Chapter 5: Insurance Contract Formation and Insurable Interest Flashcards

(45 cards)

1
Q

define ‘offer’

A
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2
Q

Define ‘statute’

A
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3
Q

When does an insurance contract come into existence?

A

When the offer made by one party is unconditionally accepted by the other

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4
Q

What is an invitation to treat?

A

NOT a true offer, but an invitation to the other party to enter negotiations.

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5
Q

Which, of the slip or the policy, is the binding insurance document?

A

The policy.

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6
Q

When is contract certainty achieved?

A

the complete and final agreement of all terms between the insured and insurer at the time that they enter into the contract, with contract documentation provided promptly thereafter

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7
Q

How many forms of insurance contract are there after MRC reforms?

A

Only one, not a sep slip and policy.

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8
Q

Define ‘acceptance’

A

Accepting an offer. This cannot happen by doing nothing, an acceptance must be communicated to the other party. This can be through saying something, or by an action (for example driving your car, for motor insurance)

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9
Q

What must be agreed for acceptance?

A

The subject matter of insurance, the duration of the contract, and the amount of premium.

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10
Q

Define ‘renewal’

A

The renewal of an existing policy. In contract law terms, this is a fresh contract, so needs new offer and acceptance.

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11
Q

What happened in Danbol Pty Ltd v. Swiss Re International SE (2020) VSCA 274?

A

The court discussed if an insurer’s offer to extend cover after expiry was a unilateral offer. It found it was not, as there was mutual promise in the offer- to pay the premium and offer cover, and the insured had not expressed their acceptance as they did not pay the premium in time.

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12
Q

Define ‘unilateral offer’

A

A contract where one creates obligations only on the offeror who promises to do something if the other party performs an act. So there does not need to be acceptance.

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13
Q

Define ‘contractual intention’

A

The intent to be legally bound into a contract. Insurance contracts are almost always intended to be legally binding.

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14
Q

When does an insurance contract come in to existence?

A

Depends on what the insurer has offered. It may not be immediately, but can be before the premium is paid.

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15
Q

If a policy does not allow a proportionate return of premium on cancellation, how much premium does the insured pay?

A

All of it, as per the terms of the contract.

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16
Q

What type of insurance contract should be in writing?

A

The only type is marine insurance (Marine Insurance Act 1906)- the contract can exist before the policy doc is issued, but a policy doc is required to make a claim

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17
Q

Which types of insurance contract must be evidenced in writing?

A

Contracts of guarantee. This refers to some fidelity guarantee insurances.

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18
Q

Can minors sign insurance contracts?

A

Yes, and the insurer has to meet all claims under the policy. BUT minors are only bound by contracts for necessaries and beneficial contracts, so an insurer cannot enforce it against them.

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19
Q

Can patients with mental disabilities and drunken persons sign insurance contracts?

A

Yes, but they can void the contract of at the time of making it they did not understand what they were doing and the other party knew this.

20
Q

How are most UK insurance companies created?

A

Through the Companies Acts

21
Q

What are the main statutes covering insurance companies now?

A

Financial Services and Markets Act 2000 and the Financial Services Act 2012.

22
Q

Do companies need to be licensed to write insurance business in the UK?

A

No, this was effectively reversed by the Financial Services Act 1986, who said the insured could choose to enforce the contract or get their premium back. The insurer could only enforce the contract at the discretion of the court.

23
Q

Define ‘insurable interest’

A

No single definition, but it is the legal right to insure arising out of a financial relationship recognised at law, between the insured and the subject matter of insurance.

24
Q

Define ‘current interest’

A

Having interest in the subject matter of the insurance NOW, not hoping you will have it in the future.

25
What happened in Lucena v. Craufurd (1806)?
Crown commissioners insured enemy ships before they owned them.
26
Define 'legal interest'
In England, you must have legal interest, which the law recognises and supports.
27
What happened in Macaura v. Northern Assurance Co. Ltd (1925)
Macaura insured some timber, which he sold to a company which he was the only shareholder. When the timber was destroyed, the court ruled he had an interest in the company, not the company's stock, as he had bought the insurance as an individual.
28
Why does the law require insurable interest?
To reduce moral hazard and to discourage wagering (gambling)
29
How can insurable interest arise?
Common law, contract.
30
In marine insurance, when do you need to have insurable interest?
At the time of loss- not before, not after
31
What does the Life Assurance Act 1774 say?
The person benefiting from the insurance must have an insurable interest, the name of the person benefiting from the policy must appear un the policy, and the act does not apply to ships etc
32
When is insurable interest required for life insurance?
At inception, not needed when a claim arises on death
33
What happened in Dalby v. The India and London Life Insurance Company (1854)?
A reinsurer had to pay out on a life insurance policy that had been cancelled, because the interest had existed at inception, even if it didn't at time of loss.
34
When do you need insurable interest for goods?
No statutory requirement. After the Gambling Act 2005 came into force in 2007, you don't need to prove an insurable interest in policies on goods.
35
What happens if a policy does not have insurable interest?
It can be void ab initio, so the payments should be recoverable. BUT, if it is governed by the life assurance act 1774, it is also illegal, so you cannot claim it back.
36
What happened in Harse v. Pearl Life Insurance Co. (1904)?
Policy held on the life of the policyholder's mother was considered illegal- lack of insurable interest
37
What are the consequences of the Gambling Act 2005?
There is now a question regarding if you need insurable interest. however, it is best to err on the side of caution.
38
Where is insurable interest allowed in family relationships?
In your own life, and in husband and wife relationships ONLY, due to the married women's property act 1882.
39
Where is insurable interest allowed in business relationships?
Business partners, employer and employee (for the wage they earn), and creditor and debtor.
40
Who may have an insurable interest in property?
outright owners of property, mortgagees and mortgagors, executors and trustees, landlords and tenants, bailee (person who has legal possession of good belonging to another), people living together, and people in possession.
41
How do people avoid overlapping interests in property?
The parties should agree about who should arrange the insurance.
42
What happened in Financial Conduct Authority v. Arch Insurance (UK) Ltd (2021)?
Test case, where the FCA brought it to court representing large numbers of policy holders regarding COVID BI claims. The supreme court ruled in the insured's favour, 14 of the 21 chosen wordings were said to respond to COVID 19 BI claims.
43
What are the four steps needed to determine negligence?
Duty needs to be established, then it needs to be shown that this duty was breached. there needs to be causation between the breach of the duty and the harm caused, and the claimant must prove they have suffered a loss or injury because of the negligence.
44
What is statutory liability?
Legal liability, based on civil law and public law.
45
Define 'reinsurance'
Insurance for insurers.