AABD:
Aid to the Aged, Blind and Disabled: See Public Assistance:
AAI:
See Alliance of American Insurers:
AAIS:
See American Association of Insurance Services:
AB:
Aid to the Blind: See Public Assistance:
AFDC:
Aid to Families with Dependent Children: See Public Assistance:
AIA:
See American Insurance Association:
APTD:
Aid to the Permanently and Totally Disabled: See Public Assistance:
ARIA:
See American Risk and Insurance Association:
ARM:
See Associate in Risk Management:
"A" (or Judgment) Rates:
Rates that are not backed up by loss experience statistics: They
are based on the judgment of the underwriter on an individual
risk basis:
Absolute Assignment:
Assignment by a policy owner of all control of and rights in the
policy to a third party:
Accident:
An unplanned event, unexpected and undersigned, which occurs suddenly
and at a definite place: See also Occurrence:
Accident Frequency:
The rate of the occurrence of accidents, often expressed in terms
of the number of accidents over a period of time: It is one method
used for measuring the effectiveness of loss prevention services:
Contrast with Accident Severity:
Accident Prevention:
See Loss Prevention Service:
Accident Severity:
A measure of the severity or seriousness of losses, rather than
the number of losses: It is measured in terms of time lost from
work rather than the number of individual accidents: It is another
way of measuring the effectiveness of loss prevention services:
Contrast with Accident Frequency:
Accident Year Experience:
Measures premiums and losses relating to accidents which occurred
during a 12-month period:
Accidental Bodily Injury:
An injury sustained accidentally: Only the result need be accidental:
Contrast with Accidental Means:
Accidental Means:
Unexpected or undesigned cause of an accidental bodily injury:
Under a definition of accidental means, the mishap itself must
be accidental, not just the resulting injury: An example would
be an individual chopping wood: If the axe slipped out of his
hand and cut his foot, it would have been accidental means: However,
if his finger got in the way of the axe, it would not have been:
Accommodation Line:
Business accepted from an agent or broker which would normally
be rejected according to strict underwriting standards but which
is accepted because of the overall profitability of the agent's
or customer's other business: As an example, an insurer might
accept coverage on property that would not normally meet its underwriting
standards, if the other lines of insurance which it carries for
the customer were profitable:
Account Current:
A monthly financial statement provided to an agent by an insurer
showing premiums written, cancellations, endorsements, and commissions:
Accumulated Earnings Tax:
A tax penalty which is imposed on corporate earnings which are
retained by the corporation for non-business related needs:
Acquisition Cost:
The expenses incurred by an insurer or reinsurance company that
are directly related to putting the business on the books of the
company: The largest portion of this cost is usually the agent's
or sales representative's commission or bonus:
Act of God:
An event arising out of natural causes with no human intervention
which could not have been prevented by reasonable care or foresight:
Examples are floods, lightning, and earthquakes:
Actual Cash Value:
An amount equivalent to the replacement cost of lost or damaged
property at the time of the loss, less depreciation: With regard
to buildings, there is a tendency for the actual cash value to
closely parallel the market value of the property: See also Market
Value:
Actuarial:
Having to do with insurance mathematics:
Actuary:
A specialist trained in mathematics, statistics, and accounting
who is responsible for rate, reserve, and dividend calculations
and other statistical studies:
Additional Insured:
A person other than the named insured who is protected under the
terms of the contract: Usually, additional insureds are added
by endorsement or referred to in the wording of the definition
of "insured" in the policy itself:
Adhesion:
This is a characteristic of a unilateral contract which is offered
on a "take it or leave it" basis: Most insurance policies
are contracts of "adhesion," because the terms are drawn
up by the insurer and the insured simply "adheres:"
For this reason ambiguous provisions are often interpreted by
courts in favor of the insured: Contrast with Manuscript Policy:
Adjuster:
A representative of the insurer who seeks to determine the extent
of the firm's liability for loss when a claim is submitted: Same
as Claim Representative:
Adjustment Bureau:
A firm organized to provide adjustment services to insurers not
wishing to create their own claims division:
Admitted (or Allowed) Assets:
Assets whose values are permitted by state law to be included
in the annual statement of the insurer:
Admitted Company:
An insurance company authorized and licensed to do business in
a given state:
Advance Payment:
Premiums paid in advance of the current policy period, including
the amount tendered with an application by an applicant for Life
Insurance:
Advance Premium:
See Deposit Premium:
Adverse Selection:
The tendency of poorer than average risks to buy and maintain
insurance: Adverse selection occurs when insureds select only
those coverages that are most likely to have losses:
Adverse Underwriting Decision:
Any decision involving individually underwriting insurance coverages
resulting in termination of existing insurance, declination of
an application, or writing the coverage only at higher rates:
For property and casualty insurance, it also includes placing
the coverage with a residual market mechanism or an unauthorized
insurer:
Age Limits:
The ages below which or above which an insurer will not write
certain forms of insurance or above which it will not continue
a policy presently in force:
Agency:
An insurance sales office which is directed by a agent, manager,
independent agent, or company manager:
Agency Company:
An insurance company that produces business through an agency
network: Contrast with Direct Writer:
Agency Contract (or Agreement) :
The document which establishes the legal relationship between
an agent and an insurer:
Agency Plant:
The total force of agents representing an insurer:
Agent:
One who solicits, negotiates or effects contracts of insurance
on behalf of an insurer: His right to exercise various functions,
his authority, and his obligations and the obligations of the
insurer to the agent are subject to the terms of the agency contract
with the insurer, to statutory law, and to common law::
Agent, Policywriting:
See Policywriting Agent::
Agent's Appointment:
Official authorization from an insurance company granting an agent
the authority to act as its agent: In most states, agents must
be appointed by at least one insurer in addition to being licensed
by the state:
Agent's Authority:
The authority and power granted to an agent by the agency contract:
The agent is also clothed with additional power under the legal
concept of apparent agency: See also Apparent Agency:
Agent's Balance:
A periodic statement of the sums due and owed to an agent under
the agent's contract with an insurer:
Agent's Commission:
The method by which an agent is compensated for placing insurance
with a company that he represents: The commission is usually a
percentage of the premium for the policy: See also Commission:
Agent's License:
A certificate of authority from the state which permits the agent
to conduct business:
Agent's Qualification Laws
Education, experience, and other requirements imposed by the state
upon persons desiring to be licensed as agents:
Aggregate Limit:
Usually refers to Liability Insurance and indicates the amount
of coverage that the insured has under the contract for a specific
period of time, usually the contract period, no matter how many
separate accidents may occur:
Aleatory Contract:
A contract in which the number of dollars to be given up by each
party is not equal: Insurance contracts are of this type, as the
policyholder pays a premium and may collect nothing from the insurer
or may collect a great deal more than the amount of the premium
if a loss occurs:
Alien Insurer:
An insurer formed under the laws of a country other than the United
States: A U:S: company selling in other countries is also an alien
insurer:
Alienated:
In insurance, this term describes property that an insured no
longer owns or holds title to: Generally a Public Liability policy
will cover the insured's liability for premises alienated by him:
Alliance of American Insurers (AAI):
An association of insurance companies working together in the
following areas of common interest: (1) Government affairs affecting
insurance; (2) Education of the employees of member companies;
(3) Loss prevention, and (4) Other insurance activities:
All-Risks Insurance:
The term "All-Risks Insurance" is used to mean insurance
against loss of or damage to property arising from any fortuitous
cause except those that are specifically excluded: An insurance
contract which provides All-Risks Insurance is an All-Risks policy:
Contrast with Named Perils: +++++
Ambiguity:
Terms or words in an insurance policy which make the meaning unclear
or which can be interpreted in more than one way: The rule of
law is that any ambiguity in the policy is construed against the
insurer and in favor of the insured: This is because the contract
is one of adhesion; that is, the insured must adhere to what the
insurer has written: If the insurance does not make its contract
clear, it is responsible:
Amendment:
A formal document which corrects or revises an insurance master
policy: See also Endorsement and Rider:
American Academy of Actuaries:
A society concerned with the development of education in the field
of actuarial science and with the enhancement of standards in
the actuarial field: Members may use the designation MAAA (Member,
American Academy of Actuaries):
American Agency System:
See Independent Agency System:
American Association of Insurance Services
(AAIS):
An association of insurance companies performing various technical
functions for its member and subscribers: AAIS is licensed to
operate in all states, the District of Columbia, and the Commonwealth
of Puerto Rico: AAIS offers program services, files rates, rules
and forms on behalf of member and subscriber companies, acts as
an official statistical agent, and offers a variety of professional
services for its member companies:
American Institute for Property and Liability
Underwriters, Inc:
An insurance educational organization which establishes insurance
standards and fosters educational work: Properly qualified individuals
who pass a series of examinations given by this body receive the
designation Chartered Property and Casualty Underwriter (CPCU):
American Insurance Association (AIA):
The informational, educational, technical and legislative organization
of the capital stock insurance companies in the Property and Liability
fields::
American Risk and Insurance Association:
An association of insurance educators and others interested in
insurance study and research:
Amortized Value:
The value of bonds purchased by an insurance company which are
eligible for amortization: For example, if a 10-year bond were
purchased at $50 more than its face value, that $50 would be "amortized"
or spread over the 10-year period: Each year the bonds would be
valued at $5 less than the year before:
Annual Statement:
A report to the state insurance department of the year's financial
results: The insurer's income and expenses are stated in detail
as well as its assets and liabilities:
Anti-Coercion Law:
A provision usually contained in a section of the state code entitled
"Unfair Trade Practices" or a similar name, declaring
the use of coercion to be an unfair practice and, hence, a violation
of the state law:
App:
A trade expression for the insurance application: See Application:
Apparent Authority:
Authority of an agent that is created when the agent oversteps
actual authority, and when inaction by the insurer does nothing
to counter the public impression that such authority exists:
Application:
A form on which the prospective insured states facts requested
by the insurer on the basis of which, together with information
from other sources, the insurer decides whether to accept the
risk, modify the coverage offered, or decline the risk: See App:
Apportionment:
The method of dividing a loss among insurers in the same proportions
as their participation when two of more companies cover the same
loss:
Appraisal:
An evaluation of property made to ascertain either the appropriate
amount of insurance to be written or the amount of loss to be
paid:
Approved:
The condition which exists when the person or object to be insured
meets the underwriting standards of the insurer:
Approved Roof:
A term used in building construction: It indicates a roof made
of fire-resistive materials, such as tile or asphalt shingles:
Assessed Value:
The value of real estate or personal property as determined by
a governmental unit, such as a city, for the purpose of determining
taxes:
Assessment Company, Society or Insurer:
An insurer who retains the right to assess policyholders additional
amounts if premiums are insufficient for operations: In some cases,
an assessment insurer may not charge a stipulated premium at all
but will merely assess participants in the plan a pro rata share
of each claim filed plus expenses:
Assets:
The items on the balance sheet of the insurer which show the book
value of property owned: Under state regulations, not all property
or other resources can be admitted in the statement of the insurer:
This gives rise to the term "nonadmitted assets:" See
also Nonadmitted Assets:
Assigned Risk:
A risk which is not ordinarily acceptable to insurers and which
is, therefore, assigned to insurers participating in an assigned
risk pool or plan: Each participating company agrees to accept
its share of These risks:
Associate in Risk Management:
A professional designation granted by the American Institute for
Property and Liability Underwriters to those who have completed
a series of examinations:
Attorney-In-Fact:
The individual who manages a reciprocal insurance exchange and
to whom each subscriber gives authority to exchange insurance
for him with other subscribers: See also Reciprocal Insurance
Exchange:
Audit Bureau:
A stamping office: A central office or bureau to which agents
and companies send certain daily reports and endorsements for
auditing before transmittal to the insurer:
Authorization:
The amount of insurance an underwriter says he will accept on
a risk of a given class on specific property: It is given for
the guidance and information of agents:
Authorized Insurer:
An insurer authorized by the state to transact business in that
state for specific types of insurance:
Automatic Cover:
Coverage given automatically by a policy, usually for a specified
period and limited amount, to cover increasing values and newly
acquired and changing interests:
Avoidance
of Risk:
Taking steps to remove a hazard, engage in an alternative activity,
or otherwise end a specific exposure: One of the four major risk
management techniques: See Risk Management: |