Install
Glossary
259 terms defined in plain English. Each one links to the latest coverage in the index, and to the tools and guides that use it.
By topic
A
-
- A-PLUS property report
- Verisk's claims history report on a property or applicant, a counterpart to the LexisNexis database that insurers use to check past losses.
- Actual cash value
- What an insurer pays for damaged property: the cost to repair or replace it today, minus a deduction for age and wear, so less than a new-for-old payment.
- ACV roof endorsement
- An endorsement that pays wind and hail roof damage at replacement cost less depreciation, even when the rest of the home is settled at full replacement cost.
- Additional insured
- A person or organization added to a policy so it receives the policy's liability protection, typically an owner who does not live in the home.
- Additional interest
- A person or business with a financial stake in the insured property, such as a lienholder, listed on the policy to get notices but not coverage.
- Additional living expenses
- The increase in your normal costs of living, such as hotel bills, restaurant meals and extra mileage, after a covered loss forces you out of your home.
- Adjuster
- The person who investigates a reported loss, decides what the policy covers and how much it will pay, and negotiates the settlement.
- Admitted insurer
- A company licensed by a state to sell insurance there, with its rates and forms under regulator review and its claims backed by the state guaranty fund.
- Agreed value
- A value the insurer and policyholder settle on in advance, which the policy then pays in a total loss without a later dispute over what the item was worth.
- All other perils deductible
- The basic amount you pay first on covered losses not subject to a separate wind, hail, hurricane or earthquake figure, listed on your declarations page.
- All-in coverage
- A condo master policy type insuring the building plus each unit's interior finishes and owner upgrades, leaving mainly belongings and liability to the owner.
- AM Best rating
- The letter grade, from A++ to D, that the insurance rating agency AM Best assigns to an insurer's ability to meet its ongoing policy obligations.
- Amendatory endorsement
- An add-on that rewrites parts of the base policy, usually to match a state's insurance laws, and that takes priority wherever it conflicts with the form.
- Animal liability exclusion
- Policy wording that removes liability coverage for injuries caused by a named dog, a listed breed or an animal with a bite history.
- Anti-concurrent causation clause
- Exclusion wording that denies a loss whenever an excluded cause contributes, even if a covered cause also played a part or came first.
- Appraisal clause
- A policy condition that lets either side demand a neutral panel to set the dollar amount of a loss when you and the insurer cannot agree on its value.
- Assessment
- An extra charge raised after a state-backed insurer or guaranty fund runs short of money, collected from insurers and sometimes passed on to policyholders.
- Assignment of benefits
- A signed agreement that transfers your right to claim payments to a contractor or other vendor, who then deals with the insurer directly.
- Attorney-in-fact
- The company that manages a reciprocal exchange for its policyholders under a power of attorney, running underwriting, sales and claims in return for a fee.
- Attractive nuisance
- A legal doctrine that can hold a landowner responsible when a child is hurt by a tempting hazard on the property, such as a pool or trampoline.
B
-
- Bad faith
- An insurer's unreasonable claim handling, such as denying or delaying payment with no reasonable basis, that can bring damages beyond the policy benefits.
- Bare walls coverage
- A condo master policy type that insures only the structure and common areas, leaving everything from the interior surfaces inward to the unit owner.
- Base flood elevation (BFE)
- The height, in feet above a standard reference level, that floodwater is expected to reach in a flood with a 1% chance of occurring in any year.
- Binder
- A short-term written confirmation that coverage is in force while the full policy is being issued, often used as proof of insurance at a home closing.
- Blanket coverage
- A single limit that applies across several buildings, locations or kinds of property instead of a separate limit for each one.
- Bodily injury
- Physical harm to a person, including sickness, disease and resulting death, that triggers liability and medical payments coverage under a homeowners policy.
- Builder's risk
- Temporary property insurance on a structure being built or substantially renovated, covering materials and work in place until the project is finished.
- Building code upgrade
- Work local building rules require when a damaged home is repaired or rebuilt, beyond restoring what was there, such as updated wiring or wind bracing.
- Business pursuits exclusion
- A liability exclusion for injury or damage arising from your trade, profession or other paid activity, with narrow exceptions for small or volunteer work.
C
-
- Cancellation
- The ending of a policy before its expiration date, either by the homeowner at any time or by the insurer for reasons the policy and state law allow.
- Captive agent
- An agent who sells for a single insurance company or group, usually under an exclusive contract, so every quote comes from that company's products.
- Catastrophe bond
- A security sold to investors that pays interest, but whose principal goes to the insurer that sponsored it if a defined disaster occurs, serving as reinsurance.
- Catastrophe model
- Software that simulates thousands of possible hurricanes, quakes, wildfires and storms to estimate the losses an insurer's policies could suffer.
- Catastrophic ground cover collapse
- A Florida-defined event in which the ground abruptly collapses, a visible depression forms, the building is structurally damaged and authorities condemn it.
- Claim number
- The reference code an insurer assigns when it opens a file on your loss, used to track the adjuster's notes, estimates, payments and correspondence.
- Claims-free discount
- A premium credit for homeowners with no paid claims over a set number of recent years, verified from the insurer's records and claims history reports.
- Class 4 roof
- A roof covering that earned the top impact rating under the UL 2218 test, which simulates hail with a dropped steel ball, and that insurers may discount.
- CLUE report
- A LexisNexis report of the auto and property claims tied to a person and an address over roughly seven years, which insurers pull when underwriting.
- Coinsurance
- A policy clause that reduces a claim payment when the insurance carried falls below a required percentage of the property's value, usually 80% for homes.
- Collapse
- Under most policies, the abrupt falling down or caving in of a building or part of it so it cannot be used as intended, covered only for listed causes.
- Combined ratio
- An insurer's loss ratio plus its expense ratio, where a result under 100% means premiums covered claims and costs and over 100% means an underwriting loss.
- Concurrent causation
- The question of how to decide coverage when a covered cause and an excluded cause combine to produce one loss, such as wind and storm surge in a hurricane.
- Construction class
- The category an insurer assigns a house by its walls and structure, such as frame, masonry veneer, masonry or fire-resistive, used for rating and rebuild cost.
- Constructive total loss
- A loss where the building is not wholly destroyed but repair would cost so much, or be so restricted by law, that it is treated as a total loss.
- Contents inventory
- An itemized list of belongings that were damaged, destroyed or stolen, with quantity, description, age and cost, used to support a personal property claim.
- Cosmetic damage exclusion
- An endorsement that excludes hail dents, pitting and surface marks that do not stop a roof or siding from doing its job, often in exchange for a lower premium.
D
-
- Debris removal
- Coverage for hauling away the wreckage of covered property after a loss, and in limited cases fallen trees, with a small allowance beyond the limit.
- Declarations page
- The summary page at the front of a policy listing the insured, the property, policy dates, limits, deductibles, premium, mortgage lender and attached forms.
- Deductible
- The amount of a covered property loss you pay yourself before the insurer pays the rest, shown on your declarations page as a dollar figure or a percentage.
- Defensible space
- The managed buffer of trimmed, thinned and cleared vegetation around a house that slows a wildfire and gives firefighters room to defend the structure.
- Demotech rating
- A financial strength grade from an independent firm that rates mostly small and regional property insurers, often those AM Best and S&P do not cover.
- Department of insurance
- The state agency that licenses and supervises insurers and agents, reviews policy forms and rates, and takes consumer insurance complaints.
- Depopulation
- A state program that moves policies out of a state-backed insurer and into private companies, shrinking the plan's exposure to the next catastrophe.
- Depreciation
- The loss in an item's value from age, wear and obsolescence, which an adjuster subtracts when pricing what a claim should pay.
- Desk adjuster
- A claims adjuster who handles a claim from an office or home by phone, email, photos and estimating software, usually without visiting the property in person.
- Difference in conditions (DIC) policy
- A separate policy built to sit beside a primary policy and pay for perils and coverages the primary one leaves out, such as theft, water damage and liability.
- Direct premiums written
- The total premium on the policies an insurer issues itself in a period, counted when written and before any share is passed to reinsurers.
- Direct writer
- An insurer that sells straight to consumers by website, phone, app or its own employees rather than through independent agents who represent several companies.
- DP-1 (basic dwelling form)
- The basic dwelling form: it covers a short list of named perils to the building, typically at actual cash value, with no liability coverage built in.
- DP-2 (broad dwelling form)
- A broader named-perils dwelling form that adds falling objects, water discharge and freezing, and typically pays building losses at replacement cost.
- DP-3 (special dwelling form)
- The special dwelling form: open-perils coverage on the building and other structures, the closest match to an HO-3, common for rentals and second homes.
- Duties after loss
- The steps a homeowners policy requires after damage occurs: reporting it, protecting the property, documenting the loss and cooperating with the insurer.
- Dwelling coverage (Coverage A)
- The part of a homeowners policy that pays to repair or rebuild the house itself, including attached structures such as a garage, porch or deck.
- Dwelling fire policy
- A property-only policy for a house, usually one that is rented, vacant or seasonal, sold without the liability package of a homeowners policy.
E
-
- Earth movement
- A group of ground-shifting events, including earthquake, landslide, mudflow, subsidence and sinkhole, that homeowners policies exclude from coverage.
- Earthquake deductible
- The share of the insured value you pay before earthquake coverage responds, expressed as a percentage that is far higher than a regular home deductible.
- Earthquake insurance
- Separate coverage, or an add-on endorsement, for damage from ground shaking, which standard homeowners policies exclude as earth movement.
- Efficient proximate cause
- A legal test that decides coverage by asking which cause set the others in motion and dominated the loss when covered and excluded causes combine.
- Elevation certificate
- A form completed by a licensed surveyor, engineer or architect that records a building's key elevations against the mapped base flood elevation.
- Endorsement
- A written change attached to a policy that adds, removes or alters coverage, limits or conditions, and controls over the base form wherever the two conflict.
- Equipment breakdown coverage
- An optional add-on that pays to fix home systems and appliances that fail suddenly from a mechanical or electrical fault, which standard policies exclude.
- Escrow account
- A lender-held account that collects a share of your annual property tax and insurance bills with each mortgage payment and pays them when due.
- Evidence of insurance
- A short document from your insurer or agent confirming that a policy is in force, with its limits and the lender to notify. It is not the policy itself.
- Examination under oath
- A formal, recorded question-and-answer session under oath that an insurer can require of a claimant, usually led by the insurer's attorney.
- Excess and surplus lines
- The specialty market where non-admitted insurers cover unusual, high-hazard or hard-to-place risks that standard carriers will not write at filed rates.
- Excess flood insurance
- Extra flood coverage that sits above a primary flood policy, usually the NFIP maximum, to pay for losses beyond the first policy's limits.
- Exclusion
- A policy provision that removes coverage for a stated cause, type of loss, property or circumstance that the coverage would otherwise reach.
- Expense ratio
- The share of premium an insurer spends on commissions, salaries, marketing, taxes and other costs of selling and running its business, excluding claim payments.
- Extended replacement cost
- Extra dwelling coverage, often 25% or 50% above the Coverage A limit, that helps pay to rebuild when the actual cost after a loss exceeds the limit.
F
-
- FAIR plan
- A state pool, funded by the insurers doing business there, that sells basic property coverage to owners who cannot find it in the regular market.
- Fair rental value
- Payment for the rent you lose when a covered loss makes a part of your home that you rent to someone else, or hold for rent, unfit to live in.
- File and use
- A rate-regulation system in which an insurer files new rates with the regulator and may start charging them right away or after a short waiting period.
- Financial strength rating
- An independent agency's grade of an insurer's ability to meet its obligations and pay claims, issued by firms such as AM Best, S&P, Moody's, Fitch and Demotech.
- Fire protection class
- The 1 to 10 number on a home insurance quote that reflects how close and well equipped the nearest fire department and water source are.
- First notice of loss
- The first report you or your agent makes to the insurer that damage has occurred, which opens the file and starts the insurer's response deadlines.
- Floater
- Coverage that insures listed movable items, such as jewelry, art or cameras, at stated values wherever they go, free of a standard policy's low limits.
- Flood exclusion
- The standard homeowners provision that excludes flood, surface water, tides and overflowing water bodies, leaving flood damage to a separate flood policy.
- Flood insurance rate map (FIRM)
- FEMA's official map of a community showing flood zones, base flood elevations and floodways, which lenders use to decide whether flood insurance is required.
- Flood zone
- A map designation, such as Zone AE, VE or X, that classifies a property's flood risk and helps decide whether a lender will require flood insurance.
- Florida Hurricane Catastrophe Fund
- Florida's state-run reinsurance program, set up after Hurricane Andrew, that reimburses residential insurers for part of their hurricane losses.
- Force-placed insurance
- Coverage a mortgage servicer buys on your home and bills to you when it believes your own policy has lapsed or falls short of loan requirements.
- FORTIFIED Home
- A voluntary construction standard from the insurer-funded IBHS that strengthens a house against wind, hail and storm damage, with certified designations.
- Four-point inspection
- A limited inspection of an older home's roof, electrical, plumbing and heating and cooling systems that insurers may require before writing a policy.
- Fronting carrier
- A licensed, rated insurer that issues policies for another company's program and passes most of the risk to reinsurers, keeping a fee for lending its license.
G
-
- Grace period
- Extra days after a premium due date during which coverage may stay in force while you pay, where the policy or state law provides for it.
- Gradual damage
- Harm that builds up over weeks, months or years, such as a slow leak, rot or corrosion, which most homeowners policies exclude.
- Guaranteed replacement cost
- Dwelling coverage under which the insurer agrees to pay the full cost to rebuild, even above the policy limit, if the owner meets the policy's conditions.
- Guaranty fund
- A state safety net, financed by charges on licensed insurers, that pays covered claims up to a cap when an insurer is declared insolvent.
H
-
- Hail damage
- Dents, bruises, cracks and punctures that falling ice causes to roofs, siding, windows and outdoor equipment, covered under the windstorm or hail peril.
- HO-1 (basic form)
- The oldest and narrowest ISO homeowners policy, insuring a short list of named perils; it has been largely discontinued.
- HO-2 (broad form)
- A named-perils homeowners policy covering 16 listed causes of loss for the house and belongings: broader than the basic form, narrower than the special form.
- HO-3 (special form)
- The most common homeowners policy: open-perils coverage for the house and other structures, and named-perils coverage for belongings.
- HO-4 (contents broad form)
- The renters policy: it covers a tenant's belongings, loss of use and liability, but not the building, which the landlord insures.
- HO-5 (comprehensive form)
- A premium homeowners policy insuring the house, other structures and belongings against any cause of loss not excluded, often for newer or higher-value homes.
- HO-6 (unit-owners form)
- The condo owner's policy: it covers belongings, the parts of the unit the association's policy leaves to you, loss assessments, liability and loss of use.
- HO-7 (mobile home form)
- A homeowners-style policy for owner-occupied mobile and manufactured homes, adapting property and liability coverage to how those homes are built and sited.
- HO-8 (modified coverage form)
- A named-perils policy for older homes whose rebuild cost far exceeds market value, paying to repair with common materials rather than replace like for like.
- Holdback
- The part of a claim payment the insurer keeps back until repairs are finished and documented, usually the depreciation on a replacement cost claim.
- Home business endorsement
- An add-on that gives a small office, studio, school or similar operation run from the house liability and business property coverage the base policy lacks.
- Home hardening
- Upgrades to a house's roof, openings, vents and materials so it resists a specific hazard such as wind, hail or wildfire embers, not just insures against it.
- Home-sharing endorsement
- An add-on that extends a homeowners policy to cover renting all or part of the home to short-stay guests through platforms such as Airbnb or Vrbo.
- Homeowners association (HOA)
- An organization that enforces rules and maintains shared property in a subdivision, condominium or planned community, funded by dues from the owners.
- Host liquor liability
- Your legal exposure when a guest who drank at your private gathering later injures someone, usually covered under a homeowners policy's personal liability.
- Hurricane deductible
- A separate amount you pay first, usually a percentage of the dwelling limit, that applies to wind damage from a hurricane in place of your regular flat amount.
I
-
- Ice dam
- A ridge of ice at a roof's edge that traps melting snow and forces water under the shingles and into the house, a common winter source of ceiling damage.
- Identity theft coverage
- An optional add-on that reimburses the out-of-pocket costs of repairing your name and credit after someone uses your personal information to commit fraud.
- Impact-resistant roof
- A roof built with a covering tested to withstand hail and debris impact, which can earn a premium credit from some insurers in hail-prone states.
- Increased cost of compliance (ICC)
- Flood policy coverage of up to $30,000, apart from the damage claim, toward elevating, relocating or demolishing a substantially damaged building.
- Independent adjuster
- A claims adjuster who works for an adjusting firm or on contract, hired and paid by insurers to handle claims, especially surges after storms and wildfires.
- Independent agent
- An agent or agency appointed by several insurance companies that compares their coverage and prices for a customer and is paid by commission.
- Inflation guard
- An endorsement that raises your coverage limits a set percentage each year so they keep pace with rising rebuilding costs between renewals.
- Insolvency
- The condition of an insurer that cannot pay its claims and debts as they come due, or whose liabilities exceed its assets or required capital.
- Installment fee
- A small charge added to each payment when you pay your premium in monthly or other installments instead of in one lump sum.
- Insurable interest
- The financial stake in a property that you must hold, so that its damage or loss would cost you money, before an insurer can cover it or pay you for a claim.
- Insurance broker
- A licensed intermediary who places coverage on the buyer's behalf with whichever insurers will take the risk, often including surplus lines markets.
- Insurance commissioner
- The state official who heads the insurance regulator, oversees insurers and agents, reviews rates and forms, and handles consumer complaints.
- Insurance score
- A number built from your credit report data that insurers use to predict how likely you are to file claims, and therefore how to price your policy.
- Insurance to value
- The ratio of the coverage on a home to what it would cost to rebuild it today; 100% means the limit matches the rebuild cost.
- Insurer of last resort
- A state-created or state-sponsored insurer that sells coverage to property owners who cannot get a policy from a private company.
- Insurtech
- A company that uses software, data and automation to sell, price or service insurance, as a licensed insurer or as an agency or MGA backed by carriers.
- Intentional loss
- An exclusion for damage arising from an act that an insured commits or conspires to commit with the intent to cause a loss, such as arson of one's own home.
- ISO (Insurance Services Office)
- The industry organization, now part of Verisk, that drafts standard homeowners policy forms, rating data and fire protection grades that insurers use or adapt.
L
-
- Landlord policy
- Insurance for a home you own and rent to tenants, covering the building, lost rent and the owner's liability, but not the tenant's belongings.
- Liquidation (insurer)
- The final stage of an insurer failure, when a court orders the company wound up, its policies ended and its assets sold to pay claims and creditors by priority.
- Loss assessment coverage
- Coverage for your share of a bill that a condo or homeowners association charges owners after a covered loss that its own insurance does not fully pay.
- Loss history
- The record of insurance claims tied to you and to your property over the past several years, which underwriters use to judge risk and set price.
- Loss of use (Coverage D)
- Coverage that pays extra living costs or lost rent when a covered loss makes your home unfit to live in, such as hotel bills or a tenant's missed rent.
- Loss payee
- A party named on a policy to receive claim money for a particular item or property up to its financial stake, such as a lender or lessor.
- Loss ratio
- The share of earned premium an insurer pays out or sets aside for claims, shown as a percentage and used to judge profitability and set rates.
M
-
- Managing general agent (MGA)
- An agency that a carrier authorizes to quote, underwrite, bind and often service policies for a defined book of business, paid by commission and profit share.
- Manufactured home
- A house built in a factory on a permanent chassis to the federal HUD code, in effect since June 15, 1976, and insured on forms written for that construction.
- Market conduct exam
- A state regulator's review of how an insurer treats policyholders, covering underwriting, rating, sales, complaints and claim handling rather than its finances.
- Market share
- An insurer's portion of all premiums written in a given line, state and year, calculated by dividing its direct premiums written by the market total.
- Market value
- The price a willing buyer would pay a willing seller on the open market, which includes the land and location and is not the basis for dwelling coverage.
- Master policy
- The property and liability policy a condominium or homeowners association buys for the shared structure and common areas, paid for through dues.
- Matching
- Whether an insurer must also replace undamaged siding, shingles or flooring so repaired areas look uniform, which depends on state rules and policy wording.
- Medical payments to others (Coverage F)
- No-fault coverage that pays the medical bills of a guest hurt on your property, whether or not you were at fault, up to a small per-person limit.
- Mitigation credit
- A premium discount for building features shown to reduce storm or wildfire damage, such as a reinforced roof, impact windows or defensible space.
- Mitigation of damages
- Your duty to take reasonable steps after a loss, such as tarping a roof or shutting off water, to keep damage from spreading; the policy usually pays for it.
- Mold exclusion
- Policy wording that removes or caps coverage for mold, fungus and wet rot, usually leaving a small limit for growth that follows a covered water loss.
- Moral hazard
- The risk that holding insurance leads someone to cause or inflate a loss, or to take less care, because the insurer rather than the owner bears the cost.
- Moratorium
- A temporary legal bar, triggered by a disaster declaration, on insurers canceling or declining to renew policies in the affected area.
- Mortgagee
- The lender that holds the mortgage on the home, listed on the declarations page so it gets cancellation notices and shares in payments for dwelling damage.
- Mortgagee clause
- The policy condition that gives the lender its own right to be paid for dwelling losses and protects that right even when the owner's claim is denied.
- Multi-policy discount
- A premium reduction for buying your home policy and another policy, usually auto, from the same insurer or insurance group.
- Mutual insurance company
- An insurer owned by its policyholders rather than outside shareholders, which can return surplus to them as dividends or keep it to strengthen the company.
N
-
- NAIC
- The standard-setting group governed by the chief insurance regulators of the 50 states, D.C. and five U.S. territories, founded in 1871.
- NAIC complaint index
- A ratio comparing an insurer's share of confirmed consumer complaints with its share of premium, where 1.00 means complaints in line with its size.
- Named insured
- The person or people listed on the declarations page as the policy's owner, who hold the contract rights and receive notices and claim payments.
- Named perils
- Coverage that applies only to the causes of loss listed in the policy, so a claim is paid only if the damage came from one of them.
- Named storm deductible
- A separate amount you pay first, often a percentage of the dwelling limit, when damage comes from any storm the National Hurricane Center has named.
- National Flood Insurance Program (NFIP)
- The federal program, run by FEMA since 1968, that makes flood insurance available to owners and renters in communities that adopt floodplain management rules.
- Neglect
- Failure to use all reasonable means to save and protect property at and after the time of a loss, which the policy excludes to the extent the damage grows.
- Non-recoverable depreciation
- The age-and-wear deduction an insurer takes from a claim payment and never pays back, because the policy settles at depreciated value or repairs are not made.
- Nonrenewal
- An insurer's decision to end coverage at the end of the policy period by declining to offer another term, as opposed to ending it partway through.
O
-
- Open perils
- Coverage that applies to any direct physical loss unless the policy specifically excludes the cause, so the insurer must point to an exclusion to deny a claim.
- Opening protection
- Impact-rated glass or tested shutters over a home's windows, doors, skylights and garage door that keep debris and wind from breaching the walls in a storm.
- Ordinance or law coverage
- Coverage for the extra cost of repairing or rebuilding a damaged home to current building codes and zoning rules, which the dwelling limit does not pay.
- Other structures (Coverage B)
- Protection for buildings on your lot that stand apart from the house, such as a detached garage, shed, gazebo or fence.
P
-
- Parametric insurance
- Insurance that pays a preset amount when a measured trigger, such as earthquake intensity or wind speed near your home, is hit, whatever your actual damage.
- Percentage deductible
- The share of your insured dwelling limit, rather than a fixed dollar figure, that you pay first on a loss, commonly 1% to 5% for wind, hail or hurricane damage.
- Peril
- A specific cause of loss, such as fire, wind, theft or water, that a policy covers or excludes; it is the cause of the damage rather than the damage itself.
- Personal injury
- Liability coverage for non-physical wrongs such as defamation, false arrest, invasion of privacy and wrongful eviction, usually added by endorsement.
- Personal liability (Coverage E)
- Coverage that defends you and pays damages if you are legally responsible for injuring someone or damaging their property, at home or away from it.
- Personal property (Coverage C)
- Coverage for the movable things you own, such as furniture, clothing, electronics and tools, whether they are at home or elsewhere in the world.
- Policy fee
- A flat charge some insurers add to a new or renewed policy for administrative costs, separate from the premium calculated for your coverage.
- Policy limit
- The most an insurer will pay for a covered loss under one coverage, set separately for the house, other structures, belongings, living costs and liability.
- Policy period
- The span between a policy's effective date and expiration date, usually 12 months, during which a loss must occur to be covered.
- Policyholder surplus
- An insurer's assets minus its liabilities under statutory accounting, the capital cushion that absorbs losses beyond its reserves and premiums.
- Premises liability
- The legal duty of an owner or occupier to keep property reasonably safe, and the exposure when a visitor is hurt by a wet step, loose railing or icy walk.
- Premium
- The price of a policy for its term, set by rebuilding cost, location, claims history, roof, deductible and other rating factors.
- Price optimization
- Pricing a policy by how much a customer will tolerate or how likely they are to shop, not by expected loss, a practice a number of states have restricted.
- Prior approval
- A rate-regulation system in which an insurer must have the state regulator approve its proposed rates before it may charge them to policyholders.
- Private flood insurance
- Flood coverage issued on an insurer's own form and rates instead of through the federal program, which a lender may accept in place of an NFIP policy.
- Pro rata cancellation
- A cancellation method that refunds the unused part of the premium in exact proportion to the days remaining, with no penalty deducted.
- Probable maximum loss
- A modeled estimate of how big an insurer's loss from a single severe catastrophe could be, stated at a probability such as a 1-in-100-year event.
- Prompt payment law
- State rules that set deadlines for an insurer to acknowledge a property claim, decide it and pay it, often with interest owed on late payments.
- Proof of loss
- A signed, sworn statement of what happened and what you are claiming, which most policies require within a set number of days.
- Property damage liability
- Coverage that pays when you are legally responsible for physically damaging someone else's tangible belongings or building, or for taking away their use.
- Protective device discount
- A premium credit for installing safety equipment such as monitored burglar or fire alarms, sprinklers, smoke detectors, deadbolts or water-leak shutoffs.
- Public adjuster
- A licensed claims professional hired by the policyholder, not the insurer, who documents and negotiates the claim for a fee, usually a share of the payout.
- Public Protection Classification (PPC)
- A 1 to 10 grade, assigned by Verisk's ISO unit, of how well a community's fire department, water supply and dispatch can fight a house fire.
R
-
- Rate filing
- The package of proposed prices, rating factors and supporting data that an insurer submits to a state regulator before or when it changes its homeowners rates.
- Rate increase
- A rise in the price an insurer charges per unit of coverage, which is only one of several reasons the premium on your renewal notice can go up.
- Rating territory
- A geographic area, often a ZIP code or county, that an insurer prices as a unit because losses from weather, fire and theft differ from place to place.
- Reasonable repairs
- Coverage for the cost of temporary steps you take to stop covered damage from getting worse, such as tarping a roof or boarding up a broken window.
- Receivership
- A court-supervised takeover of a troubled insurer, run by the state's insurance regulator or a designee, to either repair the company or wind it down.
- Reciprocal exchange
- An unincorporated group of policyholders, called subscribers, who insure one another through an exchange run by a separate manager under a power of attorney.
- Recoverable depreciation
- The part of a replacement cost payment an insurer withholds at first and releases after you finish the repair or replacement and send proof of the cost.
- Redlining
- The unlawful practice of refusing to insure, or charging more to insure, homes in certain neighborhoods because of residents' race or other protected traits.
- Rehabilitation (insurer)
- A court-ordered effort, run by a state-appointed rehabilitator, to restore a financially troubled insurer, which can end in recovery, a sale or a wind-down.
- Reinstatement
- Putting a canceled or lapsed policy back in force after you pay what is owed and the insurer agrees, with or without a gap in coverage.
- Reinsurance
- Insurance that an insurance company buys from other companies, which reimburse part of its claim payments, especially after a large disaster.
- Reinsurance tower
- The stack of reinsurance layers an insurer buys one above another, each starting where the layer below ends, to cover progressively larger catastrophe losses.
- Renewal
- The insurer's continuation of your policy for another term, usually with a new premium and sometimes with changed deductibles, limits or conditions.
- Replacement cost
- What it would cost to repair or rebuild with materials of like kind and quality at today's prices, with no deduction for age or wear.
- Replacement cost estimate
- A calculation of what it would cost to rebuild a home today, from its size, construction details and local labor and material prices.
- Reservation of rights
- A written notice that an insurer is investigating or paying a claim but keeps the option to deny coverage or limit payment later if the facts warrant it.
- Residual market
- The state-created plans and pools that cover property owners the private market declines, as opposed to coverage insurers sell by choice.
- Rider
- A form added to a policy to change its coverage; in homeowners insurance, an everyday word for an endorsement such as scheduled jewelry or water backup.
- Risk Rating 2.0
- FEMA's current method of pricing NFIP flood policies by each home's own flood risk and rebuilding cost rather than mainly by flood zone and elevation.
- Roof surfacing payment schedule
- An endorsement that pays roof damage as a set percentage of replacement cost based on the roof's age and material, not full cost or a depreciation estimate.
- Roof-to-wall connection
- The hardware that fastens roof rafters or trusses to the top of the walls, which decides whether a high wind can lift the roof off the house.
S
-
- Salvage
- What remains of damaged property after a loss, and the insurer's option to take it or deduct its leftover value once the claim is paid.
- Scheduled personal property
- Individually listed valuables, such as jewelry, art and collectibles, insured for a stated amount each, with broader protection than standard contents coverage.
- Scope of loss
- The written list of damaged areas and repairs an adjuster decides are needed and covered, which becomes the basis for the estimate and the payment.
- Secondary water resistance
- A second layer on the roof deck, such as a self-adhering membrane over the seams, that keeps rain out of the house if the shingles blow off in a storm.
- Service line coverage
- An add-on that pays to repair or replace the buried water, sewer, gas or electric lines running from your house to the street or the utility's connection.
- Short-rate cancellation
- A cancellation method that returns less than the full unused premium when you end a policy early, so the insurer keeps a penalty on top of what it earned.
- Sinkhole loss
- Structural damage to a building, including its foundation, caused by ground settling into underground voids, excluded unless the policy adds sinkhole coverage.
- Special flood hazard area (SFHA)
- The land FEMA maps as having at least a 1% chance of flooding in any year, where lenders must require flood insurance on federally backed mortgages.
- Special limits of liability
- Low dollar caps on categories such as cash, jewelry, firearms, silverware and business property that apply no matter how high your belongings limit is.
- Staff adjuster
- A claims adjuster who is a direct employee of an insurance company and handles that insurer's claims under its own guidelines and settlement authority.
- Stated value
- The amount you declare for an item on a policy, which caps the payout but may be reduced if its actual worth or repair cost at the time of loss is lower.
- Stock insurance company
- An insurer owned by shareholders who supply its capital and receive its profits, as opposed to one owned by the people it insures.
- Storm surge
- The abnormal rise of seawater that a hurricane or strong storm pushes onshore above the normal tide, treated as flood and excluded from homeowners policies.
- Sublimit
- A cap on payment for one type of loss or coverage that is lower than the main policy limit, such as a set dollar amount for mold or sewer backup.
- Subrogation
- The insurer's right, after paying your claim, to step into your place and recover that money from whoever caused the loss.
- Sudden and accidental
- Wording insurers use to separate covered, abrupt losses such as a burst pipe from slow, foreseeable damage like a leak that has dripped for months.
- Suit limitation clause
- The policy condition that sets a deadline, often one or two years from the date of loss, for filing a lawsuit against the insurer over a claim.
- Supplemental claim
- A request for more money on a loss you already reported, usually for damage found or costs incurred after the first estimate was written.
- Surcharge
- An extra amount added to a premium because of a specific risk factor, claim history or state-required assessment, usually shown apart from the base rate.
- Surface water
- Rain or melted snow that spreads across the ground without a defined channel, treated as flood damage and excluded from homeowners policies.
- Surplus lines insurer
- An insurer not licensed in a state that may write risks the standard market declines, with freer rates and forms and usually no guaranty fund backing.
T
-
- Takeout policy
- The private-market policy offered to a state-backed insurer's customer when a company takes over a block of that plan's policies.
- Total loss
- A loss in which the home is destroyed or too damaged to repair, so the insurer pays toward rebuilding up to the dwelling limit rather than for repairs.
U
-
- Umbrella policy
- Extra liability coverage, typically sold in $1 million steps, that applies above your home and auto liability limits and may cover some claims they exclude.
- Umpire
- The neutral third person who breaks the tie when the two appraisers in a claim appraisal cannot agree on the amount of a loss.
- Underinsurance
- Carrying a coverage limit below what a loss would cost to repair or rebuild, which leaves the owner to pay the gap.
- Underwriting
- How an insurer evaluates a home and its owner, decides whether to offer coverage and on what terms, and sets the price.
- Underwriting guidelines
- An insurer's internal rules for which homes it will write, which it will decline, and what conditions, limits or surcharges apply to the ones it accepts.
- Underwriting profit
- What an insurer keeps from premiums after paying claims, claim-handling costs and operating expenses, before any investment income is counted.
- Unfair claims settlement practices act
- State laws, modeled on an NAIC template, that list claim-handling conduct insurers may not engage in and let the insurance commissioner discipline violators.
- Unoccupied
- Describes a furnished home that nobody is living in for a time, which can limit coverage under some policies, unlike a vacant home that is empty of contents.
- Use and file
- A rate-regulation system in which an insurer may put new rates into effect first and then submit them to the regulator within a set period afterward.
V
-
- Vacancy clause
- Policy language that removes or limits coverage for certain losses, such as vandalism and glass breakage, once a home has sat empty beyond a set number of days.
- Vacant dwelling policy
- A specialty property policy for a house nobody lives in, written because owner-occupied forms restrict coverage once a home sits empty.
W
-
- Walls-in coverage
- Condo unit-owner coverage for everything from the interior wall surfaces inward, which is the part of the unit the association's master policy does not insure.
- Water backup coverage
- An optional add-on that pays for damage when water or sewage comes up through drains or sewers, or when a sump pump fails or overflows.
- Water damage exclusion
- Policy language that excludes certain kinds of water loss, either the standard flood, backup and groundwater group or a broader endorsement an insurer adds.
- Wear and tear
- The slow breakdown of materials from age, weather and ordinary use, which homeowners policies exclude because insurance pays for sudden loss, not upkeep.
- Wildfire risk score
- A number a modeling vendor assigns to a property to estimate its exposure to wildfire, which insurers use to accept, price or decline coverage.
- Wind exclusion
- A provision or endorsement that removes wind and hail from a homeowners policy, so the home needs separate wind coverage from a wind pool or another insurer.
- Wind mitigation inspection
- An inspector's checklist of a house's storm-resistant features, such as roof fastening and window protection, that insurers use to apply wind discounts.
- Wind-only policy
- A policy that covers only wind and hail damage, often sold by a state wind pool to coastal homeowners whose main policy excludes wind.
- Wind/hail deductible
- A separate amount you pay first, flat or a percentage of the dwelling limit, on damage from wind or hail in place of the standard flat amount.
- Windstorm
- The peril of damage from high winds, including hurricanes, tornadoes and thunderstorm gusts, which most policies cover, sometimes with a separate deductible.
- Write Your Own (WYO) insurer
- A private insurance company that sells and services federal flood policies under its own name while the federal government carries the flood losses.
X
-
- Xactimate
- Estimating software from Verisk that adjusters and contractors use to price repairs line by line from regional unit-cost price lists.