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AGGA Brokeris

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Insurance terms

Explanations of terms that often appear in policies and insurer rules.

Terms

Term

Insurance agent

Explanation

An insurance intermediary who represents a specific insurance company and acts in its interests.

Term

Insurance broker

Explanation

An independent intermediary representing the client. Usually paid a percentage commission by the insurer for concluded contracts.

Term

Replacement / restoration value

Explanation

The market value to acquire an equivalent object; in property insurance, the cost to restore the property to the same quality and scope.

Term

Policyholder

Explanation

A person (legal or natural) who concludes the insurance contract on their own or another person's behalf.

Term

Sum insured

Explanation

The maximum amount the insurer will pay under the contract. May be set per case or with sub-limits.

Term

Insurable interest

Explanation

The insured person's interest in not suffering loss (e.g. property must belong to the insured).

Term

Insurance

Explanation

An agreement between insurer and policyholder transferring the risk of possible loss for a price.

Term

Loss and damage insurance

Explanation

Material values are insured; the payout depends on the actual loss.

Term

Insurance compensation

Explanation

The amount received by the policyholder or beneficiary after an insurance event.

Term

Insurance event

Explanation

A situation defined in the contract that triggers the insurer's obligation to cover losses.

Term

Insurance premium

Explanation

The price paid for the insurance policy (cover).

Term

Liability limit

Explanation

The maximum payout in civil liability insurance – per case or for the whole policy term.

Term

Insurance contract

Explanation

The set of documents – policy, rules, application, annexes – evidencing the agreement.

Term

Insurance rules

Explanation

Inseparable part of the contract containing standard terms.

Term

Insured object

Explanation

Property values (in property insurance), civil liability (in liability insurance), or life, health, and physical condition (in personal insurance).

Term

Insurance period

Explanation

The time during which cover is valid.

Term

Insurance policy

Explanation

The part of the contract recording the facts and details of the specific agreement.

Term

Insured person

Explanation

A person with insurable interest or for whose benefit the contract was made.

Term

Insurer

Explanation

The insurance company that undertakes to cover losses upon insurance events.

Term

Deferred / split payment

Explanation

An agreement that the premium is paid in several instalments.

Term

Book value

Explanation

Value after applied depreciation; rarely reflects true value for insurance purposes.

Term

Broker authorisation

Explanation

A power of attorney letting the broker represent the client and obtain necessary information.

Term

Total loss

Explanation

Damage so severe that the loss exceeds the actual value of the object; often defined as a percentage of value.

Term

Travel (assistance) insurance

Explanation

Cover outside the country of residence: medical expenses, plus optional accident, baggage, liability, etc.

Term

Cause

Explanation

The direct trigger of the insurance event; must match the risk definition in the rules.

Term

Road traffic accident

Explanation

An incident in public traffic involving at least one vehicle; payment requires detailed documentation.

Term

Civil liability insurance (CTA)

Explanation

Insurer pays, on behalf of the insured, for losses caused to third parties by the insured's fault.

Term

Incapacity for work

Explanation

Inability to perform direct work duties due to accident or illness; temporary or permanent (disability).

Term

Declaration

Explanation

A notification related to the contract (cargo volume, health description, etc.).

Term

Life insurance

Explanation

Personal insurance with payouts to the insured or a beneficiary; often linked to savings.

Term

EHIC

Explanation

European Health Insurance Card – a common document in the EU, Norway, Iceland, Liechtenstein, and Switzerland for emergency medical care.

Term

Actual value

Explanation

Restoration value minus actual depreciation; used when wear is significant.

Term

Facultative reinsurance

Explanation

Transfer of a specific risk to a reinsurer outside obligatory reinsurance.

Term

Franchise (deductible variant)

Explanation

A type of own risk – the threshold above which the payout is made in full.

Term

Indexation

Explanation

Adjusting the premium by a contracted or inflation coefficient.

Term

Endorsement

Explanation

An annex to the contract that changes specific terms – adds or removes points.

Term

Disability

Explanation

Permanent incapacity for work.

Term

New value

Explanation

Replacement purchase value; in CASCO – the original purchase price without depreciation.

Term

CASCO

Explanation

Voluntary motor vehicle insurance against damage and theft.

Term

Indemnity principle

Explanation

A core principle: in an insurance event, the payout cannot exceed actual losses.

Term

Co-insurance

Explanation

Several insurers agree to share the risk under the same terms with proportional premiums.

Term

Quotation

Explanation

An insurer's offer with proposed insurance terms; valid for a limited time.

Term

Beneficiary

Explanation

A person named in the contract entitled to receive the payout in an insurance event.

Term

Co-insured

Explanation

A natural person named in the contract whose life, health, or condition the contract covers.

Term

Contracted institution (medical)

Explanation

A registered medical facility with which the insurer has a cooperation agreement.

Term

Solvency ratio

Explanation

A state-defined indicator of the insurer's financial position.

Term

NAV (Net Asset Value)

Explanation

Value of one investment fund unit based on the fund's net assets divided by units outstanding.

Term

Accident

Explanation

Sudden, unforeseen external circumstances causing physical injury to the insured.

Term

MTPL (OCTA)

Explanation

Compulsory civil liability insurance for the owner of a land vehicle for damage to third parties.

Term

Additional equipment

Explanation

Audio systems, lights, alloy wheels, etc. not in standard configuration; must be specified in the policy.

Term

Supplementary insurance

Explanation

Including additional types (accident, critical illness) within a life insurance contract.

Term

Reinsurance

Explanation

The insurer transfers part of its liability to a reinsurer under predefined terms.

Term

Deductible (own risk)

Explanation

The portion of loss the policyholder bears in an insurance event.

Term

Personal insurance

Explanation

All types relating to a person's health and life – health, life, and accident insurance.

Term

Application

Explanation

Initial information about the person, object, and risk on which the insurer prepares a quotation.

Term

Recourse (subrogation)

Explanation

After paying compensation, the insurer takes over the right to claim from the party responsible for the loss.

Term

Retroactive date

Explanation

A period before the contract's effective date during which cover applies.

Term

Retrocession

Explanation

Reinsurance of reinsurers.

Term

Risk

Explanation

The probability that certain consequences may occur; usually a negative outcome.

Term

Tariff (tariff rate)

Explanation

The premium expressed as a percentage (e.g. 1% of the sum insured).

Term

Insurance territory

Explanation

The territory or address specified in the contract where cover applies.

Term

Third party

Explanation

A party entitled to receive compensation in civil liability insurance.

Term

Market value

Explanation

The market value to acquire an equivalent object.

Term

Over-insurance

Explanation

Object insured above its actual value; payment will not exceed actual value.

Term

Under-insurance

Explanation

Sum insured is lower than the actual value; the payout is reduced proportionally.