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Chapter 5 Good faith                                                                           5/5




               • prevent insurers from denying claims when the proposer has acted honestly and reasonably; and
               • prevent a claim being refused where the proposer has made an innocent mistake but could be
                 prejudiced by the proposal form stating that the answers given ‘form the basis of the contract’.

               B3 Insurer’s duty of disclosure

               The insurer also has a duty of disclosure. In order to fulfil this duty, the insurer must behave with utmost
               good faith, for example by:
               • notifying a policyholder of an entitlement to a premium discount resulting from their insurance history;
               • only taking on risks which the insurer is registered to accept; and
               • ensuring that statements made are true; misleading a customer about policy cover is a breach of
                 utmost good faith, shown in Kettlewell v. Refuge Assurance Company (1909).

               B4 Modification by policy wordings

               We have seen that the duty of disclosure exists from the beginning of negotiations until the time that the
                                                                                                   Duty of disclosure
               contract of insurance takes effect. By law, it revives at renewal automatically, regardless of any policy  revives automatically
               provision. However, for many types of insurance, the insurer requires a continuing duty to disclose  at renewal
               material facts, in which case there must be a specific policy condition that makes this clear.
               B4A At inception

               Under common law, the duty of disclosure starts when negotiations begin and ends when the contract is  Chapter
               formed. From that point until renewal negotiations take place there is no requirement for the         5
               policyholder to declare material facts, unless these affect the policy cover. For example, if the value of
               property increases or a car is sold and another purchased it is clear that the insurer must be advised,
               because the policy requires a specific endorsement to accommodate the change in risk. However, a
               policyholder does not need to disclose a conviction for fraud (which would be a material fact for all
               general insurance policies) until the following renewal. The exception would be if there was a specific
               policy condition which extended the duty so that it became a continuing one.                      Reference copy for CII Face to Face Training

                Question 5.1

                A motor insurance policy was taken out for a small van. While the policy was in force, the policyholder joined an
                amateur band and the van was then used to transport equipment and other band members. Do you think that the
                policyholder should notify the insurers of this change and, if so, when and why?

               B4B On renewal

               On the renewal of a policy, the policyholder’s duty of disclosure is revived for general insurance
               (non-life) policies.
               All general insurance policies, such as fire, theft, liability and certain marine and aviation policies, are
               contracts that are renewable, usually after twelve months. When the contract ends renewal terms are
               usually offered and, if accepted, a new contract is formed. The duty of disclosure is revived during the
               period of negotiation and applies as for new contracts.
               It is important that you distinguish between the requirements for short-term policies and those for long-
               term policies (such as life and pensions policies).
               Once the requirement for disclosure has been met leading up to the inception of a long-term contract,
               the duty of disclosure ceases. Once the policy is in force, even if a material fact, such as the life
               assured’s health, changes, it does not need to be declared. The only requirement for the policy to
               continue is that the policyholder pays the premiums when they are due.

               B4C Continuing requirement

               Insurers are often concerned that their rights at common law are limited because they do not need to be
               advised of certain material mid-term changes to an insured risk. They deal with this situation in different
               ways for different types of insurance. Not all insurers adopt the same approach but the following
               illustrates some of the issues.
               Commercial property insurance
               A policy condition requires continuing disclosure of circumstances that may affect the insurance cover.
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