Professional Documents
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(1) Subject to the provisions made in the Act and this Regulation, the
Insurance Business to be operated by an Insurer shall be divided into the
following categories :
(1) The Insurer may operate the following Insurance Business under the Life
Insurance Business:-
(3) The conditions and privileges of the Life Insurance Policy to be executed
pursuant to this Rule shall be as specified by the Board.
Continued
Rule 5. Non-Life Insurance :
(1) The Insurer may operate the following Insurance Business under the Non-
Life Insurance Business :
(a) Fire Insurance,
(b) Motor Insurance,
(c) Marine Insurance,
(d) Engineering and Contractor's Risk Insurance,
(e) Aviation Insurance,
(f) Miscellaneous Insurance.
(2) Notwithstanding anything contained in sub-rule (1), the Board may
prescribe other categories of Non-Life Insurance Business as required. (3)
The conditions and privileges of the Non-Life Insurance Policy to be
executed pursuant to this rule shall be as specified by the Board.
Rule 6. Re-insurance Business :
(1) The Insurer may re-insure the risks which are in excess from the risks assumed by it.
(2) The Categories of Re-insurance Business to be made pursuant to sub-rule (1) and
other arrangement shall be as specified by the Board.
Good Morning Class!!!
Law of Insurance
Law of Insurance
For example, the provisions do not cover private health insurance, compulsory third
party schemes and workers compensation.
Why fair Terms?
I. First and foremost, they ensure that consumers understand what they are paying for and what
they are covered for. Insurance policies can be complex and full of technical jargon, which can be
difficult for the average consumer to understand. Fair terms ensure that the language used in the
policy is clear and simple, making it easier for consumers to understand the coverage they are
purchasing.
II. fair terms in consumer insurance policies help prevent insurance companies from engaging in
unfair or deceptive practices. For example, if an insurance company includes a clause in its policy
that allows it to deny coverage for a certain type of claim without a valid reason, this could be
considered an unfair term. Fair terms ensure that insurance companies cannot include such
clauses in their policies.
III. Fair terms also help ensure that consumers are not taken advantage of by insurance companies.
For example, if an insurance company includes a clause in its policy that allows it to cancel
coverage without notice or reason, this could leave the consumer vulnerable and without
protection when they need it most. Fair terms ensure that insurance companies cannot engage in
such practices.
Continued
When can a term be declared unfair?
A term will be declared unfair by a court if it can be established that a term in such a
contract:
• will result in a significant imbalance in the parties’ rights and obligations;
• is not reasonably necessary to protect the legitimate interests of the party who
would be advantaged by the term; and
• would cause detriment (either financial or otherwise) to a party if it were to be
relied on.
• All three conditions (i.e. ‘significant imbalance’, ‘not reasonably necessary’ and
‘cause detriment’) must be met before a court will decide a term is unfair.
• a term that permits one party (but not the other) to avoid or limit performance of the
contract;
• a term that permits one party (but not the other) to terminate the contract;
• a term that penalises one party (but not the other) for a breach or termination of the
contract.
Larger side effects/Consequences of Unfair Terms
I. Denial of coverage: If an insurance policy contains unfair
exclusions or limitations, the insurer may deny coverage for a
claim, leaving the policyholder responsible for the cost of any
damages or losses.
II. Financial hardship: Excessive excess requirements or unfair
pricing can make insurance unaffordable for some consumers,
leaving them without protection against potential risks.
III.Legal disputes: Unfair terms in insurance policies can lead to
legal disputes between policyholders and insurers. This can be
time-consuming and expensive, and may result in the policyholder
receiving less.
IV.Loss of trust: If consumers perceive an insurance company as
being unfair or deceptive, it can damage their trust in the company
and discourage them from purchasing insurance in the future.
V. Negative impact on the market: Unfair terms in insurance
policies can harm the overall market by discouraging competition
and innovation, which can result in higher prices and less choice
for
Good Morning Class!!!
Keshab Singh Air
Assistant Professor
Far Western University(FWU)
Kailali Multiple Campus
Faculty of Law
B.A.LL.B. 4th Semester
• Any contract agreement created between two parties for illegal actions is also
considered a void contract.
• For example, a contract between an illegal drug supplier and a drug dealer is
unenforceable from the onset due to the illegal nature of the agreed-upon activity.
Voidable or Discharge Contracts
• A void contract is no longer considered a contract at all. Since it has lost its status
as a contract, it is unenforceable and has no binding legal effect.
• A voidable contract is a formal agreement between two parties that may be
rendered(provide, give, distribute) unenforceable for any number of legal reasons,
which may include:
Failure by one or both parties to disclose a material fact
A mistake, misrepresentation, or fraud
Undue influence or duress
One party's legal incapacity to enter a contract (e.g., a minor)
One or more terms that are unconscionable(not right or reasonable)
A breach of contract
A contract that is deemed voidable can be corrected through the process of ratification.
Contract ratification requires all involved parties to agree to new terms that effectively
remove the initial point of contention that was present in the original contract.
If it was later discovered that one of the parties was not capable of entering into a legally
enforceable contract when the original was approved, for example, that party can
choose to ratify the contract when they are deemed legally capable.
The discharge of a contract means that the obligations of the contract come to an end.
When discharge occurs, all duties which arose under the contract are terminated.
• During this time, the insurer may continue to evaluate the risks associated with
insuring the holder of the cover note.
• The cover note will continue to serve as the insured’s proof that coverage exists until
the insurer issues the policy documents and certificate of insurance or else denies
issuing the policy
Insurance companies issue a cover note to provide an individual with proof of
insurance before all the insurance paperwork has been processed.
During this time, the insurer may continue to evaluate the risks associated with
insuring the holder of the cover note, and the cover note will continue to serve as
the insured’s proof that coverage has been purchased until the insurer issues the
policy documents and certificate of insurance.
In general, the cover note provides the same level of coverage as the full insurance
policy, though insurers may place some restrictions while they make any final
determinations on the risks associated with the insurance policy
• Hence,
• A cover note is a temporary document/ cover issued by an insurance
company that provides proof of insurance coverage until a final insurance
policy can be issued.
• During this time, the insurer may continue to evaluate the risks associated
with insuring the holder of the cover note.
• The cover note will continue to serve as the insured’s proof that coverage
exists until the insurer issues the policy documents and certificate of
insurance or else denies issuing the policy
• Cover note carries the name of the insured, the insurer, the coverage, and
what is being covered by the insurance, Cancellation provision which
provides that either of the parties may cancel the cover by giving a written
notice, a statement at the bottom of the cover note indicating that the insured
is held covered as per usual terms and conditions of the company, signature
and date of the insurer
Temporary Cover and Cover Note
The information that would usually appear on a cover note is;
• Name, address, and occupation of the insured.
• Sum-insured and provisional premium.
• Date and time of the commencement of cover.
• Duration of cover,
• The scope of cover, i.e., perils covered,
• Description of the property or subject-matter covered.
• Cancellation provision which provides that either of the parties may cancel the cover by
giving a written notice within a prescribed time.
• A statement usually appears at the bottom of the cover note indicating that the insured is
held covered as per usual terms and conditions of the company’s standard policy form
used for this class of business,
• Signature and date of the insurer.
• Example of a Cover Note
• In the case of purchasing a vehicle with a loan, cover notes can play
an important role in binding the transaction.
• That's because the lending institution typically won't allow the
individual purchasing a vehicle to drive it off the lot without
insurance.
• Then, a buyer will call their insurance company and buy the policy
over the phone, and the insurance company will immediately email
or fax a cover note to the buyer, which will allow them to drive the
car off the lot.
• However, this will only be necessary if the insurance company can't
immediately deliver a certificate of insurance.
• Some insurance companies do not issue cover notes and instead
issue a certificate of insurance immediately when the policy is
purchased and accepted.
Good Morning Class!!!
• The policy tenure can be ranged from 1 year to 100 years or whole life
depending upon the type of plan, its terms and conditions and according to
the need of the policy holder.
• The policy tenure decides for how long the company is providing the risk
coverage.
• However, in the case of whole life insurance plans, the life coverage is till
the time life assured is alive.
• The duration of insurance policy is the time frame during which an
insurance policy is effective.
• The start date and end date are the cutoff dates on your documentation,
payments, and coverage unless you renew the policy.
• The duration of the insurance varies depending on the type of insurance
policies.
• Most car insurance policies last for six months or one year, while health
insurance policies may last for several months or several years.
• Whole life insurance remains in effect for the remainder of one's life.
Homeowners insurance policies typically last for one year from the
effective date, while life insurance policy terms are typically longer.
• The policy term refers to the amount of time for which the policy
remains in force, provided that your premiums are paid on time.
• Hence,
• Duration of insurance policy is the timeframe
during which an insurance policy is effective.
• Most insurance companies offer six-month and
year-long car insurance policies; some may also
offer month-to-month policies. i.e. they are rare
and often only for high-risk drivers.
• Policy periods are also important in determining
your payment due date.
Duration and Renewal of Insurance Policies
• An insurance renewal is the end of the term of your policy, at which point,
you'll need to determine if you'd like to continue under the same policy with
the same insurance carrier.
• Unless you’ve already lined up a new policy with another carrier, you will
experience a lapse in coverage, which leaves you open to risk and could
increase future insurance rates.
Good Morning Class!!!
Keshab Singh Air
Assistant Professor
Far Western University(FWU)
Kailali Multiple Campus
Faculty of Law
B.A.LL.B. 4th Sem
Law of Insurance
Unit-2 Insurance Contract
Topic: Premium
Premium
An insurance premium is the amount of money an individual or business
pays for an insurance policy.
Insurance premiums are paid for policies that cover healthcare, auto, home,
and life insurance.
The premium is the amount charged by the insurance company for the policy
you have chosen.
It is usually paid on a yearly basis but can be paid by number of ways.
If the policy holder is unable to pay the premium before the due date some
amount of fine is charged and if he does not pay between the grace period
given to him/her the policy terminates.
• Once earned, the premium is income for the insurance company.
Premium
• It also represents a liability, as the insurer must provide coverage for claims being
made against the policy.
• Failure to pay the premium on the individual or the business may result in the
cancellation of the policy.
• An insurance premium is the amount of money an individual or business must pay
for an insurance policy.
• Insurance premiums are paid for policies that cover healthcare, auto, home, and life
insurance.
• Failure to pay the premium on the part of the individual or the business may result in
the cancellation of the policy and a loss of coverage.
• Some premiums are paid quarterly, monthly, or semi-annually depending on the
policy.
• Shopping around for insurance may help you find affordable premiums.
When you sign up for an insurance policy, your insurer will charge you a
premium.
This is the amount you pay for the policy.
Policyholders may choose from several options for paying their insurance
premiums.
Some insurers allow the policyholder to pay the insurance premium in
installments-monthly or semi-annually-while others may require an
upfront payment in full before any coverage starts.
The price of the premium depends on a variety of factors, including:
• The type of coverage
• Your age
• The area in which you live
• Any claims filed in the past
• Moral hazards and adverse selection
Payment of Premium
• The actuaries are entrusted with the responsibility of ascertaining the correct
premium of an insured.
Return of premium is a type of insurance policy in which all or a portion of the amount of
premiums paid during a policy period, will be returned to the policyholder if claims are
not filed, or if the amount of claims filed is smaller than the amount of premiums paid.
This type of policy is commonly used in life insurance. Return of premium policies are
not used for whole life or permanent life insurance, since those types of life insurance
cover a person until they die and a death benefit will have to be paid out. However, for
term life insurance, a person could potentially have life insurance for ten, twenty, or even
thirty years and never file a claim. For this reason, many life insurers offer return of
premium policies so that those policyholders can get a return of all or part of the
premiums they paid