Module 09

Glossary

Plain-English definitions for the terms used throughout this resource. Search by word, or filter by topic.

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Showing 24 of 24 terms

Actuarially sound

Rates

A rate that is neither excessive, inadequate, nor unfairly discriminatory, based on sound actuarial estimates of future cost.

Why it matters for policy

It is the legal and economic standard for setting insurance rates in Texas.

Actual cash value

Consumer Coverage

The value of damaged property at the time of loss, typically replacement cost minus depreciation.

Why it matters for policy

It affects how much a policyholder receives for a covered claim.

Combined loss ratio

Claims

Claims plus expenses divided by premiums earned. A figure above 100% indicates an underwriting loss.

Why it matters for policy

It is the more complete measure of insurer underwriting performance and a better tool than pure loss ratio for affordability policy.

Deductible

Consumer Coverage

The amount a policyholder pays out of pocket on a covered claim before insurance pays.

Why it matters for policy

Deductible choices affect premium and shape consumer cost-sharing.

Endorsement

Consumer Coverage

A written addition to a policy that changes its terms, scope, or coverage.

Why it matters for policy

Endorsements determine what is and is not covered for a given policyholder.

Exclusion

Consumer Coverage

A loss type or condition specifically not covered by the policy.

Why it matters for policy

Exclusions affect availability of coverage for specific risks.

Expense ratio

Claims

Operating expenses divided by premiums earned. Captures the cost of running an insurance company.

Why it matters for policy

It is one of the two components of the combined ratio.

File-and-use

Regulation

A regulatory framework where insurers file rates with the regulator and may use them, subject to ongoing oversight and disapproval authority.

Why it matters for policy

It is the system Texas uses to balance regulatory oversight with market competition.

Insurance score

Rates

A score based on credit-related and other information used to help predict the likelihood of future claims.

Why it matters for policy

It is a tool for risk-based pricing within legal guardrails.

Loss ratio

Claims

The share of premium that an insurer pays out in claims.

Why it matters for policy

Looking at loss ratio alone — without expenses — can mislead policymakers about insurer performance.

Market conduct

Regulation

How insurers handle claims, market policies, and treat consumers — overseen by TDI in Texas.

Why it matters for policy

It is a key consumer-protection tool inside the regulatory framework.

Mitigation

Market Stability

Steps taken before a loss to reduce its likelihood or severity, such as resilient roofs or stronger building codes.

Why it matters for policy

Mitigation lowers the underlying cost of risk and is one of the most durable affordability levers.

Policy form

Regulation

The standardized contract language that defines what an insurance policy covers.

Why it matters for policy

Forms require TDI approval before they can be used in the Texas market.

Premium

Rates

The amount a policyholder pays for insurance coverage over the policy period.

Why it matters for policy

Premiums must be adequate to fund expected claims, expenses, and solvency needs.

Prior approval

Regulation

A regulatory framework where rates must be approved by the regulator before they can be used.

Why it matters for policy

Compared with file-and-use, it can slow market response to changing risk and cost trends.

Pure loss ratio

Claims

Claims paid divided by premiums earned. It excludes the cost of running the business.

Why it matters for policy

Used alone, it understates the true cost of providing coverage and can distort affordability debates.

Rate

Rates

The price per unit of insurance exposure, used together with exposure to calculate premium.

Why it matters for policy

Rate adequacy is the foundation of a healthy, available insurance market.

Reinsurance

Market Stability

Insurance purchased by insurers to transfer a portion of their risk, especially for catastrophic events.

Why it matters for policy

Global reinsurance pricing flows into the cost of catastrophe-exposed coverage in Texas.

Replacement cost

Consumer Coverage

The cost to repair or replace damaged property with materials of like kind and quality, without depreciation.

Why it matters for policy

It affects how fully a policyholder is made whole after a loss.

Reserve

Market Stability

Funds set aside by an insurer to pay future claims, including those incurred but not yet reported.

Why it matters for policy

Reserves are how insurers keep their promise to pay future claims.

Residual market

Market Stability

A state-backed mechanism that provides coverage for risks the voluntary market is not writing.

Why it matters for policy

Residual markets grow when the voluntary market contracts — often a sign of pressure on availability.

Solvency

Market Stability

The ability of an insurer to meet long-term financial obligations to policyholders.

Why it matters for policy

Solvency is consumer protection — an insurer that cannot pay claims helps no one.

Surplus

Market Stability

The amount by which an insurer's assets exceed its liabilities — a cushion against unexpected losses.

Why it matters for policy

Surplus is what allows insurers to absorb catastrophic events and keep writing.

Underwriting

Rates

The process of evaluating, classifying, and pricing insurance risk.

Why it matters for policy

Underwriting standards shape who can get coverage and at what price, directly affecting availability.