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DEDUCTIBLE
- The amount of loss paid by the policyholder. Either a specified
dollar amount, a percentage of the claim amount, or a specified
amount of time that must elapse before benefits are paid.
The bigger the deductible, the lower the premium charged for
the same coverage.
DEMUTUALIZATION
- The conversion of insurance companies from mutual companies
owned by their policyholders into publicly-traded stock companies.
DEREGULATION - In insurance, reducing regulatory control
over insurance rates and forms. Commercial insurance for businesses
of a certain size has been deregulated in many states.
DIRECT SALES/ DIRECT RESPONSE - Method of selling insurance directly
to the insured through an insurance company's own employees,
through the mail, or via the Internet. This is in lieu of
using captive or exclusive agents.
DIRECT WRITERS - Insurance companies that sell directly to the
public using exclusive agents or their own employees, through
the mail, or via Internet. Large insurers, whether predominately
direct writers or agency companies, are increasingly using
many different channels to sell insurance. In reinsurance,
denotes reinsurers that deal directly with the insurance companies
they reinsure without using a broker.
DOMESTIC INSURANCE COMPANY - Term used by a state to refer to any
company incorporated there.
EARTHQUAKE INSURANCE - Covers a building and its contents, but includes
a large percentage deductible on each. A special policy exists
because earthquakes are not covered by standard homeowners
or most business policies.
ECONOMIC LOSS - Total financial loss resulting from the death or
disability of a wage earner, or from the destruction of property.
Includes the loss of earnings, medical expenses, funeral expenses,
the cost of restoring or replacing property, and legal expenses.
It does not include noneconomic losses, such as pain caused
by an injury.
ELECTRONIC COMMERCE / E-COMMERCE - The sale of products such as insurance
over the Internet.
ENDORSEMENT
- A written form attached to an insurance policy that alters
the policy's coverage, terms, or conditions. Sometimes called
a rider.
ESCROW ACCOUNT - Funds that a lender collects to pay monthly
premiums in mortgage and homeowners insurance, and sometimes
to pay property taxes.
EXCESS & SURPLUS LINES - Property/casualty coverage that isn't
available from insurers licensed by the state (called admitted
insurers) and must be purchased from a non-admitted carrier.
EXCLUSION
- A provision in an insurance policy that eliminates coverage
for certain risks, people, property classes, or locations.
EXCLUSIVE AGENT - A captive agent, or a person who represents only
one insurance company and is restricted by agreement from
submitting business to any other company unless it is first
rejected by the agent's company.
EXPENSE RATIO - Percentage of each premium dollar that goes to
insurers' expenses including overhead, marketing, and commissions.
EXPERIENCE
- Record of losses.
EXPOSURE
- Possibility of loss.
EXTENDED COVERAGE - An endorsement added to an insurance policy,
or clause within a policy, that provides additional coverage
for risks other than those in a basic policy.
FAIR ACCESS TO INSURANCE REQUIREMENTS PLANS / FAIR PLANS -
Insurance pools that sell property insurance to people who
can't buy it in the voluntary market because of high risk
over which they may have no control. FAIR Plans, which exist
in 28 states and the District of Columbia, insure fire, vandalism,
riot, and windstorm losses, and some sell homeowners insurance
which includes liability. Plans vary by state, but all require
property insurers licensed in a state to participate in the
pool and share in the profits and losses.
FEDERAL INSURANCE ADMINISTRATION / FIA - Federal agency in charge
of administering the National Flood Insurance Program. It
does not regulate the insurance industry.
FEDERAL RESERVE BOARD - Seven-member board that supervises the
banking system by issuing regulations controlling bank holding
companies and federal laws over the banking industry. It also
controls and oversees the U.S. monetary system and credit
supply.
FILE-AND-USE STATES - States where insurers must file rate changes
with their regulators, but don't have to wait for approval
to put them into effect.
FINANCIAL RESPONSIBILITY LAW - A state law requiring that all automobile
drivers show proof that they can pay damages up to a minimum
amount if involved in an auto accident. Varies from state
to state but can be met by carrying a minimum amount of auto
liability insurance.
FIRE INSURANCE - Coverage protecting property against losses
caused by a fire or lightning that is usually included in
homeowners or commercial multiple peril policies.
FIRST-PARTY COVERAGE - Coverage for the policyholder's own property
or person. In no-fault auto insurance it pays for the cost
of injuries. In no-fault states with the broadest coverage,
the personal injury protection (PIP) part of the policy pays
for medical care, lost income, funeral expenses and, where
the injured person is not able to provide services such as
child care, for substitute services.
FLOOD INSURANCE - Coverage for flood damage is available from
the federal government under the National Flood Insurance
Program but is sold by licensed insurance agents. Flood coverage
is excluded under homeowners policies and many commercial
property policies. However, flood damage is covered under
the comprehensive portion of an auto insurance policy.
FOREIGN INSURANCE COMPANY - Name given to an insurance company
based in one state by the other states in which it does business.
FRAUD
- Intentional lying or concealment by policyholders to obtain
payment of an insurance claim that would otherwise not be
paid, or lying or misrepresentation by the insurance company
managers, employees, agents, and brokers for financial gain.
FREQUENCY
- Number of times a loss occurs. One of the criteria used
in calculating premium rates.
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