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Formation Of Insurance Contract
  Requisites of validity required by general rules of law of contracts:


                    Agreement (offer+acceptance)


                 Two parties (capable of contracting)


                        Valuable consideration


                     Purpose (legal/public policy)


                              Fairly made


               Full knowledge of all materials and facts
The Parties Of Insurance Contract
                    Two
               parties/three




     Insurer                   insured/assured
One person contracting with himself
cannot conclude insurance contract
                    Authority of
                   agent doesnโ€™t
   An agent of                        The agent
                   extend to any
    insurance                      represents both
                     transaction
company cannot                     of the parties in
                      where his
 insures his own                       the same
                 personal interest
    property.                          contract.
                   is opposed to
                  the principalโ€™s.
The offer to conclude insurance
contract should designate the second
              party by:
  Name


  Profession


  Domicile
In some insurance policies the name of
   the insured party maybe left blank.


Policies of    In this case          He
insurance           it is       becomes a
               deemed to          party of
 maybe          be issued      contract by
issued โ€œfor    on behalf of      โ€œratifying
the benefit       โ€œsome         the policy
of whom it     person not       issued for
 concernsโ€     designatedโ€     his interestโ€
The Insurer

         Joint stock
         companies



Cooperative
association        Mutual of
    for            assurance
 assurance
The Insured


                       He should have
                      Valuable interest
Natural/legal        protected from loss
  person             or injury by reason
                        of any peril it
                     maybe exposed to.
The right of being assured:


    Any
                Falls within
  citizen
                the class of   Guaranteed
protecting
               inherent and     by law and
 himself
                inalienable    constitution.
 against
                   rights
   loss.
The person                     Capable โ€ข
  must be          Having the capacity of โ€ข
competent to                    exercise.
conclude the
  contract


  Insurnace                    Capacity of โ€ข
                             adminstration
contract being
                 A minor ๏ƒ  can conclude โ€ข
   an act of            insurance contract
adminstration      related to his property.
Consent of the parties of insurance
             contract
       General rules of law of
            contracts:




 Contractual                Valid
    offer                acceptance
Customary methods of making
     insurance contracts:
                             The person
                           desiring to be
                         insured makes the
                                offer



    Issuing and
                                                    Sign a written
  delivering the
                                                  application drawn
 policy+payment
                                                    by the insurer
 of first premium




                                          Delivering the
          Forward it to the
                                        application to the
           general officers
                                         agent of insurer
The requirments of a valid offer:


It should express a definite commitment in
its material terms creating a power of
acceptance to the offeree

                  The offer must be complete by determing the
                  subject insured and the perils against the
                  premium.


The offer should be communicated to the
offeree hence an offer is made when the
offeree receives it.
The insured
                         normally proceeds
                             the offer


                                                  The insured is
 If the insurer in his
                                                   compelled to
acceptance introduce
                                                contract with the
     new terms or
                                                insurer according
      conditions.
                                                 to insurer terms.




                                           There is no
         In some cases the
                                        negotiation since
        insurer becomes an
                                      insurance contract is
          offeror (when a
                                          a contract of
       proposal form is used)
                                            adhesion
Contains questions
                         which the
                     proposed assured
                       is required to
                           answer
 It is considered
 as an offer from                           It could not be
the insured, and          The              considered as an
the insurer is the     proposal           offer of insurance
offeree who may                            forwarded from
 accept or reject
                         form             insurer to insured
         it
                  It doesnโ€™t lead to
                  the conclusion of
                 contract in case of
                        insured
                      acceptance
The proposal form contains the following informations:
Description Description of Description of           Previous history
of the       the risk subject circumstances         of the proposed
proposed     to proposed      affecting the risk    assured:
assured:     insurance:       insured:
โ€ขHis name          In case of:          The insured answers       โ€ขExperience of the
โ€ขHis address                            questions directed to     proposed assured:
โ€ขHis profession    โ€ขPersonal accident him through which the       the insured has to
(the insured        โ€œthe insured has    insurer tries to find     state if he has
will not be held   to state his age,    whether there are         suffered loss by the
responsible of     weight and heightโ€ special circumstances       peril subject to
misrepresentat                          making the risk greater   proposed insurance.
ion if he has 2    โ€ขProperty            than usual.               โ€ขRelations with other
professions        insurance            โ€ขIn personal accident     insurers:
and stated         โ€œhe has to give full He should be informed     He should state if he
one only)          description of the about the past &            has ever made a
 as the rate of    property subject to present state of health.   similar proposal to
premium will       the proposed         โ€ขIn liability insurance   other insurers, and
not be             insuranceโ€           He should be informed     whether this proposal
affected.                               about state of the        was declined or
                                        insured premises,...      accepted.
Propsal form for life insurance
        โ€œquestions asked by the insurer relates toโ€:
                                                                               .
Name, residen                Sum to                            A proposal
                                          Whether the
ce, profession,                 be                              form has
                                           policy is for
occupation, da               insured                            ever been
                                           the benefit
 te & place of                                                 declined or
                                            of insured
 birth, hight&     Type of                                     accepted at
                                          estateโ€™s or of
   weight of        policy                                       an extra
                                             named
   proposed       required                                      premium
                                          beneficiaries



                     Name &
  Whether a         adress of           Details of
   proposal                              previous           Details of any
                    the usual
 form ha ever                          illness & of         circumstances
                     medical
 been made to                             medical            affecting the
                    attendant
  the insurer                            advice &             suitability of
 concerned or                           treatment          the life insured
   to other                               in last 2          for insurance
   insurers.                                years               purpose
The proposer has to sign at the end of
the proposal that the answers he has
  given are true, and they are to be
 considered โ€œthe basis of the contractโ€.


     The proposer maybe asked to declare that heโ€™s
      in good health, and authorizes the insurer to
        seek information from any doctor he has
     attended. Any answer given by the doctor is to
        be considered โ€œthe basis of the contractโ€.



          If it is revealed that the statements made by the
           proposer are false or fraudulently stated, after
                   the insurer acceptance, he would be
                   responsible for a breach of contract.
The effect of the proposal form
                           After being filled
                           & signed by the
                              proposed
                               insured

The insurer will be
  bound after the
                                                     Is forwarded to
acceptance to issue
                                                    the insurer or to
a policy complying
                                                         his agent
 with the terms of
     the form




        Acceptance of
         the insurer to                   The proposal form
        this offer leads                 represents an offer,
             to the                       showing terms the
         conclusion of                   insured is willing to
           insurance                           contract
            contract

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Formation of insurance contract

  • 1. Formation Of Insurance Contract Requisites of validity required by general rules of law of contracts: Agreement (offer+acceptance) Two parties (capable of contracting) Valuable consideration Purpose (legal/public policy) Fairly made Full knowledge of all materials and facts
  • 2. The Parties Of Insurance Contract Two parties/three Insurer insured/assured
  • 3. One person contracting with himself cannot conclude insurance contract Authority of agent doesnโ€™t An agent of The agent extend to any insurance represents both transaction company cannot of the parties in where his insures his own the same personal interest property. contract. is opposed to the principalโ€™s.
  • 4. The offer to conclude insurance contract should designate the second party by: Name Profession Domicile
  • 5. In some insurance policies the name of the insured party maybe left blank. Policies of In this case He insurance it is becomes a deemed to party of maybe be issued contract by issued โ€œfor on behalf of โ€œratifying the benefit โ€œsome the policy of whom it person not issued for concernsโ€ designatedโ€ his interestโ€
  • 6. The Insurer Joint stock companies Cooperative association Mutual of for assurance assurance
  • 7. The Insured He should have Valuable interest Natural/legal protected from loss person or injury by reason of any peril it maybe exposed to.
  • 8. The right of being assured: Any Falls within citizen the class of Guaranteed protecting inherent and by law and himself inalienable constitution. against rights loss.
  • 9. The person Capable โ€ข must be Having the capacity of โ€ข competent to exercise. conclude the contract Insurnace Capacity of โ€ข adminstration contract being A minor ๏ƒ  can conclude โ€ข an act of insurance contract adminstration related to his property.
  • 10. Consent of the parties of insurance contract General rules of law of contracts: Contractual Valid offer acceptance
  • 11. Customary methods of making insurance contracts: The person desiring to be insured makes the offer Issuing and Sign a written delivering the application drawn policy+payment by the insurer of first premium Delivering the Forward it to the application to the general officers agent of insurer
  • 12. The requirments of a valid offer: It should express a definite commitment in its material terms creating a power of acceptance to the offeree The offer must be complete by determing the subject insured and the perils against the premium. The offer should be communicated to the offeree hence an offer is made when the offeree receives it.
  • 13. The insured normally proceeds the offer The insured is If the insurer in his compelled to acceptance introduce contract with the new terms or insurer according conditions. to insurer terms. There is no In some cases the negotiation since insurer becomes an insurance contract is offeror (when a a contract of proposal form is used) adhesion
  • 14. Contains questions which the proposed assured is required to answer It is considered as an offer from It could not be the insured, and The considered as an the insurer is the proposal offer of insurance offeree who may forwarded from accept or reject form insurer to insured it It doesnโ€™t lead to the conclusion of contract in case of insured acceptance
  • 15. The proposal form contains the following informations: Description Description of Description of Previous history of the the risk subject circumstances of the proposed proposed to proposed affecting the risk assured: assured: insurance: insured: โ€ขHis name In case of: The insured answers โ€ขExperience of the โ€ขHis address questions directed to proposed assured: โ€ขHis profession โ€ขPersonal accident him through which the the insured has to (the insured โ€œthe insured has insurer tries to find state if he has will not be held to state his age, whether there are suffered loss by the responsible of weight and heightโ€ special circumstances peril subject to misrepresentat making the risk greater proposed insurance. ion if he has 2 โ€ขProperty than usual. โ€ขRelations with other professions insurance โ€ขIn personal accident insurers: and stated โ€œhe has to give full He should be informed He should state if he one only) description of the about the past & has ever made a as the rate of property subject to present state of health. similar proposal to premium will the proposed โ€ขIn liability insurance other insurers, and not be insuranceโ€ He should be informed whether this proposal affected. about state of the was declined or insured premises,... accepted.
  • 16. Propsal form for life insurance โ€œquestions asked by the insurer relates toโ€: . Name, residen Sum to A proposal Whether the ce, profession, be form has policy is for occupation, da insured ever been the benefit te & place of declined or of insured birth, hight& Type of accepted at estateโ€™s or of weight of policy an extra named proposed required premium beneficiaries Name & Whether a adress of Details of proposal previous Details of any the usual form ha ever illness & of circumstances medical been made to medical affecting the attendant the insurer advice & suitability of concerned or treatment the life insured to other in last 2 for insurance insurers. years purpose
  • 17. The proposer has to sign at the end of the proposal that the answers he has given are true, and they are to be considered โ€œthe basis of the contractโ€. The proposer maybe asked to declare that heโ€™s in good health, and authorizes the insurer to seek information from any doctor he has attended. Any answer given by the doctor is to be considered โ€œthe basis of the contractโ€. If it is revealed that the statements made by the proposer are false or fraudulently stated, after the insurer acceptance, he would be responsible for a breach of contract.
  • 18. The effect of the proposal form After being filled & signed by the proposed insured The insurer will be bound after the Is forwarded to acceptance to issue the insurer or to a policy complying his agent with the terms of the form Acceptance of the insurer to The proposal form this offer leads represents an offer, to the showing terms the conclusion of insured is willing to insurance contract contract