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Understanding
the jargon of the insurance industry is an important first step to effective
risk and equity management. Here is a quick look at commonly used terms that
can impact your business. Additional
insured signifies
those insureds that generally are not automatically included as insureds under
the liability policy of another, but for whom the named insured desires or is
required to provide a certain degree of protection under its liability
policies. An endorsement is usually used to effect additional insured status
for these parties. Additional named
insured are
individuals or entities that must be specifically added to the policy, usually
by endorsement, to enjoy insured status. These named insureds are typically
related in some manner-usually through ownership-to the primary named insured,
and the policy applies to each named insured as if it is the only named
insured. Broad form
property damage endorsement is attached to a general liability policy thereby
eliminating most of the exclusion of property under the care, custody, and/or
control of an insured. Without this endorsement there would be no coverage
under a commercial general liability policy in the event of damage to property
under the care, custody, and control of the insured. Captive insurance companies are
generally owned by companies with common interests that are not engaged
primarily in the business of insurance. These interests may be a single-parent
shareholder or a group of shareholders or policyholders with similar captive
risks. In many cases involving the later, the shareholders or policyholders are
members of a business or trade association. A Certificate of
Insurance related to property and liability insurance, provides evidence of
the existence of insurance coverage and provides the details of the specific
policy including the policy limit, insurance carrier and policy number. Claims-made basis liability coverage
relates to a method of determining coverage. Under this policy language,
coverage depends upon a claim made while the policy is in effect, as long as
the event occurs during the policy period. An occurrence policy,
however, addresses a claim that arises out of an event occurring while the policy
is in force, regardless of when the insured submits the claim. Commercial
general liability (CGL) insurance provides coverage against all liability exposures of a
business unless the exposures are specifically excluded. This includes coverage
for an insured when negligent acts and/or omissions result in bodily injury
and/or property damage on or away from the premises of the business, when
someone is injured as the result of using the product manufactured or
distributed by a business, or when someone is injured in the general operation
of the business. Completed
operations insurance
coverage protects contractors against damage suffered by third parties as the
result of the contractor completing an operation. The contractor must take
reasonable care in rendering a project safe and free from all possible hazards. Endorsement is a written agreement
attached to a policy to add or subtract insurance coverage. Once attached, the
endorsement takes precedence over the original provisions of the policy. Excess insurance is property, liability or
health coverage above the primary amount of insurance. For example, the primary
coverage for an environmental impairment liability (EIL) policy is $2,000,000,
and the excess is $3,000,000. After losses exceed $2,000,000 the excess
insurance will pay for the losses up to the limit of the excess coverage.
Coverage differs from Umbrella Liability Insurance, in that excess insurance
sits above one specific policy. Reinsurance is a form of insurance
bought by insurers to spread their own risk and reduce the amount of actual
loss from claims. Reinsurance provides many benefits to the insurance company.
In particular, it minimizes wide fluctuations in underwriting results caused by
large losses. Tail
Coverage
or an "extended reporting period" is coverage beyond the end of the
policy period of a liability policy written on a claims-made basis. Tail
coverage protects the insured against losses from an event that occurred during
the policy period, but was reported after the policy expired. This differs from
nose coverage (also know as "prior acts"), which applies to
claims presented during the policy period that are linked to events occurring
prior to the start of coverage. A third party
administrator (TPA) provides claims-handling administration and
adjusting services for a liability claim. The TPA is considered a "third
party", separate from the insured and the insurer. Umbrella
liability insurance is excess liability coverage above the limits of basic business
liability insurance policies. For example, a $5,000,000 umbrella for the CGL,
EIL, and business automobile policies would provide excess coverage on one or
more policies up to the limit of the umbrella policy. The umbrella policy can
also fill gaps in coverage under the basic liability policies. Underwriting is a process of analyzing
and evaluating insurance risks to determine if coverage will be offered, and,
if offered, determining the premium rate for the risk. This evaluation is
intended to spread the risks over a base of insureds in an equitable manner. |