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Property Insurance Claim Glossary

40 terms you’ll see in New Jersey policies, estimates and appraisal awards, defined in plain English. Type to filter.

Actual cash value (ACV)
Replacement cost minus depreciation. Many policies pay ACV first and the rest after repairs.
Additional living expense (ALE)
Coverage for extra costs of living elsewhere while your home is being repaired.
Amount of loss
The dollar value of covered damage. It’s the question an appraisal panel decides.
Appraisal award
The written decision that sets the amount of loss, binding when signed by any two of the three panel members.
Appraisal clause
The policy provision that lets either side demand appraisal when they disagree on the amount of loss.
Appraiser
The person each side names to value the loss. Policies usually require a competent and disinterested appraiser.
Coverage A
Dwelling coverage for the house itself and attached structures.
Coverage B
Other-structures coverage for detached garages, sheds and fences.
Coverage C
Personal property coverage for contents.
Coverage D
Loss-of-use coverage, including additional living expenses.
Debris removal
Coverage for removing debris after a covered loss, often with separate limits for trees.
Declarations page
The summary page of your policy listing limits, deductibles and endorsements.
Deductible
The part of a covered loss you pay before the policy pays.
Depreciation
The reduction in value for age and wear. Recoverable depreciation is paid after repairs under a replacement cost policy.
DOBI
The New Jersey Department of Banking and Insurance, the state’s insurance regulator.
Endorsement
A policy amendment that adds, removes or changes coverage.
FAIR Plan
A state-backed insurer of last resort. In New Jersey it’s the New Jersey Insurance Underwriting Association.
Flood exclusion
The homeowners policy provision that excludes surface water, storm surge and related flooding.
Holdback
Recoverable depreciation the insurer holds until repairs are completed.
Hurricane deductible
A separate deductible, often a percentage of Coverage A, that applies when the policy’s hurricane trigger is met.
Ice dam
A ridge of ice at the eaves that traps meltwater, which can back up under shingles into the home.
Line item
A single priced entry in an estimate, such as one square of shingles.
Matching
Whether repaired areas must reasonably match undamaged areas in color, texture and style.
Mitigation
Steps taken to prevent further damage after a loss, such as tarping or drying.
NFIP
The National Flood Insurance Program, the federal program that writes most flood insurance.
Nor’easter
A coastal storm with northeast winds, common in New Jersey in fall and winter.
Ordinance or law coverage
Coverage for added costs of meeting building codes during repairs.
Overhead and profit (O&P)
A general contractor’s charge for coordinating a repair, often 10% plus 10%.
Proof of loss
A sworn statement of the amount claimed, sometimes required by the insurer.
Public adjuster
A state-licensed professional who represents policyholders in handling and negotiating claims.
Replacement cost value (RCV)
The cost to repair or replace damaged property with similar materials, without depreciation.
Reservation of rights
A letter in which the insurer investigates while reserving the right to deny coverage.
Scope
The list of damaged items and repairs included in an estimate.
Square
100 square feet of roof surface.
Suit limitation
The policy deadline for filing a lawsuit against the insurer, often 12 months in New Jersey.
Supplement
A request to add items or costs to an existing estimate.
Umpire
The neutral third panel member who decides items the appraisers can’t agree on.
Uniform Construction Code (UCC)
New Jersey’s statewide building code, which governs permits and repairs.
Windstorm deductible
A deductible that applies to wind losses generally, broader than a hurricane deductible.
Xactimate
Estimating software widely used by insurers and contractors to price repairs.
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