A peril or contingency specifically excluded from the insurance cover.
Insurance Encyclopedia
Exception (Health Insurance)
A clause in the policy contract that voids or removes the obligation for coverage.
Exceptional circumstances clause
See: SPECIAL CIRCUMSTANCES CLAUSE.
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A clause in a business interruption policy providing that adjustments shall be made in calculating the amount of a claim by allowing for the trend of the business and other circumstances which would have affected the business if the material damage had not occurred.
Exceptions
See: exclusion(s) .
Exceptions Clause
A list in a Policy form detailing risks or loses not covered by the Policy.
Excess
Amount of any loss that is not included in the cover provided (e.g. a loss falling below the excess is not a claim). A deductible on the other hand eats into the cover. This difference only really matters where there is an upper limit on the amount of cover such as reinstatements or an annual aggregate. Also, See Also: “Deductible, Excess.”
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Insurance to cover unanticipated or catastrophic losses. Excess coverage can be specific excess, which begins paying when any single claim reaches the preestablished retention, or aggregate excess, which begins paying when the cumulative cost of all claims reaches the preestablished retention.
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UK: The amount deducted from each and every claim and borne by the insured. The excess will eliminate all claims equal to or less than the excess, and will reduce the insurer’s liability for all other claims. The excess may be compulsory or voluntary in which instance the insured’s premium is discounted. The excess is not to be confused with the excess point under layered policies. Deductible is an alternative term for excess, which should be compared with franchise sometimes called a disappearing deductible.
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The amount or proportion of some or all losses arising under an insurance or reinsurance contract that is the insured or reassured must bear. If the loss is less than the amount of the excess then the insured/reassured must meet the cost of it (unless there is other insurance in place to cover the excess). Compare deductible and retention. Excesses may either be compulsory or voluntary. An insured which accepts an increased excess in the form of a voluntary excess will receive a reduction in premium.
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UK: the first part of the cost of a claim which the insured or reinsured has to bear in accordance with the terms of the policy.
Excess aggregate reinsurance
See: Aggregate Excess Of Reinsurance.
Excess amounts
Group life or disability insurance that is presented to a specific category of insureds for enrollment that is more than normally allowed. This is based on the total number for the case.
Excess and surplus (E&
S) lines insurance Any type of coverage that cannot be placed with an insurer admitted to do business in a certain jurisdiction. Risks placed in E&S lines markets are often substandard as respects adverse loss experience, unusual, or unable to be placed in conventional markets due to a shortage of capacity. Captives sometimes qualify as E&S companies. Hefty local premium taxes are payable by the broker.
Excess and surplus (E&S) lines insurance
Any type of coverage that cannot be placed with an insurer admitted to do business in a certain jurisdiction. Risks placed in E&S lines markets are often substandard as respects adverse loss experience, unusual, or unable to be placed in conventional markets due to a shortage of capacity. Captives sometimes qualify as E&S companies. Hefty local premium taxes are payable by the broker.