Chapter 2: Basic Insurance Legal Principles and Terminology Flashcards

1
Q

Define ‘insurance contract’

A

An agreement, enforceable by law, between an insured and an insurer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Define ‘valid contract’

A

A valid contract must have offer anc acceptance, consideration, the intention to create a legal agreement, the possibility of performance, capacity to enter legal relations, consensus ad idem, legality, and certainty

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Define ‘consensus ad idem’

A

‘meeting of minds’- do both parties think they are agreeing to the same thing?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What happens ifa contract is missing one of the essentials of a contract?

A

It is void ab initio

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Define ‘good faith’

A

Both parties must not mislead one another

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is contract certainty?

A

All parties involved in the contract should know exactly what the terms are before inception, and their should be some evidence of this issued to the insured

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Define ‘offer and acceptance’

A

A contract comes in to existence when it is accepted unconditionally

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What happens if there is conditional acceptance?

A

If new terms are introduced, this becomes a counter offer, which rejects the original offer and must be accepted unconditionally

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Which case law is relevant to conditional offers?

A

Hyde v Wrench 1840

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

If a contract is accepted through the post, when is acceptance complete?

A

When the letter was posted, not when it arrived- Household Fire Insurance Co. v Grant (1879)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Define ‘consideration’

A

“each person’s side of the bargain which supports the contract”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is the case law relevant to consideration?

A

Currie v Misa (1875)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is insurable interest?

A

The right to insure, arising out of a lrgal relationship between the insured and the subject matter of the insurance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Define ‘Subject-matter of insurance’

A

WHat is actually being insured (not necessarily what is on the contract!)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

When do you need insurable interest in life insurance?

A

At inception

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

When do you need insurable interest in marine insurance?

A

At the time of loss

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

When do you need insurable interest in general isurance contracts?

A

At both inception and loss

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

How can insurable interest be created?

A

Common law, contract, or statute, such as Settled Land ACt 1925, or Reoair of Benefice Buildings Measure Act 1972

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What are examples of statute that limits insurable interest?

A

The Carriage of Goods by Sea Act 1971, Hotel Proprietors Act 1956, Carriers Act 1830

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What is the duty of good faith?

A

No one actively misleads another- the proposer discloses all material facts to the insurer, and the insurer cannot add new non-standard terms, or withhold the knowledge of a discount if a risk is improved

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What is a consumer?

A

Someone who is buying insurance for purposes unrelated to their business, trade, or profession

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What does the Consumer Insurance (Disclosure and Representations) Act 2012 say?

A

The consumer has to take reasonable care to not make a misrepresentation to their insurers- either a careless or reckless misrepresentation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

When is a misrepresentation deliberate or reckless?

A

If the consumer knew it was untrue, or did not care, and knew the matter was relevant to the insurer, but did not care

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What happens if an insurer can prove the consumer was deliberate and reckless?

A

They can avoid the contract, refuse claims, and may not need to return the premium

25
Q

What happens if an insurer can prove the consumer representation was careless?

A

Depends on what they would have done without the representation- they can avoid the contract, change its terms, or reduce the claim

26
Q

Where can you find the law for disclosure and representations in non-consumer insureds?

A

Insurance Act 2015

27
Q

What does the Insurance ACt 2015 say?

A

Insured must make a fair presentation to the insurer, must disclose every material circumstance the insurer shoudl know

28
Q

What does Carter v Boehm (1766) say?

A

The insured has to make an accurate representation (about a fort in Sumatra)

29
Q

According to the Marine Insurance Act 1906, define ‘material’

A

A circumstance is material if it “would ingluence the judgment of a prudent insurer in fixing the premium or determining whether he will take the risk”

30
Q

What are examples of material information?

A

Physical and moral hazards

31
Q

How did the Insurance ACt 2015 change how material information is considered?

A

Said material information cannot be given in a data dump, and the insurer has the responsibility to ask questions

32
Q

What happened in the case of Berkshire Assets (West London) Ltd v AXA Insurance UK PLC 2021?

A

The insured did not disclose one of their directors were the subject of criminial proceedings

33
Q

Under the Insurance ACt 2015, what does the insured NOT need to disclose?

A

Anything that lessens the risk, anything the insurer knows or ought to know, anything the insurer is presumed to know, and anything wauved by the insurers

34
Q

What are examples of information that does not need to be disclosed from insured to the insurer?

A

Matters of law, public knowledge, factors that lessen the risk, the info waived by insurers, info that could have been revealed in a survery, and info the insured does not know.

35
Q

Under the insurance ACt, what is the role of the broker in representation?

A

There is no longer a separate expressed duty of disclosure on the broker

36
Q

Define ‘duty of fair presentation’

A

To present the case honestly

37
Q

What are the remedies for breaching the duty of fair presentation at original placement?

A

If the breach was deliberate or reckless the insurer can void the policy ab initio and keep the premium, but oif it was not deliberate or reckless it can be voided (premium returned), the terms can be changed, or the limit of the claim can be brought down

38
Q

What are the duties for breaching the duty of fair presentation at variation?

A

If the breach was deliberate or reckless the insurer can void the policy from that time and keep the premium. If it was not deliberate or reckless and premium went up, insurers can pretend the contract never took place and return the premium difference, or adjust teh claim limit appropriately, or if the premium was reduced, they can adjust the claim limit

39
Q

What law makes third party motor compulsory?

A

Road Traffic Act 1988

40
Q

What is teh law around compulsory insurance and misrepresentation?

A

If there is misrepresentation in third party motor, insurers must meet the claim, then they can seek to recover their losses from the insured

41
Q

Define ‘estoppel’

A

A bar or impediment that stops someone asserting a right

42
Q

What are the practical applications of estoppel?

A

The insurer must not lead the insured into a false sense of security about the contract, as if they do, the insured can claim estoppel- silence was a sign everything was fine

43
Q

Is there a standard period of cancellation for insurance policies?

A

No

44
Q

Define ‘franchise’

A
45
Q

Define ‘indemnity’

A
46
Q

Define ‘underinsurance’

A
47
Q

Define ‘fulfilment of a contract’

A
48
Q

Define ‘insured peril’

A
49
Q

Define ‘subject matter of the contract’

A
50
Q

Define ‘contract law’

A
51
Q

Define ‘excess’

A
52
Q

Define ‘sum insured’

A
53
Q

Define ‘voidable contracts’

A
54
Q

Define ‘deductible’

A
55
Q

Define ‘financial value’

A
56
Q

Define ‘inception’

A
57
Q

Define ‘proximate cause’

A
58
Q

Define ‘tort’

A