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1. Peril: Something that causes a loss.
2. Hazard: Something that
... [Show More] increases the probability that a loss will occur.
3. Warranty: A policy condition, either based on information in the insureds application or inserted by the insurer. It is a guarantee of a fact.
4. Misrepresentation: An untrue statement by the insured, made in an application
for insurance but which does not become a part of the policy.
5. Concealment: The failure of the insured to reveal relevant facts known to the
insured in applying for insurance.
6. Abandonment: Property insurance policies usually contain an abandonment
clause, stating the insured cannot dump damaged property on the insurer and
demand its full value.
7. Severability: The insurance applies separately to each insured as if other
insureds did not exist.
8. Proximate Cause: The cause having the most significant impact in bringing
about the loss under a first-party property insurance policy, when two or more
independent perils operate at the same time (i.e., concurrently) to produce a loss.
Courts employ a set of rules to resolve causation disputes when a property policy
states that it covers or excludes losses "caused by" a peril and there is more than
one peril at work in a fact pattern. Under common law, whether the policy provides
coverage depends on which peril is chosen as the proximate cause.
9. Direct Loss: Physical harm to tangible property.
10. Indirect Loss: Economic loss which flows as a result of direct loss.
11. Actual Cash Value(ACV): Replacement Cost minus Depreciation
12. Coinsurance: The amount, generally expressed as a fixed percentage, an
insured must pay against a claim after the deductible is satisfied. It's ultimately a
way for the insured and insurer to share responsibility for the risk. It can also help
reduce the cost of the insurance policy premium. Coinsurance can be written on
an 80/20, 90/100, or 100% rule.
13. Personal Contract: Policies cover people who own and operate things, such
as automobiles.
14. Conditional Contract: Also called a hypothetical contract, is a contract agreement that only requires performance once the delineated conditions are met. This
legal agreement requires prior performance of another agreement or clause in
order to be enforceable. If the other agreement or condition is performed, then the
FLORIDA CLAIMS ADJUSTER EXAM, 6-20 ALL LINES ADJUSTERFLORIDA- REVIEW
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conditional contract is enforceable and the parties are bound to carry out the terms
of the contract.
15. Contract of Indemnity: Principle of insurance that provides that when a loss
occurs, the insured should be restored to the approximate financial condition
he/she occupied before the loss occurred, no better or no worse.
16. Insurable Interest: the reasonable concern of a person to obtain insurance for
any individual or property against unforeseen events such as death, losses, etc.
17. Waiver: 1.) Implied voluntary relinquishment, abandoning a legal advantage,
need, claim or right.
2.) Agreement or added clause of a policy that excludes some losses or limits the
sum of a claim, or extends coverage to [Show Less]