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Showing 151 of 151 terms
When a policyholder gives up all rights to damaged property and claims a total loss from the insurance company.
Example: After a severe fire, the homeowner abandoned the property to the insurer.
An unexpected, unintended event that causes injury or damage. Must be sudden and not gradual.
Example: A tree falling on your house during a storm is an accident.
The replacement cost of property minus depreciation. What your item is worth today, not what you paid for it.
Example: A 5-year-old TV that cost $1,000 might have an ACV of $400.
A person or organization added to your policy who receives coverage under your policy.
Example: A landlord may require tenants to add them as additional insured.
Coverage for extra costs when you cannot live in your home due to a covered loss. Includes hotel, meals, and temporary housing.
Example: If fire damage makes your home uninhabitable, ALE covers hotel costs.
An insurance company representative who investigates claims and determines how much the insurer should pay.
Example: The adjuster visited the property to assess the water damage.
A licensed professional who sells insurance policies on behalf of one or more insurance companies.
Example: Your insurance agent can help you choose the right coverage.
A policy that covers all perils except those specifically excluded. Also called "open perils" or "special form."
Example: An all-risk policy covers theft, but may exclude flood damage.
A process to resolve disputes about the value of a loss when you and your insurer disagree.
Example: When the homeowner disputed the settlement, they invoked the appraisal clause.
The transfer of policy benefits or rights to another party.
Example: A contractor may request assignment of benefits to receive payment directly.
Another term for the insured or policyholder - the person protected by the insurance policy.
A temporary insurance contract that provides coverage until the permanent policy is issued.
Example: The agent issued a binder so coverage started immediately.
A single coverage amount that applies to multiple items or locations rather than specific limits for each.
Example: Blanket coverage of $100,000 for all personal property in the home.
Physical harm to a person, including sickness, disease, or death resulting from an accident.
Example: Liability coverage pays for bodily injury if someone is hurt on your property.
An independent professional who represents the buyer (you) in finding insurance, not the insurance company.
Example: A broker shops multiple companies to find you the best rate.
Coverage for additional costs to bring your home up to current building codes during repairs.
Example: Older homes may need electrical upgrades to meet current codes.
Theft involving forced entry into a building. Different from robbery, which involves force against a person.
Example: Signs of forced entry are required to prove burglary.
Coverage for lost income when a business cannot operate due to a covered loss.
Example: Business interruption insurance covers lost revenue during repairs.
The termination of an insurance policy before its expiration date by either the insurer or policyholder.
Example: Non-payment of premiums can result in policy cancellation.
The insurance company that issues your policy and pays claims. Also called the insurer.
Example: State Farm is a major insurance carrier.
A large-scale disaster that causes significant losses, like hurricanes, earthquakes, or wildfires.
Example: Hurricane Ian was declared a catastrophe by insurers.
A formal request to your insurance company for payment under your policy for a covered loss.
Example: File a claim within 24 hours of discovering damage.
A unique identifier assigned to your claim for tracking and reference purposes.
Example: Always reference your claim number when calling the insurance company.
The person making a claim against an insurance policy.
Example: As the claimant, you must provide documentation of the loss.
A clause requiring you to insure your property for a certain percentage of its value (usually 80%) or face a penalty.
Example: If you fail to meet the 80% coinsurance requirement, your claim may be reduced.
Auto insurance that pays for damage to your vehicle from hitting another object or vehicle.
Example: Collision coverage pays to repair your car after an accident.
Auto insurance that covers damage from non-collision events like theft, vandalism, or weather.
Example: Comprehensive coverage pays for hail damage to your car.
The rules and requirements in your policy that you must follow for coverage to apply.
Example: Policy conditions require you to report losses promptly.
Insurance for your personal belongings inside your home, separate from the building itself.
Example: Contents coverage pays to replace furniture, clothing, and electronics.
A licensed professional who performs repairs or reconstruction work on damaged property.
Example: Get multiple contractor estimates before starting repairs.
The protection provided by your insurance policy against specific risks or perils.
Example: Check your policy to understand what coverage you have.
The maximum amount your insurance company will pay for a covered loss.
Example: Your dwelling coverage limit is $300,000.
Coverage for the cost of removing debris from your property after a covered loss.
Example: Debris removal coverage pays to haul away damaged materials.
The first page of your policy showing your name, address, coverage amounts, deductibles, and premium.
Example: Review your declaration page to verify your coverage limits.
The amount you pay out of pocket before insurance kicks in. Higher deductibles mean lower premiums.
Example: With a $1,000 deductible on a $5,000 claim, you pay $1,000 and insurance pays $4,000.
When an insurance company refuses to pay a claim because it is not covered or policy conditions were not met.
Example: The claim was denied because flood damage is excluded from the policy.
The decrease in value of property over time due to age, wear, and obsolescence.
Example: A 10-year-old roof has significant depreciation.
Damage caused directly by a covered peril, as opposed to indirect or consequential damage.
Example: Fire damage to your home is a direct loss.
A sudden event causing widespread damage, often declared by government authorities.
Example: FEMA declared the hurricane a federal disaster.
Information you must provide to the insurance company about your property and risk factors.
Example: Failure to disclose a swimming pool could void your policy.
Insurance that covers the physical structure of your home, including attached structures.
Example: Dwelling coverage pays to rebuild your house after a fire.
Separate coverage for earthquake damage, which is excluded from standard homeowners policies.
Example: California homeowners often purchase separate earthquake insurance.
The date your insurance coverage begins.
Example: Your policy effective date is January 1, 2024.
An amendment to your policy that adds, removes, or modifies coverage. Also called a rider.
Example: Add a jewelry endorsement to cover your engagement ring.
A detailed breakdown of repair costs prepared by a contractor or adjuster.
Example: The contractor provided an estimate of $15,000 for roof repairs.
A formal, recorded interview where you answer questions about your claim under oath.
Example: The insurance company requested an EUO for the large claim.
Insurance that pays after your primary policy limits are exhausted.
Example: An umbrella policy provides excess liability coverage.
Specific situations, perils, or property that your policy does NOT cover.
Example: Flood and earthquake are common exclusions in homeowners policies.
The date your insurance policy ends and must be renewed.
Example: Renew your policy before the expiration date to avoid a coverage gap.
Additional perils covered beyond the basic policy, such as windstorm, hail, and vandalism.
Example: Extended coverage adds protection for more types of damage.
The price a willing buyer would pay a willing seller for property in its current condition.
Example: Fair market value considers the property's age and condition.
Federal Emergency Management Agency - provides disaster relief and administers the National Flood Insurance Program.
Example: FEMA provides assistance after federally declared disasters.
The process of formally notifying your insurance company of a loss and requesting payment.
Example: File a claim as soon as possible after discovering damage.
Destruction or harm to property caused by flames, smoke, or heat from a fire.
Example: Fire damage includes both burned areas and smoke damage throughout the home.
The initial report of a claim to your insurance company, starting the claims process.
Example: FNOL can be filed online, by phone, or through your agent.
Separate coverage for flood damage, typically purchased through the National Flood Insurance Program (NFIP).
Example: Standard homeowners insurance does not cover flood damage.
Intentionally deceiving an insurance company to receive payment you are not entitled to.
Example: Insurance fraud is a felony that can result in prosecution.
The cost to replace damaged property with something that performs the same function, even if different.
Example: Replacing a built-in cabinet with a freestanding unit of similar function.
Insurance that protects against claims of bodily injury or property damage to others.
Example: General liability covers injuries to visitors on your property.
A period after your premium due date during which you can pay without losing coverage.
Example: Most policies have a 30-day grace period for premium payments.
Coverage that pays to rebuild your home even if costs exceed your policy limit.
Example: Guaranteed replacement cost protects against construction cost increases.
Damage caused by hailstones, commonly affecting roofs, siding, and vehicles.
Example: Hail damage often appears as dents or cracks in roofing materials.
A condition that increases the likelihood or severity of a loss.
Example: A wood-burning stove is a fire hazard.
The most common homeowners insurance policy, covering the dwelling on an open-perils basis.
Example: An HO-3 policy covers your home against all perils except those specifically excluded.
A portion of the claim payment withheld until repairs are completed, common with RCV policies.
Example: The insurer paid ACV upfront and will release the holdback after repairs.
A package policy that covers your home, personal property, liability, and additional living expenses.
Example: Homeowners insurance is required by most mortgage lenders.
A separate, often higher deductible that applies specifically to hurricane damage.
Example: Hurricane deductibles are often 2-5% of the dwelling coverage.
The principle that insurance should restore you to your pre-loss financial condition, no better or worse.
Example: Insurance provides indemnity, not profit from a loss.
An adjuster who works for an independent firm, not directly for the insurance company.
Example: Insurance companies hire independent adjusters during catastrophes.
An endorsement that automatically increases your coverage limits to keep pace with inflation.
Example: Inflation guard ensures your coverage keeps up with rising construction costs.
An examination of your property by an insurance representative to assess risk or verify damage.
Example: The adjuster scheduled an inspection to assess the damage.
A financial stake in property that would cause you loss if it were damaged or destroyed.
Example: You must have insurable interest to purchase insurance on property.
A number based on your credit history that insurers use to predict the likelihood of claims.
Example: A good insurance score can lower your premium.
The person or entity protected by an insurance policy. Also called the policyholder.
Example: As the named insured, you are responsible for paying premiums.
The insurance company that issues your policy and pays covered claims.
Example: The insurer has 30 days to respond to your claim.
A detailed list of your personal property, including descriptions, values, and receipts.
Example: Keep a home inventory to speed up the claims process.
When an insurance policy terminates due to non-payment of premiums.
Example: A lapsed policy means you have no coverage.
Protection against claims for bodily injury or property damage you cause to others.
Example: Liability coverage pays if your dog bites a visitor.
Replacement with materials of similar type, grade, and quality as the original.
Example: The policy requires replacement with like kind and quality materials.
The maximum amount an insurance policy will pay for a covered loss.
Example: Your policy has a $300,000 limit for dwelling coverage.
An individual entry in an insurance estimate, representing a specific repair or replacement.
Example: Review each line item in the estimate for accuracy.
Damage or destruction of property, or injury to a person, that may be covered by insurance.
Example: Report any loss to your insurance company promptly.
Coverage for your share of assessments by a homeowners association for damage to common areas.
Example: Loss assessment coverage pays your HOA special assessment after a storm.
Coverage for additional living expenses when you cannot live in your home due to a covered loss.
Example: Loss of use coverage pays for hotel and meals while your home is repaired.
A party with a financial interest in your property who receives claim payments, such as a mortgage lender.
Example: Your mortgage company is listed as loss payee on your policy.
The price your property would sell for on the open market in its current condition.
Example: Market value may be less than replacement cost for older homes.
A dispute resolution process where a neutral third party helps you and the insurer reach agreement.
Example: Mediation can resolve claim disputes without going to court.
Steps taken to prevent further damage after a loss, which policyholders are required to do.
Example: Tarping a damaged roof is mitigation to prevent water intrusion.
Damage caused by mold growth, often resulting from water damage. Coverage varies by policy.
Example: Many policies have limited coverage for mold damage.
A provision protecting your mortgage lender's interest in your property.
Example: The mortgage clause ensures your lender is paid if your home is destroyed.
A premium reduction for having multiple policies with the same insurer.
Example: Bundle your home and auto insurance for a multi-policy discount.
The person or entity specifically named on the policy as the primary policyholder.
Example: The named insured is responsible for paying premiums and filing claims.
A policy that only covers losses from perils specifically listed in the policy.
Example: Named perils coverage only pays for damage from listed causes.
Failure to exercise reasonable care, resulting in damage or injury to another.
Example: Liability coverage protects against claims of negligence.
When an insurance company decides not to renew your policy at the end of its term.
Example: Too many claims can result in non-renewal.
An accident or event that results in a claim, including continuous exposure to conditions.
Example: Each occurrence is subject to a separate deductible.
Coverage that protects against all risks except those specifically excluded. Also called all-risk.
Example: Open perils coverage is broader than named perils.
Coverage for additional costs to comply with building codes when repairing or rebuilding.
Example: Ordinance coverage pays for code-required upgrades during repairs.
Insurance for detached structures on your property, like garages, sheds, and fences.
Example: Other structures coverage is typically 10% of dwelling coverage.
The contractor's markup for managing a project, typically 10% overhead and 10% profit.
Example: O&P is often disputed between insurers and contractors.
A specific cause of loss, such as fire, wind, theft, or water damage.
Example: Your policy covers damage from listed perils.
Your belongings and possessions, as opposed to the building itself.
Example: Personal property includes furniture, clothing, and electronics.
The written contract between you and your insurance company detailing coverage, limits, and conditions.
Example: Read your policy carefully to understand your coverage.
The time during which your insurance policy is in effect, typically one year.
Example: Your policy period runs from January 1 to December 31.
The person who owns an insurance policy. Also called the insured.
Example: As the policyholder, you have certain rights and responsibilities.
The amount you pay for your insurance policy, typically monthly or annually.
Example: Your annual premium is $1,200.
A sworn statement documenting the details and value of your loss, required for many claims.
Example: Submit your proof of loss within 60 days of the request.
Physical harm to tangible property, including destruction or loss of use.
Example: Property damage includes both structural damage and damaged contents.
A proportional distribution, often used for premium refunds or shared coverage.
Example: You received a pro rata refund for the unused portion of your policy.
A licensed professional who represents policyholders in negotiating insurance claims.
Example: A public adjuster works for you, not the insurance company.
The depreciation amount that can be recovered after repairs are completed under an RCV policy.
Example: Submit receipts to recover the depreciation holdback.
Restoring a lapsed or cancelled policy to active status.
Example: Pay past-due premiums to reinstate your policy.
Insurance purchased by insurance companies to protect against large losses.
Example: Reinsurance helps insurers pay claims after catastrophes.
Continuing your insurance policy for another term, usually with updated rates.
Example: Review your renewal documents for coverage changes.
The cost to replace damaged property with new items of similar kind and quality, without deducting for depreciation.
Example: RCV coverage pays to replace your 10-year-old TV with a new one.
A letter from your insurer stating they may deny coverage while still investigating your claim.
Example: A reservation of rights letter does not mean your claim is denied.
An endorsement that adds or modifies coverage on your policy.
Example: Add a rider to cover your valuable jewelry.
The chance of loss or the property/person exposed to loss.
Example: Insurance companies assess risk to determine premiums.
Harm to your roof from perils like wind, hail, falling objects, or age-related wear.
Example: Hail can cause significant roof damage that is not visible from the ground.
Damaged property that retains some value and can be sold by the insurer after a total loss payment.
Example: The insurer sold the salvage from the totaled vehicle.
A list of specific items covered under your policy with their individual values.
Example: Schedule your expensive jewelry for full coverage.
A detailed description of all repairs needed to restore damaged property.
Example: Review the scope of work to ensure all damage is included.
The payment made by an insurance company to resolve a claim.
Example: The final settlement was $25,000.
Insurance for damage caused by sinkholes, often required in certain geographic areas.
Example: Florida homeowners may need separate sinkhole coverage.
Damage caused by smoke from a fire, including discoloration, odor, and residue.
Example: Smoke damage can affect areas far from the actual fire.
Maximum coverage amounts for specific categories of personal property, like jewelry or cash.
Example: Special limits cap jewelry coverage at $1,500 unless scheduled.
An adjuster who is a direct employee of the insurance company.
Example: Staff adjusters handle claims for their employer.
A document detailing the items damaged or destroyed and their values.
Example: Prepare a detailed statement of loss for your claim.
Property damage caused by severe weather events like hurricanes, tornadoes, or thunderstorms.
Example: Storm damage may include wind, hail, and water intrusion.
Damage to the load-bearing elements of a building, such as foundation, walls, or roof framing.
Example: Structural damage may require engineering assessment.
The insurer's right to pursue a third party who caused the loss to recover claim payments.
Example: Through subrogation, your insurer sued the negligent contractor.
An additional claim payment for damage discovered after the initial estimate.
Example: File a supplement when contractors find hidden damage.
An additional premium charge, often due to claims history or risk factors.
Example: Filing multiple claims may result in a surcharge.
Emergency repairs to prevent further damage, covered as part of your claim.
Example: Tarping a damaged roof is a temporary repair.
The unlawful taking of property, covered under most homeowners policies.
Example: File a police report for theft claims.
When property is completely destroyed or repair costs exceed its value.
Example: The fire resulted in a total loss of the home.
Damage caused by fallen trees or branches, typically covered if caused by a covered peril.
Example: A tree falling on your house during a storm is covered.
Extra liability coverage that kicks in when your primary policy limits are exhausted.
Example: An umbrella policy provides additional protection for major lawsuits.
Having insufficient coverage to fully replace or repair damaged property.
Example: Rising construction costs can leave you underinsured.
The person or system that evaluates risk and determines policy terms and pricing.
Example: The underwriter approved your application with standard rates.
A property where residents have temporarily moved out but intend to return.
Example: Notify your insurer if your home will be unoccupied for extended periods.
A property with no occupants and minimal personal property, which may affect coverage.
Example: Vacant homes have higher risk and may need special coverage.
The method used to determine the value of damaged property for claim purposes.
Example: ACV and RCV are different valuation methods.
Intentional damage to property by someone other than the owner.
Example: Graffiti and broken windows are examples of vandalism.
A time period after purchasing coverage before certain perils are covered.
Example: Flood insurance has a 30-day waiting period.
The voluntary giving up of a right or requirement.
Example: The insurer may waive certain policy conditions.
Damage caused by water from various sources, with coverage depending on the cause.
Example: Burst pipes are covered; flood damage requires separate insurance.
Property damage caused by high winds, including damage from wind-driven rain.
Example: Wind damage to roofs is common during hurricanes.
Insurance protection against damage from high winds and wind-driven debris.
Example: Windstorm coverage is essential in hurricane-prone areas.
Talk to Alan AI for personalized help understanding your insurance coverage and claims process.