C
Calendar
year experience
- Underwriting result based on earned premiums and booked incurred losses
for the same calendar year reporting period, regardless of the dates
of the loss events. Booked incurred losses include paid losses, beginning
of year to end of year changes in case reserves, and IBNR.
Cancellation;
flat, pro rata, or short rate - In a flat cancellation the full
premium is returned to the insured. A pro rata cancellation means the
insurer has charged for the time the coverage was in force. Short rate
cancellation entails a penalty in excess of pro rata for early termination.
Capacity
- An insurer’s (or reinsurer’s) top limit on the amount of coverage
it has available. The term may also refer to the total available in
the respective insurance or reinsurance market.
Captive
agent - A representative of a single insurer. In the case of captive
agents, the insurer owns and controls expiration dates and policy records.
A captive agent is a member of what may be called an exclusive agency
system.
Captive
insurer - An enterprise with all the authority to perform as an
insurance company, but is organized by a parent company for the express
purpose of providing the parent company’s insurance.
Care,
custody, or control - An expression common to liability insurance
contracts. It refers to an exclusion in the policy eliminating coverage
for damage to property of others that is in the insured’s "care,
custody, or control." The insured has a bailee relationship to
the property, in other words, making the insured liable for the care
of the property beyond damage caused by negligence. A bailees floater
is often used to cover the insured’s obligation for the care of such
property.
Cargo
insurance - An inland marine or ocean marine policy covering cargo
in the care, custody, or control of the carrier.
Cash-flow
underwriting - Name given to an insurer’s practice of "nonselectively"
writing business in order to generate greater amounts of cash for in-vestment
purposes.
Casualty
insurance - The type of insurance concerned with legal liability
for losses caused by bodily injury to others or physical damage to property
of others.
Catastrophe
(excess) cover - Another term for catastrophe reinsurance, wherein
the ceding company is indemnified by the reinsurer after a specified
loss amount is reached, for losses caused by catastrophes. Causes of
loss forms - The reference is commonly to property insurance con-tracts
and the form in question details those perils to which the coverage
will respond. Though any property insurance contract must name the perils
it intends to cover, e.g., crop hail, earthquake, perils of transit,
and so on, the most commonly used general forms are the basic and broad
named perils forms and the special form. In contrast to the named perils
forms, that list specific perils for coverage, the special form contract
covers simply risk of direct physical loss, relying on exclusions to
delimit and define the coverage.
Cede
- The transfer of all or part of a risk written by an insurer to a reinsurer.
Cedant
- A ceding insurer or reinsurer. Ceding means to contractually transfer
a portion of a risk or risks to a reinsurer.
Ceding
commission - The cedant’s acquisition costs and overhead expenses,
taxes, licenses and fees, plus a fee representing a share of expected
profits, which often is expressed as a percentage of the gross reinsurance
premium.
CERCLA,
see Superfund.
Certificate
of insurance - A written description of insurance in effect as of
the date and time of the certificate. The certificate does not ordinarily
confer any rights on the holder, i.e., the issuing insurer does not
promise to inform the holder of change in or cancellation of coverage.
CGL
(Commercial General Liability) see Commercial general liability.
CIC
- Certified Insurance Counselor.
CLU
- A designation — Chartered Life Underwriter — conferred upon successful
completers of a series of studies of life insurance and related disciplines
designed by The American College.
CPCU
- A designation — Chartered Property Casualty Underwriter — conferred
upon successful completion of a series of 10 exams on insurance and
related disciplines designed by the American Institute of Chartered
Property Casualty Underwriters.
Civil
commotion - One of the extended coverage perils, paired with the
peril "riot," which refers to a less widespread or generalized
event than "riot" might be thought to encompass.
Claim
Expense - The expense of adjusting a claim, such as investigation
and attorneys’ fees. It does not include the cost of the claim itself.
Claims-made
coverage - A type of public liability insurance that responds
only to claims for injury or damage that are brought (to the insurer)
during the policy period (or during a designated extended reporting
period beyond expiration). This development was in response to "long
tail" claims, such as those related to asbestosis injury, carrying
over many years and multiple layers of coverage limits. However,
most public liability policies are written on an "occurrence"
basis, covering injury or damage occurring during the policy period
even if a claim is brought months or even years later.
Clash
cover - A type of catastrophe reinsurance for casualty insurance.
The retention is equal to the highest limit of any one insurance policy
covered by the agreement. Clash cover is written to cover all losses
from one source, such as a construction site.
Class
rates - When property or people share a certain number of characteristics
relevant to the cost of providing them with insurance (such as a male
driver under the age of 25 without an accident) underwriters can develop
insurance rates that reflect the exposures represented by the "class"
and offer insurance based on a class rate rather than by computing individual
rates for each member.
Clause
- A provision or condition affecting the terms of a contract. Coinsurance,
cancellation, and subrogation clauses are typical insurance contract
clauses.
Clean-up
costs - Generally, those costs associated with the clean up of pollution.
Close
or closely held corporation - A corporation that is owned by a small
number of individuals who are related. A close corporation fills its
own vacancies.
Coercion
- Another act defined by most states as an "unfair trade practice."
This one occurs when someone in the insurance business uses physical
or mental force to persuade another to transact insurance.
Coinsurance
clause - "Coinsurance" refers to the bargain between commercial
property owners and the insurance industry. This clause in property
policies encourages the property owner to gauge coverage needs by possible,
not probable, maximum loss. With $1 million at risk but a probable maximum
loss of $100,000, for example, the property owner would probably buy
$100,000 insurance and bank on avoiding the larger disaster. The bargain
offered by the insurance industry is a reduced rate per $100 of coverage
if the owner agrees to buy coverage at a specified relation (80% commonly)
to value (to possible maximum loss in other words). If the insured accepts
the bargain but events prove the amount of insurance is inadequate to
the stated coinsurance percentage, the insured becomes "coinsurer"
in the same ratio as the amount of insurance bears to the amount that
should have been carried.
Collapse
- A property insurance peril, subject to its own specific agreement
in property policies, which otherwise insure on an open perils basis.
Collision
damage waiver - When paired with an auto rental agreement, the rental
car company agrees to waive the renter’s responsibility for any physical
damage to the rental car in exchange for an additional payment. Sometimes
called a "loss damage waiver."
Collision
insurance - A type of physical damage insurance available for automobiles.
Coverage is triggered when damage is caused by striking against another
object.
Combined
ratio - The sum of an insurance company’s loss ratio and expense
ratio; used as an indicator of profitability for insurance companies.
Combined
Single Limit (CSL) - Liability policies commonly offer separate
limits that apply to bodily injury claims and to claims for property
damage. "50/100/25" is shorthand under such a policy for $50,000
per person/$100,000 per accident for bodily injury claims and $25,000
for property damage. A combined single limits policy might cover for
$100,000 per covered occurrence whether bodily injury or property damage,
one person or many.
Commercial
blanket bond - A bond that covers the named insured against employee
dishonesty. A single coverage amount applies to any one loss, regardless
of the number of employees involved.
Commercial
General Liability (CGL) - The CGL policy is an ISO form, widely
used to provide commercial enterprises with premises and operations
liability coverage, products and completed operations insurance and
personal injury coverage. Premises medical payments coverage is often
included as well.
Commercial
lines - A distinction marking property and liability coverage writ-ten
for business or entrepreneurial interests as opposed to personal lines.
Commissioner
of Insurance - The official in a state (or territory) responsible
for administering insurance regulation; sometimes called the Superintendent
or Director of Insurance.
Common
area - The part of a building or premises either owned by or used
by all tenants or tenant-owners of the building (e.g. the swimming pool
at a condominium).
Comparative
negligence - A variation of contributory negligence, in which the
comparative degree of negligence for each party to an accident is taken
into account when awarding damages.
Compensatory
damages - The award, usually monetary, that is intended to compensate
the claimant for injury sustained.
Completed
operations insurance, see Products and completed operations.
Completion
bond - A bond that guarantees a lending institution or other mortgagee
that a building or other construction that they have lent money on will
be completed on time so it can used as collateral on the loan.
Comprehensive
personal liability insurance - Provides individuals and family members
with protection from legal liability for most accidents caused by them
in their personal lives. Note that any legal liability claims submitted
while in the course of business activities are not covered.
Comprehensive
physical damage (automobile) - Traditional name for physical damage
coverage for losses by fire, theft, vandalism, falling objects, and
various other perils. On Personal Auto Policies, this is now called
"other than collision" coverage. On commercial forms, it continues
to be called "comprehensive" coverage.
Concurrent
causation - When two perils contribute concurrently to a property
loss, one excluded and the other not, the effect of the exclusion tends
to be voided in a policy covering on an open perils basis. A concurrent
causation exclusion is found in current forms.
Condition
- One of the obligations of either the insured or the insurer imposed
in the insurance contract.
Condominium
- Type of dwelling where the structure is owned jointly while spaces
within the structure are owned individually. Special property and liability
forms cover the interests of the condominium association and of unit
owners.
Condominium
association coverage - A policy that provides coverage for the building,
elements of the building, and liability needs for those who collectively
own a piece of property.
Condominium
unit owners form - A policy that provides coverage for the personal
property, owned elements of a unit, and liability for the individual
unit owner.
Consequential
loss - An indirect consequence of direct loss to property. Business
income may be lost when a store burns down, or frozen goods may spoil
when windstorm causes an interruption of power. Consequential or indirect
loss is not generally insured by policies covering direct damage (i.e.,
by fire or wind as in these examples), but insurance is readily obtainable
separately for most such consequential exposures — business income coverage
being among the most common.
Construction
bond - A bond that guarantees the owner of a building under construction
that it will be completed. If the contractor cannot finish the work,
the insurer is obligated to see that the work is performed.
Constructive
total loss - This condition is said to exist when the cost of repairs
exceeds the actual cash value of damaged property.
Contingent
business income, see Business income, dependent properties.
Contingent
liability - Liability imposed on a business entity (individual,
partnership, or corporation) for acts of a third party for which the
business entity is responsible.
Contract
of adhesion, see Adhesion contract.
Contractors
equipment floater - Coverage designed for the special needs of contractors
to insure their machinery and other equipment.
Contractual
liability - Liability that does not arise by way of negligence but
by assumption under contract. For example, in certain leases, a tenant
may assume a landlord’s liability to others for unsafe conditions on
the premises. Some such assumptions are covered automatically under
the Commercial General Liability form.
Contributory
negligence - A defense to a negligence action in which it is asserted
that the claimant failed to meet the standard required for his or her
own protection, and that that failure contributed to the loss.
Controlled
business - The amount of insurance countersigned, issued or sold
by a producer covering that producer’s interests, immediate family,
or employees. Many states limit the amount of controlled business that
may be written, by placing a maximum percentage of all business that
may be "controlled."
Convention
(or Statement) blank - The uniform annual financial statement that
must be filed by all insurers, as prescribed by the National Association
of Insurance Commissioners. The convention blank must be filed annually
in an insurer’s home state and every state in which it is licensed to
do business.
Corporation
- A business whose articles of incorporation have been approved in some
state. For insurance purposes, the type of business structure helps
to determine who is insured on the policy.
Countersignature
- An authorized signature of agent or company representative on an insurance
policy. Usually pertains to policies sold by an agent of the insurer
located in another state.
Court
bonds, see Judicial bonds.
Coverage
trigger - In liability insurance, the "trigger" is the
event that brings coverage into play. It may be either an occurrence
of bodily injury or property damage; or, in a form with a claims-made
trigger, the formal making of a claim.
Covered
loss - An accident, including accidental damage by forces of nature,
that brings a contract of insurance into play.
Credit
card forgery - A criminal act involving the illegitimate use of
credit cards to obtain goods or money. Limited coverage for such losses
is automatically provided in most homeowners policies.
Crime
insurance - A broad category covering loss of property through criminal
activity — from employee dishonesty to burglary and robbery, computer
fraud, and forgery.
Crop
insurance - Insurance covering growing crops against hail, wind,
and fire. Protection against a broader range of perils can often be
arranged as well