Insurance Law
Insurance Law
Insurance Law
2 Contents1. The meaning of insurable interest2. The significance of insurable interest3. The
application of insurable interest4. When does insurable interest begin to exist?5. Common
features of insurable interest
4 “an insurable interest refers to the interest which the applicant has in the subject matter of
the insurance and is recognized by laws.The subject matter of the insurance refers to either
to the property of the insured and related interests associated therewith, or to the life and
body of the insured, which is the object of the insurance.” Insurance Law
ANS:
In the event rights are transferred from an Assignor to an Assignee, the rights
of the policyholder are canceled, and the Assignee becomes the owner of the
insurance policy.
People often assign their life insurance policies to banks. A bank becomes the
policy owner in this case, while the original policyholder continues to be the
life assured whose death may be claimed by either the bank or the policy
owner.
Types of Assignment
There are two ways to assign an insurance policy. They are as follows:
1. Absolute Assignment
During this process, the rights of the assignor (policyholder) will be completely
transferred to the assignee (person to whom the policy rights have been
transferred). It is not subject to any conditions.
As an example, Mr. Rajiv Tripathi owns a Rs 1 Crore life insurance policy. Mr.
Tripathi wants to gift his wife this policy. Specifically, he wants to make
“absolute assignment” of the policy in his wife's name, so that the death
benefit (or maturity proceeds) can be paid directly to her. After the absolute
assignment has been made, Mrs. Tripathi will own this policy, and she will be
able to transfer it to someone else again.
2. Conditional Assignment
As part of this type of assignment, certain conditions must be met before the
transfer of rights occurs from the Assignor to the Assignee. The Policy will
only be transferred to the Assignee if all conditions are met.
Mr. Pujari can get back his term insurance policy if he repays the entire
amount of his home loan. As soon as the loan is repaid, the policy will be
transferred to Mr. Pujari.
In the event that the insurer receives a death benefit that exceeds the
outstanding loan balance, the bank will be paid from the difference between
the death benefit and the loan and the balance will be paid directly to the
nominee. In the above example, the remaining amount (if any) will be paid to
Mr. Pujari’s beneficiaries (legal heirs/nominee).
1. Beneficial Nominees
In accordance with the law, the beneficiary of the claimed benefits will be any
immediate family member nominated by the policyholder (like a spouse,
children, or parents). Beneficiary nominees are limited to immediate family
members of the beneficiary.
2. Minor Nominees
It is common for individuals to name their children as beneficiaries of their life
insurance policies. Minor nominees (under the age of 18) are not allowed to
handle claim amounts. Hence, the policyholder needs to designate a
custodian or appointee. Payments are made to the appointee until the minor
reaches the age of 18.
3. Non-family Nominees
Nominees can include distant relatives or even friends as beneficiaries of a
life insurance policy.
4. Changing Nominees
It is okay for policyholders to change their nominees as often as they wish, but
the latest nominee should take priority over all previous ones.
ANS:
Ocean marine insurance covers the perils of the sea whereas inland
marine insurance is related to the inland risks on the land. Marine
insurance is one of the oldest forms of insurance. It has developed
with the expansion of trade. It was started during the middle ages in
Italy and then in England. The sending of goods by sea involves
many perils; so it was necessary to get the goods insured. In modern
times marine insurance business is well organised and is carried on
scientific lines.
Lloyd’s Association:
This association has played an important role in marine insurance
in England. During the middle of seventeenth century some persons
used to assemble in coffee houses of London and transact marine
insurance business. They used to transact business in their own
names. One of the coffee houses was owned by Edward Lloyd.
ADVERTISEMENTS:
ADVERTISEMENTS:
The goods are generally insured according to their value but some
percentage of profit can also be included in the value. The cargo
policies may be special, reporting and floating. The special policy is
only for one shipment. Reporting or open cargo policy, on the other
hand, covers all shipments made by an exporter over a long period
of time.
The floating policy is just similar to open cargo policy but differs
from it only in respect of the method of paying the premium. In
floating policies the value of the future shipments is estimated and
premium is deposited with the company. Later on, actual shipments
are compared with the estimates and the premium is adjusted.
2. Insurable Interest:
Insurable interest means that the insured should have interest in
the subject when it is to be insured. He should be benefited by the
safe arrival of commodities and he should be prejudiced by loss or
damage of goods. The insured may not have an insurable interest at
the time of acquiring a marine insurable policy, but he should have
a reasonable expectation of acquiring such interest. The insured
must have insurable interest at the time of loss or damage otherwise
he will not be able to claim compensation.
3. Indemnity:
This principle means that the insured will be compensated only to
the extent of loss suffered. He will not be allowed to earn profit from
marine insurance. The underwriter provides to compensate the
insured in cash and not to replace the cargo or the ship. The money
value of the subject matter is decided at the time of taking up the
policy. Sometimes the value is calculated at the time of loss also.
ADVERTISEMENTS:
4. Cause Proxima:
This is a Latin word which means the nearest or proximate cause. It
helps in deciding the actual cause of loss when a number of causes
have contributed to the loss. The immediate cause of loss should be
determined to fix the responsibility of the insurer. The remote cause
for a loss is not important in determining the liability. If the
proximate cause is insured against, the insurer will indemnify the
loss.
Q.
ANS:
Q.
Ans:
Compulsory Insurance
Section 9 of the Act provides for compulsory insurance23. Every employer of workmen to whom
this Act applies, except an employer whose total wages bill for any quarter after the
commencement of this Act has never exceeded fifteen hundred rupees, shall take out a policy of
insurance issued in accordance with the Scheme2. This insurance ensures that the employer is
insured until the expiry of the period of the emergency or until the date, if any, prior to the expiry
of the period of the emergency at which he ceases to be an employer to whom this section
applies, against all liabilities imposed on him by this Act2.
The Act applies to every employer or workman entitled to compulsory insurance 4. However, after
the commencement of the Act, it specifies that the wages of the workman should not exceed
fifteen thousand rupees4.
In conclusion, the Personal Injuries (Compensation Insurance) Act, 1963, ensures that employers
are legally obligated to compensate their employees for any personal injuries sustained during
the course of employment. It also mandates employers to take out insurance policies to cover
these potential liabilities, providing a safety net for both employers and employees.
Q.
Legal Provisions
The Act under section 146 states that all motor vehicles must not utilise any vehicle in public
without legitimate third-party insurance3. The Act seeks to protect the interests of third parties,
but not the insurers, or the insurance companies themselves 4.
Composite Negligence
Composite negligence refers to a situation where the negligence of two or more persons results
in the same damage to a third person 3. In the case of composite negligence, each wrongdoer is
jointly liable to the injured party for payment of the entire damages, and the injured person has
the choice of proceeding against any or all of them 3.
For instance, consider a scenario where a pedestrian is crossing the road at a designated
crosswalk. A car driver, distracted by their phone, fails to stop at the crosswalk, while at the same
time, a motorcyclist, speeding and ignoring the traffic signal, also approaches the crosswalk. Both
the car driver and the motorcyclist hit the pedestrian, resulting in injuries. This is an example of
composite negligence, as both the car driver and the motorcyclist were negligent, leading to the
same damage to the pedestrian3.
In conclusion, both contributory and composite negligence involve situations where negligence
leads to harm or damage. However, in contributory negligence, the injured party also shares
some of the blame, while in composite negligence, multiple parties are at fault for the same
damage to a third party.
Q.
Life Insurance
Life insurance can be defined as a contract between an insurance policy holder and an insurance
company, where the insurer promises to pay a sum of money in exchange for a premium, upon
the death of an insured person or after a set period 1234.
Principle of Subrogation
The principle of subrogation in insurance enables the insurer to take over the policyholder’s legal
right to recover damages7. In other words, the insurance company has the right to pursue any
third-party liable for the damages that it has paid out to the policyholder 7. However, the principle
of subrogation is not applicable to life insurance contracts 8. This is because the life insured
cannot suffer a loss more than once and the life or health of a human being cannot be
compensated for with money8.
Q.
Historical Development of Law of Insurance in India
The history of insurance in India can be traced back to ancient times, with
references found in scriptures and writings such as Manusmriti, Arthashastra, and
Dharmasastra12. These texts mention a system similar to modern insurance, where
resources were pooled and redistributed during calamities12.
The formal development of insurance law in India began with the establishment of
British firms. The Oriental Life Insurance Company was established in Calcutta in
1818, followed by the Bombay Life Assurance Company in 1823, and the Madras
Equitable Life Insurance Society in 182912345.
The British Insurance Act was enacted in 1870, marking significant growth in the
insurance sector in India12. The number of insurers in the life insurance business
saw a steep increase from around 40 to 180 companies, with capital increasing
from 22 crores to 298 crores in the market in the 1930s1.
The Indian Life Assurance Companies Act was enacted in 1912, followed by the
Indian Life Insurance Companies Act of 19281. The Insurance Act of 1938
consolidated laws relating to the life insurance business in India1.
Insurance is listed in Entry 47 of the Union List in the Seventh Schedule to the
Constitution of India6. This means that it can only be legislated by the central
government6. However, there are also entries in the concurrent list that confer
concurrent powers to both the union and the state governments to legislate in the
areas of insurance6.
There is no specific Article making direct provision for insurance, but the essence
of insurance as a social device is found under various provisions of the
Constitution peripheral to the various legislations dealing with insurance6. The
Preamble to the Constitution of India incorporates the expressions like ‘economic
justice’, ‘social justice’ and ‘fraternity assuring the dignity of individuals’6. Also,
in PART IV of the Constitution dealing with the directive principles of state
policy, insurance aspects are found under Articles 38, 39, and 426.
Insurance contracts, like any other contracts, are governed by the general principles
of contract law. However, they also have specific principles that are unique to
insurance contracts123. Here are some of the key principles:
1. Utmost Good Faith (Uberrimae Fidei): Both the insurer and the insured
must disclose all material facts honestly and accurately123.
2. Insurable Interest: The insured must have a legitimate interest in the
preservation of the life or property insured123.
3. Indemnity: The insurer promises to compensate the insured for the loss
suffered, up to the amount insured123.
4. Proximate Cause (Causa Proxima): The loss of the insured property
should be caused by the insured peril123.
5. Subrogation: After compensating the loss, the insurer steps into the shoes
of the insured to recover the loss from the third party responsible for the
loss123.
6. Contribution: If the insured has more than one insurance policy, each
insurer contributes equally in the event of loss123.
7. Loss Minimization: The insured must take all necessary steps to minimize
the loss to the insured property123.
ANS:
The Insurance Act, 1938, is a significant legislation in India that was introduced to regulate the
activities of insurance companies 12. Here are some of the salient features of the Insurance Act,
1938:
1. Department of Insurance: The Act led to the formation of a Department of Insurance to
supervise and control the insurance business 1.
2. Mandatory Registration: It made the registration of insurance companies compulsory 1.
3. Annual Financial Returns: Insurance companies were required to submit annual financial
returns1.
4. Initial Deposits: A provision for initial deposits was made to allow only genuine
companies in the insurance sector 1.
5. Standardized Policies: Policies with a standardized format were introduced 1.
6. Certification of Premium Tables: Certification of the premium tables through an actuary
was made compulsory1.
7. Periodical Evaluation: Insurance companies had to go through a periodical evaluation to
assess their financial stability1.
8. Prohibition on Rebate: The Act introduced important provisions such as the prohibition
on rebate, restriction on licensing, and commission payment to instill professionalism into
the business1.
The Insurance Act, 1938, provided a broad legal framework within which the insurance industry
operates2. It was the first comprehensive legislation passed by the government that governed
both life and non-life companies providing strict control over the insurance business 12
Q. Q.
Duties of IRDAI
1. Regulating Insurance Companies: IRDAI is responsible for issuing,
renewing, modifying, withdrawing, suspending, or cancelling registrations
of insurance companies12.
2. Protecting Policyholders’ Interests: It ensures the protection of the
interests of policyholders in matters concerning assigning of policy,
nomination by policyholders, insurable interest, settlement of insurance
claim, surrender value of policy, and other terms and conditions of contracts
of insurance12.
3. Licensing and Establishing Norms for Insurance Intermediaries: IRDAI
provides licenses to insurance intermediaries such as agents and brokers
after specifying the required qualifications and setting norms/code of
conduct for them12.
Powers of IRDAI
1. Regulation of Rates, Advantages, Terms, and Conditions: IRDAI has the
power to control and regulate the rates, advantages, terms, and conditions
that may be offered by insurers in respect of general insurance business12.
2. Regulation of Investment of Funds: IRDAI regulates the investment of
funds by insurance companies12.
3. Levying Fees and Other Charges: IRDAI has powers for levying fees and
other charges for carrying out the purposes of the IRDA Act12.
Functions of IRDAI
1. Promoting Efficiency in the Conduct of Insurance Business: IRDAI
promotes efficiency in the conduct of insurance businesses12.
2. Promoting and Regulating Professional Organisations: IRDAI promotes
and regulates professional organisations connected with the insurance and
re-insurance business12.
3. Calling for Information and Undertaking Inspection: IRDAI has the
authority to call for information from, undertake inspection of, conduct
enquiries and investigations including audit of the insurers, intermediaries,
insurance intermediaries, and other organisations connected with the
insurance business12.
In conclusion, IRDAI plays a crucial role in the insurance sector in India, ensuring
its orderly growth and protecting the interests of policyholders12.
Q.
Main Features of an Insurance Contract
An insurance contract is a legal agreement between two parties, the insurer and the
insured, where the insurer promises to compensate the insured for specific
potential future losses in exchange for a premium12. Here are some of the main
features of an insurance contract:
1. Offer and Acceptance: The insurer makes an offer which the insured
accepts2.
2. Consideration: The premium paid by the insured is the consideration2.
3. Legal Capacity: Both parties must be legally capable of entering into a
contract2.
4. Consensus “ad idem”: Both parties must agree on the terms of the
contract2.
5. Legality of Object: The purpose of the contract must be legal2.
1. Utmost Good Faith (Uberrimae Fidei): Both parties must disclose all
material facts honestly and accurately2.
2. Insurable Interest: The insured must have a legitimate interest in the
preservation of the life or property insured2.
3. Indemnity: The insurer promises to compensate the insured for the loss
suffered, up to the amount insured2.
4. Subrogation: After compensating the loss, the insurer steps into the shoes
of the insured to recover the loss from the third party responsible for the
loss2.
5. Proximate Cause: The loss of the insured property should be caused by the
insured peril2.
Q.