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Glossary of Commercial Insurance Terms

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Coverage Sections, limits of Insurance, and Coinsurance Buildings you own or lease as a part of your business, your business personal property, and the personal property of others make up the basic coverage sections of commercial property insurance. Commercial property insurance can be sold separately as an individual line policy (referred to as a monoline policy), or it can be sold as part of a Commercial Package Policy (CPP), which combines two or more commercial coverage parts such as commercial property, general liability, and commercial auto. Building coverage includes buildings or structures and any completed additions, which are listed on the declarations page of a commercial policy. Permanently installed fixtures, machinery, and equipment are also insured as a part of building coverage. The limit of insurance is the estimated amount needed to rebuild your building and to replace permanently installed fixtures, machinery, and equipment in the event of a total loss. You are required under the insurance policy to fully insure the value of your buildings. If a building is not insured to value, you can be subject to a monetary penalty at the time of a loss. This penalty is commonly referred to as "coinsurance." It is important to read and understand the coinsurance clause of your commercial property policy and to discuss any questions with your broker-agent
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Glossary of Commercial Insurance

Terms



Commercial insurance is divided into two main categories: property insurance and casualty insurance. Property
insurance provides coverage for property that is stolen, damaged, or destroyed by a covered peril. The term
"property insurance" includes many lines of available insurance. Commercial Property, Inland Marine, Boiler
and Machinery, and Crime are the most common commercial property coverage lines. Each of these property
coverage lines is described below.

COMMERCIAL PROPERTY
Coverage Sections, limits of Insurance, and Coinsurance Buildings you own or lease as a part of your
business, your business personal property, and the personal property of others make up the basic coverage
sections of commercial property insurance. Commercial property insurance can be sold separately as an
individual line policy (referred to as a monoline policy), or it can be sold as part of a Commercial Package
Policy (CPP), which combines two or more commercial coverage parts such as commercial property, general
liability, and commercial auto.
Building coverage includes buildings or structures and any completed additions, which are listed on the
declarations page of a commercial policy. Permanently installed fixtures, machinery, and equipment are also
insured as a part of building coverage. The limit of insurance is the estimated amount needed to rebuild your
building and to replace permanently installed fixtures, machinery, and equipment in the event of a total loss.
You are required under the insurance policy to fully insure the value of your buildings.
If a building is not insured to value, you can be subject to a monetary penalty at the time of a loss. This penalty
is commonly referred to as "coinsurance." It is important to read and understand the coinsurance clause of your
commercial property policy and to discuss any questions with your broker-agent.
Business Personal Property consists of furniture; fixtures, machinery, and equipment not permanently
installed; inventory; or any other personal property owned by and used in your business.
Personal Property of Others refers to property that is in your business's care, custody and control. The type
of business you operate will determine if you need to protect the personal property of others.
Covered Causes of loss
Whether or not a property loss is covered depends upon the policy language, exclusions, and
endorsements. You can choose the covered causes of loss in your property policy. Causes of loss are
divided into two main categories: specified perils and open perils.
Specified Perils consist of a list of each peril to be insured against, such as fire, explosion, windstorm,
vandalism, et cetera. You can usually request basic specified perils or broad specified perils coverage. Broad
specified perils coverage adds to the list of covered perils found under basic specified perils.




Open Perils coverage covers all losses unless they are specifically excluded. Earth movement (including
earthquake) and flood are two common perils that are excluded under open perils coverage. Since open
perils coverage offers more comprehensive protection, it is more costly than a specified perils policy.
Valuation Types
Commercial property coverage will include a provision to determine what valuation method is to be used to pay the loss. The
most common policy valuation method is Actual Cash Value (ACV). Unless otherwise defined in the policy, ACV is considered
to be Fair Market Value in California. There are two other methods of property valuation: agreed value and replacement cost.
Agreed value waives any coinsurance penalty and pays 100% of the stated amount (agreed upon amount) for any covered
loss. Replacement cost covers the amount it takes to replace your property with new property of like kind and quality up to the
limits of insurance. Like ACV, replacement cost is subject to coinsurance.
Coverage forms and Endorsements
There are various coverage forms and endorsements in addition to the basic property coverages already discussed that can
customize coverage in a commercial property insurance policy. The following are the most common coverage forms and
endorsements used in commercial property insurance:
Builder's Risk - Added to a policy for a one-year minimum term to cover a new building or structure under construction or an existing
structure undergoing additions, alterations, or repairs. Cancellation is allowed on a pro rata basis upon project completion; however,
midterm cancellation will result in a short rate penalty. A reporting form or renovations form allows coverage to be carried according to the
stage of completion (i.e., as more of the project is completed, more value is reported, resulting in the proper amount of coverage for each
stage of construction
Legal Liability or Fire Legal Liability - Covers your legalliability for loss or damage to real and personal property of others as the result of
your negligent acts and/or omissions. The loss
or damage must be caused by a covered peril (including loss of use). The loss must be accidental and the coverage most often is
purchased for tenants in commercial buildings .
•• Building Ordinance or Law - Provides coverage if the enforcement of any building, zoning or land use law results in loss to the
undamaged portion of the building (Coverage A); demolition and removal costs of undamaged parts of the structure (Coverage B); or any
increased cost of repairs or reconstruction (Coverage C). Replacement cost must be in effect for Coverage C to be applied .
Improvements and Betterments - Usually added by a lienholder.
Covers all permanently installed improvements and betterments, which cannot be removed when a tenant vacates the building.
Peak Season - An endorsement that provides additional limits on personal property inventory during a designated period of time. This
is specifically used to cover fluctuating inventory values before and during peak shopping seasons.
Inflation Guard - Automatically adjusts the limits of insurance to keep up with inflation. The adjustment can be tied to the construction cost index in a
regional area or a specified percentage per year. This endorsement can be very important in helping to maintain adequate coverage limits, which can
protect against potential coinsurance penalties in a property loss.
Time Element - Insurance that covers other losses stemming from a direct loss by a covered peril to business property. Business
interruption, extra expense, and loss of rents and rental value are the most common time element coverages. Business interruption coverage
replaces lost business income after a covered loss. Certain key employees can be named, allowing the employer to continue to pay their
salaries until the business restarts operations after a loss. Extra expense coverage mainly applies to service or product related companies
where the business must continue to ensure the survival of the company. Extra expense can pay for office space, equipment rental,
advertising, or most costs considered reasonable for keeping the company operating after a covered loss. Loss of rents and rental value cover
loss of rental income to the property owner caused by damage or destruction of a building rendering it unfit for occupancy.
CRIME
Crime insurance provides protection for the assets of your business including merchandise for sale, real property, money and securities. It is considered a
property insurance line. Based on the crime coverage that you purchase, it is possible to be covered for the following causes of loss: robbery, burglary,
larceny, forgery, and embezzlement. Specialty coverage parts can be added based on need and exposure to loss such as mercantile open-stock, burglary
insurance, mercantile robbery insurance, mercantile safe burglary insurance, money and securities broad form policy, office burglary and robbery
insurance, and storekeepers burglary and robbery insurance.




Glossary
Actual Cash Value
Unless otherwise defined in the policy, Actual Cash Value in California means Fair Market Value. The Fair Market Value
of an item is the dollar amount that a knowledgeable buyer
(under no unusual pressure) is willing to pay and a knowledgeable seller (under no unusual pressure) is willing to
accept.
Agent
A licensed individual or organization authorized to sell and service insurance policies for an insurance company.
Aggregate limit
The maximum dollar amount of coverage in force for a property damage policy or liability policy. This maximum amount
can be figured on a per occurrence basis or as a general aggregate for the complete policy term.
Agreed Value
A method of loss valuation where the insured and the insurer list an agreed upon amoun~ to be paid in case of loss. This
valuation method is most comm~n in property insurance when insuring valuable artwork, antiques, or classic autos. A
professional appraisal is usually required.
Arbitration Clause
A clause in an insurance policy that allows the insured and the insurer to each appoint an arbitrator if they cannot agree
upon an appropriate claim settlement. Once the arbitrators have been selected, they in turn appoint an independent
umpire. If the arbitrators disagree, then the umpire decides which claims settlement to support. The final decision is
binding.

Betterment
A situation that occurs in a loss when an old piece of property is replaced by a brand new item. The insured is put in a
better financial position than they were before the loss occurred, and consequentially may have to pay the difference in
price for the betterment.
Binder
A short-term agreement that provides temporary insurance coverage until the policy can be issued or delivered.
Broker
A licensed individual or organization who sells and services insurance polices on your behalf.
Broker-agent
A licensed individual who can act as an agent representing one or more insurers, and also as a broker dealing with one or
more insurers representing your interests.
Cancellation
The termination of an in-force insurance contract by either the insured or the insurer before its normal expiration date.
Claim
Notice to an insurance company that a loss has occurred that may be covered under the terms and conditions of the policy.
Claim Adjuster
The person who evaluates the damage caused by a covered loss and determines the amount to be paid under the policy
terms.
Claims Made
A liability insurance policy where coverage applies to claims filed during the policy period no matter when the loss occurred
subject to a retroactive inception date.

Coinsurance

An insurance clause that defines the amount of each loss that the company pays according to the amount of insurance
carried, divided by the amount of insurance required. This basic formula relates ro a contracted percentage of coverage
that must be required to prevent a coinsurance penalty. Combined Single Limit
When bodily injury liability and property damage liability is expressed as a single sum (limit) of coverage.



Commerdallines
Insurance coverages for businesses, commercial institutions, and professional organizations, as contrasted with
personal insurance.
Commission
A portion of the policy premium that is paid to an agent by the insurance company as compensation for the agent's
work.
Concurrent Causation
Occurs when two or more perils cause a loss. When only one of these perils is covered by the insurance policy, the
court generally rules that the entire loss is covered. Many insurance companies have reworded their policies ro clarifY
that only a loss attributed ro a covered peril is indeed covered.
Conditions
The portion of an insurance contract that sets forth the rights and duties of the insured and the insurer.

Coverage
Protection that is provided under an insurance policy.
Declarations (DEe) Page
Usually the first page of an insurance policy that contains the full legal name of the insurance company, the policy
number, effective and expiration dates, premium payable, the amount and types of coverage, and the deductibles.
Deductible
The amount of the loss that the insured is responsible to pay before benefits from the insurance policy are payable.
Depredation
The actual or accounting recognition of the decrease in value of property over a period of time according to a
predetermined schedule.
Earned Premium
The portion of the policy premium paid by an insured that has been allocated to the insurance company's loss experience,
expenses, and profit year to date.
Endorsement
A written agreement that changes the terms of an insurance policy by adding or subtracting coverage.
Effective Date
The starting date of an insurance policy: the date the policy goes in to force.
Exclusion
A contractual provision in an insurance policy that denies or restricts coverage for certain perils, persons, property, or
locations.
Experience Modification
The adjustment of premium resulting from the use of experience rating. Experience rating plans reflect an insured's past
loss experience (usually from the past three years) and uses this experience to modifY and determine the premium for the
current policy year
Expiration Date
The termination date of coverage as indicated on an insurance policy.
Flat Cancellation
Cancellation that takes place on the policy effective date.
No premium charge is made; however, other charges (i.e., service: may apply.
Fraud
An intentionally deceptive act committed to obtain an unfair or unlawful advantage. Fraud usually involves monetary
gain.




Hazard
A circumstance that increases the likelihood or potential severity oj a loss.
Indemnity
In a property and casualty contract, the objective is to restore
an insured to the same financial position after the loss that the insured had prior to the loss. In the most basic sense,
indemnity i: compensation for a loss.

Independent Adjuster
A person or organization that provides claim adjusting services to different insurers on a contract basis.
Insurable Interest
Any interest (most commonly ownership) that a person, company, or corporation has in a subject of insurance such as a
business, building, or auto, which can be damaged and may cause the person, company, or corporation financial loss or
other tangible deprivation. Generally, an insurable interest must be demonstrated when a policy is issued and must exist
at the time of loss.
Insurance
A method of shifting risk from a person, business, or organization to an insurance company in exchange for the payment
of premium. The insurance company commits to be responsible for covered losses.
Insured
The policyholder(s) entitled to coverage under an insurance policy.
Insurer
The insurance company who issues insurance and agrees to pay for losses and provide covered benefits.
Insuring Agreement
The portion of an insurance contract that describes what is covered. The insuring agreement usually states the perils
insured against, the person(s) and/or property covered, the property locations, and the period of the contract.
License
A certificate of authority issued by the CDI to an insurer, agent, broker, or broker-agent to transact insurance business.
Limits of Insurance
The maximum amount of benefits the insurance company agrees to pay in the event of a loss.
Loss of Consortium
A potential situation in any bodily injury claim (including Workers Compensation claims) where a spouse contends that
the bodily injury of their partner deprives them of the natural affection (spousal duties), help, and companionship of
said spouse.
Loss Payable Clause
A provision that authorizes the insurer to make a loss payment to a person, company, or organization (loss payee) other
than the insured. The loss payee must have an insurable interest (such as a lienholder for business personal property or
a mortgagee on real property).
Managing General Agent (MGA)
An agent contractually authorized by an insurance company to manage all or part of the insurer's business activities. An
MGA can manage the marketing, underwriting, policy issuance, premium collection, appointing and supervision of other
agents, claims payments, and reinsurance negotiations of an insurance company.
Material Misrepresentation
A factual falsification made in such a manner that the insurance company would have refused to insure the risk if the
truth had been known at policy issuance. A material misrepresentation gives an insurance company grounds to rescind
a contract.





Nonrenewal
The termination of an insurance policy on its normal expiration date.
Occurrence
A liability insurance policy that covers claims arising out of occurrences that take place during the policy period,
regardless of when the claim is filed.
Peril
Cause of loss.
Personal lines
Insurance written on the personal and real property of an individual (or individuals) to include such policies as
homeowners insurance and personal auto insurance, as contrasted with commercial lines.
Policy
A contract that states the rights and duties of the insurance company and the insured.
Premium
The monetary payment that an insured makes to an insurance company in exchange for the contract indemnifying the
insured against potential loss. Simply put this is the payment made by the insured to keep an insurance policy in effect.
Producer
A term used by the insurance industry fa refer to agent, brokers, broker-agents, and solicitors.
Pro Rata Cancellation
A cancellation of a policy by an insurance company that returns the unearned premium to the policyholder (the portion
of the premium for the remaining time period that the policy will not be in force).
Provisions
The statement of policy conditions in an insurance policy.
Public Adjuster
A licensed person or organization that represents the policyholder by contract in property damage claims negotiations
with an insurance company.
Quotation
An estimate of the cost of insurance based on the information supplied to the agent, broker, broker-agent, or the
insurance company.
Recision
The cancellation of an insurance policy back to its effective date resulting in a return of all premium charged.
Regulations
Requirements developed by the CDI that implement laws passed by the legislature. Regulations go through a public
comment process and must be approved by the state Office of Administrative Law.
Reinstatement
The restoration of a lapsed or canceled policy.
Renewal
The continuation of an insurance policy (offer of renewal) into a new term from the same insurance company that
issued the existing policy.

Replacement Cost
The amount that it costs to replace lost or damaged property with new property of like kind or quality in the local
market.





Schedule Rating
A method of pricing property and liability insurance. Schedule Rating uses debits and credits to modify a base rate
figured by the special characteristics of the risk exposure. Insurers develop Schedule Rating because actuarial
experience shows a direct relationship between certain physical characteristics and the possibility of loss. Most
schedule rating plans must be filed and approved by the CD.
Self-Insured Retention (SIR)
The portion of a property or liability loss retained by a policyholder.
Severity
The size of a loss. Loss severity is used as a factor in establishing premium rates.
Short Rate CanceUation
A cancellation initiated by policyholder request in which the premium returned is subject to an administrative penalty.
Sistership liability
Exists when a manufacturer refuses to withdraw a product as ordered by a government agency or company
management. Once a defective product has been identified and recalled, an insurance company excludes all other
claims arising from the defective product due to the negligent failure of the company to take the product off the market.

Split limits
The technique for expressing limits of liability coverage under a particular insurance policy by stating separate limits
for different types of claims growing out of a single event or combination of events. Coverage can be split (limited)
per person, per occurrence, between bodily and property damage, or in other ways.
Subrogation
The process of recovering the amount of claim damages paid out to a policyholder from the legally liable party.
When a company pursues the legally liable third party, they are required to include the policyholder's deductible in
the recovery process.
.
Underwrite
The process to evaluate the insurance application and independent sources in order to verifY the information provided
and to determine the acceptability of the risk.
Underwriter
The person who performs the undetwriting process to accept, reject, or modifY risks on behalf of the insurer.
Unearned Premium
The portion of the written premium applicable to the unexpired or unused part of the policy period for which the premium
has been paid. For example, in an annual premium policy 11/12 of the premium is unearned at the end of the first month
of the policy.


Waiver
The relinquishment of a known right, which may be expressed or implied.
Written Premium
The total premium on all policies written by an insurer during a specified period of time, regardless of what portion has
been earned.







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