Professional Documents
Culture Documents
Chapter 8
Chapter 8
insurance
What are the potential loss exposures of
a business?
Suppose you own and operate a tennis shop in a
resort area. The business is seasonal. A large
part of the annual revenues are due to sales in
June, July, and August. You keep the shop open
during the remaining months of the year, but
the inventory carried during those months is
reduced. During the summer months, the
amount of inventory on hand is substantially
increased. Identify the major loss exposures
that the tennis shop faces.
Source: Rejda, G. E., McNamara, M. (2017). Principles of Risk Management and Insurance, 13th Edition. Pearson
Property Insurance and Pecuniary Insurance
Fire and Extra Perils Insurance
Fire Business Interruption Insurance
Property “All Risks” Insurance
Marine Insurance
Marine Cargo Insurance
Marine Hull Insurance
Liability Insurance
Employers’ Liability Insurance
Public Liability Insurance
Source: https://www.ia.org.hk/en/supervision/reg_ins_intermediaries/files/GI_SN_eng_2018.pdf
Fire and extra perils
insurance
Scope of cover
Fire and extra perils insurance is a kind of commercial property insurance policies, which
cover the following perils:
Fire
Fire, as a peril, means actual ignition of something that should not be on fire, not
deliberately caused or arranged by the insured
Fire damage will include damage caused by smoke, heating and extinguishing water
The fire does not have to burn on the insured premises. A fire as defined above
burning in a neighbouring property could create a valid claim from heat, smoke or
water damage, etc. to the insured property
Lightning
Whether followed by fire or not
Source: https://www.ia.org.hk/en/supervision/reg_ins_intermediaries/files/GI_SN_eng_2018.pdf
Scope of cover
Fire and extra perils insurance is a kind of commercial property insurance policies, which
cover the following perils (continued):
Extra Perils
Known as special perils or extended perils
Extra perils insured by the policy are specified in the policy schedule, and may
include riots and strikes, subsidence and landslide, storm and typhoon, impact by
vehicle and damage by aircraft
Note: Explosion
There is an excluded peril of explosion under the standard fire policy
However, the exclusion clause does not apply to damage arising from the insured
peril of explosion of gas (or boiler) used for domestic purposes
Source: https://www.ia.org.hk/en/supervision/reg_ins_intermediaries/files/GI_SN_eng_2018.pdf
Limitations and exclusions
Pro rata average condition
When the premium is based on a sum insured selected by the insured, the policy
terms will include a pro rata average condition, so that if under-insurance exists at
the time of loss, the insured will not be covered for the full amount of loss
For example, if at the time of loss the sum insured represented only 80% of the
value at risk, the claim payment would be limited to 80% of the loss
Exclusions
Standard exclusions such as war, nuclear incidents, and terrorism
Theft during or after the occurrence of a fire
Source: https://www.ia.org.hk/en/supervision/reg_ins_intermediaries/files/GI_SN_eng_2018.pdf
Premium basis
Premium will be based on a rate applied to the sum insured
Loading or discounting of premium according to individual features such as the height of
the insured buildings, their remoteness, fire fighting facilities
It is common for separate sums insured to be shown on a fire policy for different types
of insured property, such as:
Buildings
Stock in trade
Machinery
Source: https://www.ia.org.hk/en/supervision/reg_ins_intermediaries/files/GI_SN_eng_2018.pdf
Fire Business
Interruption
Insurance
Fire Business Interruption Insurance
Scope of cover
Loss of gross profit (as defined in the policy) caused by an insured peril
Additional expenses necessarily and reasonably incurred as a result of an insured peril
Wages paid during an interruption period
Source: https://www.ia.org.hk/en/supervision/reg_ins_intermediaries/files/GI_SN_eng_2018.pdf
Limitations and exclusions
Material Damage proviso
No loss will be recoverable under the Business Interruption policy, if
there is not a material damage (physical damage) insurance in place in respect of
the same policyholder’s interests, or
thefire material damage insurer does not admit liability / pay for the material
damage from which business interruption results
Purpose of the Material Damage proviso: With an uninsured property loss, the
policyholder might be short of funds for the necessary repairs or reinstatement, so
that the resulting interruption period would be extended (increasing the liability of
the Business Interruption policy)
https://www.falconinsurance.com.hk/company/zh/business-interruption-2/
Source: https://www.ia.org.hk/en/supervision/reg_ins_intermediaries/files/GI_SN_eng_2018.pdf
Business Interruption Insurance – Covid-19?
Property “All Risks”
Insurance
Property “All Risks” Insurance
Scope of cover
All loss or damage is covered unless specifically excluded
Typical exclusions are
Inevitable loss
Lack of routine care
“Standard exclusions” such as war, nuclear risks and terrorism
Unreasonable causes: losses deliberately caused by the insured or suffered while
participating in illegal activities
Premium basis
Premium will be based upon a rate applicable to the sum insured
Source: https://www.ia.org.hk/en/supervision/reg_ins_intermediaries/files/GI_SN_eng_2018.pdf
Marine
insurance
Marine insurance at a glance
Source: https://www.ia.org.hk/en/supervision/reg_ins_intermediaries/files/GI_SN_eng_2018.pdf
Marine insurance – Marine cargo insurance
Insurance on marine cargo is substantially property insurance, there are basically two
types of cover:
(i) The own damage cover is on an “all risks” basis and is in most cases the only
cover acceptable to banks who are advancing money or giving guarantees in respect
of cargo shipments
(ii) The own damage cover is on a “specified risks” basis: specified major casualties
(fire, stranding, sinking, collision, etc.); earthquake, volcanic eruption and
lightning; jettison and washing overboard; entry of sea, lake or river water
Source: https://www.ia.org.hk/en/supervision/reg_ins_intermediaries/files/GI_SN_eng_2018.pdf
Marine insurance – Marine cargo insurance
Exclusions
Source: https://www.ia.org.hk/en/supervision/reg_ins_intermediaries/files/GI_SN_eng_2018.pdf
Marine insurance – Marine hull insurance
Marine hull insurance covers, e.g.
The hull of the insured vessel
The vessel’s equipment and stores
Fuel for propelling the vessel.
Safety boats
Collision liability: liability arising from the insured vessel’s collision with another vessel
(Note: Collision liability cover excludes loss of life, personal injury and illness. The owner of the
vessel need to buy another liability insurance as required by law as shown on next page)
“Standard” exclusions of war, nuclear and similar risks apply
Source: https://www.ia.org.hk/en/supervision/reg_ins_intermediaries/files/GI_SN_eng_2018.pdf
Marine Insurance - Third Party Insurance
Merchant Shipping (Local Vessels) Ordinance (Cap. 548):
No owner, chartered or coxswains of a local vessel, with a couple of exceptions, may
use, or cause or permit any other person to use, the vessel in the waters of Hong
Kong unless there is in force a liability insurance policy in respect of the death of or
bodily injury to any person caused by or arising out of such use by such owner,
chartered or coxswain or by that other person, as the case may be.
The minimum cover that the law requires
$10 million any one occurrence in the case of a vessel of more than 12 permitted
passengers;
$5 million any one occurrence in any other cases
Source: https://www.ia.org.hk/en/supervision/reg_ins_intermediaries/files/GI_SN_eng_2018.pdf
Exercise
Source: Rejda, G. E., McNamara, M. (2017). Principles of Risk Management and Insurance, 13th Edition. Pearson
Employers’
Liability
Insurance
Employers’ Liability Insurance
Liability under the Employees’ Compensation Ordinance: Statutory liability which is placed
upon an employer to pay compensation to his employees or dependents in respect of injury or
death caused by an accident arising out of and in the course of their employment
Source: https://www.ia.org.hk/en/supervision/reg_ins_intermediaries/files/GI_SN_eng_2018.pdf
Employers’ Liability Insurance
According to s. 40 of the Employees’ Compensation Ordinance (Cap. 282), no employer
shall employ any employee in any employment unless there is in force a policy of
insurance to cover their liabilities both under the Ordinance and at common law for
injuries at work in respect of all their employees, irrespective of the length of
employment contract or working hours, full-time or part-time employment.
Source: https://www.labour.gov.hk/eng/faq/cap282a_whole.htm
Employers’ Liability Insurance typically exclude:
Insurance -
Exclusions Injured or deceased persons who are not employees within
the meaning of the Employees’ Compensation Ordinance
Source: https://www.ia.org.hk/en/supervision/reg_ins_intermediaries/files/GI_SN_eng_2018.pdf
How to determine premium of employers’
liability insurance?
Source: https://www.ia.org.hk/en/supervision/reg_ins_intermediaries/files/GI_SN_eng_2018.pdf
Example of public liability insurance
Building owners’ corporation third party liability policy
Hotel or guesthouse operator’s public liability policy
https://www.shacombank.com.hk/tch/commercial/insurance/public.jsp