Delaware Insurance AppraiserIndependent claim appraisal · First State

Reference

Property Insurance Claim Terms, Defined

42 words you’ll meet in policies, estimates and appraisal awards, explained in plain English.

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, often Coverage D.
Amount of loss
The dollar value of covered damage. This is what an appraisal panel decides.
Appraisal award
The written decision signed by two of the three panel members setting the amount of loss.
Appraisal clause
The policy provision that lets either party demand appraisal when they disagree on the amount of loss.
Appraiser
The person each side appoints to value the loss during appraisal.
Coinsurance
A clause that can reduce payment if the property is insured for less than a set percentage of its value.
Coverage A
Dwelling coverage for the structure of the home.
Coverage B
Other structures coverage for detached garages, fences, sheds and similar structures.
Coverage C
Personal property (contents) coverage.
Declarations page
The summary page of your policy showing limits, deductibles and the named insured.
Deductible
The amount you pay before the policy pays.
Depreciation
The reduction in value of an item due to age, wear and condition.
Drip edge
Metal flashing along roof edges that directs water into the gutter; often required by code.
Endorsement
An addition or change to the policy that adds, removes or modifies coverage.
Estimate review
A line-by-line analysis of an insurance estimate for missing items and pricing errors.
FAIR plan
A state program offering basic property coverage to owners who can’t get it in the regular market. Delaware’s is the Insurance Placement Facility of Delaware.
Flood
Rising water from storm surge, tides, rivers or overland flow — usually excluded from homeowners policies.
HO-3
The most common homeowners policy form, covering the dwelling on an open-perils basis.
HO-6
A condominium unit owner’s policy covering the unit’s interior and contents.
Holdback
Depreciation withheld from the first payment and paid after repairs are completed.
Hurricane deductible
A separate, often percentage-based deductible that applies to hurricane or named-storm losses as defined in the policy.
Ice dam
A ridge of ice at the eaves that causes melting snow to back up under shingles.
Impartial
Fair and without bias; many policies require appraisers to be impartial or disinterested.
Line item
A single priced entry on an estimate, such as “remove and replace drywall.”
Matching
Whether replacement materials must match undamaged materials in color, texture or style.
Mitigation
Steps taken to prevent further damage after a loss, such as tarping or water extraction.
Named storm
A tropical storm or hurricane named by the National Weather Service or National Hurricane Center.
NFIP
The National Flood Insurance Program, which provides most flood insurance in the United States.
Nor’easter
A coastal storm with strong northeast winds, common in Delaware from fall through spring.
Ordinance or law coverage
Coverage for extra costs to bring repairs up to current building codes.
Overhead and profit (O&P)
A general contractor’s charges for coordinating multiple trades, often 10% and 10%.
Proof of loss
A sworn statement of the amount claimed, which some policies require within a set time after request.
Replacement cost value (RCV)
The cost to repair or replace damaged property with materials of like kind and quality, without depreciation.
Scope of loss
The full list of damaged items and repairs needed.
Square (roofing)
100 square feet of roof surface.
Steep charge
Additional labor charge for working on steep roof slopes, often 7/12 or greater.
Supplement
A request for additional payment for items missed or under-priced in the original estimate.
Suit limitation
A policy clause setting the time within which a lawsuit must be filed.
Umpire
The neutral third party who decides items the two appraisers can’t agree on.
Waste factor
Extra material added to an estimate to account for cutting and fitting.
Wind-driven rain
Rain forced into a building by wind, often through openings created by the storm.
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