Definitions Flashcards

1
Q

Agent

A

A person who is employed to act on behalf of another.
An insurance agent is one who contracts with one or more insurance companies to sell their insurance policies to the public to and is paid a commission on or receives compensation for such business.

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2
Q

Actual Cash Value ( ACV)

A

The new or replacement cost of the property at the time of loss, less depreciation

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3
Q

Broker

A

An independent person or firm who acts on behalf of the insured in placing business with insurance companies. Typically, brokers search the market for coverage appropriate to their clients.

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4
Q

Burglary

A

Forced entry into premises.

Some insurers require evidence of forced entry to paying claims for burglary.

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5
Q

Bid Bond

A

Guarantees that, in the event his or her bid is accepted, a contractor will sign the contract to do the job per the bid and frequently will be able to furnish a performance bond as well

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6
Q

Bailee

A

In contract and property law, one to whom goods or property are entrusted for a stated purpose.

Can be either gratuitous ( for no consideration) or for hire (for consideration)

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7
Q

Absolute Liability

A

Liability that occurs where one has a duty to fill no matter what the circumstances may be.

Often found in cases involving explosives and many automobile laws. An insured of an insurance company may be responsible to a third party irrespective of any statutory faults, negligence or breaches on the part of the insured.

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8
Q

Canadian Accredited Insurance Broker (CAIB)

A

A professional designation granted after the successful completion of 4 courses by examination.

CAIB was designed by brokers for brokers and focuses on the practical application of technical knowledge and business management strategies.

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9
Q

Carrier

A

The insurance company which provides coverage or the risk.

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10
Q

Canadian Professional Insurance Broker (CPIB)

A

A senior designation course of study designed for students who have complete CAIB or CIP, offered through regional brokers associations, including the Independent Insurance Brokers Association of Alberta.

Three stream of study are offered: Personal lines, Commercial Lines, and Brokerage management.

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11
Q

Co-Insurer

A

Two or more persons or companies who may be sharing a loss.

A company, whose policy covers the same risk as that of one or more companies, is a co-insurer whether the policies are written separately or together

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12
Q

Code of Conduct

A

A formally adopted statement of applied ethics, or a statement of what is expected in practice from the members of a company, organization or association that has formally declared its operating vales and principles.

Most codes of conduct begin with a description of the principles and values to which the organization aspires. The code may also prohibit specific behavior’s or actions by those it covers.

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13
Q

Co-Insurance Clause

A

A clause in an insurance policy requiring an insured to carry a certain percentages, (usually 80, 90, or 100 percent) of insurance in relation to the value of the property insured.

If the insured fails to do this, then he agrees to be a self-insurer of all losses large or small in the same ratio as his failure to comply with the percentage required, is related to the insurance require. The formula for this is DID over SHOULD times the LOSS.

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14
Q

Fiduciary

A

Person of higher trust, someone who holds position of trust

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15
Q

Errors and Omission

A

Must be $500,000 per claim per person MIN.

Min $2 million max per claim.

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16
Q

Broker

A

Sells for many

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17
Q

Agent

A

Sells for one.

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18
Q

Indemnify

A

To provide compensation for loss or expenses incurred. A contract, express or implied, to repay in the event of a loss. Insured neither gains nor looses.

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19
Q

Defining Risk

A

Risk is simply described as the chance of financial loss or object of insurance.

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20
Q

Speculative Risk:

A

This involves the possibility of either financial loss or gain.
Like playing the lottery.

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21
Q

Pure Risk

A

This involves the chance of financial loss which does not; at the same time offer a chance of financial gain, for example; Loss of property. When there is no opportunity for a person to profit from a loss the risk is pure.

Only pure risk is insurable.

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22
Q

Boiler and Machinery Insurance

A

Commercial insurance that covers damage caused by the malfunction or breakdown of boilers, and a vast array of other equipment including air conditioners.
Heating, electrical, telephone and computer systems.

Often called equipment breakdown, or system breakdown insurance

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23
Q

Canadian Certified Insurance Broker (CCIB)

A

The highest designation awarded to brokers by the insurance brokers association of canada, after candidates successfully complete two written exams and one oral exam designed to test applied knowledge of property and liability coverage through risk analysis.

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24
Q

Canadian Insurance Claims Manager Association

A

The canadian insurance claims managers association (CICMA) is an organization of insurance company claims managers that promotes a high standard of ethics in the handling of claims. One of its main functions is to administer the canadian inter-company arbitration agreement, which it sets up to arbitrate disputes among the companies who are signatories to the agreement. This avoids many possible cases of litigation between insurers.

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25
Q

Cargo Insurance

A

A type of ocean marine insurance that protects the shipper of the goods against financial loss if the goods are lost or damaged. Also refers to goods shipped by various means- land, air inland water.

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26
Q

Chartered Insurance Professional (CIP)

A

This ten course program places emphasis on the integration of both practical and theoretical knowledge and it features concentrations for underwriters, brokers/ agents and adjusters.

The program is 10 courses. Five mandatory, three applied and two electives chosen from more than 20 available courses.

Offers by the Insurance Institute of Canada

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27
Q

Co-Insuer

A

Two o more persons or companies who may be sharing a loss. A company, whose policy covers the same risk as that of one or more other companies, is a co-insurer whether the policies are written separately or together.

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28
Q

Disclosure

A

Act of making something known. Example; everything you know about an insured must be disclosed to the insurance company.

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29
Q

Direct Loss

A

Occurs when the peril insured against actually strikes or “attacks” the object of insurance

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30
Q

Errors and Omissions Insurance

A

An insurance form that protects the insured against liability for committing an error and omission in the performance of professional duties. Generally, such policies are designed to cover financial losses rather than liability for bodily injury or property damage

Required in Alberta, Coverage at least $500,000 per claim
with max payout $2 Million in a policy year.

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31
Q

Endorsement

A

An amendment added to a written document, particularly an agreement between parties, altering its provisions.

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32
Q

Facility

A

A pooling agreement between all automobile insures that a market is guaranteed for all licensed drivers and registered owners. The results of the total industry pool are shared by all members of the agreement.

Facility has recently been replaced in most provinces by the facility assosciation.

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33
Q

Facility Association

A

Similar to Facility in intent. However, individual risks are written with selected carriers on behalf of the association, with the collective results then shared by all of the association.

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34
Q

Co-Insurance

A

Requires an insured to share in a loss with the insurer if they are underinsured.

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35
Q

Condominium Unit (Standard)

A

A condominium unit that is located within a multi-unit building. It’s boundaries are the ceilings, floors and walls of the unit and everything inside that space.

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36
Q

Bodily injury

A

Means physical injury or death

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37
Q

Bodily injury (CGL policy)

A

Means bodily injury, sickness or disease sustained by a person, including death resulting from any of these at any time.

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38
Q

Binder

A

Written confirmation that insurance coverage is in effect. It includes a summary of the coverage bound.

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39
Q

Binding authority

A

The authority to bind an insurer to an insurance contract without first submitting the application to an underwriter and to confirm such insurance coverage to an applicant.

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40
Q

Civil Authority

A

Any person acting under the authority of any level of government with respect to the protection of persons and property in the event of an emergency.

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41
Q

Direct Loss

A

Physical damage to property caused directly by a peril.

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42
Q

Endorsement

A

An amendment made to an insurance policy altering the provisions of the contract (policy).

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43
Q

Direct Writer

A

An insurance company who deals directly with the public.

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44
Q

Extra expenses

A

Additional expenses incurred to reduce the impact of a loss.

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45
Q

Fiduciary

A

One who holds property or money in trust for another.

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46
Q

Floater

A

Provides additional coverage beyond what is provided in a habitational policy for items that are moveable or float from location to location.

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47
Q

Friendly Fire

A

One which is burning something intended to be burned or something burning within its intended confines.

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48
Q

Fiduciary Duty

A

A duty to act in trust and in the best interests of another, particularly with respect to monetary matters.

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49
Q

Fidelity Bond

A

A bond in which an insurer agrees to reimburse an employer for a loss arising out of an employee’s dishonest act.

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50
Q

Facility Association

A

An organization that exists for the purpose of providing insurance ( at least basic compulsory coverages) for risks which are unable to obtain insurance protection in the regular market.

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51
Q

Grid Rating

A

Rating which applies to private passenger vehicles for basic coverage premiums.

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52
Q

Hostile Fire

A

A fire which becomes uncontrollable or breaks out where it was intended to be or one which is burning property not intended to be burned.

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53
Q

Indemnify

A

To return an individual after a loss to the same financial position he or she enjoyed immediately prior to the loss.

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54
Q

Indirect Loss

A

A loss which results as a consequence of a direct loss.

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55
Q

Insurable Interest

A

Exists if a person is financially disadvantaged if an object is damaged or destroyed and financially benefitted from the ongoing existence of it.

56
Q

Insured (PLP)

A

Person named on the coverage summary of the policy, including others living in the same household as specified on the policy.

57
Q

Loading

A

Is an additional charge included in an insurance rate to reflect a hazard not contemplated in the base rate.

58
Q

Legal Liability

A

Responsibility which courts recognize and enforce between persons who sue one another

59
Q

Law of large numbers

A

States that s sufficient number of past occurrences or cases must exist in order for predictions about the future to be statistically credible. As the number of events increases, the degree of certainty increases.

59
Q

Law of large numbers

A

States that s sufficient number of past occurrences or cases must exist in order for predictions about the future to be statistically credible. As the number of events increases, the degree of certainty increases.

60
Q

Intentional Tort

A

An act in which harm is intended from the viewpoint of the person committing the act. A deliberate, wrongful act.

61
Q

Moral Hazard

A

Arises from the characteristics or attitudes of the insured.

62
Q

Misrepresentation

A

An incorrect statement which may influence a party to enter into a contract. The statement may be innocent or deliberate.

63
Q

Named Perils

A

Direct physical loss or damage is covered only if caused by those perils that are named or listed in the insurance policy.

64
Q

Notice of loss

A

A form that is required under the conditions of an insurance contract. Its used to give immediate written notice to an insurer in the event of a loss.

65
Q

Occurrence (CGL Policy)

A

An accident, including continuous or repeated exposure to substantially the same general harmful conditions.

66
Q

Peril

A

An event that causes a loss.

67
Q

Physical Hazard

A

Arises from the physical condition of an object.

68
Q

Personal and advertising injury (CGL Policy)

A

Injury including consequential bodily injury arising out of defined actions such as libel, slander, malicious prosecution, false arrest and others.

69
Q

Products hazard

A

includes bodily injury or property damage arising out of the insured’s product which is no longer in the insured’s physical possession.

70
Q

Principle of indemnity

A

a principle which states that an insured should be put back in the same financial position as they were before a loss occurred.

71
Q

Pure Risk

A

Possibility of loss only, no gain.

72
Q

Safe burglary

A

The unlawful taking of property from a vault or safe, while all doors are closed and locked with a combination lock, by a person making unlawful entry into the safe or vault, evidenced by signs of forced entry. It includes unlawful taking of the safe itself from the premises.

73
Q

Risk

A

Uncertainty about outcomes, future occurrences or possible losses.

74
Q

Replacement cost value (RCV)

A

Means replacing an item with a new item of like kind and quality, without deduction for depreciation.

75
Q

Reinsurance

A

Is insurance for insurers. Insurance companies may share a portion of risk with a reinsurance company.

76
Q

Risk management

A

The minimization of the impact of accidental and business losses to an organization in a cost effective manner.

77
Q

Seasonal Dwelling

A

a dwelling which is expected to be unoccupied for extended periods of time throughout a year.

78
Q

Self insured retention

A

The amount of a loss that is payable to the insured.

79
Q

Speculative risk

A

possibility of loss or gain

80
Q

Subrogation

A

the right of an insurer, after indemnifying an insured (or agreeing to ) , to take over the insured’s rights of recovery from the responsible party.

81
Q

Surety

A

A bond or an agreement that guarantees the actions of a third party. It is a three party contract

82
Q

Tort

A

A civil wrongdoing

83
Q

Tied selling

A

An illegal practice whereby an agent agrees to sell a customer a good or service only if the customer buys some other good or service.

84
Q

Treaty reinsurance

A

An agreement between an insurer and a reinsurer covering a whole class of risks for a defined period of time (usually placed on an annual basis)

85
Q

Tortfeasor

A

An individual who commits a tort or civil wrong.

86
Q

Underwriter

A

An insurance professional who determines risk acceptance or rejection on behalf of an insurance company.

87
Q

Unearned premium

A

Premium which has been collected for a portion of the policy which has no yet expired.

88
Q

Unintentional tort

A

A careless act that is not intended or deliberate.

89
Q

Utmost good faith

A

a high standard of honesty.

90
Q

Warranty

A

A clause in an insurance policy where an insured promises to do or not do something.

91
Q

Water hammer

A

A shock wave that may be created when closing a faucet and turning off the flow of water.

92
Q

Accident basis

A

The injury or damage must be due to an event that is sudden, unitended (not deliberate) and unexpected

93
Q

Accident Benefits

A

Provisions under an automobile policy for payment of limited medical expenses and death benefits without regard to fault

94
Q

Absolute Liability

A

Liability that occurs where one has a duty to fill no matter what the circumstances may be.

95
Q

Application

A

A signed statement of facts made by a person applying for insurance, which is used by the insurance company to decide whether or not to insure the risk

96
Q

Arson

A

The deliberate act of burning assets. Starting fires

97
Q

Automobile fleet

A

A group of automobiles under the same ownership and management which may, because of the number, justify a discount in the insurance premium. Usually a fleet is made up of five vehicles or more

98
Q

Automobile reinstatement clause

A

A provision in a property or liability policy which states that after a loss has been paid, the total original limits of the policy are once again in effect.

99
Q

Bid bond

A

Guarantees that, in the event his or her bid is accepted, a contractor will sign the contract to do the job as per the bid and frequently will be able to furnish a performance bond as well.

100
Q

Binder

A

A written or oral agreement given by an insurer to insure a risk, pending the issue of a policy. A binder is deemed to be the policy and must be cancelled in the same manner.

101
Q

Binding Authority

A

In a contract between an insurance company and an insurance broker this defines the terms and conditions of the insurance broker’s power to bind an insurance company to the contract of insurance

102
Q

Black’s Law Dictionary

A

A dictionary of insurance terms that the legal profession and the courts of Canada use in determining definitions of insurance terms.

103
Q

Blanket coverage

A

Policy which provides a single limit of insurance for all property falling within a specific class

104
Q

Bodily Injury

A

Physical damage to a person

105
Q

Aviation Insurance

A

Covers aircraft of all types as well as liability associated with the operations of aircraft, airstrips and airfields.

106
Q

Bond

A

A financial guarantee provided by an insurer on behalf of an insured/obige to perform a specified function. (Not insurance)

107
Q

Broad form

A

Coverage for numerous additional perils, such as those found in a Broad Form Homeowners policy.

108
Q

Broker’s authority

A

same as binding authority

109
Q

Builders risk insurance

A

insurance contracts that provide coverage for property under construction

110
Q

Burglary

A

Forced entry into premises.

Some insurers require evidence of forced entry prior to paying claims for burglary

111
Q

Breach of contract

A

Failure of a party to perform in accordance with terms specified in a contract.

112
Q

Burden of proof

A

in law, the need to prove facts in dispute

113
Q

Burglary and theft insurance

A

insurance for the loss of property due to burglary, robbery or larceny. It is provided in standard homeowners policies and business multiple peril policies

114
Q

Bylaws coverage

A

Coverage for increased costs to rebuild following a loss, created by the requirement to adhere to updated bylaws.

115
Q

Carrier

A

The insurance company which provides coverage for the risk

116
Q

cede

A

to transfer all or part of a risk from an insurer (the ceding company) to a reinsurer

117
Q

Cession

A

amount of insurance ceded to a reinsurer by the original (ceding) company

118
Q

Casualty Insurance

A

Loosely used to describe an area of insurance not particularly or directly concerned with life insurance, fire insurance or automobile insurance. Most frequently refers to liability, burglary and plate glass insurance but may include fidelity and surety.

119
Q

Clause

A

Sentences and paragraphs in an insurance policy which describe and various coverage, exclusions, duties of the insured, locations covered and policy conditions

120
Q

Combined ratio

A

this is the sum of the insurer’s loss ration and its expense ratio

121
Q

Commercial general liability insurance (CGL)

A

Broad coverage that provides cover for all liability exposures of a business not specifically excluded.

122
Q

All comers rule

A

means that any applicant requiring third party liability and accident benefits coverage cannot be refused by an insurer, broker or agent

123
Q

Appeal Bond

A

Is a bond filed with the court by the party against whom a judgement has been rendered, and such decision is being appealed.

It is a guarantee that the judgement will be paid if the appeal is not successful

124
Q

Aggregate limit

A

the total amount of losses an insurer will pay during a policy period. Once the limit is exhausted, it is not automatically reinstated

125
Q

Binder

A

written confirmation that insurance coverage is in effect. It includes a summary of the coverage bound.

126
Q

Binding autority

A

the authority to bind an insurer to an insurance contract without first submitting the application to an underwriter and to confirm such insurance coverage to an applicant.

127
Q

Blanket basis insurance

A

the policy limit applied to all items or locations

128
Q

Brokerage agreement

A

contractual document that defines the terms under which a broker or agent will fulfill their obligations to a principal

129
Q

Cession

A

the portion of risk an insurance company transfers or cedes to a reinsurance company

130
Q

Claims- made policy

A

A policy which covers only claims made during the term of the contract

131
Q

Co insurance

A

Requires an insured to share in a loss with the insurer if they are underinsured

132
Q

compensatory damages

A

damages awarded by a court to compensate an injured party for harm suffered such as injury or economic loss which includes property damage and loss of use

133
Q

Contract

A

an agreement between two or more parties

134
Q

cover note

A

written confirmation that insurance coverage is in effect. It includes a summary of the coverage bound

135
Q

Data problem

A

means erasure, destruction, corruption, misappropriation, or misinterpretation of data. It includes errors in creating, amending, entering, deleting, or using data or the inability to receive, transmit, or use data