2 - Basic Insurance Legal Principles and Terminology Flashcards

1
Q

What are the three essential elements of a contract?

A

Offer
Acceptance
Consideration

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2
Q

What is ‘meeting of minds’?

A

When both parties believe they are agreeing to the same thing.

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3
Q

What is ‘consideration’?

A

Each person’s side of the bargain, ie. promise to pay premium and pay for a claim.

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4
Q

What is ‘insurable interest’?

A

The legal relationship between an insured and the subject-matter of insurance.

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5
Q

Does ‘insurable interest’ require ownership

A

No.

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6
Q

What is the ‘subject matter’ of the insurance?

A

What is being insured

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7
Q

What is ‘good faith’?

A

Two-way concept where both insured and insurer disclose material information to each other.

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8
Q

Under good faith, what can the insurer NOT do?

A
  • Introduce new non-standard terms that were not discussed during negotiations
  • Withhold the fact that discounts are available for mitigating risk
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9
Q

Under good faith, what must the insured do?

A
  • Disclose all material information
  • Know what is material
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10
Q

What act covers the obligation of the parties in commercial insurance?

A

Consumer Insurance Act 2012

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11
Q

Why do insurers on long-term policies only require disclosure ‘at inception,’ whereas short-term policies require it at every renewal?

A

Each renewal is the creation of a new policy of insurance.

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12
Q

What is ‘fulfilment’?

A

Contract has been fully resolved, all paid out.

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13
Q

If there is a deliberate breach of duty of disclosure, what can the other party do?

A

Cancel the contract.

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14
Q

what is ‘proximate cause’?

A

The dominant and operative cause of the loss.

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15
Q

The concept of putting the insured in the position they were in before the loss is known as:

A

Indemnity.

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16
Q

What is a benefit policy?

A

Policies where you cannot return to state before loss, eg. loss of limb, life insurance.

17
Q

How do you calculate an average claim?

A

(sum insured/value of goods at risk) x loss

18
Q

what is an excess?

A

An amount deducted from each claim, paid by the insured.

19
Q

What is the purpose of an excess/deductible?

A

To reduce the price of the premium

20
Q

What is the term given when two or more policies cover the same item and the loss should be shared?

A

Contribution.

21
Q

What is subrogation?

A

The right of the insurers to claim against a third party having first indemnified the insured.

22
Q

is subrogation limited?

A

Yes - it can be no higher than the policy total.

23
Q

If a client answers a question on a proposal form incorrectly to try and obtain a cheaper premium, what have they done?

A

Misrepresented the risks.

24
Q

What are three methods insurers have to claim back money after a loss?

A

Reinsurance
Subrogation
Contribution