Reinsurance and claims Flashcards
Reinsurance
insurer transfer risk to another insurer
Privity of contract
relation existing between parties to same contract
A cannot claim against C if there is no contract
Proportional Reinsurance
reinsurer receives stated percentage of each dollar of premiun and pay that percentage of dollar of losses
for sufficient captial to retain all exposure it is capable of producing
Non proportional insurance
responds if loss suffered by insurer exceeds a certain amount
known as retetion or priorirty
All risk
have exclusions
insurer burden to prove claim not covered by exclusion, condition or breach of warranty
ICC (A)
Specific perils polcy
Cargo: insured to prove resonably attritutable
Hull: insured to prove it is resonably proximately caused
Proxmate cause
causa proxima non remota spectatur: immediate not remote cause regarded
immediate means closest in efficiency, not necessarily closest in time
Willful misconduct
assured cannot profit by own delibrate misdeed
Samuel v Dumas (1926) vessel scuttle by crew with connivance of owner)
Wear and tear
Some trade risk inevitable as they are foreseeable not fortitious
ordinary wear and tear, leakage and breakage, inherent vice or nature of subject matter, lost proximately caused by rats or vermin
injury to machinery not proximately caused by maritime peril
loss of other parts due to wear and tear of machine recoverable
Fradulent claims
wilfull falshood and fraud
insured forfeit all claim upon policy
breach of section 17 duty of utmost good faith
Hull claims
deductable/excess applied to aggregate of all claims arising from event (once)
1. if vessel not repairable with insured value, choice of constructive total lost or 100 % partial loss lies with insured
2. if insured offer ship to insurer, insurer can accept : insurer property, reject= insured property. deductable not applicable if offered
3. if insured never offer, 100 % total loss, ship belong to insured, deductible applied
Underinsurance
inadequate insurance coverage by insured
economic loss to holder
lower premium but loss arising far exceed marginal savings