A basic description of common insurance terms
Act of God
An accident or event that happens in extraordinary circumstances that could
not have been foreseen. For example any damage caused by a storm would
fall under the Act of God umbrella.
Actual Total Loss
There is an actual total loss where:
- the subject matter of insurance is completely destroyed
- it ceases to be a thing of the kind insured; or
- the insured is irretrievably deprived of it.
An actual total loss is a term most commonly used in motor insurance.
It would be used when a vehicle has been damaged beyond repair or when
a vehicle has been stolen and not recovered.
So actual total loss is where the insured risk no longer exists due
to damage, theft, loss etc.
All Risks
The term used to describe a policy covering fortuities generally, though
not inevitabilities such as wear and tear or depreciation. Sometimes
loosely used to describe a policy that covers a number of specified
risks, though not all.
All risks insurance is commonly used in property insurance and
commercial combined policies. It details a list of risks that are
covered under a policy.
All risks insurance is an extension of the fire & special perils
policy. Unfortunately, even though it is called 'all risks' it does
not cover the insured against everything, there will still be a number
of exclusions and conditions, but it sets a broader scope of cover.
Backdating
Backdating is where a policy will begin before the date the cover is issued.
For example, you buy a car and want to insure it from yesterday, that is
backdating.
Backdating insurance cover is illegal.
Backdating insurance is often associated with motor insurance. Motorists
who have been driving uninsured and want cover as they have had an
accident are usually the main culprits to try and convince their insurance
company to backdate insurance, and for this reason it is illegal to backdate
insurance cover.
It is also illegal if an insurance company issue a covernote before the
time of issue. So if you were writing a covernote now and issued it from
yesterday that would be illegal.
Cancellation and Curtailment
If your trip has to be cancelled due to unforeseen circumstances, then
your travel insurance policy will provide the necessary compensation.
By choosing a policy which provides protection against cancellation or
curtailment your policy provider will be able to protect you against the
following:
- Cancelled flights and bookings made by your travel provider.
- Cancelled trips due to illness, accident, injury and pregnancy.
- Unexpected events such as witness summons, jury service or even redundancy which may require you to cancel your holiday.
- Industrial strikes and bad weather which may upset your departure.
Some policies will reimburse your for any outstanding costs, if you are
required to cut short your trip to return home due to family illness or
death, or because your home has been damaged by flood, fire or storm.
As always check your policy to ensure that in the event of cancellation or
curtailment of your holiday you will receive full compensation.
Claim
Term used to recognise the process of a policyholder seeking compensation
in line with the terms and conditions of the insurance policy.
Compulsory insurance
Insurance that a person is obliged to effect. For example, a motorist is
required by the Road Traffic Act to have in force an insurance in respect
of liability for bodily injury to or damage to the property of third parties
arising out of the use of a motor vehicle on a road.
Compulsory insurance is where the law stipulates that a person, company or
organisation must hold a minimum amount of insurance.
The reason for compulsory insurance is so that in the event that a third
party is injured as a result of your negligence then they will be adequately
insured.
Contents Insurance
Type of home insurance used to cover the contents of the house, i.e.
items which can be physically removed from the building.
Employers Liability
An Act that made it obligatory for businesses to insure in respect of their
liability to employees for bodily injury or disease arising out of and in
the course of their employment.
Employers liability insurance is a compulsive policy that all companies must
have if they employ anyone.
The cover is compulsory so that if any of the employees decide to pursue
their employer for compensation they will definatley be able to get the
compensation.
An employee could sue their employer for a number of reasons, here are just
a few examples:
- Unfair dismissal
- Sexual discrimination
- Racism
Excess
An amount being the first part of the cost of a claim, which the insured
has to bear in accordance with the terms of the insurance. / The balance of
a risk that cannot be placed in an insurance market, so that additional
cover is needed.
An excess is simply the first amount payable by the insured of every claim.
For example, if you have a car and the excess is £250, if you have an
accident and the claim amount to be paid out is £2000 then the amount you
will receive will be minus the excess so, in this case, you would get £1750
as the excess will have been deducted.
Sometimes the excess is to be paid before a vehicle is taken out of the
mechanics garage.
Exclusion
This is something which is not covered by your insurance policy.
It may be a person, an item or an incident.
Index Linking
A system whereby your policy is updated automatically in line with the
rate of inflation so that you do not have to re-apply to purchase your policy.
Insurable Interest
Insurance requires for its validity that the insured shall be so related
to the subject-matter of the insurance that he will benefit from its survival
or will suffer from loss or damage to it or may incur liability in respect
of it. In the absence of such an interest, known as an insurable interest,
the insurance will be invalid. Everyone has an insurable interest in his
own life and spouses are deemed to have such an interest in the lives of
each other.
In order for a risk to be insurable the proposer must have an insurable
interest in the risk.
An example of insurable interest would be; in order to insure a car it would
need to be yours or a member of your families. You couldn’t insure your
neighbours car because if it gets stolen then you pose no financial loss.
Insurance Premium Tax
A special type of tax imposed by the government to be paid on all insurance
polices sold within the United Kingdom. This tax will usually be automatically
incorporated into the price of your policy.
Indemnify
The making good of a loss by means of a monetary payment. / An agreement
by one party to make good a loss sustained by the other party.
Indemnify means, basically, to be covered against insured risks.
For example: if you insure your car you will be indemnified against
certain risks.
Liability Insurance
Insurance in respect of liability to third parties, most commonly for
accidents resulting in bodily injury and damage to property.
Liability insurance is designed to cover your business so that if you are
sued for compensation you will insured.
For example: a mechanic might fix a vehicle's brakes but not connect them
properly, if the client has an accident as a result of the mechanics
negligence then they could sue the mechanic.
Liability insurance is designed so that if the above example happens
and a third party suffers a loss or is injured as a result of you or your
business's negligence and decides to sue you then you will be covered.
Loss
An event giving rise to a claim under an insurance.
A loss is where a risk has been damaged, stolen or lost.
For example: if you insure a mobile phone and drop it down the loo
and it's damaged beyond repair then that is a 'loss'. It's the same if the
mobile phone is stolen, it then becomes a loss.
Loss Assessor/Adjuster
One who, acting predominantly on the instructions of insurers, is habitually
employed in a professional capacity in the negotiation and settlement of
loss by fire or other contingencies.
A loss assessor is nearly the same thing as a loss adjuster, the main
difference is that a loss assessor works on the behalf of a client whereas
a loss adjuster works on behalf of an insurer.
A loss assessor/adjuster basically works on behalf of their clients'
and asses how much damage a risks has sustained to enable them to see how
much compensation the insured should receive.
For example: if you’re a manufacturer and your warehouse burns down a loss
assessor will come to your property and asses the damage and see what isn't
damaged and what can be saved etc. then they will give you an indication
of the compensation that you should receive.
Material Facts
A fact that would influence the mind of a prudent insurer in deciding
whether to accept a proposed insurance and, if so, on what terms.
A material fact is any fact or circumstance which would affect the judgement
of an insurer in considering:
- whether or not to accept the risk
- if willing to accept the risk, at what rate of premium and on what terms and conditions.
For example: in the case of motor insurance, a speeding conviction is a
material fact as it could influence the rating of a risk.
Facts that lessen the risk do not need to be disclosed, only risks that
would make the chance of a claim higher.
For example: if you have professional indemnity insurance and you forget
to disclose a degree in IT, that could lessen the risk so an insurance
company would not need to know.
Some material facts do not need to be disclosed:
- facts of law;
- facts of public knowledge;
- facts that lessen the risk;
- facts where the insurer has waived its rights;
- facts that a survey should have revealed; and
- facts that the insured does not know.
Medical and Health Cover
It is essential that your travel policy provides ample cover for medical
and health cover. It is recommended that protection is for at least
£1 million. This will provide protection for all emergency treatment,
hospitalisation and repatriation in the event that you are injured.
Negligence
The omission to do something which a reasonable man, guided upon those
considerations which ordinarily regulate the conduct of human affairs,
would do, or doing something which a prudent and reasonable man would not do.
It consists in a failure to exercise due care in a case in which a duty to
take good care exists. It is a tort giving rise to civil liability.
Negligence is where an act that someone does, or forgets to do, gives rise
to an accident.
No Claims Bonus (NCB)
A discount allowed from a renewal premium in consideration of there
having been no claim paid or payable in the previous year of insurance.
The use of no-claim discounts is widespread in U.K. motor insurance.
Most are granted on a scale that rises with the number of consecutive
claim-free years.
A no claims bonus is a discount that is applied at renewal of a policy to
lessen the premium. A no claims bonus is awarded if there have been no
claims made in a full year.
For example: if you are a motorist and you have not had any accidents for
3 years then you will receive a no claims bonus of 3 years.
Old for New
A common term used to indicate that an item lost or stolen will be replaced
with a new item or its present day equivalent, rather than replacing it with
the same old model.
Peril
A possible cause of loss, such as fire.
A peril is a possible cause for a loss in insurance.
For example: if you insure a car, the car is the subject (risk). A peril
would be fire, theft, malicious damage etc.
So if you insure a house and it is damaged by fire then you could say it
was damaged by a peril. If a risk is insured against fire and theft then
fire and theft are the perils.
Personal Belongings
Protection for the loss or damage of any luggage or articles worn whilst travelling.
It is the norm for there to be a limit of around £500 for money and a similar
upper maximum for protection of a single item, though these limits can usually
be extended. The total cover for personal belongings tends not to
exceed £1,500 for a full claim.
Personal Liability
Personal Liability within a holiday insurance policy will provide protection
against any injury or damage which may occur to others or their property.
It is always a good idea to check that your policy provides personal
liability cover, otherwise you will be responsible for any accidental
damage you may cause. This is particularly important if you are travelling
throughout North America where there is a greater culture of following up
personal liability claims.
Policy
The document outlining the terms and conditions of the insurance agreement
you have between the insured and the insurer.
Policyholder
This is the person who is insured and to whom the insurance policy refers.
Premium
The consideration payable by the insured for an insurance. / The excess
over the original value of a thing or over its par value.
A premium is a cash sum made payable in exchange for cover.
So if your insurance cost is £500 then that is the insurance premium.
Proximate Cause
A proximate cause is the first event in a chain of events that gives rise
to a claim.
For example: if a car is driving along and swerves to prevent itself
hitting a dog and that then causes damage to a lamp post and 5 other
cars then the car that swerved is the proximate cause.
So a proximate cause is the initial event in a chain of events.
Public Liability
The insurance of liability for accidental bodily injury or damage to the
property of third parties.
Public liability insurance is designed to cover businesses so that if a
member of the public sues them as they feel they have suffered a loss
then they will be insured.
For example: if a manufacturer is showing customers round the factory and a
client slips over on some oil on the floor then they will be able to sue
the manufacturer. Public liability insurance will pay out the compensation
of whatever damages are awarded.
Public liability insurance typically has a limit of cover, usually it comes
in various levels from £1 million – £100 million.
Sum Insured
Signifies the total amount which the property or item is insured for.
The sum insured is the highest amount that an insurer will pay out in
the event of a claim.
Underinsurance
Occurs when a property or item has been underinsured and the policy would
not cover the insured property or items sufficiently to be reimbursed.
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