Chapter 2 Flashcards

1
Q

What is contract law?

A

An agreement, enforceable by law, between 2 or more people

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2
Q

What is indemnifying the insured?

A

Insurer pays claims of the insured if they suffer loss/damage covered by the terms of insurance

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3
Q

What are the 9 essentials of a valid contract?

A
  1. Those who made contract need to have capacity
  2. It was intended to be a contract
  3. It has to be legal
  4. Possibility of performance - e.g. it can’t be a ridiculous contract
  5. Certainty - contract duties must be clear
  6. Offer - needs to be an offer + can be counter-offer which would invalidate a previous offer
  7. Acceptance - needs to be communicated when contract is accepted
  8. Consensus Ad Idem - both parties need to believe they’re agreeing to the same thing
  9. Consideration - insured pays the premium + the insurer gives cover + promises to pay valid claims
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4
Q

What is conditional acceptance in a contract?

A

When there’s a counter-offer, the contract is now open to be accepted or rejected

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5
Q

What is postal acceptance of a contract?

A

Acceptance is complete when the letter of acceptance is posted + touches the bottom of the postbox

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6
Q

What is contract certainty?

A

All parties involved in the contract need to know what the terms are before inception + need evidence of the contract issued to the insured a short time after inception

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7
Q

What is evidence of contract certainty?

A

•Market Reform Contract / a slip

•Or a Broker Insurance Contract

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8
Q

What are 3 features of insurable interest?

A
  1. Subject-matter
    •Of insurance - what’s being insured (e.g. a car)
    •Of the contract - relationship insured has w/ what’s being insured
  2. Need for legal relationship between insured + subject-matter
  3. Financial value - if something bad happens, then insured may have financial downside
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9
Q

How do insurer’s have their own insurable interest?

A

They want to protect risks they’ve written, so they purchase reinsurance

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10
Q

What are the 4 ways insurable interest can be created?

A
  1. Through statue (law) - e.g. repair of benefice buildings measure act 1972
  2. Through common law - e.g. the law of negligence
  3. Through ownership - if you own something
  4. Through contract - e.g: if renting a house n contract says you need to insure
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11
Q

How does timing affect insurable interest?

A

•Need to have ownership at inception of policy + at time of claim for insurable interest to exist

•Marine insurance: can have insurable interest in expectation of having good, but can’t make claim until ownership

•Life insurance: need insurable interest at inception of policy to take insurance for someone else

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12
Q

What is good faith in contracts?

A

All parties shouldn’t mislead one another + should be transparent

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13
Q

What is the insurance act 2015?

A

•Insured is comercial company
•Companies need to present the risk fairly as they have more sophisticated understanding of insurance matters

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14
Q

What is the consumers insurance (disclosure + representation) act 2012?

A

•Insured is a consumer
•insureds need to answer questions truthfully, but we don’t expect them to tell us something if we don’t ask as they don’t know much about insurance

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15
Q

What facts don’t need to be disclosed by the insured as the insurer should/could know?

A

•Facts of law
•Facts of public knowledge
•Facts that lessen the risk
•Facts the insured doesn’t know
•Facts covered by the policy terms
•Spent convictions

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16
Q

Which insurances require continuing disclosure of info by the insured?

A

•Commercial property - about increased risk of damage to property or removal of property to another location

•Motor - about material changes by the insured

•Public liability - about extensions of their activities for cover to apply

17
Q

What is the road traffic act 1988?

A

Prohibits the insurer from avoiding liability on the grounds of certain breaches of good faith, so innocent victims of accidents are compensated

18
Q

If an insured (consumer) hasn’t disclosed info deliberately that would affect the policy, what can the insurer do?

A

Insurer can decline all claims + act like the policy didn’t exist

19
Q

If an insured (consumer) hasn’t disclosed info carelessly, what can the insurer do?

A

Insurer could up the premium or reduce a claim

20
Q

If an insured (commercial) hasn’t disclosed info deliberately that would affect the policy, what can the insurer do?

A

Insurer can void the policy + keep premiums

21
Q

If an insured (commercial) hasn’t disclosed info, but it wasn’t deliberate, what can the insurer do?

A

•If insurer wouldn’t have written the policy, then can void policy but return premium

•If insurer would have changed the terms, then the contract is treated as it has those terms

22
Q

Who creates the Market Reform Contract (slip) and what is it?

A

•The broker

•Summery of risk details for the insurer should

23
Q

How does estoppel link to insurance?

A

Insurer mustn’t lead insured into false sense of security concerning the policy validity

24
Q

What is proximate cause?

A

• The is about determining the true cause of loss, which is the main/dominant cause of loss

•It is the active efficient cause that sets in motion a train of events

25
What is indemnity?
Financial compensation placing the insured in the same financial position after a loss as they were before the loss occurred
26
What are the 4 ways to achieve indemnity?
1. Replacement - this can deter those who want to make false claims just to get cash + is common w/ glass insurance + settling household property losses 2. Repair - common in motor insurance 3. Reinstatement - where the insurer agrees to restore a building or machinery that’s been damaged - isn’t popular w/ insurers 4. Reimbursement - cash
27
What is the average calculation for claims payment?
(Sum insured / value at risk) x loss
28
What is excess (payment)?
The amount paid by the insured before the insurers pay the amount decided within the policy
29
What is excess (payment)?
The amount paid by the insured before the insurers pay the amount decided within the policy
30
What is a deductible (payment)?
The amount that’s paid by the insured + this is deducted by the amount paid by the insurers
31
What is contribution?
•A way to deal w/ overlapping cover •1 insurer says to another to pay their share of the loss as well as us
32
What 3 things have to apply before contribution kicks in?
1. Both policies have to insure the same peril 2. Both policies have to cover the same subject matter 3. Both policies have to cover the legal interest that the policyholder has in the subject matter
33
What are the 2 ways of calculating contribution?
1. By sum insured (for property policies) - add up what both policies are worth + share out the loss based on how much proportion they’ve provided 2. By independent liability (for liability policies) - look at the cover + divide it
34
What are the 2 ways of working out the rateable proportion?
1. By sum insured (for property policies + when there isn’t average principle): (policy sum insured/total sum insured) x loss = claim 2. By independent liability (for when there’s under-insurance or for liability policies): (policy sum insured/total value risk) x loss = claim
35
What is subrogation?
Insurer is able to ‘stand in the shoes’ of the insured + take over their common law rights
36
What are insurers’ subrogation rights acquired through?
•Tort - civil wrong •Statue - legislation creates in Parliament •Contract - agreement between 2 parties
37
When does the insurer have no rights of subrogation?
•Insured has no rights •Benefit policies (e.g. personal accident policies as it isn’t true policy of indemnity) •Subrogation waiver - as they’re used to prevent insurer perusing subrogation rights it may have against a parent or sub of insured •Negligent fellow employees