VERSION (ALREADY GRADED A+)
What are the offer and acceptance components of an insurance contract?
An insurance application, signed by the applicant and sent to the insurer through the producer, is an
offer. If the insurer agrees to provide coverage for the insured, the insurance policy that is issued will be
the acceptance
Concerned that she's left herself vulnerable to a sizeable loss, Crystal emails her insurance agent
asking to increase the combined single liability limit on her auto policy from $200,000 to $700,000.
The agent immediately replies by email, "Of course we can do that!" Crystal then asks when the
increased limits will take effect. What will the agent tell her?
The agent's promise is binding, so the agent should indicate that Crystal's increased limits become
effective at the time the return email is sent.
Why have courts ruled that an insurer can be held liable under its contract if it delays action on an
application beyond a reasonable time?
Courts apply the rationale that insurance is a business that holds a public interest. Because insurers
generally solicit these contractual offers through advertising or sales calls, and because applicants
frequently pay premiums in advance, the insurer has a responsibility to act promptly in accepting or
rejecting the offer
Why is delivery of a contract rarely disputed in property-casualty insurance?
In property-casualty insurance, delivery is rarely in dispute. The wide use of preliminary oral agreements
and written binders results in effective dates of coverage that seldom involve the question of policy
delivery
Charlie signed an agreement to purchase a vacation home on a beach, but the closing won't take place
for another six weeks. When should he purchase insurance on the property?
Charlie will have an equitable interest in the vacation home as soon as both parties sign the agreement
of sale. Even though the seller has legal title, he will own the home, subject to paying the purchase
price, under the doctrine of equitable conversion. One result of this equitable ownership is that Charlie
will bear the risk of loss (in most states) and must therefore secure an insurance policy before the
agreement is signed to protect his interest in the property
What forms can protection from fire insurers now take?
Protection can now take several forms:
• The insurer waives its subrogation rights against the lessee by endorsement to the lessor's fire policy.
• A lease provision that makes the lessor financially responsible to pay for damage to the property.
• The lessee is included as an additional insured on the lessor's policy.
• The lessee purchases an insurance policy protecting against liability for damaging the lessor's property.
• The lessee purchases a separate fire policy covering the leased premises.
, What is the likely consequence of a policyholder's intentionally false representation or
misrepresentation of facts on an insurance application?
Intentionally false representation, or misrepresentation, can make an insurance contract voidable.
What are the two requirements that must be present for a promise to be a warranty?
These two requirements must be present for a promise to be a warranty:
• The parties must have clearly and unmistakably intended it to be a warranty.
• The statement must form a part of the contract itself.
What are affirmative warranties and continuing (promissory) warranties?
An affirmative warranty states that specific facts exist at the time the contract is formed. A continuing,
or promissory, warranty states that the parties will do certain things or that certain conditions will
continue to exist throughout the policy term
What is the effect on coverage when courts interpret policies as severable?
When courts interpret policies as severable, if one policy provision is invalid, it doesn't invalidate the
entire policy. Instead, the invalid provision can be severed, or separated, from other provisions.
Therefore, noncompliance with a warranty concerning one type of covered property doesn't defeat
coverage for another type of property to which the violated warranty doesn't apply
An insurer issues a fire insurance policy covering a building on leased land. The producer delivers the
policy to the insured, saying, "Here is the policy, and it fully covers your building." However, although
the insured disclosed on the application that the building was on leased land, the policy expressly
provides that it is void in such a circumstance. The insured accepts the policy without reading it and
puts it with other valuable papers. When the building later burns, the insurer denies the claim. Are
the elements leading to estoppel present in this case?
Yes, all the elements leading to estoppel are present in this case. The insurer, through its producer,
made a false representation by stating that the policy covered the building. The insured reasonably
relied on the representation by accepting the policy and not purchasing other insurance. The insured's
failure to read the policy does not mean reliance is unreasonable. So the insurer is prevented, or
estopped, from denying that coverage exists.
Under a fire policy, the insurer usually has the option of repairing or rebuilding instead of paying
monetary compensation for a loss. How does election apply to an insurer whose words or acts led an
insured to expect monetary compensation under a policy?
Election applies even though the insurer has not voluntarily relinquished a known right, as would occur
with a waiver. So in this case, the insurer, having elected one method of making the insured whole
(monetary compensation) has lost the right to choose the second alternative (repairing or rebuilding).
How do insurers use nonwaiver agreements and reservation of rights letters
Insurers use nonwaiver agreements and reservation of rights letters to inform an insured that the
insurer's activities regarding a loss do not preclude it from standing on policy provisions. An insurer
might be able to establish that it is not liable under the policy. The insurer can continue to investigate