Chapter2 Flashcards

(86 cards)

1
Q

Tell me the two components in a two party contract

A

The insured and the insurer

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2
Q

A sudden, unforseen, unintended and unplanned event from which loss or damage results

A

Accident

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3
Q

An accident includes contiunous or repeated exposure to the same general harmful conditions

A

Occurance

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4
Q

Cancellation

A

The termination of an insurance policy before its experiation date. There is no coverage after and either party can cancel

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5
Q

Define Pro Rata Cancellation

A

A proportionate cancellation of insurance that refunds premium to the insured based on the percise number of days coverage was in effect.

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6
Q

Short Rate Cancellation

A

A cancellation that incurs a financial penalty. Insurer retains a portion.

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7
Q

Flat Cancellation

A

A cancellation of insurance that is retro active to the effective date of the policy. No coverage provided, insurer must refund policy premium. cancelled on the effective date.

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8
Q

Non renewal

A

A termination of a policy at the expatriation of its term.

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9
Q

Proximate cause

A

The primary cause of loss having the most impact on the damage.

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10
Q

A fire that burns outside its intended boundarires.

A

Hostile Fire

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11
Q

A fire that was intentionally set and stays within its inteded boundaries and results in smoke damage.

A

friendly fire

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12
Q

A quality within a property that causes it to damage or destroy itself

A

Inherent Vice

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13
Q

A legal agreement issued by an insurance company that provides temporary proof of insurance until the insurer is able to issue an insurance policy.

A

Binder

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14
Q

Process whereby a disputed claim is decided by a neutral third party.

A

Arbirtration

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15
Q

Rights of Salvage

A

Right of the insurer to take possession of damaged property after paying for its loss.

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16
Q

The amount for which property can be sold at the end of its useful life

A

Salvage Value

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17
Q

A policy form that alters to or adds provisions of a property and casualty insurance contract

A

Endorsement

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18
Q

A principle holding that when two perils simultaneously cause a loss, the insurer must pay the loss even if one of the perils is excluded by the policy.

A

Concurrent Causation

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19
Q

The existance of two or more policies covering the same exposures, having the same policy periods and same coverage triggers

A

concurrency

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20
Q

The existance of two or more policies covering the same exposures, that do not have the same policy periods and same coverage . Coverage gaps may occur

A

Non cocurrency

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21
Q

Define Deductible

A

The specified amount of each loss that the insured must bear.

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22
Q

What is a bailee?

A

A person or organization to which property has been entrusted, usually for repairs, servicing or storage.

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23
Q

What is a bailor?

A

A person or organization that entrusts property to a bailee

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24
Q

Primary Insurance definition

A

Any type of coverage that responds to loss before all other coverage respond

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25
What is the point of excess insurance?
It provides protection against certain perils or causes of loss ONLY after loss or damage exceeds a stated amount.
26
A property that contains personal property but has no occupants
Unoccupancy
27
A provision in property policy that eliminates or limits coverage for buildings that don't contain sufficent personal property to support intended occupancy or use.
Vacancy
28
Define Burglary vs Robbery vs theft
Burglary is to home, robbery is to person, theft is any act of stealing.
29
Mysterious disappearance
Loss of property when the cause of loss is not known.
30
What is the benefit to the insured of a higher deductible?
lower premiums
31
What are the two types of property loss?
Direct loss and indirect loss
32
Define direct loss
A loss that causes direct damage to a property without an intervening cause
33
Define Indirect loss
A loss that is not the direct result of a peril, came from direct loss
34
What are the two types of perils?
Named Peril and Open Peril
35
This type of property coverage only provides insurance for the cause of loss, or perils.
Named Peril
36
This type of property coverage provides insurance for all causes of loss that are not specifically excluded under the policy.
Open Peril
37
What is actual cash value?
The cost to repair or replace property at its replacement value minus depreciation
38
What is agreed value?
The insured and insurance comapny agreeing to the specific value before the policy is issued. if a total loss occured, the insurer will pay the agreed value.
39
what is the stated value?
a valuation method that states the value of a particular property on the declarations page, buyt provides for the insurer to pay the lesser stated value.
40
What policy will pay the full face value in the event of a total loss, regardless of actual cash value.
Valued policy
41
The cost to replace property with another property that performs the same function with similar efficiency
Functional Replacement value
42
Market price
The price a willing buyer would pay for a property purchased from a willing seller.
43
Define Frame in construction
a building that has a roof, floor and supports of combustible material.
44
Joisted masonry
Buildings with exterior walls of masonry or fire-resistive construction rated for not less than one hour, with combustible floors and roofs.
45
Noncombustible
Buildings and its walls, floors and structural framework made of noncombustible materials.
46
Masonry noncombustible
Buildings with exterior walls of masonry (at least 4 inches thick) or made of fire restive construction
47
Fire resistive
entire building and roof are constructed of reinforced concrete and steel
48
Modified fire resistive
Materials used in the walls, floors and roof of a structure must have a fire resisting rating of at least 1 hour, but less than 2 hours.
49
What are the 3 methods of writing property insurance limits?
specific, scheduled and blanket.
50
Define specific limit
Insures a single item of property for a singel limit of insurance.
51
Define Scheduled limit
Insures one or more items of a property on a single policy and the amount of insurance applying to each item is shown on a schedule.
52
Define Blanket Limit
Insures property located at more than one location or more than one type of property at the same location, OR both.
53
WHAT IS DICE?
a way to remember structure of a standard property insurance policy, D(eclerations) I(nsuring Agreement) C(onditions) and (E)xclusions.
54
What does the declarations page describe about the policy?
who, what, where, when and how much
55
What is the purpose of the insuring agreement?
It states the company's promise to pay the insured.
56
Define policy period
Specifies that coverage only applies to losses occurring when it was in force.
57
Define the conditions in relation to concealment or fraud
Specifies taht coverage will not apply if an insured amkes a material concealment or misrepresentation or fraud.
58
Specifies that if the insurer broadens coverage with no increase in premium, that broadening of coverage will apply to existing policies without the need for an endorsement.
Liberalization clause
59
Rights, such as the insured's term for cancellation, or the duties, such as the insured's duties in the event of a claim, are found in the _______ section of the insurance policy.
Conditions.
60
_____ Addresses the requirements o the insurer if it elects to not renew a policy.
nonrenewal
61
_____ specifies taht the insured may not transfer rights of ownership without the insurers prior written consent.
Assignment
62
____ States that the insured must transfer to the insurance company its right of recovery against any party causing a loss after it accepts payment from the insurere for a loss. _____ also allows the insurer to recover from the party that caused a loss any amouns paid to an insured.
Subrogation
63
Subrogation ultimately __________________
holds the responsible third party accountable for the loss
64
Any _____ to the policy must be made in writing by the insurer.
Changes
65
What ensures that the insurer will not be responsible for payment loss in an amount greater than the financial interest of an insured?
Insurable interest and limit of availability
66
What specifies the sum and circumstances under which an insurer charges the insured to restore a policy to its initial face value?
Restoration/ Nonreduction of limits.
67
What are some duties in the event of a loss?
Giving prompt written notice to the insurer, including a complete description of how, when, and where the loss or damage occurred Notifying the police if a theft occurred Cooperating with the insurer in the investigation and settlement of the loss Protecting property from further damage Preparing an inventory of the damaged property Allowing the insurer to inspect any damaged property and examine books and records Submitting proof of loss to the insurer
68
What kind of proof of loss to the insurer must you submit?
Time and cause, any other insurance that may cover it, and any receipts, evidence or affidavits to support loss
69
_____ specifies which loss valuation method will apply to the property insured under the policy.
Loss Settlement
70
___ addresses disuptes about the amount of a loss.
Appraisal.
71
______ specifies how the insurer will make payment for loss and any applicable time frames that must be honored when submitting proof of loss and other claim doccuments.
Loss Payment
72
True or false, the insurer is not obligated to accept any property abandoned by an insured.
true
73
The __________ specifies how the policy protest the mortgagees financial interest.
Mortgage clause
74
How many days does the insurer have to provide the mortgage holder advance written notice before cancelling or nonrenewing coverage?
10
75
____ condition specifies that in the event of the named insured's death, the insurer will extend coverageto the legal rep of decseased.
Death
76
Where are perils that are NOT covered by the policy listed?
Exclusions
77
Give me 2 examples of property exclusions:
Law, earth movement, war, utility failure that originates off premise, nuclear hazard, fungus, neglect, intentional loss.
78
___________ are automatically included in property policies without an additional premium.
Additional Coverages
79
What are the 4 types of insured?
name insured, insured, first name insured and additional insured.
80
____ receives the broadest coverage of all persons or organizations protected by a policy.
Named insured
81
When does coinsurance apply?
in the event of a partial loss.
82
What ecnourages the insured to purchase insurance to value?
Coinsurance provisions
83
The _____the conisinurance percentage, the ___ rate.
Higher, lower
84
What is the coinsurance formula?
DID over Should x loss = amount paid
85
The part of an insurance policy that states where the risk is located is the __________.
Declarations
86
Which insurance provision prevents the insured from collecting twice for the same loss?
Subrogation