ch 5 INSURANCE PRODUCTS -PERSONAL LINES Flashcards
What is the minimum level of cover required under the Road Traffic Act 1988
Legal liability for injury to others or damage to property
What are the four different levels of cover available under Private Motor Insurance
- Road traffic Act (RTA) only
- Third Party Only
- Third Party, fire and Theft
- Comprehensive
What is the Road Traffic Act Only
This is the minimum cover required by the Road Traffic Act 1988
What indemnity is provided by the Road Traffic Act
-Provides unlimited
indemnity for bodily injury death to third parties,
-covers up to 1.2 million pounds for loss or damage to third party property
-claimants costs and expenses and emergency medical treatment and hospital charges arising out of the use of the vehicle
Under the terms of the UE third derivative, cars used in the EU countries must provide minimum cover for either
- minimum cover required in the country the vehicle is registered in
- minimum cover required in the country in which it is being used, whichever is the greater
What indemnity does third party only cover provides
- unlimited indemnity for bodily injury or death
- 20 million pounds limit in respect to third party property damage cover
- legal cost to defend a claim
- indemnity for passenger liability
- indemnity to the insured’s employer if the policy covers b’ness use
What led to the introduction of the 20 million pounds third party property damage limit
-the Selby rail crash of 2001
What does the Third Party fire and theft cover indemnity provide
In addition to the third party only indemnity, it covers the cost of repair of compensation to the insured if the vehicle is stolen, damaged during theft or attempted theft and damage by fire,lightning or explosion
What is the Comprehensive motor policy cover
This is the widest possible protection and includes other accidental and malicious damage to the insured vehicle
The comprehensive cover is an all risk, and includes the following exclusions
- wear and tear
- depreciation
- loss of use
- mechanical and electrical failure
- Tyre damage due to punctures or blow out(any resultant damage will be covered )
For comprehensive motor cover what are the extensions, offered without additional premium
- personal accident
- medical expenses
- personal effects
- drive other vehicle extension by the insured only, and is restricted to third party cover only or even RTA cover
What are some of the optional extensions available under an additional premium for Private Motor Insurance
- Breakage of glass(non-comprehensive policy)
- personal belignings and clothing
- legal expenses
- breakdown cover
- caravan and trailers
- extended personal accident benefits
- foreign use beyond the minimum EU cover
- loss of use
What are the general exclusions for Motor cover
- Contractual Liability
- War risks
- use other that as specified
- civil and riot commotion
- Sonic bags
What is motor cover subject to
It is subject to the driver having a licence to drive the vehicle or having had a licence but not renewed yet. Ensure that driver has not been disqualified from holding it
What features are in a private motorcycle insurance not found in the private motor insurance
- there is no cover for theft of accessories /spare parts unless the cycle is also stolen
- some policies don’t provide indemnity to employers
- there is usually no personal accident, medical expenses or pr
What are extensions of cover available for additional premium
- cover for trailers
- riding other cycles extensions
What are the main types of commercial vehicle
- Goods-Carrying Vehicles
- Carriage of Passengers for hire and reward(like taxis)
- passenger-carrying vehicles (buses,coaches and mini buses)
- agriculture and forestry vehicles(tractors)
- special construction vehicles e.g special types, cranes, forklift
What is the commercial insurance concerned with
Insuring against damage to the vehicle and liabilities to others arising out of the use of the vehicle
Does commercial insurance cover damage to goods carried in the vehicle
No, it does not as this cover is already provided by a goods in transit policy. But sometimes its available under motor policies covering small vans issued to tradesman
Commercial Vehicle insurance cover is similar to private motor insurance but excludes
- driving other cars extensions
- personal accidents
- personal effects
what is the rating in commercial vehicle in respect to
It will depend on the use to which the vehicle is placed on like vehicles used for haulage rating will be different for vehicles carrying dangerous substances
Under Commercial Vehicle Insurance third party liability covers
It provides unlimited indemnity for death or bodily injury to third parties, and a limit of 1.2 million and 5.0 million for third party property damage
What other indemnities are provided by commercial vehicle insurance
- Loading/unloading
- indemnity to driver
- indemnity to user
- indemnity to passenger
- Legal cost
How does loading/unloading cover work under commercial vehicle insurance
It is covered under commercial vehicle insurance, for example if goods are dropped while unloading to a car parked close by, then indemnity will be provided
How does Indemnity to driver cover work under commercial vehicle insurance
IT will usually cover anyone who has been given permission by the insured to drive the vehicle, this cover is important to avoid potential gaps thus policy covers both the insured(firm) and the driver
How does Indemnity to user cover work under commercial vehicle insurance
insured may allow others to use the vehicle for social/domestic/pleasure purposes e.g driver taking the vehicle home in the evening
How does Indemnity to passengers cover work under commercial vehicle insurance
It indemnifies passengers for their negligent acts
What are the optional extensions available for Commercial Vehicle insurance at an additional premium
- Medical Expenses
- Windscreen cover(cost to covered damaged windscreen is very high and there may be a limit on the policy)
- loss of use
- increased limit for third party property damage i.e usually applicable for special type vehicles
- personal belongings
- indemnity to hires; cover is provided to person/company hiring the vehicle in the event of an accident/claim
- sheet/ropes-his cover includes large tarpaulins and ropes often used on large-open sided lorries
What are Contingent Third Party Insurance
This provides indemnity to policyholder(employer) where an employee is using their own vehicles on the employers business and their own insurance as been proven to be inoperative
What is a joint insured clause
when two or more named insureds are treated as separate policy holders if one has a claim against the other
What covers are included in a fleet insurance
- Contingent Third Party Insurance
- Joint insured Clause
- Occasional business use
- Roadside Assistance
- Helpline, message handling and administration
What is the purpose of fleet insurance
- To reduce administration for the policyholder and insurer by having a single-multi-vehicle policy and the premium can be adjusted according to the agreed periods
- Enables the ratings that are carried out to take into account of the individuals experience of the particular policyholder
How many parts can Health Insurance be broken down to
- Personal Accident
- Sickness
- Medical Expenses
What does Personal Accident provide indemnity for
Provides payment in the event of accidental death or bodily injury
What does Sickness provide indemnity for
Provides payment for disablement due to sickness
What does Medical Expenses provide indemnity for
Provides cover for indemnity for individuals who seek medical treatment outside the NHS when they are ill
What type of policy is Personal accident and sickness cover
They are benefit policy
Personal accidents and sickness cover can be private or group meaning
Private, they are taken out by the policyholder in respect of their own welfare. Group where by a number of people are covered under one policy, they are usually taken out by employers to protect against financial loss as a result of injury or illness to member/staff
What financial losses could an employer suffer as a result of injury/illness to an employee
-Loss of revenue through shortfalls in production
-cost of hiring temporary staff
-continuing salary to the injured/ill employee
-cost of private medical treatment fr employee is key and vital member of staff
-recruitment and training cost
lump sum payment to family of deceased employee
Personal Accident and sickness policies are often add ons to which policy
- travel
- motor
- household
- commercial combined policy
What is the age limit for Personal Accident and Sickness Policy
16-70 for personal accident
16-60 for sickness cover
What is personal accident benefits main benefit
The Main benefit is they provide lump sum payable (capital benefit) in the event of
- Death
- Loss of Limbs,eyesight,speech,hearing
- Permanent Total Disablement
- Permanent Partial Disablement
- Temporary Total Disablement
- Temporary Partial Disablement
Loss of limbs, Eyesight,Speech, hearing for personal accident covers
-The insured person must be able to prove loss is total and permanent, and most insurers require loss to have occurred at an agreed period of time 52/104 weeks from the time of original injury
Permanent Total Disablement for personal accident covers
- this situation refers to a situation where recovery is not anticipated, insurers require PTD to have occurred within agreed period from the time of the original injury i.e. 104/52 weeks
Permanent Partial Disablement(PPD) for personal accident covers
This covers permanent injury that don’t necessarily prevent the insured person returning to a relatively normal lifestyle
How is lump sum payment for permanent partial disability calculated
Continental Scale, a pre set-scale of benefits
Temporary Total Disablement
An injury that is serious but won’t result to Permanent Total Disability
How is benefit paid for Temporary Total Disablement
A weekly benefit is payable for each week of disability until an agreed limit 52/104 weeks
What type of excess to most insurers incorporate with Temporary Total Disablity
Franchise, usually 7/14/21 Days
Temporary Partial Disability
This covers an injury that results to an insured person being unable to perform a substantial part of their usual job. Person can still perform some sort of role at work and not normal job
What type of benefits do Temporary Partial Disability receive
The usual benefits payable are reduced to an agreed percentage
How is the sickness cover offered
It is usually offered as an extension to the Personal Accident policy
To whom do sickness cover provide benefits to
They provide weekly benefits for persons unable to perform any part of their normal job Temporary Total Disablement
Most Personal Accident and Sickness policies extend to include which covers
They include
- Disappearance-if insured disappears for longer than an agreed period, a lump sum applicable to death is paid
- Medical Treatment to speed up period of convalescence(recovery)
- Hospital Benefits to help pay for family travel costs
What are some of the exclusions of Personal accident and Sickness policies
- insured being under the influence of alcohol
- self-inflicted injury/disease
- Childbirth,pregnancy, VD or HIV
- pre-existing illness
- accidents while participating in racing/any dangerous sports
For Medical Expenses,typical in patient cover includes
- Hospital Charges
- Specialists fees
- Additional Costs
Under Medical Expenses what does Hospital charges include
-Incurred in surgery,theater fees,consultation,nursing and after care costs