Page 49 - IC23 life insurance application
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and conditions decided by the insurer. The proposer further agrees to keep the
insurer informed of any changes in the position relating to his health or his
occupation between now and the issuance of the first premium receipt.
It is thus clear that after the insurer has issued the first premium receipt, the contract
is said to have concluded and thereafter the insurer has no right to change the terms
of the contract.
However, the insurer has a right to offer any term and condition before the final
acceptance of the insurance. For example, in case of a female proposer, the insurer
may not agree to accept the risk of the childbirth. In case of certain hazardous
occupation like commercial pilots, the insurer may like to exclude the risk to life due
to such occupation. In case of certain deformity, the risk of accident can be
excluded. These exclusions of risks are not normal terms of the policy contract and
therefore have to elicit consent of the proposer. In case of a substandard health, the
insurer may like to accept a reduced risk during the first one or two years of the
insurance. The consent of the insured is a must for such limitations to be imposed.
All such special conditions or riders are mentioned in the policy either by an
endorsement or attachment to the document. If the insurer has taken a Convertible
Whole Life Plan which is to be converted to an endowment plan after 5 years, the
necessary condition is endorsed on the policy.
The terms and conditions as mentioned in the policy along with such endorsements
as made on the back of the policy govern the insurance contract and are open to be
interpreted by a court. However it may be noted that agents confidential report and
the medical examination (confidential) report are not part of the contract for
insurance.
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