National Association of Insurance Commissioners (NAIC)

US: A trade association of state insurance commissioners that issues model insurance acts that states can adopt. The NAIC accredits states that have enacted specific insurance legislation and demonstrate adequate regulatory oversight over the insurers they license.
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An association of insurance commissioners and superintendents formed to share information and develop common laws and procedures for insurance regulatory purposes.
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REINSURANCE: An association of the chief insurance regulatory officials of the 50 states, the District of Columbia, American Samoa, Guam, North Mariana Island, Puerto Rico and the Virgin Islands.
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Association of State Insurance Commissioners whose purpose is to promote uniformity of insurance regulation, monitor insurance solvency and develop model laws for passage by state legislatures.
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US: The association of insurance commissioners of various states formed to promote national uniformity in the regulation of insurance.

National Flood Insurance Program (NFIP)

A federally funded program established in 1968 to make flood insurance available at a reasonable cost for properties located in participating communities. NFIP flood insurance is available only for direct damage to buildings and contents; there is no time element coverage.
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A federal program through which persons with property located in predefined flood plains can obtain flood coverage. See Flood insurance.

Negligence

US: A tort involving failure to use a degree of care considered reasonable under a given set of circumstances. Acts of either omission or commission, or both, may constitute negligence. The four elements of negligence are a duty owed to a plaintiff, a breach of that duty by the defendant, proximate cause, and an injury or damage suffered by the plaintiff. Liability policies are designed to cover claims of negligence.
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UK: A tort meaning ‘the omission to do something which a reasonable man, guided upon those considerations which ordinarily regulate the conduct of human affairs, would do, or doing something which a prudent and reasonable man would not do. A claimant must show that: (a) the defendant owed him a duty of care; (b) he was in breach of that duty; (c) the breach caused him injury or damage that was not too remote. The reasonable man has been described as the ‘man on the Clapham omnibus’ and someone who does not have the agility of an acrobat or the wisdom of a Hebrew prophet’. Persons professing special skill, e.g. solicitors, must use the customary skill of their profession.
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A tort, the failure to do something which a “reasonable person” would do under the circumstances, or doing something a “reasonable person” would not do. The elements of this tort include: A legal duty to use reasonable care under the circumstances, a breach of this duty, a direct causal link between the breach and the plaintiffs harm and resulting harm to the plaintiff.
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Action or failure to act that is outside the realm of what would be considered appropriate by ordinary, reasonably prudent persons.
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US Failure to use the care that a reasonable and prudent person would have used under the same or similar circumstances.
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UK the omission to do something which a reasonable person, guided by those considerations which ordinarily regulate the conduct of human affairs, would do; or the doing of something which a prudent and reasonable person would not do.
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When an individual fails to act as a reasonable and prudent person would have acted under similar circumstances, that individual may be held to have been negligent. The decision as to whether an at fault party was negligent is generally determined by a court of law. The penalty for negligence is money damages. An at-fault party can be held liable for negligence only if the injured party can prove all the following elements of negligence: (i) The at-fault party owed a legal duty to the plaintiff to use due care, (ii) The at-fault party breached the legal duty owed to the injured party (iii) The injured party suffered actual damage and (iv) There was a proximate or close casual connection between the at-fault party’s negligent act and the resulting damage to the injured party.

No-Fault

A type of auto insurance mechanism whereby the right to sue another party for damages caused by negligence is limited and, in exchange, expanded first party benefits are offered.
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No fault means that the claimant is not required to prove that the death, injury or damage was due to any wrongful act, neglect or default of any person.

Occupational Hazards

Occupations which expose the insured to greater than normal physical danger by the very nature of the work in which the insured is engaged, and the varying periods of absence from the occupation, due to the disability, that can be expected.
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Occupations which expose the insured to greater than normal physical danger by the very nature of the work, in which the insured is engaged, and the varying period of absence from the occupation, due to the disability, that can be expected.

Occurrence basis

For coverage to be provided, the act giving rise to a claim needs to occur within the policy period. The claim does not need to be reported during the policy period. Used with liability policies.
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A form of reinsurance under which the date of the loss event is deemed to be the date of the occurrence, regardless of when reported. See Claims-made basis.

Occurrence policy

A liability insurance policy that covers claims arising out of occurrences that take place during the policy period, regardless of when the claim is filed.
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In Liability insurance, a policy that pays for events that occur during its policy term, regardless of which a claim is filed. That is, an expired occurrence policy will pay a valid claim even if the claim is made years late, provided that the event occurred while the policy was in effect.