P&C Flashcards
The uncertainty about loss that exists whenever more than one outcome is possible is called a:
Risk
A property and casualty insurance agent frequently has the authority to provide temporary insurance coverage known as a:
Binder
Something that may increase the seriousness of a loss if loss occurs, or that increases the likelihood that a loss will occur, is called a:
Hazard
The law of large numbers states that:
The predictions become more accurate as the number of units being considered increases.
The tendency to create a loss on purpose, to collect from the insurance company is called a:
Moral hazard
In property, casualty and medical-expense insurance, the principle of making someone whole again after a loss by paying only for actual losses is called:
Indemnity
Liability that arises from an extremely dangerous situation. It is often found in cases involving explosives. Also known as “strict liability”.
Absolute liability
A sudden and unexpected event, occurring at a specific time and place.
Accident
The cost to replace an item of property at the time of loss, less an allowance for depreciation. Often used to determine amount of reimbursement for a loss (Replacement Cost minus Deprecation)
Actual Cash Value (ACV)
A person, firm, or corporation other than the Named Insured on a policy, or a lender named in a mortgage clause, who is protected against loss by the terms of the policy.
Additional insured
A coverage designed to reimburse the insured for an increase in living expenses necessitated by loss to the dwelling. This Indirect Loss must be the result of Direct Loss by a covered Peril.
Additional Living Expense
Represents the insurance company and acts for the company in working on agreements as to the amount of a loss and the liability of the company.
Adjuster
A company that meets the state insurance department’s standards and is authorized by the Director to do business in the state.
Admitted Company
An individual appointed by an insurance company to solicit, negotiate, effect, or countersign insurance contracts on its behalf.
Agent/Producer
A type of policy limit found in Liability policies that limits coverage to a specified total amount for all losses occurring within the policy period
Aggregate Limit
An insurance company incorporated in a country other than the United States.
Alien Company
Property coverages that are closely associated with and frequently sold with fire insurance: Dwelling Building and Contents form, Earthquake insurance, Sprinkler Leakage, etc.
Allied Lines
Insurance protecting the insured from loss arising from any Peril other than those specifically excluded by name. This contrasts with Named Peril Insurance, which names the Peril or Perils insured against.
All-Risk Insurance
A questionnaire that is filled out by an agent and the prospect seeking insurance. The form contains rating and underwriting information. The applicant is expected to make representations by answering questions to the best of his knowledge.
Application
How does an Appraisal work?
If the insured and insurer cannot agree on the amount of loss, either may demand an appraisal. If demanded, each will select an appraiser, who jointly will select an umpire. The appraisers will appraise the loss and either agree or submit differences to the umpire. Agreement by any two of the three will be binding. Each party will pay its own appraiser and share equally the expenses of the appraisal and the umpire.
A structure belonging to the insured structure, such as a tool shed. They are provided for in the Homeowners policy and other Dwelling policies. This coverage is often called Other Structures or Out Buildings.
Appurtenant Structure
There are some applicants that underwriters do not care to insure, but because of state law or otherwise, must be provided protection. To become authorized, a Casualty company must agree to participate in the Assigned Risk Pool and take its turn providing Auto insurance to high-risk drivers. Also known as the auto insurance “plan”.
Assigned Risk
A survey of the financial records of the insured conducted to determine exposures, limits, etc., which are needed to calculate the premium. The initial premium is only a deposit.
Audit
A person who has temporary custody of property belonging to another person.
Bailee
Insurance obtained by a bailee, to cover loss or damage to customers’ property in the bailee’s custody, without regard to liability.
Bailee’s Customers Policy
Fidelity bond that specifies a single limit of Liability applicable to each employee involved in a loss.
Blanket Position Bond
Usually defined to include bodily harm, sickness, disease, including required care, loss of services and resulting in death.
Bodily Injury
Insurance that covers the insured against loss (Liability and Physical Damage) arising out of the use of steam boilers or other machinery. May be written as a separate policy or as part of a Commercial Package Policy.
Boiler and Machinery Policy
An obligation of the insurance company to protect on against financial loss caused by the acts of others.
Bond
One who represents an insured in the solicitation, negotiation, or procurement of contracts of insurance, and who may render services incidental to those functions. They may also be licensed as agents.
Broker
In the formation of a legal contract, each party must give something of value. Under contract law, this is referred to as:
Consideration
An insurance company owned by its policyholders, who receive a return of unused premiums in the form of policy dividends, is a:
Mutual Company
When a property insurance applicant makes a statement on an application that becomes part of the contract and includes a promise by the insured, the statement is considered to be a:
Warranty
Which element of an insurance contract requires that the insured have the legal capacity to make a contract?
Competent Parties
The broad and special dwelling forms provide two extensions of coverage not found on the basic form. What are they?
Coverages for building collapse and for lawns, trees, and plants
As it is defined in Crime insurance policies, the unlawful taking of property by forced entry into the premises, or exit from the premises, while the premises are closed for business. There must be visible evidence of forced entry or exit.
Burglary
A commercial package policy designed for certain types of small business, combining Property and Liability coverages. Very similar to a Commercial Package Policy (CPP).
Business Owners Policy (BOP)
Termination of contract of insurance in force mid-term (rather than at the renewal date) by voluntary act of the insurance company or insured, effected in accordance with provisions in the contract or by mutual agreement.
Cancellation
A type of insurance that is primarily concerned with losses caused by injury to persons and legal liability imposed upon the insured for such injury or damage to property of others.
Casualty Insurance
In Property insurance, a clause under which the insured shares in losses to the extent that she is underinsured at the time of the loss
Coinsurance
A multi peril, multiline policy that provides a broad spectrum of Property and Casualty coverages for businesses. In addition to required basic Property and Liability insurance, the insured may add additional Marine, Boiler and Machinery, Glass, Crime, Business Auto or Farm coverages.
Commercial Package Policy
Doctrine that a defendant is liable only for the amount of damages allocated to that defendant in direct proportion to the defendant’s percentage of fault (if not 51% or more at fault, defendant is not held liable).
Comparative Negligence
A state fund writing Workers’ Compensation insurance in competition with private insurers.
Competitive State Fund
Nonbusiness Liability exposure of individuals who are insured under this policy. The most common Personal Liability exposures arise out of the residence premises and activities of individuals and family members. It first became available as a separate policy. Eventually it was incorporated into Homeowners policies
Comprehensive Personal Liability
Any form if insurance which is required by law.
Compulsory Insurance
The withholding of material facts by an applicant for insurance, which materially affects an insurance risk or loss. May void the policy.
Concealment