Understanding Insurance Law Basics
Understanding Insurance Law Basics
SHORT NOTES:
2. Proximate cause:
Definition
Proximate cause is the primary event or chain of events that directly leads
to a loss. It's the closest cause without which the loss would not have
occurred1.
Importance
Establishing proximate cause is crucial in determining whether an insurance
claim is valid. If the proximate cause is an excluded peril, the claim may be
denied2.
Examples
1. Fire Insurance: If a fire (proximate cause) damages a property, and the
policy covers fire damage, the claim is likely valid.
2. Earthquake and Fire: If an earthquake (proximate cause) causes a fire, and
the policy excludes earthquakes, the claim may be denied.
3. Accidental Insurance: If a heart attack (proximate cause) causes someone
to collapse and get hit by a car, and the policy excludes heart attacks, the
claim may be denied.
Legal Basis
In liability insurance, if the negligent act of a party is the proximate cause of
harm to another party, it serves as a legal basis to hold the former liable.
Actual vs. Proximate Cause
Actual Cause: The event that directly caused the loss (e.g., a car hitting a
pedestrian).
Proximate Cause: The primary event that set everything in motion (e.g., a
truck rear-ending a car, causing it to hit a pedestrian)
Or
Proximate Cause in More Detail
Here's a deeper dive into the concept of proximate cause in insurance:
1. Chain of Events
Proximate cause identifies the first link in the chain of events leading to a
loss.
For instance, in a car accident resulting from slippery roads, the proximate
cause might be heavy rain, as it set off the sequence leading to the
accident.
2. Insurance Policies Application
Health Insurance: If a policyholder suffers an injury leading to
hospitalization and later dies from complications, the proximate cause is the
initial injury. However, if excluded conditions (like pre-existing health issues)
contributed, the claim might be complex.
Home Insurance: If a windstorm (proximate cause) damages a roof, and
subsequent rainwater ruins the interior, the insurer would cover the
damages resulting from the windstorm.
3. Legal Precedents
Legal cases often hinge on establishing proximate cause. For example, if a
shop owner’s negligence causes a fire, leading to neighboring property
damage, the proximate cause is the negligence, making the shop owner
liable.
4. Multiple Causes
When multiple causes contribute to a loss, insurers look for the
predominant cause that sets the sequence in motion.
In complex scenarios, such as a car crash due to faulty brakes and driver
error, insurers determine which cause has the most substantial impact.
5. Policy Wordings
Insurance policies clearly define covered perils and exclusions.
It's essential to understand the policy language to determine what causes of
loss are covered and which are excluded.
Example Scenarios
1. Natural Disasters
o An earthquake (excluded peril) causes a gas pipeline to burst, leading
to a fire. If the policy excludes earthquakes but covers fires, the
proximate cause (earthquake) would lead to claim denial.
2. Marine Insurance
o If a cargo ship sinks due to a storm (proximate cause), and the policy
covers storm damages, the insurer would compensate for the loss.
Proximate cause ensures that claims are fairly assessed based on the
primary cause of loss. It helps insurers determine their liability and
policyholders understand the scope of their coverage.
5. Reinstatement:
Reinstatement in insurance law refers to the process of restoring a
previously terminated policy to its active status.
Detailed Steps for Reinstatement of an Insurance Policy
Reinstating a lapsed insurance policy involves several steps to ensure that
the policyholder regains coverage while the insurer assesses the risk. Here’s
a detailed guide:
1. Identify the Grace Period
Each policy has a grace period after the premium due date during which the
policy remains active despite non-payment. Typically, this period ranges
from 15 to 30 days.
2. Understand the Lapse
If the premium isn't paid within the grace period, the policy lapses, and
coverage ceases. It's crucial to address this quickly to avoid complications.
3. Initiate Reinstatement Request
Contact the insurer to express your intention to reinstate the policy. This
can usually be done through customer service or an agent.
4. Submit Required Documents
Application Form: Fill out a reinstatement application form provided by the
insurer.
Medical Examination: Depending on the policy and the time lapsed, you
might need a medical examination to prove insurability.
Payment: Pay all outstanding premiums along with any interest or late fees.
5. Medical Underwriting
The insurer may require a fresh medical underwriting, especially for life
insurance policies. This can include a physical exam and medical tests.
6. Review by Insurer
The insurer will review your application, medical reports, and payment. This
process ensures that the risk is evaluated properly.
7. Approval and Reinstatement
If the insurer is satisfied with the provided information and payment, they
will approve the reinstatement. The policy will be reactivated from the date
of approval.
8. Policy Terms and Conditions
The terms and conditions of the reinstated policy may vary slightly,
especially if there's been a significant lapse period. It’s important to review
any changes.
Example Scenario
Let's say you have a life insurance policy that lapsed due to non-payment:
1. Grace Period: You missed the premium payment, but the policy is still active
for 30 days.
2. Policy Lapse: After 30 days, the policy lapses.
3. Reinstatement Request: You contact the insurer and express your intention
to reinstate.
4. Required Documents: You fill out the reinstatement form, undergo a
medical exam, and pay the due premiums plus interest.
5. Underwriting: The insurer reviews your medical reports and payment.
6. Approval: The insurer approves your request, and the policy is reinstated.
Important Considerations
Timely Action: Acting promptly after a policy lapse increases the likelihood
of successful reinstatement.
Costs: Be prepared for additional costs, including medical exam fees and
interest on overdue premiums.
Policy Terms: Always review any changes in the policy terms after
reinstatement.
Reinstating a policy can be a detailed process, but it ensures you regain your
valuable coverage.
6. Deviation:
Detailed Explanation of Deviation in Marine Insurance
Deviation in marine insurance is a complex subject that deals with the route
a vessel takes during its voyage. Understanding this concept is crucial for
both insurers and policyholders to ensure compliance with policy terms and
to determine liability in case of any loss or damage. Here’s a comprehensive
look:
1. Definition of Deviation
Deviation refers to a vessel's voluntary departure from the agreed or
customary route without a legitimate reason. This can involve changing the
course, remaining at a port longer than planned, or making an unnecessary
stop.
2. Types of Deviation
Voluntary Deviation: This occurs when the ship changes its course without
any necessity or just cause. Such deviations can lead to a breach of the
insurance contract, and the insurer may deny coverage for any subsequent
losses.
Justified Deviation: Certain situations necessitate a deviation, and these are
considered justified. Common reasons include:
o Safety of the Crew and Ship: Deviating to avoid a storm or other
peril.
o Saving Lives or Property: Changing course to rescue people or vessels
in distress.
o Obtaining Medical Assistance: Diverting to get medical help for
someone on board.
o Repairing Damages: Making a necessary stop for repairs if the ship is
damaged during the voyage and needs immediate attention.
3. Consequences of Deviation
Breach of Contract: An unjustified deviation can result in the breach of the
insurance contract, and the insurer may refuse to cover any losses incurred
after the deviation.
Policy Termination: In some cases, the insurer might terminate the policy
entirely, leaving the policyholder to bear all subsequent losses.
4. Legal and Contractual Framework
Policy Terms: Marine insurance policies typically include specific clauses
that outline what constitutes a deviation and the permissible exceptions.
Case Law: Legal precedents also play a significant role in interpreting
deviation clauses. Courts often look at the intent and necessity behind the
deviation to determine if it is justified.
5. Example Scenarios
Unjustified Deviation: If a vessel carrying cargo from Mumbai to London
decides to make an unplanned stop in Lisbon for trading purposes, this
would be considered an unjustified deviation. The insurer may deny claims
for any losses occurring after this deviation.
Justified Deviation: If the same vessel diverts to Lisbon due to severe
weather conditions threatening the safety of the crew and ship, this would
be a justified deviation, and the insurer would likely cover any losses.
6. How to Address Deviation
Notification: If a deviation is necessary, it's crucial to inform the insurer as
soon as possible to avoid complications.
Documentation: Keep detailed records of the reasons for the deviation,
including weather reports, medical needs, or other justifiable causes.
Consultation: When in doubt, consult with legal experts or the insurer to
understand the implications of a potential deviation.
Understanding the nuances of deviation in marine insurance ensures that
all parties are aware of their rights and obligations, helping to manage risks
effectively.
7. Warranties:
1. Types of Warranties
Express Warranties
Definition: Explicitly stated in the policy document.
Example: A life insurance policy may expressly warrant that the insured
does not engage in hazardous activities like skydiving.
Implied Warranties
Definition: Not explicitly stated but assumed to be part of the contract
based on the nature of the agreement.
Example: In marine insurance, it is implied that a ship is seaworthy.
2. Significance of Warranties
Risk Assessment
Function: Warranties help insurers assess and manage risk by ensuring
certain conditions are met by the insured.
Example: A fire insurance policy might include a warranty that the insured
will maintain operational fire alarms.
Contractual Obligation
Function: They are part of the contractual obligations that must be strictly
adhered to by the insured.
Example: In health insurance, a warranty might require the insured to
disclose all pre-existing conditions.
3. Consequences of Breach
Denial of Claims
Implication: If the insured breaches a warranty, the insurer can deny any
claims related to that breach.
Example: If a business property insurance policy includes a warranty that
fire extinguishers must be maintained, and a fire occurs when they are
found to be non-functional, the insurer may deny the claim.
Policy Voidance
Implication: In some cases, the entire policy can be voided due to a breach
of warranty.
Example: If a health insurance policy includes a warranty that the insured
does not smoke, and it's later found that the insured does smoke, the
insurer might void the policy altogether.
4. Legal Framework
Strict Compliance
Requirement: Warranties require strict compliance. Even a minor breach
can lead to significant consequences.
Example: If a marine insurance policy includes a warranty that a vessel will
only transport certain goods, transporting different goods without notifying
the insurer can void the policy.
Case Law
Relevance: Legal precedents often guide the interpretation of warranties.
Example: Courts may decide on the materiality of a breach in determining
whether the insurer can deny claims or void the policy.
5. Differences Between Warranties and Representations
Warranties
Nature: Must be strictly true and complied with at all times.
Impact: A breach automatically voids the policy or allows the insurer to
deny claims.
Representations
Nature: Statements of fact that must be substantially true.
Impact: A misrepresentation only affects the policy if it is material to the
risk and would have influenced the insurer's decision.
Example Scenario
Let’s consider a car insurance policy with the following warranty:
Express Warranty: The insured must install an anti-theft device in the car.
Impact: If the car is stolen and it’s discovered that the anti-theft device was
not installed, the insurer can deny the claim.
Understanding warranties is crucial for both insurers and insured parties to
ensure that the terms of the contract are clear and that both parties fulfill
their obligations.
8. Proximate cause:
9. Third party insurance:
[Link] insurance:
Burglary Insurance in Detail
Burglary insurance is designed to protect individuals and businesses from
financial losses due to unauthorized and forcible entry leading to theft or
damage. Here’s an in-depth look at its features, coverage, exclusions, and
the claims process:
1. Key Features
Protection against Theft: Covers the loss or damage to property resulting
from a burglary.
Property Damage: Includes coverage for damages caused to the premises
during a break-in.
Comprehensive Cover: Extends to both personal assets (like jewelry, cash,
and electronics) and business assets (such as stock, machinery, and
equipment).
2. Coverage Details
Personal Property: Items such as cash, jewelry, electronics, and valuable
documents.
Business Property: Includes inventory, machinery, office equipment, and
furniture.
Structural Damage: Repairs for damage caused by forced entry (e.g., broken
windows, damaged doors).
Additional Coverages: Some policies may offer coverage for temporary
relocation if the premises are uninhabitable due to burglary-related
damage.
3. Exclusions
Acts of War and Civil Commotion: Damage or loss resulting from war, riots,
or civil disturbances.
Natural Disasters: Losses due to floods, earthquakes, or other natural
calamities unless specifically included.
Negligence: Losses arising from the insured’s negligence, such as failing to
lock doors or install adequate security measures.
Non-Forcible Entry: Losses where there is no sign of forced entry or exit
may not be covered.
4. Example Scenarios
Residential Burglary: A burglar breaks into a house by smashing a window
and steals jewelry and electronics. The insurance covers the cost to repair
the window and replace the stolen items.
Business Burglary: Intruders force entry into a shop, damaging the door
and stealing inventory. The policy covers the repair costs for the door and
the loss of inventory.
5. Claims Process
Report the Incident: Immediately report the burglary to the police and
obtain a copy of the FIR (First Information Report).
Notify the Insurer: Inform your insurance company about the incident as
soon as possible.
Document the Loss: Provide detailed documentation of the stolen or
damaged items, including receipts, photographs, and a list of the property.
Inspection: The insurer may send an adjuster to inspect the damage and
verify the claim.
Claim Settlement: Upon verification, the insurer processes the claim and
reimburses the insured for the covered losses.
6. Enhancing Coverage
Endorsements and Riders: You can add endorsements or riders to your
policy to cover additional risks, such as covering valuables beyond the
standard limits or including coverage for natural disasters.
Security Measures: Installing advanced security systems can sometimes
lead to premium discounts and better coverage terms.
7. Choosing a Policy
When selecting a burglary insurance policy, consider the following:
Coverage Limits: Ensure the policy limits are sufficient to cover your
valuable assets.
Exclusions: Understand what is not covered to avoid surprises during
claims.
Premium Costs: Compare premiums from different insurers to find a policy
that offers the best value for your needs.
Burglary insurance is an essential safeguard for protecting your personal
and business assets against the financial impact of theft and related
damages.
[Link] of wager:
A wagering contract is an agreement where two parties bet on the
outcome of an uncertain event, with each party agreeing to pay a certain
amount if their prediction is incorrect. Here’s a detailed look at wagering
contracts under Indian law:
Definition
A wagering contract is defined under Section 30 of the Indian Contract Act,
1872. It states that agreements by way of wager are void and no suit shall
be brought for recovering anything alleged to be won on any wager2.
Essentials of a Wagering Contract
1. Uncertain Event: The event on which the wager is made must be uncertain.
2. Mutual Chance of Gain or Loss: Both parties must have an equal
opportunity to win or lose.
3. No Interest in the Event: The parties must not have any other interest in
the event other than the stake they are betting.
Example
If two people bet on the outcome of a cricket match, agreeing that the loser
will pay the winner ₹10,000, this is a wagering contract.
Legal Status
Wagering contracts are void and unenforceable in Indian courts. This
means that if one party refuses to pay, the other party cannot legally
enforce the contract2.
Difference from Insurance Contracts
While both wagering contracts and insurance contracts involve risk and
uncertainty, there are key differences:
Purpose: Insurance contracts are meant to provide financial protection
against unforeseen events, whereas wagering contracts are purely for
gambling.
Enforceability: Insurance contracts are enforceable, while wagering
contracts are not
Legal Implications of Wagering Contracts in India
Wagering contracts are void and unenforceable under Indian law. Here’s a
detailed look at the legal implications:
Key Points
1. Void Agreements: According to Section 30 of the Indian Contract Act, 1872,
wagering contracts are void, meaning they have no legal standing and
cannot be enforced in a court of law.
2. Recovery: No suit can be brought to recover anything alleged to be won on
a wager or entrusted to any person to abide by the result of any game or
event.
3. Collateral Agreements: Any agreement collateral to a wagering contract is
also void. However, it is important to note that not all collateral agreements
are void if they are independent of the wager.
Example Cases
1. Gherulal Parekh v. Mahadeo Das Maiya (1959): This case reaffirmed that
agreements collateral to wagering contracts are also void. In this case, the
court held that an agreement to indemnify a party against loss in a
wagering transaction was void.
2. Badridas Kothari v. Meghraj Kothari (1966): The court ruled that a contract
to pay the loss from a wager is unenforceable, highlighting the general
principle that wagering contracts and collateral agreements are void.
Public Policy
Morality and Public Interest: Wagering contracts are considered against
public policy as they are seen to promote gambling, which can be
detrimental to societal morals and public welfare.
Distinction from Legal Betting
Lotteries and Horse Racing: While general wagering contracts are void,
certain forms of regulated betting, like state-run lotteries and horse racing,
are legal under specific regulations and licenses.
Legal Consequences
No Legal Remedy: Parties involved in a wager have no legal remedy if one
party fails to honor the wager.
No Enforceability: Courts will not enforce the payment of winnings or
recovery of stakes bet on a wager.
Case Law Insights
Ismail Lebbe v. Annai Laxmi (1902): This early case established the principle
that wagering agreements cannot be enforced in Indian courts.
Nai Bahu v. Lala Ramnarayan (1978): The court reiterated that any
agreement entered into for the purpose of wagering is void and
unenforceable.
Wagering contracts and their implications under Indian law highlight the
importance of distinguishing between legitimate, enforceable contracts and
those that are void due to their nature. Understanding this distinction can
help avoid legal pitfalls.
[Link] Policy:
A voyage policy in marine insurance is a type of coverage specifically
designed to protect the cargo aboard a ship during a particular voyage. Here are
some key points:
Key Features
Specific Voyage: Coverage is provided for a single, specific voyage from the
point of departure to the destination.
Cargo Protection: It covers only the cargo, not the ship itself.
Temporal Nature: Unlike time-based policies, a voyage policy expires once
the ship arrives at its destination.
Unforeseen Risks: Covers risks such as accidental damage, natural disasters,
and collisions during the voyage.
Coverage Details
Accidental Damage: Covers damage to the cargo due to accidents during
the voyage.
Natural Disasters: Includes coverage for events like storms, floods, and
other natural calamities.
Exclusions: Typically excludes losses due to willful misconduct, ordinary
wear and tear, improper packaging, and labor strikes.
Example Scenario
Imagine a shipment of electronics being transported from India to the United
States. A voyage policy would cover any damage to the electronics if, for example,
the ship encounters a storm and the cargo is damaged.
Legal Implications
Seaworthiness: The vessel must be in good condition and capable of
making the journey.
Voyage Deviation: Any intentional deviation from the agreed route can
affect coverage. The insurer must be informed of any changes to the route
[Link]:
The principle of contribution in insurance law is a fundamental concept
that ensures fairness and prevents overcompensation. Here’s a detailed
explanation:
Definition
The principle of contribution states that if an insured party has multiple
insurance policies covering the same risk, each insurer will share the burden
of the loss proportionately. This prevents the insured from recovering more
than the actual loss
Application of the Principle of Contribution in Indian Insurance Law
The principle of contribution plays a crucial role in insurance, ensuring that
the insured does not receive more than the actual loss incurred. Here's an
in-depth look at how this principle is applied in various scenarios:
1. General Insurance
Multiple Policies: When an individual has multiple insurance policies
covering the same risk, each insurer contributes proportionally to the loss.
Proportional Contribution: The share of each insurer is determined by the
ratio of the sum insured under each policy to the total sum insured by all
policies.
2. Calculation of Contribution
Example: Suppose an insured has two fire insurance policies:
o Policy A: ₹3 lakhs
o Policy B: ₹2 lakhs
o Total sum insured: ₹5 lakhs
If a fire causes a loss of ₹1 lakh, the contribution from each insurer is
calculated as follows:
o Policy A's share: (₹3lakhs/₹5lakhs)×₹1lakh=₹60,000(₹3 lakhs / ₹5
lakhs) \times ₹1 lakh = ₹60,000
o Policy B's share: (₹2lakhs/₹5lakhs)×₹1lakh=₹40,000(₹2 lakhs / ₹5
lakhs) \times ₹1 lakh = ₹40,000
3. Marine Insurance
Cargo Coverage: In marine insurance, the contribution principle ensures
that multiple policies covering the same shipment share the loss
proportionally.
Example: If cargo worth ₹10 lakhs is insured under three policies (₹4 lakhs,
₹4 lakhs, and ₹2 lakhs) and suffers a total loss, the insurers will contribute
proportionally based on their respective coverage amounts.
4. Health Insurance
Medical Expenses: When an individual is covered by multiple health
insurance policies, the contribution principle prevents them from claiming
the total expenses from each insurer separately.
Example: If an insured has two health insurance policies covering ₹2 lakhs
each and incurs a medical expense of ₹3 lakhs, the insurers will share the
cost proportionally.
5. Motor Insurance
Vehicle Damage: If a vehicle is covered by more than one motor insurance
policy, the contribution principle ensures that each insurer pays a portion of
the repair costs.
Example: If a vehicle worth ₹5 lakhs is insured under two policies (₹3 lakhs
and ₹2 lakhs), and the repair cost is ₹50,000, the insurers will share the cost
based on their respective coverage amounts.
Legal Framework
Insurance Act, 1938: The principle of contribution is guided by provisions
under the Insurance Act, 1938, and is enforced by the Insurance Regulatory
and Development Authority of India (IRDAI).
Policy Conditions: Insurance policies typically include a contribution clause,
outlining how claims will be settled when multiple policies cover the same
risk.
Practical Considerations
Notification to Insurers: The insured must notify all insurers about the
existence of other policies covering the same risk.
Claim Documentation: Proper documentation and transparent
communication with all insurers are essential for smooth claim processing.
Understanding the principle of contribution helps policyholders manage
their insurance coverage effectively and ensures fair distribution of financial
responsibility among insurers.
[Link] of Life Policy:
Assignment of a life insurance policy is a legal mechanism that allows the
policyholder (assignor) to transfer ownership rights and benefits of their life
insurance policy to another party (assignee).
Definition
Assignment refers to the transfer of rights and benefits under a life
insurance policy from the policyholder to another person or entity. The
assignee then becomes the new policy owner and can exercise all rights and
privileges previously held by the assignor2.
Types of Assignment
1. Absolute Assignment: The policyholder transfers all rights and benefits of
the policy to the assignee permanently. The assignee becomes the new
owner of the policy.
2. Conditional Assignment: The transfer of rights is subject to certain
conditions or events. The assignee receives the benefits only if specific
conditions are met.
Reasons for Assignment
Estate Planning: To ensure that the policy proceeds are used according to
the policyholder’s wishes.
Collateral for Loans: Policyholders can use their life insurance policy as
collateral to secure loans.
Financial Strategies: To provide financial security to beneficiaries or to
manage financial assets more effectively.
Legal Framework
Insurance Act, 1938: The assignment of life insurance policies is governed
by the provisions of the Insurance Act, 1938, and the regulations issued by
the Insurance Regulatory and Development Authority of India (IRDAI).
Consent: The assignment must be made with the consent of the insurer,
and the insurer must be notified of the assignment.
Example Scenario
Suppose Mr. Sharma has a life insurance policy and wants to ensure that
the policy proceeds go to his daughter, Ms. Sharma, upon his death. He can
assign the policy to Ms. Sharma, making her the new policy owner and
beneficiary.
Implications
Rights and Responsibilities: The assignee takes over all rights and
responsibilities associated with the policy, including premium payments and
policy management.
Notice to Insurer: The insurer must be informed of the assignment to
ensure that the assignee can claim the policy benefits.
Revocation: The assignor can revoke the assignment if it was conditional
and the conditions are not met.
Conclusion
Assignment of a life insurance policy provides flexibility and control over
policy benefits, allowing policyholders to manage their financial assets
effectively and ensure that their beneficiaries are taken care of.
[Link] of Fire:
Fire Insurance Policies and Principles
Fire insurance provides coverage against losses or damages caused by fire.
Here’s an in-depth look at fire insurance policies and the key principles
involved:
1. Definition of Fire
Accidental Fire: For a fire insurance policy to cover a loss, the fire must be
accidental and not intentional.
Actual Ignition: There must be actual ignition causing damage to property.
Simply put, there must be flames, not just heat or smoke.
2. Coverage of Fire Insurance
Basic Coverage: Protects against damages caused by fire, lightning, and
explosion.
Extended Coverage: Can include additional perils such as storm, flood, riot,
strike, malicious damage, and earthquake.
3. Principles of Fire Insurance
1. Principle of Utmost Good Faith (Uberrimae Fidei)
Both the insurer and the insured must disclose all material facts truthfully.
Any misrepresentation can lead to the policy being void.
2. Principle of Insurable Interest
The insured must have a financial interest in the property being insured.
This means that the insured must stand to suffer a financial loss if the
property is damaged or destroyed by fire.
3. Principle of Indemnity
Fire insurance aims to indemnify the insured by compensating them for the
actual loss suffered. The goal is to restore the insured to the same financial
position they were in before the loss.
4. Principle of Subrogation
After compensating the insured for a loss, the insurer gains the legal rights
to pursue recovery from any third party responsible for the loss.
5. Principle of Contribution
If the insured has multiple fire insurance policies covering the same
property, each insurer will contribute proportionately to the loss.
4. Types of Fire Insurance Policies
Valued Policy: The value of the insured property is agreed upon at the time
of the policy issuance, and this amount is paid in case of total loss.
Specific Policy: A specified sum is insured, and the insured is compensated
for the actual loss up to this amount.
Floating Policy: Covers multiple properties at different locations under a
single sum insured.
Comprehensive Policy: Provides extensive coverage, including fire and
additional perils such as theft, burglary, and natural calamities.
5. Exclusions
Willful Acts: Losses due to intentional acts by the insured.
War and Nuclear Risks: Damages resulting from war, nuclear risks, or civil
commotions.
Wear and Tear: Normal wear and tear, gradual deterioration, and inherent
vice of the property.
Example Scenario
Let’s consider a scenario where a business owner insures their warehouse
against fire:
Policy Type: Specific policy with a sum insured of ₹50 lakhs.
Incident: A fire breaks out due to an electrical fault, causing damage worth
₹30 lakhs.
Claim Process: The business owner reports the incident to the insurer, who
sends an adjuster to assess the damage. The insurer then compensates the
business owner for the actual loss of ₹30 lakhs, restoring their financial
position.
Claims Process
1. Immediate Reporting: Inform the insurer as soon as the fire occurs.
2. Documentation: Provide necessary documents, including the claim form,
fire brigade report, police report, and proof of loss.
3. Assessment: The insurer assesses the damage through a surveyor or
adjuster.
4. Settlement: Upon verification, the insurer settles the claim based on the
policy terms and the actual loss incurred.
Understanding the principles and coverage of fire insurance ensures that
you are adequately protected against the financial impact of fire-related
damages.
1. Life Insurance
Term Life Insurance
Coverage: Provides coverage for a specific period (term). If the insured dies
during the term, the beneficiaries receive the death benefit.
Example: A 20-year term policy with a ₹1 crore death benefit.
Whole Life Insurance
Coverage: Offers lifelong coverage with a death benefit paid out to
beneficiaries upon the insured’s death.
Cash Value: Accumulates cash value over time, which can be borrowed
against.
Example: A whole life policy with a ₹50 lakh death benefit and cash value
component.
Endowment Policy
Coverage: Combines life insurance with a savings plan. Pays a lump sum on
maturity or death, whichever comes first.
Example: An endowment policy with a 20-year term and ₹10 lakh maturity
benefit.
2. Health Insurance
Individual Health Insurance
Coverage: Provides coverage for medical expenses for an individual.
Example: An individual health policy covering hospitalization and surgical
expenses up to ₹5 lakhs.
Family Floater Health Insurance
Coverage: Covers the medical expenses of the entire family under a single
policy.
Example: A family floater policy with a ₹10 lakh sum insured for all family
members.
Critical Illness Insurance
Coverage: Provides a lump sum benefit upon diagnosis of a specified critical
illness.
Example: A critical illness policy covering diseases like cancer, heart attack,
and stroke with a ₹20 lakh sum insured.
3. Motor Insurance
Third-Party Liability Insurance
Coverage: Covers legal liabilities arising from injuries or damage caused to
third parties by the insured vehicle.
Example: A third-party liability policy covering damages up to ₹7.5 lakhs.
Comprehensive Motor Insurance
Coverage: Provides coverage for third-party liabilities as well as own
damage to the insured vehicle.
Example: A comprehensive motor policy covering accidental damage, theft,
and third-party liabilities.
4. Property Insurance
Home Insurance
Coverage: Provides coverage for the structure of the home and its contents
against risks like fire, theft, and natural disasters.
Example: A home insurance policy with ₹50 lakh coverage for the building
and ₹10 lakh for contents.
Fire Insurance
Coverage: Covers losses or damages caused by fire to the insured property.
Example: A fire insurance policy for a warehouse with a sum insured of ₹1
crore.
5. Marine Insurance
Hull Insurance
Coverage: Provides coverage for loss or damage to the ship or vessel.
Example: A hull insurance policy for a cargo ship valued at ₹20 crores.
Cargo Insurance
Coverage: Covers loss or damage to the cargo being transported by sea.
Example: A cargo insurance policy covering goods worth ₹2 crores during
transit from India to the UK.
6. Travel Insurance
Individual Travel Insurance
Coverage: Covers medical expenses, trip cancellations, lost baggage, and
other travel-related risks.
Example: A travel insurance policy with a ₹50 lakh medical expense cover
for a single trip to Europe.
Family Travel Insurance
Coverage: Extends the same benefits to the entire family traveling together.
Example: A family travel policy with a ₹1 crore coverage for medical
expenses and trip cancellations.
7. Liability Insurance
Public Liability Insurance
Coverage: Protects businesses against legal liabilities arising from injury or
property damage to third parties.
Example: A public liability policy with ₹5 crore coverage for a manufacturing
company.
Product Liability Insurance
Coverage: Provides coverage for legal liabilities arising from the use of
defective products manufactured or supplied by the insured.
Example: A product liability policy for a toy manufacturer with a ₹10 crore
coverage.
These are the main types of insurance policies available, each tailored to
protect against specific risks.
[Link] of grace:
[Link] value:
3. Collision
Description: Accidental collision with other ships, icebergs, or submerged
objects.
Impact: Can result in breaches to the ship’s hull, leading to water ingress
and potential sinking.
Example: A ship collides with another vessel in foggy conditions, causing
significant damage to both.
4. Shipwreck
Description: Total destruction of a ship due to maritime accidents.
Impact: Complete loss of the vessel and cargo.
Example: A ship running aground on a rocky shore and breaking apart.
5. Foundering
Description: When a ship sinks due to heavy weather or taking on water,
and is presumed lost.
Impact: Total loss of the ship and its cargo.
Example: A ship foundering after a severe storm, with no survivors or debris
recovered.
6. Stranding
Description: When a ship runs aground on a sandbank, reef, or shore.
Impact: Can cause structural damage to the vessel and loss or damage to
cargo.
Example: A ship stranded on a reef, requiring extensive salvage operations
to recover.
Example Scenario
Imagine a cargo ship transporting electronics from Japan to the United
States. During the voyage, the ship encounters a severe storm, causing
significant damage to the hull and loss of several containers overboard. The
ship’s owners file a claim under their marine insurance policy, citing perils of
the sea as the cause of the loss. The insurer assesses the damage and
processes the claim based on the coverage provided for perils of the sea.
Claims Process
1. Reporting the Incident: Notify the insurer immediately after the incident.
2. Documentation: Provide detailed documentation of the damage, including
photographs, logs, and a damage report.
3. Surveyor Assessment: The insurer sends a surveyor to assess the damage
and verify the claim.
4. Claim Settlement: Upon verification, the insurer compensates the
policyholder for the covered losses.
Understanding perils of the sea and their coverage under marine insurance
is crucial for shipowners and cargo owners to protect their financial
interests against maritime risks.
2. Comprehensive Insurance
Coverage: Offers extensive coverage, including third-party liability and
damage to the insured vehicle due to accidents, theft, fire, natural disasters,
and vandalism.
Example: Covers the cost of repairs if your car is damaged in an accident
and also compensates if your car is stolen.
Legal Framework
Motor Vehicles Act, 1988: Governs motor vehicle insurance in India,
mandating third-party liability coverage for all vehicles.
Insurance Regulatory and Development Authority of India (IRDAI):
Regulates motor insurance policies and ensures compliance with legal
requirements.
Example Scenario
Consider a scenario where you own a car:
Third-Party Liability Insurance: Required by law; covers damages you cause
to others.
Comprehensive Insurance: You opt for this policy to cover your car against
accidents, theft, and natural disasters.
Add-On Covers: You add zero depreciation cover and roadside assistance
for enhanced protection.
1. Contract of Indemnity
Definition: Most insurance contracts (except life and personal accident
insurance) are contracts of indemnity. This means that the insurer agrees to
compensate the insured for the actual loss suffered.
Purpose: To restore the insured to the financial position they were in before
the loss.
3. Aleatory Contract
Definition: The performance of the contract depends on an uncertain
event. The insurer pays the benefit only if the insured event occurs.
Example: If a fire insurance policy is taken, the insurer will only compensate
if a fire occurs.
4. Unilateral Contract
Definition: Only the insurer makes a legally enforceable promise to pay in
the event of a covered loss. The insured’s obligation is to pay premiums.
Implication: The insurer's obligation arises only if the insured pays the
premiums and a covered loss occurs.
5. Adhesion Contract
Definition: The terms of the contract are set by the insurer, and the insured
can only accept or reject them.
Implication: Any ambiguity in the contract is typically interpreted in favor of
the insured.
6. Conditional Contract
Definition: The insurer’s promise to pay is conditional upon the occurrence
of the specified event (e.g., accident, death) and compliance with policy
terms.
Example: For a life insurance policy to be valid, the insured must pay
premiums regularly.
7. Personal Contract
Definition: The contract is between the insurer and the insured, based on
the insured’s risk profile. It is not transferrable without the insurer’s
consent.
Example: A health insurance policy cannot be transferred to another person
without approval.
8. Executory Contract
Definition: The contract remains in effect over a period, and the insurer's
performance is contingent upon the occurrence of the insured event.
Duration: It involves future performance by both parties over the policy
term.
9. Principle of Subrogation
Definition: After indemnifying the insured, the insurer acquires the legal
rights to pursue recovery from any third party responsible for the loss.
Application: Prevents the insured from profiting from the loss and ensures
the actual wrongdoer bears the financial burden.
10. Principle of Contribution
Definition: If multiple policies cover the same risk, each insurer will share
the loss proportionately.
Application: Ensures fair distribution of liability among insurers and
prevents overcompensation of the insured.
Conclusion
Insurance contracts are designed to provide financial protection against
unforeseen risks, governed by principles that ensure fairness, transparency,
and mutual trust between the insurer and the insured. Understanding these
characteristics is crucial for both parties to navigate the complexities of
insurance effectively.
[Link] of premium:
Legal Framework
Insurance Regulatory and Development Authority of India (IRDAI):
Regulates the terms and conditions under which return of premium is
provided.
Insurance Contracts: The specific terms regarding return of premium are
detailed in the insurance policy contract.
Example Scenario
Suppose Mr. Sharma buys a life insurance policy with a return of premium
feature. He pays annual premiums of ₹10,000 for 10 years. If he does not
make any claims during this period, the insurer will refund the total
premiums paid (minus any applicable fees) at the end of the policy term.
Conclusion
Return of premium is a valuable feature that can provide financial benefits
to policyholders who maintain a claim-free record. Understanding the terms
and conditions of this feature is essential for making informed insurance
decisions.
[Link]:
Key Features
1. Beneficiary Designation: The policyholder designates one or more
individuals as nominees to receive the policy proceeds.
2. Trustee Role: The nominee acts as a trustee, not the owner of the assets.
3. Legal Framework: Governed by the Insurance Act, 1938, and other relevant
regulations.
Importance
Smooth Transition: Ensures that the policy proceeds are distributed to the
intended beneficiaries without legal disputes.
Financial Security: Provides financial security to the nominee(s) in the event
of the policyholder's demise.
Clarity: Clarifies the distribution of insurance proceeds, avoiding potential
conflicts among family members.
Process of Nomination
1. Nomination Form: The policyholder fills out a nomination form provided by
the insurance company.
2. Details Required: Includes the nominee's name, relationship to the
policyholder, and percentage share of benefits.
3. Multiple Nominees: Policyholders can designate multiple nominees and
specify the share each should receive.
4. Minor Nominees: If a nominee is a minor, a guardian or trustee must be
appointed to manage the funds until the minor reaches legal age.
Legal Provisions
Insurance Act, 1938: Section 39 of the Act allows policyholders to appoint
nominees for life insurance policies.
Insurance Regulatory and Development Authority of India (IRDAI):
Regulates the nomination process and ensures compliance with legal
requirements.
Example Scenario
Suppose Mr. Sharma has a life insurance policy and nominates his wife and
children as beneficiaries. In the event of his death, the insurance proceeds
will be distributed among them according to the specified shares in the
nomination form.
Conclusion
Nomination is a crucial aspect of insurance planning that ensures the
policyholder's wishes are honored and the financial well-being of the
beneficiaries is protected. It provides clarity and peace of mind, making the
process of claiming insurance proceeds smoother and more
straightforward.
[Link] clause:
Key Features
1. Coverage: The clause covers damage caused by the negligence of ship
personnel, such as engineers, captains, and crew members.
2. Additional Perils: It extends coverage to include risks like broken
driveshafts, burst boilers, hull defects, and other machinery-related issues.
3. Historical Context: The clause was introduced following the case of Thames
and Mersey Marine Insurance Co Ltd v Hamilton, Fraser and Co,
'Inchmaree' (1887), which highlighted the need for coverage beyond
traditional perils of the sea.
Importance
Broader Protection: Provides broader protection for shipowners by
covering risks associated with human error and machinery failure.
Financial Security: Ensures that shipowners are financially protected against
a wider range of potential losses.
Example Scenario
Imagine a cargo ship experiences a boiler explosion due to improper
maintenance by the ship's engineers. Under the Inchmaree Clause, the
insurance policy would cover the damages resulting from this incident, even
though it was caused by negligence rather than a peril of the sea.
Legal Framework
Marine Insurance Act, 1906: The clause is often included in marine
insurance policies and is governed by the principles outlined in this act.
Institute Time Clauses (ITC) 1983: Modern policies may include the
Inchmaree Clause under clauses like Clause 6.2.
Conclusion
2. Health Insurance
Coverage: Covers medical expenses for illnesses, injuries, and preventive
care.
Example: Pays for hospital stays, surgeries, and doctor visits.
3. Burglary Insurance
Coverage: Protects against losses due to theft or burglary.
Example: Covers stolen property and damage caused during a break-in.
4. Motor Insurance
Coverage: Provides coverage for damages to vehicles and third-party
liabilities.
Example: Covers repair costs for accidents and legal liabilities for injuries to
others.
5. Liability Insurance
Coverage: Protects against legal liabilities arising from negligence or other
covered events.
Example: Covers legal defense costs and settlements in case of lawsuits.
6. Travel Insurance
Coverage: Covers unexpected expenses during travel, such as trip
cancellations, medical emergencies, and lost luggage.
Example: Pays for medical evacuation and trip interruption costs.
7. Rural Insurance
Coverage: Provides coverage for agricultural risks, such as crop failure due
to natural calamities.
Example: Covers losses due to drought, floods, or pest attacks.
8. Fidelity Insurance
Coverage: Protects businesses against losses caused by fraudulent acts of
employees.
Example: Covers losses due to employee theft or embezzlement.
[Link] Average:
Importance
Equitable Distribution: Ensures fairness by distributing losses among all
parties involved.
Financial Protection: Provides financial security by spreading the risk of
maritime emergencies.
Operational Efficiency: Prevents disputes and delays by having a predefined
method for handling emergencies.
Legal Framework
York-Antwerp Rules: Established in 1877, these rules provide a standardized
framework for calculating contributions in General Average cases.
Marine Insurance Policies: Typically include coverage for General Average
contributions.
Example Scenario
Imagine a cargo ship encounters a severe storm, and to prevent it from
capsizing, the crew decides to jettison some containers. Under the principle
of General Average, the loss of the jettisoned cargo is shared
proportionately by all cargo owners and the shipowner3.
Conclusion
General Average is a fundamental principle in maritime law that promotes
fairness and shared responsibility among all parties involved in a sea
venture. It ensures that the financial burden of emergency actions is
distributed equitably, providing stability and security in maritime trade.
[Link] up policy:
A paid-up policy is a life insurance policy where the policyholder stops
paying premiums, but the policy remains active with a reduced sum
assured. Here’s a detailed overview:
Key Features
1. Premium Payments: The policyholder has paid all necessary premiums to
keep the policy active.
2. Reduced Coverage: The sum assured is reduced to the value of the
premiums paid to date.
3. No Further Premiums: The policyholder is no longer required to pay any
additional premiums.
Importance
Financial Relief: Provides relief from paying future premiums, especially
during financial difficulties.
Continued Coverage: Ensures that the policyholder still has some life
coverage without additional payments.
Tax Benefits: Premiums paid towards the policy until conversion are eligible
for tax exemptions under Sections 80C and 80D of the Income Tax Act,
1961.
Legal Framework
Insurance Regulatory and Development Authority of India (IRDAI):
Regulates the terms and conditions under which a policy can be converted
to a paid-up policy.
Insurance Contracts: The specific terms regarding paid-up policies are
detailed in the insurance policy contract.
Example Scenario
Suppose Mr. Sharma has a life insurance policy with a sum assured of ₹50
lakhs, payable over 30 years. After paying premiums for 15 years, he faces
financial difficulties and opts for a paid-up policy. The new sum assured will
be ₹25 lakhs, calculated as follows:
Paid-Up Value=Sum Assured×(No. of Premiums PaidNo. of Premiums Payabl
e)\text{Paid-Up Value} = \text{Sum Assured} \times \left( \frac{\text{No. of
Premiums Paid}}{\text{No. of Premiums Payable}} \right)
Paid-Up Value=50,00,000×(1530)=25,00,000\text{Paid-Up Value} =
50,00,000 \times \left( \frac{15}{30} \right) = 25,00,000
Conclusion
A paid-up policy offers a way to maintain life insurance coverage without
the burden of future premiums, providing financial relief and continued
protection. It’s a valuable option for policyholders facing financial
challenges.
[Link] interest
[Link] insurance:
Importance
Financial Security: Provides financial compensation to farmers, helping
them recover from losses and stabilize their income.
Risk Management: Helps manage risks associated with agricultural
production, ensuring farmers can continue their operations despite adverse
events.
Support for Rural Economy: Contributes to the stability and growth of the
rural economy by protecting farmers' livelihoods.
Legal Framework
Insurance Regulatory and Development Authority of India (IRDAI):
Regulates crop insurance schemes and ensures compliance with legal
requirements.
Government Schemes: Includes schemes like the National Agricultural
Insurance Scheme (NAIS), Modified NAIS, Weather Based Crop Insurance
Scheme (WBCIS), and Coconut Palm Insurance Scheme (CPIS).
Example Scenario
Suppose a farmer in Maharashtra faces crop failure due to unexpected
heavy rainfall. Under the crop insurance scheme, the farmer can file a claim
and receive compensation for the loss, helping to cover the costs of
replanting and maintaining their livelihood.
Conclusion
Crop insurance is a vital tool for protecting farmers against the uncertainties
of agricultural production. It provides financial security, supports risk
management, and contributes to the overall stability of the rural economy.
Importance
Financial Efficiency: Prevents unnecessary expenditure on repairs that are
not cost-effective.
Prompt Settlement: Allows for quicker settlement of claims by paying the
insured value instead of waiting for repairs.
Risk Management: Helps manage financial risks by ensuring that the
insured is compensated fairly without incurring excessive costs.
Legal Framework
Marine Insurance Act, 1963: Governs the principles of constructive total
loss in marine insurance.
Insurance Contracts: Specific terms regarding constructive total loss are
detailed in the insurance policy contract.
Example Scenario
Imagine a cargo ship suffers extensive damage in a storm, and the cost of
repairs is estimated to be higher than the ship's insured value. The insurer
declares it a constructive total loss and pays out the insured value to the
shipowner, who then surrenders the ship to the insurer.
Conclusion
Constructive total loss is a crucial concept in insurance law that ensures fair
compensation and efficient claim settlement when repairs are not
economically viable. It helps manage financial risks and provides a
streamlined process for handling significant damages.
The life fund refers to the pool of assets that an insurance company sets
aside to meet its obligations to policyholders. The investment of these
funds is regulated to ensure the financial stability and security of the
insurance company. Here’s a detailed overview:
Key Features
1. Regulation: Governed by the Insurance Act, 1938, and the regulations
issued by the Insurance Regulatory and Development Authority of India
(IRDAI).
2. Investment Guidelines: Insurers must invest in approved securities, such as
government bonds, infrastructure projects, and social sector investments.
3. Asset Management: The insurer’s board of directors is responsible for
formulating the investment policy, which is often delegated to a committee
of highly qualified officers.
Importance
Financial Security: Ensures that the insurer has sufficient assets to meet its
liabilities to policyholders.
Regulatory Compliance: Adheres to legal requirements to maintain
solvency and protect policyholders’ interests.
Risk Management: Diversifies investments to manage risks and ensure
stable returns.
Legal Framework
Insurance Act, 1938: Sections 27 and 27A outline the requirements for
investment of assets by insurers.
IRDAI Regulations: Provide detailed guidelines on the types of investments
allowed and the conditions for investment.
Example Scenario
Suppose an insurance company has a life fund of ₹1,000 crores. According
to regulations, it must invest a portion in government securities and
approved securities, ensuring that the fund is diversified and secure.
Conclusion
The investment of the life fund is a critical aspect of insurance law, ensuring
that insurers can meet their obligations to policyholders while complying
with regulatory requirements. It provides financial stability and risk
management for both insurers and policyholders.
[Link] market:
Importance
Risk Management: Allows individuals and businesses to manage risks by
transferring them to insurers.
Economic Stability: Contributes to economic stability by providing financial
protection against unforeseen events.
Consumer Protection: Regulatory frameworks protect consumers from
unfair practices and ensure transparency.
Legal Framework
Insurance Act, 1938: The primary legislation governing insurance in India.
IRDAI Regulations: Provide detailed guidelines on licensing, capital
requirements, investment norms, and consumer protection.
Other Acts: Includes the Life Insurance Corporation Act, 1956, and the
General Insurance Business (Nationalization) Act, 1972.
Example Scenario
Imagine a small business owner purchases property insurance to protect
against fire damage. In the event of a fire, the insurer compensates the
business owner for the losses, helping them recover and continue
operations.
Conclusion
The insurance market plays a crucial role in managing risks and providing
financial security to individuals and businesses. Understanding its structure
and regulatory framework is essential for navigating the complexities of
insurance law.
[Link] contracts:
Conditional contracts in insurance are agreements where the insurer
agrees to provide coverage or benefits only if certain conditions are met by
the policyholder. Here’s a detailed overview:
Key Features
1. Conditional Nature: The insurer’s obligation to pay arises only if specific
conditions are fulfilled.
2. Policyholder Obligations: Policyholders must meet certain requirements,
such as paying premiums and providing accurate information.
3. Event-Driven: The contract is activated by the occurrence of a specified
event, such as a loss or damage.
Importance
Risk Management: Ensures that the insurer is only liable for covered
events, reducing the risk of fraudulent claims.
Clarity: Clearly defines the obligations of both parties, reducing
misunderstandings.
Financial Protection: Provides financial protection to policyholders while
ensuring insurers can manage their risk exposure.
Legal Framework
Insurance Contracts: Governed by the terms and conditions specified in the
insurance policy.
Regulatory Guidelines: Regulated by bodies like the Insurance Regulatory
and Development Authority of India (IRDAI) to ensure fair practices and
compliance.
Example Scenario
Imagine a homeowner purchases fire insurance for their house. The
insurance company agrees to cover fire damage only if the homeowner has
installed approved fire safety measures and has paid the required
premiums.
Conclusion
Conditional contracts are fundamental to insurance law, ensuring that
coverage is provided only when agreed-upon conditions are met. They help
manage risks, provide clarity, and protect the financial interests of both
insurers and policyholders.
[Link] :
Types of Insurance
1. Life Insurance: Provides financial protection to beneficiaries upon the death
of the insured.
o Term Life Insurance: Coverage for a specific period.
o Whole Life Insurance: Coverage for the insured's entire life.
o Endowment Policies: Combination of insurance and savings plans.
2. Health Insurance: Covers medical expenses for illnesses, injuries, and
preventive care.
3. Property Insurance: Protects physical assets against risks like fire, theft, and
natural disasters.
4. Motor Insurance: Covers vehicles against damage and third-party liabilities.
5. Liability Insurance: Provides coverage for legal liabilities arising from
negligence or other covered events.
Legal Framework
1. Insurance Act, 1938: The primary legislation governing insurance in India,
outlining the regulation of insurance companies and policies.
2. IRDAI: The Insurance Regulatory and Development Authority of India, which
oversees and regulates the insurance industry to ensure fair practices and
solvency.
3. Marine Insurance Act, 1963: Governs the principles of marine insurance,
including coverage for ships, cargo, and other maritime interests.
Key Principles
1. Utmost Good Faith (Uberrimae Fidei): Both parties must disclose all
material facts honestly.
2. Insurable Interest: The insured must have a financial interest in the subject
matter of the insurance.
3. Indemnity: The insurer compensates the insured for actual losses to restore
them to their financial position before the loss.
4. Subrogation: After indemnifying the insured, the insurer acquires the legal
rights to pursue recovery from any third party responsible for the loss.
5. Contribution: If multiple policies cover the same risk, each insurer will share
the loss proportionately.
Importance of Insurance
1. Financial Protection: Provides security against unforeseen losses, helping
individuals and businesses manage risks.
2. Economic Stability: Contributes to economic stability by safeguarding
financial interests and promoting investment.
3. Social Security: Enhances social security by providing support in times of
need, such as during illness or after the death of a breadwinner.
Conclusion
Insurance is a vital component of risk management, offering financial
protection and stability to individuals and businesses. Understanding its
principles and legal framework is essential for navigating the complexities of
insurance law effectively.
[Link]:
Importance
Consistency: Ensures that insurers maintain consistency in their dealings
with policyholders.
Protection: Protects policyholders from unfair practices and provides
assurance that their interests will not be harmed.
Fairness: Promotes fairness by holding insurers accountable for their
representations and actions.
Legal Framework
Indian Evidence Act, 1872: Section 115 defines estoppel, stating that a
person cannot deny a fact that they previously affirmed if another party has
relied on that affirmation.
Case Law: Various court judgments have established the application of
estoppel in insurance disputes, ensuring that insurers cannot contradict
their previous statements or actions.
Example Scenario
Imagine an insurance company has a history of accepting late premium
payments without canceling policies. If a policyholder submits a late
payment based on this practice, the insurer cannot later deny coverage by
claiming the payment was late1.
Conclusion
Estoppel is a crucial principle in insurance law that ensures fairness and
consistency in the insurer-policyholder relationship. It protects
policyholders from contradictory actions by insurers and upholds the
integrity of insurance contracts.
[Link]:
Importance
Fair Compensation: Prevents the insured from profiting from a loss and
ensures fair compensation.
Cost Recovery: Allows insurers to recover their losses, helping to keep
premiums lower.
Accountability: Holds third parties accountable for their actions, promoting
responsible behavior.
Legal Framework
Insurance Contracts: The right of subrogation is often explicitly stated in
insurance policies.
Common Law: Courts have established the principle of subrogation through
various judgments, reinforcing its application.
Example Scenario
Suppose a driver, Mr. Singh, has an auto insurance policy. His car is
damaged in an accident caused by another driver’s negligence. Mr. Singh’s
insurer pays for the repairs. Subsequently, the insurer pursues the at-fault
driver for the cost of the repairs. This pursuit of recovery is the insurer
exercising its right of subrogation.
Process of Subrogation
1. Compensation: The insurer compensates the insured for the loss or
damage.
2. Assignment of Rights: The insured assigns their rights to the insurer to
recover the loss from the responsible third party.
3. Legal Action: The insurer may take legal action against the third party to
recover the amount paid.
Conclusion
Subrogation is a crucial principle that ensures fairness in the insurance
industry by preventing double compensation and allowing insurers to
recover costs from responsible third parties. This process supports the
financial stability of insurers and helps maintain reasonable premium rates
for policyholders.
[Link] insurance:
Legal Framework
Marine Insurance Act, 1963: The primary legislation governing marine
insurance in India, based on the original Marine Insurance Act of 1906 of
the UK.
Insurance Regulatory and Development Authority of India (IRDAI):
Regulates marine insurance policies and ensures compliance with legal
requirements.
Example Scenario
Imagine a shipping company insures its cargo vessel for ₹100 crores. During
a voyage, the vessel encounters a severe storm, causing significant damage.
The insurer compensates the shipping company for the loss, ensuring that
the company can recover and continue its operations.
Conclusion
[Link]-insurance:
Importance
Risk Management: Reduces the likelihood of large payouts for claims,
helping insurers remain solvent.
Financial Stability: Provides insurers with additional financial security to
handle large or multiple losses.
Increased Capacity: Allows insurers to underwrite more policies and take
on larger risks without significantly increasing their capital requirements.
Legal Framework
Insurance Act, 1938: Governs the principles and regulations related to
reinsurance in India.
IRDAI Regulations: The Insurance Regulatory and Development Authority of
India (IRDAI) issues detailed guidelines on reinsurance to ensure compliance
and fair practices.
Example Scenario
Imagine an insurance company has issued a policy covering a large
commercial property. To manage the risk, the company enters into a
reinsurance agreement with another insurer, transferring a portion of the
risk. If a significant loss occurs, the reinsurer shares the financial burden
with the ceding company.
Conclusion
[Link] in fire insurance:
Types of Risks
1. Accidental Fire: Damage caused by unintentional fires, such as those
resulting from electrical faults or cooking accidents.
2. Lightning: Damage caused by lightning strikes, which can ignite fires.
3. Explosion and Implosion: Damage resulting from explosions or implosions,
often due to chemical reactions or gas leaks.
4. Other Perils: Some policies may cover additional perils like smoke, water
damage from firefighting efforts, and damage from falling debris.
Importance
Financial Protection: Provides financial compensation to help policyholders
recover from fire-related losses.
Risk Management: Helps manage the financial risks associated with fire
damage, ensuring stability for both insurers and insured.
Peace of Mind: Offers peace of mind to property owners, knowing they are
protected against significant financial losses due to fire.
Legal Framework
Insurance Act, 1938: Governs the principles and regulations related to fire
insurance in India.
IRDAI Regulations: The Insurance Regulatory and Development Authority of
India (IRDAI) provides detailed guidelines on fire insurance policies to
ensure compliance and fair practices.
Example Scenario
Imagine a manufacturing plant suffers a fire due to an electrical fault,
causing extensive damage to machinery and inventory. The fire insurance
policy covers the cost of repairs and replacement, helping the business
resume operations without significant financial strain.
Conclusion
Understanding the risks involved in fire insurance is essential for both
insurers and policyholders. It ensures that appropriate coverage is provided,
financial protection is maintained, and risks are managed effectively.
[Link] policy:
Importance
Financial Security: Provides financial support to beneficiaries in the event
of the policyholder’s death.
Savings and Investment: Some policies, like endowment and ULIP, offer
savings and investment benefits along with insurance coverage.
Peace of Mind: Offers peace of mind to policyholders knowing their loved
ones will be financially protected.
Legal Framework
Insurance Act, 1938: Governs the principles and regulations related to life
insurance policies in India.
IRDAI Regulations: The Insurance Regulatory and Development Authority of
India (IRDAI) provides detailed guidelines on life insurance policies to
ensure compliance and fair practices.
Example Scenario
Imagine Mr. Sharma has a term life insurance policy with a 20-year term
and a ₹1 crore death benefit. If he passes away during the term, his family
will receive the ₹1 crore death benefit, providing financial support during a
difficult time.
Conclusion
Life insurance policies are essential for financial planning and providing
security to beneficiaries. They offer various benefits, including financial
protection, savings, and investment options, making them a crucial part of
an individual’s financial portfolio.
[Link] insurance:
Term insurance is a type of life insurance policy that provides coverage for a
specified period or term. If the insured dies during the term, the
beneficiaries receive the death benefit. Here’s a detailed overview:
Key Features
1. Coverage Period: Provides life insurance coverage for a specific period, such
as 10, 20, or 30 years.
2. Death Benefit: Pays a predetermined sum assured to the beneficiaries if the
insured dies during the term.
3. No Cash Value: Unlike whole life or endowment policies, term insurance
does not accumulate cash value. It is purely for protection.
4. Lower Premiums: Generally has lower premiums compared to other types
of life insurance because it is designed solely for death benefit protection.
Importance
Financial Protection: Offers significant financial support to the beneficiaries
in case of the policyholder's untimely death.
Affordability: Lower premiums make it an affordable option for
comprehensive life coverage.
Peace of Mind: Provides peace of mind knowing that loved ones will be
financially protected if something happens to the policyholder.
Legal Framework
Insurance Act, 1938: Governs the principles and regulations related to term
insurance policies in India.
IRDAI Regulations: The Insurance Regulatory and Development Authority of
India (IRDAI) provides detailed guidelines on term insurance policies to
ensure compliance and fair practices.
Example Scenario
Imagine Mr. Ramesh, a 35-year-old, buys a 20-year term insurance policy
with a sum assured of ₹1 crore. He pays an annual premium of ₹10,000. If
Mr. Ramesh passes away during the 20-year term, the insurance company
will pay ₹1 crore to his nominated beneficiaries. However, if Mr. Ramesh
survives the 20-year term, the policy expires without any payout, as it does
not have a maturity benefit.
The history of insurance in England is rich and dates back several centuries.
Here’s a detailed overview:
Early Beginnings
Ancient Roots: The concept of insurance can be traced back to ancient
civilizations, such as Babylon, where the Code of Hammurabi included laws
on maritime loans.
Marine Insurance: Marine insurance began in the UK in the 1500s, with the
first recorded marine insurance policy dating back to 1583.
Development in the 17th Century
Great Fire of London (1666): The Great Fire of London highlighted the need
for property insurance. In response, Nicholas Barbon formed a business to
repair houses damaged by fire3.
Lloyd's Coffee House (1687): Edward Lloyd opened a coffee house in
London, which became a hub for maritime insurance. Underwriters would
gather here to write insurance policies, giving rise to the term
"underwriter"1.
Modern Era
Regulation: The first insurance legislation in the UK was enacted in 1601,
covering merchandise and ships. This laid the foundation for modern
insurance regulation3.
Expansion: By the 19th century, insurance had expanded to cover various
risks, including accidents and health. The Railway Passengers Assurance
Company, formed in 1848, was one of the first to offer accident insurance1.
Conclusion
The history of insurance in England reflects the evolution of risk
management and financial protection. From its early maritime roots to the
establishment of comprehensive insurance companies, England has played
a pivotal role in shaping the modern insurance industry.
[Link] insurance:
Double insurance occurs when the same subject matter is insured with
more than one insurer or under multiple policies with the same insurer.
Here’s a detailed overview:
Key Features
1. Definition: Double insurance refers to having overlapping insurance
coverage for the same risk or subject matter.
2. Types: It can be either intentional (deliberate overlapping) or unintentional
(accidental overlapping).
3. Legal Standing: Double insurance is not prohibited by law, but it can lead to
disputes among insurers regarding liability and claims2.
Importance
Risk Management: Provides additional financial protection, but can also
lead to complications in claims processing.
Legal Clarity: Understanding the principles of double insurance helps in
resolving disputes and ensuring fair compensation.
Legal Framework
Insurance Act, 1938: While the Act does not explicitly prohibit double
insurance, it provides guidelines on how claims should be handled3.
Marine Insurance Act, 1963: Section 34 defines double insurance and
outlines the principles of contribution and indemnity.
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Importance
Cost Recovery: Helps insurers recover some of the costs incurred from
paying out claims.
Efficiency: Encourages efficient handling of damaged property, reducing
overall losses.
Fairness: Ensures that the insured does not profit from the loss, maintaining
the principle of indemnity.
Legal Framework
Marine Insurance Act, 1963: Sections 64 to 66 outline the principles of
salvage and general average in marine insurance.
Insurance Contracts: Salvage clauses are often included in insurance
contracts, specifying the insurer's rights and responsibilities regarding
damaged property.
Example Scenario
Imagine a shipping company's vessel is damaged in a storm, and the insurer
pays for the repairs. After the claim is settled, the insurer takes possession
of the damaged vessel and sells it to recover part of the claim amount.
Conclusion
Salvage is a crucial principle in insurance that helps insurers manage losses
and maintain fairness in claims processing. It ensures that the insured is
compensated for their loss without profiting from it, while allowing insurers
to recover some of their costs.
[Link] conditions:
Key Features
1. Definition: Reinsurance conditions are the specific terms agreed upon by
the ceding company and the reinsurer, detailing how the risk transfer will be
managed.
2. Types of Reinsurance: Includes facultative reinsurance (case-by-case basis)
and treaty reinsurance (covering a range of policies).
3. Proportional vs. Non-Proportional: Proportional reinsurance involves
sharing premiums and losses, while non-proportional reinsurance covers
losses exceeding a specified limit.
Importance
Risk Management: Helps the ceding company manage its risk exposure by
sharing it with the reinsurer.
Financial Stability: Provides additional financial security to the ceding
company, ensuring it can handle large or multiple claims.
Regulatory Compliance: Ensures that reinsurance practices comply with
legal and regulatory requirements.
Legal Framework
Insurance Act, 1938: Governs the principles and regulations related to
reinsurance in India.
IRDAI Regulations: The Insurance Regulatory and Development Authority of
India (IRDAI) provides detailed guidelines on reinsurance to ensure
compliance and fair practices.
Example Scenario
Imagine an insurance company has issued a policy covering a large
commercial property. To manage the risk, the company enters into a
reinsurance agreement with another insurer, transferring a portion of the
risk. The reinsurance conditions will specify how the premiums and losses
are shared, the responsibilities of each party, and the process for handling
claims.
Conclusion
Reinsurance conditions are crucial for defining the relationship between the
ceding company and the reinsurer. They ensure that both parties
understand their obligations and that the risk transfer is managed
effectively.
Key Features
1. Definition: An NDA is an agreement where one party agrees to keep certain
information confidential and not disclose it to others.
2. Purpose: To protect sensitive information, such as personal details, financial
information, or proprietary data, from being disclosed to unauthorized
parties.
3. Scope: Specifies what information is considered confidential, the
obligations of the parties, and the duration of the confidentiality.
Importance
Privacy Protection: Ensures that personal and sensitive information shared
during the insurance process is kept confidential.
Legal Compliance: Helps insurers comply with data protection laws and
regulations.
Trust Building: Establishes trust between the insurer and the insured by
ensuring that sensitive information is handled responsibly.
Legal Framework
Insurance Act, 1938: While not explicitly mentioning NDAs, the principles of
utmost good faith and confidentiality are embedded in the Act.
Data Protection Laws: Various data protection laws, such as the General
Data Protection Regulation (GDPR) in Europe, mandate the protection of
personal information.
Example Scenario
Imagine a patient undergoing a medical examination for a health insurance
policy. The doctor may require the patient to sign an NDA, allowing the
insurer to access medical records while ensuring that the patient’s
information is not disclosed to unauthorized parties.
Conclusion
NDAs play a crucial role in maintaining confidentiality and trust in the
insurance industry. They help protect sensitive information and ensure
compliance with legal and regulatory requirements.
[Link] in insurance:
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Importance
Flexibility: Allows for modifications to the insurance contract without
renegotiating the entire policy.
Risk Management: Helps manage risks by allowing parties to adjust
coverage based on changing circumstances.
Dispute Resolution: Can prevent disputes by clarifying the rights and
obligations of both parties.
Legal Framework
Insurance Act, 1938: Provides the legal basis for waivers in insurance
contracts.
Doctrine of Waiver: Established through various legal precedents, this
doctrine allows for the enforcement of modified terms without requiring
new consideration.
Example Scenario
Imagine an insured party signs a waiver agreeing to exclude coverage for
certain high-risk activities. If an accident occurs during one of these
activities, the insurer is not liable for the claim due to the waiver.
Conclusion
Waivers are essential tools in insurance law, providing flexibility and clarity
in insurance contracts. They help manage risks and prevent disputes by
clearly defining the rights and obligations of both parties.
[Link] in Insurance:
Conditions in Insurance
In insurance law, conditions are the specific terms and requirements
outlined in an insurance policy that both the insurer and the insured must
adhere to. These conditions can be categorized into different types:
Types of Conditions
1. Conditions Precedent to the Validity of the Contract: These conditions
must be fulfilled before the insurance contract becomes valid. Examples
include the payment of premiums and providing accurate information
during the application process.
2. Conditions Precedent to the Insurer’s Liability: These conditions must be
met before the insurer is obligated to pay a claim. Examples include timely
notification of claims and taking reasonable steps to mitigate losses.
3. Conditions Subsequent: These conditions, if breached, can terminate the
insurer’s liability under the policy. For example, if the insured fails to comply
with safety regulations, the insurer may not be liable for certain claims.
Importance
Clarity and Compliance: Conditions ensure that both parties understand
their obligations, promoting transparency and compliance with the policy
terms.
Risk Management: By setting clear expectations, conditions help manage
risks and prevent misunderstandings.
Legal Protection: Conditions provide a legal framework that can be
enforced in case of disputes, protecting the interests of both the insurer
and the insured.
Example Scenario
Imagine an insured party fails to pay the premium on time, which is a
condition precedent to the validity of the contract. As a result, the insurer
may cancel the policy, leaving the insured without coverage.
Conclusion
Conditions in insurance policies are essential for defining the rights and
responsibilities of both parties. They help ensure that the insurance
contract is valid, enforceable, and fair, providing a clear framework for
managing risks and resolving disputes.
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Key Features
1. Definition: A peril is the direct cause of a loss, such as fire, theft, or natural
disasters.
2. Types of Perils: Perils can be natural (e.g., hurricanes, earthquakes) or man-
made (e.g., theft, vandalism).
3. Named Perils vs. Open Perils: Some policies cover only specific perils listed
in the policy (named perils), while others cover all perils except those
explicitly excluded (open perils).
Importance
Risk Identification: Helps in identifying and understanding the risks that are
covered by the insurance policy.
Policy Clarity: Ensures that both the insurer and the insured are clear about
what events are covered and what are not.
Claim Processing: Facilitates the claims process by clearly defining the
causes of loss that are eligible for coverage.
Legal Framework
Insurance Contracts: Perils are specified in the insurance policy, and the
coverage details are outlined in the policy wordings.
Regulations: Insurance regulations may provide guidelines on how perils
should be defined and covered in insurance policies.
Example Scenario
Imagine a homeowner’s insurance policy that covers perils such as fire,
theft, and windstorm. If a fire damages the home, the policy will cover the
loss caused by the fire, but not damage from excluded perils like floods or
earthquakes.
Conclusion
Perils are fundamental to insurance policies as they define the specific risks
that are covered. Understanding perils helps in selecting the right coverage
and ensures that policyholders are adequately protected against potential
losses.
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Long Questions:
Insurance part C
YEAR 2017
QUE 15:
‘A’ insured his life for ten lakhs and assigned the policy to his wife. After the death of ‘A’
the creditors of A wanted to attach the policy amount in discharge of the debt taken by
him. Decide.
ANS:
QUE 16:
X insured his house worth of twenty lakhs with three insurers for ten, five and five lakhs.
In a fire accident house was destroyed to the tune of five lakhs. State the liability of
insurer . can insured claim entire from one insurer?
ANS:
QUE 17:
A taxi owner effected an insurance immediately after it met with an accident, without
disclosing the information to the underwriter and filed a claim for the loss. Can the
underwriter avoid liability?
ANS:
QUE 18:
X, a ship was insured for its voyage from Bombay to London. On its way it receives
information that another ship called Y at a distance is in deep distress and needs
immediate help. X reaches to V and after extending the aid it returns to its original route
but before it reached London met with an accident. A claim made by the proprietors of
ship is turned down by the insurance company on the wound that there was a deviation.
Decide.
ANS:
YEAR 2019
QUE 15:
The insured had taken a life insurance policy through his brother, who was an
authorized agent of the insurer. Before taking the policy the insured had undergone an
operation for adenoma thyroid., but he did not disclose the same in the application form
at the time of taking the insurance policy. The insurer repudiated the claim when the
insured made a claim. ‘Decide’.
ANS:
QUE 16:
The insured died of aids disease and he had no knowledge that he was having aids on
the date of signing the declaration. The insurer rejected the claim when the legal
representatives made a claim. ’Decide’.
ANS:
QUE 17:
The insured by taking loan from the bank purchased mechanized fishing boat and
hypothecated the boat to the bank. The borrower also insured the boat as a security to
the said loan. When the boat was destroyed, the bank sued the insurance company for
the policy amount. Insurer argued that the bank was not entitled to sue because there
was no privity of contract. Advice.
ANS:
QUE 18:
When a person is afraid that somebody may kill him, he applies for insurance and took
policy on his life. Subsequently insured was murdered by a group of persons belonging
to the other faction. Insurer refused to pay the policy amount on the ground that the
insured belong to a group of faction and was involved in criminal cases. Legal
representatives of the deceased policy holder contended that death of the insured
should only be understood as an “accident” for the purpose of awarding compensation.
Decide.
ANS:
ANS:
QUE 16:
X has taken life insurance policy in his name and nominated ‘Z’ as the nominee in the
policy “X” subsequently expired. ”Y” wife of ‘X’ contends that she is entitled to the
proceeds of policy. Decide.
ANS:
QUE 17:
X, a ship was insured for its voyage from Bombay to London. On its way it received
information that on the ship called Y at a distance is in deep distress and needs
immediate help. X reaches to Y and after extending the aid it returns to its original route
but before it reached London met with an accident. A claim made by the proprietors of
ship is turned down by the insurance company on the ground that there was a deviation.
Decide.
ANS:
QUE 18:
A taxi owner effected an insurance immediately after its owner met with an accident,
without disclosing the information to the under writer and filed a claim for the loss. Can
the underwriter avoid liability?
ANS:
YEAR 2021 70 MARKS
QUE 15:
X has taken life insurance policy in his name and nominated ‘Z’ as the nominee in the
policy. X subsequently expired. ‘y’ wife of ‘X’ contends that she is entitled to the
proceeds of policy. Decide.
ANS:
QUE 16:
A truck meant to carry coal was insured. While carrying coal the truck met with an
accident. The insurer contended that through it was insured for carrying coal that was
engaged for carrying other items like timber, iron e c t. Discuss the rights if the insured in
this case.
ANS:
QUE 17:
A taxi owner effected an insurance immediately after its owner met with an accident,
without disclosing the information to the under writer and filed a claim for the loss. Can
the underwriter avoid liability?
ANS:
QUE 18:
X, a ship was insured for its voyage from Bombay to London. On its way it received
information that on the ship called Y at a distance is in deep distress and needs
immediate help. X reaches to Y and after extending the aid it returns to its original route
but before it reached London met with an accident. A claim made by the proprietors of
ship is turned down by the insurance company on the ground that there was a deviation.
Decide.
ANS
QUE 15:
‘X’ and ‘Y’ were close friends. ‘X’ insured the life of ‘Y’ for 10 lakhs until death of ‘Y’
entitle ‘X’ to recover the policy amount. Decide.
ANS:
QUE 16:
X has taken life insurance policy in his name and nominated ‘Z’ as the nominee in the
policy “X” subsequently expired. ”Y” wife of ‘X’ contends that she is entitled to the
proceeds of policy. Decide.
ANS:
QUE 17:
Krishna an insurance policy holder assigned his policy to Mohan by endorsing upon the
policy. But that assignment of policy was not informed to the insurance company. Decide
the validity of Assignment.
ANS:
QUE 18:
‘A’ insured his car with Galaxy Insurance Company, later with another company called
Sun Insurance Company. A’ s car become liable in damage to motor cyclist. Which
insurance is liable?
ANS:
YEAR 2021 70 M
QUE 15:
‘X’ received insurance amount in full and final settlement of his claim. But the company
made delay in payment of the amount whether ‘X’ is having right to make a compliant
for delay in payment.
ANS:
QUE 16:
The rats gnawed a hole in a pipe and sea water entered damaging the cargo of wheat
and there was no negligence on the part of the carrier. Is Insurance company liable for
the loss?
ANS:
QUE 17:
Santhosh insured his sugar in the godown against fire for an amount of Rs. 50 lakhs. In a
fire accident his sugar stock worth of Rs.39 lakhs lost by fire. In what extent insurance
company is liable for the loss.
ANS:
QUE 18:
A ship valued at Rs. 30 crores is insured with ‘X’ for Rs. 10 crores is insured with ‘Y’ for
Rs. 10 crore. If the ship suffers a damage of Rs. 3 crores, What amount can be recovered
from ‘X’ and ‘Y’?
ANS:
QUE 15:
The rats gnawed a hole in a pipe and sea water entered damaging the cargo of wheat
and there was no negligence on the part of the carrier. Is Insurance company liable for
the loss?
ANS:
QUE 16 :
Shiva had a life insurance policy which had lapsed due to non-payment of premium. He
applied for renewal and there was a question in the renewal policy whether he had
suffered any ailment or had undergone any surgery from the date of lapse to the date of
renewal. He answered ‘No’ renewal was granted. Later the insurance company came to
know that he had a mild cardiac arrest. Insurance company wants to void liability. Can it
do so?
ANS:
QUE 17:
Santhosh insured his sugar in the warehouse against fire for an amount of Rs. 50 lakhs.
In a fire accident his sugar stock worth of Rs. 38 lakhs lost by fire. To what extent
insurance company is liable for the loss.
ANS:
QUE 18:
‘A’ insured his goods against fire. He agreed to sell his goods to ‘B’. But before the sale of
goods they are destroyed by fire. Discuss the claim of ‘A’.
ANS:
YEAR 2022 70 M
QUE 15:
Ramu take a policy on the life of his wife Seetha. But later he divorced her subsequently
she died. Discuss the liability of insurance.
ANS:
QUE 16:
‘M’ is the owner of a house which insured against fire. He sells the house to ‘Y’ but
doesn’t transfer the policy. Later house is destroyed ny fire. Can ‘Y’ recovers the loss
from Insurance?
ANS:
QUE 17:
‘A’ took a policy with 5 lakhs for 10 years on 1st Jan 2010. He paid the annual premium
for the first year but defaulted in second year. He expired on 5th Jan 2011. Advice the
widow of a for recovery of amount.
ANS:
QUE 18:
‘M’ insured a Consignment of milk products to be shipped from Bombay to Chennai.
The consignee at Chennai refused to take the delivery of the Consignment, as the
products got spoiled. Discuss liability of insurer.
ANS:
YEAR 2024 70 M
QUE 15:
‘X’ has taken insurance policy in the name and nominated ‘Z’ as the nominee in the
policy ‘X’ contented that she is entitled to the proceeds of policy. Decide.
ANS:
QUE 16:
Ramu takes a policy on the life of his wife Sita. But later he divorced her, subsequently
she died. Discuss the liability of the insurer.
ANS:
QUE 17:
X took a life policy of his life and nominated his close friend. After ten years X lost his life
in an accident, The widow of X approaches the Insurance. Company for making a claim
for the Insurance amount.
ANS:
QUE 18:
X house covered by fire policy. It catches fire. In the confusion that the followed a theft is
committed. Discuss the liability of insurer.
ANS: