Insurance Law Flashcards

1
Q

Insurance Act

A
  • based on type of insurance
  • requirements of insurance contracts, the operation and standards of insurance industry

-requires all non-provincial insurance corporations to be registered and sets out the amount of reserves that must be retained to cover eventual claims (type of consumer protection legislation)

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2
Q

Contra Proferentum Rule

A

Since contracts formed by insurance companies, courts try to balance inequalities

coverage will be broadly construed, exclusions will be narrowly interpreted

favor insured, since insurer chose language to use

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3
Q

Property Insurance

A
  1. covers losses to property
  2. comprehensive policies
  3. co-insurance clause: you bear some risk
  4. cant collect more than loss
  5. more than one insurance policies, those companies “Contribution”
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4
Q

Business interuption Insurance

A
  1. cover lost profits and added expenses incurred to bring company back into production
  2. put into same financial position it would have been in if the event hadnt occured
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5
Q

Life and Health Insurance

A
  1. who you can insure: Vertical
  2. “key man policy” when insurable interest
  3. Health disability: health care expenses, income while unable to work, usually beneifits from employer
  4. Term insurance: in event of death
  5. Whole life insurance: in event of death, investments, and retirement income
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6
Q

Liability insurance

A
  1. insurer pays when insured is at fault - negligence
  2. ensure adequate coverage
  3. covers loss, legal defense, and court cost
  4. “professional liability insurance”, “Building risk policy”, and “umbrella liability”
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7
Q

Bonding

A
  1. Fidelity Bonds: if employee commits wrong. insurer can go after employee for reimbursements
  2. Surety Bonds: assurance that a contract will be performed
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8
Q
  • insurable interest
A
  1. without insurable interest - void
  2. insured must prove loss, insurance provides payoff and no more
  3. can only claim what was lost and no more, up to policy limit
  4. when payout a windfall - void as illegal
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9
Q

Utmost good faith

A
  1. Risk is the key element
  2. Duty to Disclose
  3. insurance a contract of utmost good faith
  4. Prompt notice
  5. contract voidable when nondisclosure, false statements
  6. Insurer duty to process claims fairly
  7. insurer duty to defend insured if sued
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10
Q

Subrogation

A
  1. Stepping into position on insured once its paid a claim
  2. can bring lawsuit that insured entitled to bring against perpetrator - in insureds name
  3. insurer tries to recoup what they can
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11
Q

Salvage

A
  1. insurer tries to minimize losses
  2. can sell damaged goods, or when stolen then returned
  3. personal property - depreciated value
  4. personal household insurance - full value
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12
Q

Forfeiture Rules

A
  1. criminal shouldnt be allowed to profit from his crime
  2. insured cant profit from wilful misconduct
  3. also extends to claims though criminal estates
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