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Chapter 9 The Legal Framework. Requirements for a Contract zOffer and acceptance zConsideration zLegal object zLegal form zCompetent parties.

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Presentation on theme: "Chapter 9 The Legal Framework. Requirements for a Contract zOffer and acceptance zConsideration zLegal object zLegal form zCompetent parties."— Presentation transcript:

1 Chapter 9 The Legal Framework

2 Requirements for a Contract zOffer and acceptance zConsideration zLegal object zLegal form zCompetent parties

3 Parts of a Policy zDeclarations yWho is and what is insured zInsuring agreement yPerils covered zExclusions zConditions

4 Void and Voidable zVoidable means one of the parties to the contract can void it yIf the insured does not fulfill certain conditions, the insurer can choose to void the contract zVoid: unenforceable

5 Principle of indemnity zInsured cannot benefit from loss event zInsurable interest zActual cash value zOther insurance provision zSubrogation yRight to collect from negligent third parties yDoes not apply to life/health

6 Other Insurance Provisions zPrimary and excess zPro-rata zExculpatory

7 Exceptions to Indemnity zValued Policies yOcean marine, fine art zValued Policy Laws yTotal loss for certain perils zCash Payment Policies yLife, disability

8 Nature of Insurance Contract zPersonal contract zUnilateral contract zConditional contract zContract of adhesion yNo negotiations zAleatory contract yal atoire = uncertain

9 Nature of Insurance Contract zContract of utmost good faith yMisrepresentation yConcealment yWarranties (promises by the insured) yWaiver and Estoppel xRelinquish a known right zParol evidence rule yWritten contract cannot be modified through oral statements

10 Dispute resolution zAmbiguities resolved in favor of insureds yReasonable expecations yComplexity of contracts (to avoid ambiguities) zPast decisions by courts to interpret contracts yPolicy design influenced by court decisions

11 Authority of the Agent zAgent can “bind” the company (Property/Liability) yExpress authority yImplied/incidental authority xAuthority needed to execute express authority yApparent/ostensible authority xInsured cannot determine if authority exists


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