SC Property & Casualty study materials
SC Property & Casualty study resources

SC Property & Casualty key terms

SC Property & Casualty · Get comfortable with the vocabulary.

Insurable interest

A financial stake in the person or property being insured such that the insured would suffer a genuine economic loss if a covered event occurred. For property insurance it must exist at the time of loss.

Related: Indemnity, Subrogation
Indemnity

The principle that insurance should restore an insured to roughly the same financial position held before a loss, no better and no worse. It limits recovery to the actual amount of the loss.

Related: Actual cash value, Replacement cost
Utmost good faith

The mutual duty of insurer and applicant to deal honestly and to disclose all material facts. Concealment or misrepresentation of important information can allow the insurer to void coverage.

Related: Insurable interest
Subrogation

The insurer's right, after paying a claim, to step into the insured's shoes and pursue the party that caused the loss. It helps hold wrongdoers accountable and control premium costs.

Related: Indemnity, Negligence
Actual cash value

A valuation method that pays the cost to replace damaged property minus depreciation, reflecting the property's used value at the time of loss. It is the default basis in many property forms.

Related: Replacement cost, Indemnity
Replacement cost

A valuation method that pays what it costs today to repair or rebuild with new materials of like kind and quality, without deducting depreciation. Payment is usually capped at the policy limit.

Related: Actual cash value
Negligence

Failure to exercise the degree of care a reasonable person would use in similar circumstances, resulting in unintended harm. It is the foundation of most liability claims and requires duty, breach, causation, and damages.

Related: Coverage E – Personal liability, Occurrence policy
Occurrence policy

A liability policy that covers injury or damage that takes place during the policy period, regardless of when the claim is reported. It provides long-tail protection for latent harm.

Related: Claims-made policy, Commercial general liability (CGL) policy
Claims-made policy

A liability policy that covers claims first reported during the policy period, provided the wrongful act happened on or after the retroactive date. Reporting deadlines matter greatly.

Related: Occurrence policy
Additional insured

A person or organization added to another's liability policy and granted protection for claims arising from the named insured's work or premises. They typically receive no broader coverage than the named insured.

Related: Commercial general liability (CGL) policy
HO-3 homeowners policy

The special-form homeowners policy that covers the dwelling and other structures on an open-peril basis while personal property is covered for listed perils. It is the most widely sold homeowners form.

Related: HO-4 tenants policy, Coverage A – Dwelling
HO-4 tenants policy

The tenants form of homeowners insurance. It insures personal property against listed perils and provides liability and medical payments coverage, but it does not cover the rented building itself.

Related: HO-3 homeowners policy
Coverage A – Dwelling

The homeowners or dwelling policy section that insures the residential structure, including attached additions and built-in fixtures, for the amount shown on the declarations.

Related: Coverage D – Loss of use, HO-3 homeowners policy
Coverage D – Loss of use

Pays the extra cost of temporary housing and normal living expenses when a covered loss makes the residence uninhabitable, up to the stated limit and time period.

Related: Coverage A – Dwelling
Coverage E – Personal liability

Provides defense and pays damages when the insured is legally responsible for bodily injury or property damage to others, up to the policy limit, typically on an occurrence basis.

Related: Coverage F – Medical payments to others, Negligence
Coverage F – Medical payments to others

Pays reasonable medical expenses for guests or others injured on the insured premises or by the insured's activities, regardless of fault, subject to a small limit.

Related: Coverage E – Personal liability
Dwelling policy

A property form for rented or owner-occupied dwellings that are not eligible for homeowners coverage. It offers named-peril or broad-form protection plus limited liability options.

Related: HO-3 homeowners policy, Coverage A – Dwelling
Ordinance or law coverage

Pays the extra cost to rebuild to current building codes, including demolition and undamaged portions, after a covered loss. It responds when repair is required to meet newer regulations.

Related: Replacement cost, Businessowners policy (BOP)
Business income coverage

Replaces lost net income and continuing operating expenses while a business is shut down by a covered property loss, usually during a defined period of restoration.

Related: Businessowners policy (BOP), Coinsurance clause
Coinsurance clause

A property provision requiring the insured to carry insurance equal to a stated percentage of the property's value or face a reduced claim payment. It penalizes underinsurance.

Related: Business income coverage
Businessowners policy (BOP)

A packaged policy for small and medium businesses that combines commercial property, general liability, and often business income coverage in one contract at a competitive price.

Related: Business income coverage, Commercial general liability (CGL) policy
Personal auto policy (PAP)

The standard auto form used by individuals and families. It covers liability, medical payments, uninsured motorists, and physical damage for personal vehicles listed on the declarations.

Related: Split limits, Uninsured motorists coverage
Split limits

Auto liability limits expressed as three numbers, such as 25/50/25, showing the maximum paid per person, per accident for bodily injury, and per accident for property damage.

Related: Combined single limit
Combined single limit

A single dollar amount that caps total liability payments for all bodily injury and property damage arising from one accident, without separate per-person or per-category caps.

Related: Split limits
Uninsured motorists coverage

Pays the insured for bodily injury caused by a driver who has no liability insurance, or by a hit-and-run driver, up to the limits purchased. Some states also require underinsured coverage.

Related: Split limits, Medical payments coverage (auto)
Medical payments coverage (auto)

Auto coverage that pays reasonable medical and funeral expenses for the insured and passengers after an accident, regardless of who caused it, up to the stated limit.

Related: Uninsured motorists coverage
Named driver exclusion

A policy endorsement that removes a specific driver from coverage. The insurer may then deny claims arising while that excluded person is operating the insured vehicle.

Related: Personal auto policy (PAP)
Business auto coverage form

The commercial auto form that insures liability and physical damage for vehicles a business owns, hires, or borrows, with coverage determined by selected symbols on the declarations.

Related: Hired and non-owned auto liability
Hired and non-owned auto liability

Liability coverage for autos a business rents or borrows and for employee-owned vehicles used in company business. It fills gaps left when no owned-auto coverage applies.

Related: Business auto coverage form
Commercial general liability (CGL) policy

A broad liability form covering bodily injury, property damage, and personal and advertising injury arising from the insured's premises, operations, products, or completed work.

Related: Occurrence policy, Products-completed operations hazard, Personal and advertising injury
Products-completed operations hazard

CGL coverage for injury or damage caused by the insured's product or completed work after it has left the insured's control. It excludes the insured's own defective product.

Related: Commercial general liability (CGL) policy
Personal and advertising injury

CGL coverage for offenses such as libel, slander, wrongful eviction, and infringement of advertising ideas, as distinguished from bodily injury or property damage.

Related: Commercial general liability (CGL) policy
Aggregate limit

The most a liability policy will pay for all covered claims during a policy period, in addition to any per-occurrence limit. Once exhausted, no further coverage applies.

Related: Occurrence policy
Exclusive remedy

The principle that workers' compensation benefits are the employee's sole legal recovery against the employer for a work-related injury, barring most negligence lawsuits in exchange for no-fault benefits.

Related: Experience modification factor
Experience modification factor

A rating number that compares a business's past workers' compensation losses with those of similar employers. A factor above 1.00 raises premium; below 1.00 reduces it.

Related: Exclusive remedy
Umbrella policy

Excess liability coverage that sits above underlying auto, general liability, and employers liability policies, and may also drop down to cover some gaps.

Related: Commercial general liability (CGL) policy, Business auto coverage form
Inland marine coverage

Property coverage for goods in transit, movable equipment, and property away from a fixed location, filling gaps left by standard commercial property forms.

Related: Businessowners policy (BOP)
Certificate of authority

A license issued by the South Carolina Department of Insurance that authorizes an insurer to transact specified lines of insurance business in the state.

Related: Unfair trade practice
Unfair trade practice

A prohibited insurance sales or claims practice, such as misrepresentation, rebating, or bad-faith claim handling, that can lead to fines, license suspension, or revocation in South Carolina.

Related: Certificate of authority
South Carolina Wind and Hail Underwriting Association

South Carolina's residual market program that provides wind and hail coverage for coastal property owners who cannot obtain it from the voluntary market.

Related: Certificate of authority