Glossary of Insurance Terms

Glossary

  • ACCIDENT

    ACCIDENT

    An unforeseen, unintended event.

  • ADJUSTER (or Examiner)

    ADJUSTER (or Examiner)

    A representative of the corporation who seeks to determine the extent of liability for a loss when a claim is submitted.

  • BODILY INJURY

    BODILY INJURY

    Physical injury to a person, including death.

  • CLAIMANT

    CLAIMANT

    A person who makes a claim.

  • COVERED PERSON

    COVERED PERSON

    A qualified person who has complied with the pre-requisites of Article 52.

  • DEATH BENEFIT

    DEATH BENEFIT

    Amount paid to the beneficiary upon the death of a claimant as a result of injuries sustained in a motor vehicle accident.

  • FINANCIALLY IRRESPONSIBLE MOTORIST

    FINANCIALLY IRRESPONSIBLE MOTORIST

    The owner, operator, or other person legally responsible for the operation of an uninsured motor vehicle or vehicle involved in an accident resulting in personal injury or death who did not have in effect at the time of such accident either:

    A valid and collectible policy of bodily injury liability and property damage liability insurance or bond with applicable limits at least equal to those specified in section 311 of the vehicle and traffic law; or a certificate of self insurance issued by the department of motor vehicles pursuant to section 316 of the vehicle and traffic law; or who has not otherwise complied with the provisions of section 312 of the vehicle and traffic law; or who does not have in effect at the time of such accident a valid and collectible policy of bodily injury liability and property damage liability insurance with applicable limits at least equal to those specified in section 25.13 of the parks, recreation and historic preservation law.

  • HOUSEHOLD AFFIDAVIT (HHA)

    HOUSEHOLD AFFIDAVIT (HHA)

    Required form to inform that a claimant resided at a specific residence when the loss occurred, and whether or not that claimant resided with any other person(s) at that residence.  This form must be completed fully, signed and notarized. (Household Affidavit - PDF Version)

  • INSURED MOTOR VEHICLE

    INSURED MOTOR VEHICLE

    A motor vehicle as to which there is maintained proof of financial security as defined in subdivision 3 of section 311 of the vehicle and traffic law or section 25.13 of the parks, recreation and historic preservation law.

  • INSURER

    INSURER

    Any company authorized by the superintendent to do any form of motor vehicle liability insurance business in this state.

  • LIABILITY

    LIABILITY

    Legal responsibility to another for one’s negligence that results in injury or death; an obligation for paying the debt or settling a wrongful act that may have been committed.

  • LIABILITY LIMIT

    LIABILITY LIMIT

    Maximum amount of coverage available per claim.

  • LOSS

    LOSS

    The amount that is paid on a claim.

  • MOTOR VEHICLE

    MOTOR VEHICLE

    A motor vehicle as defined in section 125 of the vehicle and traffic law and also includes trailers, semi-trailers, motorcycles, tractors and snowmobiles as defined in subdivision 3 of section 21.05 of the parks, recreation and historic preservation law and shall exclude fire and police vehicles, self propelled combines, self-propelled corn and hay harvesting machines and tractors used exclusively for agricultural purposes.

  • NOTICE OF INTENTION FORM (NOI)

    NOTICE OF INTENTION FORM (NOI)

    Required form to notify MVAIC that a claimant is pursuing a claim through the company.  This form must be completed fully, signed and notarized. (Notice of Intention - PDF Version)

  • OTHER EXPENSES

    OTHER EXPENSES

    Shall consist of all reasonable and necessary expenses, other than medical expense and work loss, up to $25 per day for a period of one year from the date of accident causing injury.

  • PERSONAL INJURY PROTECTION

    PERSONAL INJURY PROTECTION

    Pays basic expenses for a claimant in states with no-fault auto insurance. No fault laws generally require drivers to carry both liability insurance and personal injury protection coverage to pay for basic needs of the individual, such as medical expenses, in the event of an accident.

  • NO-FAULT FORMS

    NO-FAULT FORMS

    -          NF1 – Cover Letter

    -          NF2 – Application For Motor Vehicle No-Fault Benefits

    -          NF3 – Verification Of Treatment By Attending Physician Or Other Provider Of Health Service

    -          NF4 – Verification Of Hospital Treatment

    -          NF5 – Hospital Facility Form

    -          NF6 – Employer Wage Verification Report

    -          NF7 – Verification Of Self-Employment Income

    -          NF8 – Agreement To Pursue Social Security Disability Benefits

    -          NF9 – Agreement To Pursue Worker’s Compensation Or N.Y.S Disability Benefits

    -          NF10 – Denial Of Claim Form

    See Prescribed No-Fault Forms to download or print

  • PROOF OF RESIDENCE

    PROOF OF RESIDENCE

    Documentation reflecting the claimant’s residence when the loss occurred.

  • QUALIFIED PERSON

    QUALIFIED PERSON

    (i) a resident of this state, other than an insured or the owner of an uninsured motor vehicle and his spouse when a passenger in such vehicle, or his legal representative, or (ii) a resident of another state, territory or federal district of the United States or province of the Dominion of Canada, or foreign country, in which recourse is afforded, to residents of this state, of substantially similar character to that provided for by this article, or his legal representative.  It does not include any operator of or passenger on a snowmobile.  In this subsection, “operator” means every person who operates or is in actual physical control of a snowmobile, whether or not it is under way.

  • REGULATION 68

    REGULATION 68

    New York State Rules and Regulations that govern No-Fault coverage.  See Regulation 68 for additional information.

  • UNINSURED MOTOR VEHICLE

    UNINSURED MOTOR VEHICLE

    A motor vehicle other than a motor vehicle described in subsection (c) hereof.

  • WORK LOSS

    WORK LOSS

    Available for up to a maximum payment of $2,000 per month for a maximum period of three years from the date of accident.  See Regulation 68 for eligibility.