss
Personal Injury
In law, a term used to embrace a broad range of torts that
includes bodily injury, libel, slander, discrimination and
similar offences. Also a standard insurance coverage that
protects against a more limited group of torts (false arrest,
detention or imprisonment, malicious prosecution, wrongful
entry or eviction, and libel, slander, or defamation)
Physical Damage
Damage to or loss of an automobile resulting from a named
peril
Physical Hazard
A condition of the subject of insurance which creates or
increases the chance of loss, such as structural defects,
occupancy, or similar conditions
Pilferage
Petty theft, especially theft of articles in less than package
lots.
Policy
The legal document issued by the company to the policyholder,
which outlines the conditions and terms of the insurance;
also called the policy contract for the contract
Policyholder
The person (or persons) whose risk of financial loss from
an insured peril is protected by the policy.
Policyholder's funds
Monies set aside by insurers to cover outstanding liabilities
to Policyholders. Also known as technical reserves
Policy Period
The term for which insurance remains in force, sometimes
definite, sometimes not Policyholder's surplus
Amount over and above liabilities available for an insurer
to meet future obligations to its policyholders
Policy Term
The period for which an insurance policy provides coverage
Policyholder
A person who pays a premium to an insurance company in exchange
for the insurance protection provided by a policy of insurance
Pool
A risk sharing mechanism in which the members of a group
agree to be collectively responsible for losses
Premium
The sum paid by a policyholder to keep an insurance policy
in force. It is the amount paid to secure an insurance policy
Premium Notice
Notice of a premium due, sent out by the company or one
of its agencies to an insured. Synonym for " Renewal
Notice".
Principal
The applicant for, or subject of, insurance; the one from
whom an agent derives his or her authority
Pro Rata Cancellation
Cancellation with a return of premium charged for the period
of time the policy was in force equal to the ratio of the
total premium to the total policy period
Product 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
Professional Indemnity
It is a cover granted to professionals like Doctors covering
their legal liability for any claims arising out of professional
misconduct
Property Insurance
Insurance providing financial protection against the loss
of, or damage to, real and personal property caused by such
perils as fire, theft, windstorm, hail, explosion, riot,
aircraft, motor vehicles, vandalism, malicious mischief,
riot and civil commotion, and smoke
Proposal
A person interested in taking out insurance has to make
an offer by means of a proposal. This is an application
for the cover required, or for obtaining quotations of the
premium chargeable
Proposal Form
It is a form which is to be completed for securing an insurance
policy
Proposer
Proposer is a person who proposes the insurance policy
Prospectus
A form, which is often part of the proposal form, giving
details of the cover available with particulars of extra
benefits and rebates
Protection and Indemnity (P & I) Insurance
Liability insurance coverage in an ocean marine policy
Provision for unexpired risks
Amount set aside on the balance sheet in addition to unearned
premiums with respect to risks to be borne by the insurance
undertaking after the end of the financial year, in order
to pro-vide for all claims and expenses in connection with
insurance contracts in force in excess of the related unearned
premiums and any premiums receivable on those contracts
Provisions
The terms or conditions of an insurance policy
Proximate Cause
The dominating cause of loss or damage; an unbroken chain
of events between the occurrence and damage
Public Liability/Third Party Liability
The insured's liability at law (excluding liability to an
employee arising out of employer/employee relationship)
to pay compensation for death, injury or illness sustained
by any person or damage to property caused by explosion
or collapse of boiler and pressure plant or use of lilting
and handling plant
Punitive Damages
Damages awarded separately and in addition to the compensatory
damages, usually on account of malicious or wanton misconduct,
to serve as a punishment for the wrongdoer and possibly
as a deterrent to others
Pure Risk
A condition in which there is the possibility of loss or
no loss only
Quota Share Reinsurance
It is an automatic reinsurance, whereby the ceding company
is bound to cede a fixed percentage of every risk written
by it irrespective of the size or quality of the risk.
Quote
An estimate of the cost of insurance, based on information
supplied to the insurance company by the applicant.
Rate
The pricing factor upon which the insurance buyer's premium
is based
Recurring Clause
A provision in some health insurance policies, which specifies
an period of time during which the recurrence of a condition
is considered a continuation of a prior period of disability
or hospital confinement
Reimbursement
The payment of the expenses actually incurred as a result
of a accident or sickness, but not to exceed any amount
specified in the policy
Reinstatement
The restoration of a lapsed policy
Reinsurance
Insurance placed by an underwriter in another company to
cut down the amount of the risk assumed under the original
insurance
Renewal
Continuance of coverage under a policy beyond its original
term by the insurer's acceptance of the premium for a new
policy term
Renewal Notice
The notice sent to the policyholder to remind him that an
insurance is due for renewal by insurers
Renewal Receipt
The written evidence that a renewal premium has been paid
Repatriation Expenses
(Under Overseas Mediclaim Policy) Expenses incurred to travel
back to home country following sickness abroad
Replacement Cost
The cost to repair or replace property at construction costs
prevailing at time of loss; the cost to repair or rebuild
property without any depreciation
Representation
Statements made by an applicant in the application that
he represents as being substantially true to the best of
his or her knowledge and belief, but which are not warranted
as exact in every detail
Rescission
Termination of an insurance contract by the insurer on the
grounds of material misstatement on the application for
insurance
Reserve
Liability set up for particular purposes
Respondentia
An early form of marine insurance on cargo; similar to bottomry,
the equivalent on hulls
Restoration
Reinstatement, as the amount of coverage after a loss
Retention
The act of retaining an exposure to loss: also that part
of the exposure that is retained
Retrocession
The amount of risk that a reinsurance company reinsures;
the amount of a cession which the reinsurer passes on
Retrospective Date
The first date for which claims will be paid under a claims-made
policy of liability insurance
Return Premium
An amount due the insured upon cancellation of a policy
Revocable Beneficiary
A beneficiary designation that may be changed by the policy owner
without the consent of the existing beneficiary
Rider
Usually known as an endorsement, a rider is an amendment
to the policy used to add or delete coverage
Risk
It can be a potential source of loss or the subject matter
of insurance itself
Risk Management
A scientific approach to the problem of dealing with the
pure risks facing an individual or an organization in which
insurance is viewed as simply one of several approaches
for dealing with such risks
Robbery
The unlawful taking of property by violence or threat of
violence
Running Down Clause
Additional coverage, which can be added to, an Ocean Marine
Hull policy to provide protection for damage to another
ship caused by collision
Salvage
Recovery made by an insurance company by the sale of property
which has been taken over from that insured as a part of
loss settlement. The remains of damaged vehicle or any other
property
Schedule
A list of coverages or amounts concerning things or persons
insured
Self-Insurance
A form of risk financing through which a firm assumes all
or a part of its own losses
Settlement
A policy benefit of claim payment
Short period rates
Percentage of annual premiums charged for short period policies
Short Rate Cancellation
Cancellation with a less than proportionate return of premium:
also known as Pro Rata Cancellation.
Social Insurance
Compulsory insurance, in which the benefits are prescribed
by law and in which the primary emphasis is on social adequacy
rather than equity
Solvency margin
Surplus of assets over liabilities
Special Damages
Amount awarded in litigation to compensate for specific
identifiable economic loss
Speculative Risk
A condition in which there is a possibility of loss or gain
Sprinkler Leakage Insurance
Insurance against loss from accidental leakage or discharge
from a sprinkler system due to some cause other than a hostile
fire or certain other specified causes
Standing Charges
Expenses which still have to be met even if a business cannot
earn its full income owing to fire or other damage. These
expenses do not diminish proportionately as a result of
the damage
Statutory Inspections
Plant inspections which are required by law to be carried
out at stipulated intervals by a competent person who must
also prepare a report in a prescribed form detailing the
condition of the plant
Strict Liability
Liability for damages even though fault or negligence cannot
be proven
Subrogation
It is defined as the transfer of rights and remedies of
the insured to insurers who have indemnified the insured
in respect of the loss
Subsidence
Occurs when the ground under a building moves downwards,
often as a result of drying out too much
Sum Insured
The limit of liability of the insurers under a policy
Surety Bond
An agreement providing for monetary compensation should
there be a failure to perform certain specified acts within
a stated period: the surety company, for example, becomes
responsible for fulfillment of a contract if the contractor
defaults
Surplus
An amount by which the value of an insurer's assets exceeds
their liabilities
Surrender Value
Surrender value is the amount payable to the policy holder
on his surrendering his right under a policy and terminating
the contract of insurance
Surrounding Property
Property belonging to the insured or in his custody or control
except for the plant causing the damage or property being
lifted
Surveyor
The company official who inspects property proposed and
makes recommendations as to rating and loss reduction
Tail coverage
An extended reporting period extension under claims-made
liability policies that provides coverage for losses that
are reported after termination of the policy
Technical provision
Amount set aside on the balance sheet to meet liabilities
arising out of insurance contracts, including claims provision
(whether reported or not), provision for unearned premiums,
provision for unexpired risks
Tenants Liability
Cover for damage to rented buildings
Theft
The unlawful taking of property of another: the term includes
such crimes as burglary, larceny and robbery.
Third party
Someone other than the insured and insurance company
Third party claim
A demand made by a person against a policyholder and any
payment that will be made by that company
Third Party Liability
Liability incurred by the insured to another party but excluding
contractual liability
Tornado
A whirling wind over land, accompanied by a funnel-shaped
cloud. It is usually very violent and destructive in a narrow
path, often for many miles
Tort
A civil wrong, other than a breach of contract, for which
a court of law will afford legal relied
Total Disability
An illness or injury which prevents an insured person from
continuously performing every duty pertaining to his/her
occupation or engaging in any other type of work
Total Loss
The complete loss or destruction of all the property insured
under a particular policy
Treaty
A reinsurance contract under which the reinsured company
agrees to cede and the reinsurer agrees to assume risks
of a particular class or classes of business
Turnover
The money earned for goods supplied or services rendered
in the course of the business at the premises specified
in the policy
Uberrimae Fidei
Means "Utmost Good Faith'. The basis of all insurance
contracts - both parties to the contract are bound to exercise
good faith and do so by a full disclosure of all information
material to the proposed contract.
Umbrella Liability
Insures 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
Under-insurance
The situation where the Sum Insured is less than the total
value of property at risk.
Underwriter
The company receiving premiums and accepting to cover the
risk. Also, the person employed by the company who decides
whether the company should accept a particular proposal
for insurance or application for revival
Underwriting
The process of selecting risks for insurance and determining
in what amounts and on what terms the insurance company
will accept the risk.
Underwriting Profit or Loss
The amount of money, which an insurance company gains or
loses as a result of its insurance operations
Unearned premium
That portion of the original premium for which protection
has not yet been provided because the policy still has some
time to run before expiration.
Unenforceable Contract
This is one, which lacks some evidential features. The contract
is a valid one otherwise, but could not be enforced in a
court of law
Uninsurable Risk
Risks not acceptable for insurance due to excessive risk
Utmost Good Faith
A duty imposed on both parties to an insurance contract.
The legal duty implies full disclosure of all facts material
to the contract during negotiations of the contract
Valuation
Estimation of the value of an item, usually by appraisal
Valued Policy
An insurance contract in which the value of the thing insured
and the amount to be paid in case of total loss is settled
at the time of making the policy
Vicarious Liability
In law, liability arising out of imputed negligence
Void
Of no force or effect: null
Void Contract
A contract obtained by fraud is a void contract
Voidable Contract
A contract, which is valid until it is treated as void by
the aggrieved party, is a voidable contract
Warranty
A statement concerning the condition of the item to be insured
which is made for the purpose of permitting the underwriter
to evaluate the risk; if found to be false, it provides
the basis for void of the policy
Weekly benefits (for Personal Accident Insurance)
They are paid for the period of temporary total disablement
following an injury which is admissible under the policy
Workers Compensation
A system of providing for the cost of medical care and weekly
payments to injured employees or to dependants of those
killed in the course of or arising out of their employment
in industry in which Absolute Liability is imposed on the
employer, requiring him or her to pay benefits prescribed
by law
Written Premiums
The premiums on all policies which a company has issued
in some period of time
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