The definitions appearing in this Glossary are provided solely for general informational purposes. They are not intended to be complete descriptions of all terms, conditions and exclusions applicable to the products and services defined. As well, in the case of any inconsistency between the definitions in this Glossary and the definitions appearing in the actual policy, the definitions contained in the actual policy shall govern.
ACCIDENT – An unexpected event, which happens by chance and is not expected in the normal course of events.
ACT OF GOD – A sudden and violent act of nature, which could not have been foreseen or prevented. Examples: flood, earthquake
ACTUAL CASH VALUE – The current cost of replacing an article with a similar one in the same condition. Any item has three basic values: original cost, actual cash value, and replacement value. For example, if you originally paid $400 for your living room couch; its actual cash value might be $175. But if it’s destroyed in a fire, replacing it will cost you $800.
ADDITIONAL INTEREST INSURED – Another person or company who may be liable for an accident involving an insured or an insured vehicle and who has been named as an Additional Interest Insured under the policy.
ADDITIONAL PREMIUM – An extra charge for an alteration, during the policy period, which increases the hazard or the Company’s liability.
ADJUSTER – A person who investigates a loss and negotiates settlement with the claimant on the Company’s behalf.
ADVERTISING INJURY LIABILITY – Covers against allegations of misappropriation of advertising ideas or copyright/trademark infringement in your advertising.
ALL PERILS – An optional coverage designed to provide protection for your vehicle for all types of losses except those specifically excluded in your policy. All perils coverage is the most complete coverage you can select to protect yourself from loss or damage to your own vehicle. This coverage is optional and may be purchased in addition to the mandatory coverages required by law, and it is subject to a deductible.
ALL RISK – Coverage against loss or damage from all perils except those specifically excluded.
AMOUNT OF RISK – The Company’s total liability at a specific location.
APPLICATION (APP) – A form on which the prospective insured states facts requested by the insurance company and on the basis of which (together with any information from other sources) the insurance company decides whether or not to accept the risk, modify the coverage offered, or decline the risk.
APPRAISAL – A valuation of property made for determining its insurable value or the amount of loss sustained.
ARSON – The willful and malicious burning of property.
ASSUMED LIABILITY – Liability, which would not rest upon a person except that he has accepted responsibility by contract expressed or implied. This is also known as contractual liability.
ASSURANCE – Same as “insurance”.
ASSURED – Same as “insured”.
ASSURER – Same as “insurer” (insurance company).
AUTHORIZATION – The power or right to act on behalf of another.
AUTOMOBILE INSURANCE – Coverage on the risks associated with driving or owning an automobile. It can include collision, liability, comprehensive, medical, and uninsured motorist coverages.
AVOIDANCE OF RISK – Taking steps to remove a hazard, engage in an alternative activity, or otherwise end a specific exposure.
BI/PD – Bodily Injury / Property Damage Liability Coverage.
BINDER – A temporary or preliminary agreement, which provides coverage until a policy can be written or delivered.
BODILY INJURY – Term used in liability coverage meaning physical injury, including sickness, disease, mental injury, shock or death.
BODILY INJURY & PROPERTY DAMAGE LIABILITY – Covers against allegations of negligence causing bodily injury, death, or property damage. This coverage also pays for your legal defense if you are sued.
BRANDS & LABELS – Covers the cost to remove your branding and labels from your product that is damaged by in a claim that your policy covers. It’s intent is to protect the integrity of your brand by removing any reference to it on any damaged product.
BROAD FORM – Any of the commercial or personal lines property forms which provide coverage on a named perils basis. This form normally adds the Extended Coverage and Vandalism and Malicious Mischief coverages. This form is generally used for coverages on a Homeowners Policy
BROKER – An independent person or firm who acts on behalf of the insured in placing business with the insurance company. Responsible for the collection of premiums but having no authority to give coverage on the insurance company’s behalf without their specific agreement. Compensation is on a commission basis.
BURGLARY – Unlawful removal of property from premises involving visible forcible entry.
BUSINESS INTERRUPTION – If your business is closed or limited after suffering a property damage claim, like a fire or storm damage, business interruption insurance can help you weather the loss of income and additional expenses you may incur until you can re-open and win your customers back. It will typically reimburses your lost profit and pay for necessary ongoing expenses (like your salary). Extra Expense coverage is also a form of business interruption insurance that covers expenses incurred to avoid or minimize the suspension of business after a claim. The main intent is to allow your business to relocate to new a premise and continue servicing your clients so they don’t go elsewhere.
CANCELLATION – Termination of an insurance coverage during the policy period by the voluntary act of the insurance company or insured, effected in accordance with provisions in the contract or by mutual agreement.
CATASTROPHE – A sudden, great disaster.
CIVIL LIABILITY – Liability to other motorists, pedestrians and property owners that you assume when operating your automobile on a public roadway.
CLAIM – Notice to an insurer that under the terms of a policy, a loss may be covered.
CLAUSE – A term used to identify a particular part of a policy or endorsement.
CO-INSURANCE – A clause in insurance policies requiring you to carry a certain minimum limit of insurance. If values insured at the date of loss are less then the stipulated co-insurance required, the insurance company will not pay the entire claim – you will share the loss with the insurance company. Failing to meet the co-insurance requirement represents significant financial risk to you. Refer to our Understanding Co-Insurance guide for more detail on the financial impact underinsuring can have.
COLLISION COVERAGE – An optional coverage designed to provide protection for your vehicle when damage occurs as a result of a collision with another object. This coverage is optional and may be purchased in addition to the mandatory coverages required by law, and it is subject to a deductible.
COMPREHENSIVE INSURANCE – Comprehensive insurance reimburses you for damage to your own car from causes other than collision or overturning. The comprehensive portion of your policy pays for loss due to perils like hail, flood, theft, fire, glass breakage, falling objects, missiles, explosions, earthquakes, windstorms, vandalism or malicious mischief, riot or civil commotion, and collision with a bird or an animal.
When you look at a policy’s comprehensive coverage, check for exclusions or limitations. If you have a special audio system installed in your car, for example, you should make sure your policy would cover the cost of the equipment if it were damaged or stolen.
It’s also important to know if the policy pays for the actual cash value of damaged or stolen property (its current value after depreciation has been subtracted or the full amount required to replace it today).
COMPULSORY INSURANCE – Any form of insurance, which is required by law.
CONSEQUENTIAL DAMAGE – A loss, which is an indirect result of an accident or fire, e.g. food spoiled through breakdown of a refrigerator.
CONTENTS OF EVERY DESCRIPTION – Includes business-related equipment, furnishings and stock kept on the premises, plus leasehold improvements. Your contents limit should include coverage to replace any furnishings, equipment, stock related to your business, and improvements & betterments to your units. Landlords and condo corporations are typically only responsible for repairing/replacing the shell of a damage unit or building. As a tenant or condo unit owner, you are responsible for insuring any improvements and betterments made to the unit that you would want to repair/rebuild after a claim (ie. fittings, fixtures, dividing walls, HVAC, wiring/cabling, lighting, flooring). If you are a landlord, your tenants are responsible for insuring any improvements or betterments they make to the unit.
COVER – To insure.
COVERAGE – Insurance.
DECLARATIONS (DEC SHEET) – A term used in insurance for the portion of the contract which contains information such as the name and address of the insured, the property insured, its location and description, the policy period, the amount of insurance coverage, applicable premiums, and supplemental representations by the insured.
- the types of coverage you have elected;
- the limit for each coverage;
- the cost for each coverage;
- the specified vehicles covered by the policy;
- the types of coverage for each vehicle covered by the policy; and
- other information applicable to the policy.
DEDUCTIBLE – The portion of a loss that you are required to pay before your insurance coverage will respond. Deductibles can be used to reduce your physical damage premiums. For example, if you owned a policy with a $200 deductible and you suffered a covered loss totaling $1,000, you would pay the first $200 and the insurance company would pay the remaining $800. If the loss were only $200, you would pay the entire amount and the insurance company would pay nothing.
DEPRECIATION – Decrease in the value of property over a period of time due to use, wear, tear, and obsolescence. For example, if you paid $500 for a television set five years ago, its current value minus depreciation might be only $125, for example.
DIRECT LOSS (OR DAMAGE) – A loss, which is a direct consequence of a particular peril. Fire damage to a refrigerator would be a direct loss. Spoiling of food in the refrigerator as a result of the fire damage would be an indirect loss.
DIRECT WRITER – An insurance company, which sells its policies through salaried employees (licensed agents) who represent it exclusively, rather than through independent local agents, who represent several insurance companies.
DIRECTORS & OFFICERS LIABILITY – Protects the directors and officers of an organization against damages arising out of negligent or wrongful acts committed in the course of their duties. Examples of negligent or wrongful acts directors and officers can be held personally liable for can be found at Why Directors & Officers (D&O) Liability.
EARNINGS BUSINESS INTERRUPTION INSURANCE – insures your net profit plus payroll expense, taxes, interest, rents and all other operating expenses continuing after a covered property damage claim. As it usually pays out a maximum of 25% of the limit per month, the limit you select should be at least 4 times your highest monthly earnings. This type of business interruption insurance requires repairs to be completed with due diligence and dispatch – any undue delays by anyone (including contractors, landlord, city, tenants, striking workers) can terminate coverage. For this reason, Profits Business Interruption Insurance can be a better option as you will not be subject to the same restrictions regarding undue delays, and coverage will pay out until the business achieves level of profit it would have been at had no losses occurred, to a maximum 12 months.
EARTHQUAKE INSURANCE – Insurance covering damage caused by an earthquake as defined in the contract.
EFFECTIVE DATE – The date on which an insurance policy or bond goes into effect, and from which protection is furnished.
EMBEZZLEMENT – The fraudulent use of money or property, which has been entrusted to one’s care.
EMPLOYEE BENEFITS LIABILITY – Covers a businesses liability for an error or omission in the administration of an employee benefits program (ie. failure to provide correct information for an employee to have proper benefits coverage, such as life insurance, medical benefits, long-term disability, RRSP/Pension plan).
EMPLOYERS LIABILITY INSURANCE – Covers against injuries sustained by employees in the course of their employment and who are not covered by workers compensation law.
EMPLOYMENT PRACTICES LIABILITY – Protects a company against allegations of wrongful employment practices, such as discrimination, sexual harassment & wrongful dismissal.
ENDORSEMENT – Amendment to the policy used to add or delete coverage. Also referred to as a “rider.”
EQUIPMENT BREAKDOWN INSURANCE – This is commercial insurance that covers against sudden & accidental breakdown of equipment, which can include telephone systems, electrical systems & transformers, computers, air conditioners, hot water tanks, pressure vessels, and production/manufacturing equipment. Equipment Breakdown Insurance typically covers damages caused by electrical short circuit, power surge, electrical arcing, loss of lubrication, mechanical stress and metal fatigue – these damages are only covered if Equipment Breakdown Insurance is purchased – they are not covered under a standard commercial insurance policy. Without this coverage, you will not be compensated for any property damage resulting from breakdowns or for business interruption resulting from these breakdowns. Refer to Why Would I Need Equipment Breakdown Insurance? for a summary of why this coverage should be considered.
ERRORS AND OMISSIONS INSURANCE (E&O INSURANCE)– Also known as Professional Liability. It is business liability insurance for professionals such as consultants, real estate agents, architects, engineers, financial advisors, lawyers, doctors and other business professionals. An error or omission, a mistake, which causes financial harm to another, can occur on almost any transaction in any profession. If you were to inadvertently fail to perform to the standard that your client expects, or if erroneous advice is provided to a client, you can be held responsible for any real or alleged harm caused to your client’s business. This type of insurance helps to protect you from bearing the full cost of defense for lawsuits relating to an error or omission in rendering your services. This is a separate coverage from standard commercial general liability or property insurance policy. Anyone who holds themselves out as someone with specialized skill or knowledge, and who provides advice, opinions or recommendations to others should consider this coverage.
EXCLUSIONS – Certain causes and conditions, listed in the policy, which are not covered.
EXPIRATION – The date upon which a policy will end.
EXPOSURE – Degree of hazard threatening a risk because of external or internal physical conditions.
EXTENDED COVERAGE (EC) – A common extension of property insurance beyond coverage for fire and lightning. Extended coverage adds insurance against loss by the perils of windstorm, hail, explosion, riot and riot attending a strike (civil commotion), aircraft damage, vehicle damage, smoke damage and volcanic eruption.
EXTRA EXPENSE INSURANCE – Covers expenses incurred to avoid or minimize the suspension of business after a claim. The main intent is to allow your business to relocate to new premises and continue servicing your clients. This coverage can be used to cover the costs of relocating, such as moving, additional costs of renting temporary premises, installation of equipment (phone lines, utilities, computers, machinery), advertising, or sub-contracting out your work in order to fulfill obligations to your customers. Our Extra Expense Worksheet in our Downloadable Forms section can help you determine the amount of coverage appropriate for your business.
FIRE – Combustion sufficient to produce a spark, flame, or glow and which is hostile (as opposed to friendly – i.e., not in the place where it is intended to be, such as in a furnace.)
FIRE INSURANCE – Coverage for loss of or damage to a building and/or contents due to fire.
FIRE RESISTIVE CONSTRUCTION – A building, which has exterior walls, floors, and roof constructed of masonry or other fire-resistive materials.
FLOATER POLICY – A policy under the terms of which protection follows moveable property, covering it wherever it may be.
FLOOD INSURANCE – A form of insurance designed to reimburse property owners from loss due to the defined peril of flood. Usually sold in connection with a government Flood Insurance plan.
FORGERY – In general, any false writing with intent to defraud.
FORM – An insurance policy itself or riders and endorsements attached to it.
FORTUITOUS EVENT – An unforeseen accident.
GRACE PERIOD – A period after the premium due date, during which an overdue premium may be paid without penalty. The policy remains in force throughout this period.
HAZARD – A specific situation that increases the probability of the occurrence of loss arising from a peril, or that may influence the extent of the loss. For example, accident, sickness, fire, flood, liability, burglary, and explosion are perils. Slippery floors, unsanitary conditions, shingled roofs, congested traffic, unguarded premises, and uninspected boilers are also hazards.
HOMEOWNER INSURANCE – An elective combination of coverages for the risks of owning a home. Can include losses due to fire, burglary, vandalism, earthquake, and other perils.
HOUSEKEEPING – The general care, cleanliness and maintenance of an insured property.
IMPROVEMENTS AND BETTERMENTS – Additions or changes made by a tenant or condo unit owner at their own cost to a building that they are occupying, which enhance the value of the unit. Improvements and Betterments are also called leasehold improvements, and typically include fittings, fixtures, dividing walls, HVAC, wiring/cabling, lighting and flooring. These become part of the realty and require special insurance consideration:
- As a renter or tenant, you are responsible for insuring any improvements and betterments you make to the unit you’re renting. The contents coverage on your policy insures your furnishings and equipment (and for businesses, your stock) while on the premises, as well as the improvements and betterments you have made to your unit, so ensure that the contents limit you have selected is enough to cover these items.
- As a condo unit owner, you are responsible for insuring any improvements and betterments made to the unit that you would want to repair/rebuild after a claim. The condo corporation is only responsible for rebuilding the “standard unit” as defined in the condo by-laws, so any enhancements made to the “standard unit” by you and by previous owners or tenants are your responsibility to insure.
- If you rent out your condo unit, your tenants are responsible for insuring any improvements or betterments they make to the unit.
INDEMNIFY – To restore the victim of a loss, in whole or in part, by payment, repair, or replacement.
INDIRECT LOSS (OR DAMAGE) – Loss resulting from a peril, but not caused directly and immediately thereby. For example: Loss of property due to fire is a direct loss, while the loss of rental income as the result of the fire would be an indirect loss.
IN-FORCE – Insurance on which the premiums are being paid or have been fully paid. In life insurance, usually refers to insurance by face amount. In health, usually refers to premium volume being paid to insurance company or insurance companies in aggregate.
INLAND MARINE INSURANCE – A branch of the insurance business which developed from the insuring of shipments which did not involve ocean voyages. Exposures eligible for this form of protection are described in the nation-wide definition of Marine Insurance. Such diverse properties as bridges tunnels, jewellery and furs can now be written under Inland Marine forms.
INSPECTION – Independent checking on facts about an applicant or claimant, usually by a commercial inspection agency.
INSURABILITY – Acceptability of an applicant for insurance to the insurance company.
INSURANCE – A formal social device for reducing risk by transferring the risks of several individual entities to an insurer. The insurer agrees, for a consideration, to assume, to a specified extent, the losses suffered by the insured.
INSURANCE POLICY – Legal document issued to the insured setting out the terms of the contract of insurance.
INSURANCE TO VALUE – Insurance written in an amount approximating the value of the property insured.
INSURED – The person (or persons) whose risk of financial loss from an insured peril is protected by the policy. Sometimes called the “policyholder”.
INSURER – The insurance company.
JOINT TENANCY – Ownership of property shared equally by two or more parties under which the survivor assumes complete ownership. This is different from a tenancy in common where the heirs of a deceased party to the tenancy inherit his or her share.
LESSEE – The person, to whom a lease is granted, commonly called the tenant.
LESSOR – The person granting a lease, also known as the landlord.
LIABILITY INSURANCE – In an accident where you are charged with injuring another person or damaging his or her property, liability insurance pays the cost of your legal defense, as well as the cost of any damages for which you are found legally responsible.
LIABILITY, COLLISION AND COMPREHENSIVE – These are the three main types of coverage available in an auto insurance policy. Liability pays other people if you’ve injured them or damaged their property. Collision pays to repair damage to your car caused by (what else?) collisions. Comprehensive pays you for your losses due to theft and other calamities that are unrelated to collisions – like damage from hail, fire, vandalism, floods, etc.
LIABILITY LIMITS – The sum or sums beyond which a liability insurance company does not protect the insured on a particular policy.
LIBEL – A written statement about someone, which is personally injurious to that individual.
LIMIT OF LIABILITY – The maximum amount, which an insurance company agrees to pay in case of loss.
LIMITS – Maximum amount a policy will pay either overall or under a particular coverage.
LOSS – Generally refers to:
- the amount of reduction in the value of an insured’s property caused by an insured peril,
- the amount sought through an insured’s claim, or
- the amount paid on behalf of an insured under an insurance contract.
LOSS ASSESSMENT INSURANCE – This is coverage for assessments imposed by a condo corporation against the unit owners to cover property damage claims not paid by the condo corporation’s policy. For example, the sprinkler system leaks causing extensive damage to the common areas of the building and the condo corporation does not have enough insurance to cover the entire repair. It is likely that the condo corporation would assess the uninsured repair costs to the unit owners. As a condo owner, you share in the liabilities associated with the common areas of the condo, and if you are unable to pay the assessment, the condo corporation could place a lien against your unit and ultimately foreclose on your unit. As a general guide, the limit you choose should be based on the maximum probable assessment amount expected divided by the number of units in the building.
LOSS OF USE INSURANCE – Coverage to compensate an insured for the loss of use of property if it cannot be used because of a peril covered by the policy.
MALICIOUS DAMAGE – Used synonymously with Vandalism. Damage or destruction to property, which is willful. This coverage can be purchased under many Property forms and is automatically covered under most Homeowners policies. This coverage is usually suspended once a property becomes vacant.
MALPRACTICE INSURANCE – A form of liability coverage against improper actions or failure to exercise proper skill by a professional or others involved with the care of living beings, such as a physician, dentist, veterinarian, pet groomer, beautician, hair stylist, esthetician, etc..
MARKET VALUE – The price for which something would sell, especially the value of certain types of assets, such as stocks and bonds. It is based on what they would sell for under current market conditions. For example, common stock market value would be the price of the stock as of a specified date.
MATERIAL MISREPRESENTATION – The policyholder/applicant makes a false statement of any material (important) fact on his/her application. For instance, the policyholder provides false information regarding the location where the vehicle is garaged.
MEDICAL PAYMENTS LIABILITY – Pays cost of medical care to a person injured on your premises or due to your operations regardless of whether you are liable.
MORAL HAZARD – A condition of morals or habits that increase the probability of a loss from a peril.
MORALE HAZARD – An attitude that increases the probability of loss from a peril. The attitude of, “It’s insured; so why worry?” is an example of a morale hazard.
MORTGAGE INSURANCE POLICY – In life and health insurance, a policy the benefits from which are intended to pay off the balance due on a mortgage or meet the payments on a mortgage as they fall due upon or after the death or disability of the insured.
MORTGAGEE – The creditor to whom a mortgage is given and who lends money on the security of the value of the property mortgaged.
MORTGAGOR – The debtor who receives money and in turn grants a mortgage on his property as security for a loan.
NAMED PERILS – Named perils are the specific dangers a policy insures you against – such as fire, windstorm, and hail in a homeowner’s policy, for example. These perils are “named” or listed in the policy.
NEGLIGENCE – Failure to use that degree of care, which an ordinary person of reasonable prudence would use under the given circumstances. Negligence may be constituted by acts of either omission or commission or both.
NO-FAULT INSURANCE – No-fault insurance is designed to speed up claims payments to accident victims and to lower the cost of auto insurance by reducing the number of lawsuits for minor claims. Under no-fault insurance, a person’s own insurance company pays for financial losses like medical expenses and lost wages due to an accident, regardless of who caused it. (In a fault system, your expenses won’t be paid by the other party’s insurance company until he or she has been proved negligent.) In exchange, the right to sue may be restricted in some cases.
NON-OWNED AUTOMOBILE LIABILITY – Covers your company’s liability when vehicles the business does not own, lease, hire, rent or borrow are in an accident. It is normally needed when an employee uses their own vehicle for company business. The employee’s own personal insurance responds to cover them, and the Non-Owned Auto Liability responds to protect your business.
OCCUPANCY – In insurance, this term refers to the type and character of the use of property in question.
OCCURRENCE – An event that results in an insured loss. In some lines of insurance, such as Liability, it is distinguished from accident in that the loss does not have to be sudden and fortuitous and can result from continuous or repeated exposure, which results in bodily injury or property damage neither expected nor intended by the insured.
OPCF20 – Known as Loss of Use. It covers the cost of a rental vehicle while your vehicle is out of use due to a covered claim.
OPCF27 – Known as Rental Car Coverage. It extends physical damage coverage to a rental vehicle for certain drivers. Consider this if you rent vehicles as it can be less expensive then taking coverage from a car rental agency. Some credit cards provide this coverage, but beware as there are usually many more conditions that have to be met before they will provide coverage (some won’t cover mini-vans or SUVs; some won’t cover you if you’re not on a paved road).
OPCF43 – Known as a Waiver of Depreciation or “Gap” Coverage. It removes depreciation if vehicle is lost or damaged usually within 24 months of the purchase date provided you are the original owner.
OPCF44 – Known as the Family Protection Endorsement. It essentially provides every other driver on the road around you with the same liability limit that you have on your policy. So if you are injured by another motorist who is at-fault, you can be confident that if the at-fault motorist is uninsured or underinsured, you will have up to the liability limit on your own policy to help pay for your rehabilitation and lost wages in the event you need to sue the other driver for damages resulting from injury or death. This is a great reason to consider carrying higher liability limits.
ORDINARY PAYROLL – Provides coverage to help you keep “non-key” employees (ie. part time, seasonal, or other employees that can easily be replaced) on your payroll for a period of wither 90 or 180 days during a prolonged shutdown or reduction in business following a business interruption claim.
PERIL – Cause of a possible loss. For example, fire, theft, or hail.
PERSONAL ARTICLES FLOATER – Provides all risk coverage, subject to reasonable exclusions for valuable items such as furs, jewellery, cameras, silverware, etc. formerly insured under separate contracts. The items are generally listed by description and value. This can be contrasted to the personal effects floater.
PERSONAL EFFECTS FLOATER – An inland Marine policy covering world-wide except in the insured’s domicile, personal effects usually carried by a tourist. In two forms, “All Risk” or Broad Form and “Specified Perils” form.
PERSONAL INJURY LIABILITY – Injury other than bodily injury arising out of false arrest or detention, malicious prosecution, wrongful entry or eviction, libel or slander, or violation of a person’s right to privacy committed other than in the course of advertising, publishing, broadcasting or telecasting.
PERSONAL PROPERTY – Any property of an insured other than real property. Homeowner policies protect the personal property of family members, and commercial forms are used to protect many types of business personal property of an insured.
PERSONAL PROPERTY FLOATER – A broad policy covering all personal property world-wide, including insured’s domicile.
PERSONAL PROPERTY LIMITATIONS – Don’t assume everything you own is adequately insured by a standard homeowner’s policy. The typical homeowner’s policy provides only limited coverage for many expensive items. Extra coverage can be purchased separately.
PHYSICAL DAMAGE – A generic term indicating actual damage to property.
PHYSICAL DAMAGE COVERAGE – Physical damage coverage insures you against damage to your car. The physical damage section of an automobile policy can include both comprehensive coverage – which protects you against theft and vandalism, among other things – and collision coverage.
PHYSICAL HAZARD – The material, structural, or operational features of the risk itself, apart from the morale or moral hazards of the persons owning or managing it.
PILFERAGE – Petty theft, especially theft of articles in less than package lots.
POLICY – Legal document issued to the insured setting out the terms of the contract of insurance.
POLICY EXPIRATION DATE – The date when your current insurance policy expires. This date can be found on your current Declaration (or “DEC”) page, insurance identification card, or recent cancellation notice. This date is not to be confused with the date of your next payment or the date when your renewal payment is due.
POLICY LIMIT – The maximum amount a policy will pay, either overall or under a particular coverage.
POLICY PERIOD (OR TERM) – The period during which the policy contract provides protection, e.g., six months or one or three years.
POLICYHOLDER – The person (or persons) whose risk of financial loss from an insured peril is protected by the policy.
PREFERRED RISK – An insurance classification indicating a risk that is superior to the average risk on which the rate has been calculated and thus eligible for a reduced rate.
PREMISES – The particular location of property or a portion thereof as designated in a policy.
PREMIUM – The amount of money an insurance company charges for insurance coverage.
PRIMARY RESIDENCE – The place where you will reside for the majority of your policy term.
PRINCIPLE DRIVER – The person who drives the car most often.
PRODUCTS & COMPLETED OPERATIONS LIABILITY – Covers against allegations of injury or damage from a defect in a product you sold or manufactured. Excludes professional liability.
PROFESSIONAL FEES – Covers professional fees (ie. lawyers, accountants, architects, engineers) that you incur to substantiate your claim to an insurance company. The purpose of this coverage is to cover your costs in preparing your proof of loss, which is required in order to submit a claim.
PROFESSIONAL LIABILITY INSURANCE – Also known as Errors and Omissions Insurance (E&O Insurance). It is business liability insurance for professionals such as consultants, real estate agents, architects, engineers, financial advisors, lawyers, doctors and other business professionals. An error or omission, a mistake, which causes financial harm to another, can occur on almost any transaction in any profession. If you were to inadvertently fail to perform to the standard that your client expects, or if erroneous advice is provided to a client, you can be held responsible for any real or alleged harm caused to your client’s business. This type of insurance helps to protect you from bearing the full cost of defense for lawsuits relating to an error or omission in rendering your services. This is a separate coverage from standard commercial general liability or property insurance policy. Anyone who holds themselves out as someone with specialized skill or knowledge, and who provides advice, opinions or recommendations to others should consider this coverage.
PROFITS BUSINESS INTERRUPTION INSURANCE – This insures your net profits that would have been realized if a claim did not occur and interrupt the cash flow of your business, plus the operating expenses that must continue to be paid despite your inability to operate after you’ve had the claim. Payroll expenses are only covered for key employees required to help the business recover from a business interruption (ie. officers, executives, managers). This does not cover payroll expenses for “Ordinary Payroll” employees (ie. part time, seasonal, or other employees that can easily be replaced). Coverage for Ordinary Payroll expenses can be purchased separately.
Profits Insurance usually requires you to insure to 100% of the actual amount of the loss you could sustain, otherwise the policy only pays a fraction of your coverage and you will be at significant financial risk. Claims under this coverage will pay until the business achieves level of profit it would have been at had no losses occurred, to a maximum 12 months. Since an interruption to the business could occur towards the end of a policy term, it is necessary to anticipate at least two years ahead when calculating the amount of insurance required. Our Profits Worksheet in our Downloadable Forms section can help you determine the amount of Profits coverage appropriate for your business.
PROHIBITED RISK – Any class of business, which an insurance company will not insure under any condition.
PROOF OF LOSS – A formal statement made by the insured to the insurance company regarding a loss. The purpose of the proof of loss is to place before the company sufficient information concerning the loss to enable it to determine its liability under the policy.
PROPERTY DAMAGE UNINSURED MOTORIST – Property damage uninsured or underinsured coverage protects you in situations where your vehicle has been wrecked by another driver who doesn’t have adequate coverage or no insurance at all, and can’t pay for your losses. With this coverage, your own insurance company would pay up to the limit of your policy, to have your car fixed or replaced.
PROPERTY INSURANCE – Property insurance indemnifies an insured whose property is stolen, damaged, or destroyed by a covered peril. The term property insurance includes direct or indirect property losses covered in several lines of insurance.
PROTECTION – Term used interchangeably with the word “coverage” to denote the insurance provided under the terms of a policy.
Term used to indicate the existence of fire-fighting facilities in an area known as a “protected” area.
RATED – Usually used in combination, rated-up or rated policy. A policy issued with an extra premium charge.
REIMBURSEMENT – Payment of an amount of money related to the amount of the loss to or on behalf of the insured upon the occurrence of a defined loss.
REINSTATEMENT – Restoring a lapsed policy back in force. The reinstatement may be effective after the cancellation date, creating a lapse of coverage. Some companies require evidence of insurability and payment of past due premiums plus interest.
REINSURANCE – A contract of indemnity against liability by which the insurance company procures another insurance to insure it against loss or liability by reason of the original insurance. Insurance by one insurance company of all or part of a risk accepted by it with another insurance company which agrees to reimburse the insurance company for the portion of the claim reinsured. The insurance company obtaining the reinsurance is called the “ceding insurance company;” the insurance company issuing the reinsurance is called the “reinsurer.” A reinsurer may, in turn, seek reinsurance on some portion of the risk it has reinsured, a process known as “retrocession.”
RENEWAL – The continuation in full force and effect of something that is about to expire. With an insurance policy it is made either by the issuance of a new policy or renewal receipt or certificate, to take effect upon the expiration of the old policy.
RENTAL INCOME INSURANCE – This provides reimbursement for lost rent after a claim to a unit or building you rent. Consider this coverage if the rental income is required to continue to make mortgage payments and other expenses.
REPLACEMENT COST – The cost of replacing property without deduction for depreciation.
RIDER – Usually known as an endorsement, a rider is an amendment to the policy used to add or delete coverage.
RISK – A chance of loss. A person or thing insured. (Impaired or substandard risk: An applicant whose physical condition or moral habits do not meet the standard on which the rate is based).
RISK MANAGEMENT – Management of the pure risks to which a company might be subject. It involves analyzing all exposures to the possibility of loss and determining how to handle these exposures through such practices as avoiding the risk, retaining the risk, reducing the risk, or transferring the risk, usually by insurance.
ROBBERY – The felonious taking, either by force or by fear of force, of the personal property of another, commonly known as “hold-up”.
SPECIFIED PERILS – An optional coverage designed to provide basic protection for your vehicle for loss or damage resulting from incidents specifically stated in your policy. A few examples of the types of losses insured under named perils coverage include fire, lightning, theft, explosion, earthquake, windstorm and hail. This coverage is optional and may be purchased in addition to the mandatory coverages required by law, and it is subject to a deductible.
SUBROGATION – The right of an insurance company to step into the shoes of the party whom they compensate and sue any party whom the compensated party could have sued.
TENANTS POLICY – A homeowners form, which is specifically designed for people who rent.
THEFT – Any act of stealing. Theft includes larceny, burglary and robbery.
THIRD PARTY INSURANCE – Protection of the insured against liability for damage to or destruction of the bodies or property of others.
TOTAL LOSS – A loss of sufficient size so that it can be said there is nothing left of value. The complete destruction of the property. The term is also used to mean a loss requiring the maximum amount a policy will pay.
TRANSFER OF RISK – Shifting all or part of a risk to another party. Insurance is the most common method of risk transfer, but other devices, such as hold harmless agreements, also transfer risk. One of the four major risk management techniques. See Risk Management.
UNDERWRITER – A person trained in evaluating risks and determining the rates and coverages that will be used for them. An agent, especially a life insurance agent, who might qualify as a “field underwriter”. In theory, the agent is supposed to do some underwriting before submitting the case to the home office underwriter; i.e., to make a decision on the basis of facts known to him on whether or not the risk is sound and to report all facts known to him that might affect the risk.
UNDERWRITING – The process of evaluating a risk for the purpose of issuing insurance coverage on it.
UNIT CONTINGENT COVERAGE – Coverage specifically for cond unit owners. The condo corporation that owns the building is responsible repairing or rebuilding the “standard unit” that you own after a claim (a “standard unit” is defined in the condo’s by-laws). However most unit owners don’t have any control over the amount or type of insurance coverage, or whether an insurance policy is kept in force for the building. In the event that the condo corporation’s insurance does not respond (ie. their policy is not in force) or if they do not have enough coverage to repair/rebuild your “standard unit” after a claim, the Unit Contingent Coverage on your policy will step up to repair/rebuild your “standard unit” – it protects your investment by enabling you to repair/rebuild your “standard unit” if the condo corporation hasn’t properly insured the building. The Improvements and Betterments coverage on your policy would repair/replace the enhancements made to your “standard unit” to allow it to be restored to the same condition that existed prior to the claim. The amount of Unit Contingent Coverage you have should be high enough to rebuild your entire standard unit. We are currently seeing commercial rebuilding costs ranging between $125 and $175 per sq ft, and residential rebuilding costs ranging between $150 adn $250 per sq ft.
VACANT – A building or unit is considered vacant if all occupants have moved out with no intention of returning and no new occupant has taken up residence, or operations/activities of a business are suspended or shut-down. A newly constructed building or unit is considered vacant if no occupant has taken up residence or the usual operations of a business have not begun. The presence of furnishings has no bearing on whether a building or unit is considered vacant.
Most policies will not cover loss or damage to property that has, to your knowledge, been vacant for 30 or more consecutive days. Even if your insurance company agrees to add a vacancy permit to your policy, the policy will not cover loss or damage from riot, vandalism or malicious acts, glass breakage, or from the rupture, freezing or escape of water from a plumbing, heating, air conditioning, or sprinkler system.
VANDALISM – Used synonymously with malicious damage. Damage or destruction to property, which is willful. This coverage can be purchased under many Property forms and is automatically covered under most Homeowners policies. This coverage is usually suspended once a property becomes vacant.
VALUABLE PAPERS AND RECORDS – A type of commercial insurance coverge designed to insure printed documents, such as drawings, deeds, mortgages, abstracts, books, manuscripts, maps and electronically stored records, but does not include money or securities. In order for coverage to apply, valuable papers and records, including electronic data backups, kept on the premises must be kept in protective containers when they are not in use and when the premises is closed for business.
VALUATION – Estimation of the value of an item, usually by appraisal.
VICARIOUS LIABILITY – When one party is liable for the actions of another even though the person being held liable may not have done anything wrong. If you have the right, ability or duty to control the activities of another, you can be held responsible for the actions or conduct of the other party. For instance, an employer can be held responsible for the actions of their employee – in this case, the employer is said to be “vicariously liable” for the employees’ actions.
VIN – The vehicle identification number (VIN) on your vehicle. This number is usually found on the dashboard of your vehicle on the driver’s side, and is usually listed on the vehicle registration and title. The VIN is a combination of letters and numbers 17 characters in length that can be used to identify the make, model, and year of your car.
WAIVER – A rider waiving (excluding) liability for a stated cause of accident or (especially) sickness. A provision or rider agreeing to waive (forego) premium payment during a period of disability. The giving up or surrender of a right or privilege that is known to exist. It may be effected by the agent, adjuster, or insurance company employee or official orally or in writing.