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Insurance Glossary

Demystify insurance terminology with clear, comprehensive definitions. Your trusted guide to understanding insurance.

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Insurance Terms
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A

Accident
General
An unexpected event or circumstance without deliberate intent that results in injury, damage, or loss.
Related Terms
ClaimCoveragePeril
Accident Insurance
Health
Insurance coverage for unforeseen bodily injury resulting from an accident.
Related Terms
Health InsuranceDisability Insurance
Actuary
Industry
A business professional who analyzes probabilities of risk and risk management, including calculation of premiums, dividends, and other applicable insurance industry standards.
Related Terms
PremiumRiskUnderwriting
Adjuster
Claims
A person who investigates claims and recommends settlement options based on estimates of damage and insurance policies held.
Related Terms
ClaimSettlementLoss
Actual Cash Value
Property
The repayment value for indemnification due to loss or damage of property; in most cases it is replacement cost minus depreciation.
Related Terms
Replacement CostDepreciationIndemnity
Annuity
Life
A financial product that provides regular payments to an individual, typically used for retirement income.
Related Terms
PremiumBenefitPolicy
Admitted Insurer
Industry
An insurance company licensed and approved by a state's insurance department to do business in that state, subject to state regulation and guaranty fund protection.
Related Terms
Non-Admitted InsurerState Insurance DepartmentSurplus Lines Insurance
Additional Insured
Industry
A person or entity added to an insurance policy who receives coverage under that policy, commonly required in contracts and leases.
Related Terms
Certificate of InsuranceEndorsementNamed Insured
ACORD 25 Form
Industry
An industry standard form used to create a certificate of insurance (COI). This form provides proof of insurance coverage and is commonly required by clients, contractors, or landlords.
Related Terms
Certificate of InsuranceEndorsementPolicy
Appraisal
Property
An assessment of a property's value by an independent professional, often required for insurance purposes to determine appropriate coverage limits or claim settlements.
Related Terms
Actual Cash ValueReplacement CostValuation
Arbitration
Claims
An alternative to going to court where a neutral third-party is used to settle a dispute between an insurer and a policyholder, typically regarding claim settlements or coverage interpretations.
Related Terms
Dispute ResolutionClaimSettlement
Accelerated Death Benefit
Life
A provision that allows terminally ill policyholders to receive a portion of their life insurance death benefit before death to help cover medical or end-of-life expenses.
Related Terms
Living BenefitDeath BenefitTerminal Illness
Accident Forgiveness
Auto
An auto insurance feature that prevents your premium from increasing after your first at-fault accident, helping maintain your good driver discount.
Related Terms
PremiumAt-Fault AccidentDiscount
All-Risk Coverage
General
Insurance coverage that protects against all causes of loss except those specifically excluded in the policy, providing broader protection than named perils coverage. Also called 'open perils' coverage.
Related Terms
Special FormNamed PerilsExclusions
ACORD
Industry
Association for Cooperative Operations Research and Development - an organization that develops standardized forms and data standards for the insurance industry, widely used for certificates of insurance and policy applications.
Related Terms
Certificate of InsuranceISOStandardization
ACORD 25
Industry
The standard Certificate of Liability Insurance form used to provide evidence of insurance coverage to third parties, showing policy types, limits, and effective dates without altering the actual policy.
Related Terms
ACORDCertificate of InsuranceCertificate HolderAdditional Insured
ACORD 27
Industry
Evidence of Property Insurance form used to certify property insurance coverage, commonly required by lenders and lessors to verify building and contents coverage.
Related Terms
ACORDCertificate of InsuranceProperty InsuranceLoss Payee
ACORD 28
Industry
Evidence of Commercial Property Insurance form providing detailed information about property coverage, including building values, contents, business interruption, and special coverages.
Related Terms
ACORDCommercial Property InsuranceBusiness InterruptionCertificate of Insurance
Active Underwriter
Industry
The individual at the underwriting box within Lloyd's of London with principal authority to accept insurance and reinsurance risk on behalf of the members of a syndicate. The active underwriter is responsible for setting underwriting strategy, making binding decisions on risks presented by Lloyd's brokers, managing the syndicate's portfolio, and ensuring that underwriting activities align with the syndicate's business plan and risk appetite. This role requires deep technical expertise, market knowledge, and strong decision-making capabilities as the active underwriter's choices directly impact syndicate performance and member returns.
Related Terms
SyndicateUnderwriting BoxLloyd's BrokerManaging Agent
Admitted Carrier
Industry
An insurance company that is licensed by a state's insurance department to do business in that state. Admitted carriers must comply with state regulations including rate and form approval requirements, financial solvency standards, and market conduct rules. Their policies are backed by the state guaranty fund, which provides protection to policyholders in the event of insurer insolvency. Admitted carriers file rates and policy forms with state regulators for approval before use. They are subject to regular financial examinations and must meet ongoing reporting requirements. The admitted market represents the standard insurance marketplace, as distinguished from the surplus lines (non-admitted) market.
Related Terms
Non-Admitted InsuranceExcess and Surplus LinesGuaranty FundCertificate of Authority
Alien Insurer
Industry
An insurance company formed according to the laws of a foreign country (outside the United States). To legally sell insurance products in a U.S. state, an alien insurer must conform to that state's regulatory standards and obtain necessary approvals. Alien insurers may write business as admitted carriers (if licensed in the state) or as surplus lines carriers (if listed on the NAIC Quarterly Listing of Alien Insurers). Lloyd's of London syndicates are classified as alien insurers when writing business in the United States. Alien insurers must meet financial requirements, maintain trust funds or letters of credit in the U.S., and comply with applicable state regulations to maintain their eligibility.
Related Terms
Lloyd's of LondonNon-Admitted InsuranceNAICForeign Insurer
Admitted Company
Industry
An insurance company licensed to do business in a state, even if domiciled in an alternative state or country. Admitted companies hold a Certificate of Authority from the state insurance department, allowing them to write policies for risks located in that state. They must comply with all state regulations including rate and form filings, financial reporting, market conduct standards, and participation in the state guaranty fund. Admitted companies are subject to the state's regulatory oversight and examination authority. The term 'admitted' distinguishes these licensed carriers from 'non-admitted' or surplus lines insurers that are not licensed in the state but may write business under surplus lines laws.
Related Terms
Certificate of AuthorityNon-Admitted InsuranceGuaranty FundDomiciliary State
Advisory Organization
Industry
A group supported by member insurance companies whose function is to gather loss statistics, develop loss costs and rating information, and make this data available to members. Advisory organizations also file rates on behalf of smaller insurance companies and develop standardized policy forms. Examples include the Insurance Services Office (ISO) and the National Council on Compensation Insurance (NCCI). These organizations provide actuarial services, research, and statistical analysis that help insurers price policies accurately and comply with regulatory requirements. Unlike rating bureaus of the past, modern advisory organizations provide information and recommendations but do not set mandatory rates; each insurer makes independent pricing decisions based on the advisory data.
Related Terms
Rating BureauLoss CostsISOActuarial Data
Auto Insurance
Auto
Insurance coverage that protects against financial loss from accidents involving automobiles, including liability for bodily injury and property damage, collision, comprehensive, medical payments, and uninsured/underinsured motorist coverage.
Related Terms
LiabilityCollision CoverageComprehensive CoverageDeductible
Attachment Point
Industry
The dollar amount of loss at which reinsurance coverage begins to apply in an excess of loss arrangement. For example, if the attachment point is $1 million, the reinsurer only pays losses exceeding $1 million.
Related Terms
Excess of LossRetentionNon-Proportional Reinsurance
Aggregate Limit
Industry
The maximum amount a reinsurer will pay for all covered losses during a specified period, typically one year. Once this limit is reached, the reinsurer has no further obligation to pay losses until the next period begins or the coverage is reinstated.
Related Terms
ReinsuranceReinstatementStop Loss
Appraisal Clause
Claims
A provision in an insurance policy that provides a method for resolving disputes over the amount of a loss when the insured and insurer cannot agree. Each party selects an appraiser, and if they disagree, an umpire makes the final decision.
Related Terms
Dispute ResolutionLoss AssessmentArbitration

B

Beneficiary
Life
The person or entity designated to receive the benefits or proceeds from an insurance policy.
Related Terms
Death BenefitPolicyInsured
Business Interruption Insurance
Business
Coverage that compensates a business for lost income during periods when operations are suspended due to covered perils such as fire, natural disaster, or other insured events.
Related Terms
Commercial Property InsuranceExtra Expense CoverageBusiness Income
Business Owners Policy
Business
A bundled insurance package (BOP) that combines commercial property insurance, general liability coverage, and business interruption insurance at a discounted rate for small to medium-sized businesses.
Related Terms
Commercial General LiabilityCommercial Property InsuranceBusiness Interruption Insurance
Builders Risk Insurance
Business
Specialized property insurance that covers buildings under construction, including materials, fixtures, and equipment, against damage from fire, theft, vandalism, and weather.
Related Terms
Commercial Property InsuranceConstruction InsuranceProperty Insurance
Business Income Coverage
Business
Insurance that reimburses a business for lost income and continuing expenses during periods when operations are suspended due to covered property damage.
Related Terms
Business Interruption InsuranceExtra Expense CoverageCommercial Property Insurance
Binder
Industry
A temporary insurance contract that provides coverage until a formal policy is issued, typically valid for 30 to 90 days.
Related Terms
PolicyCoverageTemporary Insurance
Builder's Risk Insurance
Business
A specialized type of property insurance designed to cover materials, fixtures, and equipment used in the building or renovation of a structure in case of loss or damage during construction.
Related Terms
Commercial Property InsuranceConstruction InsuranceProperty Insurance
Business Personal Property
Business
Coverage for the cost to repair or replace business property such as computers, furniture, and inventories if they're lost, damaged, or stolen. Generally does not cover property stolen by an employee.
Related Terms
Commercial Property InsuranceBusiness Owner's PolicyContents Insurance
Bodily Injury
General
Physical injury, sickness, or disease sustained by a person, typically covered under liability insurance policies when the insured is legally responsible for causing the injury.
Related Terms
LiabilityGeneral Liability InsurancePersonal Injury
Baggage Insurance
General
Coverage for lost, stolen, or damaged luggage and personal items during travel, typically included in comprehensive travel insurance policies.
Related Terms
Travel InsurancePersonal Property CoverageLost Luggage
Bid Bond
Business
A surety bond submitted with a construction bid that guarantees the bidder will enter into the contract and provide required performance and payment bonds if awarded the project.
Related Terms
Performance BondSurety BondConstruction Bid
Basic Form (CP 00 10)
Property
An ISO commercial property coverage form providing the most limited coverage, insuring only against specifically named perils such as fire, lightning, explosion, windstorm, hail, smoke, aircraft, vehicles, riot, vandalism, and sprinkler leakage.
Related Terms
ISOSpecial FormBroad FormNamed PerilsCommercial Property Insurance
Broad Form (CP 00 20)
Property
An ISO commercial property coverage form providing mid-level coverage between Basic and Special Forms, covering all Basic Form perils plus additional perils like falling objects, weight of snow/ice/sleet, and water damage.
Related Terms
ISOSpecial FormBasic FormNamed PerilsCommercial Property Insurance
Base Flood Elevation
Property
The computed elevation to which floodwater is anticipated to rise during a base flood (a flood with a 1% chance of occurring in any given year, also called a 100-year flood). Shown on FEMA Flood Insurance Rate Maps (FIRMs), the BFE is used to determine flood insurance premiums and building requirements. Structures built below the BFE face higher insurance costs and greater flood risk. Local building codes typically require new construction in flood zones to have the lowest floor elevated at or above the BFE. Knowing your property's BFE is crucial for flood risk assessment and insurance decisions.
Related Terms
Flood ZoneNFIPFIRM100-Year FloodElevation Certificate
BFD
Property
Base Flood Depth - the depth shown on Flood Insurance Rate Maps for Zone AO that indicates the depth of water above the highest adjacent grade resulting from a base flood (1% annual chance flood). Unlike other flood zones that show elevation, Zone AO shows flood depth in feet. This depth measurement is used to determine the required elevation for new construction and to calculate flood insurance premiums. Properties in Zone AO must be elevated so that the lowest floor is above the highest adjacent grade by at least the BFD shown on the FIRM, plus any additional freeboard required by local ordinance.
Related Terms
Base Flood ElevationZone AOFIRMHighest Adjacent Grade
Base Flood Depth
Property
The vertical distance between the highest adjacent grade and the water surface elevation during a base flood (100-year flood). Shown on FIRMs for Zone AO areas where shallow flooding or sheet flow occurs, typically ranging from 1 to 3 feet. The BFD is used instead of Base Flood Elevation in areas where detailed hydraulic analyses have not been performed. Buildings in these zones must be elevated above the highest adjacent grade by at least the BFD amount. Insurance rates in Zone AO are based on the BFD and the building's elevation relative to the highest adjacent grade.
Related Terms
BFDZone AOBase Flood ElevationSheet Flow
Binding Authority
Industry
An agreement between a Lloyd's Managing Agent and a Coverholder under which the Managing Agent delegates authority to enter into contracts of insurance on behalf of syndicate members. The binding authority specifies the types of risks that can be underwritten, premium limits, terms and conditions, claims handling procedures, and reporting requirements. This arrangement allows coverholders to bind coverage immediately without seeking approval for each individual risk, providing efficiency and local market responsiveness while maintaining oversight and control parameters set by the managing agent.
Related Terms
CoverholderManaging AgentLloyd's of LondonDelegated Authority
Beach Plan
Property
A state-sponsored property insurance program that provides wind and hail coverage for coastal properties in hurricane-prone areas. Beach Plans operate as residual markets when private insurers decline to provide coverage. Also known as Wind Pools or Wind and Hail Underwriting Associations.
Related Terms
Wind PoolFAIR PlanResidual Market
Bodily Injury Liability
Auto
Auto insurance coverage that pays for injuries you cause to other people in an accident, including medical expenses, lost wages, pain and suffering, and legal defense costs if you're sued.
Related Terms
LiabilityProperty Damage LiabilityThird Party
Bad Faith
Claims
An insurance company's unreasonable denial, delay, or underpayment of a valid claim, or failure to properly investigate a claim. Bad faith practices can result in legal action and additional damages beyond the original claim amount.
Related Terms
Denial of ClaimClaims AdjudicationLegal Action

C

Claim
Claims
A formal request by a policyholder to an insurance company for coverage or compensation for a covered loss or policy event.
Related Terms
AdjusterCoverageDeductible
Collision Coverage
Auto
Insurance coverage that pays for damage to your vehicle resulting from a collision with another vehicle or object.
Related Terms
Comprehensive CoverageDeductiblePremium
Comprehensive Coverage
Auto
Insurance coverage for damage to your vehicle from causes other than collision, such as theft, vandalism, fire, weather events, or hitting an animal.
Related Terms
Collision CoverageDeductiblePremium
Copayment
Health
A fixed amount you pay for a covered health care service, usually when you receive the service.
Related Terms
CoinsuranceDeductibleOut-of-Pocket Maximum
Coverage
General
The scope of protection provided under an insurance policy, including the types of losses and risks that are covered.
Related Terms
PolicyExclusionLimit
Coinsurance
Health
A cost-sharing arrangement where the insured pays a specified percentage of covered expenses after the deductible is met.
Related Terms
CopaymentDeductibleOut-of-Pocket Maximum
Cash Value
Life
The savings component of a permanent life insurance policy that accumulates over time and can be borrowed against or withdrawn.
Related Terms
Whole Life InsuranceUniversal Life InsurancePremium
Commercial General Liability
Business
Insurance that protects businesses against claims of bodily injury, property damage, personal injury, and advertising injury that occur during normal business operations.
Related Terms
Professional LiabilityProduct LiabilityLiability Coverage
Commercial Property Insurance
Business
Insurance that covers buildings, equipment, inventory, and other physical assets owned or used by a business against damage from fire, theft, vandalism, and other covered perils.
Related Terms
Business Interruption InsuranceProperty InsuranceReplacement Cost
Cyber Liability Insurance
Business
Coverage that protects businesses against losses from data breaches, cyberattacks, network security failures, and privacy violations.
Related Terms
Data BreachNetwork SecurityProfessional Liability Insurance
Commercial Auto Insurance
Business
Insurance coverage for vehicles owned or used by a business, providing liability, collision, and comprehensive coverage for business vehicles and drivers.
Related Terms
Auto InsuranceFleet InsuranceLiability Coverage
Commercial Umbrella Insurance
Business
Additional liability coverage that extends beyond the limits of a business's primary liability policies, providing extra protection against large claims.
Related Terms
Umbrella PolicyCommercial General LiabilityExcess Liability
Crime Insurance
Business
Coverage that protects businesses against losses from criminal acts such as theft, burglary, robbery, forgery, and computer fraud.
Related Terms
Fidelity BondEmployee DishonestyCyber Liability Insurance
Contingent Business Interruption
Business
Coverage that protects a business against income loss when operations are disrupted due to damage at a supplier's, customer's, or other dependent business location.
Related Terms
Business Interruption InsuranceSupply Chain InsuranceBusiness Income Coverage
Contractor Insurance
Business
Comprehensive coverage for construction contractors including general liability, workers' compensation, tools and equipment coverage, and professional liability for design-build projects.
Related Terms
Builders Risk InsuranceCommercial General LiabilityWorkers' Compensation Insurance
Combined Ratio
Industry
The sum of the loss ratio and expense ratio, measuring an insurer's overall underwriting profitability. A ratio below 100% indicates underwriting profit.
Related Terms
Loss RatioExpense RatioUnderwriting
Captive Insurance
Industry
An insurance company created and owned by a business or group of businesses to insure their own risks, providing more control over coverage and potential cost savings.
Related Terms
Self-InsuranceRisk RetentionAlternative Risk Transfer
Certificate of Insurance
Industry
A document issued by an insurer or agent that verifies the existence of insurance coverage and summarizes key policy information for third parties.
Related Terms
PolicyProof of InsuranceAdditional Insured
Claims-Made Policy
Industry
An insurance policy that covers claims only if both the incident and the claim occur during the policy period or extended reporting period.
Related Terms
Occurrence PolicyTail CoverageRetroactive Date
Certificate Holder
Industry
A person or entity who has a certificate of insurance (COI) in their possession, which could be the policyholder or someone who requested proof of insurance. Being a certificate holder does not necessarily mean coverage under the policy.
Related Terms
Certificate of InsuranceAdditional InsuredNamed Insured
Claimant
Claims
The person or business that makes a claim to the insured person or their insurance company, seeking compensation for damages or losses.
Related Terms
ClaimThird PartySettlement
Class of Business
Industry
The type of industry a business falls into, such as 'construction' or 'professional services.' Used by insurers to determine risk levels and set coverage limits and premium costs.
Related Terms
UnderwritingRisk ClassificationPremium
Citizens Property Insurance (Florida)
Property
Florida's state-run property insurer of last resort, providing coverage to property owners who cannot obtain insurance in the private market, primarily for hurricane and windstorm exposure.
Related Terms
FAIR PlanWindstorm InsuranceHurricane CoverageState Insurance Pool
California Earthquake Authority (CEA)
Property
California's state-run earthquake insurance program providing residential earthquake coverage, created after the 1994 Northridge earthquake when private insurers stopped offering earthquake insurance.
Related Terms
Earthquake InsuranceFAIR PlanState Insurance Pool
Coverage A - Dwelling
Property
The primary coverage in a homeowners insurance policy that protects the physical structure of your home, including walls, roof, floors, built-in appliances, and attached structures like an attached garage. This coverage pays to repair or rebuild your home if it's damaged or destroyed by a covered peril such as fire, wind, hail, or lightning. The coverage limit should reflect the cost to rebuild your home at current construction prices, not the home's market value or purchase price.
Related Terms
Homeowners InsuranceReplacement CostActual Cash ValueCoverage B
Coverage B - Other Structures
Property
Coverage in a homeowners policy that protects structures on your property that are not attached to your main dwelling, such as detached garages, sheds, fences, gazebos, and guesthouses. This coverage is typically set at 10% of your Coverage A (dwelling) limit, though you can often increase it for an additional premium. The same perils that cover your dwelling also apply to other structures.
Related Terms
Coverage AHomeowners InsuranceDetached StructureProperty Coverage
Coverage C - Personal Property
Property
Coverage that protects your personal belongings inside your home and, in many cases, anywhere in the world. This includes furniture, clothing, electronics, appliances, and other personal items. Standard policies typically provide coverage equal to 50-70% of your Coverage A limit. You can choose between actual cash value (which factors in depreciation) or replacement cost coverage (which pays to replace items at current prices). High-value items like jewelry, art, or collectibles may have sub-limits and require additional scheduled coverage.
Related Terms
Personal PropertyReplacement CostActual Cash ValueScheduled Personal Property
Coverage D - Loss of Use
Property
Also known as Additional Living Expenses (ALE), this coverage pays for increased costs of living if your home becomes uninhabitable due to a covered loss. It covers expenses such as hotel bills, restaurant meals, temporary rental housing, storage fees, and other costs that exceed your normal living expenses while your home is being repaired or rebuilt. Coverage is typically 20-30% of your Coverage A limit and usually has time limits, often 12-24 months.
Related Terms
Additional Living ExpensesALEHomeowners InsuranceTemporary Housing
Coverage E - Personal Liability
Property
Liability protection that covers you if you're found legally responsible for injuring someone or damaging their property. This coverage pays for legal defense costs, court judgments, and settlements up to your policy limit. It covers incidents that occur on your property (like a guest slipping and falling) and many incidents that occur away from home (like your dog biting someone at the park). Standard policies typically offer $100,000 to $500,000 in liability coverage, though higher limits are available and recommended.
Related Terms
Personal LiabilityLiability InsuranceCoverage FUmbrella Insurance
Coverage F - Medical Payments to Others
Property
Coverage that pays medical expenses for people injured on your property or by your activities, regardless of who is at fault. This is a 'no-fault' coverage that can help avoid liability claims by quickly paying for minor injuries like cuts, sprains, or broken bones. It covers reasonable medical expenses incurred within a specific time period (usually 1-3 years) after the accident. Standard limits range from $1,000 to $5,000 per person. This coverage does not apply to you or regular residents of your household.
Related Terms
Medical PaymentsCoverage EPersonal LiabilityNo-Fault Coverage
CRS
Property
Community Rating System - a voluntary incentive program that recognizes and rewards communities for exceeding minimum National Flood Insurance Program floodplain management requirements. Communities that participate in CRS implement additional flood mitigation activities and receive discounted flood insurance rates for their residents. CRS classes range from 10 (no discount) to 1 (45% discount), with each class improvement providing a 5% premium reduction in Special Flood Hazard Areas and 10% in preferred risk areas. Activities that earn CRS credit include enhanced mapping, public information programs, drainage system maintenance, and higher regulatory standards. Over 1,500 communities participate in CRS, providing millions of dollars in annual premium savings.
Related Terms
NFIPCommunity Rating SystemFlood InsuranceFloodplain Management
Community Rating System
Property
A program administered by FEMA that provides flood insurance premium discounts to residents of communities that implement floodplain management practices beyond NFIP minimum requirements. Communities earn points through activities in four categories: public information, mapping and regulations, flood damage reduction, and warning and response. Points determine the community's CRS class (1-10), with each class providing a 5% premium discount in Special Flood Hazard Areas. Class 1 communities receive a 45% discount. The program encourages communities to reduce flood risk, protect natural floodplain functions, and facilitate accurate insurance rating. CRS communities must recertify annually and undergo detailed verification every few years.
Related Terms
CRSNFIPFlood InsuranceSpecial Flood Hazard Area
Coverholder
Industry
A company or partnership authorized by a Lloyd's Managing Agent to enter into contracts of insurance to be underwritten by syndicate members. Coverholders act as agents of the managing agent (not the policyholder) under a binding authority agreement. This delegation allows the coverholder to issue policies and handle claims within specified parameters without referring each risk back to the syndicate. Coverholders are typically located in markets outside London and provide local market access and expertise. They must comply with Lloyd's standards and are subject to oversight by the managing agent.
Related Terms
Binding AuthorityManaging AgentLloyd's of LondonSyndicate
Certificate of Authority
Industry
A license issued by a state insurance department that authorizes an insurance company to transact insurance business in that state. Also called a license to do business, the certificate of authority is granted after the insurer demonstrates it meets the state's financial, organizational, and regulatory requirements. The certificate specifies which lines of insurance the company is authorized to write. Insurers must maintain compliance with ongoing requirements including financial reporting, examinations, and solvency standards to keep their certificate of authority in force. Companies holding a certificate of authority in a state are considered 'admitted' carriers in that state and are subject to full state regulatory oversight.
Related Terms
Admitted CompanyState Insurance DepartmentDomiciliary StateForeign Insurer
COBRA
Health
The Consolidated Omnibus Budget Reconciliation Act, a federal law that allows employees and their families to temporarily continue their group health insurance coverage after job loss, reduction in hours, or other qualifying events, typically at the employee's expense.
Related Terms
Health InsuranceGroup InsuranceContinuation Coverage
Ceding Company
Industry
The primary insurance company that purchases reinsurance to transfer part of its risk to a reinsurer. The ceding company retains a portion of the risk and cedes the remainder to the reinsurer.
Related Terms
ReinsuranceReinsurerCeding CommissionRetention
Ceding Commission
Industry
A fee paid by the reinsurer to the ceding company to cover the ceding company's acquisition costs, administrative expenses, and profit margin. This compensates the ceding company for originating and servicing the business.
Related Terms
ReinsuranceCeding CompanyPremium
Catastrophe Reinsurance
Industry
Reinsurance coverage that protects against losses from catastrophic events such as hurricanes, earthquakes, or floods that affect multiple policies simultaneously. Also known as Cat Cover, this protects insurers from events that could threaten their solvency.
Related Terms
ReinsuranceExcess of LossAggregate Limit
Commutation
Industry
The termination of a reinsurance contract by mutual agreement, where the reinsurer pays a negotiated lump sum to settle all current and future obligations under the contract. This provides finality and eliminates ongoing administrative costs for both parties.
Related Terms
ReinsuranceSettlementContract Termination
Claims Adjudication
Claims
The process by which an insurance company reviews, investigates, and makes a decision on a claim. This includes verifying coverage, assessing damages, determining liability, and calculating the settlement amount.
Related Terms
Claim SettlementLoss AssessmentCoverage Determination
Claim Settlement
Claims
The final resolution of an insurance claim, including the payment amount and terms agreed upon between the insurer and insured. Settlement can be reached through negotiation, appraisal, arbitration, or litigation.
Related Terms
Claims AdjudicationPaymentNegotiation

D

Deductible
General
The amount you must pay out-of-pocket before your insurance coverage begins to pay for covered losses.
Related Terms
PremiumCoverageClaim
Depreciation
Property
The decrease in value of property over time due to wear, tear, age, or obsolescence.
Related Terms
Actual Cash ValueReplacement Cost
Disability Insurance
Health
Insurance that provides income replacement if you become unable to work due to illness or injury.
Related Terms
Health InsurancePremiumBenefit
Death Benefit
Life
The amount paid to beneficiaries upon the death of the insured under a life insurance policy.
Related Terms
BeneficiaryLife InsurancePolicy
Directors and Officers Insurance
Business
Liability insurance that protects the personal assets of corporate directors and officers if they are sued for alleged wrongful acts in managing a company.
Related Terms
Employment Practices LiabilityFiduciary LiabilityProfessional Liability Insurance
Daycare Insurance
Business
Specialized coverage for childcare facilities including general liability, abuse and molestation coverage, property insurance, and professional liability for educational services.
Related Terms
Commercial General LiabilityProfessional Liability InsuranceAbuse and Molestation Coverage
Dwelling Coverage
Property
The part of a homeowners or renters insurance policy that covers damage to the physical structure of your home, including walls, roof, and built-in appliances.
Related Terms
Homeowners InsuranceReplacement CostStructure
DFE
Property
Design Flood Elevation - the regulatory flood elevation adopted by a community that meets or exceeds the Base Flood Elevation. Many communities require structures to be built above the BFE by adding freeboard (typically 1-3 feet) to provide an additional margin of safety. The DFE is the minimum elevation at which new construction and substantial improvements must be built to comply with local floodplain management regulations. Building to the DFE rather than just the BFE provides better flood protection and may result in lower insurance premiums. The DFE is determined by local ordinances and varies by community.
Related Terms
Base Flood ElevationFreeboardNFIPFloodplain Management
Design Flood Elevation
Property
The elevation of the design flood, which is the flood magnitude selected for floodplain management purposes and used to establish regulatory requirements. The DFE typically equals the Base Flood Elevation plus any freeboard required by the community. Local governments adopt DFE standards that meet or exceed FEMA's minimum BFE requirements to reduce flood risk and qualify for Community Rating System discounts. New buildings and substantial improvements must have their lowest floor (or lowest horizontal structural member in V zones) at or above the DFE. Compliance with DFE requirements is verified through Elevation Certificates.
Related Terms
DFEBase Flood ElevationFreeboardCommunity Rating System
Diligent Search
Industry
The requirement that a surplus lines broker must make a good-faith effort to place insurance coverage with admitted carriers in the standard market before resorting to the non-admitted (surplus lines) market. The diligent search typically requires the broker to contact a specified number of admitted insurers (often three or more, depending on state requirements) and document their declinations or inability to provide adequate coverage. The broker must maintain records of the search efforts, including which carriers were contacted, dates of contact, and reasons for declination. This requirement protects the admitted market and ensures that surplus lines are used only when standard market options are genuinely unavailable.
Related Terms
Surplus Lines BrokerExcess and Surplus LinesAdmitted CarrierNon-Admitted Insurance
Domiciliary State
Industry
The state in which an insurance company is incorporated or organized. The domiciliary state has primary regulatory authority over the insurer, including conducting financial examinations, approving corporate changes, and overseeing solvency. The domiciliary state insurance department serves as the lead regulator even when the company is licensed to do business in multiple states. If an insurer becomes insolvent, the domiciliary state's insurance commissioner typically serves as the receiver or liquidator. Insurers must comply with the insurance laws and regulations of their domiciliary state as well as any other states where they are licensed to write business (called 'foreign' states from the insurer's perspective).
Related Terms
Admitted CompanyForeign InsurerState Insurance DepartmentCertificate of Authority
Denial of Claim
Claims
The insurance company's decision to refuse payment on a claim, typically due to policy exclusions, lack of coverage, failure to meet policy conditions, or determination that the loss is not covered under the policy terms.
Related Terms
Bad FaithReservation of RightsCoverage Exclusion
Demand Letter
Claims
A formal written request from the insured or their attorney to the insurance company demanding payment of a claim or specifying the amount sought. Often used when initial claim negotiations have stalled or been denied.
Related Terms
Claim SettlementLegal ActionNegotiation

E

Exclusion
General
Specific conditions, circumstances, or types of losses that are not covered by an insurance policy.
Related Terms
CoveragePolicyEndorsement
Endorsement
General
A written amendment or addition to an insurance policy that modifies the coverage, terms, or conditions.
Related Terms
RiderPolicyCoverage
Employment Practices Liability Insurance
Business
Coverage that protects businesses against claims by employees alleging discrimination, wrongful termination, harassment, or other employment-related issues.
Related Terms
Directors and Officers InsuranceWorkers' Compensation InsuranceLiability Coverage
Errors and Omissions Insurance
Business
Professional liability coverage that protects service providers against claims of inadequate work, negligent actions, or failure to perform services as promised.
Related Terms
Professional Liability InsuranceMalpractice InsuranceCommercial General Liability
Extra Expense Coverage
Business
Insurance that pays for additional costs incurred to continue business operations following a covered loss, such as renting temporary space or equipment.
Related Terms
Business Interruption InsuranceBusiness Income CoverageCommercial Property Insurance
Equipment Breakdown Insurance
Business
Coverage for repair or replacement of mechanical and electrical equipment that breaks down due to internal causes such as motor burnout, electrical arcing, or mechanical failure.
Related Terms
Commercial Property InsuranceBoiler and Machinery InsuranceBusiness Interruption Insurance
Event Insurance
Business
Short-term coverage for special events including general liability, liquor liability, event cancellation, and property coverage for rented equipment and venues.
Related Terms
Commercial General LiabilityLiquor Liability InsuranceCancellation Insurance
EPO
Health
Exclusive Provider Organization - a health insurance plan that covers services only if you use doctors, specialists, or hospitals in the plan's network, except in emergencies.
Related Terms
HMOPPOHealth Insurance
Equipment Breakdown Coverage
Property
Insurance that covers the cost of repairing or replacing home systems and appliances that break down due to mechanical or electrical failure, such as HVAC systems or water heaters.
Related Terms
Homeowners InsuranceMechanical FailureAppliance
Extended Replacement Cost
Property
Coverage that pays more than the dwelling coverage limit (typically 125-150%) to rebuild your home if construction costs have increased since the policy was written.
Related Terms
Replacement Cost CoverageDwelling CoverageInflation
Earthquake Insurance
Property
Separate coverage for damage caused by earthquakes, typically not included in standard homeowners policies and requiring a separate policy or endorsement with its own deductible.
Related Terms
Flood InsuranceCatastrophic CoverageExclusion
Elevation Certificate
Property
An official FEMA document that provides elevation information about a building's lowest floor and the ground elevation around the structure. Prepared by a licensed surveyor or engineer, this certificate is used to determine accurate flood insurance premium rates under the National Flood Insurance Program. Properties built at or above the Base Flood Elevation typically qualify for lower insurance rates. An Elevation Certificate may be required when purchasing flood insurance, refinancing a mortgage, or applying for a Letter of Map Amendment. The certificate is valid indefinitely unless the property or surrounding area is significantly altered.
Related Terms
Base Flood ElevationNFIPFlood InsuranceFIRM
Excess and Surplus Lines
Industry
The non-admitted insurance market for risks that cannot be placed in the standard admitted market due to unique characteristics, high risk, or lack of available coverage. Excess and surplus lines insurers are not licensed (admitted) in the state where the risk is located, which provides them flexibility in rates and policy forms not subject to state prior approval requirements. However, they must meet financial requirements and are listed on state-approved eligible surplus lines insurer lists. The E&S market serves as a critical safety valve for the insurance system, providing coverage for unique, high-risk, or emerging exposures. Common E&S placements include high-value properties, unusual liability risks, and specialized commercial coverages. The U.S. surplus lines market exceeded $131 billion in direct premiums written in 2024, representing approximately 12% of the total property and casualty market.
Related Terms
Non-Admitted InsuranceSurplus Lines BrokerDiligent SearchAdmitted Carrier
Excess of Loss
Industry
A non-proportional reinsurance arrangement where the reinsurer pays losses that exceed a specified amount (attachment point), up to a maximum limit. The reinsurer only responds when losses exceed the retention, regardless of premium sharing.
Related Terms
Non-Proportional ReinsuranceAttachment PointRetention
Estoppel
Claims
A legal principle preventing an insurance company from denying coverage if they previously led the insured to believe coverage existed. This protects policyholders from insurers changing their position after the insured has relied on prior representations.
Related Terms
Bad FaithCoverageLegal Doctrine

F

Fidelity Bond
Business
Insurance that protects a business against losses caused by employee dishonesty, theft, fraud, or embezzlement.
Related Terms
Crime InsuranceEmployee DishonestyCommercial General Liability
Fiduciary Liability Insurance
Business
Coverage that protects those who manage employee benefit plans against claims of mismanagement, breach of fiduciary duty, or errors in plan administration.
Related Terms
Directors and Officers InsuranceERISAEmployee Benefits
Fitness Center Insurance
Business
Coverage for gyms and fitness facilities including general liability, professional liability for trainers, property coverage for equipment, and sexual abuse and molestation coverage.
Related Terms
Commercial General LiabilityProfessional Liability InsuranceEquipment Coverage
Flexible Spending Account
Health
An employer-sponsored account that allows employees to set aside pre-tax dollars for eligible healthcare or dependent care expenses, with use-it-or-lose-it provisions.
Related Terms
Health Savings AccountMedical ExpensesTax Benefit
Fleet Insurance
Business
Commercial auto insurance that covers multiple vehicles (typically 5 or more) owned by a business under a single policy, often at discounted rates.
Related Terms
Commercial Auto InsuranceBusiness InsuranceMultiple Vehicles
FAIR Plan
Property
Fair Access to Insurance Requirements Plan - state-mandated insurance programs providing property coverage to high-risk properties that cannot obtain insurance in the standard market, available in multiple states including California, Illinois, and Massachusetts.
Related Terms
Citizens Property InsuranceHigh-Risk PropertyState Insurance Pool
Flood Insurance
Property
Insurance coverage that protects against losses from flooding, which is specifically excluded from standard homeowners and renters insurance policies. Flood insurance covers direct physical losses caused by flooding, including overflow of inland or tidal waters, unusual accumulation of surface water, mudflow, and collapse of land along a body of water. Available primarily through the National Flood Insurance Program (NFIP) or private insurers, with a typical 30-day waiting period before coverage takes effect. Essential for properties in flood zones but recommended for all properties since 25% of flood claims come from low-risk areas.
Related Terms
NFIPFlood ZoneFEMABase Flood Elevation
Flood Zone
Property
Geographic areas that FEMA defines according to varying levels of flood risk. These zones are depicted on Flood Insurance Rate Maps (FIRMs) and determine flood insurance requirements and premiums. High-risk zones (Special Flood Hazard Areas) include Zone A (1% annual chance of flooding) and Zone V (coastal high-hazard areas with wave action). Moderate-to-low risk zones include Zone B, C, and X. Properties in high-risk zones with federally backed mortgages must carry flood insurance. Zone designations directly impact insurance costs and building requirements.
Related Terms
NFIPFlood InsuranceFEMASpecial Flood Hazard AreaFIRM
FIRM
Property
Flood Insurance Rate Map - an official map created by FEMA that shows flood risk zones, base flood elevations, and floodplain boundaries for a community. FIRMs are used to determine flood insurance requirements and premium rates under the National Flood Insurance Program. These maps identify Special Flood Hazard Areas where flood insurance is mandatory for federally backed mortgages. Property owners can use FIRMs to understand their flood risk and make informed decisions about insurance coverage and property improvements. Maps are periodically updated as flood risk data changes.
Related Terms
Flood ZoneBase Flood ElevationNFIPFEMA
Freeboard
Property
Additional elevation above the Base Flood Elevation required by many communities as a factor of safety against higher flood levels than predicted. Freeboard compensates for uncertainties in flood calculations, wave action, and future development that may increase flood heights. Common freeboard requirements range from 1 to 3 feet above the BFE. Building with freeboard provides better flood protection and typically results in lower flood insurance premiums through the Community Rating System. Some communities mandate freeboard for new construction, while others offer it as a voluntary best practice. Freeboard is especially important in coastal areas subject to wave action.
Related Terms
Base Flood ElevationDesign Flood ElevationCommunity Rating SystemFlood Insurance
Floodway
Property
The channel of a river or stream and the adjacent land areas that must be reserved to discharge the base flood without cumulatively increasing the water surface elevation more than a designated height (typically one foot). Floodways are shown on Flood Insurance Rate Maps and represent the most hazardous portion of the floodplain due to high velocity water and debris. Development in floodways is strictly regulated or prohibited because any obstruction could increase flood heights on other properties. Buildings in floodways face the highest flood insurance rates and may be difficult or impossible to insure. Floodway boundaries are determined through detailed hydraulic modeling.
Related Terms
FloodplainBase Flood ElevationFIRMSpecial Flood Hazard Area
Floodplain
Property
Any land area susceptible to being inundated by floodwater from any source, including rivers, streams, coastal waters, and areas with inadequate drainage. The regulatory floodplain is the land area covered by the floodwaters of the base flood (1% annual chance flood), also called the Special Flood Hazard Area. Floodplain management regulations restrict development in these areas to reduce flood damage and protect lives. Properties in the regulatory floodplain typically require flood insurance if they have federally backed mortgages. Floodplain boundaries are shown on FEMA Flood Insurance Rate Maps and are subject to change as conditions evolve.
Related Terms
Special Flood Hazard AreaFloodwayBase Flood ElevationFIRM
Foreign Insurer
Industry
An insurance company that is licensed to do business in a state other than its domiciliary state. From the perspective of any given state, a 'foreign' insurer is one incorporated or organized in a different U.S. state. For example, a company domiciled in Connecticut writing business in New York would be considered a foreign insurer in New York. Foreign insurers must obtain a Certificate of Authority from each state where they wish to write business and comply with that state's regulatory requirements. This term is distinct from 'alien insurer,' which refers to companies formed in countries outside the United States. Most insurance companies operate as foreign insurers in multiple states beyond their domiciliary state.
Related Terms
Domiciliary StateAlien InsurerCertificate of AuthorityAdmitted Company
Financially Irresponsible Motorist
Auto
A New York insurance term for a driver who fails to maintain required auto insurance coverage or cannot pay for damages they cause. Victims of financially irresponsible motorists may file claims with MVAIC (Motor Vehicle Accident Indemnification Corporation).
Related Terms
MVAICUninsured Motorist CoverageUnderinsured Motorist Coverage
Facultative Reinsurance
Industry
A form of reinsurance where the reinsurer evaluates each individual risk separately and decides whether to accept or reject coverage on a case-by-case basis. This provides flexibility but requires negotiation for each policy.
Related Terms
ReinsuranceTreaty ReinsuranceUnderwriting
First Party Claim
Claims
A claim made by the policyholder directly to their own insurance company for coverage under their policy. Examples include collision coverage, comprehensive coverage, or property damage to the insured's own property.
Related Terms
Third Party ClaimPolicyholderCoverage

G

Grace Period
General
A specified period after a premium payment is due during which the policy remains in force without penalty.
Related Terms
PremiumLapsePolicy
Golf Cart Insurance
Auto
Insurance coverage for golf carts used on golf courses or private property, typically including liability, physical damage, and medical payments. May be covered under homeowners insurance or require separate policy.
Related Terms
Auto InsuranceLiability CoverageHomeowners Insurance
Garage Liability Insurance
Business
Specialized coverage for auto repair shops, dealerships, and parking garages, protecting against liability claims arising from business operations and customer vehicles.
Related Terms
Commercial Auto InsuranceGaragekeepers InsuranceCommercial General Liability
Garagekeepers Insurance
Business
Coverage that protects auto repair shops and parking facilities against liability for damage to customers' vehicles while in their care, custody, or control.
Related Terms
Garage Liability InsuranceBailee CoverageCommercial General Liability
Gap Insurance
Auto
Auto insurance coverage that pays the difference between what you owe on your car loan or lease and the vehicle's actual cash value if it's totaled or stolen.
Related Terms
Actual Cash ValueTotal LossLoan Payoff
Guaranteed Issue Life Insurance
Life
Life insurance that doesn't require a medical exam or health questions, guaranteeing acceptance but typically offering lower coverage amounts and higher premiums.
Related Terms
Simplified IssueLife InsuranceUnderwriting
Guaranteed Replacement Cost
Property
The most comprehensive coverage that pays whatever it costs to rebuild your home to its original condition, even if it exceeds your policy limits, regardless of construction cost increases.
Related Terms
Extended Replacement CostDwelling CoverageUnlimited
Guaranty Fund
Industry
A funding mechanism employed by states to provide funds to cover policyholder obligations of insolvent insurance companies. State guaranty associations are established by state law and funded by assessments on insurance companies licensed in that state. When an admitted insurer becomes insolvent, the guaranty fund steps in to pay covered claims up to statutory limits, ensuring policyholders receive benefits they were promised. Coverage limits vary by state but typically range from $300,000 to $500,000 per claim. Guaranty fund protection applies only to policies issued by admitted carriers; surplus lines (non-admitted) insurance is not covered by guaranty funds. All licensed insurers in a state are required to participate in and contribute to the state guaranty association.
Related Terms
Admitted CarrierNon-Admitted InsuranceInsolvencyState Insurance Department

H

Hazard
General
A condition or situation that increases the likelihood or potential severity of a loss.
Related Terms
RiskPerilUnderwriting
Homeowners Insurance
Property
Insurance coverage that protects your home and personal property against damage, theft, and liability claims.
Related Terms
Property InsuranceLiability CoverageDeductible
Hospitality Insurance
Business
Comprehensive coverage for hotels, motels, and lodging businesses including property, general liability, liquor liability, employment practices liability, and business interruption.
Related Terms
Commercial Property InsuranceLiquor Liability InsuranceBusiness Interruption Insurance
HMO
Health
Health Maintenance Organization - a type of health insurance plan that requires members to use network providers and obtain referrals from a primary care physician to see specialists.
Related Terms
PPOHealth InsuranceNetwork Provider
High Deductible Health Plan
Health
A health insurance plan with lower premiums and higher deductibles than traditional plans, often paired with a Health Savings Account (HSA) for tax-advantaged savings.
Related Terms
DeductibleHealth Savings AccountPremium
Health Savings Account
Health
A tax-advantaged savings account available to individuals enrolled in high-deductible health plans, allowing pre-tax contributions for qualified medical expenses.
Related Terms
High Deductible Health PlanMedical ExpensesTax Deduction
Hurricane Deductible
Property
A separate deductible that applies specifically to hurricane damage, typically a percentage of the dwelling coverage (2-5%), and only triggered when a hurricane is officially declared.
Related Terms
Windstorm DeductiblePercentage DeductibleNamed Storm
Hired and Non-Owned Auto Coverage
Business
Business insurance that covers liability for vehicles rented by the company or employees' personal vehicles used for business purposes.
Related Terms
Commercial Auto InsuranceBusiness LiabilityEmployee Vehicles
Hawaii Hurricane Relief Fund
Property
Hawaii's state program providing reinsurance to property insurers for hurricane losses, helping maintain availability of hurricane coverage in the private market.
Related Terms
Hurricane CoverageReinsuranceState Insurance Pool
HPIA
Property
Hawaii Property Insurance Association - a residual market mechanism that provides property insurance for homes in high-risk lava zones (primarily Zones 1 and 2) that cannot obtain coverage in the voluntary market. HPIA is an association of all property insurers licensed in Hawaii.
Related Terms
Lava ZoneResidual MarketFAIR Plan
HHRF
Property
Hawaii Hurricane Relief Fund - a state program that provides hurricane insurance coverage for condominium associations (AOAOs) that have been denied coverage by at least two private insurers. The fund was created to address the hurricane insurance availability crisis in Hawaii.
Related Terms
Hurricane InsuranceWind PoolResidual Market
Health Insurance
Health
Insurance coverage that pays for medical and surgical expenses incurred by the insured, including doctor visits, hospital stays, prescription drugs, preventive care, and other healthcare services.
Related Terms
PremiumDeductibleCopaymentOut-of-Pocket Maximum

I

Indemnity
General
Compensation for loss or damage, restoring the insured to their financial position before the loss occurred.
Related Terms
ClaimLossCoverage
Insured
General
The person or entity covered by an insurance policy and protected against specified losses or risks.
Related Terms
PolicyholderBeneficiaryCoverage
Insurer
General
The insurance company that provides coverage and agrees to pay for covered losses in exchange for premium payments.
Related Terms
PolicyPremiumCoverage
Inland Marine Insurance
Business
Coverage for movable property, equipment, and goods in transit over land, including tools, equipment, and merchandise being transported or stored off-premises.
Related Terms
Commercial Property InsuranceEquipment CoverageTransit Insurance
IBNR
Industry
Incurred But Not Reported - reserves set aside for insurance claims that have occurred but have not yet been reported to the insurer.
Related Terms
Loss ReserveClaimsActuarial
Identity Theft Coverage
General
Coverage that reimburses expenses related to restoring your identity after theft, such as legal fees, lost wages, and document replacement costs.
Related Terms
Personal Property CoverageFraudCredit Monitoring
ISO
Industry
Insurance Services Office - an organization that develops standardized insurance policy forms, rating information, and risk data used by property-casualty insurers across the United States.
Related Terms
Policy FormStandardizationCommercial Insurance
ISO CGL Form
Business
ISO Commercial General Liability form - a standardized liability insurance policy that covers bodily injury, property damage, personal injury, and advertising injury claims. The most common form is CG 00 01.
Related Terms
ISOCommercial General LiabilityLiability InsuranceCGL
ISO BOP
Business
ISO Businessowners Policy - a standardized package policy combining property and liability coverage designed for small to medium-sized businesses, typically using form BP 00 03.
Related Terms
ISOBusiness InsurancePackage PolicyCommercial Property
ISO Workers Compensation Form
Business
Standardized ISO forms for workers compensation coverage, including WC 00 00 01 (basic policy) and various endorsements for modifying coverage terms.
Related Terms
ISOWorkers CompensationWorkplace InjuryEmployee Benefits
ISO Endorsement
Industry
A standardized form used to modify, add, or delete coverage provisions in an ISO policy, identified by form numbers (e.g., CG 21 39 for Additional Insured endorsement).
Related Terms
ISOEndorsementPolicy ModificationAdditional Coverage
ICC Coverage
Property
Increased Cost of Compliance coverage - an additional flood insurance benefit of up to $30,000 to help pay for mitigation measures that reduce flood risk after a flood loss. ICC coverage is automatically included in all NFIP policies at no additional cost. It can be used for elevation, relocation, demolition, or floodproofing of buildings that have been substantially damaged or repetitively flooded. ICC funds are paid in addition to building claim payments but cannot exceed $30,000. To qualify, the building must be declared substantially damaged by the community, and the mitigation work must meet NFIP and local requirements. ICC coverage helps property owners comply with floodplain management regulations after a loss.
Related Terms
NFIPSubstantial DamageFlood InsuranceMitigation
Increased Cost of Compliance
Property
Additional flood insurance coverage that pays up to $30,000 for costs to bring a substantially damaged or repetitively flooded building into compliance with current floodplain management regulations. This coverage is included automatically in all National Flood Insurance Program policies. Eligible activities include elevating the building above the Base Flood Elevation, relocating it outside the floodplain, demolishing it, or floodproofing (for non-residential buildings only). ICC payments are made after a qualifying flood loss and are separate from the building coverage limit. The property must be declared substantially damaged by the local floodplain administrator to access ICC benefits.
Related Terms
ICC CoverageNFIPSubstantial DamageBase Flood Elevation
Independent Adjuster
Claims
A claims adjuster who works as an independent contractor for multiple insurance companies rather than being employed by one specific insurer. Independent adjusters are often used during catastrophic events when claim volume exceeds staff capacity.
Related Terms
AdjusterClaims InvestigationStaff Adjuster

L

Liability Coverage
General
Insurance that covers legal responsibility for injuries or damage caused to others or their property.
Related Terms
Liability LimitPremiumClaim
Liability Limit
General
The maximum amount an insurance policy will pay for covered liability claims.
Related Terms
Liability CoveragePolicy LimitCoverage
Lapse
General
The termination of an insurance policy due to non-payment of premiums or other policy requirements.
Related Terms
Grace PeriodPremiumPolicy
Loss
General
The basis of a claim for damages under the terms of an insurance policy.
Related Terms
ClaimCoverageIndemnity
Long-Term Care Insurance
Health
Insurance that covers the cost of long-term care services, such as nursing home care or in-home assistance.
Related Terms
Health InsurancePremiumBenefit
Liquor Liability Insurance
Business
Coverage for businesses that manufacture, sell, serve, or distribute alcoholic beverages, protecting against claims arising from alcohol-related incidents.
Related Terms
Commercial General LiabilityDram Shop LiabilityHospitality Insurance
Legal Malpractice Insurance
Business
Professional liability insurance for attorneys and law firms covering claims of negligence, missed deadlines, conflicts of interest, or errors in legal advice.
Related Terms
Malpractice InsuranceProfessional Liability InsuranceErrors and Omissions Insurance
Landscaping Insurance
Business
Insurance for landscaping businesses covering general liability, workers' compensation, commercial auto, inland marine for equipment, and pollution liability for pesticide use.
Related Terms
Commercial General LiabilityInland Marine InsurancePollution Liability Insurance
Loss Ratio
Industry
The ratio of losses paid plus loss reserves to premiums earned, used by insurers to measure underwriting profitability and pricing adequacy.
Related Terms
Combined RatioUnderwritingPremium
Loss Reserve
Industry
Funds set aside by an insurance company to pay future claims that have been reported but not yet settled (case reserves) or that have occurred but not been reported (IBNR).
Related Terms
IBNRCase ReserveClaims
Loss Payable Provision
Industry
An endorsement where an insurer makes claim payments to a third party instead of the named insured, often included when multiple parties have a financial interest in the insured property.
Related Terms
Loss PayeeNamed InsuredEndorsement
Loss Payee
Industry
The person or entity entitled to payment when an insurance claim is settled, which may be the policyholder or another party with a financial interest in the insured property.
Related Terms
Loss Payable ProvisionBeneficiaryNamed Insured
Living Benefit
Life
A life insurance policy feature that allows the policyholder to access a portion of the death benefit while still alive, typically in cases of terminal illness or chronic conditions.
Related Terms
Death BenefitAccelerated Death BenefitTerminal Illness
Loss of Use Coverage
Property
Coverage that pays for additional living expenses if you must temporarily relocate due to a covered loss that makes your home uninhabitable, such as fire or severe storm damage.
Related Terms
Homeowners InsuranceAdditional Living ExpensesTemporary Housing
Loss Damage Waiver
Auto
An optional rental car agreement (not insurance) that waives the rental company's right to hold you financially responsible for damage or theft of the rental vehicle.
Related Terms
Rental Car InsuranceCollision Damage WaiverRental Agreement
Loan/Lease Payoff Coverage
Auto
Similar to gap insurance, this coverage pays the difference between your vehicle's actual cash value and the remaining loan or lease balance after a total loss.
Related Terms
Gap InsuranceTotal LossAuto Loan
License and Permit Bond
Business
A surety bond required by government agencies to obtain certain business licenses or permits, guaranteeing compliance with applicable laws and regulations.
Related Terms
Surety BondBusiness LicenseCompliance
Louisiana Road Home Program
Property
Louisiana's disaster recovery program providing grants to homeowners for hurricane damage repair and rebuilding, created after Hurricanes Katrina and Rita in 2005.
Related Terms
Hurricane CoverageDisaster RecoveryState Insurance Program
LFE
Property
Lowest Floor Elevation - the measured distance of a building's lowest floor above the National Geodetic Vertical Datum (NGVD) or North American Vertical Datum (NAVD) as specified on the Flood Insurance Rate Map. The LFE is a critical measurement used to determine flood insurance premium rates under the National Flood Insurance Program. For buildings with basements, the LFE is the basement floor elevation. For buildings without basements, it's the elevation of the lowest floor including any attached garage or enclosure. A higher LFE relative to the Base Flood Elevation results in lower insurance premiums.
Related Terms
Base Flood ElevationElevation CertificateNFIPFlood Insurance
Lowest Floor Elevation
Property
The elevation of the lowest floor of a building, including basement, crawlspace, or enclosure, measured above a specific datum (NGVD or NAVD). This measurement is documented on an Elevation Certificate and is the primary factor in determining flood insurance rates. For rating purposes, the lowest floor includes any area with a floor below the Base Flood Elevation, even if it's only used for parking or storage. Buildings with the lowest floor at or above the BFE qualify for preferred risk or lower premium rates. Elevating the lowest floor is one of the most effective flood mitigation strategies.
Related Terms
LFEBase Flood ElevationElevation CertificateFreeboard
LOMA
Property
Letter of Map Amendment - an official document from FEMA that removes a property from the Special Flood Hazard Area when it is shown to be at or above the Base Flood Elevation. A LOMA is issued when a property was incorrectly included in the flood zone on the Flood Insurance Rate Map due to natural grade elevation. Property owners must submit an application with elevation data certified by a licensed surveyor or engineer. Once approved, a LOMA eliminates the mandatory flood insurance requirement for federally backed mortgages and may significantly reduce insurance costs. LOMAs are permanent unless the FIRM is revised. Similar letters include LOMR (Letter of Map Revision) for map changes based on physical alterations.
Related Terms
LOMRFIRMSpecial Flood Hazard AreaBase Flood Elevation
Letter of Map Amendment
Property
An official amendment issued by FEMA to remove a property or structure from a Special Flood Hazard Area shown on a Flood Insurance Rate Map. LOMAs are granted when elevation data demonstrates that the property is naturally at or above the Base Flood Elevation and was inadvertently included in the flood zone. The amendment does not physically change the FIRM but provides legal documentation that the property is not in the SFHA. Property owners must provide an Elevation Certificate and topographic data certified by a licensed professional. LOMA approval eliminates mandatory flood insurance requirements and can reduce insurance costs substantially. Processing typically takes 60-90 days and there is no fee for most residential properties.
Related Terms
LOMAFIRMBase Flood ElevationElevation Certificate
Lloyd's of London
Industry
The world's specialist insurance and reinsurance marketplace, established in London in the 17th century. Lloyd's is not itself an insurance company but rather a marketplace where members join together in syndicates to underwrite insurance risks. The market separates capital provision (members) from underwriting expertise (managing agents). Lloyd's operates through a unique three-tier capital structure called the Chain of Security, which backs all policies written through the market. The Corporation of Lloyd's provides infrastructure and regulatory oversight, while syndicates conduct the actual underwriting. Lloyd's is known for insuring unique, complex, and high-value risks that may be difficult to place in standard markets.
Related Terms
SyndicateManaging AgentCoverholderExcess and Surplus Lines
Lloyd's Broker
Industry
An accredited broker authorized to place insurance business at Lloyd's of London. Lloyd's brokers act on behalf of policyholders to negotiate terms with syndicates and secure coverage. They present risks to active underwriters at the underwriting box, negotiate premiums and terms, and coordinate placement across multiple syndicates when risks are shared. Lloyd's brokers must meet strict accreditation requirements and maintain professional standards. They serve as the critical intermediary between clients seeking coverage and the syndicates willing to underwrite risks, leveraging market relationships and technical expertise to achieve optimal placements.
Related Terms
Lloyd's of LondonSyndicateActive UnderwriterUnderwriting Box
Lava Zone
Property
Hawaii's volcanic hazard classification system ranging from Zone 1 (highest risk) to Zone 9 (lowest risk), based on the frequency and coverage of historic lava flows. Lava zones significantly affect property insurance availability and rates, with properties in Zones 1 and 2 often requiring coverage through the Hawaii Property Insurance Association.
Related Terms
HPIAVolcanic Eruption CoverageAll-Risk Coverage
Life Insurance
Life
Insurance coverage that pays a designated beneficiary a sum of money upon the death of the insured person, providing financial protection for dependents and covering final expenses, debts, and income replacement.
Related Terms
BeneficiaryDeath BenefitTerm Life InsuranceWhole Life Insurance
Loss Assessment
Claims
An evaluation of the extent and value of damage or loss for insurance claim purposes. This assessment determines the amount the insurance company will pay based on policy terms and the actual damage sustained.
Related Terms
AdjusterProof of LossClaim Settlement

M

Motorcycle Insurance
Auto
Specialized insurance coverage for motorcycles including liability, collision, comprehensive, uninsured motorist, and optional coverages like accessory coverage and roadside assistance.
Related Terms
Auto InsuranceCollision CoverageComprehensive Coverage
Malpractice Insurance
Business
Professional liability coverage for licensed professionals such as doctors, lawyers, and accountants, protecting against claims of negligence or inadequate professional services.
Related Terms
Professional Liability InsuranceErrors and Omissions InsuranceMedical Malpractice
Media Liability Insurance
Business
Coverage for businesses involved in advertising, publishing, or broadcasting, protecting against claims of libel, slander, copyright infringement, and invasion of privacy.
Related Terms
Professional Liability InsuranceCyber Liability InsuranceAdvertising Injury
Medical Malpractice Insurance
Business
Professional liability coverage for healthcare providers protecting against claims of medical negligence, errors in diagnosis or treatment, and failure to obtain informed consent.
Related Terms
Malpractice InsuranceProfessional Liability InsuranceHealthcare Insurance
Medical Payments Coverage
General
Coverage that pays medical expenses for guests injured on your property, regardless of fault, typically included in homeowners and auto insurance policies with relatively low limits.
Related Terms
Personal Liability CoverageBodily InjuryGuest
Mold Coverage
Property
Limited coverage for mold damage that results from a covered peril, with most policies capping mold remediation at $10,000-$50,000 and excluding mold from maintenance issues.
Related Terms
Homeowners InsuranceWater DamageExclusion
Maintenance Bond
Business
A surety bond that guarantees a contractor will repair defects in workmanship or materials for a specified period after project completion, typically one year.
Related Terms
Performance BondWarrantyConstruction
Manuscript Policy
Industry
A non-standard insurance policy specially drafted to meet unique coverage needs, as opposed to standardized ISO forms. Often used for complex or unusual risks.
Related Terms
ISOCustom CoverageNon-Standard Policy
Massachusetts Auto Insurance Law
Auto
Massachusetts's unique auto insurance system requiring specific coverage combinations and using a managed competition model where insurers must offer coverage to all drivers but rates are regulated by the state.
Related Terms
Auto InsuranceState Insurance RegulationCompulsory Insurance
Michigan Catastrophic Claims Association (MCCA)
Auto
Michigan's state reinsurance facility that reimburses auto insurers for Personal Injury Protection (PIP) claims exceeding a specific threshold, funded by assessments on all Michigan auto policies.
Related Terms
Personal Injury ProtectionPIPNo-Fault InsuranceReinsurance
Managing Agent
Industry
A company authorized and regulated by the UK's Prudential Regulation Authority (PRA) and Financial Conduct Authority (FCA), as well as Lloyd's, that manages one or more syndicates on behalf of members at Lloyd's of London. Managing agents employ underwriters, oversee underwriting operations, manage infrastructure, handle day-to-day syndicate operations, and ensure compliance with regulatory requirements. They act as the operational arm of Lloyd's syndicates, executing the business plan and managing the syndicate's exposures and claims on behalf of the capital-providing members.
Related Terms
SyndicateLloyd's of LondonActive UnderwriterCoverholder
MCCA
Auto
Michigan Catastrophic Claims Association - a state-mandated reinsurance association that reimburses auto insurers for Personal Injury Protection (PIP) medical claims exceeding a set threshold. The MCCA collects an assessment fee from every insured Michigan driver to fund catastrophic injury claims under Michigan's no-fault auto insurance system.
Related Terms
No-Fault InsurancePersonal Injury ProtectionUnlimited PIP
Michigan Catastrophic Claims Association
Auto
A private, non-profit association created by the Michigan Legislature in 1978 to protect the financial integrity of Michigan's auto insurance industry. The MCCA provides reinsurance for unlimited lifetime medical benefits under Michigan's no-fault system, reimbursing insurers for PIP claims that exceed the retention limit.
Related Terms
MCCANo-Fault InsurancePersonal Injury Protection
Managed Competition
Auto
Massachusetts' unique auto insurance system implemented in 2008, replacing the prior state-set rate system. Under managed competition, insurance companies can set their own rates and compete for customers, but insurers are still required to provide coverage to all drivers who apply (no cherry-picking).
Related Terms
Rate BureauAdmitted Carrier
MVAIC
Auto
Motor Vehicle Accident Indemnification Corporation - a New York state fund that provides compensation to innocent victims injured by uninsured motorists, hit-and-run drivers, or financially irresponsible motorists. MVAIC is funded by assessments on auto insurers doing business in New York.
Related Terms
Uninsured Motorist CoverageHit and RunFinancially Irresponsible Motorist

N

Non-Admitted Insurer
Industry
An insurance company not licensed in a particular state but allowed to provide surplus lines coverage for risks that admitted insurers won't cover.
Related Terms
Admitted InsurerSurplus Lines InsuranceExcess and Surplus
Named Insured
Industry
The person or entity specifically identified in an insurance policy as the insured, having full rights and responsibilities under the policy.
Related Terms
Additional InsuredInsuredPolicyholder
New Car Replacement Coverage
Auto
Auto insurance coverage that pays to replace your totaled vehicle with a brand new car of the same make and model, rather than paying actual cash value.
Related Terms
Gap InsuranceTotal LossReplacement Cost
Named Perils
General
A type of insurance coverage that only protects against losses specifically listed in the policy, as opposed to all-risk coverage which covers all perils except those excluded.
Related Terms
Basic FormBroad FormSpecial FormAll-Risk Coverage
Non-Admitted Carrier
Industry
An insurance company not licensed in a particular state but allowed to provide coverage for risks that admitted carriers won't insure, typically through surplus lines brokers. Also called 'non-admitted' or 'excess and surplus' carriers.
Related Terms
Admitted CarrierSurplus LinesExcess and Surplus Lines
New York No-Fault Insurance
Auto
New York's mandatory auto insurance system requiring Personal Injury Protection (PIP) coverage of at least $50,000, providing immediate medical and lost wage benefits regardless of who caused the accident.
Related Terms
Personal Injury ProtectionPIPNo-Fault InsuranceAuto Insurance
NFIP
Property
The National Flood Insurance Program is a federal program created by Congress in 1968 to provide flood insurance to property owners, renters, and businesses. Managed by FEMA, the NFIP makes flood insurance available in communities that adopt and enforce floodplain management regulations to reduce future flood damage. Standard homeowners insurance does not cover flood damage, making NFIP policies essential for properties in flood-prone areas. The program offers up to $250,000 in building coverage and $100,000 in contents coverage.
Related Terms
Flood InsuranceFEMAFlood ZoneBase Flood Elevation
National Flood Insurance Program
Property
A federal program administered by FEMA that provides flood insurance to property owners, renters, and businesses in participating communities. Created in 1968 because standard homeowners insurance excludes flood coverage, the NFIP helps reduce the socio-economic impact of floods by providing affordable insurance and encouraging communities to adopt floodplain management regulations. Coverage limits are $250,000 for residential buildings and $100,000 for contents. Properties in high-risk flood zones with federally backed mortgages are required to carry flood insurance.
Related Terms
NFIPFlood InsuranceFEMASpecial Flood Hazard Area
Non-Admitted Insurance
Industry
Insurance placed with carriers not licensed (admitted) in the state where the insured risk is located. Non-admitted insurers, also called surplus lines insurers, are not subject to state rate and form approval requirements, giving them flexibility to underwrite unique or high-risk exposures. However, they must meet financial requirements and be listed on the state's approved eligible surplus lines insurer list. Non-admitted policies are not protected by state guaranty funds in the event of insurer insolvency, though historical insolvency rates for surplus lines carriers are low. Non-admitted insurance can only be placed after a surplus lines broker conducts a diligent search in the admitted market and documents that coverage is not available from admitted carriers.
Related Terms
Excess and Surplus LinesAdmitted CarrierSurplus Lines BrokerGuaranty Fund
NAIC
Industry
The National Association of Insurance Commissioners, an organization of state insurance regulators from all 50 states, the District of Columbia, and U.S. territories. The NAIC develops model laws and regulations, provides regulatory support and education, maintains insurance industry databases, and coordinates regulatory oversight across jurisdictions. While the NAIC itself does not have regulatory authority, its model acts and guidelines are frequently adopted by state legislatures and insurance departments, creating consistency in insurance regulation across the United States. The NAIC oversees initiatives including risk-based capital standards, financial reporting requirements, market conduct standards, and the Quarterly Listing of Alien Insurers eligible for surplus lines placements.
Related Terms
Admitted CarrierSurplus Lines BrokerRisk-Based CapitalState Insurance Department
NCRB
Industry
North Carolina Rate Bureau - a non-profit rating bureau created by the North Carolina General Assembly that provides services and programs for automobile, property, and workers compensation insurance. The NCRB collects loss data, develops rates, and administers various insurance programs in North Carolina.
Related Terms
Rate BureauAdvisory OrganizationWorkers Compensation
Network
Health
In health insurance, a group of healthcare providers (doctors, hospitals, pharmacies) that have contracted with an insurance company to provide services at discounted rates to plan members. Using in-network providers typically results in lower out-of-pocket costs.
Related Terms
In-NetworkOut-of-NetworkPPOHMO
Non-Proportional Reinsurance
Industry
A reinsurance arrangement where the reinsurer pays only when losses exceed a specified threshold, regardless of premium sharing. Includes excess of loss and stop loss arrangements. The reinsurer's obligation is triggered by the size of the loss, not by a fixed percentage.
Related Terms
Excess of LossStop LossProportional Reinsurance

P

Peril
General
The cause of a possible loss, such as fire, theft, windstorm, or collision.
Related Terms
HazardRiskCoverage
Policy
General
The written contract between the insurer and insured that outlines the terms, conditions, coverage, and exclusions of the insurance agreement.
Related Terms
CoveragePremiumEndorsement
Policyholder
General
The person or entity that owns an insurance policy and is responsible for premium payments.
Related Terms
InsuredPolicyPremium
Premium
General
The amount paid by the policyholder to the insurance company for coverage, typically on a monthly, quarterly, or annual basis.
Related Terms
PolicyDeductibleCoverage
Pre-existing Condition
Health
A health condition that existed before the start date of a new insurance policy.
Related Terms
CoverageExclusionHealth Insurance
Professional Liability Insurance
Business
Also known as Errors and Omissions (E&O) insurance, this coverage protects professionals against claims of negligence, mistakes, or failure to perform professional duties.
Related Terms
Errors and OmissionsMalpractice InsuranceCommercial General Liability
Product Liability Insurance
Business
Coverage that protects manufacturers, distributors, and retailers against claims of injury or damage caused by defective products.
Related Terms
Commercial General LiabilityProfessional Liability InsuranceLiability Coverage
Pollution Liability Insurance
Business
Coverage that protects businesses against claims and cleanup costs related to pollution, contamination, or environmental damage caused by business operations.
Related Terms
Environmental LiabilityCommercial General LiabilityCleanup Costs
Per Occurrence Limit
Industry
The maximum amount an insurance policy will pay for a single claim or occurrence, separate from the aggregate limit.
Related Terms
Aggregate LimitPolicy LimitLiability Limit
Primary and Noncontributory
Industry
'Primary' means the insurance policy responds to a covered claim first before another policy. 'Non-contributory' means the policy must respond without requesting the other policy contribute to paying the claim.
Related Terms
Additional InsuredEndorsementCoverage
Products-Completed Operations Aggregate
Business
The maximum amount of coverage offered under a general liability insurance policy for claims and lawsuits related to injury, illness, or property damage caused by delivered products or completed services.
Related Terms
General Liability InsuranceAggregate LimitProduct Liability
PPO
Health
Preferred Provider Organization - a type of health insurance plan that offers more flexibility than an HMO, allowing members to see out-of-network providers at a higher cost without referrals.
Related Terms
HMOHealth InsuranceNetwork Provider
POS Plan
Health
Point of Service Plan - a health insurance plan that combines features of HMO and PPO plans, requiring a primary care physician but allowing out-of-network care at higher costs.
Related Terms
HMOPPOHealth Insurance
Personal Property Coverage
Property
Insurance coverage for personal belongings such as furniture, clothing, and electronics against theft, damage, or loss, typically included in homeowners and renters policies.
Related Terms
Renters InsuranceHomeowners InsuranceContents
Personal Liability Coverage
Property
Protection against lawsuits for bodily injury or property damage that you or family members cause to others, typically included in homeowners and renters insurance policies.
Related Terms
LiabilityHomeowners InsuranceLawsuit
Pet Insurance
General
Coverage for veterinary expenses related to illness, injury, or preventive care for pets, with policies varying in coverage limits, deductibles, and exclusions.
Related Terms
Health InsuranceVeterinary CareWellness Coverage
Pay-Per-Mile Insurance
Auto
Auto insurance pricing based primarily on miles driven, with a low base rate plus a per-mile charge, ideal for low-mileage drivers.
Related Terms
Usage-Based InsuranceMileageLow-Mileage Discount
Performance Bond
Business
A surety bond that guarantees a contractor will complete a project according to contract terms, protecting the project owner from financial loss if the contractor defaults.
Related Terms
Surety BondConstructionContract
Payment Bond
Business
A surety bond that guarantees a contractor will pay subcontractors, laborers, and material suppliers, protecting them from non-payment if the contractor defaults.
Related Terms
Performance BondSurety BondConstruction
Prior Acts Coverage
General
Coverage under a claims-made policy for incidents that occurred before the policy's retroactive date, protecting against claims for past work when switching insurers.
Related Terms
Claims-Made PolicyRetroactive DateProfessional Liability Insurance
Pre-FIRM
Property
A building constructed before the effective date of the first Flood Insurance Rate Map (FIRM) for a community. Pre-FIRM buildings were built before current floodplain management regulations and often do not meet modern elevation requirements. These structures typically qualify for subsidized flood insurance rates under the National Flood Insurance Program, though these subsidies are being phased out. Pre-FIRM buildings can maintain grandfathered rates if they met the floodplain management requirements in effect at the time of construction. When Pre-FIRM buildings undergo substantial improvement or substantial damage, they must be brought into compliance with current standards.
Related Terms
Post-FIRMFIRMGrandfathered RateSubstantial Improvement
Post-FIRM
Property
A building constructed after the effective date of the first Flood Insurance Rate Map for a community. Post-FIRM buildings are required to meet floodplain management regulations, including elevation requirements, and typically have lower flood risk than Pre-FIRM structures. Flood insurance rates for Post-FIRM buildings are based on actuarial risk and are generally lower than Pre-FIRM rates if the building is properly elevated. These buildings must have an Elevation Certificate to document compliance with local regulations. Post-FIRM construction standards significantly reduce flood damage and insurance costs compared to older, non-compliant structures.
Related Terms
Pre-FIRMFIRMElevation CertificateBase Flood Elevation
Personal Injury Protection
Auto
Auto insurance coverage (also called PIP or no-fault insurance) that pays for medical expenses, lost wages, and other costs for you and your passengers after an accident, regardless of who was at fault.
Related Terms
No-Fault InsuranceMedical Payments CoverageAuto Insurance
Property Damage Liability
Auto
Auto insurance coverage that pays for damage you cause to another person's property in an accident, including their vehicle, fence, building, or other structures.
Related Terms
Bodily Injury LiabilityLiabilityThird Party
Proportional Reinsurance
Industry
A reinsurance arrangement where the reinsurer shares premiums and losses with the ceding company in a fixed proportion. Includes quota share and surplus share arrangements. The reinsurer participates proportionally in both the income and the risk.
Related Terms
Quota ShareSurplus ShareNon-Proportional Reinsurance
Proof of Loss
Claims
A formal statement made by the policyholder to the insurance company documenting the amount of loss or damage claimed under an insurance policy. This sworn statement typically includes details of the incident, itemized losses, and supporting documentation.
Related Terms
ClaimDocumentationLoss Assessment
Public Adjuster
Claims
A licensed professional hired by the policyholder (not the insurance company) to assess damage and negotiate the insurance claim on behalf of the insured. Public adjusters typically charge a percentage of the final settlement amount.
Related Terms
AdjusterClaim SettlementLoss Assessment
Partial Loss
Claims
Damage to property where the cost of repairs is less than the total value of the property. The property can be repaired or restored to its pre-loss condition without being declared a total loss.
Related Terms
Total LossRepair CostDepreciation

R

Replacement Cost
Property
The cost to replace damaged or destroyed property with new property of similar kind and quality, without deduction for depreciation.
Related Terms
Actual Cash ValueDepreciationCoverage
Rider
General
An add-on provision to an insurance policy that provides additional coverage or modifies the standard policy terms.
Related Terms
EndorsementPolicyCoverage
Risk
General
The chance of loss or the person, property, or entity insured under a policy.
Related Terms
HazardPerilUnderwriting
Renters Insurance
Property
Insurance coverage for tenants that protects personal property and provides liability coverage, but does not cover the building structure.
Related Terms
Homeowners InsuranceLiability CoveragePersonal Property
Restaurant Insurance
Business
Specialized insurance package for restaurants and food service businesses, typically including general liability, property coverage, liquor liability, and food contamination coverage.
Related Terms
Liquor Liability InsuranceCommercial General LiabilityBusiness Owners Policy
Retail Insurance
Business
Insurance coverage designed for retail businesses, including property coverage for inventory and fixtures, general liability, business interruption, and employee dishonesty coverage.
Related Terms
Commercial Property InsuranceBusiness Owners PolicyCrime Insurance
Real Estate Errors and Omissions
Business
Professional liability insurance for real estate agents and brokers covering claims of negligence, misrepresentation, failure to disclose, or errors in transactions.
Related Terms
Professional Liability InsuranceErrors and Omissions InsuranceReal Estate Insurance
Retroactive Date
Industry
The date in a claims-made policy before which incidents are not covered, even if the claim is made during the policy period.
Related Terms
Claims-Made PolicyPrior Acts CoverageCoverage Trigger
Replacement Cost Coverage
Property
Insurance that pays to replace damaged property with new items of similar kind and quality without deducting for depreciation, resulting in higher payouts than actual cash value coverage.
Related Terms
Actual Cash ValueDepreciationClaim
Rental Car Insurance
Auto
Coverage for damage to or theft of a rental vehicle, which may be provided by your personal auto policy, credit card, or purchased from the rental company.
Related Terms
Collision CoverageComprehensive CoverageLoss Damage Waiver
Roadside Assistance
Auto
Coverage that provides services like towing, tire changes, jump starts, and lockout assistance when your vehicle breaks down, often available as an auto insurance add-on.
Related Terms
Towing CoverageEmergency ServiceAuto Insurance
Rental Reimbursement Coverage
Auto
Auto insurance coverage that pays for a rental car while your vehicle is being repaired after a covered accident, typically with daily and total limits.
Related Terms
Auto InsuranceCollision CoverageRental Car
Rideshare Insurance
Auto
Coverage designed for drivers who work for rideshare companies like Uber or Lyft, filling gaps between personal auto insurance and the company's commercial coverage.
Related Terms
Commercial Auto InsuranceUberLyft
Risk-Based Capital
Industry
A regulatory framework that requires insurance companies to maintain capital reserves proportional to the risks inherent in their business operations. The NAIC Risk-Based Capital (RBC) system calculates minimum capital requirements based on four categories of risk: asset risk (investments), underwriting risk (pricing and reserving), credit risk (reinsurance and other recoverables), and off-balance sheet risk. Insurers must file annual RBC reports, and regulatory intervention is triggered if an insurer's actual capital falls below specified RBC thresholds. The RBC ratio compares an insurer's total adjusted capital to its risk-based capital requirement. Ratios below certain levels trigger increasingly severe regulatory actions, from company action level (200%) to mandatory control level (70%), where regulators must place the insurer under regulatory control.
Related Terms
NAICSolvencyCapital and SurplusFinancial Examination
Rate Bureau
Industry
An organization that collects loss statistics and develops advisory insurance rates for its member companies. North Carolina Rate Bureau (NCRB) is a prominent example, providing rating services for auto, property, and workers compensation insurance. Some states use rate bureaus while others allow insurers to file their own rates.
Related Terms
Advisory OrganizationNAICLoss Ratio
Regulation 62
Health
New York's insurance regulation (11 NYCRR 52) that governs health insurance practices, including minimum loss ratio requirements (typically 65% for group health), claims payment standards, and preexisting condition provisions. Regulation 62 is one of New York's most important health insurance regulations.
Related Terms
Loss RatioDFSClaims-Made Policy
Reinsurance
Industry
Insurance purchased by an insurance company (the ceding company) from another insurance company (the reinsurer) to transfer risk and protect against large losses. Reinsurance allows insurers to underwrite policies covering higher risks and larger amounts than they could handle independently.
Related Terms
Ceding CompanyReinsurerRisk TransferTreaty Reinsurance
Retrocession
Industry
The practice of a reinsurer transferring some of its assumed risk to another reinsurer (called a retrocessionaire) to further spread risk. This is essentially reinsurance for reinsurers.
Related Terms
ReinsuranceReinsurerRisk Transfer
Reinsurer
Industry
An insurance company that assumes risk from another insurance company through a reinsurance agreement. The reinsurer provides financial protection to the ceding company against large or catastrophic losses.
Related Terms
ReinsuranceCeding CompanyRisk Transfer
Reinsurance Pool
Industry
An arrangement where multiple insurers and reinsurers collectively share risks and losses, typically for high-risk or catastrophic exposures that no single company wants to bear alone. Examples include nuclear energy pools and terrorism risk pools.
Related Terms
ReinsuranceRisk SharingCatastrophe Reinsurance
Retention
Industry
The amount of risk that the ceding company keeps for its own account before reinsurance coverage applies. Also called the deductible or attachment point in some contexts. Higher retention means the ceding company bears more risk but pays lower reinsurance premiums.
Related Terms
ReinsuranceAttachment PointCeding Company
Reinstatement
Industry
The restoration of reinsurance coverage after it has been partially or fully exhausted by a loss, usually requiring an additional premium payment. This allows the ceding company to maintain protection after a large loss event without waiting for the next policy period.
Related Terms
ReinsuranceAggregate LimitPremium
Reservation of Rights
Claims
A notice from an insurance company to the insured that coverage for a claim may not apply, while the insurer continues to investigate or defend the claim. This protects the insurer's right to later deny coverage without waiving policy defenses.
Related Terms
Coverage DenialPolicy DefenseClaim Investigation

S

Surety Bond
Business
A three-party agreement where the surety guarantees to the obligee that the principal will fulfill their contractual obligations, commonly required in construction and government contracts.
Related Terms
Performance BondPayment BondContract Bond
Salon and Spa Insurance
Business
Specialized coverage for beauty and wellness businesses including general liability, professional liability for services, property coverage, and product liability.
Related Terms
Professional Liability InsuranceCommercial General LiabilityProduct Liability Insurance
Surplus Lines Insurance
Industry
Insurance coverage from non-admitted insurers for risks that standard insurance companies won't cover, often for unusual or high-risk exposures.
Related Terms
Non-Admitted InsurerExcess and SurplusSpecialty Insurance
Self-Insured Retention
Industry
A specified dollar amount that the insured must pay on a claim before the insurance policy responds, commonly used in liability policies.
Related Terms
RetentionDeductibleSelf-Insurance
Simplified Issue Life Insurance
Life
Life insurance that requires answering health questions but no medical exam, offering faster approval than fully underwritten policies with moderate coverage amounts.
Related Terms
Guaranteed Issue Life InsuranceUnderwritingMedical Exam
Scheduled Personal Property
Property
Additional coverage for high-value items like jewelry, art, or collectibles that exceed standard policy limits, requiring appraisals and separate listing on the policy.
Related Terms
Personal Property CoverageJewelry InsuranceAppraisal
Sinkhole Coverage
Property
Insurance coverage for damage caused by sinkholes, which may be included, excluded, or available as an endorsement depending on the state and insurer.
Related Terms
Homeowners InsuranceCatastrophic CoverageGround Movement
Special Form (CP 00 30)
Property
An ISO commercial property coverage form providing the broadest coverage, insuring against all risks of direct physical loss except those specifically excluded. Also known as 'all-risk' or 'open perils' coverage.
Related Terms
ISOBasic FormBroad FormNamed PerilsCommercial Property Insurance
Surplus Lines
Industry
Insurance coverage placed with non-admitted carriers for risks that standard admitted carriers are unwilling to insure, typically requiring a licensed surplus lines broker and subject to special state taxes and regulations.
Related Terms
Non-Admitted CarrierAdmitted CarrierExcess and Surplus LinesHard-to-Place Risk
Special Flood Hazard Area
Property
High-risk flood zones designated by FEMA where there is at least a 1% chance of flooding in any given year (also known as the 100-year floodplain). Properties located in SFHAs and secured by federally backed mortgages are required by law to carry flood insurance. These areas are shown on Flood Insurance Rate Maps (FIRMs) and include Zone A (riverine flooding) and Zone V (coastal flooding with wave action). Buildings in SFHAs face significantly higher flood insurance premiums than those in moderate or low-risk zones.
Related Terms
Flood ZoneNFIPBase Flood Elevation100-Year Flood
Substantial Improvement
Property
Any reconstruction, rehabilitation, addition, or improvement of a building where the cost equals or exceeds 50% of the market value of the structure before the improvement began. When a building undergoes substantial improvement, it must be brought into compliance with current floodplain management regulations, including elevation requirements. This trigger applies cumulatively over a specified period (often 10 years) to prevent incremental improvements from avoiding compliance. Substantial improvement determinations are made by local floodplain administrators and can significantly impact project costs. Property owners should consult with local officials before starting major renovation projects in flood zones.
Related Terms
Substantial DamageBase Flood ElevationFloodplain ManagementPre-FIRM
Substantial Damage
Property
Damage of any origin sustained by a building where the cost of restoring the structure to its pre-damaged condition equals or exceeds 50% of the market value before the damage occurred. Substantially damaged buildings must be brought into compliance with current floodplain management regulations when repaired, including meeting elevation requirements. This applies to damage from any cause (flood, fire, earthquake, etc.), not just flooding. The 50% threshold is calculated using the building's market value excluding land value. Communities track cumulative damage over time to prevent property owners from avoiding compliance through multiple smaller repairs. Substantial damage determinations are made by local floodplain administrators.
Related Terms
Substantial ImprovementBase Flood ElevationFloodplain ManagementMarket Value
Syndicate
Industry
A Lloyd's syndicate is formed by one or more members joining together to accept insurance risks at Lloyd's of London. Each syndicate sets its own appetite for risk, develops a business plan, arranges reinsurance protection, and manages exposures and claims. A syndicate is not a legal entity and is formed for a single calendar year called a year of account. At the end of the year, it may reform with identical or similar membership. Syndicates are managed by Managing Agents who employ underwriters and oversee day-to-day operations. Each syndicate is identified by a unique number and operates independently within the Lloyd's marketplace.
Related Terms
Lloyd's of LondonManaging AgentActive UnderwriterYear of Account
Surplus Lines Broker
Industry
A specially licensed insurance broker authorized to place insurance with non-admitted (surplus lines) carriers. Surplus lines brokers must hold a surplus lines license in addition to a standard insurance broker license. Before placing coverage in the surplus lines market, the broker is required to conduct a diligent search to demonstrate that coverage is not available from admitted carriers in the standard market. The surplus lines broker is responsible for ensuring the surplus lines insurer meets state eligibility criteria, collecting and remitting surplus lines premium taxes to the state, and providing required filings and documentation. They serve as the critical link between clients with hard-to-place risks and the non-admitted insurance market.
Related Terms
Excess and Surplus LinesDiligent SearchSurplus Lines TaxNon-Admitted Insurance
Surplus Lines Tax
Industry
A tax imposed by states on surplus lines (non-admitted) insurance premiums, typically ranging from 2% to 6% of the premium amount. The surplus lines tax is collected by the surplus lines broker at the time of policy placement and remitted to the state where the insured risk is located (the 'home state' under the Nonadmitted and Reinsurance Reform Act). This tax serves as a substitute for the premium taxes that admitted insurers pay. The broker is responsible for calculating, collecting, and remitting the tax, along with required filings documenting the placement. Stamping offices often facilitate the collection and distribution of surplus lines taxes across multiple states.
Related Terms
Surplus Lines BrokerExcess and Surplus LinesStamping OfficeNon-Admitted Insurance
Stamping Office
Industry
An organization that collects surplus lines premium taxes, fees, and required filings on behalf of surplus lines brokers and forwards them to state regulatory authorities. Stamping offices serve as clearinghouses that simplify the administrative burden of multi-state surplus lines placements by providing a centralized point for tax collection and regulatory compliance. They verify that surplus lines insurers are eligible to write business in the applicable states, validate diligent search documentation, and ensure proper tax calculation and remittance. The Surplus Line Taxes and Fees Multi-State Compliance Compact (SLTC) is a prominent example of a stamping office that facilitates compliance across multiple jurisdictions.
Related Terms
Surplus Lines TaxSurplus Lines BrokerExcess and Surplus LinesNAIC
Surplus Share
Industry
A proportional reinsurance arrangement where the reinsurer covers the amount of risk that exceeds the ceding company's retention limit, up to a specified multiple. This allows the ceding company to write larger policies while maintaining consistent retention levels.
Related Terms
Proportional ReinsuranceQuota ShareRetention
Stop Loss
Industry
A form of reinsurance that protects the ceding company against an aggregate amount of losses exceeding a specified percentage of premiums during a defined period, typically one year. This protects against unexpectedly high loss ratios.
Related Terms
ReinsuranceAggregate LimitLoss Ratio
Subrogation
Claims
The legal right of an insurance company to pursue a third party that caused an insurance loss to the insured, allowing the insurer to recover the amount of the claim paid to the insured. This right is transferred from the insured to the insurer upon payment of the claim.
Related Terms
Third Party ClaimRecoveryReimbursement
Salvage
Claims
Property that remains after an insurance claim has been paid, which the insurance company may take ownership of to offset the claim payment. Common in total loss situations where damaged property still has residual value.
Related Terms
Total LossActual Cash ValueRecovery
Staff Adjuster
Claims
A claims adjuster who is a salaried employee of a specific insurance company, handling claims exclusively for that insurer. Staff adjusters typically have ongoing training and deep knowledge of their company's policies and procedures.
Related Terms
AdjusterIndependent AdjusterClaims Investigation
Supplemental Claim
Claims
An additional claim filed after the initial claim when further damage is discovered or repair costs exceed the original estimate. Also called a reopened claim or additional claim.
Related Terms
ClaimLoss AssessmentRepair Estimate

T

Term Life Insurance
Life
Life insurance coverage for a specified period of time, providing a death benefit if the insured dies during the term.
Related Terms
Whole Life InsuranceDeath BenefitPremium
Technology Errors and Omissions
Business
Specialized professional liability insurance for technology companies, covering claims arising from software failures, data loss, system downtime, or failure to deliver promised services.
Related Terms
Professional Liability InsuranceCyber Liability InsuranceErrors and Omissions Insurance
Trucking Insurance
Business
Specialized commercial auto insurance for trucking companies including liability coverage, physical damage, cargo insurance, and non-trucking liability for owner-operators.
Related Terms
Commercial Auto InsuranceCargo InsuranceMotor Truck Cargo
Tail Coverage
Industry
Extended reporting period coverage purchased for claims-made policies, allowing claims to be reported after the policy expires for incidents that occurred during the policy period.
Related Terms
Claims-Made PolicyExtended Reporting PeriodProfessional Liability Insurance
Travel Insurance
General
Coverage for unexpected events during travel, including trip cancellation, medical emergencies, lost luggage, and travel delays.
Related Terms
Trip CancellationMedical CoverageBaggage Loss
Trip Cancellation Insurance
General
Coverage that reimburses prepaid, non-refundable trip costs if you must cancel for covered reasons such as illness, injury, or severe weather.
Related Terms
Travel InsuranceTrip InterruptionCovered Reason
Trip Interruption Insurance
General
Coverage that reimburses unused trip costs and additional expenses if your trip is cut short due to covered reasons like family emergencies or natural disasters.
Related Terms
Travel InsuranceTrip Cancellation InsuranceEmergency
Towing Coverage
Auto
Insurance coverage that pays for towing your vehicle to a repair facility after a breakdown or accident, typically with per-incident limits of $50-$100.
Related Terms
Roadside AssistanceAuto InsuranceBreakdown
Telematics
Auto
Technology that monitors driving behavior such as speed, braking, mileage, and time of day to determine auto insurance premiums based on actual risk.
Related Terms
Usage-Based InsuranceSafe DrivingDiscount
Texas Windstorm Insurance Association (TWIA)
Property
Texas's state-run windstorm and hail insurance pool providing coverage for coastal properties that cannot obtain coverage in the private market, covering 14 coastal counties and portions of Harris County.
Related Terms
Windstorm InsuranceCitizens Property InsuranceHurricane CoverageState Insurance Pool
Treaty Reinsurance
Industry
A reinsurance agreement where the reinsurer automatically accepts all risks within a defined category that the ceding company underwrites, without evaluating each risk individually. This provides automatic coverage for a portfolio of policies.
Related Terms
ReinsuranceFacultative ReinsuranceCeding Company
Total Loss
Claims
When the cost to repair damaged property exceeds a specified percentage of its value (typically 70-80%), or when property is completely destroyed. In auto insurance, this is often called a 'totaled' vehicle.
Related Terms
Actual Cash ValueSalvagePartial Loss
Third Party Claim
Claims
A claim made by someone other than the policyholder against the policyholder's insurance coverage, typically for liability. The third party is seeking compensation for injuries or damages caused by the insured.
Related Terms
First Party ClaimLiabilitySubrogation

U

Underwriting
Industry
The process by which an insurer evaluates the risk of insuring a person or property and determines coverage terms and premium rates.
Related Terms
RiskPremiumActuary
Uninsured Motorist Coverage
Auto
Insurance that covers you if you're in an accident caused by a driver who doesn't have liability insurance.
Related Terms
Liability CoverageCollision CoveragePremium
Umbrella Policy
General
Additional liability insurance that provides coverage beyond the limits of your standard policies.
Related Terms
Liability CoverageLiability LimitPremium
Universal Life Insurance
Life
A type of permanent life insurance with flexible premiums and death benefits, along with a cash value component.
Related Terms
Whole Life InsuranceCash ValuePremium
Usage-Based Insurance
Auto
Auto insurance pricing based on actual driving behavior monitored through telematics devices or smartphone apps, rewarding safe driving with lower premiums.
Related Terms
TelematicsSafe Driver DiscountPay-Per-Mile
Underwriting Box
Industry
The physical location (desk or area) within the Lloyd's of London building where syndicate underwriters sit and where Lloyd's brokers meet them to place insurance risks. The underwriting box is where face-to-face negotiations occur, terms are discussed, and coverage decisions are made. Each syndicate maintains its own underwriting box, and the active underwriter conducts business from this location. While much Lloyd's business has moved to electronic platforms, the underwriting box remains an iconic feature of the Lloyd's marketplace and continues to facilitate complex risk placements that benefit from direct negotiation and relationship-based underwriting.
Related Terms
Active UnderwriterLloyd's BrokerSyndicateLloyd's of London
Unlimited PIP
Auto
A unique feature of Michigan's no-fault auto insurance system that provides unlimited lifetime medical coverage for injuries sustained in auto accidents. Policyholders can choose unlimited PIP or select capped amounts ($500,000, $250,000, or $50,000) under Michigan's 2019 auto insurance reform.
Related Terms
Personal Injury ProtectionMCCANo-Fault Insurance
Underinsured Motorist Coverage
Auto
Auto insurance coverage that protects you when you're in an accident caused by a driver who has insurance, but their coverage limits are insufficient to pay for your injuries or damages.
Related Terms
Uninsured Motorist CoverageLiabilityBodily Injury
Umbrella Insurance
General
Extra liability insurance coverage that goes beyond the limits of your home, auto, or watercraft insurance, providing additional protection against major claims and lawsuits.
Related Terms
LiabilityExcess LiabilityPersonal Liability

W

Whole Life Insurance
Life
Permanent life insurance that provides coverage for the insured's entire lifetime and includes a cash value component.
Related Terms
Term Life InsuranceCash ValueDeath Benefit
Workers' Compensation Insurance
Business
Required insurance that provides medical benefits and wage replacement to employees who are injured or become ill in the course of employment.
Related Terms
Employer's LiabilityOccupational InjuryDisability Insurance
Water Backup Coverage
Property
Optional homeowners insurance coverage for damage caused by water backing up through sewers or drains, which is typically excluded from standard policies.
Related Terms
Homeowners InsuranceSewer BackupExclusion
Windstorm Deductible
Property
A separate, typically higher deductible that applies specifically to wind and hail damage, often expressed as a percentage of the dwelling coverage limit rather than a fixed dollar amount.
Related Terms
DeductibleHurricane DeductiblePercentage Deductible
Wind Pool
Property
A residual market mechanism (also called Wind and Hail Underwriting Association) that provides wind and hail coverage for coastal properties unable to obtain coverage in the voluntary market. Common in hurricane-prone states like South Carolina, North Carolina, Texas, and Louisiana.
Related Terms
FAIR PlanResidual MarketHurricane Deductible
Workers Compensation
Business
Insurance coverage required by law that provides wage replacement and medical benefits to employees injured in the course of employment, in exchange for mandatory relinquishment of the employee's right to sue the employer for negligence.
Related Terms
Employer's LiabilityOccupational InjuryDisability Insurance

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