Glossary

Plain-language definitions for every term you will encounter. Browse by letter or filter by category.

Auto Insurance21Home Insurance33Liability27Claims Process115Legal Terms55Settlement22

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A

Actual Cash Value

Replacement cost minus depreciation, used to calculate claim payouts.

Claims Process

All-Risk Policy

A policy that covers all causes of loss except those specifically excluded.

Home Insurance

Additional Insured

A person or entity added to a policy who receives coverage but is not the named insured.

Claims Process

Appraisal

A dispute resolution process where each side hires an appraiser to determine the loss amount.

Settlement

Arbitration

A binding dispute resolution process where an arbitrator decides the outcome instead of a court.

Settlement

Aggregate Limit

The maximum total amount an insurer will pay for all claims during a policy period.

Claims Process

Additional Living Expenses

Reimbursement for temporary housing, meals, and other costs while a home is being repaired.

Home Insurance

Admitted Carrier

An insurance company licensed and regulated by the state department of insurance.

Claims Process

Advertising Injury

Coverage for claims of copyright infringement, libel, or slander in advertising activities.

Liability

Actual Damages

Real, measurable losses suffered by the claimant, including both economic and non-economic harm.

Legal Terms

Accord and Satisfaction

An agreement to accept a different amount than originally claimed in full settlement of a dispute.

Settlement

Advance Payment

A partial payment issued by the insurer before the final claim amount has been determined.

Settlement

Anti-Concurrent Causation

A policy clause that denies coverage when an excluded peril contributes to the loss.

Legal Terms

Adhesion Contract

A policy drafted entirely by the insurer where the insured can only accept or reject it.

Legal Terms

Ambiguity

Unclear policy language that courts typically interpret in favor of the insured.

Legal Terms

Assignment

The transfer of insurance policy rights or benefits from the insured to a third party.

Claims Process

Act of God

An unforeseeable natural event such as a tornado, earthquake, or flood beyond human control.

Claims Process

Annuity

A financial product that pays a fixed stream of income, often used in structured settlements.

Settlement

Appeal

A request for a higher court to review and change the decision of a lower court.

Legal Terms

Assumption of Risk

A defense where the defendant proves the claimant knowingly accepted the danger involved.

Legal Terms

Attractive Nuisance

A hazardous feature on property that may attract children, imposing extra liability on the owner.

Liability

B

C

Collision Coverage

Auto insurance that pays for damage to your vehicle from a collision with another object.

Auto Insurance

Comprehensive Coverage

Auto insurance covering non-collision losses such as theft, hail, fire, and vandalism.

Auto Insurance

Comparative Negligence

A rule that reduces damages by the percentage of fault assigned to the claimant.

Legal Terms

Contributory Negligence

A rule that bars recovery entirely if the claimant is even partially at fault.

Legal Terms

Claims Adjuster

A professional who investigates insurance claims and determines the amount the insurer should pay.

Claims Process

Contingency Fee

A fee structure where an attorney is paid a percentage of the settlement or verdict.

Legal Terms

Coinsurance

A clause requiring the insured to carry coverage equal to a set percentage of property value.

Claims Process

Coinsurance Penalty

A reduced payout applied when the insured fails to maintain the required coinsurance percentage.

Claims Process

Claims-Made Policy

A policy that covers claims reported during the policy period regardless of when the loss occurred.

Claims Process

Cancellation

The termination of an insurance policy before its scheduled expiration date.

Claims Process

Combined Single Limit

A single liability limit that applies to all bodily injury and property damage per accident.

Auto Insurance

Certificate of Insurance

A document proving that an insurance policy exists and summarizing its key coverage details.

Claims Process

Completed Operations

Coverage for liability arising from work a contractor has finished and turned over to the owner.

Liability

Claim Number

A unique identifier assigned by the insurer to track and manage a specific claim.

Claims Process

Claim Denial

A formal decision by an insurer refusing to pay a submitted claim.

Claims Process

Claim Reopening

The process of reopening a previously closed claim when new damages or information arise.

Claims Process

Consequential Damages

Indirect losses resulting from a covered event, such as lost business income or spoiled goods.

Legal Terms

Compromise and Release

A settlement agreement where both parties agree to a payment amount and the claim is closed.

Settlement

Cause of Loss

The specific event or peril that triggered the damage, such as fire, wind, or theft.

Claims Process

Concurrent Causation

A situation where two or more perils combine to cause a single loss.

Legal Terms

Concealment

The intentional withholding of material facts from an insurer during the application process.

Legal Terms

Claim File

The complete record of all documents, communications, and decisions related to a single claim.

Claims Process

Catastrophe Adjuster

An adjuster deployed to handle large volumes of claims following a natural disaster.

Claims Process

Catastrophe

A large-scale disaster causing widespread insured losses, typically exceeding a set dollar threshold.

Claims Process

Contribution

The right of an insurer that paid a claim to recover a share from other insurers covering the loss.

Claims Process

Consent to Settle

A policy clause requiring the insured's approval before the insurer settles a claim.

Settlement

Complaint

The initial legal document filed by a plaintiff to begin a lawsuit against a defendant.

Legal Terms

Class Action

A lawsuit filed by one or more plaintiffs on behalf of a larger group with similar claims.

Legal Terms

Commercial Property

Insurance covering business-owned buildings, equipment, and inventory against covered losses.

Claims Process

Commercial Auto

Insurance covering vehicles used for business purposes, including company cars and fleet vehicles.

Auto Insurance

Cyber Liability

Insurance covering losses from data breaches, cyberattacks, and network security failures.

Liability

Causation

The link between a party's action and the resulting harm, required to establish liability.

Legal Terms

Claim Reserve

Money set aside by an insurer to cover the estimated future payout on an open claim.

Claims Process

Conditions

The section of a policy listing the duties and obligations of both the insurer and the insured.

Claims Process

D

Depreciation

The decrease in property value over time due to age, wear, and obsolescence.

Claims Process

Deductible

The amount a policyholder must pay out of pocket before insurance coverage kicks in.

Claims Process

Declarations Page

The section of a policy listing the insured, coverages, limits, and premium amounts.

Claims Process

Demand Letter

A formal written request sent to an insurer or at-fault party seeking a specific payment amount.

Settlement

Dwelling Coverage

The portion of a homeowners policy that covers the physical structure of the home.

Home Insurance

Duty to Defend

An insurer's obligation to provide legal defense for claims that may fall within policy coverage.

Legal Terms

Duty to Indemnify

An insurer's obligation to pay covered losses on behalf of the insured.

Legal Terms

Department of Insurance

The state agency that regulates insurers, licenses agents, and handles consumer complaints.

Legal Terms

Diminished Value

The loss in a vehicle's market value after it has been damaged and repaired.

Auto Insurance

Deductible Buyback

An endorsement that reduces or eliminates the deductible for an additional premium.

Claims Process

Duty to Cooperate

The policyholder's obligation to assist the insurer in investigating and settling a claim.

Legal Terms

Declaratory Judgment

A court ruling that determines whether an insurance policy covers a particular claim.

Legal Terms

Depreciation Holdback

The portion of depreciation withheld from an initial ACV payment, recoverable after repairs.

Claims Process

Desk Adjuster

An adjuster who reviews and processes claims from an office without visiting the loss site.

Claims Process

Deposition

Sworn, out-of-court testimony given by a witness and recorded for use in a lawsuit.

Legal Terms

Discovery

The pre-trial phase where both sides exchange evidence, documents, and witness information.

Legal Terms

Dwelling Fire Policy

A basic property policy covering a dwelling against fire and named perils only.

Home Insurance

Directors and Officers

Insurance protecting company leadership against personal liability for management decisions.

Liability

Deductible Credit

A premium reduction given in exchange for the insured choosing a higher deductible.

Claims Process

E

Endorsement

A written amendment that adds, removes, or changes coverage in an insurance policy.

Claims Process

Exclusion

A provision in a policy that eliminates coverage for specific risks or circumstances.

Claims Process

Examination Under Oath

A recorded, sworn interview conducted by the insurer to investigate a claim's validity.

Legal Terms

Effective Date

The date on which an insurance policy or endorsement begins providing coverage.

Claims Process

Expiration Date

The date on which an insurance policy ceases to provide coverage.

Claims Process

Estoppel

A legal principle preventing an insurer from denying coverage after making misleading statements.

Legal Terms

Earthquake Insurance

A separate policy or endorsement covering damage caused by earthquakes and related ground movement.

Home Insurance

Excess Insurance

A policy that pays only after underlying coverage limits have been fully exhausted.

Liability

Errors and Omissions

Insurance protecting professionals against claims of inadequate work or negligent actions.

Liability

Employers Liability

Coverage for lawsuits by employees who are injured at work and sue beyond workers comp benefits.

Liability

Extra Expense Coverage

Insurance that pays additional costs incurred to keep a business running after a covered loss.

Claims Process

Equipment Breakdown

Modern version of boiler and machinery coverage protecting against mechanical and electrical failures.

Claims Process

Employment Practices Liability

Coverage for claims of discrimination, harassment, or wrongful termination by employees.

Liability

Experience Modification

A factor that adjusts workers comp premiums based on a business's actual loss history.

Claims Process

F

G

H

I

Indemnification

The principle of restoring the insured to the same financial position they held before the loss.

Claims Process

Independent Adjuster

A freelance adjuster hired by insurers to investigate and settle claims on their behalf.

Claims Process

Insolvency

The inability of an insurance company to pay its obligations and claims.

Claims Process

Insurance Fraud

Intentional deception committed to obtain an undeserved insurance payout.

Legal Terms

Independent Medical Examination

A medical evaluation requested by the insurer to verify the extent of claimed injuries.

Claims Process

Incontestability Clause

A provision preventing the insurer from contesting a policy after it has been in force for a set time.

Claims Process

Insurable Interest

A financial stake in the insured property or person that gives the right to buy insurance.

Claims Process

Interrogatories

Written questions sent to the opposing party that must be answered under oath during discovery.

Legal Terms

Intervening Cause

An event occurring after the initial cause that contributes to the final loss or injury.

Legal Terms

Indemnity Agreement

A contract in which one party agrees to compensate the other for certain losses or damages.

Liability

Inland Marine

Coverage for goods in transit or movable property not adequately covered by standard policies.

Claims Process

IBNR

Incurred but not reported losses that an insurer estimates for claims not yet filed.

Claims Process

Insuring Agreement

The core section of a policy stating what the insurer promises to cover.

Claims Process

J

L

Liability Coverage

Insurance that pays for bodily injury or property damage the policyholder causes to others.

Liability

Lien

A legal claim against settlement proceeds by a party owed money, such as a medical provider.

Legal Terms

Loss of Use

Coverage that pays additional living expenses when a home is uninhabitable after a covered loss.

Home Insurance

Loss Ratio

The percentage of premiums an insurer pays out in claims, used to measure profitability.

Claims Process

Liability Split Limits

Auto liability expressed as three numbers: per-person BI, per-accident BI, and property damage.

Auto Insurance

Loss Payee

A party listed on a policy who receives claim payments, typically a lender or lienholder.

Claims Process

Lost Wages

Income a claimant was unable to earn because of injuries sustained in a covered incident.

Settlement

Lost Earning Capacity

The reduction in a claimant's future ability to earn income due to permanent injuries.

Settlement

Line Item

An individual entry in a repair estimate representing a specific task, material, or labor cost.

Claims Process

Lump Sum

A single, one-time payment of the full settlement amount rather than periodic installments.

Settlement

Litigation

The process of resolving a dispute through the court system, including filing a lawsuit.

Legal Terms

Loss Run

A report listing all claims filed on a policy, used by underwriters to assess future risk.

Claims Process

Liberalization Clause

A provision automatically applying broader coverage if the insurer changes its standard policy forms.

Claims Process

M

N

O

P

Premium

The periodic payment made to an insurance company in exchange for coverage.

Claims Process

Peril

A specific cause of loss such as fire, wind, theft, or vandalism.

Home Insurance

Property Damage

Physical harm to or destruction of tangible property belonging to another person.

Liability

Personal Injury Protection

No-fault coverage that pays medical bills and lost wages regardless of who caused the accident.

Auto Insurance

Proximate Cause

The primary cause that directly leads to a loss or injury in a claim.

Legal Terms

Public Adjuster

A licensed adjuster hired by the policyholder to negotiate a claim against the insurer.

Claims Process

Proof of Loss

A formal sworn statement submitted by the insured documenting the details and amount of a loss.

Claims Process

Policy Limit

The maximum amount an insurer will pay for a covered loss under a policy.

Claims Process

Per-Occurrence Limit

The maximum amount an insurer will pay for any single claim or incident.

Claims Process

Personal Property Coverage

Insurance that covers belongings inside the home such as furniture, electronics, and clothing.

Home Insurance

Pro-Rata Cancellation

A cancellation where the premium refund is proportional to the remaining policy period.

Claims Process

Partial Loss

A loss where damaged property can be repaired for less than its total value.

Claims Process

Professional Liability

Coverage for claims of negligence or errors arising from professional services.

Liability

Product Liability

Coverage for claims of injury or damage caused by products manufactured or sold by the insured.

Liability

Premises Liability

Legal responsibility for injuries occurring on property owned or controlled by the insured.

Liability

Personal Injury

Coverage for non-physical harms such as libel, slander, false arrest, and invasion of privacy.

Liability

Pain and Suffering

Non-economic damages compensating for physical pain and emotional distress caused by an injury.

Settlement

Per Diem

A method of calculating pain and suffering by assigning a daily dollar value for each day affected.

Settlement

Punitive Damages

Additional damages awarded to punish an insurer or defendant for willful or reckless misconduct.

Legal Terms

Primary Insurance

The first policy to respond and pay up to its limits before other policies contribute.

Claims Process

Pro Rata Clause

A provision that divides a loss proportionally among all policies covering the same risk.

Claims Process

Prior Acts Coverage

Coverage for incidents that happened before the current policy but are reported during the term.

Claims Process

Percentage Deductible

A deductible calculated as a percentage of the insured value rather than a flat dollar amount.

Home Insurance

Performance Bond

A bond guaranteeing a contractor will complete a project according to the contract terms.

Claims Process

Payment Bond

A bond ensuring a contractor pays subcontractors, laborers, and material suppliers.

Claims Process

Proof of Insurance

Documentation showing that valid insurance coverage is in effect, such as an insurance card.

Auto Insurance

Permissive Use

Coverage extended to someone driving the insured vehicle with the owner's permission.

Auto Insurance

Policy Period

The span of time during which an insurance policy provides coverage.

Claims Process

Pair and Set Clause

A provision limiting payment for a lost item that is part of a pair or set to its proportional value.

Claims Process

Protective Safeguards

A warranty requiring the insured to maintain security features like alarms or sprinklers.

Home Insurance

R

Replacement Cost

The amount needed to replace damaged property with new items of similar kind and quality.

Claims Process

Release

A legal document signed by the claimant waiving further claims in exchange for payment.

Settlement

Reservation of Rights

A letter from an insurer stating it may deny coverage while still investigating the claim.

Legal Terms

Rider

An add-on to a policy that provides additional or modified coverage for specific items.

Claims Process

Retroactive Date

The earliest date from which a claims-made policy will cover incidents.

Claims Process

Renewal

The continuation of a policy for another term, often with updated rates and conditions.

Claims Process

Repair Estimate

A written assessment of the cost to fix damaged property, used to determine claim payouts.

Claims Process

Rescission

The voiding of a policy from inception due to fraud or material misrepresentation.

Legal Terms

Rental Reimbursement

Coverage that pays for a rental car while your insured vehicle is being repaired.

Auto Insurance

Reservation of Rights Letter

A written notice informing the insured that coverage may not apply to a reported claim.

Legal Terms

Recoverable Depreciation

Depreciation that the insured can reclaim by completing repairs and submitting receipts.

Claims Process

Reinstatement

The restoration of a lapsed or cancelled policy to active status, usually with back premium payment.

Claims Process

Respondeat Superior

A doctrine holding employers liable for employees' negligent acts performed within their job scope.

Legal Terms

Renters Insurance

A policy covering a tenant's personal property, liability, and additional living expenses.

Home Insurance

Retrospective Rating

A premium plan where the final cost is adjusted based on actual losses during the policy period.

Claims Process

S

Subrogation

The insurer's right to pursue a third party that caused the loss to recover paid claims.

Claims Process

Sworn Statement in Proof of Loss

A notarized document the insured signs under oath detailing the claimed loss amount.

Claims Process

Settlement

An agreed-upon payment that resolves an insurance claim without going to trial.

Settlement

Structured Settlement

A settlement paid in periodic installments over time instead of a single lump sum.

Settlement

Statute of Limitations

The legal deadline by which a claim or lawsuit must be filed or it is permanently barred.

Legal Terms

Surplus Lines

Insurance placed with non-admitted carriers for risks standard insurers will not cover.

Claims Process

Scheduled Personal Property

A list of specific valuable items insured for stated amounts on a policy.

Home Insurance

Short-Rate Cancellation

A cancellation where the insurer retains a penalty portion of the unearned premium.

Claims Process

Salvage

The remaining value of damaged property that an insurer recovers after paying a total loss claim.

Claims Process

Scope of Loss

A detailed list of all damage items and repairs needed, prepared during the claims inspection.

Claims Process

Stacking

Combining coverage limits from multiple policies or vehicles to increase available benefits.

Auto Insurance

SR-22

A certificate filed by an insurer proving a high-risk driver carries the required minimum coverage.

Auto Insurance

Subrogation Waiver

An agreement where the insurer gives up its right to pursue a third party for reimbursement.

Claims Process

Sinkhole Coverage

Insurance covering structural damage caused by sinkhole activity beneath the property.

Home Insurance

Sublimit

A lower coverage cap within a policy that applies to a specific type of loss or property.

Claims Process

Self-Insured Retention

The amount an insured must pay from their own funds before excess or umbrella coverage applies.

Liability

Slip and Fall

A common premises liability claim where someone is injured by a hazardous walking surface.

Liability

Supplemental Claim

An additional claim filed for damages discovered after the original claim was processed.

Claims Process

Special Damages

Quantifiable economic losses such as medical bills, lost wages, and property repair costs.

Settlement

Staff Adjuster

An adjuster employed directly by an insurance company rather than working independently.

Claims Process

Summons

A legal notice served on a defendant informing them of a lawsuit and requiring a response.

Legal Terms

Summary Judgment

A court ruling resolving a case without trial when there are no disputed material facts.

Legal Terms

Superseding Cause

An unforeseeable event that breaks the chain of causation and relieves the original party of liability.

Legal Terms

Strict Liability

Legal responsibility imposed without proof of negligence, often applied to dangerous activities.

Legal Terms

Surety Bond

A three-party agreement guaranteeing that a contractor will fulfill their obligations.

Claims Process

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