Glossary of
Insurance Terms...
S thru Z
RPM was established over a century ago with the idea
that buying insurance doesn't have to be frustrating,
complicated or expensive.
Below is a glossary of insurance terms to help you
navigate some of the insurance jargon.
The information presented may not apply or may not included inyour specific
insurance policy. Please contact us or your insurance carrier to verify coverage
provided on your specific insurance policy or policies you are contemplating
purchasing.

Entries
Under "S" SIG -
A self-insured group. An SIG is a group of risks,
usually sharing common characteristics or exposures,
that join together in order to generate enough
premium volume to justify self-insuring themselves.
Members of an SIG often are jointly and severally
liable for the losses of one another. Safe
driver plan - Merit rating of automobile
insurance. In most states drivers are charged
with "points" for (moving) traffic
violations and auto accidents. These points translate
to surcharges on the drivers insurance
rates. Salvage -
When an insurer makes a payment for lost or damaged
property, the insurer is entitled to the salvage
of that property. Schedule -
List of items on a policy declaration, sometimes
also showing descriptions and values. Seasonal
risk - A risk that is present only during
certain parts of the year. For example: seasonal
dwellings such as cottages used for vacations. Self-insurance -
An insurance-like strategy for handling ones
own exposures to loss supported by the financial
wherewithal to meet expected losses. Not to be
confused with a decision to forego insurance. Self-Insured
Retention (SIR) - That portion of pure risk
an insured undertakes to handle on his or her
own. A deductible is a form of self-insured retention. Selling
price clause - Applicable to the value of
goods which have been damaged or destroyed by
an insured peril. This clause insures the profit
that would have been earned if the goods had
been sold. It sets the insurable value of the
property that has been sold, but not delivered,
at the amount at which it was sold, less any
charges not incurred. Severability -
A provision that insurance applies separately to
each insured under the policy. Shock
loss - Name given to any large loss that
impacts an otherwise profitable book of business. Short
rate cancellation, see Cancellation. Short
tail - Additional coverage that may be purchased
under a claims-made policy that responds to losses
that may have occurred during a policy period,
but are not reported until after the end of the
policy period. Usually available for no longer
than a year. Sidetrack
agreement - The contract between a business
and a railroad wherein a railroad builds a track
onto the businesss property to facilitate
shipping, and the business agrees to release
the railroad from liability. Sine
Qua Non Rule - A legal rule stating that
a persons conduct cannot be held to be
the cause of a loss if the loss would have occurred
anyway. Single
interest policy - A policy that insures the
interest of only one party in property where
there are a number of parties having an insurable
interest. Sinkhole
peril - Risk of loss by collapse of a "sinkhole." This
is now covered as a basic cause of loss in commercial
property policies. Sistership
exclusion - An exclusion in products insurance
that eliminates coverage for the withdrawal or
recall of products. Sliding
scale dividend plan - Often used with workers
compensation insurance, dividend plans are established
as a means of returning a portion of the premium
to the policyholder if losses are better than
expected and the insurance company board of directors
declares a dividend. In a sliding scale plan,
the amount of the potential dividend slides up
or down according to the loss experience. Dividends
cannot be guaranteed; they are paid upon declaration
by the insurers board of directors. Slip -
At Lloyds of London, a document that identifies
which syndicates are participating on a risk and
for what percentage. Smoke
damage - An Extended coverage peril. Society
of Chartered Property & Casualty Underwriters -
Professional society of those having attained
the CPCU designation. (See CPCU.) Soft
costs and rents - Related to builders risk
insurance, these are the necessary expenses that
are incurred because a building project is delayed
as the result of a covered property loss. Included
are expenses such as increases in architectural
fees, loss of rents because the project completion
date is later than planned, increased interest
expense, etc. Soft
market - A term given to a condition in which
insurance is relatively inexpensive and easy
to obtain. Solicitor -
An employee of an insurance agent or agency who
is empowered to sell insurance on behalf of a licensed
agent, generally using only those insurers that
the agency represents. A solicitor usually does
not have binding authority, and the business that
is generated by a solicitor usually is owned by
the agent, not the solicitor. Solvency -
Insurers must have sufficient assets (capital,
surplus, reserves) in order to satisfy statutory
financial requirements (investments, annual reports,
examinations) and to meet liabilities. Special
agent - An insurers representative
in a territory. He or she serves as a liaison
between the insurer and the agent. The special
agent is responsible for the volume and quality
of the business written in that territory. Some
states require a special license of special agents.
Special form - In contrast to the named perils
forms in property insurance, those forms that
list specific perils for coverage, the special
form contract covers simply risk of direct physical
loss, relying on exclusions to limit and define
the protection intended. See Open perils. Specific
excess reinsurance - Another term for per
occurrence/per loss excess reinsurance. Specific
insurance - An insurance policy that covers
only property specifically described in the policy,
as opposed to blanket insurance, which usually
covers all property at specified locations. Specimen
policy form - Specimen policy forms often
are requested when non-standard coverage forms
are being used. The specimen form may be reviewed
to determine the actual policy provisions before
coverage is bound. Speculative
risk - Risk which entails a chance of gain
as well as a chance of loss. Contrast with Pure
risk. Split
limits - As in auto insurance, where rather
than one liability amount applying on a per-accident
basis, separate amounts apply to bodily injury
and property damage liability. Sprinkler
leakage insurance - Insurance that covers
damage due to the accidental discharge from an
automatic sprinkler system. Stacking
of limits - The application of the limits
of one or more insurance policies to a claim
or loss. Standard
fire policy, see New York Standard Fire Policy. Stated
amount - Amends the valuation clause on a
policy to include an amount that is "stated" as
the value of the item(s) being insured. Usually,
these policies pay the lesser of the ACV of the
damaged property, the cost of repairing or replacing
the property, or the stated amount. Statutory
Accounting Principles (SAP) - Statutorily
mandated accounting principles and practices
that must be followed when an insurance company
submits its annual financial statement to the
department of insurance. In contrast to Generally
Accepted Accounting Principles (GAAP) which are
followed by most other businesses. Steam
boiler explosion, see Boiler & machinery
insurance. Stop
loss - A provision in an insurance policy
that cuts off an insurers losses at a given
point. In effect, a stop loss agreement guarantees
the loss ratio of the insurer. Strict
liability - Liability ascribed to a manufacturer
or seller of a defective or dangerous product
regardless of any fault or negligence. Subrogation -
The right of one party who has paid for the loss
of a second party to obtain recompense from the
third party who is responsible for the loss. For
example, an insurance company becomes "subrogated" to
the rights of its insured to the extent of the
insurers payment for collision damage caused
by the negligence of the other driver. Subsidence -
A form of earth movement, excluded in most property
policies. Substandard
risk - A risk falling outside normal underwriting
standards. If written at all, it is usually with
a substantial premium surcharge. Sue
and labor clause - A marine insurance clause
comparable to removal in property insurance. Superfund -
The better-known name for the Comprehensive Environmental
Response, Compensation, and Liability Act (CERCLA)
passed by Congress in 1980. Under this law, parties
found responsible for polluting a site must clean
up the contamination or reimburse the EPA for doing
so. Liability is strict, retroactive, joint and
several. Superintendent
of Insurance - In some states the Commissioner
of Insurance is known as the Superintendent. Supplemental
extended reporting period - An optional reporting
period that allows coverage for liability claims
made after the policy period. Surety,
see Bond. Surety
Association of America (SAA) - A voluntary,
non-profit, unincorporated association that is
licensed as a rating or advisory organization
for surety and fidelity insurance in all states,
D.C., and Puerto Rico. The SAA handles statistical
information, filings, publications, and surety
and fidelity bonds. Surface
water - Commonly known as water on the surface
of the ground usually created by rain or snow,
which is of a casual or vagrant character, following
no definite course and having no substantial
or permanent existence. Some insurance policy
may include surface water as a covered peril
but exclude "flood" when defined as
the overflowing of water from its natural boundaries,
such as a lake or river. Surplus -
The amount by which an insurers assets exceed
its liabilities. Surplus
lines, see Excess & surplus lines market. Surplus
share reinsurance - A type of pro-rata or
proportional reinsurance agreement under which
the insurer and reinsurer agree to share a predetermined
portion of all insurance, premium, and losses.
The primary insurers retention in a surplus
share agreement is stated as a dollar amount
of the amount insured. Syndicate -
An association of insurers that work together to
insure an especially large or hazardous risk. Also
see Pool.
Entries
Under "T" TPA -
Third party administrator. A TPA is a contractor
that adjusts and administers insurance claims. Tail
coverage - Coverage for claims made after
a claims-made liability policy has terminated;
the extended reporting or discovery period. See
Nose coverage. Temporary
worker - An employee hired on a short term,
often seasonal, basis. Tenants
improvements and betterments, see Improvements
and betterments. Third
party - An outsider; a business or personal
invitee or a party with absolutely no connection
to an insured who may become a claimant under
a form of public liability coverage because of
injury or property damage alleged to have been
caused by the negligence of the insured. Threshold
level - The point at which an injured person
may bring tort action under a modified No-Fault
Auto Plan. Many no-fault plans only allow tort
action for pain and suffering after medical bills
exceed some figure, like $1,000; or if disfigurement
or death occurs. Tight
market, see Hard market. Time
element coverage - Insurance in which the
element of time has heavy bearing on the extent
of loss. Business income insurance covers loss
of income for the unknown duration of the insureds
business interruption. Title
insurance - Insurance that indemnifies the
owner of real estate in the event that someone
challenges his or her ownership of property,
due to the discovery faults in the title. Tort -
A wrong for which a civil (as opposed to criminal)
action can be brought. Many tort claims arise from
negligence. Trailer
interchange agreement - An arrangement among
truckers whereby trailers may be moved along
by the tractors of one or more parties to the
agreement. Transfer
of risk - A basic underlying principle of
insurance, whereby the risk of financial loss
is transferred from one party to another. Treaty
reinsurance - An agreement in which the ceding
company agrees in advance to cede certain classes
of business or types of insurance to a reinsurance
company. The reinsurer agrees to accept all risks
or losses that fall within the terms of the agreement. Twisting -
The practice of inducing by misrepresentation,
or inaccurate or incomplete comparison, a policyholder
in one company to lapse, forfeit or surrender his
insurance for the purpose of taking out a policy
in another company.
Entries
Under "U" Umbrella
liability - A liability contract with high
limits covering over top of primary liability
coverages and, subject to a self-insured retention
(deductible), covering exposures otherwise uninsured. Underground
Storage Tank (UST) - Tanks sunk in the ground
that are used to store or dispose of gasoline
or other fuels, hazardous chemicals, or other
pollutants or contaminants. Underinsured
motorists coverage - Coverage for the insured
and passengers whenever the at-fault driver in
an accident has auto liability insurance with
lesser limits than the insureds. This coverage
lies atop "uninsured motorists coverage" or
atop the at-fault drivers low limit automobile
liability insurance and provides the insured
and passengers with protection equal (usually)
to the insureds own automobile liability
cover. Underlying
insurance policy - The policy providing initial
coverage for a claim until its limit of liability
is reached and an umbrella or excess policys
coverage is triggered. Underlying
limits - The limits of liability of the policy(ies)
underlying an umbrella or excess policy. Underwriter -
One who researches and then accepts, rejects, or
limits prospective risks for an insurance company. Underwriters
Laboratories, Inc. (UL) - Originally begun
as a cooperative of western fire insurers to
test materials, the UL is now an independent
organization testing virtually every fabricated
device and material. Items are permitted to bear
the UL seal of approval only after they have
passed stringent testing for safety. Unearned
premium - That portion of an insurance premium
that would have to be returned to the insured
if the policy were cancelled. Unilateral
contract - A contract such as an insurance
policy in which only one party to the contract,
the insurer, makes any enforceable promise. The
insured does not make a promise but pays a premium,
which constitutes his part of the consideration. Uninsurable
risk - An uninsurable risk is one that is
literally uninsurable because loss is certain
rather than possible. Uninsured
motorists coverage - Coverage for the insured
and passengers whenever the at-fault driver in
an accident has no auto liability insurance.
Coverage is usually to the extent of limits required
by state auto financial responsibility laws. United
States Longshore and Harbor Workers Compensation
Act (USL&H) - A compulsory law administered
by the Department of Labor that covers injuries
to employees on vessels or drydocks. Unsatisfied
judgment fund (UJF) - In some states a person
who is injured in an automobile accident and
who cannot collect from the person responsible,
may collect from a special fund (UJF).
Entries
Under "V" Vacant
property - Once defined as devoid of occupants
or contents, a stricter definition is being applied
as more and more communities find older buildings
of three and four stories that are only one quarter
occupied. Property policies impose limitations
on coverage of "vacant" buildings so
the (changing) definition of vacant property
is quite important. Valuable
papers coverage - Provides "all risk" coverage
on "valuable papers," such as: written,
printed, or otherwise inscribed documents and
records, including books, maps, films, drawings,
abstracts, deeds, mortgages, and manuscripts.
It covers the cost of research to reconstruct
damaged records, as well as the cost of new paper
and transcription. Valuation -
To estimate the value of a piece of property usually
by considering its replacement cost or its actual
cash value. Factored into the estimate is any depreciation
or wear and tear. Valued
policy, see Agreed amount clause. Valued
policy law - Law that exists in some states
which applies primarily to buildings. The laws
differ but, in general, they state that in case
of a total loss the amount of insurance is the
agreed amount of loss. Vandalism
and malicious mischief - Once treated as
a separate peril to be added to a property policy
or not, current property forms routinely include
the protection. Verbal
threshold - Term in no-fault auto insurance,
applicable in some states, which states that
victims are allowed to sue in tort only if their
injuries meet certain verbal descriptions of
the types of injuries that render one eligible
to recover for pain and suffering. Vested
commissions - Commissions on renewal business
which are paid to the agent whether or not he
or she still works for the insurance company
with which the business is placed. Vicarious
liability - The condition arising where one
person is responsible for the actions of another,
as a parent is often held responsible for the
vandalism damage a minor child does to a school.
Entries
Under "W" Waiver
of subrogation - An insurer has the right
of subrogation; however, it may waive that right
through this method. Wear
and tear exclusion - A common heading for
an "all risks" exclusion relating to
a group of events that do not represent risk
at all. Property will become worn out and torn;
it will rust, settle, become rotted, infested,
marred, scratched, etc. It is easy to distinguish
however between the marring that occurs over
time (excluded) and marring that occurs when
a concrete block is dropped onto a fine wooden
table. Whole
dollar premium - The practice of many insurers
to round premiums to the nearest dollar, rather
than carrying them out to the nearest cent. An
amount of 51 cents or more is usually rounded
up to the next dollar, and any cents amount less
than that is dropped. Workers
compensation insurance - Coverage that conforms
to the workers compensation laws of the states
in which it written. See also Employers liability
insurance. Wrap
up - A liability coverage specialty focused
on contracting risks, attempting to manage in
a single contract the broad interplay of exposures
and interests among owners, general contractors,
and subcontractors.
Entries
Under "X" XCU -
A term used in commercial general liability insurance
to designate that three hazards exist for the classification
under review. Those three hazards are explosion,
collapse and underground. The current CGL includes
those coverages automatically in the basic form,
but they may be deleted by endorsement.
Entries
Under "Y" Yacht -
A larger vessel used for pleasure purposes, as
distinguished from a motorboat, sailboat or commercial
vessel. Yacht
Insurance - A marine insurance designed to
provide property damage or hull coverage for
yachts, cabin cruisers, and sailing vessels.
Some will also cover small inboard motors and
other personal vessels. Year
2000 Problem - A potential electronic and
computer hardware/ software problem that is expected
to affect users at the turn of the century. It
is a year-date coding problem that results from
using only two-digit year dates instead of four.
Once the new millennium occurs, computers and
other equipment using computerized technology
may have a problem understanding what year is
1900 or 2000. The resulting problems may range
from systems or programs that do not work at
all, to ones that are inaccurate. Important data
may be lost and, overall, a great many potential
problems may occur unless individuals and businesses
have carefully evaluated and upgraded their software
and hardware. The actual impact is not yet known.
Also called the Millennium Bug or the Y2k Problem. York
Antwerp Rules - Revised in 1974, a set of
rules adopted by the representatives of all the
leading maritime nations to govern the method
of applying the general average.
Entries
Under "Z" Zero
coupon bond - A certificate evidencing private
or public indebtedness that provides no periodic
interest payments to the bondholder (such as
by annual coupons) during the life of the bond
but that, instead, provides for a maturity value
that is largely relative to the cost of the bond
so as to reflect the absence of annual interest
payments. Zone
rating - In commercial automobile insurance,
those risks that have a radius of operation of
over 300 miles, and fall into the long-haul category,
are rated on the zone they travel in using the
city of origin and the city of destination to
determine the zone category. Zone
System - system developed by the NAIC (National
Association of Insurance Commissioners) to be
used to exam the solvency of insurers. The examination
is conducted every three years by teams of examiners.
These teams are formed by geographical zones.
Results of NAIC exams are usually accepted by
states where insurers are licensed, so that each
state does not have to conduct its own exams. |