
Insurance Glossary
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ACCELERATED DEATH
BENEFITS |
A life insurance policy option
that provides policy proceeds to insured individuals
over their lifetimes, in the event of a terminal
illness. This is in lieu of a traditional policy that
pays beneficiaries after the insured’s death. Such
benefits kick in if the insured becomes terminally ill,
needs extreme medical intervention, or must reside in a
nursing home. The payments made while the insured is
living are deducted from any death benefits paid to
beneficiaries.
|
| ACCIDENT AND HEALTH
INSURANCE |
Coverage for accidental
injury, accidental death, and related health expenses.
Benefits will pay for preventative services, medical
expenses, and catastrophic care, with limits.
|
| ACCOUNT RECEIVABLES |
See
Receivables
|
| ACTUAL CASH VALUE |
A form of insurance that pays
damages equal to the replacement value of damaged
property minus depreciation. (See
Replacement cost)
|
| ACTUARY |
An insurance professional
skilled in the analysis, evaluation, and management of
statistical information. Evaluates insurance firms’
reserves, determines rates and rating methods, and
determines other business and financial risks.
|
| ADDITIONAL LIVING
EXPENSES |
Extra charges covered by
homeowners policies over and above the policyholder's
customary living expenses. They kick in when the insured
requires temporary shelter due to damage by a covered
peril that makes the home temporarily uninhabitable.
|
| 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.
|
| ADMITTED ASSETS |
Assets recognized and accepted
by state insurance laws in determining the solvency of
insurers and reinsurers. To make it easier to assess an
insurance company’s financial position, state statutory
accounting rules do not permit certain assets to be
included on the balance sheet. Only assets that can be
easily sold in the event of liquidation or borrowed
against, and receivables for which payment can be
reasonably anticipated, are included in admitted assets.
(See
Assets)
|
| ADMITTED COMPANY |
An insurance company licensed
and authorized to do business in a particular state.
|
| ADVERSE SELECTION |
The tendency of those exposed
to a higher risk to seek more insurance coverage than
those at a lower risk. Insurers react either by charging
higher premiums or not insuring at all, as in the case
of floods. (Flood insurance is provided by the federal
government but sold mostly through the private market.)
In the case of natural disasters, such as earthquakes,
adverse selection concentrates risk instead of spreading
it. Insurance works best when risk is shared among large
numbers of policyholders.
|
| AFFINITY SALES |
Selling insurance through
groups such as professional and business associations.
|
| AFTERMARKET PARTS |
See
Crash parts;
Generic auto parts
|
| AGENCY COMPANIES |
Companies that market and sell
products via independent agents.
|
| AGENT |
Insurance is sold by two types
of agents: independent agents, who are self-employed,
represent several insurance companies and are paid on
commission, and exclusive or captive agents, who
represent only one insurance company and are either
salaried or work on commission. Insurance companies that
use exclusive or captive agents are called direct
writers.
|
| ALIEN INSURANCE
COMPANY |
An insurance company
incorporated under the laws of a foreign country, as
opposed to a foreign insurance company that does
business in states outside its own.
|
| ALLIED LINES |
Property insurance that is
usually bought in conjunction with fire insurance; it
includes wind, water damage, and vandalism coverage.
|
| ALTERNATIVE DISPUTE
RESOLUTION / ADR |
Alternative to going to court
to settle disputes. Methods include arbitration, where
disputing parties agree to be bound to the decision of
an independent third party, and mediation, where a third
party tries to arrange a settlement between the two
sides.
|
| ALTERNATIVE MARKETS |
Mechanisms used to fund
self-insurance. This includes captives, which are
insurers owned by one or more non-insurers to provide
owners with coverage. Risk-retention groups, formed by
members of similar professions or businesses to obtain
liability insurance, are also a form of self-insurance.
|
| ANNUAL STATEMENT |
Summary of an insurer’s or
re-insurer’s financial operations for a particular year,
including a balance sheet. It is filed with the state
insurance department of each jurisdiction in which the
company is licensed to conduct business.
|
| ANNUITY |
| A life insurance company
contract that pays periodic income benefits for a
specific period of time or over the course of the
annuitant’s lifetime. These payments can be made
annually, quarterly or monthly.
From a life insurer’s
viewpoint, an annuity presents the opposite mortality
risk from a life insurance policy. Life insurance pays a
benefit when the policyholder dies. An annuity pays
benefits as long as the annuitant lives. With both
products, the insurer’s profit or loss depends on
whether it made correct assumptions about the
policyholder’s life expectancy and the company’s future
investment returns.
Annuity investments are
tax-deferred; taxes are not due until income payments
begin. Annuities are often used as a form of retirement
savings and some allow tax-free loans. They can be
bought on a periodic schedule or through a one-time
payment. There are fixed-income annuities, which invest
in a general insurer’s account and offer a fixed benefit
payment, and variable annuities, where individuals can
choose their own investments from a menu of funds
offered by the insurance company including bond and
stock funds. The account value of a variable annuity
reflects the performance of the investments offered by
the company and selected by the annuitant whereas fixed
annuity payments are guaranteed, regardless of the
performance of the insurance company’s investments.
|
| ANTITRUST LAWS |
Laws that prohibit companies
from working as a group to set prices, restrict supplies
or stop competition in the marketplace. The insurance
industry is subject to state antitrust laws but has a
limited exemption from federal antitrust laws. This
exemption, set out in the McCarran-Ferguson Act, permits
insurers to jointly develop common insurance forms and
share loss data to help them price policies.
|
| APPORTIONMENT |
The dividing of a loss
proportionately among two or more insurers that cover
the same loss.
|
| 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 agree to
settle a claim dispute by accepting a decision made by a
third party.
|
| ARSON |
The deliberate setting of a
fire.
|
| ASSET-BACKED
SECURITIES |
Bonds that represent pools of
loans of similar types, duration and interest rates.
Almost any loan with regular repayments of principal and
interest can be securitized, from auto loans and
equipment leases to credit card receivables and
mortgages.
|
| ASSETS |
Property owned, in this case
by an insurance company, including stocks, bonds, and
real estate. Insurance accounting is concerned with
solvency and the ability to pay claims. State insurance
laws therefore require a conservative valuation of
assets, prohibiting insurance companies from listing
assets on their balance sheets whose values are
uncertain, such as furniture, fixtures, debit balances,
and accounts receivable that are more than 90 days past
due. (See
Admitted assets)
|
| ASSIGNED RISK PLANS |
Facilities through which
drivers can obtain auto insurance if they are unable to
buy it in the regular or voluntary market. These are the
most well-known type of residual auto insurance market,
which exist in every state. In an assigned risk plan,
all insurers selling auto insurance in the state are
assigned these drivers to insure, based on the amount of
insurance they sell in the regular market. (See
Residual market)
|
| AUTO INSURANCE POLICY |
There are basically six
different types of coverages. Some may be required by
law. Others are optional. They are:
- Bodily injury liability,
for injuries the policyholder causes to someone
else.
- Medical payments or
Personal Injury Protection (PIP) for treatment of
injuries to the driver and passengers of the
policyholder’s car.
- Property damage liability,
for damage the policyholder causes to someone else’s
property.
- Collision, for damage to
the policyholder’s car from a collision.
- Comprehensive, for damage
to the policyholder’s car not involving a collision
with another car (including damage from fire,
explosions, earthquakes, floods, and riots), and
theft.
- Uninsured motorists
coverage, for costs resulting from an accident
involving a hit-and-run driver or a driver who does
not have insurance.
|
| AUTO INSURANCE PREMIUM |
| The price an insurance company
charges for coverage, based on the frequency and cost of
potential accidents, theft and other losses. Prices vary
from company to company, as with any product or service.
Premiums also vary depending on
the amount and type of coverage purchased; the make and
model of the car; and the insured’s driving record,
years of driving and the number of miles the car is
driven per year. Other factors taken into account
include the driver’s age and gender, where the car is
most likely to be driven and the times of day – rush
hour in an urban neighborhood or leisure-time driving in
rural areas, for example. Some insurance companies may
also use credit history-related information. (See
Insurance score)
|
| AVIATION INSURANCE |
Commercial airlines hold
property insurance on airplanes and liability insurance
for negligent acts that result in injury or property
damage to passengers or others. Damage is covered on the
ground and in the air. The policy limits the
geographical area and individual pilots covered.
|
|
B
|
| BALANCE SHEET |
Provides a snapshot of a
company’s financial condition at one point in time. It
shows assets, including investments and reinsurance, and
liabilities, such as loss reserves to pay claims in the
future, as of a certain date. It also states a company’s
equity, known as policyholder surplus. Changes in that
surplus are one indicator of an insurer’s financial
standing.
|
| BANK HOLDING COMPANY |
A company that owns or
controls one or more banks. The Federal Reserve has
responsibility for regulating and supervising bank
holding company activities, such as approving
acquisitions and mergers and inspecting the operations
of such companies. This authority applies even though a
bank owned by a holding company may be under the primary
supervision of the Comptroller of the Currency or the
FDIC.
|
| BASIS POINT |
0.01 percent of the yield of a
mortgage, bond or note. The smallest measure used.
|
| BEACH AND WINDSTORM
PLANS |
State-sponsored insurance
pools that sell property coverage for the peril of
windstorm to people unable to buy it in the voluntary
market because of their high exposure to risk. Seven
states (AL, FL, LA, MS, NC, SC, TX) offer these plans to
cover residential and commercial properties against
hurricanes and other windstorms. Georgia and New York
provide this kind of coverage for windstorm and hail in
certain coastal communities through other property
pools. Insurance companies that sell property insurance
in the state are required to participate in these plans.
Insurers share in profits and losses. (See
Fair access to insurance
requirements plans / FAIR plans;
Residual market)
|
| BINDER |
Temporary authorization of
coverage issued prior to the actual insurance policy.
|
| BLANKET COVERAGE |
Insurance coverage for more
than one item of property at a single location, or two
or more items of property in different locations.
|
| BODILY INJURY
LIABILITY COVERAGE |
Portion of an auto insurance
policy that covers injuries the policyholder causes to
someone else.
|
| BOILER AND MACHINERY
INSURANCE |
Often called Equipment
Breakdown, or Systems Breakdown insurance. Commercial
insurance that covers damage caused by the malfunction
or breakdown of boilers, and a vast array of other
equipment including air conditioners, heating,
electrical, telephone, and computer systems.
|
| BOND |
A security that obligates the
issuer to pay interest at specified intervals and to
repay the principal amount of the loan at maturity. In
insurance, a form of suretyship. Bonds of various types
guarantee a payment or a reimbursement for financial
losses resulting from dishonesty, failure to perform and
other acts.
|
| BOND RATING |
An evaluation of a bond’s
financial strength, conducted by such major ratings
agencies as Standard & Poor’s and Moody’s Investors
Service.
|
| BOOK OF BUSINESS |
Total amount of insurance on
an insurer's books at a particular point in time.
|
| BROKER |
An intermediary between a
customer and an insurance company. Brokers typically
search the market for coverage appropriate to their
clients. They work on commission and usually sell
commercial, not personal, insurance. In life insurance,
agents must be licensed as securities brokers/dealers to
sell variable annuities, which are similar to stock
market-based investments.
|
| BURGLARY AND THEFT
INSURANCE |
Insurance for the loss of
property due to burglary, robbery or larceny. It is
provided in a standard homeowners policy and in a
business multiple peril policy.
|
| BUSINESS INTERRUPTION
INSURANCE |
Commercial coverage that
reimburses a business owner for lost profits and
continuing fixed expenses during the time that a
business must stay closed while the premises are being
restored because of physical damage from a covered
peril, such as a fire. Business interruption insurance
also may cover financial losses that may occur if civil
authorities limit access to an area after a disaster and
their actions prevent customers from reaching the
business premises. Depending on the policy, civil
authorities coverage may start after a waiting period
and last for two or more weeks.
|
| BUSINESS OWNERS POLICY
/ BOP |
A policy that combines
property, liability and business interruption coverages
for small- to medium-sized businesses. Coverage is
generally cheaper than if purchased through separate
insurance policies.
|
|
C
|
| CAPACITY |
| The supply of insurance
available to meet demand. Capacity depends on the
industry’s financial ability to accept risk. For an
individual insurer, the maximum amount of risk it can
underwrite based on its financial condition. The
adequacy of an insurer’s capital relative to its
exposure to loss is an important measure of solvency.
A property/casualty insurer
must maintain a certain level of capital and
policyholder surplus to underwrite risks. This capital
is known as capacity. When the industry is hit by high
losses, such as after the World Trade Center terrorist
attack, capacity is diminished. It can be restored by
increases in net income, favorable investment returns,
reinsuring more risk and or raising additional capital.
When there is excess capacity, usually because of a high
return on investments, premiums tend to decline as
insurers compete for market share. As premiums decline,
underwriting losses are likely to grow, reducing
capacity and causing insurers to raise rates and tighten
conditions and limits in an effort to increase
profitability. Policyholder surplus is sometimes used as
a measure of capacity.
|
| CAPITAL |
Shareholder’s equity (for
publicly-traded insurance companies) and retained
earnings (for mutual insurance companies). There is no
general measure of capital adequacy for
property/casualty insurers. Capital adequacy is linked
to the riskiness of an insurer’s business. A company
underwriting medical device manufacturers needs a larger
cushion of capital than a company writing Main Street
business, for example. (See
Risk-based capital;
Surplus;
Solvency)
|
| CAPITAL MARKETS |
The markets in which equities
and debt are traded. (See
Securitization of insurance risk)
|
| CAPTIVE AGENT |
A person who represents only
one insurance company and is restricted by agreement
from submitting business to any other company, unless it
is first rejected by the agent’s captive company. (See
Exclusive agent)
|
| CAPTIVES |
Insurers that are created and
wholly-owned by one or more non-insurers, to provide
owners with coverage. A form of self-insurance.
|
| CAR YEAR |
Equal to 365 days of insured
coverage for a single vehicle. It is the standard
measurement for automobile insurance.
|
| CASE MANAGEMENT |
A system of coordinating
medical services to treat a patient, improve care, and
reduce cost. A case manager coordinates health care
delivery for patients.
|
| CATASTROPHE |
Term used for statistical
recording purposes to refer to a single incident or a
series of closely related incidents causing severe
insured property losses totaling more than a given
amount, currently $25 million.
|
| CATASTROPHE BONDS |
Risk-based securities that pay
high interest rates and provide insurance companies with
a form of reinsurance to pay losses from a catastrophe
such as those caused by a major hurricane. They allow
insurance risk to be sold to institutional investors in
the form of bonds, thus spreading the risk. (See
Securitization of insurance risk)
|
| CATASTROPHE DEDUCTIBLE |
A percentage or dollar amount
that a homeowner must pay before the insurance policy
kicks in when a major natural disaster occurs. These
large deductibles limit an insurer’s potential losses in
such cases, allowing it to insure more property. A
property insurer may not be able to buy reinsurance to
protect its own bottom line unless it keeps its
potential maximum losses under a certain level.
|
| CATASTROPHE FACTOR |
Probability of catastrophic
loss, based on the total number of catastrophes in a
state over a 40-year period.
|
| CATASTROPHE MODEL |
Using computers, a method to
mesh long-term disaster information with current
demographic, building and other data to determine the
potential cost of natural disasters and other
catastrophic losses for a given geographic area.
|
| CATASTROPHE
REINSURANCE |
| Reinsurance (insurance for
insurers) for catastrophic losses. The insurance
industry is able to absorb the multibillion dollar
losses caused by natural and man-made disasters such as
hurricanes, earthquakes and terrorist attacks because
losses are spread among thousands of companies including
catastrophe re-insurers who operate on a global basis.
Insurers’ ability and willingness to sell insurance
fluctuates with the availability and cost of catastrophe
reinsurance.
After major disasters, such as
Hurricane Andrew and the World Trade Center terrorist
attack, the availability of catastrophe reinsurance
becomes extremely limited. Claims deplete re-insurers’
capital and, as a result, companies are more selective
in the type and amount of risks they assume. In
addition, with available supply limited, prices for
reinsurance rise. This contributes to an overall
increase in prices for property insurance.
|
| CELL PHONE INSURANCE |
Separate insurance provided to
cover cell phones for damage or theft. Policies are
often sold with the cell phones themselves.
|
| CHARTERED FINANCIAL
CONSULTANT / ChFC |
A professional designation
given by The American College to financial services
professionals who complete courses in financial
planning.
|
| CHARTERED LIFE
UNDERWRITER / CLU |
A professional designation by
The American College for those who pass business
examinations on insurance, investments, and taxation,
and have life insurance planning experience.
|
| CHARTERED
PROPERTY/CASUALTY UNDERWRITER / CPCU |
A professional designation
given by the American Institute for Property and
Liability Underwriters. National examinations and three
years of work experience are required.
|
| CLAIMS-MADE POLICY |
A form of insurance that pays
claims presented to the insurer during the term of the
policy or within a specific term after its expiration.
It limits liability insurers’ exposure to unknown future
liabilities. (See
Occurrence policy)
|
| COBRA |
Short for Consolidated Omnibus
Budget Reconciliation Act. A federal law under which
group health plans sponsored by employers with 20 or
more employees must offer continuation of coverage to
employees who leave their jobs and their dependents. The
employee must pay the entire premium. Coverage can be
extended up to 18 months. Surviving dependents can
receive longer coverage.
|
| COINSURANCE |
In property insurance,
requires the policyholder to carry insurance equal to a
specified percentage of the value of property to receive
full payment on a loss. For health insurance, it is a
percentage of each claim above the deductible paid by
the policyholder. For a 20 percent health insurance
coinsurance clause, the policyholder pays for the
deductible plus 20 percent of his covered losses. After
paying 80 percent of losses up to a specified ceiling,
the insurer starts paying 100 percent of losses.
|
| COLLATERAL |
Property that is offered to
secure a loan or other credit and that becomes subject
to seizure on default. (Also called security.)
|
| COLLATERAL SOURCE RULE |
Bars the introduction of
information that indicates a person has been compensated
or reimbursed by a source other than the defendant in
civil actions related to negligence or other liability.
|
| COLLISION COVERAGE |
Portion of an auto insurance
policy that covers the damage to the policyholder’s car
from a collision.
|
| COMBINED RATIO |
Percentage of each premium
dollar a property/casualty insurer spends on claims and
expenses. A decrease in the combined ratio means
financial results are improving; an increase means they
are deteriorating. When the ratio is over 100, the
insurer has an underwriting loss.
|
| COMMERCIAL GENERAL
LIABILITY INSURANCE / CGL |
A broad commercial policy that
covers all liability exposures of a business that are
not specifically excluded. Coverage includes product
liability, completed operations, premises and
operations, and independent contractors.
|
| COMMERCIAL LINES |
Products designed for and
bought by businesses. Among the major coverages are
boiler and machinery, business interruption, commercial
auto, comprehensive general liability, directors and
officers liability, fire and allied lines, inland
marine, medical malpractice liability, product
liability, professional liability, surety and fidelity,
and workers compensation. Most of these commercial
coverages can be purchased separately except business
interruption which must be added to a fire insurance
(property) policy. (See
Commercial multiple peril policy)
|
| COMMERCIAL MULTIPLE
PERIL POLICY |
Package policy that includes
property, boiler and machinery, crime, and general
liability coverages.
|
| COMMERCIAL PAPER |
Short-term, unsecured, and
usually discounted promissory note issued by commercial
firms and financial companies often to finance current
business. Commercial paper, which is rated by debt
rating agencies, is sold through dealers or directly
placed with an investor.
|
| COMMISSION |
Fee paid to an agent or
insurance salesperson as a percentage of the policy
premium. The percentage varies widely depending on
coverage, the insurer, and the marketing methods.
|
| COMMUNITY RATING LAWS |
Enacted in several states on
health insurance policies. Insurers are required to
accept all applicants for coverage and charge all
applicants the same premium for the same coverage
regardless of age or health. Premiums are based on the
rate determined by the geographic region’s health and
demographic profile.
|
| COMPETITIVE
REPLACEMENT PARTS |
See
Crash parts;
Generic auto parts
|
| COMPETITIVE STATE FUND |
A facility established by a
state to sell workers compensation in competition with
private insurers.
|
| COMPLAINT RATIO |
A measure used by some state
insurance departments to track consumer complaints
against insurance companies. Generally, it is written as
the number of complaints upheld against an insurance
company, as a percentage of premiums written. In some
states, complaints from medical providers over the
promptness of payments may also be included.
|
| COMPLETED OPERATIONS
COVERAGE |
Pays for bodily injury or
property damage caused by a completed project or job.
Protects a business that sells a service against
liability claims.
|
| COMPREHENSIVE COVERAGE |
Portion of an auto insurance
policy that covers damage to the policyholder’s car not
involving a collision with another car (including damage
from fire, explosions, earthquakes, floods, and riots),
and theft.
|
| COMPULSORY AUTO
INSURANCE |
The minimum amount of auto
liability insurance that meets a state law. Financial
responsibility laws in every state require all
automobile drivers to show proof, after an accident, of
their ability to pay damages up to the state minimum. In
compulsory liability states this proof, which is usually
in the form of an insurance policy, is required before
you can legally drive a car.
|
| CONTINGENT LIABILITY |
Liability of individuals,
corporations, or partnerships for accidents caused by
people other than employees for whose acts or omissions
the corporations or partnerships are responsible.
|
| COVERAGE |
Synonym for insurance.
|
| CRASH PARTS |
Sheet metal parts that are
most often damaged in a car crash. (See
Generic auto parts)
|
| CREDIT |
The promise to pay in the
future in order to buy or borrow in the present. The
right to defer payment of debt.
|
| CREDIT DERIVATIVES |
A contract that enables a
user, such as a bank, to better manage its credit risk.
A way of transferring credit risk to another party.
|
| CREDIT ENHANCEMENT |
A technique to lower the
interest payments on a bond by raising the issue’s
credit rating, often through insurance in the form of a
financial guarantee or with standby letters of credit
issued by a bank.
|
| CREDIT INSURANCE |
Commercial coverage against
losses resulting from the failure of business debtors to
pay their obligation to the insured, usually due to
insolvency. The coverage is geared to manufacturers,
wholesalers, and service providers who may be dependent
on a few accounts and therefore could lose significant
income in the event of an insolvency.
|
| CREDIT LIFE INSURANCE |
Life insurance coverage on a
borrower designed to repay the balance of a loan in the
event the borrower dies before the loan is repaid. It
may also include disablement and can be offered as an
option in connection with credit cards and auto loans.
|
| CREDIT RATING |
See
Bond rating
|
| CREDIT SCORE |
The number produced by an
analysis of an individual’s credit history. The use of
credit information affects all consumers in many ways,
from getting a job, finding a place to live, securing a
loan, getting a telephone, and buying insurance. Credit
history is routinely reviewed by insurers before issuing
a commercial policy because businesses in poor financial
condition tend to cut back on safety which can lead to
more accidents and more claims. Auto and home insurers
may use information in a credit history to produce an
insurance score. Insurance scores may be used in
underwriting and rating insurance policies. (See
Insurance score.)
|
| CROP-HAIL INSURANCE |
Protection against damage to
growing crops from hail, fire, or lightning provided by
the private market. By contrast, multiple peril crop
insurance covers a wider range of yield-reducing
conditions, such as drought and insect infestation, and
is subsidized by the federal government.
|
|
D
|
| DECLARATION |
Part of a property or
liability insurance policy that states the name and
address of policyholder, property insured, its location
and description, the policy period, premiums, and
supplemental information. Referred to as the “dec page.”
|
| 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.
|
| DEFINED BENEFIT PLAN |
A retirement plan under which
pension benefits are fixed in advance by a formula based
generally on years of service to the company multiplied
by a specific percentage of wages, usually average
earnings over that period or highest average earnings
over the final years with the company.
|
| DEFINED CONTRIBUTION
PLAN |
An employee benefit plan under
which the employer sets up benefit accounts and
contributions are made to it by the employer and by the
employee. The employer usually matches the employee's
contribution up to a stated limit.
|
| DEMAND DEPOSIT |
Customer assets that are held
in a checking account. Funds can be readily withdrawn by
check, “on demand.”
|
| DEMUTUALIZATION |
The conversion of insurance
companies from mutual companies owned by their
policyholders into publicly-traded stock companies.
|
| DEPOSITORY INSTITUTION |
Financial institution that
obtains its funds mainly through deposits from the
public. Includes commercial banks, savings and loan
associations, savings banks, and credit unions.
|
| DEREGULATION |
In insurance, reducing
regulatory control over insurance rates and forms.
Commercial insurance for businesses of a certain size
has been deregulated in many states.
|
| DERIVATIVES |
Contracts that derive their
value from an underlying financial asset, such as
publicly-traded securities and foreign currencies. Often
used as a hedge against changes in value.
|
| DIMINUTION OF VALUE |
The idea that a vehicle loses
value after it has been damaged in an accident and
repaired.
|
| DIRECT PREMIUMS |
Property/casualty premiums
collected by the insurer from policyholders, before
reinsurance premiums are deducted. Insurers share some
direct premiums and the risk involved with their
reinsurers.
|
| DIRECT SALES/ DIRECT
RESPONSE |
Method of selling insurance
directly to the insured through an insurance company’s
own employees, through the mail, or via the Internet.
This is in lieu of using captive or exclusive agents.
|
| DIRECT WRITERS |
Insurance companies that sell
directly to the public using exclusive agents or their
own employees, through the mail, or via Internet. Large
insurers, whether predominately direct writers or agency
companies, are increasingly using many different
channels to sell insurance. In reinsurance, denotes
reinsurers that deal directly with the insurance
companies they reinsure without using a broker.
|
| DIRECTORS AND OFFICERS
LIABILITY INSURANCE/D&O |
Covers directors and officers
of a company for negligent acts or omissions, and for
misleading statements that result in suits against the
company, often by shareholders. Directors and officers
insurance policies usually contain two coverages:
personal coverage for individual directors and officers
who are not indemnified by the corporation for their
legal expenses or judgments against them – some
corporations are not required by their corporate or
state charters to provide indemnification; and corporate
reimbursement coverage for indemnifying directors and
officers. Entity coverage for claims made specifically
against the company may also be available.
|
| DIVIDENDS |
Money returned to
policyholders from an insurance company’s earnings.
Considered a partial premium refund rather than a
taxable distribution, reflecting the difference between
the premium charged and actual losses. Many life
insurance policies and some property/casualty policies
pay dividends to their owners. Life insurance policies
that pay dividends are called participating policies.
|
| DOMESTIC INSURANCE
COMPANY |
Term used by a state to refer
to any company incorporated there.
|
|
E
|
| EARLY WARNING SYSTEM |
A system of measuring
insurers’ financial stability set up by insurance
industry regulators. An example is the Insurance
Regulatory Information System (IRIS), which uses
financial ratios to identify insurers in need of
regulatory attention.
|
| EARNED PREMIUM |
The portion of premium that
applies to the expired part of the policy period.
Insurance premiums are payable in advance but the
insurance company does not fully earn them until the
policy period expires.
|
| EARTHQUAKE INSURANCE |
Covers a building and its
contents, but includes a large percentage deductible on
each. A special policy or endorsement exists because
earthquakes are not covered by standard homeowners or
most business policies.
|
| ECONOMIC LOSS |
Total financial loss resulting
from the death or disability of a wage earner, or from
the destruction of property. Includes the loss of
earnings, medical expenses, funeral expenses, the cost
of restoring or replacing property, and legal expenses.
It does not include noneconomic losses, such as pain
caused by an injury.
|
| ELECTRONIC COMMERCE /
E-COMMERCE |
The sale of products such as
insurance over the Internet.
|
| ELIMINATION PERIOD |
A kind of deductible or
waiting period usually found in disability policies. It
is counted in days from the beginning of the illness or
injury.
|
| EMPLOYEE RETIREMENT
INCOME SECURITY ACT / ERISA |
Federal legislation that
protects employees by establishing minimum standards for
private pension and welfare plans.
|
| EMPLOYMENT PRACTICES
LIABILITY COVERAGE |
Liability insurance for
employers that covers wrongful termination,
discrimination, or sexual harassment toward the
insured’s employees or former employees.
|
| ENDORSEMENT |
A written form attached to an
insurance policy that alters the policy’s coverage,
terms, or conditions. Sometimes called a rider.
|
| ENVIRONMENTAL
IMPAIRMENT LIABILITY COVERAGE |
A form of insurance designed
to cover losses and liabilities arising from damage to
property caused by pollution.
|
| EQUITY |
In investments, the ownership
interest of shareholders. In a corporation, stocks as
opposed to bonds.
|
| ERRORS AND OMISSIONS
COVERAGE / E&O |
A professional liability
policy covering the policyholder for negligent acts and
omissions that may harm his or her clients.
|
| ESCROW ACCOUNT |
Funds that a lender collects
to pay monthly premiums in mortgage and homeowners
insurance, and sometimes to pay property taxes.
|
| EXCESS AND SURPLUS
LINES |
Property/casualty coverage
that isn’t available from insurers licensed by the state
(called admitted insurers) and must be purchased from a
non-admitted carrier.
|
| EXCLUSION |
A provision in an insurance
policy that eliminates coverage for certain risks,
people, property classes, or locations.
|
| EXCLUSIVE AGENT |
A captive agent, or a person
who represents only one insurance company and is
restricted by agreement from submitting business to any
other company unless it is first rejected by the agent’s
company. (See
Captive agent)
|
| EXPENSE RATIO |
Percentage of each premium
dollar that goes to insurers’ expenses including
overhead, marketing, and commissions.
|
| EXPERIENCE |
Record of losses.
|
| EXPOSURE |
Possibility of loss.
|
| 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.
|
| EXTENDED REPLACEMENT
COST COVERAGE |
Pays a certain amount above
the policy limit to replace a damaged home, generally
120 percent or 125 percent. Similar to a guaranteed
replacement cost policy, which has no percentage limits.
Most homeowner policy limits track inflation in building
costs. Guaranteed and extended replacement cost policies
are designed to protect the policyholder after a major
disaster when the high demand for building contractors
and materials can push up the normal cost of
reconstruction. (See
Guaranteed replacement cost
coverage)
|
|
F
|
| FACULTATIVE
REINSURANCE |
A reinsurance policy that
provides an insurer with coverage for specific
individual risks that are unusual or so large that they
aren’t covered in the insurance company's reinsurance
treaties. This can include policies for jumbo jets or
oil rigs. Reinsurers have no obligation to take on
facultative reinsurance, but can assess each risk
individually. By contrast, under treaty reinsurance, the
reinsurer agrees to assume a certain percentage of
entire classes of business, such as various kinds of
auto, up to preset limits.
|
| FAIR ACCESS TO
INSURANCE REQUIREMENTS PLANS / FAIR PLANS |
Insurance pools that sell
property insurance to people who can’t buy it in the
voluntary market because of high risk over which they
may have no control. FAIR Plans, which exist in 28
states and the District of Columbia, insure fire,
vandalism, riot, and windstorm losses, and some sell
homeowners insurance which includes liability. Plans
vary by state, but all require property insurers
licensed in a state to participate in the pool and share
in the profits and losses. (See
Residual market)
|
| FARMOWNERS-RANCHOWNERS
INSURANCE |
Package policy that protects
the policyholder against named perils and liabilities
and usually covers homes and their contents, along with
barns, stables, and other structures.
|
| FEDERAL FUNDS |
Reserve balances that
depository institutions lend each other, usually on an
overnight basis. In addition, Federal funds include
certain other kinds of borrowings by depository
institutions from each other and from federal agencies.
|
| FEDERAL INSURANCE
ADMINISTRATION / FIA |
Federal agency in charge of
administering the National Flood Insurance Program. It
does not regulate the insurance industry.
|
| FEDERAL RESERVE BOARD |
Seven-member board that
supervises the banking system by issuing regulations
controlling bank holding companies and federal laws over
the banking industry. It also controls and oversees the
U.S. monetary system and credit supply.
|
| FIDELITY BOND |
A form of protection that
covers policyholders for losses that they incur as a
result of fraudulent acts by specified individuals. It
usually insures a business for losses caused by the
dishonest acts of its employees.
|
| FIDUCIARY BOND |
A type of surety bond,
sometimes called a probate bond, which is required of
certain fiduciaries, such as executors and trustees,
that guarantees the performance of their
responsibilities.
|
| FIDUCIARY LIABILITY |
Legal responsibility of a
fiduciary to safeguard assets of beneficiaries. A
fiduciary, for example a pension fund manager, is
required to manage investments held in trust in the best
interest of beneficiaries. Fiduciary liability insurance
covers breaches of fiduciary duty such as misstatements
or misleading statements, errors and omissions.
|
| FILE-AND-USE STATES |
States where insurers must
file rate changes with their regulators, but don’t have
to wait for approval to put them into effect.
|
| FINANCIAL GUARANTEE
INSURANCE |
Covers losses from specific
financial transactions and guarantees that investors in
debt instruments, such as municipal bonds, receive
timely payment of principal and interest if there is a
default. Raises the credit rating of debt to which the
guarantee is attached. Investment bankers who sell
asset-backed securities, securities backed by loan
portfolios, use this insurance to enhance marketability.
(See
Municipal bond insurance)
|
| FINANCIAL
RESPONSIBILITY LAW |
A state law requiring that all
automobile drivers show proof that they can pay damages
up to a minimum amount if involved in an auto accident.
Varies from state to state but can be met by carrying a
minimum amount of auto liability insurance. (See
Compulsory auto insurance)
|
| FINITE RISK
REINSURANCE |
Contract under which the
ultimate liability of the reinsurer is capped and on
which anticipated investment income is expressly
acknowledged as an underwriting component. Also known as
Financial Reinsurance because this type of coverage is
often bought to improve the balance sheet effects of
statutory accounting principles.
|
| FIRE INSURANCE |
Coverage protecting property
against losses caused by a fire or lightning that is
usually included in homeowners or commercial multiple
peril policies.
|
| FIRST-PARTY COVERAGE |
Coverage for the
policyholder’s own property or person. In no-fault auto
insurance it pays for the cost of injuries. In no-fault
states with the broadest coverage, the personal injury
protection (PIP) part of the policy pays for medical
care, lost income, funeral expenses and, where the
injured person is not able to provide services such as
child care, for substitute services. (See
No-fault;
Third-party coverage)
|
| FIXED ANNUITY |
An annuity that pays the
annuitant a guaranteed, fixed return every month for a
fixed premium. The guarantee is based on the expected
return of the underlying investments of the insurance
company. (See
Annuity)
|
|
FLOATER |
Attached to a homeowners
policy, a floater insures movable property, covering
losses wherever they may occur. Among the items often
insured with a floater are expensive jewelry, musical
instruments, and furs. It provides broader coverage than
a regular homeowners policy for these items.
|
| 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. (See
Adverse selection)
|
| FORCED PLACE INSURANCE |
Insurance purchased by a bank
or creditor on an uninsured debtor’s behalf so if the
property is damaged, funding is available to repair it.
|
| FOREIGN INSURANCE
COMPANY |
Name given to an insurance
company based in one state by the other states in which
it does business.
|
| FRAUD |
Intentional lying or
concealment by policyholders to obtain payment of an
insurance claim that would otherwise not be paid, or
lying or misrepresentation by the insurance company
managers, employees, agents, and brokers for financial
gain.
|
| FREQUENCY |
Number of times a loss occurs.
One of the criteria used in calculating premium rates.
|
| FRONTING |
A procedure in which a primary
insurer acts as the insurer of record by issuing a
policy, but then passes the entire risk to a reinsurer
in exchange for a commission. Often, the fronting
insurer is licensed to do business in a state or country
where the risk is located, but the reinsurer is not. The
reinsurer in this scenario is often a captive or an
independent insurance company that cannot sell insurance
directly in a particular country.
|
| FUTURES |
Agreement to buy a security
for a set price at a certain date. Futures contracts
usually involve commodities, indexes or financial
futures.
|
|
G
|
| GAP INSURANCE |
An automobile insurance
option, available in some states, 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. Mainly used for leased cars.
(See
Actual cash value)
|
| GENERALLY ACCEPTED
ACCOUNTING PRINCIPLES/GAAP |
Generally accepted accounting
principles (GAAP) accounting is used in financial
statements that publicly-held companies prepare for the
Securities and Exchange Commission. (See
Statutory accounting principles /
SAP)
|
| GENERIC AUTO PARTS |
Auto crash parts produced by
firms that are not associated with car manufacturers.
Insurers consider these parts, when certified, at least
as good as those that come from the original equipment
manufacturer (OEM). They are often cheaper than the
identical part produced by the OEM. (See
Crash parts;
Aftermarket parts;
Competitive replacement parts;
Original equipment manufacturer
parts / OEM)
|
| GLASS INSURANCE |
Coverage for glass breakage
caused by all risks; fire and war are sometimes
excluded. Insurance can be bought for windows,
structural glass, leaded glass, and mirrors. Available
with or without a deductible.
|
| GRADUATED DRIVER
LICENSES |
Licenses for younger drivers
that allow them to improve their skills. Regulations
vary by state, but often restrict night time driving.
Young drivers receive a learner’s permit, followed by a
provisional license, before they can receive a standard
drivers license.
|
| GRAMM-LEACH-BLILEY ACT |
Financial services
legislation, passed by Congress in 1999, that removed
Depression-era prohibitions against the combination of
commercial banking and investment-banking activities. It
allows insurance companies, banks, and securities firms
to engage in each others’ activities and own one
another.
|
| 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.
|
| GUARANTEED INCOME
CONTRACT / GIC |
Often an option in an
employer-sponsored retirement savings plan. Contract
between an insurance company and the plan that
guarantees a stated rate of return on invested capital
over the life of the contract.
|
| GUARANTEED REPLACEMENT
COST COVERAGE |
Homeowners policy that pays
the full cost of replacing or repairing a damaged or
destroyed home, even if it is above the policy limit.
(See
Extended replacement cost coverage)
|
| GUARANTY FUND |
The mechanism by which solvent
insurers ensure that some of the policyholder and third
party claims against insurance companies that fail are
paid. Such funds are required in all 50 states, the
District of Columbia and Puerto Rico, but the type and
amount of claim covered by the fund varies from state to
state. Some states pay policyholders’ unearned premiums
– the portion of the premium for which no coverage was
provided because the company was insolvent. Some have
deductibles. Most states have no limits on workers
compensation payments. Guaranty funds are supported by
assessments on insurers doing business in the state.
|
| GUN LIABILITY |
A new legal concept that holds
gun manufacturers liable for the cost of injuries caused
by guns. Several cities have filed lawsuits based on
this concept.
|
|
H
|
| HACKER INSURANCE |
A coverage that protects
businesses engaged in electronic commerce from losses
caused by hackers.
|
| HARD MARKET |
A seller’s market in which
insurance is expensive and in short supply. (SeeProperty/casualty
insurance cycle)
|
| HOMEOWNERS INSURANCE
POLICY |
| The typical homeowners
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. (See
Flood insurance;
Earthquake insurance)
|
| HOUSE YEAR |
Equal to 365 days of insured
coverage for a single dwelling. It is the standard
measurement for homeowners insurance.
|
| HURRICANE DEDUCTIBLE |
A percentage or dollar amount
added to a homeowner’s insurance policy to limit an
insurer’s exposure to loss from a hurricane. Higher
deductibles are instituted in higher risk areas, such as
coastal regions. Specific details, such as the intensity
of the storm for the deductible to be triggered and the
extent of the high risk area, vary from insurer to
insurer and state to state.
|
|
I
|
| IDENTITY THEFT
INSURANCE |
Coverage for expenses incurred
as the result of an identity theft. Can include costs
for notarizing fraud affidavits and certified mail, lost
income from time taken off from work to meet with
law-enforcement personnel or credit agencies, fees for
reapplying for loans and attorney's fees to defend
against lawsuits and remove criminal or civil judgements.
|
| INCURRED BUT NOT
REPORTED LOSSES / IBNR |
Losses that are not filed with
the insurer or reinsurer until years after the policy is
sold. Some liability claims may be filed long after the
event that caused the injury to occur. Asbestos-related
diseases, for example, do not show up until decades
after the exposure. IBNR also refers to estimates made
about claims already reported but where the full extent
of the injury is not yet known, such as a workers
compensation claim where the degree to which
work-related injuries prevents a worker from earning
what he or she earned before the injury unfolds over
time. Insurance companies regularly adjust reserves for
such losses as new information becomes available.
|
| INCURRED LOSSES |
Losses occurring within a
fixed period, whether or not adjusted or paid during the
same period.
|
| INDEMNIFY |
Provide financial compensation
for losses.
|
| INDEPENDENT AGENT |
Agent who is self-employed, is
paid on commission, and represents several insurance
companies. (See
Captive agent)
|
| INDIVIDUAL RETIREMENT
ACCOUNT/IRA |
A tax-deductible savings plan
for those who are self-employed, or those whose earnings
are below a certain level or whose employers do not
offer retirement plans. Others may make limited
contributions on a tax-deferred basis. The Roth IRA, a
special kind of retirement account created in 1997, may
offer greater tax benefits to certain individuals.
|
| INFLATION GUARD CLAUSE |
A provision added to a
homeowners insurance policy that automatically adjusts
the coverage limit on the dwelling each time the policy
is renewed to reflect current construction costs.
|
| INLAND MARINE
INSURANCE |
This broad type of coverage
was developed for shipments that do not involve ocean
transport. Covers articles in transit by all forms of
land and air transportation as well as bridges, tunnels
and other means of transportation and communication.
Floaters that cover expensive personal items such as
fine art and jewelry are included in this category. (See
Floater)
|
| INSOLVENCY |
Insurer’s inability to pay
debts. Insurance insolvency standards and the regulatory
actions taken vary from state to state. When regulators
deem an insurance company is in danger of becoming
insolvent, they can take one of three actions: place a
company in conservatorship or rehabilitation if the
company can be saved or liquidation if salvage is deemed
impossible. The difference between the first two options
is one of degree – regulators guide companies in
conservatorship but direct those in rehabilitation.
Typically the first sign of problems is inability to
pass the financial tests regulators administer as a
routine procedure. (See
Liquidation;
Risk-based capital)
|
| INSTITUTIONAL INVESTOR |
An organization such as a bank
or insurance company that buys and sells large
quantities of securities.
|
| INSURABLE RISK |
Risks for which it is
relatively easy to get insurance and that meet certain
criteria. These include being definable, accidental in
nature, and part of a group of similar risks large
enough to make losses predictable. The insurance company
also must be able to come up with a reasonable price for
the insurance.
|
| INSURANCE |
A system to make large
financial losses more affordable by pooling the risks of
many individuals and business entities and transferring
them to an insurance company or other large group in
return for a premium.
|
| INSURANCE POOL |
A group of insurance companies
that pool assets, enabling them to provide an amount of
insurance substantially more than can be provided by
individual companies to ensure large risks such as
nuclear power stations. Pools may be formed voluntarily
or mandated by the state to cover risks that can’t
obtain coverage in the voluntary market such as coastal
properties subject to hurricanes. (See
Beach and windstorm plans;
Fair access to insurance
requirements plans / FAIR plans;
Joint underwriting association /
JUA)
|
| INSURANCE REGULATORY
INFORMATION SYSTEM / IRIS |
Uses financial ratios to
measure insurers’ financial strength. Developed by the
National Association of Insurance Commissioners. Each
individual state insurance department chooses how to use
IRIS.
|
| INSURANCE SCORE |
| Insurance scores are
confidential rankings based on credit information. This
includes whether the consumer has made timely payments
on loans, the number of open credit card accounts and
whether a bankruptcy filing has been made. An insurance
score is a measure of how well consumers manage their
financial affairs, not of their financial assets. It
does not include information about income or race.
Studies have shown that people
who manage their money well tend also to manage their
most important asset, their home, well. And people who
manage their money responsibly also tend to handle
driving a car responsibly. Some insurance companies use
insurance scores as an insurance underwriting and rating
tool.
|
| INSURANCE-TO-VALUE |
Insurance written in an amount
approximating the value of the insured property.
|
| INTEGRATED BENEFITS |
Coverage where the distinction
between job-related and non-occupational illnesses or
injuries is eliminated and workers compensation and
general health coverage are combined. Legal obstacles
exist, however, because the two coverages are
administered separately. Previously called twenty-four
hour coverage.
|
| INTERMEDIATION |
The process of bringing
savers, investors and borrowers together so that savers
and investors can obtain a return on their money and
borrowers can use the money to finance their purchases
or projects through loans.
|
| INTERNET INSURER |
An insurer that sells
exclusively via the Internet.
|
| INTERNET LIABILITY
INSURANCE |
Coverage designed to protect
businesses from liabilities that arise from the
conducting of business over the Internet, including
copyright infringement, defamation, and violation of
privacy.
|
| INVESTMENT INCOME |
Income generated by the
investment of assets. Insurers have two sources of
income, underwriting (premiums less claims and expenses)
and investment income. The latter can offset
underwriting operations, which are frequently
unprofitable.
|
|
J
|
| JOINT UNDERWRITING
ASSOCIATION / JUA |
Insurers which join together
to provide coverage for a particular type of risk or
size of exposure, when there are difficulties in
obtaining coverage in the regular market, and which
share in the profits and losses associated with the
program. JUAs may be set up to provide auto and
homeowners insurance and various commercial coverages,
such as medical malpractice. (See
Assigned risk plans;
Residual market)
|
| JUNK BONDS |
Corporate bonds with credit
ratings of BB or less. They pay a higher yield than
investment grade bonds because issuers have a higher
perceived risk of default. Such bonds involve market
risk that could force investors, including insurers, to
sell the bonds when their value is low. Most states
place limits on insurers’ investments in these bonds. In
general, because property/casualty insurers can be
called upon to provide huge sums of money immediately
after a disaster, their investments must be liquid. Less
than 2 percent are in real estate and a similarly small
percentage are in junk bonds.
|
|
K
|
| 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.
|
| KIDNAP/RANSOM
INSURANCE |
Coverage up to specific limits
for the cost of ransom or extortion payments and related
expenses. Often bought by international corporations to
cover employees. Most policies have large deductibles
and may exclude certain geographic areas. Some policies
require that the policyholder not reveal the coverage’s
existence.
|
|
L
|
| LADDERING |
A technique that consists of
staggering the maturity dates and the mix of different
types of bonds.
|
| LAW OF LARGE NUMBERS |
The theory of probability on
which the business of insurance is based. Simply put,
this mathematical premise says that the larger the group
of units insured, such as sport-utility vehicles, the
more accurate the predictions of loss will be.
|
| 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;
Variable life insurance;
Whole life insurance
|
| LIMITS |
Maximum amount of insurance
that can be paid for a covered loss.
|
| LINE |
Type or kind of insurance,
such as personal lines.
|
| LIQUIDATION |
Enables the state insurance
department as liquidator or its appointed deputy to wind
up the insurance company’s affairs by selling its assets
and settling claims upon those assets. After receiving
the liquidation order, the liquidator notifies insurance
departments in other states and state guaranty funds of
the liquidation proceedings. Such insurance company
liquidations are not subject to the Federal Bankruptcy
Code but to each state’s liquidation statutes.
|
| LIQUIDITY |
The ability and speed with
which a security can be converted into cash.
|
| LLOYD'S OF LONDON |
A marketplace where
underwriting syndicates, or mini-insurers, gather to
sell insurance policies and reinsurance. Each syndicate
is managed by an underwriter who decides whether or not
to accept the risk. The Lloyd’s market is a major player
in the international reinsurance market as well as a
primary market for marine insurance and large risks.
Originally, Lloyd’s was a London coffee house in the
1600s patronized by shipowners who insured each other’s
hulls and cargoes. As Lloyd’s developed, wealthy
individuals, called “Names,” placed their personal
assets behind insurance risks as a business venture.
Increasingly since the 1990s, most of the capital comes
from corporations.
|
| LLOYDS |
Corporation formed to market
services of a group of underwriters. Does not issue
insurance policies or provide insurance protection.
Insurance is written by individual underwriters, with
each assuming a part of every risk. Has no connection to
Lloyd’s of London, and is found primarily in Texas.
|
| LONG-TERM CARE
INSURANCE |
Coverage that, under specified
conditions, provides skilled nursing, intermediate care,
or custodial care for a patient (generally over age 65)
in a nursing facility or his or her residence following
an injury.
|
| LOSS |
A reduction in the quality or
value of a property, or a legal liability.
|
| LOSS ADJUSTMENT
EXPENSES |
The sum insurers pay for
investigating and settling insurance claims, including
the cost of defending a lawsuit in court.
|
| LOSS COSTS |
The portion of an insurance
rate used to cover claims and the costs of adjusting
claims. Insurance companies typically determine their
rates by estimating their future loss costs and adding a
provision for expenses, profit, and contingencies.
|
| LOSS OF USE |
A provision in homeowners and
renters insurance policies that reimburses policyholders
for any extra living expenses due to having to live
elsewhere while their home is being restored following a
disaster.
|
| LOSS RATIO |
Percentage of each premium
dollar an insurer spends on claims.
|
| LOSS RESERVES |
The company’s best estimate of
what it will pay for claims, which is periodically
readjusted. They represent a liability on the insurer’s
balance sheet.
|
|
M
|
| MALPRACTICE INSURANCE |
Professional liability
coverage for physicians, lawyers, and other specialists
against suits alleging negligence or errors and
omissions that have harmed clients.
|
| MANAGED CARE |
Arrangement between an
employer or insurer and selected providers to provide
comprehensive health care at a discount to members of
the insured group and coordinate the financing and
delivery of health care. Managed care uses medical
protocols and procedures agreed on by the medical
profession to be cost effective, also known as medical
practice guidelines.
|
| MANUAL |
A book published by an
insurance or bonding company or a rating association or
bureau that gives rates, classifications, and
underwriting rules.
|
| MARINE INSURANCE |
Coverage for goods in transit,
and for the commercial vehicles that transport them, on
water and over land. The term may apply to inland marine
but more generally applies to ocean marine insurance.
Covers damage or destruction of a ship’s hull and cargo
and perils include collision, sinking, capsizing, being
stranded, fire, piracy, and jettisoning cargo to save
other property. Wear and tear, dampness, mold, and war
are not included. (See Inland marine and Ocean marine)
|
| MCCARRAN-FERGUSON ACT |
Federal law signed in 1945 in
which Congress declared that states would continue to
regulate the insurance business. Grants insurers a
limited exemption from federal antitrust legislation.
|
| MEDIATION |
Nonbinding procedure in which
a third party attempts to resolve a conflict between two
other parties.
|
| MEDICAID |
A federal/state public
assistance program created in 1965 and administered by
the states for people whose income and resources are
insufficient to pay for health care.
|
| MEDICAL MALPRACTICE
INSURANCE |
See
Malpractice insurance
|
| MEDICAL PAYMENTS
INSURANCE |
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.
|
| MEDICAL UTILIZATION
REVIEW |
The practice used by insurance
companies to review claims for medical treatment.
|
| MEDICARE |
Federal program for people 65
or older that pays part of the costs associated with
hospitalization, surgery, doctors’ bills, home health
care, and skilled-nursing care.
|
| MEDIGAP/MEDSUP |
Policies that supplement
federal insurance benefits particularly for those
covered under Medicare.
|
| MINE SUBSIDENCE
COVERAGE |
An endorsement to a homeowners
insurance policy, available in some states, for losses
to a home caused by the land under a house sinking into
a mine shaft. Excluded from standard homeowners
policies, as are other forms of earth movement.
|
| MONEY SUPPLY |
Total supply of money in the
economy, composed of currency in circulation and
deposits in savings and checking accounts. By changing
the interest rates the Federal Reserve seeks to adjust
the money supply to maintain a strong economy.
|
| MORTGAGE GUARANTEE
INSURANCE |
Coverage for the mortgagee
(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. (See
Term insurance)
|
| MORTGAGE-BACKED
SECURITIES |
Investment grade securities
backed by a pool of mortgages. The issuer uses the cash
flow from mortgages to meet interest payments on the
bonds.
|
| MULTIPLE PERIL POLICY |
A package policy, such as a
homeowners or business insurance policy, that provides
coverage against several different perils. It also
refers to the combination of property and liability
coverage in one policy. In the early days of insurance,
coverages for property damage and liability were
purchased separately.
|
| MUNICIPAL BOND
INSURANCE |
Coverage that guarantees
bondholders timely payment of interest and principal
even if the issuer of the bonds defaults. Offered by
insurance companies with high credit ratings, the
coverage raises the credit rating of a municipality
offering the bond to that of the insurance company. It
allows a municipality to raise money at lower interest
rates. A form of financial guarantee insurance. (See
Financial guarantee insurance)
|
| MUNICIPAL LIABILITY
INSURANCE |
Liability insurance for
municipalities.
|
| MUTUAL HOLDING COMPANY |
An organizational structure
that provides mutual companies with the organizational
and capital raising advantages of stock insurers, while
retaining the policyholder ownership of the mutual.
|
| MUTUAL INSURANCE
COMPANY |
A company owned by its
policyholders that returns part of its profits to the
policyholders as dividends. The insurer uses the rest as
a surplus cushion in case of large and unexpected
losses.
|
|
N
|
| NAMED PERIL |
Peril specifically mentioned
as covered in an insurance policy.
|
| NATIONAL FLOOD
INSURANCE PROGRAM |
Federal government-sponsored
program under which flood insurance is sold to
homeowners and businesses. (See
Adverse selection;
Flood insurance)
|
| NET PREMIUMS WRITTEN |
See
Premiums written
|
| NO-FAULT |
Auto insurance coverage that
pays for each driver’s own injuries, regardless of who
caused the accident. No-fault varies from state to
state. It also refers to an auto liability insurance
system that restricts lawsuits to serious cases. Such
policies are designed to promote faster reimbursement
and to reduce litigation.
|
|
NO-FAULT
MEDICAL |
A type of accident coverage in
homeowners policies.
|
| NO-PAY, NO-PLAY |
The idea that people who don’t
buy coverage should not receive benefits. Prohibits
uninsured drivers from collecting damages from insured
drivers. In most states with this law, uninsured drivers
may not sue for noneconomic damages such as pain and
suffering. In other states, uninsured drivers are
required to pay the equivalent of a large deductible
($10,000) before they can sue for property damages and
another large deductible before they can sue for bodily
harm.
|
| NON-ADMITTED ASSETS |
Assets that are not included
on the balance sheet of an insurance company, including
furniture, fixtures, past-due accounts receivable, and
agents’ debt balances. (See
Assets)
|
| NON-ADMITTED INSURER |
Insurers licensed in some
states, but not others. States where an insurer is not
licensed call that insurer non-admitted. They sell
coverage that is unavailable from licensed insurers
within the state.
|
| NOTICE OF LOSS |
A written notice required by
insurance companies immediately after an accident or
other loss. Part of the standard provisions defining a
policyholder's responsibilities after a loss.
|
| NUCLEAR INSURANCE |
Covers operators of nuclear
reactors and other facilities for liability and property
damage in the case of a nuclear accident and involves
both private insurers and the federal government.
|
| NURSING HOME INSURANCE |
A form of long-term care
policy that covers a policyholder’s stay in a nursing
facility.
|
|
O
|
| OCCUPATIONAL DISEASE |
Abnormal condition or illness
caused by factors associated with the workplace. Like
occupational injuries, this is covered by workers
compensation policies. (See
Workers compensation)
|
| OCCURRENCE POLICY |
Insurance that pays claims
arising out of incidents that occur during the policy
term, even if they are filed many years later. (See
Claims-made policy)
|
| OCEAN MARINE INSURANCE |
Coverage of all types of
vessels and watercraft, for property damage to the
vessel and cargo, including such risks as piracy and the
jettisoning of cargo to save the property of others.
Coverage for marine-related liabilities. War is excluded
from basic policies, but can be bought back.
|
|
OPEN
COMPETITION STATES |
States where insurance
companies can set new rates without prior approval,
although the state’s commissioner can disallow them if
they are not reasonable and adequate or are
discriminatory.
|
| OPERATING EXPENSES |
The cost of maintaining a
business’s property, includes insurance, property taxes,
utilities and rent, but excludes income tax,
depreciation and other financing expenses.
|
| OPTIONS |
Contracts that allow, but do
not oblige, the buying or selling of property or assets
at a certain date at a set price.
|
| ORDINANCE OR LAW
COVERAGE |
Endorsement to a property
policy, including homeowners, that pays for the extra
expense of rebuilding to comply with ordinances or laws,
often building codes, that did not exist when the
building was originally built. For example, a building
severely damaged in a hurricane may have to be elevated
above the flood line when it is rebuilt. This
endorsement would cover part of the additional cost.
|
| ORDINARY LIFE
INSURANCE |
A life insurance policy that
remains in force for the policyholder’s lifetime. It
contrasts with term insurance, which only lasts for a
specified number of years but is renewable. (See
Term insurance)
|
| ORIGINAL EQUIPMENT
MANUFACTURER PARTS / OEM |
Sheet metal auto parts made by
the manufacturer of the vehicle. (See
Generic auto parts)
|
| OVER-THE-COUNTER (OTC) |
Security that is not listed or
traded on an exchange such as the New York Stock
Exchange. Business in over-the-counter securities is
conducted through dealers using electronic networks.
|
|
P
|
| PACKAGE POLICY |
A single insurance policy that
combines several coverages previously sold separately.
Examples include homeowners insurance and commercial
multiple peril insurance.
|
| PAY-AT-THE-PUMP |
A system proposed in the 1990s
in which auto insurance premiums would be paid to state
governments through a per-gallon surcharge on gasoline.
|
| PENSION BENEFIT
GUARANTY CORPORATION |
An independent federal
government agency that administers the Pension Plan
Termination Insurance program to ensure that vested
benefits of employees whose pension plans are being
terminated are paid when they come due. Only defined
benefit plans are covered. Benefits are paid up to
certain limits.
|
| PENSIONS |
Programs to provide employees
with retirement income after they meet minimum age and
service requirements. Life insurers hold some of these
funds. Since the 1970s responsibility for funding
retirement has increasingly shifted from employers
(defined benefit plans that promise workers a specific
retirement income) to employees (defined contribution
plans financed by employees that may or may not be
matched by employer contributions). (See
Defined benefit plan;
Defined contribution plan)
|
| 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.
|
| PERSONAL ARTICLES
FLOATER |
A policy or an addition to a
policy used to cover personal valuables, like jewelry or
furs.
|
| PERSONAL INJURY
PROTECTION COVERAGE / PIP |
Portion of an auto insurance
policy that covers the treatment of injuries to the
driver and passengers of the policyholder’s car.
|
| PERSONAL LINES |
Property/casualty insurance
products that are designed for and bought by
individuals, including homeowners and automobile
policies. (See
Commercial lines)
|
| POINT-OF-SERVICE PLAN |
Health insurance policy that
allows the employee to choose between in-network and
out-of-network care each time medical treatment is
needed.
|
| POLICY |
A written contract for
insurance between an insurance company and policyholder
stating details of coverage.
|
| POLICYHOLDERS' SURPLUS |
The amount of money remaining
after an insurer’s liabilities are subtracted from its
assets. It acts as a financial cushion above and beyond
reserves, protecting policyholders against an unexpected
or catastrophic situation.
|
| POLITICAL RISK
INSURANCE |
Coverage for businesses
operating abroad against loss due to political upheaval
such as war, revolution, or confiscation of property.
|
| POLLUTION INSURANCE |
Policies that cover property
loss and liability arising from pollution-related
damages, for sites that have been inspected and found
uncontaminated. It is usually written on a claims-made
basis so policies pay only claims presented during the
term of the policy or within a specified time frame
after the policy expires. (See
Claims-made policy)
|
| POOL |
See
Insurance pool
|
| PREFERRED PROVIDER
ORGANIZATION |
Network of medical providers
which charge on a fee-for-service basis, but are paid on
a negotiated, discounted fee schedule.
|
| PREMISES |
The particular location of the
property or a portion of it as designated in an
insurance policy.
|
| PREMIUM |
The price of an insurance
policy, typically charged annually or semiannually. (See
Direct premiums;
Earned premium;
Unearned premium)
|
| PREMIUM TAX |
A state tax on premiums paid
by its residents and businesses and collected by
insurers.
|
| PREMIUMS IN FORCE |
The sum of the face amounts,
plus dividend additions, of life insurance policies
outstanding at a given time.
|
| PREMIUMS WRITTEN |
The total premiums on all
policies written by an insurer during a specified period
of time, regardless of what portions have been earned.
Net premiums written are premiums written after
reinsurance transactions.
|
| PRIMARY COMPANY |
In a reinsurance transaction,
the insurance company that is reinsured.
|
| PRIMARY MARKET |
Market for new issue
securities where the proceeds go directly to the issuer.
|
| PRIME RATE |
Interest rate that banks
charge to their most creditworthy customers. Banks set
this rate according to their cost of funds and market
forces.
|
| PRIOR APPROVAL STATES |
States where insurance
companies must file proposed rate changes with state
regulators, and gain approval before they can go into
effect.
|
| PRIVATE MORTGAGE
INSURANCE |
See
Mortgage guarantee insurance
|
| PRIVATE PLACEMENT |
Securities that are not
registered with the Securities and Exchange Commission
and are sold directly to investors.
|
| PRODUCT LIABILITY |
A section of tort law that
determines who may sue and who may be sued for damages
when a defective product injures someone. No uniform
federal laws guide manufacturer’s liability, but under
strict liability, the injured party can hold the
manufacturer responsible for damages without the need to
prove negligence or fault.
|
| PRODUCT LIABILITY
INSURANCE |
Protects manufacturers’ and
distributors’ exposure to lawsuits by people who have
sustained bodily injury or property damage through the
use of the product.
|
| PROFESSIONAL LIABILITY
INSURANCE |
Covers professionals for
negligence and errors or omissions that injure their
clients.
|
| PROPERTY/CASUALTY
INSURANCE |
Covers damage to or loss of
policyholders’ property and legal liability for damages
caused to other people or their property.
Property/casualty insurance, which includes auto,
homeowners and commercial insurance, is one segment of
the insurance industry. The other sector is life/health.
Outside the United States, property/casualty insurance
is referred to as non-life or general insurance.
|
| PROPERTY/CASUALTY
INSURANCE CYCLE |
Industry business cycle with
recurrent periods of hard and soft market conditions. In
the 1950s and 1960s, cycles were regular with three year
periods each of hard and soft market conditions in
almost all lines of property/casualty insurance. Since
then they have been less regular and less frequent.
|
| PROPOSITION 103 |
A November 1988 California
ballot initiative that called for a statewide auto
insurance rate rollback and for rates to be based more
on driving records and less on geographical location.
The initiative changed many aspects of the state’s
insurance system and was the subject of lawsuits for
more than a decade.
|
| PURCHASING GROUP |
An entity that offers
insurance to groups of similar businesses with similar
exposures to risk.
|
|
Q
|
|
R
|
| 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.
|
| RATE REGULATION |
The process by which states
monitor insurance companies’ rate changes, done either
through prior approval or open competition models. (See
Open competition states;
Prior approval states)
|
| RATING AGENCIES |
Six major credit
agencies determine insurers’ financial strength and
viability to meet claims obligations. They are A.M. Best
Co.; Duff & Phelps Inc.; Fitch, Inc.; Moody’s Investors
Services; Standard & Poor’s Corp.; and Weiss Ratings,
Inc. Factors considered include company earnings,
capital adequacy, operating leverage, liquidity,
investment performance, reinsurance programs, and
management ability, integrity and experience. A high
financial rating is not the same as a high consumer
satisfaction rating.
|
| RATING BUREAU
|
The insurance business is
based on the spread of risk. The more widely risk is
spread, the more accurately loss can be estimated. An
insurance company can more accurately estimate the
probability of loss on 100,000 homes than on ten. Years
ago, insurers were required to use standardized forms
and rates developed by rating agencies. Today, large
insurers use their own statistical loss data to develop
rates. But small insurers, or insurers focusing on
special lines of business, with insufficiently broad
loss data to make them actuarially reliable depend on
pooled industry data collected by such organizations as
the Insurance Services Office (ISO) which provides
information to help develop rates such as estimates of
future losses and loss adjustment expenses like legal
defense costs.
|
| REAL ESTATE
INVESTMENTS |
Investments generally owned by
life insurers that include commercial mortgage loans and
real property.
|
| RECEIVABLES |
Amounts owed to a business for
goods or services provided.
|
| REDLINING |
Literally means to draw a red
line on a map around areas to receive special treatment.
Refusal to issue insurance based solely on where
applicants live is illegal in all states. Denial of
insurance must be risk-based.
|
| REINSURANCE |
Insurance bought by insurers.
A reinsurer assumes part of the risk and part of the
premium originally taken by the insurer, known as the
primary company. Reinsurance effectively increases an
insurer's capital and therefore its capacity to sell
more coverage. The business is global and some of the
largest reinsurers are based abroad. Reinsurers have
their own reinsurers, called retrocessionaires.
Reinsurers don’t pay policyholder claims. Instead, they
reimburse insurers for claims paid. (See
Treaty reinsurance;
Facultative reinsurance)
|
| RENTERS INSURANCE |
A form of insurance that
covers a policyholder’s belongings against perils such
as fire, theft, windstorm, hail, explosion, vandalism,
riots, and others. It also provides personal liability
coverage for damage the policyholder or dependents cause
to third parties. It also provides additional living
expenses, known as loss-of-use coverage, if a
policyholder must move while his or her dwelling is
repaired. It also can include coverage for property
improvements. Possessions can be covered for their
replacement cost or the actual cash value that includes
depreciation.
|
| 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.
|
| REPURCHASE AGREEMENT
/'REPO' |
Agreement between a buyer and
seller where the seller agrees to repurchase the
securities at an agreed upon time and price. Repurchase
agreements involving U.S. government securities are
utilized by the Federal Reserve to control the money
supply.
|
| RESERVES |
A company’s best estimate of
what it will pay for claims.
|
| RESIDUAL MARKET |
Facilities, such as assigned
risk plans and FAIR Plans, that exist to provide
coverage for those who cannot get it in the regular
market. Insurers doing business in a given state
generally must participate in these pools. For this
reason the residual market is also known as the shared
market.
|
| RETENTION |
The amount of risk retained by
an insurance company that is not reinsured.
|
| RETROCESSION |
The reinsurance bought by
re-insurers to protect their financial stability.
|
| RETROSPECTIVE RATING |
A method of permitting the
final premium for a risk to be adjusted, subject to an
agreed-upon maximum and minimum limit based on actual
loss experience. It is available to large commercial
insurance buyers.
|
| RETURN ON EQUITY |
Net income divided by total
equity. Measures profitability by showing how
efficiently invested capital is being used.
|
| 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.
|
| RISK MANAGEMENT |
Management of the varied risks
to which a business firm or association might be
subject. It includes analyzing all exposures to gauge
the likelihood of loss and choosing options to better
manage or minimize loss. These options typically include
reducing and eliminating the risk with safety measures,
buying insurance, and self-insurance.
|
| RISK RETENTION GROUPS |
Insurance companies that band
together as self-insurers and form an organization that
is chartered and licensed as an insurer in at least one
state to handle liability insurance.
|
| RISK-BASED CAPITAL |
The need for insurance
companies to be capitalized according to the inherent
riskiness of the type of insurance they sell.
Higher-risk types of insurance, liability as opposed to
property business, generally necessitate higher levels
of capital.
|
|
S
|
| 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.
Insurers that paid claims on cargoes lost at sea now
have the right to recover sunken treasures. Salvage
charges are the costs associated with recovering that
property.
|
| 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.
|
| SECONDARY MARKET |
Market for previously issued
and outstanding securities.
|
| SECURITIES AND
EXCHANGE COMMISSION / SEC |
The organization that oversees
publicly-held insurance companies. Those companies make
periodic financial disclosures to the SEC, including an
annual financial statement (or 10K), and a quarterly
financial statement (or 10-Q). Companies must also
disclose any material events and other information about
their stock.
|
| SECURITIES OUTSTANDING |
Stock held by shareholders.
|
| SECURITIZATION OF
INSURANCE RISK |
Using the capital markets to
expand and diversify the assumption of insurance risk.
The issuance of bonds or notes to third-party investors
directly or indirectly by an insurance or reinsurance
companyCatastrophe
bonds)
|
| SELF-INSURANCE |
The concept of assuming a
financial risk oneself, instead of paying an insurance
company to take it on. Every policyholder is a
self-insurer in terms of paying a deductible and
co-payments. Large firms often self-insure frequent,
small losses such as damage to their fleet of vehicles
or minor workplace injuries. However, to protect injured
employees state laws set out requirements for the
assumption of workers compensation programs.
Self-insurance also refers to employers who assume all
or part of the responsibility for paying the health
insurance claims of their employees. Firms that self
insure for health claims are exempt from state insurance
laws mandating the illnesses that group health insurers
must cover.
|
| SEVERITY |
Size of a loss. One of the
criteria used in calculating premiums rates.
|
| SEWER BACK-UP COVERAGE |
An optional part of homeowners
insurance that covers sewers.
|
| SHARED MARKET |
See
Residual market
|
| SOFT MARKET |
An environment where insurance
is plentiful and sold at a lower cost, also known as a
buyers’ market. (See
Property/casualty insurance cycle)
|
| SOLVENCY |
Insurance companies’ ability
to pay the claims of policyholders. Regulations to
promote solvency include minimum capital and surplus
requirements, statutory accounting conventions, limits
to insurance company investment and corporate
activities, financial ratio tests, and financial data
disclosure.
|
| SPREAD OF RISK |
The selling of insurance in
multiple areas to multiple policyholders to minimize the
danger that all policyholders will have losses at the
same time. Companies are more likely to insure perils
that offer a good spread of risk. Flood insurance is an
example of a poor spread of risk because the people most
likely to buy it are the people close to rivers and
other bodies of water that flood. (See
Adverse selection)
|
| STACKING |
Practice that increases the
money available to pay auto liability claims. In states
where this practice is permitted by law, courts may
allow policyholders who have several cars insured under
a single policy, or multiple vehicles insured under
different policies, to add up the limit of liability
available for each vehicle.
|
| STATUTORY ACCOUNTING
PRINCIPLES / SAP |
More conservative standards
than under GAAP accounting rules, they are imposed by
state laws that emphasize the present solvency of
insurance companies. SAP helps ensure that the company
will have sufficient funds readily available to meet all
anticipated insurance obligations by recognizing
liabilities earlier or at a higher value than GAAP and
assets later or at a lower value. For example, SAP
requires that selling expenses be recorded immediately
rather
Admitted assets)
|
| STOCK INSURANCE
COMPANY |
An insurance company owned by
its stockholders who share in profits through earnings
distributions and increases in stock value.
|
|
STRUCTURED
SETTLEMENT |
Legal agreement to pay a
designated person, usually someone who has been injured,
a specified sum of money in periodic payments, usually
for his or her lifetime, instead of in a single lump sum
payment. (See
Annuity)
|
| SUBROGATION |
The legal process by which an
insurance company, after paying a loss, seeks to recover
the amount of the loss from another party who is legally
liable for it.
|
| SUPERFUND |
A federal law enacted in 1980
to initiate cleanup of the nation’s abandoned hazardous
waste dump sites and to respond to accidents that
release hazardous substances into the environment. The
law is officially called the Comprehensive Environmental
Response, Compensation, and Liability Act.
|
| SURETY BOND |
A contract guaranteeing the
performance of a specific obligation. Simply put, it is
a three-party agreement under which one party, the
surety company, answers to a second party, the owner,
creditor or “obligee,” for a third party’s debts,
default or nonperformance. Contractors are often
required to purchase surety bonds if they are working on
public projects. The surety company becomes responsible
for carrying out the work or paying for the loss up to
the bond “penalty” if the contractor fails to perform.
|
| SURPLUS |
The remainder after an
insurer’s liabilities are subtracted from its assets.
The financial cushion that protects policyholders in
case of unexpectedly high claims. (See
Capital;
Risk-based capital)
|
| SURPLUS LINES |
Property/casualty insurance
coverage that isn’t available from insurers licensed in
the state, called admitted companies, and must be
purchased from a non-admitted carrier. Examples include
risks of an unusual nature that require greater
flexibility in policy terms and conditions than exist in
standard forms or where the highest rates allowed by
state regulators are considered inadequate by admitted
companies. Laws governing surplus lines vary by state.
|
| SWAPS |
The simultaneous buying,
selling or exchange of one security for another among
investors to change maturities in a bond portfolio, for
example, or because investment goals have changed.
|
|
T
|
| 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.
|
| TERRITORIAL RATING |
A method of classifying risks
by geographic location to set a fair price for coverage.
The location of the insured may have a considerable
impact on the cost of losses. The chance of an accident
or theft is much higher in an urban area than in a rural
one, for example.
|
| TERRORISM COVERAGE |
Included as a part of the
package in standard commercial insurance policies before
September 11, 2001 virtually free of charge. Since
September 11, terrorism coverage prices have increased
substantially to reflect the current risk.
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| THIRD-PARTY
ADMINISTRATOR |
Outside group that performs
clerical functions for an insurance company.
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| THIRD-PARTY COVERAGE |
Liability coverage purchased
by the policyholder as a protection against possible
lawsuits filed by a third party. The insured and the
insurer are the first and second parties to the
insurance contract. (See
First-party coverage)
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| TIME DEPOSIT |
Funds that are held in a
savings account for a predetermined period of time at a
set interest rate. Banks can refuse to allow withdrawals
from these accounts until the period has expired or
assess a penalty for early withdrawals.
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| TITLE INSURANCE |
Insurance that 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.
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| TORT |
A legal term denoting a
wrongful act resulting in injury or damage on which a
civil court action, or legal proceeding, may be based.
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| TORT LAW |
The body of law governing
negligence, intentional interference, and other wrongful
acts for which civil action can be brought, except for
breach of contract, which is covered by contract law.
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| TORT REFORM |
Refers to legislation designed
to reduce liability costs through limits on various
kinds of damages and through modification of liability
rules.
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| 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.
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| TRANSPARENCY |
A term used to explain the way
information on financial matters, such as financial
reports and actions of companies or markets, are
communicated so that they are easily understood and
frank.
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| TREASURY SECURITIES |
Interest-bearing obligations
of the U.S. government issued by the Treasury as a means
of borrowing money to meet government expenditures not
covered by tax revenues. Marketable Treasury securities
fall into three categories — bills, notes and bonds.
Marketable Treasury obligations are currently issued in
book entry form only; that is, the purchaser receives a
statement, rather than an engraved certificate.
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| TREATY REINSURANCE |
A standing agreement between
insurers and reinsurers. Under a treaty each party
automatically accepts specific percentages of the
insurer’s business.
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U
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| 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.
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| 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.
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UNDERWRITING |
Examining, accepting, or
rejecting insurance risks and classifying the ones that
are accepted, in order to charge appropriate premiums
for them.
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| UNDERWRITING INCOME |
The insurer’s profit on the
insurance sale after all expenses and losses have been
paid. When premiums aren’t sufficient to cover claims
and expenses, the result is an underwriting loss.
Underwriting losses are typically offset by investment
income.
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| 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.
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| UNINSURABLE RISK |
Risks for which it is
difficult for someone to get insurance. (See
Insurable risk)
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| UNINSURED MOTORISTS
COVERAGE |
Portion of an auto insurance
policy that protects a policyholder from uninsured and
hit-and-run drivers.
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| 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.
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| UTILIZATION REVIEW |
See
Medical utilization review
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V
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| VALUED POLICY |
A policy under which the
insurer pays a specified amount of money to or on behalf
of the insured upon the occurrence of a defined loss.
The money amount is not related to the extent of the
loss. Life insurance policies are an example.
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| VANDALISM |
The malicious and often random
destruction or spoilage of another person’s property.
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| VARIABLE ANNUITY |
See
Annuity
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| VARIABLE LIFE
INSURANCE |
A policy that combines
protection against premature death with a savings
account that can be invested in stocks, bonds, and money
market mutual funds at the policyholder’s discretion.
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| VIATICAL SETTLEMENT
COMPANIES |
Insurance firms that buy life
insurance policies at a steep discount from
policyholders who are often terminally ill and need the
payment for medications or treatments. The companies
provide early payouts to the policyholder, assume the
premium payments, and collect the face value of the
policy upon the policyholder’s death.
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| VOID |
A policy contract that for
some reason specified in the policy becomes free of all
legal effect. One example under which a policy could be
voided is when information a policyholder provided is
proven untrue.
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| VOLATILITY |
A measure of the degree of
fluctuation in a stock’s price. Volatility is
exemplified by large, frequent price swings up and down.
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| VOLCANO COVERAGE |
Most homeowners policies cover
damage from a volcanic eruption.
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| VOLUME |
Number of shares a stock
trades either per day or per week.
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W
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| 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.
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| WAR RISK |
Special coverage on cargo in
overseas ships against the risk of being confiscated by
a government in wartime. It is excluded from standard
ocean marine insurance and can be purchased separately.
It often excludes cargo awaiting shipment on a wharf or
on ships after 15 days of arrival in port.
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| WATER-DAMAGE INSURANCE
COVERAGE |
Protection provided in most
homeowners insurance policies against sudden and
accidental water damage, from burst pipes for example.
Does not cover damage from problems resulting from a
lack of proper maintenance such as dripping air
conditioners. Water damage from floods is covered under
separate flood insurance policies issued by the federal
government.
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| WEATHER DERIVATIVE |
An insurance or securities
product used as a hedge by energy-related businesses and
others whose sales tend to fluctuate depending on the
weather.
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| WEATHER INSURANCE |
A type of business
interruption insurance that compensates for financial
losses caused by adverse weather conditions, such as
constant rain on the day scheduled for a major outdoor
concert.
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| 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.
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| WORKERS COMPENSATION |
Insurance that pays for
medical care and physical rehabilitation of injured
workers and helps to replace lost wages while they are
unable to work. State laws, which vary significantly,
govern the amount of benefits paid and other
compensation provisions.
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| 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.
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| WRITE |
To insure, underwrite, or
accept an application for insurance.
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| WRITTEN PREMIUMS |
See
Premiums written
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| 401(K) PLAN |
An employer-sponsored
retirement savings plan funded by employee
contributions, which may or may not be matched by the
employer. Federal laws allow employees to invest pre-tax
dollars, up to a stated maximum each year.
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| 529 SAVINGS PLANS |
| State-administered plans
designed to encourage households to save for college
education. Named after a part of the Internal Revenue
tax code, these saving plans allow earnings to
accumulate free of federal income tax and sometimes to
be withdrawn to pay for college costs tax-free. There
are two types of plans: savings and prepaid tuition.
Plan assets are managed either by the state’s treasurer
or an outside investment company. Most offer a range of
investment options. |
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Brier Payne Meade, Topeka – (785) 233-1717 Brier Payne Meade, Kansas City – (913) 402-9576
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