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The 20 Biggest Personal Insurance Mistakes

What Is Insurance?
Let’s not make this complicated. Insurance is a tool to transfer the financial consequences of
certain risks you face. Those risks exist based on property you own or actions you take.

We address risk by avoiding the exposure (sell your home and you don’t have to worry about it
burning down), transferring the risk (using insurance or a contract) or retaining the risk. Usually
we combine techniques – you insure your house (transfer), but take a deductible to help lower
the premium (retention). You may insure your building for fire (transfer), but decide not to buy
coverage for flood (retention).

Insurance contractually transfers the risk from the policyholder to the insurance company. The
policy spells out what is insured and the terms and conditions of the transaction. The policy also
tells you what is not covered – the exclusions.

Mistake #1 -Not Having the Right Agent
Early in my career I learned that the most important part of the insurance transaction is the
relationship between the insurance agent and the insurance buyer. As with all professional
relationships, trust and respect are of the utmost importance. If you don’t trust your attorney,
you need to find a new attorney. The same thing is true of your interactions with your insurance
agent.

Ask people you respect for advice when looking for an agent. Talk with friends and associates.
When looking for a new agency, interview the people who will be handling your account. If
something doesn’t feel right, it probably isn’t. You’re the buyer; it’s your money. Work with a
trusted professional who gives you a feeling of confidence in his or her work. Consider his or
her technical competence as well. How long has he or she been in the business? What classes
has he or she taken? What industry designations does your agent hold?

Mistake #2 -Failure to Monitor the Financial Rating of Your Insurers
Each year insurance companies go out of business. From 1990 to 2002 almost 500 insurers
became insolvent. Their clients were severely impacted. Claims went unpaid, cash values
were lost, and annuity payments were reduced or cut off. Policies had to be replaced in a rush
resulting in lower coverage and higher premiums. Not a fun time.

Several organizations analyze insurance companies for soundness. The best known is the AM
Best Company (www.ambest.com). Standard & Poor’s also rates insurers. I find that Weiss
Ratings (www.weissratings.com) is a tough, unbiased source of insurer information.

Mistake #3 -Failure to Review Your Coverage at Least Once a Year
Meet with your insurance agent at least once a year to review your coverage, catch up on
changes, and talk about hazards. The best time is usually a few months before your policy
expires.

Sometimes the review can be done over the phone. Depending on your agent’s location, you
may want to meet in person. Review the limits of protection. You should talk about your plans
for the next few years. Is a job change imminent? Planning to add-on to your house? Moving?
Did you buy a summer home? Are the kids getting their driver’s license? Is retirement coming
soon?

Let the agent know of risks you’re concerned with. Discuss other insurance companies that
may be able to help you improve your coverage or reduce your costs.

Mistake #4 -Splitting Coverage between Two or More Insurance Agents
You’ll get a better insurance program if one agent handles your entire insurance account. This
is true of both your business and your personal insurance. You may even want to have your
business and personal insurance handled by the same agent.

Having one agent will save you time and aggravation. Having one agent means that you make
one call when you have a problem or a change in your life or business. Having one agent helps
prevent gaps and overlaps in coverage.

If you follow the advice in the previous section, one agent means only one review meeting, thus
saving you time.

I’ve worked with several insurance buyers who thought that it was best to split the business up.
Their idea is to let the two (or three) agents fight it out, scrapping for the business. I have never
found that this works very well. Come claim time it can be a nightmare when each points to the
other for coverage.

If you currently have two agents, you know which one is the better service provider. Pick that
agent and have him or her handle your entire insurance account.

Mistake #5 -Renters Without Insurance
It’s estimated that only 25% of renters in America have a tenant’s insurance policy. The other
75% have no coverage for a fire in their apartment building or for personal liability in the event a
guest is hurt while visiting.

Don’t look to your landlord to protect you. The building owner’s insurance will not pay for the
loss of your furniture and property in the event of a fire. Your landlord won’t pay for you to find
another apartment or pay for a hotel while the smoke damage is being fixed. Personal liability
coverage is another gap without tenant’s insurance.

Tenant’s insurance is inexpensive and broad in coverage. In most parts of the country a renter
can buy protection for less than $300 a year.

Mistake #6 -Failure to Understand Homeowners’ Policy Limitations
Most homeowner insurance policies contain limitations for different classes of property. There’s
a limit of $1,000 for theft of jewelry in many policies. Silver is limited to $10,000. Guns, coins,
and money also have limitations. Some policies limit off-premises coverage for guns. Talk to
your agent. In many cases you can increase the coverage or buy specific coverage on certain
items, called a “floater.”

Consider separate insurance coverage for collections, antiques, and fine art. High value and
rare items should be appraised and insured specifically. Many policies exclude damage caused
by breakage. Ask your agent about your collections and your coverage.

Mistake #7 -Contents Valued on Actual Cash-Value Basis
Some home insurance policies cover your possessions for the market value of the property—
sometimes called actual cash value. Bad thing! Tell your agent you want replacement cost
coverage on your contents.

If your house burns down, will you replace your property? Why buy insurance that pays only
part of the cost to replace it?

Mistake #8 -Using Insurance to Pay for Little Losses
Accidents happen in our daily lives. Don’t use your insurance to pay for the little bumps in the
road. Look to insurance to help you through catastrophes.

Did a windstorm damage a few shingles on your roof? Fix them and move on. Insurance
should be for when your roof is destroyed or for a loss that would have a devastating effect on
your financial health. Did a roof leak cause water stains on your ceiling? Patch the roof and
paint the ceiling.

Use high deductibles on your property insurance to reduce your premiums. Consider $5,000 or
higher. Small losses are a part of living. Pay for the small things and move on.

Small claims can also affect your future premiums. Insurers are getting tougher on people with
many claims. You may find your premiums zooming up if you turn in several claims.

Note: Never pay liability claims yourself. Report damage to other people’s property or person
as soon as possible. Even if it seems like the injury is minor, report the claim to your insurer
quickly.

Mistake #9 -Not Considering Flood Coverage for Your Home
Damage caused by a flood or rising water is not covered by most home insurance policies.
Floods are devastating. Don’t think of it as water damage. Floodwater is not nice clean water.
Floods take out septic systems and sewage treatment plants. Dead things will be floating in
your basement. Shovels are used to clean up the mess, not mops. It’s messy, dirty, smelly,
and disgusting. You’ll want help cleaning it up, and insurance offers that help.

Don’t depend on government disaster relief. Less than fifty percent of all incidents of flooding
are declared disasters. No declaration of disaster, no state or federal relief. Most Americans
have access to flood insurance through the National Flood Insurance Plan (NFIP), a
government-backed program that encourages flood coverage

A few things to know about flood coverage:

You’ll Have To Wait For Coverage -Unless you’re just buying your home there is a thirty-day
waiting period for coverage to be effective under the NFIP.

Limited Coverage To Your Basement -Your basement is covered by flood insurance. Furniture,
tools and other personal property in your basement is not covered.

Limited Coverage For Your House -The most insurance you can buy under the NFIP is
$250,000 on your home and $100,000 on your contents. Your agent can help you find excess
coverage.

Mistake #10 -Depending on Personal Insurance to Cover Your Business
Don’t depend on your homeowner’s policy for liability or property coverage for your business. A
home-based business should have separate commercial insurance coverage.

Most homeowner’s policies exclude any “other structures” used in a business. So, if you are
storing products, inventory or tools in your garage, the building may be excluded from coverage.

Talk with your agent. Review your policy terms, conditions, and exclusions.

Mistake #11 -Not Considering Earthquake Insurance
Earthquake is excluded under most property insurance policies. Consider adding the coverage.

If you live in quake-prone areas your agent has undoubtedly discussed the coverage with you.
Most agents on the East Coast don’t even talk about earthquake with their clients. That may be
a mistake.

Intense quakes can hit anywhere. An earthquake hit Boston in 1755 that damaged 1,200
buildings. More than one-hundred chimneys were leveled. People on ships in the harbor felt
that they had run aground the intensity was so great. Think what would happen now?

Talk with your agent. You may be surprised at how inexpensive the coverage is.

Mistake #12 -No Coverage for Libel, Slander, or False Arrest
Unlike commercial insurance, most homeowner’s insurance policies don't include coverage for
libel, slander, false arrest, or invasion of privacy.

Several years ago, a “good friend” of mine was away on vacation. Neighborhood kids decided it
would be OK to party at his home. The place was trashed. Upon returning home my friend
pressed charges against the kids. My friend was also not timid about telling people what the
kids had done. The delinquents’ parents threatened a lawsuit for defamation. I wasn’t
worried—I mean my friend wasn’t worried—because he had truth and an insurance policy on his
side.

Ask your agent. You may be able to endorse protection to your current policy or use a personal
umbrella liability policy to fill the gap in protection.

Mistake #13 -Not Maximizing Your Medical Reimbursement Account
Maybe this isn’t, strictly speaking, insurance, but it does have to do with deductibles and
“uninsured expenses.” Section 125 of the IRS code allows employers to set up “pre-tax”
accounts to be used for medical expenses that are not paid by insurance. So, your deductibles,
co-payments, eyeglasses, dentist bills, orthodontics, and acupuncture treatments can all be paid
for using pre-tax dollars.

Here’s an example:

If you make $40,000 a year and the government takes 35% in income taxes, you are
taxed $14,000 ($40,000 x .35). You have $26,000 to save and pay bills. If you have
$2,000 of un-reimbursed medical expenses you have $24,000 left.

If you make $40,000 a year and the government takes 35% in income taxes and you put
$2,000 into a Medical Reimbursement Account you are taxed on $38,000 ($40,000 less
the $2,000 in the MRA). Your tax bill is $13,300 ($38,000 x .35). So, you have $24,700
for savings and expenses. Using your Medical Reimbursement Account yielded you a
$700 raise.

There is a downside. For some bizarre reason the US Treasury has put a provision into the law
that if you set money aside and don’t use it, you lose it. Keep this in mind when you set the
amount you will pre-tax into your account. Write your member of Congress to get rid of this
goofy provision!

See your human resources department for the details of how your plan works.

Mistake #14 -Buying Collision Insurance on an Old Vehicle
Consider the value of your vehicle and the cost of your insurance. If you took my advice above
and increased your deductible, think about what you are really insuring. Look at the value of the
insurance you’re buying.

For argument’s sake let’s say you have an eight-year-old car that’s worth $8,000. An average
collision premium would be about $400. Assume also that you have a $1,000 deductible. This
means that you’re buying $7,000 of insurance. Think back over your driving career. Most
people have never had an accident that cost them (not the damage to other people’s property)
over $5,000. Think of the entire premium you paid.

Here’s my analysis: You are paying $400 for $7,000 of insurance. At that rate a $200,000
house would cost you $11,400 to insure. Not a good deal.

Mistake #15 -Not Buying the Collision Damage Coverage for Rental Cars
Never rent a car (Hertz, Avis, etc.) without buying the collision damage waiver.

Either buy it from the rental car company or use a credit card that includes the coverage. Call
your credit card company. Most “gold” or preferred cards offer the protection.

Don't depend on your personal or commercial auto insurance. The rental agreements
contractually obligate the renter to costs not covered by "normal" insurance. Issues like “loss of
use” and “replacement cost” are a major source of trouble that can be avoided by purchasing
the coverage from the rental car company or using the right credit card.

Short-term leasing of a commercial vehicle (Ryder Truck, etc.) presents unique exposures.
Most commercial auto insurance policies provide coverage for non-owned auto liability (check
with your agent). However, few provide comprehensive or collision coverage. My general
advice, again, is to buy the coverage provided by the rental company. When renting trucks or
vans you probably won’t be able to use the coverage offered by credit card companies.

Mistake #16 -No Umbrella Liability Policy
Umbrella liability insurance provides protection above and beyond what’s offered by your
general liability, auto liability, and employer’s liability insurance. It’s an inexpensive way to
increase your level of protection against someone suing you. Premiums can be as low as $150
per $1,000,000 of coverage.

Consider $1,000,000 a minimum. Think about $2,000,000 or $3,000,000 or more. For a few
hundred dollars you can be assured that a lawsuit won’t financially cripple you and your family.

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information designed to help you manage your insurance better.

Mistake #17 -No Disability Coverage or Buying the Wrong Kind
Disability coverage is missing from far too many financial plans. If your family depends on your
income then you need protection from your inability to work caused by an accident or sickness.

Disability policies can be a part of a group plan through your employer or an individually
purchased policy. Some trade associations also have special disability insurance programs.

Most group disability policies don’t require health statements or physicals. Some policies will
have a provision limiting coverage for preexisting conditions.

Individual policies are underwritten much like life insurance policies. You’ll have to answer
many questions about lifestyle and health. You will also have to justify your income by tax
records and pay stubs.

Pay attention to the definitions of disability in the policy. Will the policy pay if you’re unable to do
your job or any job? Some policies only pay if you are unable to perform any job for which you
qualify based on training and experience.

Use waiting periods to reduce your premium—they work as a deductible does. Consider the
length of time your policy will pay a benefit: one year? Three years? Insurance contracts that
pay for your disability until you're 65 are preferred.

Mistake #18 -Not Buying Enough Life Insurance
How much life insurance should you buy? More than you probably have now.

The Internet is full of calculators and rules. However, I like to keep things simple.

I follow the “eight times income” rule of thumb. If you make $50,000, then buy $400,000 of life
insurance. If the money is invested at 8% your family can pull out $45,000 a year and the
money will last for almost 16 years.

Financial planners can give you a more accurate calculation based on your own situation. You
should, however, think in terms of multiples of your income. The typical one or two times
income provided by most employer-paid insurance programs is not enough. If you like, add in
final expenses and the immediate obligations that will come at death (credit card debt,
immediate expenses, etc.) If someone depends on your income, you need life insurance.

Buy term insurance. It’s much cheaper and allows you to buy large amounts of protection. I
recommend that you not consider insurance an investment vehicle. Invest your money in
stocks, mutual funds, savings accounts, retirement funds or your own business. Protect your
family with term insurance.

Mistake #19 -No Will or Old Will
I know, a will is not insurance. However, it certainly is a risk management tool. Depending on
your state law, dying without a will could lead to delay in the settlement of your estate or
forfeiture of part of your assets to the state.

If your will is more than five years old, get it revised. Failure to have a current, valid will means
your estate won’t be handled according to your wishes but those of the courts or the state.

Mistake #20 -Misunderstanding the Hazards of Volunteer Work
You are exposed to risk in everything you do. From the moment you get up in the morning until
you go to bed, everything has the potential for risk. Any time your actions could cause injury or
loss to someone else, you're exposed to the possibility of a lawsuit. The nature of your actions
determines what type of insurance you need to cover the exposure.

Your personal liability insurance (part of your homeowner’s policy) excludes business liability.
Your work for your church, the Boy Scouts, or with your local Rotary Club is not a business
activity. Therefore, most homeowner’s insurance policies (and umbrella insurance) will provide
protection—as long as the allegation is within the scope of the policy.

If you're working with a Girl Scout group and accidentally injure another volunteer you’ll be
covered under the “bodily injury” protection in most homeowner’s policies. However, if you were
sued for discrimination as a member of the board of the local Girl Scout council, you’ll have no
coverage: discrimination isn’t included in most homeowner insurance policies. The solution is a
policy purchased by the organization you’re volunteering for, directors’ and officers’ insurance.

I won’t serve on volunteer boards of directors unless the organization buys directors’ and
officers’ insurance. The policy pays for wrongful acts including poor decisions, employment
issues (discrimination, harassment, wrongful discharge), and other events that don’t result in
bodily injury or property damage.

Mistake #21 Failure to Use an Insurance Consultant
Shameless self-promotion, you say! I only promised twenty mistakes, so this is a bonus!

Using an informed specialist works. I have seen it many times. The insurance transaction
traditionally has three players:

1. Insurance company
2. Insurance agent
3. Insurance buyer
The complexity of the insurance world puts the buyer at a tremendous disadvantage. Few really
understand insurance or the insurance marketplace. Most buyers spend only a few hours each
year on insurance. Working with a specialist levels the playing field. Quality cannot exist
without a balance of knowledge and information. A consultant brings expertise to the buyer
without the "entanglements" of an agent who works for an insurance company on commission.

When engaging a consultant, ask if he or she ever accepts commissions, fees, or gifts from
insurance agents or companies. You’re looking for someone who answers, “Never!”

The 20 Biggest Business Insurance Mistakes

Mistake #1 -Not Having the Right Agent
Early in my career I learned that the most important part of the insurance transaction
is the relationship between the insurance agent and the insurance buyer. As with all
professional relationships, trust and respect are of the utmost importance. If you don’t
trust your attorney, you need to find a new attorney. The same thing is true of your
interactions with your insurance agent.

To find the right agent, ask people you respect. Talk with friends and associates.
When looking for a new agency, interview the people who’ll be handling your
account. If something doesn’t feel right it probably isn’t. You’re the buyer; it’s your
money. Work with a trusted professional who gives you a feeling of confidence in his
or her work. Consider his or her technical competence as well. How long has he or
she been in the business? What classes has he or she attended? What industry
designations does he or she hold?

Mistake #2 -Failure to Monitor the Financial Rating of Your Insurers
Each year insurance companies go out of business. Each year insurers go insolvent.
Their clients are severely impacted. Claims go unpaid, cash values are lost, and
annuity payments are reduced or cut off. Policies have to be replaced in a rush,
resulting in lower coverage and higher premiums. Not a fun time.

Several organizations analyze insurance companies for soundness. The best known
is the AM Best Company (www.ambest.com). Standard & Poor’s also rates insurers. I
rely on Weiss Ratings (www.weissratings.com) as a tough, unbiased source of
information. They never accept fees from insurers. They utilize industry and
regulator’s filings in their analysis. They’re tough graders; a B-is still considered good
in their system.

A recent review of AM Best Ratings revealed that almost 90% of insurance
companies receive a rating of “Very Good” or higher. Only 29% of insurers received a
Weiss Rating of “Good” or higher. Weiss has a higher standard. When working with
my client’s money I want objective, tough, and accurate ratings.

Mistake #3 -Failure to Review Coverage with Your Agent Regularly
Meet with your insurance agent at least once a year to review your coverage, catch
up on changes, and talk about hazards. The best time to do this is usually four
months before your policies expire.

Your agent should provide you with a summary of coverage and a listing of your
losses. You should talk about where your business has been and where you plan to
go in the near future. Are you considering mergers or acquisitions? Is a new product
line being considered? Are you planning new locations or buying new equipment?
Are you discontinuing any operations?

Let your agent be a part of your company. Let the agent know of risks you’re
concerned with. Look at your loss record. What can the agent do to help? Find out
what services the agent offers that can assist with problem areas. Learn what
services your insurer offers.

Mistake #4 -Splitting Coverage between Two Insurance Agents
You’ll get a better insurance program if one agent handles your entire insurance
account. This is true of both your business and personal insurance. You may even
want your business and personal insurance with the same agent.

Having one agent will save you both time and aggravation. Having one agent means
that you make one call when you have a problem or a change in your life or business.
Having one agent helps to prevent gaps and overlaps in coverage.

If you follow the advice in the previous section, one agent means only one review
meeting, saving you time.

I’ve worked with several insurance buyers who thought that it was best to split the
business up. Their idea was to let the two (or three) agents fight it out, scrapping for
the business. I have never found that this works very well. Come claim time it can be
a nightmare when each points to the other for coverage.

If you currently have two agents, you know which one is the better service provider.
Have that agent handle your entire insurance account.

Mistake #5 -Failure to Review All Policy Exclusions
Your insurance policies are filled with exclusions. Most are contained in the
exclusions section of the policy-form. More and more, however, insurers are adding
exclusions by endorsement – separate forms at the end of the policy (or coverage
section) that change your insurance. Read through these and review them with your
agent. This is especially important with professional liability, directors and officers,
and employment practices liability insurance.

Many of the policy exclusions have logical explanations. A general liability policy
excludes auto accidents because they are best insured by an auto policy. Some
exclusions limit coverage an underwriter isn’t comfortable writing.

Work with your agent to understand the limitations of the insurance you buy.

Mistake #6 -Failure to Protect Your Profits after a Loss
I am regularly asked to explain business income insurance. First, let's get past
semantics. The following terms mean the same thing: business interruption coverage,
loss of business income, time element, use & occupancy. They all mean the same
thing—protection from the loss of income that occurs when a business is shut down
due to a fire or other insured loss.

For many years I’ve used the same story to help business owners understand what
exactly business income coverage does. It's a silly story but it makes the point.

Pretend you own a goose. Your goose lays golden eggs. If your goose gets run over
by a truck, it's going to take you nine months to get a new goose. You have
insurance that will pay for the cost of the new goose (property insurance), but what
about the value of the eggs you won't get in the nine months you're without a goose?
Business income coverage pays the value of the eggs while you’re waiting for your
new goose.

Part two of business interruption coverage is extra expense. Extra expense coverage
pays the increased cost of getting your goose in five months instead of waiting for
nine.

Another point: eliminate coinsurance penalties from business income coverage if at
all possible. Make sure your policy will continue to pay for enough time to rebuild your
property – many policies limit the time of business interruption payments to twelve
months. Make sure the policy has enough coverage to accommodate a claim during
a peak season in your business. For example, a hotel that is closed for a month in
the off-season suffers a different loss than being closed for a heavy tourist month.

Consider contingent business income coverage that will pay if a key supplier or
customer is shut down by fire or other insured peril.

Mistake #7 -Failure to Manage Your Workers' Comp Policy
Managing the components of your workers' compensation policy can yield big
savings.

Make sure your employees are properly classified. There are over 600 different
classifications. Some have a low premium rate. Some are high. Ask your agent for a
copy of your class descriptions. If you have more than one classification make sure
your employees are assigned to the right one.

Ask to review the insurance company’s annual audit of your payroll. These
worksheets show the employees allocated to each classification as well as how the
payroll numbers were determined. They can be a major source of errors that cost you
premium dollars.

Make sure your audits are performed correctly. Has the extra pay for overtime been
removed from payroll amounts? Did the auditors recognize the salary caps for
executive officers?

Your experience mod is the ratio of your claims to losses expected in companies like
yours. It directly affects your premium. Make sure your experience modification is
correct. I have found that about 10% of the experience modification worksheets I
review contain an error in the data.

Mistake #8 -Buying Insurance to Cover Non-Catastrophic Losses
Things happen in our daily lives. Don’t use your insurance to pay for the bumps in the
road. Look to insurance to help you through catastrophes.

Did vandals damage your sign? Why look to insurance to pay for such? Did a
windstorm damage a few shingles on your roof? Fix them and move on. Insurance
should be for when your roof is destroyed or for a loss that would have a devastating
affect on your company’s financial health.

Use high deductibles on your property insurance to reduce your premiums. Consider
$5,000, $10,000, or higher. Small losses are a cost of business. Budget for them.

Note: Never pay liability claims yourself. Report damage to other people’s property or
injuries to your insurance company as soon as possible. Even if it seems that the
injury is minor, report the claim to your insurer quickly. Most insurers have 24-hour
claim hotlines. Use them!

Mistake #9 -Low Umbrella Liability Limits
Umbrella liability insurance provides protection above and beyond the coverage
included in your general liability, auto liability and employer’s liability insurance. It’s
an inexpensive way to increase your level of protection against someone suing you.
Premiums can be as low as $750 per $1,000,000 of coverage.

So, if you have an auto policy with $1,000,000 of coverage and a $2,000,000
umbrella, you have a total of $3,000,000 of coverage for your liabilities from an auto
accident.

Consider $1,000,000 a minimum for even the smallest of companies. Think about
$2,000,000 -$3,000,000, or more. Review your liability limits as compared to your
annual sales and total business value. Think of the daily activities of your business
and the accidents or losses that can occur.

Recall that most liability policies have total aggregate limits of coverage. This is the
maximum amount that will be paid for the total of all of your claims. You can use up
your insurance if you have multiple lawsuits against you.

Contractors should be very careful of their liability limits. Look at your exposure to
loss. A careless employee with a cigarette burned down a multi-million-dollar church
in my town a few years ago. It isn’t just the “big boys” who cause big losses!

If you manufacture, bottle, or sell booze, try to get your liquor liability insurance
included in the umbrella coverage. Most underwriters will add the extra protection at
a fairly modest premium.

Mistake #10 -Inadequate Employee Dishonesty Coverage
Theft by employees is a huge cause of loss to business – estimated by some to be
almost half of all business theft losses. Be sure you have enough coverage.

Every time there’s an article about someone stealing from his or her employer there
is a quote like, “I never thought he would steal from me.” Yep!

I can't tell you how many business owners tell me, “I don’t need employee dishonesty
coverage. I trust all my employees.”

Think this through. If you didn’t trust someone, would you let him or her handle your
money? Of course not. Therefore, anyone whom you entrust with your money, you
trust! (I can hear you saying, “Duh, obvious!”) Therefore, the only people who ever
steal from their employer are trusted employees. Employees you don’t trust are never
given the opportunity!

The only employee who steals from you is the one you give opportunity to. You need
to do two things: remove the opportunity, and buy insurance.

Be sure the person reconciling your bank account doesn’t have check signing
authority. Better yet, reconcile the account yourself. Do frequent inventories looking
for shrinkage. Let everyone know you’re watching the storage room. Video
technology is at a place where every business should have cameras. They also deter
fraudulent injury claims – by both employees and customers.

How much crime insurance should you buy? $50,000 is a minimum for even the
smallest company. You’ll find that $1,000,000 of coverage is not all that expensive.
Talk with your insurance advisor.

Mistake #11 -No Claims Management Program
Big or small, your company should have a plan for handling incidents – those
covered by insurance and those under your deductibles. Claims management
includes follow-up with the adjuster. Stay in touch with your employees injured in
workers' compensation claims too.

Keep the phone numbers of your insurance agent and insurance company handy.
Let your employees know that in case of an auto accident with injuries, they should
call the insurance company from the scene if possible. Make sure your insurer’s
claim-reporting phone number is on the Insurance ID Card or in the glove
compartment. All vehicles should have a disposable camera under the driver’s seat
(the coolest part of a car) to be used if there’s an accident.

Know what claims to report and to whom you report them. Know your workers'
compensation insurer’s procedure for claims reporting – online, fax, phone, or email.

Managing your claims means that you are on top of the claims process. Your
diligence also will be noticed by over-burdened claims adjusters who will be more
diligent with your case files.

Mistake #12 -No Loss Control/Loss Prevention Plan
Accidents happen, but do they really need to? With training, thought, and analysis
you can reduce and prevent accidents and claims.

Review past accidents for clues as to what can happen. Build a safety team to help
identify hazards and offer solutions. Your employees should also be comfortable
pointing out issues and making recommendations.

Use your insurance company’s loss control experts. Look at all areas of potential
losses:


How can you protect your property from losses like fire and windstorm?

How can you prevent employee injuries that result in workers' compensation
claims?

What can be done to lessen the exposure to product liability issues, including
packaging and instruction sheets?

What procedures should be in place to prevent liquor liability claims?

What can prevent slip and fall accidents by customers and employees?

Work with your attorney to prevent employment practices claims like
discrimination and harassment.

What are the exposures of your business to intellectual property issues –
unfair trade, violating patent or trademark?

How can you minimize the chance of vandalism or break-ins? How can you
make your business less of a target?
Mistake #13 -No Fiduciary Liability Coverage
The federal law ERISA makes the administrator of employee benefit plans personally
liable for errors. That means that the head of HR who mistakenly fails to add
coverage for a new spouse is liable (using personal assets) for the oversight. Your
company can’t reimburse the employee, either. Personal liability!

The only protection or indemnification allowed is a Fiduciary Responsibility Insurance
Policy, or the more limited Employee Benefits Liability coverage. Premiums are quite
reasonable compared to directors and officers or other professional liability policies.

You need Fiduciary Liability Insurance if you have group health insurance, a pension,
401k or other savings plan, disability coverage, life insurance, etc.

Don’t confuse fiduciary liability coverage with the bond required by ERISA (you must
buy a fidelity bond that covers 10% of retirement plan assets).

Mistake #14 -Buying Inadequate Property Insurance
You’d think that the coverage on your buildings and business property would be
pretty straightforward. It’s a place I see plenty of problems, though.

First, you need to be sure you have enough insurance. If you intend to repair or
replace your property in the event of fire, windstorms, or other catastrophe, buy
enough insurance to actually replace the property. Ask your agent to come up with
an estimate of the replacement cost of your building, or ask a contractor to give you
an estimated cost per square foot for a building like yours. If you built your building in
the past twenty years, ask your agent what the “increased cost of construction
factors” are for your area.

Contents or personal property coverage is important too. Survey your belongings by
walking into each room. Count $1,000 of value – don’t worry about the small stuff.
For example, in an office – desk and chair, $1,000. Three file cabinets, $1,000.
Supply cabinet, $2,000. You’re trying to get a broad idea of how much insurance
you’ll need to buy new property if you have a fire.
Work with your agent to eliminate any coinsurance clauses from your policies.
Coinsurance is a penalty provision. It never helps you. It can only hurt at the time of a
loss.

Talk with your agent about blanket coverage – one amount of insurance for all your
property. Even if you only own one building, combining the building and contents
insurance into one amount of coverage can help you at the time of a claim.

While we’re talking about property insurance, document the property you have. Take
pictures or video of the inside and outside of your buildings.

Mistake #15 -Not Checking Motor Vehicle Records
This goes to loss prevention both for auto insurance and in general hiring practice. It
is a well-established principle that people with poor driving records have accidents.
Do you really want them driving for you when they have their next one?

Know who’s working for you. I believe that a motor vehicle report tells you a great
deal about a person. Do they have three citations for driving an unregistered vehicle?
What does that tell you about an employee’s attention to detail and follow-up?

Many companies run criminal background checks on new staff. Many use personality
profile tests. Anything you can do to prevent a “bad” hire is worth it. Think of how
hard it is to get rid of a poor employee. Think of the legal hoops you may have to
jump through. Consider the impact a poor employee has on the morale and
performance of others. Troubled employees can lead to accidents or file false
workers' compensation claims. Do what you can to prevent bad hiring decisions.

Build an attitude of “slow to hire, fast to fire.” Removing poor employees (in a legal
way with proper loss control procedures) will improve the overall quality of your
business.

Mistake #16 -No Non-Owned Auto Coverage
If your employees drive their personally-owned cars on company business, you need
coverage for accidents involving “non-owned” autos.

Under common law if a worker goes to the store in his car to buy copy paper, you’re
as responsible for any accident as he is. Some auto insurance policies cover
employers for the actions of their employees, but some don’t.

Ask your agent if you're covered for non-owned auto liability.

Mistake #17 – Failure to Protect Business Data
Everyone is dependant on his or her business records in some way. Be sure that
your computer data is backed-up and stored off site. Don’t use fireproof safes to store
your backup data on site – tapes and computer disks can't withstand the heat that
paper can.

Store important paper records in fireproof file cabinets.

If you have a computer data backup plan, test it. If you don’t have one, make one,
then test it. Create a simple word processing document and store it so it will be
backed up. After a few days, delete the file from your hard drive, and then have your
computer techs retrieve it from your backup copy.

Tapes used in backup systems deteriorate with age and use. Rotate new tapes in
and old tapes out into archive storage.

Ask your computer people where the latest backup is. If it’s on site, raise hell!

In almost every company I visit, the data backup system is a process that has
deteriorated. Employees who are involved in data protection must realize that their
work is vital to the future of your company. Regular audits of the process to ensure
the integrity of the system are vital. Technology should also be reviewed regularly to
improve the quality of the backup system.

Mistake #18 -Not Considering Earthquake and Flood Insurance
The perils of flood and earthquake are excluded under most property insurance
policies. Consider adding the coverage.

If you live in quake-prone areas, your agent has undoubtedly discussed the coverage
with you. Most agents on the East Coast don’t even talk about earthquake with their
clients. That can be a mistake.

Intense quakes can hit anywhere. An earthquake hit Boston in 1755 that damaged
1,200 buildings. More than one hundred chimneys were leveled. People on ships in
the harbor thought that they had run aground the intensity was so great. Think what
would happen now?

Flood is the other commonly underinsured peril. Just because you don’t live in a flood
zone does not mean that your property can’t be damaged by water.
Talk with your agent. You may be surprised how inexpensive the coverages are.

(Side Note: What actions can you take to prevent a flood loss? If you are using
basement storage, are all boxes off the floor? Are drains clear? Can flood barriers be
prepared and held in-the-ready?)

Mistake #19 – Not Managing the Risk of Employee Suits
Claims against employers for discrimination, harassment, wrongful termination, and
failure to hire are far too common to ignore. Employment practices liability insurance
policies are widely available. Many insurers are offering exceptionally broad
coverage. The premiums have come down dramatically from where they were ten
years ago. Your agent can help you get competitive quotes.

Risk management is also a part of the process. Here are some other points to
consider:


How current is your employee handbook?

It's better to not have a handbook than to have one you don't follow.

Better yet, update the handbook to match your process.

Have a labor attorney review your applications and policies regularly.

Your managers must be trained in your process.

Documentation is vital -if it isn't in writing, it didn't happen.
Mistake #20 -Improperly Funded Buy-Sell Agreements
Buy-Sell agreements are contracts between the partners or shareholders of a
business. The agreement stipulates that if one party dies, becomes disabled, or
retires, the other(s) will buy the business. This protects the value of the former
owner’s share of the business while protecting the remaining owner(s) from having to
deal with unqualified spouses or unrealistic valuations.

The tough part is figuring out how to fund the transfer of ownership. Partners should
consider funding for all events that remove an owner—death, disability, and
retirement.
I've seen many buy-sell agreements with life insurance in place. However, few have
disability insurance in force to protect against an accident that prevents an owner
from continuing as owner. For most business owners the chance of being disabled is
much higher than the chance of death.

Make sure your buy-sell agreement is properly funded.

The Number 1 Source of Unbiased Insurance Information

For over 1,000 articles, blog entries, definitions, e-books, white papers, and
commentary go to www.ScottSimmonds.com. Expert, unbiased information designed
to help you manage your insurance better.

Mistake #21 -Failure to Use an Insurance Consultant
Shameless self-promotion, you say! I only promised twenty mistakes, so this is a
bonus!

Using an informed specialist works. I have seen it many times. The insurance
transaction traditionally has three players:

1. Insurance company
2. Insurance agent
3. Insurance buyer
The complexity of the insurance world puts the buyer at a tremendous disadvantage.
Few really understand insurance or the insurance marketplace. Most buyers spend
only a few hours each year on insurance. Working with a specialist levels the playing
field. Quality cannot exist without a balance of knowledge and information. A
consultant brings expertise to the buyer without the "entanglements" of an agent who
works for an insurance company on commission.

When engaging a consultant, ask if he or she ever accepts commissions, fees, or
gifts from insurance agents or companies. You’re looking for someone who answers,
“Never!”

 

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TAC Insurance Agency
10240 Westminster St. # 208
Garden  Grove, Ca 92843

714-200-6114

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Email: insure777@yahoo.com
Glossary

Abandonment: As used in property insurance, prohibits the insured from abandoning damaged property to the insurance company for repair or disposal

Accelerated Benefits Rider: An adjustment (rider) to a life insurance policy that allows for the early payment of some portion of the policy's face amount should the insured suffer from a terminal illness or injury.

Accidental Death Benefit Rider: An adjustment (rider) to a life insurance policy that provides for payment of an additional cash benefit when death occurs by accidental means. This amount depends on the value of the policy.

Accidental Death Insurance: An Insurance poicy that provides payment if the insured's death occurs as a results from an accident.

Accounts Receivable Coverage: Covers loss of sums owed to the insured by its customers that are uncollectible due to damage by an insured peril to accounts receivable records

Actual Cash Value (ACV): Cost to repair or replace damaged property with materials of like kind and quality, less depreciation

Additional Insured: A person or organization for whom insured status is arranged by endorsement

Advertising Injury: General liability coverage that insures against libel, slander, invasion of privacy, copyright infringement and misappropriation of advertising in connection with the insured's advertising of its goods or services

Agent: An authorized representative of an insurance company.

Aggregate: The maximum amount an insurance company will pay during the policy

All Risk Coverage: Property insurance covering loss arising from all causes of loss except those that are specifically excluded

Annually Renewable Term: Term insurance that provides coverage for one year and allows the policy owner to renew his or her coverage each year.

Application: A form with the information needed for an insurance company to underwrite and rate a specific policy  

Assignment Assignment: The transfer of ownership of a Life Insurance policy from one person to another.

Attained Age: Your current age. Your attained age is a factors life insurance companies use to determine premiums.

Audit: A verification of the financial records, usually payroll or receipts, of an organization to determine exposures and premiums

Automobile: A land motor vehicle, trailer or semi-trailer designed for travel on public roads, not including 'mobile equipment'

Backdating: Making the effective date of a policy earlier than the date of application. Backdating is often used to make the age of the applicant lower than it actually was at the time of application so that he/she can get a lower premium. State laws often set limits to this.

Bailee Coverage: Coverage on property left in the care of the insured for storage, repair or servicing 

Basic Cause of Loss Form: Property coverage for named perils: Fire, Lightening, Explosion, Smoke, Windstorm, Hail, Riot, Civil Commotion, Aircraft, Vehicles, Vandalism, Sprinkler Leakage, Sinkhold Collapse and Volcanic Action   

Basic Limits: The minimum limits of liability that can be carried by an insured

Beneficiary: The designated person set to receive the death benefit if the insured should die.

Best's Rating: A rating system by A.M. Best Company giving the financial condition of insurance companies  

Binder: A temporary insurance policy that expires at the end of a specific time period or when a permanent policy is written. A binder is given to an applicant for insurance during the time it takes the an insurance company to complete the policy paperwork.

Bodily Injury by Accident Limit: The most an insurer will pay under Part Two of a Workers' Compensation Policy for claims arising out of any one accident, regardless of how many employee claims arise out of the accident

Bodily Injury by Disease, Each Employee : The most an insurer will pay under Part Two of a Workers' Compensation Policy for damages due to bodily injury by disease to any one employee

Bodily Injury by Disease-Policy Limit : The most an insurer will pay under Part Two of a Workers' Compensation Policy employee bodily injury by disease claims during the policy period regardless of the number of employees who make such claims

Bodily Injury Liability Limit: The insured is legally liable for damages due to bodily injury, sickness, or disease, including resulting death

Boiler & Machinery Insurance: Coverage for loss caused by mechanical or electrical equipment breakdown, including damage to the equipment

Bond: A written agreement in which one party, the surety, guarantees the performance or honesty of a second party, the principal (obligor), to the third party (obligee) to whom the performance or debt is owed

Brands and Labels Endorsement: Property insurance coverage that allows the insured to remove labels from damaged goods or mark the items as 'salvage,' provided the goods are not damaged in the process

Broad Causes of Loss Form: Property coverage for the named perils: Fire, Lightening, Explosion, Smoke, Windstorm, Hail, Riot, Civil Commotion, Aircraft, Vehicles, Vandalism, Sprinkler Leakage, Sinkhole Collapse, Volcanic Action, Breakage of Building Glass, Falling Objects, Weight of Snow, Ice or Sleet, Water Damage (in the form of leakage from appliances) and Collapse from Specified Causes

Building Ordinance Coverage: Covers against loss caused by enforcement or ordinances or laws regulating construction and repair of damaged buildings

Burglary: Theft of property by forcible entry, which is evidenced by visible signs, in a premises, by a person

Business Auto Policy: Auto Policy for businesses that includes auto liability and auto physical damage coverages

Business Income Coverage: Insurance covering loss of income by a business when operations are interrupted due to property loss that is a covered cause of loss

Business Interruption Coverage: See Business Income Coverage

Business Owners Policy (BOP): A policy that combines property and liability coverages for special types of small businesses

Cancellation: The termination of an insurance policy usually before its expiration

Care, Custody or Control: An exclusion of liability insurance which eliminates coverage for damage to property in the insured's care, custody or control

Carrier: The insurance company which provides coverage

Cash Benefits: The Money that is paid to the policy holder upon settlement of a covered claim.

Cash Value: The equity amount or "savings" accumulation in a whole life insurance policy.

Casualty Insurance: Insurance that covers loss caused by injuries to persons and the legal liability imposed on the insured for injury or for damage to property of others

Catastrophe: A severe loss causing sizable financial loss

Causes of Loss Forms: The commercial property forms that define the covered causes of loss for which coverage is provided. Commonly, there are 3 Cause of Loss Forms: Basic, Broad and Special

Certificate of Insurance: A document providing evidence that insurance has been purchased

Claim: A request by a policyholder or a claimant for payment under a policy of insurance

Claim Expense: Expenses of settling or investigating a claim

Claimant: The person presenting a claim

Claims Reserve: An amount of money set aside to meet claims reported but not paid

Class: A group of businesses who have common or similar exposures and are grouped together for rating purposes

Classification: The arranging or establishing of business groups or categories for rating purposes

Coinsurance Provision: An insurance provision for property coverages in which the policyholder must carry an amount of insurance that is at least equal to a set percentage of the value of the property in order to receive full payment of a loss

Collapse: Collapse of a building and collapse of personal property within a building due to specified causes (such as weight of snow, ice or rain). Does not include collapse due to design error or due to faulty workmanship or materials if the collapse occurs after construction is complete

Collision Insurance: Provides for payment to a covered automobile resulting from the striking of another object by a moving vehicle

Commercial General Liability Policy (CGL): A coverage which protects business organizations against liability claims for bodily injury and property damage. Those claims may be the result of events at your place of business, from your business operations, the products or services you make or do, communications or advertisements your business broadcasts  

Competitive State Funds: State-owned and operated facilities that write Workers' Compensation Insurance solely for that state

Completed Operations: A General Liability coverage for the work of the insured that has been completed away from the business premises

Comprehensive Auto Coverage: Covers an automobile for loss or damage for all causes except for those specifically excluded

Compulsory Insurance: Insurance that is required by law

Concealment: Failure to disclose facts which may void an insurance policy

Conditional Receipt: Given to policy owners when they pay a premium at the time of the application. These receipts bind the insurance company, provided your policy is approved, but are subject to any other conditions stated on the receipt.

Conditions: Things agreed upon in an insurance policy that state the rights and the requirements of the insured and the insurer

Consequential Loss: An indirect loss such as the reduction in value of property that is the result of a direct damage loss

Constructive Total Loss: Term used when damage to property is more than the value of the property

*Contestable Clause: A provision in an insurance policy setting forth the conditions or time period under which the insurance company may contest or void the policy. After this time has lapsed, typically two years, the policy cannot be contested. Example: Suicide.

Contingent Beneficiary: Person or persons designated to receive the value of an insurance policy in case the original beneficiary is not alive.

Contract: An agreement between two or more parties with characteristics of mutual assent, competent parties, a valid consideration and legal subject

*Coverage: Coverage is just another term for Insurance. It can be used to mean either the dollar amounts of insurance purchased ($500,000 of liability coverage), or the type of loss covered (coverage for theft).

Convertible Term: A policy that may be changed to another form by contractual provision and without evidence of insurability. Most term policies are convertible into permanent insurance.

Countersignature: The signature of a licensed agent or representative on a policy that is required to validate the policy

Cross-Purchase Plan: An agreement that provides that upon a business owner's death, surviving owners will purchase the deceased's interest, often with funds from life insurance.

Cumulative Injury: A type of injury which occurs from the repetition of tasks over an extended length of time

Data Processing or EDP Coverage: All risk property insurance for electronic data processing equipment (computers), computer programs and data including mechanical breakdown, electrical injury and changes in temperature and humidity

Death Benefit: The amount of money paid to the beneficiary when the insured person dies.

Decreasing Term Insurance: Term life insurance on which the face value slowly decreases in scheduled steps from the date the policy comes into force to the date the policy expires, while the premium remains level. The intervals between decreases are usually monthly or annually.

Debris Removal: The cost of removal of debris from covered property damaged by an insured peril

Deductible: The amount of loss which is paid or absorbed by the insured prior to determining the insurance company's liability

Deposit Premium: The amount of premium required at the beginning of a policy prior to the actual premium being determined

Depreciation: The reduction in value of property over a period of time. Usually as a result of age, wear and tear, or economic obsolescence

Direct Damage: Causes of loss that produce direct and straightforward property damage (without interruption in time or deviation in space) from the cause of the event to the damaged property

Double Indemnity: Payment of twice the basic benefit in the event of loss resulting from specified causes or under specified circumstances.

Driver Other Car Endorsement: An endorsement that can be added to an automobile policy that gives protection while the insured designated in the endorsement is driving a car other than the one named in the policy

Drop Down Provision: A clause used in Umbrella policies providing that the Umbrella will 'drop-down' over underlying policy aggregate limits when they have been reduced or exhausted

Earned Premium: The amount of premium that has been used for certain periods of time

Earth Movement or Earthquake Exclusion: An exclusion found in most property insurance policies eliminating coverage for earth movement or earthquake, except ensuing fire

Effective Date: The date on which an insurance binder or policy goes into effect

Electrical Damage or Injury Exclusion: An exclusion usually contained in property insurance policies eliminating coverage for damage to electrical appliances caused by artificially generated currents, except for ensuing fire or explosion

Employee Dishonesty Coverage: Coverage for theft of money, securities or property by an employee

Employee Leasing: A staffing method which an employee leasing company provides all or most of its client's employees

Employers Excess Indemnity Insurance: Insurance coverage purchased by employers that do not subscribe to the Texas Workers' Compensation law

Employers Liability Coverage: Part 2 of the Workers' Compensation policy which pays on behalf of the employer all sums that the employer becomes legally obligated to pay because of bodily injury by accident or disease sustained by any employee of the insured arising out of and in the course of his employment by the insured

Employment Practices Liability Insurance: A form of liability insurance covering wrongful acts arising from employment practices such as wrongful termination, discrimination and sexual harassment

Endorsement: A document attached to an insurance policy that changes the original policy provisions

Equipment Floater: A property insurance coverage for equipment that is often moved from place to place

Estimated Premium: A preliminary premium amount that could be adjusted based on a variance in exposures

Evidence of Insurability: Any statement or proof of a person's physical condition, occupation, etc., affecting acceptance of the applicant for insurance.

Excess and Surplus Lines Insurance: Coverage that is provided by insurers not licensed in the states where the risk is located

Excess Liability Policy: A policy that provides additional limits in excess of an underlying liability policy

Exclusions: Specified hazards listed in a policy for which benefits will not be paid.

Expected or Intended: An exclusion for injury or damage that is expected or intended

Expediting Expense Coverage: Coverage providing reimbursement of expenses for temporary repairs and costs incurred to speed up the permanent repair or replacement of covered property or equipment

Expense Constant: A small flat expense charged to Workers' Compensation policies

Experience Modifier: A debit or credit factor developed by measuring the difference between the insured's actual past experience and the expected or actual experience of the class of business

Expiration: The ending date of an insurance policy

Exposure Base: The basis of rates that are applied to determine premium. Some exposures may be measured by payroll, receipts, sales, square footage, area, man-hours or per unit

Extra Expense Coverage: Coverage for reimbursement of expenses in excess of normal operating expenses that are incurred to continue operations after a direct damage loss

Extraterritorial Coverage: The coverage for extending workers' compensation law to provide benefits for workers hired in one state but injured while working in another state

Face Amount: The amount covered by the terms of an insurance contract, usually found on the first page of the policy.

Fiduciary Liability: The liability placed on trustees, employers, fiduciaries and professional administrators with respect to errors and omissions in the administration of employee benefit programs

Final Expenses: Expenses incurred at the time of a person's death. These include but are not limited to:funeral costs, court expenses, current bills or debt, mortgages, loans and taxes.

Fine Arts Coverage: Property insurance for works of art

Fire Department Service Charge Coverage: Coverage in a property insurance policy for charges incurred by the insured from a fire department for their services in fighting a fire

Fire Legal Liability Coverage: Liability coverage for the insured's legal liability for fire damage to premises rented by the insured

Fire Wall: A wall designed to prevent the spread of fire from one part of a building to another

Firewall: A computer that protects a company's private network from outside internet users

Fixed Benefit: A death benefit, the dollar amount of which does not vary.

Flat Cancellation: The full cancellation of a policy as of the effective date of coverage which requires the return of paid premium in full

Flood Coverage: Coverage for damage to property caused by flood

Flood Exclusion: A provision in most all property insurance policies eliminating coverage for damage by flood and possibly other types of water damage, such as seepage and sewer backup

Follow Form: An umbrella policy provision that follows the underlying policy for coverages and policy provisions

Forgery or Alteration Coverage: Covers loss due to the dishonesty of writing, signing or altering of checks and bank drafts

Fortuitous Event: An event that is subject to chance without the implication of suddenness

Free Look: Trial period required in most states where policy owners have up to 20 days to examine their new policies with no obligation.

Frequency: The number of times that a loss will occur within any given period of time

Full Coverage: Any form of insurance that provides payment in full of all losses caused by the perils insured against without applying a deductible or depreciation

Funeral Expenses: Expenses including casket, vault, grave plot, headstone and funeral director.

Garage Liability Insurance: Insurance coverage for the legal liability of automobile dealers, garages, repair shops and service stations for bodily injury and property damage arising out of their business operations

Garagekeepers Coverage: Provides coverage to owners of storage garages, parking lots and body and repair shops for their liability of damage to automobiles left in their custody for safekeeping or repair

General Aggregate Limit: The maximum amount of insurance payable during the policy period for losses (other than those arising from the products - completed operations hazards as covered under the standard commercial general liability policy)

General Liability Insurance: Insurance protecting businesses from most liability exposures other than automobile and professional liability

Glass Insurance: A property insurance policy covering breakage of building glass regardless of cause

Governing Classification: In Workers' Compensation Insurance, the classification that best describes the workers' compensation exposure of an employer's business

Grace Period: Period of time after the due date of a premium during which the policy remains in force without penalty.

Graded Premium Policy: A type of whole life policy designed for people who want more life coverage than they can currently afford. They pay a lower premium rate that increases gradually over the first three to five years and then remains constant over the life of the policy.

Gross Negligence: Willful and wanton misconduct

Gross Vehicle Weight (GVW): The weight specified by a manufacturer for the maximum total loaded weight of a single vehicle

Guaranteed Term: A form of renewable term insurance that remains in force as long as the premiums are paid on time. With guaranteed term insurance, the insurance company cannot terminate the policy during the term.

Hired Automobile: An automobile whose exclusive use has been temporarily given to another for a monetary sum or other consideration. The business auto definition of 'hired autos,' however, includes autos borrowed except those borrowed from employees or partners

Hold Harmless Agreement: A contractual agreement that requires one contracting party to assume certain legal liabilities of the other party

Host Liquor Liability: Liability coverage for hosts of business or social functions arising out of the serving or distribution of alcoholic beverages by a party not engaged in this activity as a business enterprise

Improvements and Betterments: Additions or changes made by a lessee at his own expense to property that may not legally be removed. Usually covered under the tenants property coverage

Incontestable Clause: A clause in a policy providing that a policy has been in effect for a given length of time (two or three years), the insurer shall not be able to contest the statements contained in the application. In life policies, if an insured lied as to the condition of his health at the time the policy was taken out, that lie could not be used to contest payment under the policy if death occurred after the time limit stated in the incontestable clause.

Incurred Losses: The amount of paid claims and loss reserves within a particular period of time, usually a policy year. Customarily computed as losses incurred during the period, plus outstanding losses at the end of the period, less outstanding losses at the beginning of the period

Independent Adjuster: A claims adjuster who provides adjustment services to insurance companies but is not employed by them

Independent Contractor: An individual or company who has agreed, in writing, with another party to perform a job or function on behalf of that party

Inflation Guard Provision: A provision that increases the limit of insurance by a specified percentage over a specified period of time to offset inflation costs

Insurability: The condition of the individual wishing to be insured, including their health, susceptibility to injury and life expectancy.

Insurance: A formal social device for reducing risk by transferring the risks of several
individual entities to an insurer. The insurer agrees, for a consideration, to pay for the loss in the amount specified in the contract.

Insurance Policy: The printed form which serves as the contract between an insurer and an insured.

Insurance to Value: Insurance written in an amount equal to the value of the property or which meets coinsurance requirements

Insured: The party who is being insured. In life insurance, it is the person because of his or her death the insurance company would pay out a death benefit to a designated beneficiary.

Insurer: The insurance company; Party that provides insurance coverage, typically through a contract of insurance.

Irrevocable Beneficiary: A beneficiary that cannot be changed without that beneficiary's consent.

Increasing Term Insurance: Term life insurance in which the death benefit increases periodically over the policy's term. Usually purchased as a cost of living rider to a whole life policy.

Joint Venture: A business relationship when two or more persons join their labor or property for a business undertaking and share profits 

Lapse: Termination of a policy due to the policy owner's failure to pay the premium within the grace period.

Leasehold Interest: Property insurance covering the loss suffered by a tenant due to termination of a lease because of damage to the leased premises by a covered loss

Lessee: The person to whom a lease is granted

Lessor: The person granting the lease

Liability: The legal obligation to pay a monetary award for injury or damage caused by one's negligent or statutorily prohibited action

Liberalization Clause: A provision within an insurance policy that broadens the coverage if the insurance company offers a broader coverage form within the first 45 days of coverage

Lien: An obligation that can be held by an individual who has an interest in a particular matter or property

Life Expectancy: The average number of years a person is expected to live based on a national average per age group, and other factors.

Life Insurance: Insurance coverage that pays out a set amount of money to specified beneficiaries upon the death of the individual who is insured.

Limit of Liability: The most an insurance company agrees to pay in the case of loss

Limited Pay Policy: A type of whole life insurance designed to let the policyholder pay higher premiums over a specific time period such as 10 or 20 years so that they won't have to pay any premiums for the rest of his or her life.

Longshore and Harbor Workers' Compensation Act: A federal law that provides workers' compensation benefits to employees of a vessel injured in maritime employment - usually in loading, unloading, repairing or building a vessel - but not applicable to crew members

Loss: The amount an insurance company pays for damages under the terms of a policy

Loss Adjustment Expense: The cost assessed to a particular claim for investigating and adjusting that claim

Loss Constant: A flat charge added to the premium of small workers' compensation policies to offset higher loss ratios

Loss Control: A technique that is put in place to reduce the possibility that a loss will occur or reduce the severity of those that do occur

Loss Payable Clause: An insurance clause that authorizes loss payments to a person or entity having an insurable interest in the covered property

Loss Ratio: Percentage of losses incurred against earned premiums

Loss Report: A form showing reported claims which provides information such as the date of occurrence, type of claim, amount paid and amount reserved for each loss

Loss Reserve: An estimated amount set aside for a particular claim that has not yet been paid

Lost Policy Release: A signed statement by the named when the insured wishes to cancel the policy, but has lost or mislaid the policy, which releases the insurance company from all liability or losses  

Medical: A document completed by a physician or another approved examiner and submitted to an insurer (insurance company) in order to provide medical information. This is usually done to determine insurability (or lack of insurability) or is sometimes done in relation to a claim.

Medical Expenses: Reasonable charges for medical, surgical, x-ray, dental, ambulance, hospital, professional nursing, prosthetic devices, and funeral expenses. What is considered reasonable is outlined in a policy.

Medical Payments, Auto: Coverage, which is optional, under an auto policy to pay for medical expenses for bodily injury caused by an auto accident, regardless of fault. Coverage for persons other than the named insured and his or her family members is typically restricted to circumstances when they are occupants of the insured auto

Medical Payments, General Liability: A general liability coverage that reimburses others, regardless of fault, for medical or funeral expenses incurred as a result of bodily injury or death sustained by an accident

Mexico Coverage: Coverage which is sometimes provided under automobile policies for the operation of an insured motor vehicle within Mexico, usually limited to a stated number of miles from the U.S. border

Minimum Premium: The lowest amount of premium to be charged for providing a particular insurance coverage

Misrepresentation: The act of knowingly presenting false information.

Mobile Equipment: Equipment such as earthmovers, tractors, diggers, farm machinery, forklifts, etc., that even when self-propelled, are not considered as automobiles for insurance purposes

Monopolistic State Funds: States or Jurisdictions where an employer must obtain workers' compensation insurance from a state fund or qualify as a self-insurer, as is allowed in five of the states: North Dakota, Ohio, Washington, West Virginia, Wyoming, Puerto Rico and the U.S. Virgin Islands

Mortality Rate: The number of deaths in a group of people, usually expressed as deaths per thousand.

Mortality Table: A table showing the incidence of death at specified age groups.

Mortgage Clause: Property insurance provisions granting protection for the mortgagee named in the policy. It establishes that loss to mortgaged property is payable to the insured and to the mortgagee named in the policy

Named Perils Coverage: A property insurance term referring to exact causes of loss specifically listed as covered

National Flood Insurance Program: A federally funded program established to make flood insurance available to properties located in participating communities National Flood Insurance Program: A federally funded program established to make flood insurance available to properties located in participating communities

Nonadmitted Insurer: An insurance company that is not licensed to do business in a specific state. The insurers may write coverage through an excess and surplus lines broker that is licensed in these jurisdictions

Nonowned Automobile: In commercial auto policies, coverage for autos that are used in connection with the named insured's business but are neither owned, leased, hired, rented or borrowed by the named insured. The term specifically applies to vehicles owned by employees and used for company business

Nonsubscription: A Workers' Compensation term used in Texas that refers to employers who choose to be out of the workers' compensation system. Firms that are proven negligent in causing a worker's injury, can be held liable in tort, since nonsubscribing employers waive the traditional common law defenses available to employers subject to workers' compensation laws

Original Age: The age you were when you bought an insurance policy.

Other Insured Rider: The temporary addition to an insurance policy, usually a member of the direct family.

Ownership: All rights, benefits and privileges under life insurance policies are controlled by their owners. Policy owners may or may not be the insured. Ownership may be assigned or transferred by written request of current owner.

Occupational Hazard: A condition in the workkplace that increases the chances of the an accident, sickness, or death. It usually will mean higher premiums.

Occurrence: A continual, gradual or repeated exposure to substantially the same general harmful conditions. General liability policies insure liability for bodily injury or property damage that is caused by an occurrence

Package Policy: A policy providing several different coverages combined into one policy. Refers to a policy providing both general liability insurance and property insurance

Payroll Limitation: A limit on the amount of payroll for certain classifications used for the development of premium

Peril: Cause of loss such as fire, windstorm, collision, etc.

Personal Auto Policy (PAP): A policy insuring private-passenger autos owned by individuals

Personal Injury: A General Liability coverage for insurable offenses that cause harm, other than bodily injury, such as false arrest, detention or imprisonment, malicious prosecution, wrongful eviction, slander, libel and invasion of privacy

Personal Injury Protection (PIP): An automobile insurance coverage mandated by law in some states. The statutes typically require insurers to provide or offer to provide first-party benefits for medical expenses, loss of income, funeral expenses and similar expenses without regard to fault

Personal Property: All tangible property not classified as real property such as contents

Policy: The printed document given to the insured, outlining the terms and conditions of the Insurance coverage.

Policy Fee: A one-time charge per policy that does not change with the size of the premium

Policy Holder: The person who owns a life insurance policy. This is usually the insured person, but it may also be a relative of the insured, a partnership or a corporation.

Policy Period: The term or duration of a policy including the effective and expiration dates

Pollutant: An irritant or contaminant, whether in solid, liquid, or gaseous form, including smoke, vapor, soot, fumes, acids, alkalis, chemicals and waste

Preferred Risk: A positive characterisic of someone seeking to be insured. Usually means a better likely hood for long life, and usually means a lower premium.

Premises: The location where coverage applies

Premises-Operations: A category of hazard ordinarily insured by a general liability policy which is composed of those exposures to loss that fall outside the defined 'products-completed operations hazard,' including liability for injury or damage arising out of the insured's premises or out of the insured's business operations while such operations are in progress

Premium: The agreed upon, payment made to keep an insurance policy in force, usually a monthly payment.

Premium Flexibility: The policy holder's right to vary the amount of premium paid each
month.

Primary Beneficiary: In life insurance, the beneficiary designated by the insured as the first to receive policy benefits.

Primary Policy: The insurance policy that pays first when you have a loss that's covered by more than one policy.

Pro Rata Cancellation: The cancellation of an insurance policy with the return premium being the full proportion of premium for the unexpired term of the policy, without penalty for early cancellation

Product: Items manufactured, sold, handled, distributed or disposed of by the named insured or others involved with the named insured in the course of their business. Includes containers, parts and equipment, product warranties and provision of or failure to provide instructions and warnings

Product Liability: The liability for bodily injury or property damage a merchant or manufacturer may incur as a consequence of some defect in the product sold or manufactured

Products-Completed Operations: General Liability coverage for liability arising out of the insured's products or business operations conducted away from the insured's premises once those operations have been completed

Professional Liability: Coverage designed to protect professionals such as physicians and real estate brokers, against liability incurred as a result of errors and omissions in performing professional services

Property Damage: In the general liability policy, a physical injury to property, resulting in the loss of use

Property Insurance: First-party insurance for real and personal property against physical loss or damage

Provisions: Details of an insurance policy which explain the benefits, conditions and other features of the insurance contract.

Real Property: Real estate including buildings and vegetation

Re-entry Option: An option in a renewable term life policy under which the policy owner is guaranteed, at the end of the term, to be able to renew his or her coverage without evidence of insurability, at a premium rate specified in the policy.

Reinstatement: Putting a lapsed policy back in force by producing satisfactory evidence of insurability and paying any past-due premiums required.

Renewal Policy: A policy issued to replace an expiring policy

Rents or Rental Value Insurance: Insurance that reimburses a building owner for loss of rental income due to damage by an insured peril

Replacement: A new policy written to take the place of one currently in force.

Representation: Statements made by applicants on their applications for insurance that they represent as being substantially true to the best of their knowledge and belief but that are not warranted as exact in every detail.

Return Premium: The amount of premium due the insured should the actual cost of a policy be less than the insured previously paid

Rider: An attachment to a policy that modifies its conditions by expanding or restricting benefits or excluding certain conditions from coverage.

Risk: The chance of injury, damage, or loss.

Robbery: Theft of property while force is used or threatened



Secondary Beneficiary: An alternate beneficiary designated to receive payment, usually in the event the original beneficiary predeceases the insured.

Short-Term Cancellation: Cancellation of an insurance policy prior to the expiration date in which a penalty in the form of a less than full pro-rata premium refund is allowed

Single Premium Policy: A whole life policy for people who want to buy a policy for a one-time lump sum, and then be covered for the rest of their lives without paying any additional premiums.

Special Causes of Loss Form: A cause of loss form providing coverage from all causes of loss unless specifically excluded or limited

Specified Causes of Loss Coverage: Auto physical damage coverage only for losses caused by the perils listed in the policy

Sprinkler Leakage Coverage: Coverage for property damage caused by the accidental discharge or leakage of water from automatic sprinkler systems or other fire prevention devices

Surplus Lines Insurance: Insurance written by insurers not licensed in the states where the risks are located and placed with such insurers under the surplus line laws of the various states. Before such placements can be made through specially licensed surplus line agents and brokers, state laws generally require evidence reported before some predetermined future date ('sunset')


Time Element Insurance: A term referring to property coverage for loss of earnings or income resulting from the inability to put damaged property to its normal use

Term Insurance: Protection during limited number of years; expiring without value if the
insured survives the stated period, which may be one or more years but usually is five to twenty years, because such periods usually cover the needs for temporary protection.

Term: Period for which the policy runs. In life insurance, this is to the end of the term period for term insurance.

Third-Party Owner: A policy owner who is not the prospective insured. The policy owner and the insured may be, and often are the same person. If for example, you apply for and are issued an insurance policy on your life, then you are both the policy owner and the insured and may be known as the policy owner-insured. If, however, your mother applies for and is issued a policy on your life, then she is the policy owner and you are the insured.

Transit Coverage: Coverage on the insured's property while in transit from one location to another, over land

Umbrella Liability Policy: A policy designed to provide additional protection against catastrophic losses covered under liability policies, such as the business auto policy, commercial general liability policy, watercraft and aircraft liability policies and employers liability coverage. It provides excess limits when the limits of the underlying liability policies are used up by the payment of claims and it drops down and picks up where the underlying policy leaves off when the aggregate limit of the underlying policy in question is exhausted by the payment of claims. It also provides protection against some claims not covered by the underlying policies, subject to a self-insured retention

Underinsured Motorists Coverage: Provides coverage for bodily injury, and in some states property damage, for losses incurred by an insured when an accident is caused by a motorist who does not have sufficient insurance limits

Underlying Coverage: The insurance or coverage in place on the same risk that will respond to loss before the excess policy is called on to pay any portion of the claim

Underwriter: Company receiving premiums and accepting responsibility for fulfilling the policy contract. Also, company employee who decides whether the company should assume a particular risk; or the agent who sells the policy

Uninsurable Risk: A person who is not acceptable for insurance due to excessive risk.

Universal Life: An interest-sensitive life insurance policy that builds cash values. The premium payer has control over how the policy is structured. He has the flexibility to eliminate the premiums (essentially pay up the policy and pay no more premiums) or have the premiums continue for life. It is a matter of juggling three variables: the assumed interest rate, the cash value and the premium payment plan. The policy is interest-sensitive, and if interest rates change from the assumed interest, it will affect the other two variables. In the past, many Universal Life Policies were structured assuming a higher interest rate then was actually received, therefore, most of them have under performed. If you have a Universal Life Policy, you should have it evaluated to see if it needs
to have the premiums adjusted to get it back on track. A fourth variable that has not been a factor but could be in the future, and the owner should be aware of, is the Mortality variable. Universal Life policies are usually structured assuming current mortality rates. The insurance companies reserve the right to change those rates.

Unearned Premium: That portion of the policy premium that represents the unexpired policy term

Uninsured Motorist Coverage: Provides coverage for bodily injury, and in some states property damage, for losses incurred by an insured when an accident is caused by a motorist who is not insured

Utility Service Interruption Coverage: Coverage for the loss to an insured due to lack of incoming electricity which was caused by damage from a covered cause of loss, such as a fire or windstorm, to property away from the insured's premises - usually the utility generating station. Also referred to as 'off-premises power coverage'

Vacancy Provision: Property insurance provision found in commercial property policies that restrict coverage in connection with buildings that have been vacant for a specified number of days, usually 60 days

Valuable Papers and Records Coverage : Coverage that pays the cost to reconstruct damaged or destroyed valuable papers and records and usually includes almost all forms of printed documents or records except money or securities; data processing programs, data and media are usually excluded

Waiver of Premium: Rider or provision included in most life insurance policies exempting the insured from paying premiums after he or she has been disabled for a specified period of time, usually six months.

Waiver of Subrogation: Also known as 'transfer of rights of recovery,' the relinquishment by an insurer of the right to collect from another party for damages paid on behalf of the insured

Whole Life Insurance: Life insurance that is kept in force for a person's whole life as long as the scheduled premiums are maintained. All Whole Life policies build up cash values. Most Whole Life policies are guaranteed as long as the scheduled premiums are maintained. The variable in a Whole life Policy is the dividend which could vary depending on how well the insurance is doing. If the company is doing well and the policies are not experiencing a higher mortality than projected, premiums are paid back to the policy holder in the form of dividends. Policyholders can use the cash from dividends in many ways. The three main uses are: it can be used to lower or vanish premiums, it can be used to purchase more insurance or it can be used to pay for term insurance.

Workers' Compensation: Protection which provides benefits to employees for injury or contracted disease arising out of and in the course of employment. Most states have laws which require such protection for workers and prescribe the length and amount of such benefits provided

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