Chapter 2

Declarations

The section that personalizes an insurance policy

Indemnity

Provision that states that if a policy allows for greater benefits than the financial loss incurred, the insured may be compensated only for the amount lost.

Insurers obligations in property and casualty insurance

Be fair in underwriting, and pay for covered losses

Appraisal

An ___ is needed if an insured and an insurer disagree about the value of a property loss, either party can make a written demand.

Declarations

The policy period is stated on __ page in an insurance policy

Insured's duties after loss

Protect the damaged property from further damage, cooperate with the insurer in settling a loss, and submit proof of loss

Endorsement

Modifies the policy's original terms

Per Occurrence

Sublimit in a liability policy that puts a ceiling on the payment for all claims that arise from a single accident.

Indirect/Consequential

An insured's business is damaged by a fire, and temporarily shut down for repairs. As a result, the insured suffers from loss of income. This is what type of loss?

Deductible

A specified dollar amount that the insured must pay before the insurer will pay the policy benefits.

Additional Insured

Persons who are not named on the declaration page of a policy but who are protected by the policy are known as?

Split limits

Type of limits of liability that has the limits separately stated for difference coverages.

Written consent of the insurer

__ is required for an assignment to be valid

Blanket policy

Type of policy that insurers all property at multiple locations for a single amount.

Policy limits

Maximum amount an insured may collect for a loss under the terms of the policy .

Policy territory

Policy provision that defines the location where coverage is provided.

Direct

If an insured peril was the proximate cause of loss, this type of loss is __.

First named insured

In commercial property policies, __ has control of the policy and __ can cancel it.

Conditions

Information about changes to the policy or return of premium can be found in the __ section of a policy.

Indemnity

Pro Rata liability protects __ insurance principle

Subrogation

An insurer's legal right to seek damages from third parties after reimbursing insured for a loss.

Proof of loss

A sworn statement from an insured notifying the insurer about a loss.

An insured has more than one policy covering a loss

Pro rata liability applies when __

Loss payment

Insurance carried/Insurance Required * Loss amount =

Limits of liability

__ determines an insurer's responsibility for payment, as stated in an insurance policy.

Additional Coverage

A provision that adds more coverage for a specific loss at no additional premium.

Anyone covered under the policy

__ is insured in property an casualty insurance

Subrogation

Provision found in property policies that prevents an insured from collecting twice from the same loss: once from the insurer and again from a third party

Proximate cause

Defines an exact, direct, and uninterrupted cause of loss.

Arbitration

Process used to settle a casualty claim when the insured and the insurer cannot agree

Other insurance

Provision that defines how a policy will respond if there is more than one insurance policy written on the same risk

Open peril

Policy that covers all causes of loss except for those specifically excluded

Special & General

___ and ___ are two types of compensatory damages

Strict Liability

Type of liability that applies to the manufacturer if the product is unsafe

Conditions

Part of an insurance policy that sets forth the rules of conduct, duties, and obligations of the parties to the contract

Actual cash value of property calculation

Current replacement cost (-) depreciation

Actual cash value in property insurance

Replacement cost at the time of loss (-) depreciation

Exclusion section

Specifics what perils are not insured against, or what persons are not covered in a policy.

Vacancy

Refers to an insured structure in which no people have been living or working and no property has been stored for the specified period of time.

Unoccupancy

Refers to an insured structure in which no people have been living or working within the required period of time, but some property is stored.

Declarations

Part of a policy that shows the amount of insurance, premium, and policy terms

Insuring agreement

Part of an insurance policy that contains the insurer's promise to pay a claim

Replacement cost

Method of loss valuation is contrary to the principle of indemnity.

Occurrence

Describes a loss caused by continuous exposure to a condition

Binder

A temporary insurance contract that goes in effect prior to the policy issue.

Purpose of coinsurances clause

To encourage insureds to insure property close to its value.

DP-3 Special

All perils are insured unless specifically excluded

Basic Dwelling Policy

A __ provides coverage against fire, lighting, and internal explosion

Coverage C

Dwelling policy coverage that will provide protection for contents damaged by fire in an insured dwelling

If the insured is the owner-occupant of the dwelling

Conditions that broad theft coverage be added to a dwelling policy

DP-3

Dwelling form that provides open peril coverage on the building

Coverage C

Under __ Personal Property in the dwelling policy can be covered only when the property is a t the insured location

DP-2

Dwelling form that is called the Broad form

DP2 (broad) and DP3 (Special)

Dwelling coverage forms that will pay for the replacement cost of a dwelling

Coverage A (Dwelling) Coverage B (Other Structures) Coverage C (Personal property) Coverage D (Fair rental value), and Coverage E (Additional Living)

Five coverages of dwelling policies

10

When a dwelling policy is cancelled for nonpayment, the insurer must give notice within __ amount of days

Extended covered perils on a basic Dwelling policy

Windstorm or hail, explosion, smoke, aircraft and vehicles, riot or civil commotion, volcanic eruption, and vandalism and malicious mischief

Fire, Lightening, and internal explosion

A basic dwelling policy automatically provides coverage against..

Internal explosion

A gas stove in the dwelling is an example of which named peril

automatically

According to the liberalization condition, if an insurer makes a change to broaden coverage in newly issued dwelling policies, the change will affect the policies

Coverage B (Other Structures)

Dwelling policy coverage that will insure a garage not attached to the primary insured dwelling

Dwelling only, contents only, or both dwelling and contents

What do dwelling policies insure

Dp1 (Basic)

Provides the most limited coverage

60 days

Assuming the insurer and the insured agree on the amount payable for a loss covered under a dwelling policy, __ is the length of time the insurer must pay the claim.

Basic, broad, and special

Three types of coverage available in dwelling policies

All perils are insured unless specifically excluded

DP-3 (Special) is an open-peril form which means..

At least 80% of the replacement cost

Replacement cost coverage is provided in both the broad and special form dwelling policies when the amount of insurance in the dwelling is __

Up to 2 weeks

Under the Coverage E (Additional Living Expenses), if a civil authority prohibits the insured from using the dwelling because of direct damage to a neighboring location from a peril covered in the insured's policy, __ is the period the loss would be cover

The average amount of insurance during construction

In dwelling policies, the premium for the Dwelling under Construction endorsement is based on

4 units

__ is the maximum number of units in residential dwellings insurable by a dwelling policy

Exclusions found in all 3 dwelling forms

Earth movement, water damage, power failure, neglect, war, nuclear hazard, intentional loss, freezing of plumbing, ordinance or law, and government action.

Only if the interior damage is a direct result of exterior damage from a falling object

__ is when damage to the interior of the building will be covered under the falling objects peril in the broad form of the dwelling policy

2

In dwelling policies, an insured may bring a lawsuit against the insurer within __ years

30

If an insured is in the process of moving to a new location, his perusal property coverage under the dwelling policy will apply on a pro rata basis at both locations for __ days

To offset the effects of inflation.

In dwelling policies, the purpose of the automatic increase in insurance endorsement that increases the amount of insurance by an annual percentage is __

The purpose of a claims-made form

To pay for bodily injuries or property damage reported during the policy period.

Theft Coverage

__is the broadest coverage in the Commercial Crime Form

Accidents at a single location, at the same time, by the same cause

__ is considered a single accident in Equipment Breakdown coverage

Personal injury refers to individuals; advertising injury is incurred to a business. Both are nonphysical

__ is the difference between a personal injury and an advertising injury

Additional to the limits of liability

Supplementary payments are paid in liability insurance policies in __

Discovery Form and Loss Sustained

__ are two coverage triggers in Commercial Crime policies

First-named insured

In Commercial Package Policies, __ may cancel the policy in writing and make changes to the policy with the consent of the insurer

Libel, slander, defamation, violation of privacy, infringement of copyright or titles

Type of perils that are covered by the Advertising Injury Form

Common Carriers

__ transports the property of anyone who hires them in Commercial Inland Marine policies

Property in the insured's care, custody or control

__ is covered under the Legal Liability Coverage Form

Sole proprietors, partnerships and corporations

__ are the types of entities that can be insured under a General Liability policy

Monoline

__ is the type of policy that consist of the declarations, conditions endorsements, and other attachments applicable to a single line of insurance

__ are the policy components that make up a Commercial Policy

Policy cover; policy declarations; interlines endorsements; lines of insurance declaration pages; lines of insurance coverage forms; common policy conditions; lines of insurance conditions; causes of loss forms; and endorsements.

Aggregate limit

__ is the limits that the insurer will pay for all losses that occur during a policy period

Occurrence policy

__ is a liability policy that covers all claims arising out of incidents occurring during the policy period, regardless of whether or not the policy is still in effect at the time of the claim

Property covered under Builder's Risk Coverage

Building, temporary structures, foundations, fixtures, equipment, & materials within 100 feet.

Commercial Floater

An inland Marine policy designed to cover moveable commercial property, wherever it may be located

Injury or death suffered by a third party, or damage to the property of others

Coverage A of the Commercial General Liability form covers _

Basic, Broad, and Special

The three causes of loss forms that commercial property coverage can be written

Medical, surgical, hospital, or funder expenses for third parties injured

The types of expenses covered by Coverage C-Medical Payments in Commercial General Liability policies

Any type of property that is portable on land, as well as means of transpiration and communication

__ is the type of property that can be covered under Inland Marine insurance

Commercial property, general liability, crime, equipment breakdown, auto, inland marine, and farm

The coverage parts that may be included in the Commercial Package Policy

Outside the premies

The coverage a business owner would need in a crime policy to cover money that may be stolen from a messenger

Eliminates redundancy and minimize the number of other policy endorsements

__ is the purpose of interline endorsements in Commercial Package Policies

Coverage A-bodily injury and property damage
Coverage B-Personal and Advertising Injury
Coverage C-Medical payments

__ are three liability coverages included in the Commercial General Liability Coverage Form

A share of the loss

When other insurance is written on the same basis as a Commercial Property Policy, the insurer is obligated to cover __

The date of the injury or damage

The occurrence form trigger is based on __

Interline endorsements

__ is the name for policy endorsements that may apply to more than one coverage part

Losses resulting from theft by employees

In a commercial crime policy, employee theft refers to __

Retroactive date

The date stipulated on the declaration page of a claims made liability form as the earliest date on which an incident may occur and be covered by the policy