P5125/Documentation/Haniza1
INSURANCE DOCUMENTS
Course Learning Outcomes
 Distinguish clearly the various principles in
insurance related aspects
P5125/Documentation/Haniza2
P5125/Documentation/Haniza3
PROPOSAL FORM
 An insurance contract is effected when there
is an offer an acceptance
 Offer is made through the completion of
proposal form and duly signed by the
proposer
P5125/Documentation/Haniza4
The usefulness of proposal form
 To assist the insurer in gathering information
required to assess the risk proposed
 To enable the insurer to consider application
speedily and accurately
P5125/Documentation/Haniza5
The structure of proposal form
 Requirements of Insurance Act 1996
 Questions of general nature
- Proposer’s name and address
- Risk address
- Proposer’s occupation
 Previous and present insurance
- loss experience
- sum insured
- subject matter
 Insurance related questions
- questions which are specific to the type of insurance
 Declaration
- requires the proposer to warrant the answers are true; the information is complete;
agree the proposal forms the basis of contract; accept the usual form of policy for that
class of business
 Signature
- the proposer should always sign the proposal form as it represents the offer in
the contract
P5125/Documentation/Haniza6
COVER NOTE
 Evidence of protection for a temporary period
of time
 It provides provisional cover which the
insurer reserving the rights to withdraw the
cover
 Provides usual coverage as in a standard
policy; the contract is subject to tariff
warranties and special clauses
P5125/Documentation/Haniza7
The contents
 Name and address of the insured
 Time and date of commencement of cover
 Period of insurance
 Description of risk covered
 Sum insured
 Rate and premium
 Any special terms
 Cover note serial number
 Date of issue
 Signature of the authorised signatory
 Terms of cancellation
 Statement to the effect
CERTIFICATE OF INSURANCE
 Normally issued when insurance is made
compulsory (motor insurance)
 It certifies that the insurance is issued by an
authorized insurer
 As an evidence of insurance to police and
motor vehicle’s registration authority
P5125/Documentation/Haniza8
POLICY FORMS
 Is a document drafted by an insurer
 Is not a contract but as a written evidence
 Need to be stamped
 Issued as a scheduled type
P5125/Documentation/Haniza9
The contents
 Heading : full name and address of the insurer
 Preamble/recital clause : introduces the parties to
the contract
 Operative/insurance clause : specifies the perils
insured and the circumstances the insurer will
become responsible
 Exclusions : restrictions on the scope of insurance
P5125/Documentation/Haniza10
The contents
 The schedule : information applicable to a
contract – insured’s name and address,
premium, policy no., date of issue, risk
covered, period of insurance
 Attestation/signature clause : signature of an
authorized official of the insurer
 Conditions : regulates the contract – express
conditions, implied conditions
P5125/Documentation/Haniza11
ENDORSEMENT
 Used to modify the terms and standard policy documents
 May be issued during the currency of the policy to record
alterations
 Alterations of :
- Variation in sum insured
- Change of insurable interest by way of sale, mortgage
- Extension of insurance to cover additional perils
- Change in risk
- Transfer of property to another location
- Cancellation of insurance
- Change in name and address
P5125/Documentation/Haniza12
RENEWAL NOTICE
 Usually issued a month prior to the expiry, reminding
the insured the existing policy will expire on a certain
date
 All relevant information of the policy : insured’s
name, policy no., expiry date, sum insured, premium
 Advise the insured to disclose all material alterations
in the risk, to revise the sum insured ( market value)
P5125/Documentation/Haniza13
CLAIM FORM
 Document used to gather information
relevant to assess claim : insured’s identity,
insured’s interest in the loss, circumstances
and extent of loss
 It does not constitute admission of liability of
the insurer
P5125/Documentation/Haniza14
DISCHARGE LETTER
 When a claim payment is settled, insured’s is required to execute a discharge
 To avoid the possibility of any further claims on the loss
The insured declared that he :
- Has received a sum of money from the insurer
- The money received is in full satisfaction of his claim
The third party :
- Has received a sum of money form the insurer
- The money is paid on behalf of the insured
- The money received is in full satisfaction
Settlement not by cash :
- repair, reinstate or replacement has been effected
- The work was carried out to the satisfaction of the claimant
P5125/Documentation/Haniza15

Chap 7 -_insurance_documents

  • 1.
  • 2.
    Course Learning Outcomes Distinguish clearly the various principles in insurance related aspects P5125/Documentation/Haniza2
  • 3.
    P5125/Documentation/Haniza3 PROPOSAL FORM  Aninsurance contract is effected when there is an offer an acceptance  Offer is made through the completion of proposal form and duly signed by the proposer
  • 4.
    P5125/Documentation/Haniza4 The usefulness ofproposal form  To assist the insurer in gathering information required to assess the risk proposed  To enable the insurer to consider application speedily and accurately
  • 5.
    P5125/Documentation/Haniza5 The structure ofproposal form  Requirements of Insurance Act 1996  Questions of general nature - Proposer’s name and address - Risk address - Proposer’s occupation  Previous and present insurance - loss experience - sum insured - subject matter  Insurance related questions - questions which are specific to the type of insurance  Declaration - requires the proposer to warrant the answers are true; the information is complete; agree the proposal forms the basis of contract; accept the usual form of policy for that class of business  Signature - the proposer should always sign the proposal form as it represents the offer in the contract
  • 6.
    P5125/Documentation/Haniza6 COVER NOTE  Evidenceof protection for a temporary period of time  It provides provisional cover which the insurer reserving the rights to withdraw the cover  Provides usual coverage as in a standard policy; the contract is subject to tariff warranties and special clauses
  • 7.
    P5125/Documentation/Haniza7 The contents  Nameand address of the insured  Time and date of commencement of cover  Period of insurance  Description of risk covered  Sum insured  Rate and premium  Any special terms  Cover note serial number  Date of issue  Signature of the authorised signatory  Terms of cancellation  Statement to the effect
  • 8.
    CERTIFICATE OF INSURANCE Normally issued when insurance is made compulsory (motor insurance)  It certifies that the insurance is issued by an authorized insurer  As an evidence of insurance to police and motor vehicle’s registration authority P5125/Documentation/Haniza8
  • 9.
    POLICY FORMS  Isa document drafted by an insurer  Is not a contract but as a written evidence  Need to be stamped  Issued as a scheduled type P5125/Documentation/Haniza9
  • 10.
    The contents  Heading: full name and address of the insurer  Preamble/recital clause : introduces the parties to the contract  Operative/insurance clause : specifies the perils insured and the circumstances the insurer will become responsible  Exclusions : restrictions on the scope of insurance P5125/Documentation/Haniza10
  • 11.
    The contents  Theschedule : information applicable to a contract – insured’s name and address, premium, policy no., date of issue, risk covered, period of insurance  Attestation/signature clause : signature of an authorized official of the insurer  Conditions : regulates the contract – express conditions, implied conditions P5125/Documentation/Haniza11
  • 12.
    ENDORSEMENT  Used tomodify the terms and standard policy documents  May be issued during the currency of the policy to record alterations  Alterations of : - Variation in sum insured - Change of insurable interest by way of sale, mortgage - Extension of insurance to cover additional perils - Change in risk - Transfer of property to another location - Cancellation of insurance - Change in name and address P5125/Documentation/Haniza12
  • 13.
    RENEWAL NOTICE  Usuallyissued a month prior to the expiry, reminding the insured the existing policy will expire on a certain date  All relevant information of the policy : insured’s name, policy no., expiry date, sum insured, premium  Advise the insured to disclose all material alterations in the risk, to revise the sum insured ( market value) P5125/Documentation/Haniza13
  • 14.
    CLAIM FORM  Documentused to gather information relevant to assess claim : insured’s identity, insured’s interest in the loss, circumstances and extent of loss  It does not constitute admission of liability of the insurer P5125/Documentation/Haniza14
  • 15.
    DISCHARGE LETTER  Whena claim payment is settled, insured’s is required to execute a discharge  To avoid the possibility of any further claims on the loss The insured declared that he : - Has received a sum of money from the insurer - The money received is in full satisfaction of his claim The third party : - Has received a sum of money form the insurer - The money is paid on behalf of the insured - The money received is in full satisfaction Settlement not by cash : - repair, reinstate or replacement has been effected - The work was carried out to the satisfaction of the claimant P5125/Documentation/Haniza15