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7/4           W01/March 2017  Award in General Insurance




                        However, this is not a popular option with insurers as, unless the policy specifies otherwise, they are
                        bound to reinstate the property so that it is largely in the same condition it was before the loss. In any
                        event they are their own insurers of the risk during the period of reinstatement. Also, once they choose
                        to reinstate, they lose the certainty that the sum insured will be the maximum they have to pay out since
                        they can hardly insist on reinstatement and then, once the sum insured is exhausted, stop work
                        regardless of whether the building is completely restored by then or not.
                        The distinction between repair and reinstatement may not be immediately obvious. Reinstatement would
                        apply only to buildings (and occasionally machinery) and is concerned with bringing the property back to
                        its pre-loss condition. To achieve this purpose the insurer effectively takes occupation of the premises
                        (or what is left of them) to reinstate. The option to repair does not carry with it the ‘occupation’ aspect.


                        B     Application of indemnity

                        Property policies and liability policies are contracts of indemnity because a value can be placed on the
         Property and liability
         policies are contracts  subject-matter insured. This principle also applies to pecuniary insurances, such as business
         of indemnity   interruption. You should note that life and personal accident policies are not contracts of indemnity as
                        the policyholder cannot be restored to the same financial position after a loss.

                        B1 Property insurance

          See section D  As a practical example of indemnity cover in respect of property insurance, imagine a fire which destroys
                        part of a school. Calculating the value of the loss may be a problem since equipment and facilities are
                        likely to be worth less than the original purchase price. Where equipment is completely destroyed, the
                        measure of indemnity is the replacement cost less an amount for wear and tear. In the case of partial
                        damage, indemnity is the repair cost less an allowance for wear and tear. This is very much a theoretical
                        starting point. Most property policies incorporate some form of ‘new for old’ cover.


                        B2 Liability insurance                                                                   Reference copy for CII Face to Face Training

                        A liability policy provides indemnity to the policyholder in respect of their legal liability to pay damages
                        and claimant’s costs. The policy does not define the financial value of the indemnity, as this is often left
                        to the courts to decide, but it does lay down the elements to be included in an indemnity settlement.
                        There will always be a limit to how much the policy will pay in the event of a claim, and this will be
    7                   stated in the policy.
    Chapter              Sample examination question 1


                         Roy takes out two personal accident policies. The first policy provides US$50,000 cover for the loss of a limb. The
                         second policy provides US$60,000 cover for loss of limb. What is the total amount that Roy will receive in the event
                         of a valid loss of limb claim?
                         a.  US$50,000.                                                                F
                         b.  US$54,000.                                                                F
                         c.  US$60,000.                                                                F
                         d.  US$110,000.                                                               F



                        C     Measuring indemnity


                        In this section, we look at how insurers measure indemnity for different classes of insurance.
                        Our starting point must be the financial value of the subject-matter of the insurance, but how is this
         In property insurance
         the value of the  financial value calculated? In the absence of policy conditions modifying the position, in property
         subject-matter is its  insurance the value of the subject-matter of the insurance is its value at the time and place of loss.
         value at the time
         of loss        However, as we shall see, it is usual for policy conditions to apply which alter this position. We start by
                        looking at different categories and types of insurance and considering the standard cover provided by
                        them, before examining possible extensions.
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