Insurance Contracts

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All insurance contracts are fiduciary contracts in other words they involve a level of trust on either side, on the part of the insured and the insurer. Utmost good faith (uberrimae fidei) forms the basis of all such contracts. Both the insurer and the insured must abide by this principle. This essay will examine the role of the insurer and the insured in ensuring full disclosure of all material facts. The disclosure of information is of crucial importance as failure to disclose can render the contract void. We will look at cases where utmost good faith and disclosure of material facts were crucial. The Marine Insurance act 1906 section 17 states “A contract of marine insurance is a contract based upon the utmost good faith, and, if the utmost good faith be not observed by either party, the contract may be avoided by the other party.” This act also stated in section 18 that the duty to disclose falls on the insured because it is only the insured who has full knowledge of the risk and as a consequence failure to disclose by the insured may allow the insurer to avoid the contract. In other words this act puts the onus on the insured to disclose and in doing so prevents fraud but it can also allow the insurer to avoid paying i.e. to get out of the contract if they can show that the insured has failed to disclose.

One of the first landmark insurance cases dealing with disclosure was the Carter v Boehm (1776) case. Carter took out insurance to cover fort Marlborough in the East Indies. The insurance covered attack against foreign invasion. They knew they would be able to withstand an attack against natives however the French army succeeded in invading the fort. The insurance company argued that the fort’s inability to withstand attack...

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....g. where the insured fails to “read and check the questions and answers thoroughly enough.” (Ombudsman news May/June 2005)
In the case of non-disclosure the onus is then on the insured to prove that the underwriter would have entered the same contract had he known the non-disclosed facts. In the case of Aro Road and LandVehicle V. The Insurance Corporation of Ireland (1986) the non-disclosed fact was that the insured was a convicted criminal. The insurer insured the vehicle for the transport of goods. The vehicle went up in flames. The insurer claimed that the material fact of the insured being a criminal had not been revealed and that this would have effected his judgement. The court agreed but the court of appeal stated that there was no direct connection between the material fact and the car going up in flames and ruled that the insurance company had to pay out.

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