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Reference

Insurance Claim Glossary: Plain-English Terms

42 terms you’ll meet in policies, estimates and appraisal awards, defined simply. Type to filter.

42 terms

Actual cash value (ACV)
The value of damaged property at the time of loss, commonly replacement cost minus depreciation.
Additional living expense (ALE)
Coverage for the increase in living costs when a covered loss makes your home unlivable.
Amount of loss
The dollar value of covered damage. It is the question an appraisal panel decides.
Appraisal award
The written decision setting the amount of loss, binding when signed by two of the three panel members.
Appraisal clause
The policy condition that lets either side demand appraisal when they disagree on the amount of loss.
Arkansas Insurance Department
The state agency that licenses insurers, reviews filings and handles consumer complaints.
ARRUA
The Arkansas Rural Risk Underwriting Association, the state’s statutory residual market for basic property coverage in designated rural areas.
Coinsurance
A commercial policy clause that reduces payment if the property was insured below a set percentage of its value.
Collateral damage
Dents and marks on gutters, vents, AC units and similar items that help confirm a hailstorm’s size and date.
Contents
Personal property such as furniture, clothing and electronics, usually Coverage C on a homeowner policy.
Coverage A
Dwelling coverage for the house itself on a homeowner policy.
Coverage B
Other structures coverage for detached garages, fences, sheds and similar buildings.
Debris removal
Coverage for removing damaged property and, within limits, fallen trees.
Declarations page
The summary page listing your coverages, limits, deductibles and policy period.
Depreciation
The reduction in value due to age, wear and condition. Recoverable depreciation can be paid after repairs.
Drip edge
Metal flashing at roof edges that directs water into gutters. Often missing from roof estimates.
Earth movement exclusion
A standard exclusion for earthquakes, landslides and similar events unless an endorsement adds coverage.
Endorsement
A form that adds to, removes from or changes a policy’s coverage.
Glaze ice
The clear, dense ice formed by freezing rain, responsible for most ice storm damage.
Holdback
Recoverable depreciation withheld from the first payment until repairs are completed.
Ice dam
A ridge of ice at the eaves that traps meltwater, which can then back up under shingles.
Impartial
Without bias toward either side. Most appraisal clauses require appraisers and umpires to be impartial.
Line item
A single entry in an estimate, with a description, quantity and unit price.
Matching
Whether replacement materials reasonably match undamaged materials in color, texture and profile.
Mitigation
Reasonable steps to prevent further damage after a loss, such as tarping or water extraction.
New Madrid Seismic Zone
A seismic zone affecting northeast Arkansas. Earthquake damage generally requires separate coverage.
Ordinance or law coverage
Coverage for added costs of meeting current building codes during repair.
Overhead and profit (O&P)
A general contractor’s charge for coordinating multiple trades, often 10% overhead and 10% profit.
Percentage deductible
A deductible calculated as a percentage of the dwelling limit, common for wind and hail.
Pitch
A roof’s steepness, expressed as inches of rise per 12 inches of run, such as 6/12.
Proof of loss
A sworn statement of the amount claimed, often required within a set time after the insurer requests it.
Replacement cost value (RCV)
The cost to repair or replace damaged property with materials of like kind and quality, without deduction for depreciation.
Roofing square
100 square feet of roof surface, the standard unit for roofing estimates.
Scope of loss
The list of damaged items and the work needed to repair them.
Steep charge
Extra labor cost for working on roofs above a certain pitch, commonly 7/12 or 8/12.
Straight-line wind
Damaging wind from thunderstorms that is not rotating, sometimes exceeding tornado-strength speeds.
Suit limitation
The policy clause limiting how long you have to file a lawsuit against the insurer.
Supplement
A request for additional payment for items missed or discovered after the original estimate.
Test square
A 10-by-10-foot area on a roof slope used to count and document hail hits.
Umpire
The neutral third member of an appraisal panel who decides items the two appraisers can’t resolve.
Wind-driven rain
Rain forced into a building by wind. Coverage often depends on whether wind first created an opening.
Xactimate
Widely used estimating software for property insurance claims, with regional price lists.
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