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glossary

The terms in your contract and the covers in home and car policies, explained without the jargon.

The essentials at a glance

Understanding four or five concepts is enough to read your policy with confidence and avoid surprises on the day of a claim. These are the ones we get asked about most:

  • Excess: how much you pay before the insurance steps in
  • Buildings and contents: what each one is and why it matters
  • Under-insurance: the most expensive mistake when taking out cover
  • Own damage: the cover that turns a car policy into comprehensive

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Policy dictionary

100 terms, explained one by one

Pick a section or search straight for the word you don't understand. Tap any term to see the explanation.

Growing We're still adding the covers specific to each product: health, funeral, business and the rest.

The contract concepts that turn up in any policy, whether home, car, life or health. If you only read one part of this glossary, make it this one.

The contract

Policyholder (tomador) The person who signs and pays for the policy.

The person who takes out the insurance with the company and undertakes to pay the premium. They may be the same as the insured (the owner who lives in the house) or a different person, for example a parent insuring their child's flat.

What the law says

El tomador del seguro puede contratar el seguro por cuenta propia o ajena. En caso de duda se presumirá que el tomador ha contratado por cuenta propia. El tercer asegurado puede ser una persona determinada o determinable por el procedimiento que las partes acuerden.

art. 7 LCS Spanish Insurance Contract Act 50/1980 (BOE)

See also: What happens if you left something out when you signed up

Insured person (asegurado) The person protected by the policy.

The person whose interest is protected. In a typical home, the insured is whoever lives in the property. Policies usually also extend this protection to the spouse and relatives living at the same address.

What the law says

El tomador del seguro puede contratar el seguro por cuenta propia o ajena. En caso de duda se presumirá que el tomador ha contratado por cuenta propia. El tercer asegurado puede ser una persona determinada o determinable por el procedimiento que las partes acuerden.

art. 7 LCS Spanish Insurance Contract Act 50/1980 (BOE)

El mismo artículo separa al tomador del asegurado cuando no son la misma persona.

Premium (prima) The price paid for the insurance.

The amount the policyholder pays the company, usually each year, in exchange for cover. If the premium is not paid, the insurance does not take effect. Some policies allow instalments: half-yearly, quarterly or monthly.

What the law says

El tomador del seguro está obligado al pago de la prima en las condiciones estipuladas en la póliza. Si se han pactado primas periódicas, la primera de ellas será exigible una vez firmado el contrato. Si en la póliza no se determina ningún lugar para el pago de la prima, se entenderá que éste ha de hacerse en el domicilio del tomador del seguro.

art. 14 LCS Spanish Insurance Contract Act 50/1980 (BOE)

See also: A premium bounced: am I still covered? If the risk drops, can the premium drop?

Policy schedule (condiciones particulares) The personalised pages of your policy.

The document showing the specific details of your contract: the insured address, the sums insured for buildings and contents, the chosen cover and the price. They are unique to each client.

What the law says

Las condiciones generales, que en ningún caso podrán tener carácter lesivo para los asegurados, habrán de incluirse por el asegurador en la proposición de seguro si la hubiere y necesariamente en la póliza de contrato o en un documento complementario, que se suscribirá por el asegurado y al que se entregará copia del mismo. Las condiciones generales y particulares se redactarán de forma clara y precisa. Se destacarán de modo especial las cláusulas limitativas de los derechos de los asegurados, que deberán ser específicamente aceptadas por escrito.

art. 3 LCS Spanish Insurance Contract Act 50/1980 (BOE)

La ley exige que unas y otras se redacten «de forma clara y precisa».

Policy wording (condiciones generales) The common rules that apply to everyone.

The company's standard document explaining how each cover works, what is excluded and the rights and obligations of both parties. It is the same for all clients with the same product.

What the law says

Las condiciones generales, que en ningún caso podrán tener carácter lesivo para los asegurados, habrán de incluirse por el asegurador en la proposición de seguro si la hubiere y necesariamente en la póliza de contrato o en un documento complementario, que se suscribirá por el asegurado y al que se entregará copia del mismo. Las condiciones generales y particulares se redactarán de forma clara y precisa. Se destacarán de modo especial las cláusulas limitativas de los derechos de los asegurados, que deberán ser específicamente aceptadas por escrito.

art. 3 LCS Spanish Insurance Contract Act 50/1980 (BOE)

Excess / Deductible (franquicia) The amount you pay before the insurer steps in.

A fixed amount you pay out of pocket on each claim. For example, with an excess of €150 and damage of €600, the company pays €450. The higher the excess, the lower the annual premium. Some covers, such as liability, have no excess.

See also: Own damage (comprehensive)

Legal defence (defensa jurídica) The cover that pays for your lawyer.

Covers solicitor and court agent fees when you need to defend your interests or claim your rights: disputes with the residents' community, with tenants, claims against third parties for damage... The limit and scope vary greatly between policies.

What the law says

Por el seguro de defensa jurídica, el asegurador se obliga, dentro de los límites establecidos en la Ley y en el contrato, a hacerse cargo de los gastos en que pueda incurrir el asegurado como consecuencia de su intervención en un procedimiento administrativo, judicial o arbitral, y a prestarle los servicios de asistencia jurídica judicial y extrajudicial derivados de la cobertura del seguro.

art. 76 a) LCS Spanish Insurance Contract Act 50/1980 (BOE)

See also: Home legal expenses cover Driver's legal defence Can I choose my own lawyer?

Insurer’s late payment (mora) The surcharge that runs when the company is late paying.

The law gives the insurer forty days from receiving the claim notification to pay the minimum amount it may owe, and three months from the loss to settle in full. If it does not, its debt starts accruing the statutory interest rate increased by 50%, and after two years never less than 20% a year. The court imposes it of its own motion: you do not have to ask. It does not run where the delay has a justified cause or one not attributable to the company.

Not to be confused with: Do not confuse it with ordinary administrative delay: mora is a surcharge the law puts a figure on.

What the law says

3.º Se entenderá que el asegurador incurre en mora cuando no hubiere cumplido su prestación en el plazo de tres meses desde la producción del siniestro o no hubiere procedido al pago del importe mínimo de lo que pueda deber dentro de los cuarenta días a partir de la recepción de la declaración del siniestro. 4.º La indemnización por mora se impondrá de oficio por el órgano judicial y consistirá en el pago de un interés anual igual al del interés legal del dinero vigente en el momento en que se devengue, incrementado en el 50 por 100; estos intereses se considerarán producidos por días, sin necesidad de reclamación judicial. No obstante, transcurridos dos años desde la producción del siniestro, el interés anual no podrá ser inferior al 20 por 100.

art. 20 LCS Spanish Insurance Contract Act 50/1980 (BOE)

See also: If the insurer does not pay or is late

Limitation period (prescripción) The deadline after which you can no longer claim.

Claims arising from an insurance contract lapse after two years in non-life insurance (home, car, shop) and after five in personal insurance (life, accident, health). After that the right still exists, but there is no longer any way to enforce it. Any formal, recorded claim interrupts the period and restarts it from zero.

What the law says

Las acciones que se deriven del contrato de seguro prescribirán en el término de dos años si se trata de seguro de daños y de cinco si el seguro es de personas.

art. 23 LCS Spanish Insurance Contract Act 50/1980 (BOE)

See also: How long you have to claim

Automatic renewal (prórroga) The policy renewing itself automatically each year.

Almost every policy renews itself on expiry, for periods of up to one year. To stop it you must give written notice to the other party: at least one month in advance if it is the policyholder who does not want to renew, and two months if it is the insurer. The company must also give two months’ notice of any change to the contract, and the conditions and deadlines for objecting must be highlighted in the policy itself.

What the law says

1. La duración del contrato será determinada en la póliza, la cual no podrá fijar un plazo superior a diez años. Sin embargo, podrá establecerse que se prorrogue una o más veces por un período no superior a un año cada vez. 2. Las partes pueden oponerse a la prórroga del contrato mediante una notificación escrita a la otra parte, efectuada con un plazo de, al menos, un mes de anticipación a la conclusión del período del seguro en curso cuando quien se oponga a la prórroga sea el tomador, y de dos meses cuando sea el asegurador.

art. 22 LCS Spanish Insurance Contract Act 50/1980 (BOE)

Redacción vigente tras la reforma de la disposición final 1.3 de la Ley 20/2015. No se aplica en lo que sea incompatible con el seguro de vida.

See also: When to give notice to switch insurer

Transfer of the insured item (transmisión) What happens to the policy when you sell the insured item.

When you sell a car or a home, the buyer is automatically subrogated into the policy: they inherit its rights and its obligations. The seller has two duties, both in writing: to tell the buyer the policy exists, and to notify the insurer of the sale within fifteen days. Buyer and seller are jointly liable for premiums already due. Afterwards, either side may cancel the contract within fifteen days.

What the law says

En caso de transmisión del objeto asegurado, el adquirente se subroga en el momento de la enajenación en los derechos y obligaciones que correspondían en el contrato de seguro al anterior titular. […] El asegurado está obligado a comunicar por escrito al adquirente la existencia del contrato del seguro de la cosa transmitida. Una vez verificada la transmisión, también deberá comunicarla por escrito al asegurador o a sus representantes en el plazo de quince días.

art. 34 LCS Spanish Insurance Contract Act 50/1980 (BOE)

El art. 35 regula la rescisión posterior: quince días para el asegurador desde que conoce la venta, y quince para el comprador desde que conoce el contrato.

See also: Selling the car or the house: what happens to the policy

The insured property

Building / Structure (continente) The physical structure of the home.

Everything that is part of the building itself: walls, floors, ceilings, fixed water, electricity and gas installations, doors, windows, fitted kitchen and bathrooms. It does not include furniture or personal belongings.

Contents (contenido) Everything inside the home.

Furniture, appliances, clothing, jewellery, electronics and other belongings of the insured and their family. It is insured separately from the building and has its own sum insured. If you rent out an empty property, you usually don't need contents cover.

Sum insured (suma asegurada) The maximum the insurance will pay.

The maximum amount the company will pay out in the event of a total loss. For the building, it should reflect the cost of rebuilding the home from scratch, not the property's market price. Setting it correctly is key to avoiding under-insurance.

What the law says

La suma asegurada representa el límite máximo de la indemnización a pagar por el asegurador en cada siniestro.

art. 27 LCS Spanish Insurance Contract Act 50/1980 (BOE)

Replacement value / New-for-old (valor de reposición) What it costs to buy the item new today.

The amount needed to buy a new, identical or equivalent item on today's market. Policies that pay on a replacement-value basis pay without deducting wear or age from the damaged item. It is the most favourable cover for the insured.

Actual value (valor real) What the item is worth allowing for its age.

The replacement value minus depreciation for use, wear or age. If your 5-year-old TV is damaged, you'll receive less than a new one would cost because its wear is deducted.

What the law says

El seguro no puede ser objeto de enriquecimiento injusto para el asegurado. Para la determinación del daño se atenderá al valor del interés asegurado en el momento inmediatamente anterior a la realización del siniestro.

art. 26 LCS Spanish Insurance Contract Act 50/1980 (BOE)

La ley fija el valor del interés justo antes del siniestro como referencia del daño.

Under-insurance (infraseguro) Insuring for less than the real value.

Occurs when the sum insured is lower than the real value of the property. On a partial claim the company applies the average rule: if you have insured 70% of the real value, you will only be paid 70% of the damage. To avoid it, review your sums insured every few years.

What the law says

Si en el momento de la producción del siniestro la suma asegurada es inferior al valor del interés, el asegurador indemnizará el daño causado en la misma proporción en la que aquélla cubre el interés asegurado.

art. 30 LCS Spanish Insurance Contract Act 50/1980 (BOE)

See also: Average rule

The claim

Claim / Incident (siniestro) The damage or incident that triggers the insurance.

Any event whose consequences are covered by the policy: a water leak, a fire, a theft... All the damage from a single cause counts as one claim, even if it appears at different times. It must be reported to the company as soon as possible.

What the law says

El tomador del seguro o el asegurado o el beneficiario deberán comunicar al asegurador el acaecimiento del siniestro dentro del plazo máximo de siete días de haberlo conocido, salvo que se haya fijado en la póliza un plazo más amplio. En caso de incumplimiento, el asegurador podrá reclamar los daños y perjuicios causados por la falta de declaración.

art. 16 LCS Spanish Insurance Contract Act 50/1980 (BOE)

Es el artículo del plazo de siete días para comunicarlo.

See also: I have just had a claim: when must I report it?

Matching items / Aesthetic damage (daños estéticos) When the claim affects how the home looks.

Occurs when a claim covers only part of the floor or wall but, for a visually consistent repair, the whole room would need redoing. Policies that include this cover meet that extra cost up to a limit, usually between €3,000 and €9,000.

See also: Matching items as a home cover

Liability (responsabilidad civil) If you cause damage to others, the insurer answers for you.

Covers third party claims when the insured or a family member causes damage to other people or their property. For example: a leak from your flat floods the neighbour below, or your child breaks a window while playing. Typical limits range from €150,000 to €600,000 depending on the cover.

What the law says

Por el seguro de responsabilidad civil el asegurador se obliga, dentro de los límites establecidos en la Ley y en el contrato, a cubrir el riesgo del nacimiento a cargo del asegurado de la obligación de indemnizar a un tercero los daños y perjuicios causados por un hecho previsto en el contrato de cuyas consecuencias sea civilmente responsable el asegurado, conforme a derecho.

art. 73 LCS Spanish Insurance Contract Act 50/1980 (BOE)

See also: Home liability Compulsory motor liability

Loss adjuster (perito) The expert who assesses the claim damage.

The professional the company appoints to inspect the damage and calculate the compensation. If the insured disagrees with their valuation, they have the right to appoint their own adjuster. If both parties cannot agree, a third deciding adjuster is appointed.

What the law says

Una vez producido el siniestro, y en el plazo de cinco días a partir de la notificación prevista en el artículo dieciséis, el asegurado o el tomador deberán comunicar por escrito al asegurador la relación de los objetos existentes al tiempo del siniestro, la de los salvados y la estimación de los daños.

art. 38 LCS Spanish Insurance Contract Act 50/1980 (BOE)

Regula la peritación contradictoria y sus plazos cuando no hay acuerdo sobre el daño.

See also: I do not agree with the loss adjuster

Home assistance (asistencia en el hogar) Emergency repair service included in the policy.

A service benefit — not a cash payment — covering emergency repairs: plumbing, electrics, locksmith, glazing... The company sends the professional and pays for their work. It is usually available 24 hours a day.

See also: 24-hour home emergency service

Illegal occupation / Squatting (ocupación ilegal) Cover against unauthorised occupants.

Some policies include legal assistance and cost cover to recover possession of the home if it has been illegally occupied. It covers solicitor and court agent fees and, in some cases, the damage caused by the occupants. More and more companies now include it as standard across their home range.

See also: The squatting cover, item by item

The compensation

Average rule (regla proporcional) The penalty for insuring for too little.

If there is under-insurance, the company does not pay 100% of the damage but in proportion to the insured share. Many companies waive it if you accepted the sums insured they proposed when taking out cover, or if the shortfall is no more than 10%. It is a legal mechanism set out in the Insurance Contract Act.

What the law says

Si en el momento de la producción del siniestro la suma asegurada es inferior al valor del interés, el asegurador indemnizará el daño causado en la misma proporción en la que aquélla cubre el interés asegurado.

art. 30 LCS Spanish Insurance Contract Act 50/1980 (BOE)

Sub-limit (sublímite) The cap for a specific cover within the policy.

A specific limit that applies to a particular cover, regardless of the overall sum insured. For example: a policy may have €100,000 of total cover but only pay up to €1,500 for theft of jewellery or up to €300 for cash. Checking the sub-limits is as important as checking the total sum insured.

First-loss basis (primer riesgo) Pays the damage up to the agreed limit, with no penalty.

A type of cover in which the company pays the damage up to the agreed sum without applying the average rule, even if the total value of the property is higher. It is commonly used for covers such as theft or electrical damage.

What the law says

Las partes, de común acuerdo, podrán excluir en la póliza o con posterioridad a la celebración del contrato, la aplicación de la regla proporcional prevista en el párrafo anterior.

art. 30 LCS Spanish Insurance Contract Act 50/1980 (BOE)

La ley no usa la expresión «primer riesgo», pero es su base legal: el párrafo segundo permite excluir por acuerdo la regla proporcional.

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