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8/2           W01/March 2017  Award in General Insurance



                        Introduction


                        There are some situations where a policyholder may have in place more than one policy covering a
                        particular loss or liability. Circumstances may also arise where a policyholder has insured a risk but
                        when the loss happens it is caused by the actions of someone else. Consequently, not only is the
                        policyholder protected by the insurance, they also have the potential to recover damages from the third
                        party. In the first case, we need to look at the rules that apply where there is some kind of dual
                        insurance (the principle of contribution); in the second, we need to see how the policyholder’s rights of
                        recovery are passed on to the insurer (the principle of subrogation).
                        Underlying both these principles is the principle of indemnity, which, as we saw in chapter 7, relates to
                        exact financial compensation. This means that a policyholder is not entitled to profit from a claim
                        settlement.
                        We will look at the principles of contribution and subrogation separately.

                         Key terms
                         This chapter introduces the following terms and concepts:

                         Benefit policies    Common insurable interest  Contract      Contribution condition
                         Non-contribution clauses  Precluded subrogation  Rateable proportion  Statute
                                             rights
                         Subject-matter      Subrogation waiver   Tort



                        A     Contribution

                        When we examined the principle of indemnity, we said that when settling a loss, the intention was to
                        place a policyholder in the same financial position they enjoyed immediately before the loss. We also
                        said that they cannot recover more than the financial loss suffered.                     Reference copy for CII Face to Face Training

                        A policyholder can take out as many insurance policies as they wish, provided that there is no fraudulent
         What happens when
         there is double  intent. But what happens when there is double insurance with more than one valid policy of indemnity in
         insurance?     force? Can someone claim under both policies and receive more than they actually lost?
                        From our study of the principle of indemnity, we know that a policyholder should not be able to recover,
                        in total, more than the amount lost by claiming under both policies. They can only recover the total
                        amount of a loss, regardless of the number of policies held.
                        Let us consider someone who does hold two policies. If they make a claim on only one of them and
                        receive indemnity from it, the other insurer has avoided its financial responsibility; the insurer that paid
                        the claim has taken full financial responsibility. It is this possibility that gives rise to the principle of
                        contribution, which seeks to share the burden of loss fairly amongst all the insurers who have covered it.
    8                   Double (or dual) insurance
    Chapter             There are many situations where double insurance exists.

                        Examples include:

                        • an ‘all risks’ policy and travel insurance policy both covering travel and possibly the same property
                          while overseas;
                        • a specific warehouse stock policy and a ‘floating’ policy covering stock over several warehouses –
                          both covering the same stock;
                        • a household contents policy and the personal effects section of a motor policy – both covering
                          personal effects while in a motor vehicle; and
                        • a homeowner taking out a household buildings policy and not remembering that they had agreed with
                          the mortgage lender to take out a policy with another insurer.

                        A1 Contribution condition

                        Contribution is defined as the right of an insurer to call upon others similarly, but not necessarily
                        equally, liable to the same insured to share the cost of an indemnity payment.
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