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Home Risk Management Glossary Policy Wording

 A   B   C   D   E   F   G   H   I   K    L   M   N   O   P   R   S   T   U   V   W    Y 

 

A

Accident & Health - Class of insurance which consist of two main types of business - personal accident and medical expenses. Personal accident policies will pay a lump sum in the event of accidental death or injury. Medical expenses insurance will pay the costs of treatment for acute conditions.

Act of God - An event which is not the fault of any individual. Acts of God can be insurable.

Agent - A person who acts for one or up to three insurance companies, particularly in selling insurance.


Agreed value - The sum to be paid in the event of a total loss under a valued policy. 

Aggregate Indemnity - The maximum dollar amount that may be collected for any disability or period of disability under the policy. 

All Risks - Wider cover than given under a normal property insurance policy. Covers any loss or damage apart from exclusions stated in the policy.

Annual Premium - See "Yearly Premium". 

Arbitration - A way of settling disputes without going to court. Judgment is given by a technically qualified arbitrator or umpire. 

Assignment - Transfer of rights under a contract.

Attestation - The signing in a contract of insurance.

Assistance - The provision by an insurer or a service company of immediate practical help to resolve an insured problem (e.g. arranging medical treatment abroad/organizing a roadside repair).

Assurance - See "Insurance".

Average
- A policy condition that requires the amount of a claim payment to be reduced proportionately if the policyholder has not insured his property for the full amount of its value or replacement cost.

B

Benefit - The money paid by the insurance company when a claim is made.

Betterment - The principle by which a claimant has to make a payment towards the cost of the claim because his or her property will be in better condition after repair than before the loss or damage occurred.

Broker
- An "intermediary" that offers insurance coverage from a number of associated insurers.

Buildings Insurance - A policy covering the structure of a house or other building against a number of different risks.

Business Interruption - See "Consequential Loss".


C

Capacity - Capacity is the measure of an insurer's ability to write new business. It depends on the maintenance of adequate reserves.

Captive Insurer - An insurance company set up by an industrial or commercial company, for example an oil company, to provide insurance to that company only.

Certificate - Document issued by insurers as evidence that insurance is in force to meet the requirements of the law (notably for motor insurance).

Certificate of insurance - Proof of purchase of various compulsory insurances.

Claim - When a policyholder or beneficiary seeks payment or settlement under the terms of a policy.

Commercial Business
- Any policy taken out by a company, partnership or organization to cover their business. Would include fleet policies for motor business.

Commission - Money paid by an insurance company to a broker/ independent intermediary/agent for selling policies.

Common Law - The law which has been founded upon immemorial usage, established custom, and legal decisions, as distinct from the Statue Law 

Company Representative - An agent appointed by an insurance company who is authorized to sell only that company's products.

- A policy covering a number of types of loss or damage. This is the widest cover offered. It covers the insured and the authorized driver against third party property damage, third party bodily injury / death as well as damages to the insured's vehicle caused by accident, fire or theft.

Comprehensive Insurance - A policy covering a number of types of loss or damage. The name is used mainly in motor insurance.

Condition
- Part of a policy stating that certain rules must be followed, for example, the duty to take reasonable care to protect property, or to report claims to the insurance company promptly.

Contract of Insurance - An agreement between the insurer and the insured, whereby the insurer undertakes in return for the payment of a premium, to pay the insured a certain sum of money or to grant certain compensation on the happening of a specified event. 

Consequential Loss - Insurance covering the loss of profits of a business and certain other costs resulting from fire or other insured event (also known as Business Interruption).

Contents Policy - A policy covering the contents of a home or other building against a number of different risks.

Contribution - The principle of contribution applies where a risk is insured on more than one insurance policy (for example on a travel and household policy), and the two insurers concerned may share the cost of any claim.

Cover - Protection provided by insurance.

Cover Note - A document giving temporary evidence of cover while the policy and certificate are being prepared.


D

Declaration - A statement on proposal form signed by the insured, certifying the accuracy of the information that he has given.

Deductible - Arrangement in property insurance for the insured to pay the first part of every loss (also known as excess).

Direct Sources of Business - Insurance business where no intermediary is involved, including marketing sources (e.g. newspaper advertisements), telephone sales and business through branch offices.

 

E

Employers' Liability - A compulsory class of insurance that most employers must have to cover them against claims by employees who are injured at work.

Endorsement
- A written amendment to an insurance policy which becomes part of it.

Exception - A peril or contingency specifically excluded from the terms of the policy.

Excess - An amount of money that the policyholder has to pay towards the cost of a claim, for example, the first HK$500.

Excess of Loss Policy - Covers claims costs exceeding an amount specified in the policy

Exclusion - Specified property, person or event which the policy does not cover.

Ex Gratia Payment
- Any payment made by an insurance company which is not strictly necessary, under the terms of the policy.

Exposure
- Whether, and the extent to which, an insurer is subject to losses arising from a particular risk.


F

First loss - 
An insurance for an amount known to be less then the full value of the insured's interest in the property at risk. 

Franchise - A relief to insurers of each and every loss which does not exceed a specified amount. If the limit is reached, the loss is paid in full. 

Fidelity Guarantee Policy - A policy covering the risk of dishonesty on the part of an employee who holds a position of trust, for example, a wages clerk.


G

General Insurance - Insurance of (non-life) risks where the policy offers cover for a limited period, usually one year.

General Liability - Covers the policyholder's legal liability for injury, property damage or financial loss caused to others.


H

Hazard - A factor which is likely to increase the possibility of a loss occurring or the size of such a loss.

 
I

Indemnity - The principle by which policyholders are put in the same financial position after a loss as they were immediately before it.


Individual Policy
- Insurance taken out by an individual on his or her own life or by an individual or legal person on the life of another.

Insurable Interest
- A principle of insurance which states that someone may only take out insurance if he/she stands to suffer a financial loss from an event covered by a policy. Individuals have an unlimited insurable interest in their own life and that of their spouse.

Insurance - A service that offers financial compensation for something that may or may not happen. Originally the term assurance was generally used for life insurance, but now the two words are interchangeable.

Insurance Company - A company that takes on risks under the policies it sells in return for the payment of premiums. Companies may be "mutual" (owned by the policyholders) or "proprietary" (owned by the shareholders).

Insured - A person covered by an insurance policy.

Insurer - See "Insurance Company".

Intermediary - Person or organization that offers advice and arranges policies for clients. Intermediaries may be either "tied" - representing one company in the case of life business or a limited number of companies for general business, or "independent" - with no limit on the number of companies with which they can deal.

Investment - The act of allowing someone else to have use of your money in return for payment of interest and/or a share in profits that may be made.

Investment Income - Income earned on the money held by insurers on behalf of policyholders, having been received in premiums but not yet paid out on claims.


K

Key Person Insurance
- In the event of the death of a key employee on whom the business depends for its continued profitability, or even existence, this type of cover provides a sum of money which can be used to pay for the cost of finding and training a successor, and to compensate for reduced profitability.


L

Legal Expenses Insurance - Covers the cost of legal proceedings in circumstances defined in the policy.

Level Premium - The same premium paid throughout the term of a policy.

Liability - Legal responsibility for causing loss to someone else by injuring them or damaging their property.

Life Expectancy - The average length of time people are likely to live, taking into account such factors as their present age, health and occupation.

Limit of Indemnity - the maximum amount for which the insurer is liable under a policy of insurance.

Loading - The extent to which an individual is charged more than the "average" for his/her insurance.


M

Material fact - A fact which would influence the judgement of a prudent underwriter in determining a premium or accepting a risk.
 

Misinterpretation - A false statement made by one party to a contract intended to induce the other party to enter into a contract. 

Motor Insurance - Covers legal liabilities arising from the use of a motor vehicle. Comprehensive policies also cover damage to the vehicle.

Mutual - An insurance company which is owned by its policyholders.


N


Negligence - A failure to act in what the law considers to be a reasonable manner.

New-For-Old - Cover for property where an item lost or destroyed would be replaced with a brand new one, with no deduction for wear and tear. Also called "replacement as new".

No Claim Bonus - A reduction in a renewal premium to reflect a claim-free record; used most often in motor insurance.


O

Open Cover - A form of declaration policy in marine insurance where shipments are declared when they are made. 

Operative Clause - The clause in a policy which (subject to policy conditions) sets out the various responsibilities of the insurer.

P

Particular Average - See under "Average" 

Pecuniary Loss - Covers any financial loss which may have been incurred, e.g. business interruption and mortgage indemnity policies.

Personal Accident Insurance - A policy which pays specified amounts of money if the policyholder is injured in an accident. Depending on the type of disability, the payments may be made weekly, for a set period, or as a lump sum.

Personal Lines of Business - Any policy taken out by an individual in his/her private capacity.

Peril - A contingency which could cause losses and which may be covered or excluded by a policy of insurance.

Policy - The document providing full details of the contract between the insurer and the policyholder.

Policyholder - Person or organization to whom the insurer issues the policy. Normally the person to whom benefits are payable.

Preamble Clause - A clause in the policy giving the basic essentials of the contract (also known as recital clause).
 

Premium - The amount paid by the policyholder for insurance. 

Property Damage - Property policies cover specified property which may be damaged or destroyed by events or perils, such as fire, storm or theft.

Proposal Form - An application for insurance cover.

Proposer - Person or company who applies to take out insurance.

Proximate Cause - The active and efficient cause of loss that sets in motion a train of events which brings about a result without the intervention of any force started and working actively from a new and independent source.

Public Liability Policy - Covers legal liability for injury or damage caused to others.


R

Rate - The price of insurance, usually expressed as the cost of a unit of cover.

Recital clause - See "Preamble Clause" 

Reinstatement - The restoration of damaged property to its original condition or, in some cases, replacement by a new property. 

Reinsurance - Reinsurance is the cover insurance companies can purchase to protect themselves against large losses.

Reinsurer - An insurer who accepts insurance from another insurer.
 

Renewal - The continuation of a policy beyond its original term. 

Renewal Notice - Notice sent to the policyholder inviting him/her to renew a policy for a further period and stating the premium payable.

Replacement-as-New - See "New-for-Old".

Return (or refund) - The paying back to the insured of a portion of the premium he has paid, either because of cancellation of all or part of the risk or because of some decrease in the hazard.


S

Salvage - Property which is saved from a misfortune, a reward for salvage services paid under contract.

Schedule - List of personal details of insured and subject manner of insurance in policy form. 

Slip - A piece of paper prepared by an insurance broker giving details of the subject matter of the insurance. 

Statue - An act of Parliament. 

Solvency Margin - The solvency margin is the excess of the reserves the insurance company holds over its liabilities. 

Strict Liability - Liabilities imposed by law which cannot be avoided even though reasonable care has been exercised. 

Subject Matter of Insurance - The property, thing, person or liability covered by an insurance policy.

Subrogation - The right of an insurer who has indemnified a policyholder to take over any legal rights the policyholder may have had in respect of that particular claim.

Sum Insured - The amount for which property is insured, and the maximum amount which the insurance company will pay for any claim. In life insurance, the amount which is guaranteed to be paid and to which bonuses may be added.


T

Tariff - A collective agreement between companies to regulate prices and control the market.
 

Third Party - Someone involved in a claim who is neither the policyholder nor the insurer.

Trading Result - An insurer's overall profit/loss calculated as the underwriting result plus investment income.

Tort - A breach of personal duty owed to a third party. The injured person has a right of damages from the wrongdoer.


U


Uberrima-fides - A duty imposed on both parties to an insurance contract to disclose all facts, materials to the contract (also known as Utmost Good Faith)
 

Underwriter - Person who decides whether to accept a risk and calculates the premium to be charged.

Uninsurable Risk - A risk where loss is inevitable (e.g. a house already on fire or a person suffering from a terminal illness). Also applies where damage is gradual e.g. rust and corrosion.

Utmost Good Faith - The principle of insurance which requires proposers to give all relevant information to the insurer.


V

Valued policy -
A contract in which the insurers agree to pay the sum stated in the event of total loss without the usual allowance for depreciation or appreciation.

 

W

Warranty - A condition which must be complied with literally. Infringement of a warranty precludes the insured from the recovering under his policy, although the loss may not been affected by the warranty. In insurance, a warranty has the same effect as a condition in the ordinary law of contract.

Write-Off - A damaged vehicle which is not repairable, or one which would cost more to repair than the car was worth before the damage occurred. Also known as a "total loss".

 

Y

Yearly Premium - Recurring premiums paid over the term of the policy, at intervals specified in the policy.

 

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