Insurance policies are filled with complex terminology and jargon that can be overwhelming for policyholders. However, understanding the language used in insurance policies is essential for knowing your coverage and making informed decisions when filing a claim. In this blog, we will decode common insurance jargon, explain key terms, conditions, and exclusions that policyholders should be aware of, and empower you to navigate your insurance policy with confidence. Let’s dive in!
- A deductible is the amount you are responsible for paying out of pocket before your insurance coverage kicks in. For example, if you have a $500 deductible and file a claim for $1,500 in damages, you would pay the first $500, and the insurance company would cover the remaining $1,000.
- The premium is the amount you pay to the insurance company to maintain your coverage. It is typically paid on a monthly or annual basis. The premium amount is determined by various factors, including the type of coverage, the level of risk associated with the insured property, and your claims history.
- Insurance policies have specific coverage limits that outline the maximum amount the insurer will pay for a covered loss. It is crucial to review your policy to understand the limits for different categories, such as dwelling coverage, personal property coverage, and liability coverage. Evaluating these limits helps ensure you have adequate coverage for potential losses.
- Exclusions refer to specific situations or types of damage that are not covered by the insurance policy. Common exclusions include intentional damage, acts of war, wear and tear, and damage caused by certain natural disasters (e.g., floods, earthquakes). Understanding the exclusions in your policy is vital to avoid surprises when filing a claim.
Actual Cash Value (ACV) vs. Replacement Cost Value (RCV):
- When it comes to assessing the value of damaged property, insurance policies typically use one of two methods: actual cash value (ACV) or replacement cost value (RCV). ACV takes depreciation into account, meaning the insurance company will factor in the item’s age and condition at the time of the loss. RCV, on the other hand, covers the cost of replacing the damaged item with a new one of similar kind and quality, without accounting for depreciation. Knowing which method your policy uses can significantly impact your claim settlement.
- Subrogation refers to the process by which an insurance company seeks reimbursement for a claim it paid from a third party who may be responsible for the loss. For example, if your property is damaged by someone else’s negligence, your insurance company may subrogate against that party to recover the claim amount they paid.
Proof of Loss:
- When filing a claim, insurance companies may require a proof of loss form. This document typically includes detailed information about the loss, such as the date, cause, and value of the damages. It is essential to provide accurate and thorough information in the proof of loss to support your claim and ensure a smooth claims process.
- Some insurance policies have a waiting period, especially for certain types of coverage like flood insurance or business interruption insurance. The waiting period is the specified period of time that must pass after purchasing the policy before you can file a claim. Understanding the waiting period is crucial to ensure you have the necessary coverage in place before potential losses occur.
- Concurrent causation is a term used when multiple events contribute to a loss. It can be particularly relevant in natural disasters, where multiple perils, such as wind and flooding, may cause damage. Insurance policies may have specific provisions regarding concurrent causation.
We represent home and business owners and have vast experience with the following types of claims
- Fire and smoke damage claims
- Water damage claims
- Flood damage claims
- Theft and vandalism damage claims
- Snow and ice damage claims
- Building collapse claims
- Wind and hail damage claims
- Catastrophic damage claims
- Roof leaks
- Blown off shingles & siding
- All plumbing leaks
- Toilet overflow
- Burst Pipes
- Frozen Pipes