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GLOSSARY OF TERMS
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A B C D E F G H I J
K L M N O P Q R S T
U V W X Y Z
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A
Accident: An event or occurrence
which is unforeseen and unintended.
Accidental Bodily Injury: Injury to the body as the
result of an accident.
Accounting: The process of recording, summarising,
and allocating all items of income and expense of the company
and analyzing, verifying, and reporting the results.
Act of God: A flood, earthquake or other non preventable
accident resulting from natural causes that occur without
any human intervention.
Actuary: A person professionally trained in the technical
aspects of pensions, insurance and related fields. The actuary
estimates how much money must be contributed to an insurance
or pension fund in order to provide future .
Additional insured: A person, company or entity protected
by an insurance policy in addition to the insured.
Adjuster: A person who investigates and settles losses
for an insurance carrier.
Adjusting: The process of investigating and settling
losses with or by an insurance carrier.
Adverse Selection: The tendency of persons who present
a poorer-than-average risk to apply for, or continue, insurance
to a greater extent than do person with average or better-than-average
expectations of loss.
Affidavit of prescription: legal procedures
to become the owner of a property after having occupied same
over thirty consecutive and uninterrupted years.
Age Limits: Stipulated minimum and maximum ages below
and above which the company will not accept applications or
may not renew policies.
Agent: An insurance company representative licensed
by the state who solicits, negotiates or effects contracts
of insurance, and provides service to the policyholder for
the insurer.
All-risks Policy: Coverage by an insurance contract
that promises to cover all losses except those losses specifically
excluded in the policy.
Amendment: A formal document changing the provisions
of an insurance policy signed jointly by the insurance company
officer and the policy holder or his authorised representative.
Amortisation: Paying an interest-bearing liability
by gradual reduction through a series of installments, as
opposed to one lump-sum payment.
Application: A signed statement of facts made by a
person applying for life insurance and then used by the insurance
company to decide whether or not to issue a policy. The application
becomes part of the insurance contract when the policy is
issued.
Arbitration: A form of alternative dispute resolution
where an unbiased person or panel renders an opinion as to
responsibility for or extent of a loss.
Arson: The willful and.malicious burning of, or attempt
to burn, any structure or other property, often with criminal
or fraudulent intent.
Assets: All funds, property, goods, securities, rights
of action, or resources of any kind owned by an insurance
company. Statutory accounting, however, excludes non-admitted
assets, such as deferred or overdue premiums, that would be
considered assets under generally accepted accounting principles.
Assignment: The legal transfer of one person's interest
in an insurance policy to another person.
Assignment Deed: An act by which the life
assured (Borrower) assigns his/her life assurance policy to
the lender as a guarantee for the reimbursement of his/her
loan.
Aviation Insurance: Aircraft insurance including coverage
of aircraft or their contents, the owner's liability, and
accident insurance on the passengers. |
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B
Beneficiary: The person designated
or provided for by the policy terms to receive any benefits
provided by the policy or plan upon the death of the insured.
Bond: A certificate issued by a government or corporation
as evidence of a debt. The issuer of the bond promises to
pay the bondholder a specified amount of interest for a specified
period and to repay the loan on the expiration (maturity)
date.
Burglary: Breaking and entering into another person's
property with forcible entry or exit from premises.
Burglary and Theft Insurance: Coverage against property
losses due to burglary, robbery, or larceny.
Business Interruption Insurance: Protection for a business
owner against losses resulting from a temporary shutdown because
of fire or other insured peril. The insurance provides reimbursement
for lost net profits and necessary continuing expenses.
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C
Cancellation: The discontinuance
of an insurance policy before its normal expiration date,
either by the insured or the company.
Capital Gain: Profit realized on the sale of securities.
An unrealized capital gain is an increase in the value of
securities that have not been sold.
Captive Insurance Company: A company owned solely or
in large part by one or more non-insurance entities for the
primary purpose of providing insurance coverage to the owner
or owners.
Captive Insurer: Insurance company established and
owned by a parent firm: order to insure its loss exposures
while reducing premium costs, providing easier access to a
reinsurer, and perhaps easing tax burdens.
Cargo Insurance: Type of ocean marine insurance that
protects the goods shipped against financial loss if the goods
are damaged or lost.
Cede: To transfer all or part of a risk written by
an insurer (the ceding, primary company) to a reinsurer.
Certificate of Insurance: A statement of coverage issued
to an individual insured under a group insurance contract,
outlining the insurance benefits and principal provisions
applicable to the member.
Cession: Amount of the insurance ceded to a reinsurer
by the original insuring company in a reinsurance operation.
Cession de priorite: priority of ranking
given over its existing inscription by an organization to
another.
Check-off: authority given by an employee
to effect a monthly deduction from his/her salary.
Claim: A request for payment of a loss which may come
under the terms of a insurance contract.
Claims Adjustor: Person who settles claims: an agent,
company adjustor, independent adjustor, adjustment bureau,
or public adjustor.
Claim-made policy: A liability insurance policy under
which coverage applies to claims filed during the policy period.
Coinsurance
1) A provision under which an insured who carries less than
the stipulated percentage of insurance to value, will receive
a loss payment that is limited to the same ratio which the
amount of insurance bears to the amount required;
2) a policy provision frequently found in medical insurance
by which the insured person and the insurer share the losses
covered under policy in a specified ratio, e.g. 80 percent
by the insurer and 20 percent by the insured.
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D
Declarations: Statements in an
insurance contract that provide information about the property
or life to be insured and used for underwriting and rating
purposes and identification of the property or life to be
insured.
Declination: The insurer's refusal to insure an individual
after careful evaluation of the application for insurance
and any other pertinent factors.
Deductible: An amount which a policyholder agrees to
pay, per claim or per accident, toward the total amount of
an insured loss.
Deed of loan: an agreement between borrower
and creditor containing all terms and conditions of loan.
Direct Loss: Financial loss that results directly from
an insured peril.
Directors' and Officers' Liability: the exposure
of corporate managers to claims from shareholders, government
agencies, and employees, and others alleging mismanagement.
Disability: a physical or a mental impairment that
substantially limits one or more major life activities of
an individual. It may be partial or total.
(See Partial Disability; Total Disability.)
Disability Benefit: Periodic payments, usually monthly,
payable to participants under some retirement plans, if such
participants are eligible for the benefits and become totally
and permanently disabled prior normal retirement date.
Dread Disease Insurance: Insurance providing an unallocated
benefit, subject to a maximum amount, for expenses incurred
in connection with the treatment of specified diseases, such
as cancer, poliomyelitis, encephalitis and spinal meningitis.
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E
Early Retirement: Retirement
of a participant prior to the normal retirement age. It is
usually allowed at any time within a period of 5-10 years
preceding the normal retirement age.
Economic Loss: The estimated total cost, both insured
and uninsured, of mishaps (such as motor vehicle accidents,
work accidents, and fires); includes such factors as property
damage, funeral expenses, wage loss, insurance administration
costs, and medical, hospital and legal costs.
Effective Date: The date on which the insurance under
a policy begins.
Elements of a Negligent Act: Four elements an injured
person must show to prove negligence: existence of a legal
duty to use reasonable care, failure to perform that duty,
damages or injury to the claimant, and proximate cause relationship
between the negligent act and the infliction of damages.
Embezzlement: Fraudulent use or taking of another's
property or money which has been entrusted to one's care.
Endorsements: An additional piece of paper, not a part
of the original contract, which cites certain terms and which,
when attached to the original contract, becomes a legal part
of that contract.
Equities: Investments in the form of ownership of property,
usually common stocks, as distinguished from fixed income
bearing securities, such as bonds or mortgages.
Exclusions: Specific conditions or circumstances listed
in the policy for which the policy will not provide benefit
payments.
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F
Facultative Reinsurance: A type
of reinsurance in which the reinsurer can accept or reject
any risk presented by an insurance company seeking reinsurance.
Fidelity Guarantee: A form of protection which reimburses
an employer for losses caused by dishonest or fraudulent acts
of employees.
Fire: A combustion accompanied by a flame or glow,
which escapes its normal confines to cause damage.
Fire Insurance: Coverage for losses caused by fire
and lightning, plus resultant damage caused by smoke and water.
Fire Legal Liability: Liability of a firm or person
for fire damage caused by negligence and damage to property
of others.
Freehold: land privately owned.
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G
General Average: In ocean marine
insurance, a loss incurred for the common good that is shared
by all parties to the venture.
Gross Negligence: the intentional failure to perform
a manifest duty in reckless disregard of the consequences
as affecting the life or property of another party.
Gross Premium: The premium paid by the policyholder.
Gross Rate: The sum of the pure premium and a loading
element.
Group Insurance: Insurance written on a number of people
under a single master policy, issued to their employer or
to an association with which they are affiliated.
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H
Hard Market: That part of the
insurance sales cycle in which competitive pricing is at a
minimum as companies charge the premiums necessary to meet
their underwriting losses in order to avoid insolvency and
boost capacity; usually associated with a sharp decline in
capacity.
Hold Harmless Clause: Clause written into a contract
by which one party agrees to release another party from all
legal liability, such as a retailer who agrees to release
the manufacturer from legal liability if the product injures
someone.
Homeowners Policy: A package of insurance providing
home owners with a broad range of property and liability coverages.
Hull Insurance:
(1) Class of ocean marine insurance that covers physical damage
to the ship or vessel insured. Typically written on an "all-risks"
basis.
(2) Physical damage insurance on aircraft similar to collision
insurance in an automobile policy.
Hypotheque conventionelle: 'droit reel sur
un immeuble qui garantit un pret sans deposseder Ie proprietaire.
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I
Incurred Claims: Incurred claims
equal the claims paid during the policy year plus the claim
reserves as of the end of the policy year, minus the corresponding
reserves as of the beginning of the policy year. The difference
between the year end and beginning of the year claim reserves
is called the increase in reserves and may be added directly
to the paid claims to produce the incurred claims.
Incurred-but-not-reported (IBNR) reserves: liability
account on an insurer's balance sheet reflecting claims that
are expected based upon statistical projections but which
have not yet been reported to the insurer.
Indemnification: Compensation to the victim of a loss,
in whole or in part, by payment, repair, or replacement.
Indemnity: Legal principle that specifies an insured
should not collect more than the actual cash value of a loss
but should be restored to approximately the same financial
position as existed before the loss.
Inscription: a charge or mortgage taken on
a property belonging to the debtor by an entry in the Books
of the Conservator of mortgages in favour of a company/bank
on the granting of a loan.
Insolvent: Having insufficient financial resources
(assets) to meet financial obligations (liabilities).
Insurability: Acceptability to the company of an applicant
for insurance.
Insurable Risk: The conditions that make a risk insurable
are
(a) the peril insured against must produce a definite loss
not under the control of the insured,
(b) there must be a large number of homogeneous exposures
subject to the same perils,
(c) the loss must be calculable and the cost of insuring it
must be economically feasible,
(d) the peril must be unlikely to affect all insureds simultaneously,
and
(e) the loss produced by a risk must be definite and have
a potential to be financially serious.
Insurance: Protection by written contract against the
financial hazards (in whole or in part) of the happenings
of specified fortuitous events.
Insurance Company: Any corporation primarily engaged
in the business of furnishing insurance protection to the
public.
Insured: A person or organization covered by an insurance
policy, including the "named insured" and any other
parties for whom protection is provided under the policy terms.
Insurer: The party to the insurance contract who promises
to pay losses or benefits. Also, any corporation engaged primarily
in the business of furnishing insurance to the public.
Insuring Agreement: That part of an insurance contract
that states promises of the insurer.
Insuring Clause: The clause which sets forth the type
of loss being covered by the policy and the parties to the
insurance contract.
Interest: Money paid for the use of money.
Intestate: Without a will.
Investment Income: The income generated by a company's
portfolio or investments (such as in bonds, stocks, or other
financial ventures)
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J
Joint-and-Several Liability:
A legal principle that permits the injured party in a tort
action to recover the entire amount of compensation due for
injuries from any tort feasor who is able to pay, regardless
of the degree of that party's negligence.
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K
Key-Person Insurance: Insurance
designed to protect the loss of income resulting from the
death.
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L
Lapse: The termination or discontinuance
of an insurance policy due to non payment of a premium.
Lapsed Policy: A policy terminated for non-payment
of premiums. The term is sometimes limited to a termination
occurring before the policy has a surrender value.
Leasehold: land rented from the Government
of Mauritius.
Letter of offer: letter of approval for loan.
Liability: Any legally enforceable obligation.
Liability Insurance: Insurance covering the policyholder's
legal liability resulting from injuries to other persons or
damage to their property.
Liability Limits: The stipulated sum or sums beyond
which an insurance company is not liable to protect the insured.
Loss Avoidance: A risk management technique whereby
a situation or activity that may result in a loss for a firm
is avoided or abandoned.
Loss Prevention: Any measure which reduces the probability
or frequency of particular loss but does not eliminate completely
all possibility of that loss.
Loss Ratio: The percent which losses bear to premiums
for a given period.
Loss Reserve: The amount set up as the estimated cost
of a claim.
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M
Malingering: The practice of
feigning illness or inability to work in order to collect
insurance benefits.
Marine Insurance: A form of insurance primarily concerned
with means of transportation and communication, and with goods
in transit.
Master Policy (or Master Contract): The policy issued
to a group policyholder setting forth the provisions of the
group insurance plan. The individuals insure under the policy
are then issued certificates of insurance.
Material Damage: Insurance against damage to a vehicle
itself. It includes automobile comprehensive, collision, fire
and theft. Material damage and physical damage are terms that
often are used inter-changeably.
Misrepresentation: A false, incorrect, improper, or
incomplete statement of a material fact, made in the application
for a policy.
Moral Hazard: Hazard arising from any nonphysical,
personal characteristic of a risk that increases the possibility
of loss or may intensify the severity of loss for instance,
bad habits, low integrity, poor financial standing.
Mortality Table: A statistical table showing the death
rate at each age, usually expressed as so many per thousand.
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O
Occupational Hazards: Occupations
which expose the insured to greater than normal physical danger
by the very nature of the work in which the insured is engaged,
and the varying periods of absence from the occupation, due
to the disability, that can be expected.
Occurrence: An accident, including continuous or repeated
exposure to substantially the same general, harmful conditions,
that results in bodily injury or property damage during the
period of an insurance policy.
Overriding Commission (Overwrite): A commission paid
to general agents or agency managers in addition to the commission
paid to the soliciting agent or broker.
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P
Paid-up Insurance: Insurance
on which all required premiums have been paid. The term is
frequently used to mean the reduced paid-up insurance available
as a non-forfeiture option.
Pari-Passu: equal rights.
Pension Plan: A plan established and maintained by
an employer, group of employers, union or any combination,
primarily to provide for the payment of definitely determinable
benefits to participants after retirement.
Peril: The cause of a possible loss, such as fire,
cyclone, burglary, explosion, or riot.
Personal Lines: Those types of insurance, such as motor
or home insurance, for individuals or families rather than
for businesses or organisations.
Personal representative: A person appointed through
the will of a deceased or by a court to settle the estate
of one who dies.
Policy: The printed legal document stating the terms
of the insurance contract that is issued to the policyholder
by the company.
Policy Loan: A loan made by a life insurance company
from its general funds to a policyholder on the security of
the cash value of a policy.
Policy Term: That period for which an insurance policy
provides coverage.
Policyholder: The person who owns a life insurance
policy. This is usually the insured person, but it may also
be a relative of the insured, a partnership or a corporation.
Policyholder: A person who pays a premium to an insurance
company in exchange for the insurance protection provided
by a policy of insurance.
Premium: The sum paid by a policyholder to keep an
insurance policy in force.
Product Liability: legal liability incurred by a manufacturer,
merchant, or distributor because of injury or damage resulting
from the use of its product.
Product Liability Insurance: Protection against financial
loss arising out of the legal liability incurred by a manufacturer,
merchant, or distributor because of injury or damage resulting
from the use of a covered product.
Property Insurance: Insurance providing financial protection
against the loss of, or damage to, real and personal property
caused by such perils as fire, cyclone, flood, explosion,
riot, aircraft, motor vehicles, malicious acts and civil commotion.
Proximate Cause: The dominating cause of loss or damage;
an unbroken chain of events between the occurrence and damage.
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Q
Quittance et main-levee:
a deed witnessing the full payment of a loan and the release
of the mortgaged property.
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R
Reimbursement: The payment of
the expenses actually incurred as a result an accident or
sickness, but not to exceed any amount specified in the policy.
Reinstatement: The resumption of coverage under a policy
which has lapsed.
Reinsurance: The acceptance by one or more insurers,
called reinsurers, of a portion of the risk underwritten by
another insurer who has contracted for the entire coverage.
Renewal: Continuance of coverage under a policy beyond
its original term the insurer's acceptance of the premium
for a new policy term.
Replacement Cost: The cost to repair or replace property
at construction costs prevailing at time of loss; the cost
to repair or rebuild property without considering depreciation.
Risk control: any conscious action (or decision not
to act) intended to reduce the frequency, severity, or unpredictability
of accidental losses.
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S
Salvage: Recovery made by an
insurance company by the sale of property which has been taken
over from the insured as a part of loss settlement.
Second-line inscription: a charge or mortgage
ranking after an existing inscription.
Self-Insurance:
(1) A program for providing group insurance with benefits
financed entirely through the internal means of the policyholder,
in place of purchasing coverage from commercial carriers.
(2) A form of risk financing through which a firm assumes
all or a part of its own losses.
Soft Market: That part of the insurance sales cycle
in which competition is at a maximum as insurance companies
use their excess capacity to sell more policies at lower prices.
Solde-de-prix: a deed witnessing a sale against
a down payment, the balance being paid off in a definite period
of time. The vendor keeps a privilege over the property until
full and final settlement of the amount due.
Standing Order: instruction given by a client
to his/her bank for a monthly remittance deducted from his/her
account.
Strict Liability: Liability for damages even though
fault or negligence cannot be proven.
Subrogation: Process by which one insurance company
seeks reimbursement from another company or person for a claim
it has already paid.
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T
Transfer in guarantee:
an act by which the life assured (Borrower) assigns his/her
life assurance policy to the lender as a guarantee for the
reimbursement of his/her loan.
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