Named
Insured
The person or party designated in the policy as the
insured, as opposed to someone who may be covered by the
policy, but is not specifically named.
Named Peril Policy
A policy in which the perils insured against are listed,
as opposed to one which insures against "all
risks."
Natural Disaster
A disaster caused by the elements such as flood,
earthquake, tornado, lightning, etc.
Negligence
Failure to use the degree of care expected from a
reasonable and prudent person.

No Fault
The term used to describe a system for improving the
compensatory process for automobile accident victims by
eliminating costly and lengthy litigation. Simply it
means paying certain claims without reference to who was
at fault.
Non-combustible
Materials, no part of which will ignite and burn when
subjected to fire.
Non-disclosure
A contract of insurance is based on utmost good faith. An
applicant for insurance is required to disclose to the
company all material facts which are necessary to
underwrite a policy. If the applicant does not disclose
all these facts, he/ she is guilty of non-disclosure and
may risk having coverage voided from inception.
Non-insurable Risk
A risk for which no insurance can be written. The chance
of loss is very high or cannot be accurately measured.

Non-owned
Automobile Insurance
A policy which protects the insured against third party
claims arising out of some other person using their own
vehicle in the business of the insured.
Non-valued Policy
A policy is valued when it promises to pay its face value
in case of total destruction, irrespective of the value
of the insured property. In other words, the value is
agreed upon in advance. Used only for certain classes of
property such as fine arts or ocean marine. Ordinary
policies do not contain agreement and are therefore
"non-valued."
Notary Public
A person (usually a lawyer) appointed by the provincial
Lieutenant-Governor with the power of drawing and keeping
Deeds and of attesting protests of dishonoured negotiable
instruments. This person is also a Commissioner of Oaths
before whom affidavits are sworn.
Notice of Loss
The conditions of the insurance policy require that any
person sustaining a loss insured by the policy shall
immediately give notice to the company of such loss.
Failure to give notice as required has been held to be a
bar against recovery. The notice is required to be in
writing, and verbal notice to the agent or broker will
not be sufficient to comply with the condition.

Notice of
Termination
The conditions of insurance policies stipulate how a
policy may be terminated during its term. For example, a
policy may be terminated by the insured at any time or by
the insurer who must give the insured a certain number of
days' notice of termination by registered mail or a
certain lesser number of days' written notice of
termination personally delivered.
Null and Void
Of no legal or binding force; invalid.
Obsolescence
Impairment of desirability and usefulness brought about
by changes in public preference or by forces in addition
to those which cause deterioration. Functional
obsolescence refers to impairment of functional capacity
or efficiency. Economic obsolescence refers to impairment
of desirability or utility arising from economic forces
such as changes in highest and best land use, legislative
enactments which restrict or impair property rights, and
changes in supply demand relationships.
Occupancy
Occupancy is the act of holding possession of property or
premises. The term implies the use of the building for
the purposes described in the policy, and no other. An
occupied building has furnishings and/or people in it.

Occurrence
A happening or event. Liability policies are usually
written on either an accident or occurrence basis. For
coverage on an accident basis, the loss or damage must be
due to accident, whereas on an occurrence basis all that
is required is the happening or the continual or repeated
exposure to an unfavourable situation, neither intended
nor expected to cause injury or damage. In reinsurance
and insurance, it is also the grouping of related losses
into a single loss situation.
Off
Premises Clause
A provision in residential policies affording coverage on
some of the household goods when away from the premises.
within certain limits.
Operations
The business of an Insured or the type of business of an
Insured.
Optional
Settlement Clause
A clause in an insurance policy permitting the insured
under certain circumstances to have a choice of benefits.
In accident and health policies the insured may have a
choice of payment of various amounts as periodical
indemnity for a certain period of time or a lump sum
settlement of a pre-determined amount set out in the
policy.

Other Insurance
Normally an insured must disclose to an insurance company
from whom he is purchasing insurance, information about
what insurance he already carries on the property.
As a matter of principle, the insured should also advise
existing insurance carriers of new policies which he is
taking out. This is an essential point in the matter of
disclosure.
It is however frequently waived, as the more routine
policies carry some such wording as "other
concurrent insurance permitted without notice until
required."
Outboard
Motor Boat and Outboard Motor Policy
A class of
inland marine insurance covering boats, motors and
equipment for named perils (fire, collision and theft)
or, at a higher premium, for all risks. Some policies
include liability cover for property damage to other
vessels.
Overlapping
Insurance
When two different kinds of policies cover the same loss,
the insurance is said to be "overlapping." This
does not mean, for example, when two fire insurance
policies cover the same loss, which is called
"contributing insurance." However, if an inland
marine policy and a fire policy covered the same loss,
they would be overlapping.
Owner's,
Landlord's And Tenant's Liability
Liability insurance coverage which gives protection
because of liability arising out of ownership, use or
occupancy; operation or maintenance of buildings or
premises.

Package Policy
Any insurance policy which covers two or more lines or
types of insurance in the same policy.
Pair and
Set Clause
Establishes that loss or damage to one of a pair or set
of individual items does not represent the loss of the
pair or set.
Partial Loss
A loss covered by an insurance policy where the property
or the premises are not completely destroyed or rendered
completely worthless.
Peril
The event that caused a loss covered by the policy, e.g.,
fire windstorm.

Perjury
Giving false evidence or information while under oath.
Personal
Auto Policy
Insurance policy issued to individuals covering risks
arising out of the ownership or operation of a licensed
automobile.
Personal
Effects Floater
A policy covering personal effects usually carried by
tourists. Can be all risk or specified peril form. Covers
worldwide but excludes coverage at the insured's
residence.
Personal
Injury Liability
Injury other than bodily injury arising out of defined
causes which usually include false arrest or detention,
malicious prosecution, wrongful entry or eviction, libel
or slander or violation of a person's right to privacy
other than in the course of advertising, broadcasting,
television, publishing.

Personal Lines
Insurance for individuals and families, such as private
passenger auto insurance and homeowners policies.
Personal Property
Legally, any property of an insured other than real
property. More often used to refer to the personal
property of family members insured under a Homeowner's
policy.
Personal
Property Floater (P.P.F.)
A Broad Form policy covering all personal property
worldwide including at the insured's home, usually on an
all risks basis.
Policy Conditions
Provisions which state the rights and duties of the
insured or insurer.

Policy Limit
The maximum that the insurance company is obligated to
pay in actual claims under an insurance policy. Certain
additional costs may also need to be paid.
Policy Provisions
Statements contained in an insurance policy which explain
the benefits, conditions and other features of the
insurance contract.
Policy Year
Period between anniversary dates.
Policyholder
Individual or other entity who owns an insurance policy.
The Insured.

Pollution
Exclusion
Standard general liability policies include an exclusion
for loss arising out of pollution. For certain exposures
this exclusion may be modified. e.g., "sudden and
accidental" pollution arising from a fire.
Power of Attorney
Authority given one person or organization to act for and
obligate another to the extent of the instrument creating
the power.
Preferred Risk
Any risk considered to be better than the average risk on
which the premium rate was based.
Premises
Building including the land immediately surrounding it
and belonging to it.

Premium
The price of insurance protection for a specified risk
for a specified period of time.
Prescription
In law, a limitation of time within which legal action
can be taken by a claimant. In insurance, the period of
time in which a claim may be brought by the policyholder.
Also Proscription.
Principle
of Indemnity
The concept that an insured will be reimbursed for his
loss (subject only to the policy limit and terms). If
there is no loss there can be no indemnity.
Private
Passenger Car
Four-wheeled motor vehicles of the private passenger,
station wagon or van type, designed for use on public
highways and subject to motor vehicle registration.

Product Liability
Liability insurance, generally for contractors, for
products liability and for claims arising out of
completed work.
Products
& Completed Operations Insurance
Liability insurance, generally for contractors, for
product liability and for claims arising out of completed
work.
Professional
Liability Insurance
Protects professionals against liability for damages and
cost of defense based upon his/her alleged or real
professional errors and omissions or mistakes, e.g.,
architects, engineers, medical malpractice, attorneys.
Proof of Loss
A formal statement made by a policy owner to an insurer
regarding a loss. It is intended to give information to
the insurer to enable it to determine the extent of its
liability.

Property
Damage Liability Insurance
Protection against liability for damage to the property
of another including loss of the use of the property.
Property Insurance
Covers an insured's property against damage, destruction
or loss by a covered peril.
Pro Rata
Cancellation
Cancellation of an insurance policy or bond with the
return premium credit being the full proportion of
premium for the unexpired term of the policy.
Proscription
Outside the time period in which a legal action can be
commenced. See also Prescription.

Protected
In fire insurance, a risk located in an area protected by
a fire department.
Protection
Used interchangeably with "coverage" to denote
insurance provided under the terms of a policy.
Proximate Cause
Cause of loss or damage. Unbroken chain of cause and
effect between the occurrence of an insured peril and
damage to property.

Punitive Damages
Damages in excess of those required to compensate the
plaintiff for the wrong done, which are imposed in order
to punish the defendant because of the particularly
wanton or willful character of his wrongdoing.
Quantum
Amount or quantity.
Quasi-Contract
An undertaking that is not a written contract but is an
implied contract. In insurance it is most frequently
found in reference to preservation of salvage.
Quotation (Quote)
The amount of premium that an insurer sets as the price
to cover a particular risk.

Rate
The price for $100 or $1,000 of insurance, usually for
one year, expressed in dollars and cents. Alternatively,
the rate is the premium for a specified amount of
insurance, for a specified time.
For some types of insurance in some jurisdictions
legislation requires rates to be applied consistently to
similar risks, and certain jurisdictions require
regulatory approval of rates, e.g. auto.
In addition to policyholder premium rates, the industry
commonly uses the term "rate" in reference to
reinsurance premium rates, and to commission costs for
both insurance and reinsurance.
Receiver
Person appointed to hold in trust and to administer
property of insolvent companies.
Refund
A return to the policyholder of part of the paid premium,
because of cancellation, suspension, reduction in
insurance coverage, or because of rate reduction.
Registered Insurer
The registration of a reinsurer is significant in
determining whether an insurer can obtain full credit
with regulators for the transfer of insurance liabilities
to a reinsurer. Any reinsurer not under the regulatory
control of a Canadian insurance regulator (is not
licensed) is deemed unregistered and the primary insurer
must cover any liabilities transferred to this
unregistered reinsurer.
Note: Registration (corporate), should not be confused
with Licensing (operations).

Regulator
The federal, provincial or territorial government agency
responsible for the control and regulation of the
insurance industry under its jurisdiction.
Reinstatement
The reactivation of suspended or cancelled insurance.
Restoration of full amount of insurance or reinsurance
after a claim has been paid, with or without the payment
of additional premium.
Release
A discharge from obligation or responsibility. To let go
of, or give up a legal claim. The most common types in
insurance are: First Party Release - between the insured
and the insurance company. Third Party Release - between
the insured and a third party. Indemnifying Release -
between the insured and a guardian for a minor or other
person not legally competent.
Removal
The standard fire insurance policy insures against damage
done in removing the insured property from the path of
the fire or other insured peril (if loss is mitigated).
Removal also may mean the taking of property to some
place other than that at which it was insured.

Renewal
A certificate which attests to the fact that an insurance
policy has been extended for another term.
Renewal Premium
The premium for the new term of the policy.
Repairs
Generally an insurance policy will set out the conditions
for an insured to effect repairs to insured property.
Ordinary repairs are usually permitted without notice to
the insurer.
Replacement
Most policies of insurance of property give the company
the right to substitute other property of like kind and
quality for insured property which has been damaged or
destroyed. This is making a replacement.

Replacement
Cost Clause
Applies generally to some fire insurance policies where a
special cover may be purchased so that in the event of
fire, repairs or replacement will be made with material
of like kind without cost to the insured for depreciation
or betterment.
Replacement Value
The cash value representing what it would cost to replace
the particular article which is the subject of the
insurance.
Representation
The acceptance or rejection of an insurance risk and the
amount of premium that would be required, is determined
by information submitted by the person applying for such
insurance.
Statements which would normally lead the company to
decline the acceptance of a risk, or to charge a much
higher rate, are material to the risk and are commonly
considered "warranties."
All other statements such as the insured's address, etc.
are referred to as mere "representations" to
distinguish them from the more important statements
considered to be "warranties."
The penalty for false information on material facts or
"warranties" may be voiding of the policy.
Rider
Another name for an endorsement.

Risk
The chance of loss. Specifically the possible loss or
destruction of property or the possible incurring of a
liability. Sometimes refers to the subject of an
insurance contract.
Robbery
The taking of another's property by force or threat of
force.
Salvage
The remaining value of property after severe damage by
fire or other peril. The overall loss is reduced by the
salvage value. Undamaged property may be quite saleable
and some property may be partially damaged, thus
repairable and then saleable.
Schedule
1) A comprehensive list accompanying a policy to detail
the property, locations and amounts insured, and the
applicable conditions.
2) In rate-making, the formula applied to determine a
rate.

Scheduled
Property Floater
An inland marine form of policy specifically insuring
various individual items. Articles of unusual value,
provided they are movable, may normally be written this
way and insured against many hazards, often against
"all risks."
Seasonal Risk
1) A risk occupied only part of the year, such as a
summer dwelling.
2) In manufacturing, it may be a plant operating
seasonally, such as a cannery.
Self-insurer
A person, corporation or organization which assumes all
or part of a risk itself rather than use an insurer,
government departments often self-insure.
Settlement
An agreement between concerned parties. In insurance, the
agreement is usually on the money changing hands to
discharge an insurance claim.

Settlement Options
The alternatives offered to the insured or the insured's
beneficiaries when settling a loss. Life insurance
policies provide either a lump sum payment or a set
annual amount for a fixed period. Accident and health
policies usually provide for weekly benefits along with
the payment of expenses as they occur, even though the
disability may not last long enough to total the lump sum
option.
Short Rate
Cancellation
The cancellation by the insured of a policy before its
natural expiration; the insurer pays a return premium
which is less than the proportionate part that remains
unearned.
Slander
The oral utterance or spreading of falsehood harmful to
another's reputation. Libel is written; slander is
spoken.
Smoke Damage
Essentially, the devaluation by smoke, not fire, of
merchandise and property. Such damage is covered by the
fire policy.

Special Damages
Actual loss from the natural, not the necessary,
consequences of the subject of complaint; e.g., specific
payments for medical bills or car repairs. In third party
claims, it means the damages that may be proved with
documents.
Special
Multi-Peril Policy
This basic policy contains declarations, general
provisions and definitions applicable to the four
principal sections of coverage; property, liability,
comprehensive crime, boiler and machinery. The particular
coverage requirements for each are handled by separate
forms attached to the basic contract.
Spontaneous
Combustion
Self-ignition of combustible material through chemical
action of its parts.
Sprinklered Risk
Property protected against fire by a system of overhead
pipes with regularly spaced heads designed to melt at the
heat of a fire, thus releasing water for extinguishment.

Statement of Claim
A written statement by a plaintiff detailing the facts
which support the claim against the defendant and the
relief sought.
Statement
of Values
The information required when a single rate is to cover
more than one item or building. To determine a correct
average, the rating bureau requires the policyholder to
give the value of each separate risk and its contents.
Statute
An act of the legislature. Common law is made up of the
various court decisions over the years. Case law may be
altered by statute.
Statute of
Limitations
Law determining the period within which a specific legal
action must be taken.

Statutory
Conditions
Special prescribed and standardized conditions that the
Provincial Insurance Acts require to be included in fire,
automobile and accident and sickness policies.
Stock
Merchandise for sale or manufacture, as distinguished
from furnishings, fixtures or equipment.
Stock Company
A company owned by a series of investors or stockholders
(shareholders) who assume the risks of profit or loss.
Storage
A term applied to articles or substances held for
safekeeping. If storing of such articles is prohibited by
a policy, the policy will be voided if loss consequently
occurs, unless the company's permission and consent has
been specially granted.

Structured
Settlement
A financial package permitting a settlement to be paid in
regular installments either for a fixed period or for the
lifetime of the claimant. Because it is tailor-made for
individual cases, the structure may also include some
immediate payment to cover special damages. The payment
is usually made through purchase of an annuity from a
Life Insurance Company.
Subcontractor
A trade contractor such as a roofer who usually
subcontracts with a general contractor.
Subrogation
Once a company has paid a loss for which someone other
than the policyholder is responsible, it may have the right to recover this loss from the guilty party. This
right is called subrogation.
Subscription
Policy
A single policy covering a risk that is divided among a
number of insurers; the policy is issued by the
"lead" company (usually the one with the
largest percentage) and signed by all participating
companies.

Suit
A legal proceeding brought by one person against another.
Sum Insured
The amount for which insurance is effected and the one on
which the premium is based. Often in life insurance, the
term is "sum assured."
Superintendent
Of Insurance
The chief officer of the Government Department which
regulates insurance.
Surrender
Cancellation of a policy before its normal expiry by
mutual consent of insured and insurer.

Tenant's Policy
A package policy specially designed to meet the normal
insurance requirements of a private tenant covering
personal belongings and liabilities.
Term
The period of time from the inception to the termination
of an insurance policy or bond.
Theft
The wrongful taking of the property of another. It is a
broad term and includes larceny, pilfering, hold-up,
robbery and pick-pocketing.
Third Party
A claimant under a liability policy, so called because he
is not one of the two parties (insured and insurer) who
has entered into the insurance contract which pays his
claim.

Third Party
Insurance
A fire policy insures the policyholder against loss or
damage to his own property. When a policy insures a
person against the liability he may incur to another for
damages, it is "Third Party Insurance." The
insured is indemnified with respect to any loss which he
might suffer as a result of his legal liability to others
arising out of the peril against which insurance is
written.
Title
The right to ownership of property. The owner of real
property having just possession of his property.
Tort
A legal wrong arising from a duty fixed by law. Breach of
this duty causing injury to persons or property is
repressible by legal action for damages. Liability for
tort involves private or civil wrong or injury and is
distinct from that under contract in that the duty is
owed to people, generally, rather than to a specified
individual.
Total Loss
Loss of all the insured property. Also a loss involving
the maximum amount for which a policy is liable.

Trespass
An illegal act against another person's rights or
property.
Umbrella Policy
A special
form of liability policy designed to protect the insured
for certain unknown contingencies over and above
coverages and to provide excess insurance.
Umpire
A third person appointed to decide an arbitration.
Underwrite
To insure. More commonly, to scrutinize a risk and decide
on its eligibility for insurance.

Underwriter
1) The insurance company or group that underwrites or
insures a particular risk.
2) The individual within an insurance company whose
responsibility it is to accept or reject business in the
particular line in which he/she specializes and in this
way chooses risks his/her principals are prepared to
underwrite.
Underwriters'
Laboratories of Canada (U.L.C.)
An organization financed by stock insurance companies
whose purpose is fire prevention and safety. It provides
testing laboratories for various manufactured items and
approves those that are acceptable. Labels issued by the
Underwriters' Laboratories are evidence to the public
that the particular item meets the safety standards.
Unoccupied
Where the premises contain contents but no human beings,
such persons being temporarily away from the premises, on
vacation for example, the premises are said to be
unoccupied. This is distinguishable from Vacant in that
in vacancy, the contents have been moved out leaving
nothing but the building.
Unprotected
A property located in an area not regularly serviced by a
fire department.

Utmost Good Faith
A phrase in a legal document calling for the highest
standards of integrity on the part of the insured and the
insurer. See also Uberrimae Fidei.
Vacant Building
A building with no occupants or furnishings. See also
Unoccupied.
Valuation
An estimate or the act of assessing of value. This will
frequently be done through the process of an appraisal.
Valued Policy
A policy
which provides that a special amount shall paid in the
event of a total loss of the property.

Vicarious
Liability
Liability imposed upon a person even though not a party
to a particular occurrence, e.g., the owner of a motor
vehicle is vicariously responsible for injuries even
though he is not driving the car at the time of the
occurrence.
Void
1) Invalid, not legally binding.
2) An insurance contract that is prohibited by law and
thus cannot be held to be a valid contract.
Waiting Period
The time which must elapse before an indemnity is paid.
Waiver
The intentional relinquishment of a known right. A waiver
under a policy is required to be clearly expressed and in
writing.

Warranty
Statement or stipulation in a contract, the breach of
which nullifies the contract.
Warranty (Implied)
A warranty assumed to be a part of the insurance contract
even though not expressly included.
Water
Damage Clause
A Portion of the policy affording coverage for certain
specific causes of water damage.
Windstorm
Insurance
Protection against damage done to property by unusually
high winds, cyclones, tornadoes or hurricanes. This
coverage is available under the extended coverage
endorsement of property policy.

Without Prejudice
An action taken during claims negotiations designated as
"without prejudice" is intended to be without
detriment to the existing rights of the parties.
Writ
A Court document commanding the defendant to enter an
Appearance within a specified number of days if he wishes
to dispute the claimant's claim.
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