Page 73 - DCOM309_INSURANCE_LAWS_AND_PRACTICES
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Insurance Laws and Practices




                    Notes          (c)  In Marine Insurance: Type of packing, mode of carriage, name of carrier, nature of goods,
                                       the route.

                                   (d)  In Personal Accident Insurance: Age, height, weight, occupation, previous medical history
                                       if it is likely to increase the choice of an accident, Bad habits such as drinking etc.

                                   (e)  Burglary Insurance: Nature of stock, value of stock, type of security precautions taken.
                                   As mentioned, this is not an exhaustive list but only a few examples.
                                   Details of previous losses are a material fact which is relevant to all policies.
                                   Following are the facts which need not be disclosed:

                                   1.  Facts of Law: Everyone is deemed to know the law. Overloading of goods carrying
                                       vehicles is legally banned. The transporter cannot take excuse that he was not aware of this
                                       provision.
                                   2.  Facts which lessen the Risk: The existence of a good fire fighting system in the building.

                                   3.  Facts of Common Knowledge: The insurer is expected to know the areas of strife and areas
                                       susceptible to riots and of the process followed in a particular trade or Industry.
                                   4.  Facts which could be reasonably discovered: For example, the previous history of claims
                                       which the Insurer is supposed to have in his record.
                                   5.  Facts which the insurers’ representative fails to notice: In burglary and fire Insurance it is
                                       often the practice of Insurance companies to depute surveyors to inspect the premises and
                                       in case the surveyor fails to notice hazardous features and provided the details are not
                                       withheld by the Insured or concealed by him them the Insured cannot be penalized.

                                   6.  Facts covered by policy condition: Warranties applied to Insurance policies i.e. there is a
                                       warranty that a watchman be deployed during night hours then this circumstance need
                                       not be disclosed.

                                   Duration of Duty of Disclosure

                                   The duty of disclosure remains in force throughout the entire negotiation stage and till the
                                   contract is finalized. Once the contract is finalized, then the contract is subject to ordinary simple
                                   good faith. However when an alteration is to be made in an existing contract then this duty of
                                   full disclosure recovers in respect of the proposed alteration. The duty of disclosure also revives
                                   at the time of renewal of contract since legally renewal is regarded as a fresh contract.

                                          Example: A landlord at the time of proposal has disclosed that the building is rented out
                                   and is being used as an office. If during the continuation of the policy the tenants vacate the
                                   building and the landlord subsequently rents it out to a person using it as a godown then he is
                                   required to disclose this fact to the Insurer as this is a change in material facts and effects the
                                   risks.




                                     Notes  Please note that in long term Insurance Business, the Insurer is obliged to accept the
                                     renewal premium if the Insured wishes to continue the contract and there is no duty of
                                     disclosure operating at the time of renewal. Normally, Insurer arranges inspection on
                                     each renewal.





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