party, against loss, damage or liability arising out of an unknown or contingent event. 1. two parties- the insurer and the insured 2. consideration-premium paid by the insured to the insurer. 3. to indemnify-to shoulder for the losses of the insured. 4. It is the transfer of risk from the insured to the insurer.
We need first to understand the risk. RISK?? - PANGANIB - It is the possibility of something going wrong. - It is uncertain when and where it will strike but you know it can happen.
- PERIL- causes of loss - HAZARD- something that increases the likelihood or severity of loss Ex. Your house has the risk of catching fire. Especially if it is made of wood
Ex. Your car has the risk of being bumped by the another vehicle every time you drive it, especially if the car is ill-maintained.
Ex. Your cargo runs the risk of being lost along with the vessel during bad weather especially if the vessel is old. 1. Insurable Interest 2. Utmost Good Faith 3. Indemnity 4. Subrogation 5. Contribution 6. Proximate Cause Insurable interest is the legal right to insure The legal relationship to the property I NSURABLE I NTEREST A person has the insurable interest if he/she stands to gain if the subject matter of the insurance is preserved or if he/she stands to suffer to loss if it is damaged or lost. All contracts of insurance must be negotiated with utmost good faith that applies to the insurer and the insured. The duty of disclosure has to be observed by both parties through out the negotiation, during the currency of the policy and the stage of renewal. The disclosure must be material to the terms and conditions of the policy contract. UTMOST GOOD FAI TH The contract of insurance is essentially built on TRUST. Example 1:
A property declared as residential house. Later on converted as RTW factory
A Motor Car that is declared for Private Use But is actually used for hire Example 2: Indemnity is payment made for a certain loss or damage. In insurance, the Principle of Indemnity is that by which an insured is compensated for losses sustained and placed as much as possible in the same pecuniary position before the misfortune. 2. Reinstatement - repair or restoration to the original state as possible. METHODS OF I NDEMNI TY 1. Monetary Payment payment of the cash equivalent of the property lost. CONTENTS 3. Replacement replacing the lost article with a similar or the same article. SUBROGATI ON The Subrogation Principle arises from the principle of Indemnity. Subrogation is allowing the insured to collect the claim from the insurance company where he/she is insured. In effect, the insurance company is responsible to recover all expenses paid to their insured, or to the person responsible to the accident or to his insurer. Example: CGAC Insured Vehicle Assured 1. An accident occurs and caused physical damages to both vehicles. 2. The assured files a claim to CGAC. 3. CGAC indemnifies the assured for the damages. 4. CGAC will then recover from the other party for damaged parts etc.. CONTRI BUTI ON An insured may effect two or more insurance for the same subject matter of insurance. But in the event of loss, he can recover under each of these policies but the amount recovered should be not more than the actual value of the loss. Accidentally Mr. Lopez house was razed by fire and incurred a partial damage of 5,000,000, the following companies will pay :
Malayan 500,000 CCC 500,000 Stronghold 1,000,000 Plaridel 1,000,000 Centennial 2,000,000 TOTAL 5,000,000 PROXI MATE CAUSE It is the cause which is most closely and directly connected with the loss, not necessarily in time but in efficiency or effectiveness.