Introducción a la interpretación

Instituto de Enseñanza Superior en Lenguas Vivas J. R. Fernández

GLOSARIO DE TÉRMINOS DE SEGUROS

Laura Elena SoléTurno Tarde

2004

A

1. A.A.R. Acronym that stands for “against all risks”. Insurance against loss or damage to property arising from any fortuitous cause, except such as may be specifically excluded.

cláusula contra todo riesgo

2. A/P Additional premiumprima adicional

3. accident An unplanned event, unexpected and undesigned, which occurs suddenly and at a definite place.

accidente.a) Inevitable a. a) Accidente inevitable / accidente por caso fortuito o de fuerza

mayor.b) Unavoidable a. b) Idem 3.a)

4. act of god An event arising out of natural causes with no human intervention which could not have been prevented by reasonable care or foresight. Examples are floods, lightning, and earthquakes.

caso fortuito

5. additional sums Costs complementary to the premium recargos

6. adjuster A representative of the insurer who seeks to determine the extent of the firm's liability for loss when a claim is submitted.

liquidador / inspector / peritoa) Insurance claim a. a) Liquidador de siniestrosb) Insurance a. .b) Inspector de seguros.

7. agent The individual appointed by an insurance company to solicit, negotiate, effect or countersign insurance contracts on its behalf.

agente

8. amount covered Amount of coveragemonto asegurado

9. anniversary The anniversary of the date of issue of a policy as shown in the policy declarations.

aniversario

10. appraisal An evaluation of property made to ascertain either the appropriate amount of insurance to be written or the amount of loss to be paid.

tasación / valuación / estimación

11. assignment of a policy Transfer of rights in a policy to other than the policy owner.cesión de derechos (emergentes de una póliza)

12. attachment Commitment made by the insurer by which it will cover the economic consequences of a claim.

coberturaa) Date of a. a) Fecha de inicio de la coberturab) a. or commencement of the risk b) Fecha de entrada en vigencia de la cobertura

B13. benefit Financial reimbursement and other services provided insureds by insurers under the terms of an insurance contract. An example would be the benefits listed under a Life or Health Insurance policy or benefits as prescribed by a Workers Compensation law.

subsidio

14. binder An agreement executed by an agent or insurer (usually the latter) putting insurance into force before the contract has been written or the premium paid. This term is not usually used in Life Insurance.

póliza provisional / certificado de cobertura provisorio.a) To issue a b. a) Extender una nota de cobertura.

15. broker One who represents an insured in the solicitation, negotiation or procurement of contracts of insurance, and who may render services incidental to those functions. By law the broker may also be an agent of the insurer for certain purposes such as delivery of the policy or collection of the premium

corredor

C

16. claim A demand made by the insured, or the insured's beneficiary, for payment of the benefits provided by the contract.

siniestro

17. claimant The person making a demand for payment of benefits.reclamante

18. clause A term used to identify a particular part of a policy or endorsement.cláusula

a) civil authority c. a) cláusula que cubre los daños causados por los bomberos, la policía y otras autoridades públicas (en Fire Insurance)

b) contestable c. b) cláusula de la póliza que indica las condiciones de nulidad o impugnabilidad

c) continuation c. c) cláusula de continuación de la coberturad) delay c. d) cláusula de demorae) not to insure c. e) cláusula de no efectof) waiver of premium clause f) cláusula de renuncia

19. coinsurance In property insurance, a clause under which the insured shares in losses to the extent that he is underinsured at the time of loss.

coseguro / seguro prorrateado

20. concealment The withholding of facts by an applicant for insurance that affects an insurance risk or loss.

ocultamiento de datosa) fraudulent c. a) ocultamiento de hechos esenciales.b) material concealment .b) reticencia.

21. conditions One of the obligations of either the insured or the insurer imposed in the insurance contract

condiciones/ cláusulasa) additional c. a) c. complementariasb) general c. b) c. generales.c) special c. c) c. particularesd) standard c. d) c. básicas.

22. contract A contract whereby an insurance company agrees to indemnify an insured for losses, provide other benefits, or render services to, or on behalf of, an insured. (The contract of insurance is often called an "insurance policy", but "policy" is merely the evidence of the agreement.)

contrato

23. coverage The scope of the protection provided under a contract of insurancecobertura

D24. deductible The portion of an insured loss to be borne by the insured before he is entitled to recovery from the insurer

deducible

25. disability A condition that curtails to some degree a person's ability to carry on his normal pursuits. A disability may be partial or total, and temporary or permanent

incapacidad

26. dividend The return of part of the premium paid for a policy issued on a participating basis by either a mutual or a stock insurer.

dividendo

E27. endorsement A written or printed form attached to the policy which alters provisions of the contract.

suplemento de póliza/ constancia

F

28. face amount The amount of insurance provided by the terms of an insurance contract, usually found on the face of the policy. In a Life Insurance policy, the death benefit.

valor nominal

29. form (1) An insurance document which, when attached to a policy, makes it complete. For example, a Standard Fire policy would have to have a Business Interruption form attached to it to make up a Business Interruption policy. (2) Any rider or endorsement, such as a Deductible Endorsement "form."

formulario

G

30. general liability The GL policy is an ISO form, widely used to provide commercial enterprises with premises and operations liability coverage, products and completed operations insurance and personal injury coverage. Premises medical payments coverage is often included as well.

responsabilidad civil

H

31. hazard A specific situation that increases the probability of the occurrence of loss arising from a peril, or that may influence the extent of the loss. For example, accident, sickness, fire, flood, liability, burglary, and explosion are perils. Slippery floors, unsanitary conditions, shingled roofs, congested traffic, unguarded premises, and uninspected boilers are also hazards.

peligro

I32. indemnity A fundamental concept governing insurance: compensation for loss or injury sustained.

indemnización

33. insurance A formal social device for reducing risk by transferring the risks of several individual entities to an insurer. The insurer agrees, for a consideration, to assume, to a specified extent, the losses suffered by the insured.

seguroa) accident i. a) s. por accidenteb) all risk i. b) s. contra todo riesgoc) automobile I c) s. automotord) builder’s risk i. d) s. de la construccióne) burglary, robbery and theft i. e) s. contra robof) business interruption i. f) s. por lucro cesanteg) casualty i. g) s. por accidenteh) certificate of i. h) certificado de seguros que incluye la

coberturai) collision i. i) s. contra daños de automotor por choquesj) comprehensive i. j) s. de todos los bienes y que cubre varios

riesgosk) compulsory k) s. obligatoriol) contingency i. l) s. de cauciónm) crime i. m) s. contra actos delictivosn) current i. n) s. vigenteo) deposit i. o) s. que cubre los depósitos bancariosp) employer’s liability i. p) s. de responsabilidad patronal o

empresarialq) extended term i. q) s. de vida prorrogador) group i. r) s. colectivos) homeowner’s i. s) s. de viviendat) indemnity i. t) s. de daños patrimonialesu) joint life i. u) s. de vida conjuntov) liability i. v) s. de responsabilidad civilw) limited policy i. w) póliza de seguro que cubre sólo

determinados riesgos

x) malpractice i. x) s. contra el mal desempeño de la profesión o desempeño ilegal de la profesión

y) paid-up i. y) s. con primas totalmente saldadasz) professional liability i. z) ver malpractice insurance1) renewable term i. 1 s. de vida con ajuste de prima2) step rate premium i. 2 s. de vida variable3) term i. 3 s. de vida a plazo fijo o a término4) term of i. 4 plazo del seguro5) trust i. 5 fideicomiso de pólizas de seguro6) worker’s compensation i. 6 s. por accidentes de trabajos

34. insured The party to an insurance arrangement whom the insurer agrees to indemnify for losses, provide benefits for, or render services to. This term is preferred to such terms as policyholder, policy owner, and assured.

asegurado

35. insurer The party to an insurance arrangement who undertakes to indemnify for losses, provide pecuniary benefits, or render services. It is desirable to use the word "insurer" in preference to "carrier" or "company" since it is a functional word applicable without ambiguity to all types of individuals or organizations performing

asegurador

L36. loss Generally refers to (1) the amount of reduction in the value of an insured's property caused by an insured peril, (2) the amount sought through an insured's claim, or (3) the amount paid on behalf of an insured under an insurance contract.

perjuicio

M37. market value The price for which something would sell, especially the value of certain types of assets, such as stocks and bonds. It is based on what they would sell for under current market conditions. For example, common stock market value would be the price of the stock as of a specified date.

valor de mercado

38. measure of damages Assesment of lossesevaluación de los daños para determinar la indemnización

39. minimum premium The smallest amount of premium for which an insurer will issue coverage under a given policy.

prima minima

40. misrepresent Generally, misstatement of facts made on an application for insurance. May also be misstatement of coverage made by an agent to an insured.

incurrir en reticencia u ocultamiento de hechos

N

41. net premium 1) The amount of premium minus the agent's commission. (2) The premium necessary to cover only anticipated losses, before loading to cover other expenses.

prima neta

42. non-disclosure of facts See Misrepresentationreticencia

43. notice Written statement used by the insurer towards the insurednotificación / denuncia

a) prompt n. a) aviso inmediato

O44. overinsurance A term used to describe the condition that exists when an insured has purchased coverage for more than the actual cash value or replacement cost of a subject of insurance. It is also used to describe a situation where so much insurance is in force as to constitute a moral or morale hazard, such as having so much Disability Income Insurance in force that it becomes profitable to be disabled.

seguro en exceso

P45. peril The cause of a possible loss.

peligro / riesgoa) excepted p. a) riesgos excluidosb) covered p. b) riesgos cubiertos

46. policy The written statement of a contract effecting insurance, or certificates thereof, by whatever name called, and including all clauses, riders, endorsements, and papers attached thereto and made a part thereof.

pólizaa) anniversary of the p. a) fecha de emisión de la p.b) block p. b) p. que cubre contra todo riesgo la totalidad

de los bienes del aseguradoc) lapsed p. c) p. caduca por falta de pago de la prima

d) surrender of the p. d) renuncia a la p.e) termination of the p. e) cancelación de la p.f) terms of the p. f) modalidades de la p.

47. policyholder 1) The person in actual possession of an insurance policy. (2) Often used loosely to refer to the policy owner and/or insured.

titular/ propietario/ dueño de la póliza / polizahabiente 48. policyowner See policyholder

ver anterior

49. premium The price of insurance protection for a specified risk for a specified period of time.

primaa) additional p. a) p. complementariab) deposit p. b) p. inicialc) extra p. c) Ver Additional premiumd) return p. d) devolución de la p.

50. proof of loss A formal statement made by a policy owner to an insurer regarding a loss. It is intended to give information to the insurer to enable it to detemine the extent of its liability.

denuncia de siniestro

R51. rate The cost of a given unit of insurance.

tasa

52. reinsurance The business of insuring insurance companies. By "ceding" a portion of its business to a reinsurance company, an insurer spreads the risk of exposure to catastrophic loss.

reaseguro

53. reputable assurance company Well-known insurance company.compañía de seguros reconocida en plaza

54. rescind To finalize a contract with the insurerrescindir

55. rider An attachment to a policy that modifies its conditions by expanding or restricting benefits or excluding certain conditions from coverage.

suplemento/ anexo

56. right of recovery Right that enables the insured to be indemnified within the clauses of the contract signed.

derecho a ser indemnizado

57. risk Uncertainty as to the outcome of an event when two or more possibilities exist.riesgo

a) accept the risks a) asumir los riesgosb) assess the risks b) estimar los riesgos

S

58. settlement Usually, a policy benefit or claim payment. It connotes an agreement between both parties to the policy contract as to the amount and method of payment

liquidación

59. sole proprietor A business enterprise owned by one person who is its manager and employee

dueño único

60. solve To calculate the amount of a premiumcalcular

61. special charges A compensation paid to an insurance agent in excess of prescribed commissions

gastos extraordinarios

62. subpoena To summon.citar

T63. table rating A retrospective rating plan, which uses tables to furnish the various values for the rating formula.

clasificación (de tabla)

64. take out insurance To hire the services of an insurance companycontratar un seguro

65. term The period of time for which a policy or bond is issuedtérmino

66. transfer of risk Shifting all or part of a risk to another party. Insurance is the most common method of risk transfer, but other devices, such as hold harmless agreements, also transfer risk. One of the four major risk management techniques

transferencia de riesgo

67. trustee A person appointed to manage the funds of another personfiduciario

68. trust fund Fund managed by a trustee.fondo de fideicomiso

U69. uberrima fides Trustworthy

absoluta buena fe

70. underwrite The process of selecting risks and classifying them according to their degrees of insurability so that the appropriate rates may be assigned. The process also includes rejection of those risks that do not qualify.

asegurar/ evaluar los riesgos (Depende del contexto)

71. underwriter A technician trained in evaluating risks and determining rates and coverages for them. The term derives from the practice at Lloyd's of each person willing to accept a portion of the risk writing his name under the description of the risk

asegurador o evaluador de riesgo (Depende del contexto)

V

72. vis divina An accident for which no one is responsible, an act of Godcaso fortuito

73. vis major See 73.caso de fuerza mayor

W74. waiting period Nonindemnity period.

período inicial no indemnizable

75. waiver (1) A rider waiving (excluding) liability for a stated cause of injury or sickness. (2) A provision or rider agreeing to waive premium payments during a period of disability of the insured. (3) The act of giving up or surrendering a right or privilege that is known to exist. In Property and Liability fields, it may be effected by an agent, adjuster, company, employee, or company official, and it can be done either orally or in writing

exoneración

SOME EXPRESSIONS TO BE FOUND IN POLICIES76. As it is evidenced by Según consta en 77. As is En el estado en que se encuentra78. As soon as practicable Dentro de un período razonable79. Cease to attach80. (lawyer) by profession De profesión (abogado)81. Concerning the premises Referente a la causa arriba indicada82. the endorsements below Las constancias que obran al pie83. which appears on the endorsement hereof Que consta al dorso de la presente84. In apparent good order and condition En buenas condiciones exteriores85. In the ordinary course of business Durante el ejercicio habitual de su

actividad86. On account of whom it may concern 86. (póliza emitida) a cuenta de

quien corresponda / en beneficio de quien corresponda

87. that XX be subpoenaed to appear in court as a witness for Se cite a declarar al testigo

88. To the best of my knowledge and belief A mi leal saber y entender

CONTRALISTADO

absoluta buena fe 70.accidente 3accidente inevitable / accidente por caso fortuito o de fuerza mayor 3.a)agente 7.aniversario 9.asegurado 35.asegurador 36.asegurador o evaluador de riesgos 72.asegurar/ evaluar los riesgos 71.asumir los riesgos 58.a) aviso inmediato 44.a)calcular 61.cancelación de la póliza 47.e) caso fortuito 4. certificado de seguros que incluye la cobertura 34.hcesión de derechos (emergentes de una póliza) 11citar 63.

clasificación (de tabla) 64.cláusula contra todo riesgo 1cláusula 19cláusula de continuación de la cobertura 19.c)cláusula de demora 19.d)cláusula de la póliza que indica las condiciones de nulidad o impugnabilidad 19.b)cláusula de no efecto 19.e)cláusula de renuncia 19.f)cláusula que cubre los daños causados por los bomberos, la policía y otras autoridades públicas (en Fire Insurance) 19.a)cobertura 12cobertura 24compañía de seguros reconocida en plaza 54.condiciones/ cláusulas condiciones 22contratar un seguro 65.contrato 23 Corredor 16coseguro / seguro prorrateado 20deducible 25denuncia de siniestro 51.derecho a ser indemnizado 57. devolución de la prima 50.d)dividendo 27dueño único 60.estimar los riesgos 58.b)evaluación de los daños para determinar la indemnización 39.exoneración 76.extender una nota de cobertura. 15.a)fecha de emisión de la póliza 47.a) fecha de entrada en vigencia de la cobertura 12 b)fecha de inicio de la cobertura 12 a)fideicomiso 68.fideicomiso de pólizas de seguro 34.5fondo de fideicomiso 69.formulario 30gastos extraordinarios 62.incapacidad 26incurrir en reticencia u ocultamiento de hechos 41.indemnización 33inspector de seguros. 6.b)liquidación 59.liquidador / inspector / perito 6. liquidador de siniestros 6.a) modalidades de la póliza 47.f)monto asegurado 8.notificación / denuncia 44.

ocultamiento de datos 21ocultamiento de hechos esenciales. 21.a)peligro 32peligro 46. período inicial no indemnizable 75.perjuicio 37. plazo del seguro 34.4póliza 47. póliza caduca por falta de pago de la prima 47.c) póliza complementaria 50.a) póliza de seguro que cubre sólo determinados riesgos 34.w) póliza provisional / certificado de cobertura provisorio. 15 póliza que cubre contra todo riesgo la totalidad de los bienes del asegurado 47.b) prima 50. prima adicional 2prima inicial 50.b) prima Mínima 40.prima neta 42.reaseguro 53.recargos 5.reclamante 18renuncia a la póliza 47.d) rescindir 55responsabilidad civil 31reticencia 43.reticencia. 21.b)riesgos 58. riesgos cubiertos 46.b)riesgos excluidos 46.a) seguro de vida prorrogado 34.q)seguro de vivienda 34.s)seguro por accidente 34.a)seguro 34seguro automotor 34.c)seguro colectivo 34.r)seguro contra actos delictivos 34.m) seguro contra daños de automotor por choques 34.iseguro contra el mal desempeño de la profesión o desempeño ilegal de la profesión 34.x) seguro con primas totalmente saldadas 34.y) seguro contra robo 34.eseguro contra todo riesgo 34.b)seguro de caución 34.l) seguro de daños patrimoniales 34.t) seguro de la construcción 34.dseguro de lucro cesante 34.f)seguro de responsabilidad civil 34.v)

seguro de responsabilidad patronal o empresarial 34.p)seguro de todos los bienes y que cubre varios riesgos 34.j)seguro de vida a plazo fijo o a término 34.3 seguro de vida con ajuste de prima 34.1 seguro de vida conjunto 34.u) seguro de vida variable 34.2 seguro en exceso 45.seguro obligatorio 34.k)seguro por accidente 34.g)seguro por accidentes de trabajos 34.6seguro que cubre los depósitos bancarios 34.o)seguro vigente 34.n) siniestro 17subsidio 14suplemento de póliza/ constancia 28suplemento/ anexo 56.tasa 52. tasación / valuación / estimación 10término 66.titular/ propietario/ dueño de la póliza/ polizahabiente 48. transferencia de riesgo. 67.valor de mercado 38.valor nominal 29

Fuentes Consultadas Sitios de Internet:

http://www.insweb.com/learningcenter/glossary/general-a.htmhttp://www.agenteallianz.com/glosario/glosario_resultado/1,1896,A,00.htmlhttp://barrioperu.terra.com.pe/hdkp/archi/inglos.pdfhttp://www.svs.cl/sitio/html/merc_seguros/educacion/cont_glosario.htmlhttp://www.imms.com/glossary/Cgloss.htmhttp://members.aol.com/translatrs/dictionaries/ins-spen.html

Asesor:

Horacio Lograzo, de Ascoli & Weil, liquidadores de seguros