ADVICE CENTRE - INSURANCE GLOSSARY



Below is a summary of common insurance terms. These are provide as a guideline only and clients are advised to get proper advice if unsure on anything.

A
Abandonment:  The giving up of damaged property - by an insured to the insurer - when total loss is claimed.
Ab initio:  Latin for 'from the beginning' or 'from the onset.'
Acceptance: An absolute and unqualified agreement to or approval of the terms of an offer resulting in the conclusion of  a contract.
Accident:  An unforeseen and unintended event or occurrence or an intended event which brings about unforeseen consequences.
Accident year:  Either the calendar- or accounting year in which a loss occurs.
Accommodation business:  Normally unacceptable business taken by an insurer as a goodwill gesture, in the hope that further business will materialise.
Act of God: An event that is the result of natural forces and which arises without human intervention.
Adjustable policy: A policy where the exact extent of the value at risk cannot be known in advance (e.g. goods in transit insurance). A provisional premium is charged and adjusted at the end of each period of insurance.  
Assessor:  See LOSS ADJUSTER
Adjustment premium: An additional (or return) premium that is payable in relation to a 'deposit premium', depending on the performance of the (insurance or reinsurance) contract.
Agent:  Someone who acts on behalf of another person (the principal), usually for reward.
All risks:  A domestic / property insurance type of cover that covers any accidental loss or damage not excluded from the policy.
Appreciation: An increase in value of the property insured. 
Arbitration: An alternate means of settling disputes (often where the issue concerns the amount of a claim, and not liability) without going to court. A qualified person/s - whose appointment has been agreed upon by the parties - will hear the case and furnish them a decision.
Asset:  Property - even an incorporeal right - with commercial value.
Assurance: A term interchangeable with insurance, which is often used within Life and Marine business.
Assured: Another name for an insured, typically within a life - insured contract.
Attachment date: Another term for inception date, being the date on which an insurance or reinsurance contract comes into force.
Average:  If the sum insured 1) under general insurance is 2) expressed to be “subject to average”, and 3) that insured sum is less than the actual value of the subject matter of the insurance, then 4) any claim that is agreed under the policy will be reduced proportionally to such "under insurance".
Avoidance of a contract ab initio : The cancellation of an contract from its inception. Typically, retrospective in nature, and due to a misrepresentation (disclosure or non-disclosure) of material facts. The result is that the party relying on the cancellation cannot be held to the agreement, subject to return of any benefit it might have enjoyed in terms of the agreement.
 
B
 
Balance-of-third-party: The term used in South Africa for the form of motor insurance which covers the insured's liability' for: i) injury to passengers not covered in terms of the Road Accident Act 1996; and ii) damage to the property of third parties (caused by the vehicle).
Betterment:  The value of the improvement in an insured property when it has been repaired or rebuilt following loss or damage.
Beyond economic repair: Where the cost of repairing the insured property, eg a car, exceeds the market value of that property. In such circumstances the insurer will pay the insured the market value of the insured property at the date of loss, subject to the terms of the policy (assuming the insurer is not under any obligation to provide a replacement).
Blanket policy:   A policy covering several items under one sum insured.
Broker: A professional, independent agent or intermediary - representing its client - that acts as a buyer of insurance (having been mandated by a client to obtain coverage that suits them best). It is an agent of the policyholder, mandated to negotiate terms and conditions culminating in indemnity provided by an insurer.
Brokerage: a) The commission or fee paid to the broker by the insurer for placing business with them. The commission that is payable to a broker for placing an insurance or reinsurance contract with an insurer or a reinsurer. A fee for service. Although brokerage is payable by the insured as part of the gross premium, the amount of brokerage is agreed with the insurer. The insured may request his broker to state the amount of his brokerage on a given placement. Similar considerations apply to reassureds under reinsurances. b) The term brokerage may also beused to refer to the business of a broker.
Buy back: In the context of general insurance this refers to the purchase of cover in respect of an otherwise excluded peril by means of payment of additional premium.
 
C
 
Cancellation clause: A clause in an insurance policy which permits an insurer and/or an insured to cancel the contract before it is due to expire / allows one party to cancel the contract (following due notice to the other).  The clause may provide for a return of premium in respect of the unused portion of the policy.
Carrier (of risk): An insurer, or reinsurer.
Casualty: Refers to a loss, particularly the loss of a ship (Marine).
Casualty book: A book which stands in the centre of the Lloyd's underwriting room and which records details of vessels which are or are likely to become total losses. (The entries are made by a Lloyd’s waiter using a quill pen.)
Catastrophe cover: A form of excess of loss reinsurance which protects the insurer against losses arising from major catastrophes.
Cede: To transfer a risk exposure under a reinsurance contract.
Claim: A demand made by the insured for payment after the occurrence of loss or damage covered by a policy. It term may refer to:  (a) a demand made by an insured on his insurer(s) for payment or contractual benefit under a policy; (b) a demand made by an insurer on its reinsurer(s) to be paid under a reinsurance  contract; or (c) a demand made by a third party on a insured to be compensated for some  injury, damage or loss for which the insured is blamed.  A claim is payable under an insurance or reinsurance contract if it was 1) caused by an insured peril and 2) it is not excluded under the terms of that contract.
Claimant: The person making a claim.
Claim-free group:  The term used in motor insurance to indicate into which of the rating groups a policyholder will fall according to his claims record.
Claims made policy: A policy which only pays claims that are notified to the insurer during a specified period.
Claims notification clause: A clause in an insurance or reinsurance contract which sets out the procedure that the insured or reassured must follow in order to make a claim under the contract. Such clauses frequently provide for prompt notification of claims and events which may gives to claims in the future.
Claims ratio:  See LOSS RATIO.
Co-insurance: The division of risk between two or more carriers, where each is liable to the insured for a proportion of the claim. This may refer to either of the following situations : (a) where two or more insurers underwrite the same risk with several liability such that each insurer is not bound to follow the decisions of any co-insurer unless it has agreed to do so, or (b) where the insured acts as its own insurer for a specified proportion of the sum insured.
Comprehensive policy:   A policy covering a wide variety of perils.
Consequential loss:   A loss arising (directly) from another loss. The term is used to describe the class of business also known as LOSS OF PROFITS or BUSINESS INTERRUPTION INSURANCE.
Contingency:  An unforeseen occurrence.
Contingency fund:  Monies put aside by a company in order to pay for unexpected losses.
Contra proferentum rule: Any ambiguity in contract wordings is construed against the drafter of those wordings.
Contract:   An agreement made by two (or more) parties with the intention of creating legal obligations between them.
Contract of Insurance:  An agreement between insurer and insured whereby, in return for payment of a premium, the insurer undertakes to indemnify the insured upon the happening of a specified event. An insurace policy.
Cover: The protection provided by insurance. Insurance or reinsurance as it applies to one or more specific risk exposures.
Cover note: A document (typically) issued by a broker - pending the issue of a formal policy - which confirms the arrangement of cover on behalf of a policyholder. Motor insurance cover notes are typically issued with a short duration.
 
D
 
Damage:  Loss of an asset (including a justified expectancy) or  incurring a liability.
Declaration Policy:  A policy requiring the insured to declare periodically the value of fluctuating items, such as stocks or goods-in-transit, to enable the insurer to adjust the premium accordingly. 
Declinature: The refusal of an insurer or reinsurer to offer terms of cover. See REPUDIATION. 
Deductible: An American term, referring to the amount that is deducted from some (or all) claims arising under an insurance or reinsurance contract. The practical effect is the same as an excess: the insured or reassured must bear a proportion of the relevant loss.
Delegated Authority:  The authority given to an agent of an insurer to act on its behalf in accepting risks within agreed guidelines. 
Deposit premium: A premium that is payable at the inception (start) of an insurance or reinsurance contract and in respect of which an adjustment premium (usually an additional premium) is due depending on the performance of the contract including, possibly, the amount of the business that is ceded thereunder.  An advance payment made by the insured before the actual premium has been decided. 
Depreciation: The extent to which (insured) property has diminished in value due to factors such as age, use or wear and tear. Such devaluation "loss" is not covered under a contract of indemnity. However an insurer may agree to provide cover on “a new for old” basis which replaces old items with new ones. 
Direct business:  Insurance placed with an insurer direct and not through an intermediary. 
Duty of disclosure: The duty on the parties to a contract of insurance to reveal all material facts to each other before it is concluded and prior to each renewal. 
 
E
 
Earned premium: That part of a premium relating to a completed or expired period of risk; the actual premium chargeable under an adjustable policy.The proportion of premium that relates to a used period of cover.  
Endorsement: Documentary evidence of some alteration to a policy of insurance, being a document attached to a slip, cover note or policy which evidences one or more changes in the terms of the insurance or reinsurance contract to which it refers. 
Escalator Clause: The clause in a policy which allows the sum insured on property to rise throughout the period of insurance in step with the assumed rate of inflation. 
Ex gratia payment: A payment made by underwriters “as a favour” or “out of kindness” without an admission of liability so as to maintain goodwill. A payment made to an insured where there is no liability under the policy. 
Exception: A peril specifically excluded from the insurance. 
Excess: That part of a loss for which the insured is liable. The amount (or proportion) of losses under an insurance contract that is the insured must bear. If the loss is less than the amount of the excess then the insured must meet the cost of it (unless there is other insurance in place to cover the excess). Excesses may either be compulsory or voluntary. An insured which accepts an increased excess (in the form of a voluntary excess) will receive a reduction in premium. . 
Excess of loss: A form of insurance where the reinsurer agrees to pay the balance of any losses exceeding a stated monetary amount. A type of reinsurance that covers specified losses incurred by the reassured in excess of a stated amount (the excess) up to a higher amount, for example £5 million excess of £1 million. An excess of loss reinsurance is a form of non-proportional reinsurance.
Exclusion: A term in an insurance or reinsurance contract that excludes the insurer or reinsurer from liability for specified types of loss. An exclusion may apply throughout a policy or it may be limited to specific sections of it. In certain circumstances an exclusion may be limited or removed altogether following the payment of an additional premium. 
Executor: The office / person appointed to wind-up an estate. Often named in the last will of a deceased.
Expense Loading: That part of the premium which meets the policyholder's share of the insurer's administrative costs 
 
F
 
F A I S Act : Financial Advisory and Intermediary Services Act . 
F S B:  Financial Services Board - find them here.
Fee for service: Where a broker is remunerated on the basis of a fee agreed with its client instead of brokerage. The benefit to the broker is that, subject to the terms of agreement, the fee will be payable whether or not cover is placed whereas brokerage is only payable in respect of the placement of cover. 
Fidelity insurance: A type of insurance which is designed to protect a firm from losses caused by the dishonest acts of its employees. 
First Amount Payable: The amount payable by an insured in the event of a claim  See EXCESS.
First Loss Policy: An insurance policy where the insurer pays all losses up to a given limit. 
Fleet Insurance: A motor policy covering a group of vehicles with the premiums calculated on an experience basis. 
 
G
 
General Insurance: Insurance which is not long-term business.
Good Faith: See UBERRIMAE FIDES.
Grace period: A short period during which cover under an annual policy may be extended beyond its expiry date to allow for the payment of a renewal premium. The privilege will be lost if the insured rejects the proposed renewal terms, by his actions or words. There are no grace periods in motor or marine insurance.
 
H
 
Hazard: Something that causes an exposure to injury, loss or damage. A physical or moral feature that affects the likelihood of a loss occurring, or has an influence on the size of the loss. 
Hazardous pursuits: Certain sports and activities are termed hazardous pursuits and are excluded from travel insurances (although it may be possible to have them included on payment of an additional premium). 
 
I
 
IBNR: Acronym for  "Incurred But Not Reported"  -  claims which have occurred but are not yet reported to the insurers. Many governments require insurers to establish reserves to cover such contingincies.
IISA:  Insurance Institute of South Africa - find them here.
Inception date: The date on which an insurance or reinsurance contract comes into force. Also referred to as EFFECTIVE DATE.
Incurred losses: The aggregate of the paid and outstanding claims of an insurer or reinsurer for a year of account or some other given period of time. These losses represent known losses to an insurer or reinsurer and, subject to issues of proof of liability and the determination of the final amount payable in the case of outstanding claims, are relatively certain. 
Indemnity:  The placing of the insured in the same financial position after a loss as he was in immediately prior to the occurrence.  An insured - who has suffered a loss - is restored (so far as possible) to the same financial position that he was in immediately prior to the loss, subject in the case of insurance to any contractual limitation as to the amount payable (the loss may be greater than the policy limit). Most contracts of insurance are contracts of indemnity. Life insurances and personal accident insurances are not contracts of indemnity as the payments due under those contracts for loss of life or bodily injury are not based on the principle of indemnity. 
Insurable interest:  An insured must have an insurable interest - a  recognised relationship - in the subject matter of the insurance, which is to say that he stands to benefit from its preservation and will suffer from its loss. In non-marine insurances, the insured must have insurable interest when the policy is taken out and also at the date of loss. 
Insurance:  Insurance (or sometimes assurance) is a device for indemnifying or guaranteeing against loss or harm arising in and from specific situtaions and / or contingincies such as fire, accident, death, disablement, or the like, in consideration of payment  (the insurance premium) proportionate to the risk involved.  It constitutes indemnification by a contract / policy in which one party agrees to indemnify and / or reimburse another for loss that occurs under the terms of the contract, for the amount for which the risks were insured. It embodies a risk transfer arrangement whereby the responsibility for meeting losses/liability passes from one party (the insured) to another (the insurer) on payment of a premium. 
Insurance contract: An insurance policy.
Insurance intermediary: A person through whom an insurance contract is effected. It normally refers to an insurance broker and / or an agent of an insurer such as a coverholder. 
Insurance policy: A document evidencing a contract of insurance. 
Insured: A person who benefits from a contract of insurance. Not neccessarily the policyholder!
Insured peril: A harmful event which is covered under a contract of insurance. 
 
J
 
Jurisdiction clause:  A clause in an insurance or reinsurance contract which states to which territory’s courts a contractual dispute can / shall be referred for resolution. 
 
K
 
Knock For Knock Agreement:  An agreement between insurers whereby - following a collision - each pays the cost of repairs to its own insured's vehicle (only), regardless of fault, provided that the vehicles involved are all insured for accidental damage. 
Key person insurance:  A policy that protects a firm from loss caused by the death or disability of a 'key person' within the company.

L
 
Lapse: The termination of an insurance contract through the non-payment of the premium
Leading Insurer: The insurer who accepts a share of risk on a co-insurance agreement - often the one who first signs a broker's slip. See LEADING UNDERWRITER.
Leading Underwriter : The underwriter of an insurance company who is responsible for setting the terms of an insurance contract that is subscribed by more than one syndicate or insurance company, and who generally has primary responsibility for handling any claims arising under such a contract. 
Letter Of Acceptance: A letter from an insurer to a proposer indicating that his application for cover has been accepted. 
Liability: A claim against one's  by another. 
Liability insurance: An insurance which covers the insured against third party claims or, in the case of employer’s liability insurance, claims by employees, subject to specified terms and conditions. 
Life assured: The person whose life is insured under a life insurance. 
Life insurance: A policy that pays a specified sum to beneficiaries upon the death of the life assured, or upon the assured surviving a given number of years, depending on the terms of the policy. Life insurance policies may be for fixed or indefinite term. See term life as regards fixed term policies. 
Limit of indemnity:  Another term for risk- or policy limit. It refers to the maximum amount payable under a policy, either overall or with reference to a particular section. 
Limit of Liability: The maximum amount that an insurer will pay for one loss in terms of a liability policy. 
Loading: Those elements added to a premium to allow for insurer's expenses.
Long tail (risk): This refers to a type of insurance where claims may be made many years after the period of the insurance has expired. Liability insurance is an example of long tail business. The opposite of long tail business is short tail business 
Loss:  This term generally refers to some injury, harm, damage or financial deteriment that a person sustains. Losses may be insured or uninsured. Whether a loss is covered by a policy or certificate of insurance depends on the terms of that document and local law. 
Loss Adjuster/Assessor:   An independent, qualified person who assesses the size or value of a loss on behalf of an insurer, but who may also be employed by an insured to look after his interests in a loss settlement. A person who is appointed to investigate the circumstances of a claim under an insurance policy and to advise on the amount that is payable to the policyholder in order to settle that claim. Loss adjusters are generally appointed by underwriters but sometimes policyholders appoint their own loss adjusters to negotiate claims on their behalf. 
Loss event : The event which causes a loss, for example a fire or hurricane. 
Loss Of Profits Insurance : See BUSINESS INTERRUPTION INSURANCE. 
Loss Prevention : Activities undertaken to prevent losses from occurring. 
Loss Ratio:  The ratio of policy claims to premiums.
 
M
 
Market Value : The price at which an investment can be sold or bought at any specific time. 
Material fact :  Anything which would affect the judgement of a prudent underwriter in accepting or deciding terms for a risk. This refers to any fact which would influence the judgment of a prudent underwriter in deciding whether to accept an insurance/reinsurance risk and the terms on which he would be willing to grant cover. See DUTY OF DISCLOSURE.
Material representation: A statement that is made to an underwriter during the negotiation of cover or the amendment or renewal of cover which would have influenced the judgment of a prudent underwriter in deciding whether to accept an insurance/reinsurance risk and the terms on which he would be willing to grant cover.
Minimum premium: The minimum amount that is payable to an insurer or reinsurer as a premium in respect of a insurance or, more commonly, reinsurance contract which provides for a deposit premium. The minimum premium may be the same as the deposit premium or a different figure. 
Misrepresentation: A false statement of a material fact which can be innocent or fraudulent. See DUTY OF DISCLOSURE.
Moral hazard:  Those personal characteristics of a prospective insured or its employees or associates that may increase the probability or size of an insurance loss. 
 
N
 
Negligence: Failing to act in what the law considers to be a reasonable manner.
Net premium: The amount of the premium that is left after the subtraction of some or all permitted deductions such as brokerage and (for certain types of business) profit commission.
New-for-old: Insurance where the replacement value of the property lost or damaged is payable without deduction for depreciation.
 
O
 
Ombudsman: An impartial mediator or informal arbitrator who acts in resolving disputes between parties to a dispute in a cost effective and amicably efficient manner.
Offer: The communication of the proposed terms of a contract by one party to another.
Operative Clause: The clause in a policy which sets out the circumstances in which the insurers will make claim payments.
Outstanding Claims Reserves:  The funds put aside by insurers to cover claims that have been incurred but not yet paid.
Outstanding Losses:  Claims not yet paid where estimated figures are used in the insurer accounts. 
 
P
 
P P R:  Policyholder Protection Rules - find them here.
Package Policy: A policy into which several different types of insurance have been combined. 
Peril: A harmful event which may be covered under a contract of insurance or reinsurance as an insured peril or excluded from it. A contingency or fortuitous happening which could cause losses.
Personal accident insurance: A type of insurance which provides for the payment of specified sums in the event that the insured suffers some bodily injury as a result of an accident. 
Personal lines insurance: Insurance which is sold to individual consumers such as buildings, contents and travel insurance. This term is used in contrast to commercial lines.
Policy: Written evidence of the terms of an insurance contract. The memorandum of the agreement.
Policy holder: The person who is insured under a contract of insurance. 
Policy limit: Another term for limit of indemnity. It refers to the maximum amount payable under a policy of insurance or reinsurance, either overall or with reference to a particular section of the policy.
Policyholder: The owner of a policy - it might also be the insured.
Preamble Clause: The clause in a policy which sets out the essential elements of the contract.
Premium: The amount charged by an insurer or reinsurer as the price of granting insurance or reinsurance cover, as stated before or after the subtraction of brokerage and other deductions. The money paid by the insured to the insurer for cover as provided in the policy. 
Premium Rate: The price per unit of insurance.
Prescription: The term specified in the Prescription Act during which legal action is required to be taken; usually three (3) years from the date that the cause of action arose. See TIME BARRING.
Principal: A person instructing an agent to act on his behalf. 
Prior years: Earlier years. This term usually refers to earlier years of account which have been closed into another year of account by reinsurance to close.
Pro rata cancellation: When an insurance contract is terminated mid-term by an insurer, the return premium will usually be calculated on a pro rata basis. For example this means that if a 12 month contract is cancelled 4 months before its expected expiry date then the insured would receive back 4/12 of its premium.
Pro Rata Premium: The premium based on the length of time for which the insurer was actually on risk. 
Probability: The chance of an event occurring.
Proposal Form: An application for insurance which seeks to obtain from the proposer all the information relating to the risk. A standard form which is prepared by an insurer and which contains a number of questions which a person seeking insurance is required to answer for the purpose of enabling the insurer to decide whether or not it is willing to grant cover and, if so, the terms on such cover. See DUTY OF DISCLOSURE. 
Proposer:  The individual or organisation seeking insurance (frequently by means of completing a proposal form). 
Proviso: A policy condition whose observance is essential for the enforcement of the contract. 
 
Q
 
Quotation: A statement of the premium that an underwriter requires to underwrite an insurance/ reinsurance risk based on the information supplied by the person seeking cover. A quotation may be conditional, eg it may be subject to the provision of further information, or not. If a quotation is accepted before it is withdrawn, then subject to the satisfaction of any conditions that may attach to the quotation, an insurance / reinsurance contract will be made.
 
R
 
Rate: The premium expressed as a percentage of the sum insured or limit of indemnity.  The sum charged (per unit of exposure) by which the premium is calculated. 
Rated Up:  The term applied to insurance where the premium is higher than usual. 
Regular driver: The person whom typically drives a specific vehicle, or more frequently than any other person over the course of a relevant period. 
Reinstatement: The 'making good' of damaged property; the restoration of the sum insured in terms of the policy.
Reinstatement of cover: The restoration of cover following its exhaustion as a result of a loss by payment of an additional (reinstatement) premium. Many reinsurances provide for one or more automatic reinstatement of covers. 
Reinstatement Of Sum Insured :  The restoration of the sum insured after it has been reduced through the payment of a claim.
Renewal:  The process for continuing an insurance for a further period after the first or current period of cover has ended. 
Renewal Notice: The notice issued by a short term insurer to remind a policyholder that his contract will shortly terminate. 
Replacement: Where an insurer agrees to replace irreparably damaged or stolen goods with goods of a similar type and quality under a contract of indemnity instead of paying a cash sum to the insured. See REINSTATEMENT and NEW FOR OLD.
Replacement Cost: The value of property as indicated by the current purchase price of a similar article. 
Representation: A statement of fact, or an expectation. Representations made as to material facts at the time of the negotiation of the placement, amendment or renewal of cover must be true whereas representations as to a matter of expectation must be made in good faith.
Repudiation: The rejection of a claim for indemnity under a valid policy for example due to the terms and conditions of the policy having not been complied with, or for example where the insured has committed a breach of the insurance contract.
Retention: The amount of any loss or combination of losses that would otherwise be payable under an insurance/reinsurance contract which the insured/reassured must bear itself before the insurer or reinsurer becomes liable to make any payment under that contract. Compare deductible and excess. An insured or reassured may be able to insure its retention with another insurer/reinsurer. 
Retention Limit: The maximum liability which an insurer wishes to keep for his own account in respect of a particular risk.
Risk: This term may variously refer to - (a)  the possibility of some event occurring which causes injury or loss; (b)  the subject-matter of an insurance or reinsurance contract; or (c)  an insured peril. It's eiother a situation which cannot be controlled or perfectly foreseen, or the subject matter of an insurance contract. 
Risk Management: The business discipline applied by large commercial and industrial organisation to manage those risks which can cause losses.
 
S
 
S A I A:  South African Insurance Association - find them here.
S A F S I A:  South African Financial Services Intermediaries Association - find them here.
S A S R I A: South African Special Risks Insurance Association - find them here.
Salvage value: The estimated cash amount that would be received if damaged property were to be sold. 
Schedule: The list of personal details of the insured and the subject matter of the insurance in a policy. 
Self-Insurance:  Insurance which a business organisation finances internally by establishing a fund to meet losses. 
Short Term Insurance : Insurance that operates on a year to year basis and which may be terminated by the insurer or the insured. 
Short- Period Rate: The rate of premium applied to insurances in force for periods of less than twelve months and which is higher proportionately than the annual rate. 
Short-rate cancellation: When an insurance contract is terminated prior to its expiry date by the insured any return premium that is payable will usually be calculated on a time on risk basis. The result is that the insured will receive less return premium than would be the case if the return premium was calculated on a pro rata basis (see pro rata cancellation). 
Short-tail (risk):  A type of insurance where claims are usually made during the term of the policy or shortly after the policy has expired. Property insurance is an example of short tail business. The opposite of short tail business is long tail business.
Special Perils: Extra risks added to a policy to give cover not provided in terms of the basis wording; the term usually applies to storm, water, wind and impact damage added to a fire policy.
Subrogation: The right of an insurer which has paid a claim under a policy to step into the shoes of the insured so as to exercise in his name all rights he might have with regard to the recovery of the loss which was the subject of the relevant claim paid under the policy up to the amount of that paid claim. The insurer’s  subrogation rights may be qualified in the policy. In the context of insurance subrogation is a feature of the principle of indemnity and therefore only applies to contracts of indemnity so that it does not apply to ife assurance or personal accident policies. It is intended to prevent an insured recovering more than the indemnity he receives under his insurance (where that represents the full amount of his loss) and enables his insurer to recover or reduce its loss.  The right of one party to stand in a place of another and take up the latter's legal rights against a third party. See SALVAGE.
Sum insured: The maximum amount that an insurer will pay under a contract of insurance. The expression is usually used in the context of property and life insurance where (subject to the premium cost) the insured determines the amount of cover to be purchased. It is the monetary limit of the insurer's liability under a policy.
Surrender: The termination of a life insurance policy while the life assured is still alive in return for a cash sum. 
 
T
 
Time-barring:  Differs from the statutory prescription period of 3 years specified in the Prescription Act and is actually a term of the insurance contract which requires the insured to take legal action against an insured in the event of a repudiated claim within a certain period (usually 90 days). In this regard it is also to be remembered that in terms of the Policyholder Protection Rules (P P R) the insured is afforded a further 90 day recourse period. See PRESCRIPTION.
 
V
 
Valued policy: A contract in which the insurers agree to pay the sum stated in the event of total loss without the usual allowance for depreciation or appreciation. See agreed value policy. 
Void policy: A contract which has no legal effect and is therefore unenforceable in a court of law. For example, an insurance contract where the policyholder does not have an insurable interest. 
Voidable contract: A contract which may be voided at the option of either party. For example, an insurer may avoid a policy from inception for the misrepresentation or non-disclosure of material facts during the negotiation of the placement, renewal or alteration of cover. An insurer may also avoid a policy from the date of the presentation of a fraudulent claim. 
Valuations: A list of property with values allocated to each item, as the basis of an insurance model.
VESA Approved: Usually reference to types of security devices that are approved/required by the Insurer and which complies with certain minimum specifications. For example reference to VESA level 4 alarm or immobiliser requires that level of VESA approved security devices which have been fitted by a VESA approved installation outlet and in respect of which the insured can provide a VESA-approved certificate. See VSS APPROVED.
VSS Approved: Usually reference to types of security devices that are approved/required by the Insurer and which complies with certain minimum specifications. For example reference to VESA level 4 alarm or immobiliser requires that level of VESA approved security devices which have been fitted by a VESA approved installation outlet and in respect of which the insured can provide a VESA-approved certificate. See VESA APPROVED.
 
W
 
War and civil war risks exclusion agreement:  An agreement between Lloyd's underwriters and non-marine insurance companies that they will not cover certain war and civil war risks on land.
Warranty: Where an insured or reassured promises that something will or will not be done during the period of cover or that a particular state of affairs exists or does not exist at the inception of cover. If the promise is untrue or is not kept then the insurer/reinsurer may disclaim all liability under the policy from the date of the breach, regardless as to whether the false declaration was material to the underwriting of the contract or causative of any loss. A warranty is a condition, which must be complied with  - literally - in every respect.
Wear and tear: The amount deducted from a claims payment in recognition of the depreciation of the property insured through usage of it over time. Where cover is provided on a 'new for old basis' ie where the insurer agrees to replace an old item with a similar new one, no such deduction is made.
 
Y
 
Year of account: The year in which an insurance or reinsurance contract that is underwritten by a syndicate is allocated for accounting purposes and into which all premiums and claims arising in respect of that contract are payable. Insurance or reinsurance contracts are generally allocated to years of account according to the calendar year of their inception date so that a contract that commences in 2005 will normally be allocated to the 2005 year of account.Historically syndicates have operated a three year accounting system which means that each calendar is normally left open for two further years before a profit or loss is determined. A year of account is normally closed by reinsurance to close at the end of 36 months. Compare open year of account and run-off account.

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