chapter 7 Flashcards

(42 cards)

1
Q

What is a “term” in a contract?

A

A: Any provision forming part of a contract that imposes a legal obligation; breach of it leads to remedies.

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2
Q

What are the three types of terms in insurance contracts?

A

A: Express, implied, and oral terms.

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3
Q

In general contract law, which is more serious: breach of condition or breach of warranty?

A

A: Breach of condition—permits contract termination and damages.

Warranty breach allows only damages.

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4
Q

How do ‘conditions’ and ‘warranties’ differ in insurance law from general contract law?

A

A: Their meaning and remedies differ; the label doesn’t solely determine the remedy in insurance due to IA 2015 s.11.

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5
Q

When does IA 2015 s.11 not apply in insurance contracts?
.

A

A: When the term is a claim provision (e.g., condition precedent to insurer’s liability)

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6
Q

Why must insurance policies be precisely drafted?

A

A: To define clearly what is covered and excluded, ensuring no ambiguity or inconsistency.

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7
Q

What does the CRA 2015 prohibit regarding contract terms?

A

A: Terms that unfairly exclude/restrict liability for death or personal injury due to negligence.

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8
Q

When can a consumer challenge a contract term under CRA 2015?

A

A: When it causes a significant imbalance contrary to good faith, even if individually negotiated.

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9
Q

What is the “literal rule” used in contract interpretation?

A

A: Courts give words their ordinary, everyday meaning.

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10
Q

What does the “noscitur a sociis” rule mean?

A

A: A word is understood by the context of surrounding words.

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11
Q

What is the “ejusdem generis” rule?

A

A: General words following specific ones are limited to the same type as the specific words.

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12
Q

Define “expressio unius est exclusio alterius.”

A

A: Naming specific items excludes others not named.

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13
Q

What is the contra proferentem rule?

A

A: Ambiguities in a contract are interpreted against the party who drafted it (usually the insurer).

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14
Q

In insurance contracts, what takes precedence if handwritten terms conflict with printed ones?

A

A: Handwritten terms take precedence because they are seen as specific to the parties’ agreement and override standard printed wording.

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15
Q

What is a “suspensive condition” in an insurance contract?

A

A: A suspensive condition temporarily suspends cover during non-compliance, but cover resumes once the condition is fulfilled again.

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16
Q

Under the IA 2015, what is the effect of a breach of a warranty that is later remedied?

A

A: Cover is suspended during the breach but resumes once the warranty is remedied. The insurer is not liable for losses occurring or attributable to the breach period.

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17
Q

When might the term “warranty” in an insurance policy not actually be treated as a warranty by the court?

A

A: If the term does not materially affect the risk or go to the root of the contract, the court may interpret it as an exclusion or another type of term.

18
Q

what does the principle “expressio unius est exclusio alterius” mean in the context of insurance interpretation?

A

A: Specifying certain items implies that anything not listed is excluded from the contract’s scope.

19
Q

What does the IA 2015 require before an insurer can avoid liability for a loss that occurs after a warranty breach is remedied?

A

A: The insurer must show the loss is attributable to something that happened during the breach, but not necessarily the proximate cause.

20
Q

How can an insurer waive its right to avoid a policy for breach?

A

A: By affirming the contract through action (e.g. paying a claim) or remaining silent for an extended time after discovering the breach.

21
Q

What distinguishes a condition precedent to the contract from a condition precedent to liability?

A

A: The former prevents the contract from forming if unmet; the latter discharges the insurer’s liability for a specific claim if breached.

22
Q

Under the Consumer Rights Act 2015, when is a contract term considered unfair?

A

A: If it causes a significant imbalance in the parties’ rights and obligations, contrary to good faith, to the detriment of the consumer.

23
Q

What rule allows a court to interpret ambiguous insurance policy wording in favour of the insured?

A

A: The contra proferentem rule, applied when ambiguity exists and multiple reasonable interpretations are possible.

24
Q

How does the meaning of “warranty” in insurance differ from general contract law?

A

A: In insurance, a warranty is a condition that must be exactly complied with, or cover is suspended; in general law, it’s a minor term where only damages are awarded.

25
What does a "term" in a contract refer to in insurance law?
A: A provision or obligation forming part of the contract, breach of which may lead to remedies.
26
What must an insured prove under s.11(3) of the Insurance Act 2015?
A: That the breach of a risk-mitigating term could not have increased the risk of the actual loss that occurred.
27
hen does the "contra proferentem" rule apply in insurance contracts?
A: When there is genuine ambiguity in a contract term, the term is interpreted against the party who drafted it (usually the insurer).
28
What is a “suspensive condition” in insurance?
A: A condition where cover is suspended while the condition is breached and resumes when the breach is remedied.
29
What is promissory estoppel in relation to breach of warranty?
A: If the insurer indicates they won’t rely on a breach and the insured relies on this, the insurer may be estopped from later denying liability.
30
How does section 148 of the Road Traffic Act 1988 protect third parties in motor insurance?
A: Insurers cannot rely on certain breaches (e.g., drunk driving, unroadworthy vehicle) to deny claims by third-party victims.
31
What is the key difference between joint and composite insurance policies?
A: Joint policies share a common interest; one insured’s breach affects all. Composite policies treat each insured separately.
32
What determines whether a policy is joint or composite in English law?
A: Whether the insured persons have the same interest (joint) or separate interests (composite) in the subject matter.
33
What does the phrase “noscitur a sociis” mean in the context of interpreting insurance contracts?
A: It means “a word is known by the company it keeps” – words draw meaning from the surrounding terms.
34
What is the key requirement for a policy term to be considered a “warranty” under IA 2015?
A: It must be a term that, if breached, suspends the insurer’s liability until the breach is remedied (s.10).
35
When does the contra proferentem rule apply in insurance interpretation?
A: When there's genuine ambiguity in the wording, the court interprets it against the party who drafted it (usually the insurer).
36
What are the three factors courts consider when deciding if a term is a warranty without using the word “warranty”?
A: Whether it: Goes to the root of the transaction Bears materially on the risk Cannot be remedied by damages alone
37
What does IA 2015 s.11(3) allow the insured to do after breaching a risk-mitigating term?
A: Show that the breach could not have increased the risk of the loss that actually occurred to still recover under the policy.
38
Under ICOBS 8.1.2, when is it unreasonable for an insurer to reject a consumer’s claim?
When the breach of warranty or condition is not connected to the circumstances of the claim, unless there’s evidence of fraud.
39
How do courts determine whether a joint or composite policy applies?
A: By examining the interests of the insured parties – shared interests indicate a joint policy; separate interests suggest a composite policy.
40
In what circumstances might an insurer still be liable despite a co-insured's misconduct in a composite policy?
A: When the innocent party has a separate insurable interest and the misconduct isn’t attributable to them.
41
What type of clause in insurance contracts ensures lenders’ rights aren't affected by the borrower's actions?
A: A “mortgage clause” or anti-avoidance clause.
42