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property and casualty
set of study flash cards
61
Other
Beginner
08/09/2017

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Cards

Term
state commissioner ( or Director of Insurance)
Definition
chief insurance regulator who protects the insuring population by regulating all insurers and insurance professionals doing business in the state.
Term
Stock insurance company
Definition
issues non-participating policies and is owned by stockholders who received taxable dividends as a return profit
Term
Mutual insurance company
Definition
issue participating policies and is owned by the policyholders who receive non-taxable dividends as a return of unused premium.
Term
Reinsurance
Definition
the transfer of risk between companies.
Term
Domicile
Definition
refers to the state in which an insurer is incorporated.
Term
Domestic insurer
Definition
is organized under the laws of the resident state.
Term
Foreign insurer
Definition
is organized under the laws of another state within the United States.
Term
Alien insurer
Definition
is organized under the laws of a country outside of the United States.
Term
Admitted insurer
Definition
is authorized to do insurance business in the state and is issued a certificate of authority by the state's Department of Insurance.
Term
Underwriting Department
Definition
the underwriting department of an insurance company is responsible for the selection of risks to insure and determines the rate to be charged.
Term
Agent/ Producer
Definition
can be the employee of an insurance company that owns the agent's book of business, or independent agent that enters into the a agency agreements with more than one insurance company. Independent agent retains ownership of the books of business.
Term
Law of Agency
Definition
is a three-party relationship where an insured ( principal ) authorizes an agent to act on behalf and create a legal relationship with a third party.
Term
risk
Definition
the uncertainty of a loss
Term
peril
Definition
the cause of a loss
Term
hazard
Definition
increases the probability of a loss
Term
what are the three types of  hazards?
Definition
physical, moral, and morale.
Term
principle of indemnity
Definition
does not allow the insured to profit from a loss; instead, it it restores the insured to the same financial or economic condition that existed prior to the loss.
Term
insurable interest
Definition
( in P&C Insurance ) Must exist at the time of the loss.
Term
insurance contract
Definition
is one of adhesion; on party ( the insurer ) prepares the contract and presents it to the second party ( the insured) , who must accept it on a "take it or leave it" basis.
Term
underwriting factors
Definition
used to determine premium, includes the nature of the risks, hazards , claims territory, and the other factors that vary depending upon the risk.
Term
occurrence
Definition
accident , which includes continuous repeated exposure to the same general harmful conditions.
Term
pro-rata
Definition

proportional / proportionally 

 loss payment provision requires each insurer to pay its share of a loss in proportion to the coverage of that policy as it relates to the coverage specified for a liability.(if an insurer cancels a policy before it's expiration date the refund is made on a pro-rata basis.)

Term
friendly fire  vs. hostile fire
Definition
friendly fire burns/ stays within its intended boundaries whereas a hostile fire burns outside the intended boundaries.
Term
deductible
Definition
is the specified amount of each loss that the insured must bear. a larger deductible reduces the premium and the submission of smalls claims.
Term
direct loss
Definition
causes damage without an intervening cause, and the indirect loss occurs as a consequence of a direct loss.
Term
named perils policy
Definition
specifically lists the covered perils ( causes of loss) and an open perils policy covers all perils except those specifically excluded.
Term
replacement value
Definition
the cost to replace the property with alike kind and quality , at current pricing, without a deduction for depreciation .
Term
actual cash value
Definition
is the replacement value of property minus depreciation.
Term
valued policy
Definition
requires the insurance company to pay the total scheduled limit of insurance for a total loss.
Term
specific limit policy
Definition
insures a single item on a single policy for a single limit of insurance.
Term
scheduled limit policy
Definition
insures one or more items on a single policy and each item is insured at a scheduled limit of insurance.
Term
blanket limit policy
Definition
insures multiple items of property on a single policy with one limit of insurance applying to all insured property.
Term
declarations page
Definition
describes basic information about the policy
Term
insuring agreement
Definition
is the insurer's promise to pay the insured
Term
subrogation provisions
Definition
states that the insured's obligation to transfer to the insurance company it's right of recovery against any party causing a loss after it accepts payment from the insurer for a loss.
Term
exclusion
Definition
perils that are not covered by the/a policy
Term
additional coverages
Definition
are automatically included in property policies without an additional premium and includes items such a debris removal, collapse, and fire department service charges.
Term
coinsurance
Definition
is a common property policy provision that requires the insured to maintain a certain limit of insurance coverage in order to avoid a penalty in the event of a partial loss .
Term
vicarious liability
Definition
is assigned to one party for the conduct of another, based solely on a relationship between the two.
Term
compensatory damages
Definition
are awarded to an injured party for actual loss sustained.
Term
special damages
Definition
are compensatory damages for tangible expenses such as bills, loss of earnings, and the costs to repair or replace damaged property.
Term
general damages
Definition
are compensatory damages for pain, suffering, mental anguish, disfigurement, and similar types of losses that cannot be objectively calculated.
Term
bodily injury liability
Definition
is the legal liability arising from physical injury , including sickness, disease and death caused by the acts of or omissions of the insured. expenses also include medical bills, lost wages, mental anguish , disfigurement, and pain and suffering.
Term
property damage liability
Definition
pays for the legal liability arising from physical damage to tangible property, including loss of use of that property, caused by the acts of the insured. expenses include the actual cost of repair or replacement of the damaged property as wella s the inability to use damaged property ( loss of use)
Term
medical payments coverage ( medpay)
Definition
pays for the necessary medical , surgical , x-ray, dental, ambulance, hospital , professional nursing, and funeral expenses incurred by a third party on the insured's premises regardless of fault.
Term
personal injury liability
Definition
is the legal liability arising from wrongful conduct of the insured resulting in injuries to one's mental or emotional well being and not bodily or property damage.
Term
accident
Definition
sudden unforeseen , unintended , and unplanned event from which loss or damage results
Term
negligence
Definition
specifically, the failure to use the same degree of care a reasonable and prudent person would use when given the same knowledge and set of circumstances .
Term
contributory negligence
Definition
is a defense for negligence in which the claimant was also negligent to any degree.
Term
comparative negligence
Definition
involves fault on the part of all parties and the damages are reduced in proportion to the degree of negligence.
Term
absolute liability
Definition
a claimant does not have to prove fault in order to collect damages.
Term
strict liability
Definition
applies when a manufacturer is held liable whether or not its product was defective to the degree of negligence.
Term
excess policy
Definition
pays a covered claim after the primary policies exhaust their limits or deny coverage.
Term
limit of liability
Definition
is the dollar amount of coverage specified for liability loss.
Term
aggregate limit
Definition
is the maximum amount of payable for loss per location or per person from all occurrences within a policy period regardless of the number of separate accidents.
Term
split limit of liability
Definition
is the amount of coverage divided between bodily injury and property damage .
Term
combined single limit
Definition
is the policy limit applied to either bodily injury or property damage as needed or in any combination.
Term
how can you be eligible for the dwelling property program ?
Definition
dwellings must be used principally for residential purposes, cannot contain more than 4 dwelling units, and can have no more than 5 roomers/ boarders.
Term
DP-1  Basic Form perils?
Definition
fire or lightning and internal explosion. If an additional premium is paid for extended coverage , the following perils are also included : windstorm or hail, explosion, riot or civil commotion , aircraft, vehicles, smoke, and volcanic eruptions. the perils of vandalism or malicious mischief may also be included with additional premium.
Term
true or false- losses to the dp-1 dwelling, other structures, and their contents are paid on an actual cash basis to the insured?
Definition
true
Term
DP-2 Broad Form
Definition
perils the DP-1 perils, the EC perils, vmm, and damage by burglars, falling objects, weight or ice snow or sleet, and accidental discharge or overflow of water or steam.
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