Money terms
These decide how much you receive.
- Deductible: what you pay before the insurer pays anything.
- Limit: the most the insurer will pay for that coverage.
- Sublimit: a lower cap inside a coverage, such as $1,500 on jewelry theft.
- Actual cash value: replacement cost minus depreciation.
- Replacement cost: what it costs to replace with new, without depreciation.
- Coinsurance: a penalty applied if you insured a property for less than a required percentage of its value.
Contract terms
These decide whether the insurer pays at all.
- Peril: the cause of loss, such as fire or theft.
- Named perils: only listed causes are covered.
- All risk (open perils): everything is covered except what is excluded.
- Exclusion: a cause of loss the policy will not pay for.
- Endorsement or rider: an amendment that adds, removes, or changes cover.
- Condition: something you must do, such as reporting promptly or mitigating further damage.
Claims terms
These appear once something has happened.
- Subrogation: the insurer pays you, then pursues whoever was at fault.
- Proof of loss: a sworn statement of what you lost and its value, usually due within 60 days.
- Appraisal clause: a binding process to resolve disputes about the amount of loss.
- Adjuster: the person who investigates and values the claim.
- Loss run: your claims history, which insurers see when you shop.
- Bad faith: an insurer unreasonably denying or delaying a valid claim.
Apply them to your own policy
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Frequently asked
- What's the difference between an exclusion and a sublimit?
- An exclusion pays nothing. A sublimit pays, but only up to a capped amount.
- What does coinsurance mean on a home policy?
- If you insure below a required percentage of replacement cost, typically 80%, the insurer reduces every partial claim proportionally.
- Why does subrogation matter to me?
- If your insurer recovers from the at-fault party, you usually get your deductible back — but only if you did not sign away the right to pursue them.
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