Average
When the sum insured
is lower than the value (or re-instatement) of the property at
the time of loss, this results in underinsurance. To
counter this Insurers apply average whereby their liability
is restricted to that proportion of the loss that the sum
insured bears to the value (re-instatement) of the property
at the time of loss. This can be shown by an example.
Sum
Insured £40,000
Loss £12,000
Property Value at the time of loss £60,000
Insurer
Liability 40,000/60,000 x 12,000 = £8,000
In this example the Insured bears £4,000 of the loss as
a result of underinsurance.
Breach
of Utmost Good Faith
This renders the insurance contract null and void or voidable
according to the circumstances and is classified as follows:
- Non Disclosure,
this refers to the unintentional failure to disclose a material
fact either inadvertently or because the fact was
thought to be immaterial.
- Innocent
Misrepresentation concerns a misstatement of fact, which the
proposer honestly believes to be true.
- Concealment
relates to the intentional failure to disclose a material
fact
- Fraudulent
Misrepresentation is a false representation made knowingly
Cancellation
The Insured is not legally entitled to any return of premium once
cover is in force. If there is no change in the property insured
neither party is entitled to cancel the policy during the term
unless the policy contains a cancellation clause. In the event
of an alteration to the risk covered, the Insurer can refuse to
continue the insurance and again is not obliged to make a return
premium. Though not obliged Insurers will customarily allow a
refund.
Co-Insurance
Clause
A clause used by Insurers, which warrants that a specified proportion
of the risk (insurance) must be carried by the Insured. In the
event of a loss the Insured must bear his rateable proportion.
Co-Insurers
Where a policy is issued to cover a large risk and a number of
Insurers take a proportion of the risk. The policy is issued by
the Leading Office (also referred to as lead Insurer) with the
name of all Co-Insurers noted with the respective proportions.
Commencement
and Expiry
The commencement and expiry dates are specified in the policy
but the time is not given. It was usual to state that the policy
expired at a particular time though this is no longer the case.
Where no particular time is detailed, the policy is in force until
midnight of the expiry date named.
Contribution
Where an Insured has multiple policies covering the same risk
(subject matter and interest) each Insured makes a contribution
to the loss.
Cover
Note
The cover note provides confirmation of cover for a limited period
usually 30 days The cover is subject to the printed terms and
conditions of the Insurers usual policy and it is made clear that
Insurers have the option of terminating the cover on giving written
notice to the Insured. The issuing of a cover note does not signify
final acceptance of the insurance.
Day
One Basis
One of several methods of combating inflation. Instead of asking
the Insured to predict the re-instatement value of a property
in the near future, Insurers request the correct re-instatement
value of the property at inception of the policy and an inflation
provision. Insurers add this inflation provision to the ‘Declared
Value’ to arrive at the sum
insured, the maximum amount payable in the event of a
loss.
Declared Value
The property value on a re-instatement basis declared to Insurers
at inception of the policy on which the sum insured is based.
.
Declinature
Insurers can decline to issue a policy after the
proposal has been made and they can decline to invite
renewal of an existing policy.
Escalator
clause
Where the Insured selects a sum insured,
which represents the value at risk (either on an indemnity basis
or re-instatement basis) at inception of the policy and selects
a rate of inflation to be applied during the coming 12 months.
The sum insured is
therefore increased each day and the premium charged for this
is normally 50% of the inflation figure requested.
Excess/Deductible
The value of each and every loss that the Insurer is not responsible
for often expressed as 'the first £100 of each claim'.
Facultative
Reinsurance
This is where an Insurer offers an individual risk to Re-Insurers
who can decline or accept whatever sum they consider appropriate.
First
Loss
Where the sum insured is agreed and
fixed deliberately below the full value of the property insured.
Full
Value (indemnity basis)
The sum insured on an Indemnity basis
for the insurance of:
1. Buildings should represent the cost of rebuilding in a similar
fashion with the addition of a suitable sum for Public Authority
requirements, Professional Fees and debris removal.
2. Machinery, Office Equipment etc. should be the cost of replacement
at the date of the loss less an appropriate allowance for depreciation.
3. Raw Materials should be the cost of replacement including the
cost of transport.
4. Work in Progress should be the cost of manufacture –
no profit element unless under contract.
5. Wholesale Stock, should be the cost of replacement including
the cost of transport.
6. Farm Produce should be the market cost less the cost of threshing
and transport charges not incurred.
7. Live Stock should be the cost of replacement including transport
Indemnity
To indemnify a person is to compensate him/her for a loss sustained
either by monetary payment, re-instatement or replacement (subject
to the sum insured being the limit
of the Insurers liability) placing them as near as possible in
the same financial position as prior to the loss.
Insurance
Premium Tax
A government tax levied against
UK insurance premiums currently set at 5% in respect of all insurances
except travel which incurs a rate of 17.5% in line with Value
Added Tax.
Insurable
Interest
The Insured to substantiate a claim must show he has suffered
a financial loss by destruction of the property affected
Insurance
Contract
This is the contract whereby the Insurer in return for a consideration
(premium) undertakes to indemnify the Insured against financial
loss which he may sustain by reason of certain defined property
insured being lost, destroyed or damaged by Fire or other stated
perils within a stated period, the liability of the Insurer being
limited to a specified amount referred to as the sum
insured.
Joint
Insured
Where
more than one party have have the same insurable interest in the
insurance policy and are named as Insured or Policyholder.
Loss
Adjuster
An insurance specialist appointed by the Insurer to investigate
the loss/claim on their behalf.
Loss
Assessor
An insurance specialist appointed by the Insured to negotiate
the settlement of the claim on their behalf.
Material
Facts
‘Every circumstance is material which would influence the
judgement of a prudent underwriter in fixing the premium or determining
whether he will take the risk.’ If in any doubt as to whether
information is material or not, always disclose it.
Proposal
Form
The statements made by the proposer in writing to Insurers, which
form the basis on which the policy is written.
Re-Insurance
The method by which Insurers limit their risk by placing part
of their risk with a third party.
Representation
This is a statement made by the proposer during negotiations to
induce Insurers to accept the risk.
Slips
Insurance Intermediaries often when offering insurance to Insurance
Companies use ‘slips’. This is a document setting
forth brief details of the insurance required. If the risk or
a portion thereof is accepted by the Insurers, they initial and
date the ‘slip’ stating the amount of their acceptance.
The initialling of a slip is equivalent to the issuing of a Cover
Note.
Subrogation
This is the right of the Insurer, after having indemnified the
Insured to use his rights and remedies to recover his losses form
a third party.
Sum Insured
The total sum insured is the maximum liability of the Insurer
under the policy. The sum insured is neither an admission by the
Insurers of the value of the property nor is it the amount, which
they promise to pay in the event of a loss. The sum insured is
simply a limit of the Insurers liability and a basis on which
the premium is calculated. It is the proposers responsibility
to calculate and fix the sum insured, which should always represent
the full (re-instatement) value of the property covered.
Term
The insurance policy provides that the property is held insured
for a specified period known as the term. There is no legal period
for which a policy is issued. Usually policies are issued for
a period of 12 months and are known as annual policies.
Treaty
Reinsurance
An agreement between an Insurer and a Re-Insurer whereby a specified
proportion of every risk accepted by the Insurers is placed with
the Re-Insurer or where the excess above that which the Insurer
wants to hold is placed with a Re-insurer.
Underinsurance
When the sum insured is lower than the value (or re-instatement)
of the property at the time of loss resulting in a lower insurance
premium being paid. In the event of a loss Insurers will apply
average
to arrive
at a settlement figure.
Utmost
Good Faith
It is not sufficient that a proposer is honest in his dealings
with the Insurer and his statement is true. A higher duty of full
disclosure of all material facts applies. This duty also applies
to the Insurer though this duty rests largely with the proposer
for the reason that he and he alone knows or ought to know all
the material facts relating to the proposed risk.
Warranties
This is an undertaking by the Insured to the Insurer (normally
imposed by the Insurer) that he will (or will not) do a certain
thing or that certain facts are as stated.
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