and Weiss Ratings, Inc. Factors considered
include company earnings, capital adequacy, operating leverage,
liquidity, investment performance, reinsurance programs, and
management ability, integrity and experience. A high financial
rating is not the same as a high consumer satisfaction rating.
REINSURANCE - Insurance bought by insurers. A reinsurer
assumes part of the risk and part of the premium originally
taken by the insurer, known as the primary company. Reinsurance
effectively increases an insurer's capital and therefore its
capacity to sell more coverage. The business is global and
some of the largest reinsurers are based abroad. Reinsurers
have their own reinsurers, called retrocessionaires. Reinsurers
don't pay policyholder claims. Instead, they reimburse insurers
for claims paid.
REPLACEMENT COST - Insurance that pays the dollar
amount needed to replace damaged personal property or dwelling
property without deducting for depreciation but limited by
the maximum dollar amount shown on the declarations page of
the policy.
RESERVES - A company's best estimate of what it will
pay for claims.
RESIDUAL MARKET - Facilities that exist to provide
coverage for those who cannot get it in the regular market.
Insurers generally must participate in these pools. For this
reason it is also known as the shared market.
RETENTION - The amount of risk retained by an insurance
company that is not reinsured.
RIDER - An attachment to an insurance policy that
alters the policy's coverage or terms.
RISK - The chance of loss or the person or entity
that is insured.
RISK MANAGEMENT - Management of the varied risks to
which a business firm or association might be subject. It
includes analyzing all exposures to gauge the likelihood of
loss and choosing options to minimize loss. These options
typically include reducing and eliminating the risk with safety
measures, buying insurance, and self-insurance.
SALVAGE - Damaged property an insurer takes over after
paying a claim to reduce its loss. Insurers receive salvage
rights over property on which they have paid claims, such
as badly-damaged cars. Insurers that paid claims on cargoes
lost at sea now have the right to recover sunken treasures.
Salvage charges are the costs associated with recovering that
property.
SCHEDULE - A list of individual items or groups of
items that are covered under one policy.
SECURITIES AND EXCHANGE COMMISSION / SEC - The organization
that oversees publicly-held insurance companies. Those companies
make periodic financial disclosures to the SEC, including
an annual financial statement (or 10K), and a quarterly financial
statement (or 10-Q). Companies must also disclose any material
events and other information about their stock.
SELF-INSURANCE - The concept of assuming a financial
risk oneself, instead of paying an insurance company to take
it. Every policyholder is a self-insurer in terms of paying
a deductible and co-payments. Large firms often self-insure
frequent, small losses such as damage to their fleet of vehicles
or minor workplace injuries. Self-insurance also refers to
employers who assume all or part of the responsibility for
paying health insurance claims of their employees. Firms that
self insured for health claims are exempt from state insurance
laws mandating the illnesses that group health insurers must
cover.
SEVERITY - Size of a loss. One of the criteria used
in calculating premiums rates.
SOLVENCY - Insurance companies' ability to pay the
claims of policyholders. Regulations to promote solvency include
minimum capital and surplus requirements, statutory accounting
conventions, limits to insurance company investment and corporate
activities, financial ratio tests, and financial data disclosure.
STOCK INSURANCE COMPANY - An insurance company owned
by its stockholders who share in profits through earnings
distributions and increases in stock value.
STRUCTURED SETTLEMENT - Legal agreement to pay a designated
person, usually someone who has been injured, a specified
sum of money in periodic payments, usually for his or her
lifetime, instead of in a single lump sum payment.
SUBROGATION - The legal process by which an insurance
company, after paying a loss, seeks to recover the amount
of the loss from another party who is legally liable for it.
TERM INSURANCE - Protection against premature death
that comes in a form of life insurance. It pays a benefit
only when an insured dies within a specified period, and a
designated beneficiary receives the death benefit. If the
insured lives beyond the specified period, the beneficiary
receives nothing.
THIRD-PARTY ADMINISTRATOR - Outside group that performs
clerical functions for an insurance company.
THIRD-PARTY COVERAGE - Liability coverage purchased
by the policyholder as a protection against possible lawsuits
filed by a third party. The insured and the insurer are the
first and second parties to the insurance contract.
TITLE INSURANCE - Insurance that indemnifies the owner
of real estate in the event that his or her clear ownership
of property is challenged by the discovery of faults in the
title.
TORT - A wrongful act, resulting in injury or damage
on which a civil action may be based.
TORT LAW - The body of law governing negligence, intentional
interference, and other wrongful acts for which civil action
can be brought, except for breach of contract, which is covered
by contract law.
TORT REFORM - Refers to legislation designed to reduce
liability costs through limits on various kinds of damages
and through modification of liability rules.
TOTAL LOSS - The condition of an automobile or other
property when damage is so extensive that repair costs would
exceed the value of the vehicle or property.
UMBRELLA POLICY - Coverage for losses above the limit
of an underlying policy. It applies to losses over a large
dollar amount, but terms of coverage are sometimes broader
than those of underlying policies.
UNDERWRITING - Examining, accepting, or rejecting
insurance risks and classifying the ones that are accepted,
in order to charge appropriate premiums for them.
UNDERWRITING INCOME - The insurer's profit on the
insurance sale after all expenses and losses have been paid.
When premiums aren't sufficient to cover claims and expenses,
the result is an underwriting loss. Underwriting losses are
typically offset by investment income.
UNINSURED MOTORISTS COVERAGE - Portion of an auto
insurance policy that protects a policyholder from uninsured
and hit-and-run drivers.
UNIVERSAL LIFE INSURANCE - A flexible premium policy
that combines protection against premature death with a savings
account that typically earns a money market rate of interest.
Premiums can be changed during the life of the policy within
limits and the policy will lapse if there isn't enough money
to cover mortality and administrative costs.
VANDALISM - The malicious and often random destruction
or spoilage of another person's property.
VARIABLE LIFE INSURANCE - A policy that combines
protection against premature death with a savings account
that can be invested in stocks, bonds, and money market mutual
funds at the policyholder's discretion.
VOID - A policy contract that for some reason specified
in the policy becomes free of all legal effect. One example
under which a policy could be voided is when information a
policyholder provided is proven untrue.
WAIVER - The surrender of a right or privilege which
is known to exist.
WHOLE LIFE INSURANCE - The oldest kind of cash value
life insurance that combines protection against premature
death with a savings account. Premiums are fixed and guaranteed
and remain level throughout the policy's lifetime.
WORKERS COMPENSATION - Insurance that pays for medical
care and physical rehabilitation of injured workers and helps
to replace lost wages while they are unable to work.
WRITE - To insure, underwrite, or accept an application
for insurance.