Are you looking to understand your insurance policy or benefits plan better?
Sometimes, it can be hard to understand what your insurance policy or benefits coverage includes or not. You can check out OTIP’s glossaries to learn more about these insurance terms and ensure you have the coverage and protection you need for what matters to you and your family.
Actual cash value
The replacement cost less any depreciation and market value. Taking into account factors such as the condition of the property immediately before the loss or damage, the resale value, and the normal life expectancy.
Additional insured
A person other than the named insured who is protected by the terms of the policy. Most automobile policies, for example, insure a specific individual as an insured, but also insure anyone driving with that insured's consent. The additional insured may be "named" or "unnamed." with consent by the insured owner of the auto.
Advisor
A person who is licensed by a provincial or territorial regulator to sell life insurance, accident and sickness insurance, group insurance and annuities, including segregated funds. Also called an agent or a broker.
Benefit
The payment an insurance company makes when they approve an insurance claim.
Broker
See advisor.
Cancellation
During the policy period, either the insurer or the customer may terminate coverage according to provisions in the contract.
Cash value
The cash amount that builds up in a permanent life insurance policy. You can take a loan against the cash value of your policy. If you cancel your policy, you get the cash value. Whole life, variable life and universal life are types of life insurance that have cash value.
Claim
A formal request to an insurance company for payment of a benefit.
Coinsurance
An arrangement in a health or dental insurance plan where you and the insurance company share the cost of the items covered. You usually pay a set percentage (e.g., 20% paid by you and 80% paid by the plan).
COLA: Cost of living allowance
COLA is an adjustment to an amount (such as a salary or benefit) based on inflation. For example, a salary might be increased by 3% every year to keep pace with the rate of inflation (i.e., a salary of $30,000 will not afford the same standard of living in 2009 as it will in 2020).
Contingent beneficiary
A contingent beneficiary is also known as a secondary beneficiary. Primary beneficiaries are first in line to receive benefits. Secondary beneficiaries receive a benefit if the primary beneficiary for that specific share has already died when the benefit becomes payable.
Coordination of benefits
Families with two working adults may be covered by more than one health or dental plan. If your primary plan doesn't pay the full amount of an expense, you can submit a claim to the other plan for the balance. In this way, you can receive up to 100% of your expense.
Curo
Curo Canada is part of the OTIP group of companies, and adminstrates home, auto and bodily injury claims services for OTIP and TW Insurance in Ontario and Alberta.
Disability income insurance
A type of insurance that makes regular payments (usually monthly) to replace income if you become disabled and unable to work. It's usually provided as part of a group plan, but you can also buy it on its own.
E&O: Errors and Omissions
E&O insurance is business liability insurance for professionals such as insurance brokers and real estate agents. An error or omission is a mistake, which causes financial harm to another, which can occur on almost any transaction in any profession. This type of insurance helps to protect a professional, an individual or a company, from bearing the full cost of defense for lawsuits relating to an error or omission in providing covered professional services.
Eligibility period
The length of time you must be an eligible member of a plan before you can be covered under the group plan. For example, an organization whose health and dental plan has a 90-day eligibility period would require a member to be in a position that is eligible for benefits for 90 days before coverage could begin.
Eligible expenses
Expenses that are covered under a health or dental plan. Depending on the coverage provided, you may have to pay a share of the expenses.
Evidence of insurability
The information an insurance company uses to decide whether or not to insure you. It's often called "proof of good health". The information may include medical, lifestyle, smoking and other personal information.
First party
The person who is insured on the insurance policy. He or she is also the "policyholder" or "insured." There may be other people, named or unnamed, who are covered as well.
Flat cancellation
The cancellation of a policy as of the effective date with all paid premium refunded.
Individual insurance
Insurance you buy as an individual from an advisor or insurance company. This differs from group insurance, which you may have through your employer.
Insured
See Policyholder
Insurer
An insurance company that issues policies and promises to pay benefits.
Insuring clause
Describes the intent of the policy, just what insurance coverage is provided by the policy and in what limits.
Irrevocable
You cannot change the beneficiary unless you have written permission from this person.
If you live in Quebec: Naming your spouse (must be a civil union) as a beneficiary automatically means that he/she is an irrevocable beneficiary, unless you check off the Revocable box. Be sure to update your coverage and beneficiary if your family status changes (e.g. divorce).
Liability insurance
Insurance which agrees to indemnify the insured for sums he may be required by law to pay to third parties as damages for bodily injury or damage to property.
Life insurance
A type of insurance that pays out when the insured person dies.
LTD: Long Term Disability (benefits)
LTD benefits provide a monthly income replacement benefit when an insured member becomes ill or injured and is unable to initially perform the significant duties of their regular assignment and subsequently if their illness or injury prevents them from being gainfully employed.
OMERS: Ontario Municipal Employees Retirement System
OMERS is one of Canada’s leading pension funds and represents more than 900 employers and 390,000 members, retirees and survivors, including non-teaching school board staff. Members can access individual life, Critical Illness, Long-term Care and can apply to RTIP if they were education employees within OMERS.
Plan member or Participant
The person insured under a group insurance, group benefit, group pension, or group savings plan (for example, an employee, union member or association member).
Plan sponsor
The holder of a group insurance, group benefit, group pension, or group savings plan. It can be any organization that provides group benefits to its members, for example an employer, union or association.
Policy
Legally binding contract effecting insurance or certificates thereof, including all clauses, riders, endorsements and renewals.
Policy (Contract)
The legal agreement between you and your insurance company that sets out the terms of your insurance coverage.
Policy limit
The maximum amount an insurer will pay under a policy, either overall or under a particular coverage.
Policyholder
The person who owns an insurance policy. Also called the policyowner.
Pre-determination of benefits
A claim procedure required by many group plans before you incur large expenses. For example, if you need major dental work, your plan may require you to obtain and submit an estimate of the costs so your insurer can determine what portion of the costs your plan will cover (called a pre-determination of benefits) before you receive treatment. You can then budget for the expense knowing how much your plan will pay and how much you'll have to pay. You may be able to cover some of your costs under your spouse's or partner's plan.
Pre-existing condition
A medical condition for which you've had symptoms, consulted a medical professional or received treatment before you apply for insurance or before your coverage takes effect. Some types of insurance have pre-existing condition clauses which may limit or exclude benefits if you make a claim related to that condition.
Premium
An insurance premium is the money the policyholder pays to the insurer for financial protection against specific risks for a specific time-span. Unlike the premiums for many forms of life insurance, general insurance premiums are not intended to produce a reward other than financial peace of mind.
Proxy enrolment
When an OTIP employee completes an enrolment, such as a beneficiary designation, on your behalf.
Qualifying period (or elimination period)
In disability insurance, you have to be continuously disabled for a certain amount of time before you are eligible to receive benefits. This amount of time is the qualifying period or elimination period. These two terms can be used interchangeably (in the past, OTIP sometimes referred to this period as a "waiting period"). You won't receive benefits for the elimination period.
Quote
An estimate of the cost of insurance, based on information supplied to the insurance company.
Renewable term insurance
A type of term life insurance that can be renewed at the end of the term, either automatically or at the policyholder's option, without evidence of insurability. The amount you pay for the insurance (the premium) is usually fixed and guaranteed not to change for the length of the term. When the insurance renews, the premium increases, based on your age.
Revocable
You can change your beneficiary at any time without their permission.
Term life insurance
A type of life insurance that provides coverage for a set period of time. The period (or term) of the coverage can be either a fixed number of years (e.g., 10 years) or to a set age (e.g., age 65). The policy has no cash value.
Travel insurance
Insurance designed to pay for certain unexpected costs that may arise when you are travelling outside your home province or Canada. These costs may include emergency hospital and medical costs, trip cancellation and lost baggage. Some travel insurance coverage includes an accidental death benefit.
TW or TWIB: TW Insurance Brokers Inc.
A federal corporation under OTIP/RAEO Insurance Brokers Inc. with offices in Fort McMurray and Edmonton, AB. TW provides a full range of insurance solutions including home, auto and personal insurance products. TW stands for TrustWorks.
Underwriter
An underwriter is an employee of an insurance company who looks at an insurance application and decides whether or not the insurance company can or should provide the applicant with insurance, based on the risk that person presents.
Underwriting
The process an insurance company goes through to decide whether or not to insure someone and/or under what terms or conditions.
A feature of some insurance policies that allows you to stop paying the premiums if you become disabled.
WSIB: Workplace Safety & Insurance Board
The WSIB promotes workplace health and safety, and provides a workers’ compensation system for the employers and workers of Ontario.
Accident
An event that happens by chance and is not expected results in loss or injury to the people involved or their property.
Accident Benefits
A part of auto insurance that provides medical care and income replacement benefits for you if you are injured in a collision, regardless of who is at fault.
Accident Forgiveness
An optional auto insurance coverage that helps you avoid a premium increase after your first at-fault or partially at-fault collision. Your insurer forgives your first accident if it was not a major driving offence.
Actual Cash Value
The fair market value of a property considering factors such as original purchase price, depreciation, and physical condition on the day it was damaged or lost, which may affect the value of the property in question.
Additional Insured
An individual other than the named insured protected by the policy terms. For example, auto insurance policies insure a specific individual as the insured but also insure anyone driving with that insured's consent. The additional insured may be "named" or "unnamed."
Adjuster
An individual responsible for assessing the damage and determining its value in a claim. They use various tools to evaluate the extent of your loss after an event like a fire or burglary.
Agent
An individual authorized by a single insurance company to create, modify, terminate, and advise on insurance contracts.
All-risk (All-perils) Policy
Coverage on an auto insurance policy that insures against loss or damage resulting from various causes such as fire, theft, windstorm, flood, vandalism, etc. but does not typically include loss by collision.
Amount of Insurance
The maximum amount your insurer will pay out if an item is lost or damaged. These maximums are outlined in your policy documents.
At-fault
An individual responsible for an undesirable situation or event.
Basis of Settlement
The method by which a claim is met. The most common way to settle a claim would be to pay out the actual cash value or the replacement cost of the insured item.
Binder
A temporary or preliminary agreement that provides coverage until your policy can be written or delivered.
Broker
A licensed individual who can help you find the best coverage at the best price. They partner with multiple insurance companies and are happy to help you find the best deal. Plus, they know the insurance business inside and out and are an excellent source of advice and information.
By-Law Coverage
This coverage protects you against losses resulting from the enforcement of new bylaws and/or changes to existing bylaws that increase the cost of repairing or replacing a building following an insured loss. In some cases, when a loss occurs, changes may need to be made to meet new building standards. These adjustments are typically excluded from coverage, however, by-law coverage will cover the costs of these adjustments.
Cancellation
During the policy period, either you or your insurer may terminate coverage according to provisions in your contract.
Claim
Exercising your right as a policyholder to be compensated by your insurer for loss or damage to items covered under an insurance policy.
Claims Protector
This endorsement protects a policy from its first claim submission, meaning rates will not increase after a first claim is submitted. The claim will be protected for the length the carrier normally rates a claim for, if there are no other claims within that period you regain your claim protection, and it is as if the claim never occurred (from a rating perspective). If you have a second claim in that ratable period, it will act as the first claim on the policy. If a claim is protected, it does not mean that the insurer cannot make adjustments to the policy (e.g. preventative efforts to mitigate future losses). The endorsement must remain on the policy after the first claim is submitted. Learn more about claims protector coverage.
Collision Coverage
An optional auto insurance coverage that pays for repairing your insured vehicle if it is damaged in a collision.
Comprehensive Coverage
An optional auto insurance coverage that insures against loss or damage resulting from various causes such as fire, theft, windstorm, flood, vandalism, etc. but does not typically include loss by collision.
Condition
Terms of insurance contracts that must be followed to preserve your coverage.An optional auto insurance coverage that insures against loss or damage resulting from various causes such as fire, theft, windstorm, flood, vandalism, etc. but does not typically include loss by collision.
Contents Insurance
Coverage generally included in your home or tenant insurance policy to protect your personal belongings. Your policy likely has a set limit for contents coverage.
Cover
To protect with insurance.
Coverage
What the insurance contract covers.
Deductible
The dollar amount you agree to pay out of pocket in the event of a claim.
Depreciation
The reduction in property value through use, ageing, deterioration and obsolescence. It is often considered when determining the value of a claim payment.
Depreciation Waiver
Suppose you purchase a depreciation waiver when insuring a brand-new vehicle. In that case, you will be covered for the full purchase or retail price (whichever amount is lower) if your vehicle is stolen or damaged beyond repair. Without a depreciation waiver, you will only receive the depreciated value of your vehicle, which may not be enough to buy a new one.
Detached Structures
Structures that are not physically attached to your home, such as a shed, detached garage, backyard gazebo, etc.
Direct Compensation Property Damage
Covers damage to your vehicle or its contents to the extent that another driver was at fault for the accident. Even though someone else caused the damage, you collect directly from your insurer instead of the person who caused the accident.
Driver Record
Also known as an abstract, is a government-issued document with information about a driver and their licence.
Driver Training Credit
Many insurers grant premium rebates to auto insurance applicants who have completed an approved training program.
Effective Date
The date when an insurance policy or bond goes into effect, and from which protection is provided.
Endorsement
An amendment added to your insurance policy that can alter its coverage.
Exclusion
Risks, perils, or properties defined in your policy that are not covered.
Flooding
Unwanted water that can damage your property. Flooding includes natural disasters like tidal waves, tsunamis, and water that overflows or makes its way out of nearby bodies of water. Although you may refer to the gushing pipe in your basement as a “flood,” in insurance terms, this would be known simply as water damage.
Fraud
Methods used to deceive for one's benefit, such as receiving an undeserved payout from your insurer. Insurance fraud is not always so blatant, and even slight misrepresentations, misstatements, and concealment of facts are taken seriously. If you suspect someone of committing insurance fraud, you must report it.
Ground Water Coverage
This new type of coverage is currently only offered by select carriers. It expands on sewer backup and overland water coverage to provide protection for water that is entering the home from below the ground (not in relation to the sewer system). Some loss cause examples include water in the soil beneath the surface (e.g. well water, underground streams, cisterns), sudden accidental entrance of ground waters into a dwelling through basement walls, foundations or floors, and sudden rising of the water table. As with any coverage, these losses must be sudden and accidental (i.e. not the result of damage gradually occurring over time).
Group Insurance
Covers all eligible members of a pre-defined group, such as all employees in an organization.
High-risk Insurance
Also known as non-standard coverage, is auto or home insurance coverage for people who aren’t eligible for standard insurance coverage. This can include situations where a person has multiple driving convictions, made numerous insurance claims, or policies have previously been cancelled for non-payment.
Hit-and-run Accident
A collision between a vehicle and another vehicle, another object, and/or a pedestrian where a driver leaves the accident scene without identifying themself. This is an offence under the Highway Traffic Act.
Identity Theft/Cyber Coverage
This coverage protects you in the event that your identity is stolen and used in a malicious manner, causing financial harm. Certain endorsements can assist the injured in recouping administrative costs and time off work required to restore their identity. Basic coverage falls into two categories: (1) credit card, automated teller card, forgery, and counterfeit money, and (2) identity theft expenses. Expanding on this coverage to include cyber coverage provides your with protection in the event that your electronics (e.g. personal computer, home system, data, etc.) are hacked, held from ransom, deleted by a third party, or used with malicious intent. Learn more about identity theft/cyber coverage.
Indemnify
To compensate you for a loss, in whole or in part, by payment, repair, or replacement.
Instalment
An amount of money due as one of several equal payments for something spread over an agreed period.
Insurance
A contract between you and your insurance company for a specific period. It protects you financially against a loss. Insurance is also a mechanism for dispersing risk because it shares the losses of the few among the many.
Insurance Policy
A written contract of insurance.
Insured
The individual (or business) that can benefit from claims payments under the terms of their policy.
Insurer
An insurance company.
Lease
A contract by which a lessor conveys real estate, equipment, or facilities to a lessee for a specified time and rent.
Lessee
Commonly called the “tenant", they are the individual to whom a lease is granted.
Lessor
The individual granting a lease.
Letter of Experience
A document you can request from your former insurer that confirms your driving and insurance history.
Liability for Damage to Non-Owned Vehicles
This endorsement allows you to transfer your existing Liability, Accident Benefits, Collision, and Comprehensive coverage to a rental vehicle that is being used for pleasure (e.g. you are going on a trip and want to rent a vehicle). You can extend your automobile coverage with OTIP to that rental vehicle and you do not need to take out insurance through the rental agency. The coverage applies to all named insureds, their spouses, and any other listed drivers on a policy. Learn more about liability for damage to non-owned vehicles.
Limit of Liability
This endorsement allows you to transfer your existing Liability, Accident Benefits, Collision, and Comprehensive coverage to a rental vehicle that is being used for pleasure (e.g. you are going on a trip and want to rent a vehicle). You can extend your automobile coverage with OTIP to that rental vehicle and you do not need to take out insurance through the rental agency. The coverage applies to all named insureds, their spouses, and any other listed drivers on a policy. Learn more about liability for damage to non-owned vehicles.
Loan
An amount of money borrowed and expected to be paid back with interest.
Loss of Use Coverage
This coverage provides protection in the event your vehicle needs to be replaced or repaired following damage or loss. While you are without your vehicle and until a claim is settled, loss of use coverage will temporarily cover your transportation costs (e.g. public transit or taxi expenses, rental car costs). Loss of use coverage is also sometimes referred to as temporary vehicle replacement or rental coverage. Learn more about loss of use coverage.
Make (of vehicle)
The brand of your vehicle, while the model refers to the specific vehicle model. For example, Nissan is the make, while Altima is the model.
Market Value
The amount your house and the property it’s on would sell for in today’s market. One way to calculate the market value of your home is to research the asking price for similar properties for sale in your neighbourhood — but don’t forget to consider things like upgrades and lot measurements. You can also request a real estate agent to do a comparative market analysis to compare your property with others in the area that have sold recently (looking at things like square footage, renovations, and the number of bedrooms).
Minor Conviction Protection
An optional auto insurance coverage that will forgive your first minor conviction and will not raise your insurance premium because of it.
Mortgage
A type of loan for taking the title of your property. You agree to pay the lender over time, typically in regular payments divided into principal and interest. The property then serves as collateral to secure the loan.
Named Perils Policy
Also known as a basic perils policy, covers only specific perils named in your insurance policy.
No-Fault
An auto insurance coverage that provides some compensation for personal injury and death arising out of a motor vehicle accident, with payments made regardless of who caused the loss. However, it does matter who caused the accident; if found to be at fault, you may experience an increase in future premiums.
Overland Water Coverage
This coverage provides protection from sudden or accidental water entering the home due to water that is above ground. Overland water is fresh water that typically originates from overflow of lakes or rivers and/or heavy rain, spring run-off or melting snow/ice. Learn more about overland water coverage.
Partial Loss
A loss covered by an insurance policy where the property or the premises are not destroyed or rendered completely worthless.
Peril
The cause of loss or damage to any property you have insured. Perils are sometimes referred to as events in newer policy documents.
Policy
A legally binding contract effecting insurance, including all clauses, riders, endorsements, and renewals.
Policy Limit
The maximum amount an insurer will pay under a policy, either overall or under a particular coverage.
Possession Date
The day a buyer is entitled to take possession of their new property.
Pre-authorized Payment
Also known as a pre-authorized debit, allows the biller to withdraw money from your bank account when a payment is due.
Premium
The amount of money you pay your insurer for protection against specific risks during a particular period. General insurance premiums are intended for financial peace of mind.
Proof of Insurance
Concerning auto insurance, proof of insurance usually refers to the pink slip you keep in your vehicle to prove that you have an active insurance policy. It contains information such as the name of your insurance company, policy number, the make, model, and year of your vehicle, and policy expiration date. You could face a fine if you can’t provide proof of insurance at the collision scene, so always keep it in your vehicle.
Proof of Loss
If you file a home insurance claim, you may be asked by your insurance company for a formal statement that details the circumstances and the amount of loss you experienced.
Property and Casualty Insurance
A category of insurance coverage designed to help protect your property. It also includes third-party liability coverage if you’re found legally responsible for an injury or damage to someone else's property.
Purchase Agreement
A legal contract between a buyer and a seller that obligates a transaction to occur. The agreement finalizes the terms and conditions of the sale.
Purchase Price
The amount of money you pay for something, such as a house.
Quote
An estimate of your insurance cost based on information supplied by your insurance company.
Rate
The amount used to calculate premiums to be paid on an auto insurance policy.
Registration (of vehicle)
Your permit paper that proves you are registered to be legally allowed on the road in your province. It refers to your vehicle permit, licence plate, and sticker.
Reinstatement
The reactivation of suspended or cancelled insurance.
Replacement Cost
The dollar amount you would need to purchase a new item similar to the lost or damaged item.
Rider
Also known as a floater, is an amendment added to your insurance policy that can alter its coverage.
Salvage
After paying for a total property loss, your insurance company has the right to take title to what remains or is recovered of the property.
Schedule
A comprehensive list accompanying a policy that details the property, locations, amounts insured, and the applicable conditions.
Schedule of Insurance
A list of items individually covered by a policy, e.g., a list of vehicles under an auto insurance policy.
Service Line Coverage
This coverage provides protection when utility lines (e.g. water, sewer, electrical lines) that run onto your property are damaged. While it seems like a small potential for loss, service line damage can be quite expensive. If you live in an older neighbourhood, the likelihood for a loss and the size of that loss is also increased.
Sewer Backup Coverage
This coverage provides protection when a sewer system backs up and causes damage to a home. This includes backup or discharge from storm drains, septic tanks and sewers, and/or overflow from a sump or sump pump or any other related equipment. Learn more about sewer backup coverage.
Specified Perils
Coverage on your auto insurance policy that protects against loss or damage resulting from various causes outlined explicitly in the policy wording. Specified perils include fire, lightning, theft, earthquake, etc., but do not typically include vandalism or falling objects.
Subrogation Clause
Once your insurance company has paid a loss for which you are not responsible, it may have the right to take legal action and recover this loss from the guilty party.
Third-Party Liability Insurance
As part of many insurance policies, it protects you from paying out of pocket if you are held legally responsible for an injury or damaging someone else's property.
Under Construction
Your home is considered under construction while you are completing renovations that will change its overall structure, such as building an extension or knocking down a wall. Generally speaking, the project is so big that you cannot stay in your home while it is happening.
Unoccupied
A building with furnishings but no occupants, e.g., you are temporarily away on vacation.
Vacant
A building with no occupants or furnishings. For example, if your family packs up and moves to a new home but keeps both houses, your old house will likely be considered vacant after it has been empty for 30 days. Some insurance policies will not cover loss or damage to vacant homes, and others require owners of vacant homes to purchase high-risk insurance.
Valuation
An appraisal estimation of the value of an item.
Waiver of Depreciation Coverage
With this coverage, in the event of an accident where the vehicle is a total loss or an unrecovered theft, depreciation is not taken into account when determining the claim payout. Without this coverage, the payout is determined by the actual cash value at the time of the loss, which would take the deprecation on the vehicle into account. This endorsement is available for new vehicles, demos within a certain driven range (in kms), or certain used vehicles within a specific age range. Learn more about waiver of depreciation coverage.
Warranty
A statement made by you that certain conditions of the insured risk exist or will be met. If found to be false, it provides the basis for voidance of the policy.