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Insurance Law
25
Flashcards
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Endorsement
A document attached to an insurance policy that amends the policy in some way.
Binder
A temporary insurance contract that provides proof of coverage until a permanent policy is issued.
Deductible
The amount that a policyholder must pay out of pocket before the insurance company pays a claim.
Claim
A formal request by a policyholder to an insurance company for coverage or compensation for a covered loss or policy event.
Subrogation
The legal right held by insurers to pursue a third party that caused an insurance loss to the insured.
Reinsurance
An arrangement by which an insurance company transfers a portion of potential losses to another insurance company to reduce its risk exposure.
Arbitration
A form of alternative dispute resolution where an arbitrator hears and decides on a dispute between two parties, outside of court.
Co-insurance
A sharing of risk between the insurer and the insured which depends on the division of coverage for a particular loss.
Exclusion
Specific conditions or circumstances for which the insurance policy will not provide coverage.
Umbrella Policy
A liability insurance policy that protects the assets and future income of the policyholder above and beyond the standard limits set on their primary policies.
Third-Party Administrator (TPA)
An organization that processes insurance claims or certain aspects of employee benefit plans for a separate entity.
Insurable Interest
A stake in the value of an entity or event for which an insurance policy is purchased to mitigate risk of loss.
Actuary
A business professional who deals with the measurement and management of risk and uncertainty.
Risk Management
The identification, assessment, and prioritization of risks followed by coordinated efforts to minimize, control, and monitor the impact of unfortunate events.
Premium
The amount of money an individual or business must pay for an insurance policy.
Underwriting
The process by which insurers assess the risk of insuring a home, individual, or business and establish the premium that should be charged.
Rider
An optional add-on to a policy that provides additional benefits to the insured at an additional cost.
Policyholder
An individual or entity who owns an insurance policy.
Coverage Limit
The maximum amount an insurance company will pay for a particular loss, or for loss during a period of time.
Liability
The state of being responsible for something, especially by law, including the responsibility to repair damage or compensate losses.
Indemnity
A principle of insurance which provides that an insured should not profit from a loss but should be restored to the approximate financial position that existed before the loss occurred.
Fiduciary Duty
The obligation that an insurance agent or broker has to act in the best interests of the insurance policyholder.
Good Faith
A legal principle which refers to the duty of both parties to an insurance contract to act honestly and not mislead or withhold critical information from one another.
Material Fact
Any fact that would influence the insurance company’s decision to provide coverage or the terms of that coverage.
Loss Adjustment
The process of determining the value of the loss and the amount to be paid for the insured claim.
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