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xv | |
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lxi | |
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1 | (23) |
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1 The Development of Insurance |
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1 | (3) |
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4 | (9) |
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2.1 The General Definition of Insurance |
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4 | (4) |
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2.2 Regulated Insurance Business |
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8 | (5) |
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13 | (11) |
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14 | (3) |
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17 | (7) |
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2 Regulation of Insurance Business |
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24 | (35) |
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1 Origins of Domestic Regulation |
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24 | (3) |
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2 International and European Regulation |
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27 | (4) |
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3 Regulation of Insurance in the UK |
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31 | (8) |
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3.1 The Regulators and their Regulatory Principles |
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31 | (3) |
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3.2 General Prohibition and Authorisation |
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34 | (2) |
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36 | (1) |
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3.4 Appointed Representative |
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37 | (2) |
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39 | (2) |
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4.1 Principles for Businesses |
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39 | (1) |
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40 | (1) |
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4.3 Training and Competence |
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41 | (1) |
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41 | (1) |
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5 Prudential Sourcebook for Insurers |
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41 | (1) |
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42 | (1) |
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43 | (2) |
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43 | (1) |
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44 | (1) |
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8 Transfers of Insurance Business |
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45 | (2) |
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47 | (1) |
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48 | (1) |
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11 Insurance Intermediaries |
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49 | (3) |
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12 The Insolvency of Insurers |
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52 | (2) |
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13 The Financial Ombudsman Scheme |
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54 | (5) |
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3 Insurance Intermediaries |
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59 | (26) |
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59 | (4) |
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1.1 The Use of Agents in Insurance |
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59 | (1) |
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60 | (1) |
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1.2.1 Actual and Ostensible Authority |
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60 | (1) |
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61 | (1) |
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1.3 Rights and Duties in an Agency Relationship |
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61 | (2) |
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63 | (1) |
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64 | (21) |
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3.1 The Incidence of a Broker's Agency |
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64 | (1) |
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3.1.1 Brokers and Insurers |
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64 | (2) |
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3.1.2 Brokers and Third Parties |
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66 | (1) |
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3.2 Remuneration of Brokers |
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67 | (1) |
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3.3 The Broker's Duties on Placing Insurance |
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68 | (1) |
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3.3.1 Finding the Required Cover |
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68 | (3) |
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3.3.2 Advice on Presentation of the Risk |
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71 | (2) |
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3.4 The Broker's Post-contractual Duties |
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73 | (1) |
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3.4.1 The Operation of the Policy |
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73 | (2) |
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75 | (2) |
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3.5 Placing and Producing Brokers |
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77 | (3) |
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3.6 Remedies and Defences |
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80 | (1) |
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80 | (1) |
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81 | (4) |
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4 The Duty to Make a Fair Presentation of the Risk |
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85 | (59) |
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85 | (5) |
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1.1 The Doctrine of Utmost Good Faith |
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85 | (2) |
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1.2 Fair Presentation: The Origins of the Modern Statutory Structure |
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87 | (3) |
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2 Fair Presentation: Consumers |
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90 | (9) |
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2.1 The Elements of the 2012 Act |
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90 | (1) |
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90 | (1) |
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91 | (1) |
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92 | (2) |
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94 | (1) |
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2.1.5 Insurance on the Life of Another |
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95 | (1) |
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95 | (4) |
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3 Fair Presentation: Business Insurance |
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99 | (43) |
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99 | (1) |
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99 | (1) |
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3.2.1 The Meaning of Non-disclosure |
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99 | (1) |
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3.2.2 The Insured's Knowledge |
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100 | (3) |
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3.2.3 The Insurers' Knowledge |
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103 | (2) |
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3.2.4 Waiver of Disclosure by Insurers |
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105 | (3) |
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108 | (4) |
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3.4 Materiality and Inducement |
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112 | (1) |
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112 | (3) |
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115 | (5) |
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3.5 ExamplesofM aterial Facts |
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120 | (1) |
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120 | (1) |
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3.5.2 Moral Hazard Generally |
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120 | (2) |
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3.5.3 Moral Hazard: The Insured's Criminal Record and Integrity |
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122 | (3) |
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3.5.4 Outstanding Charges and Allegations of Criminality |
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125 | (3) |
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128 | (1) |
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3.6 Duration of the Duty of Fair Presentation |
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129 | (1) |
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3.6.1 Change of Circumstances before Contract |
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129 | (1) |
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130 | (1) |
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3.6.3 Change of Circumstances after Contract |
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131 | (3) |
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3.6.4 Open Covers and Declarations |
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134 | (1) |
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3.7 Remedies for Breach of the Duty of Fair Presentation |
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134 | (1) |
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3.7.1 The Statutory Remedies |
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134 | (2) |
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136 | (1) |
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3.7.3 Waiver by Affirmation |
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136 | (4) |
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140 | (1) |
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3.8 Contractual Arrangements Varying the Legal Position |
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140 | (2) |
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4 The Insurers' Duty of Fair Presentation |
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142 | (2) |
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5 Formation of the Insurance Contract |
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144 | (21) |
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1 The Making of the Contract |
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144 | (9) |
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144 | (4) |
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1.2 Commencement of the Risk |
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148 | (1) |
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1.3 Renewals and Extensions |
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149 | (1) |
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1.4 Insurance Contracts in the Subscription Market |
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149 | (3) |
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152 | (1) |
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153 | (3) |
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156 | (4) |
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3.1 Payment of the Premium |
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156 | (2) |
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3.2 Effect of Non-payment of Premium |
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158 | (1) |
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159 | (1) |
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160 | (3) |
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4.1 Effect of Mistake on the Contract |
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160 | (2) |
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162 | (1) |
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163 | (2) |
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165 | (28) |
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1 History and Legal Framework |
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165 | (2) |
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2 Insurable Interest in Lives: The Life Assurance Act 1774 |
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167 | (10) |
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2.1 Effects of the 1774 Act |
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167 | (2) |
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2.2 Time When Interest Must Be Shown |
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169 | (1) |
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2.3 Defining Insurable Interest in Life Policies |
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170 | (1) |
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2.3.1 Own Life and Spouse Policies |
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170 | (1) |
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2.3.2 Other Family Relationships |
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170 | (2) |
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2.3.3 The Employer--Employee Relationship |
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172 | (2) |
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2.3.4 Creditor and Debtor Insurance |
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174 | (1) |
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2.4 Naming the Insured in the Policy Document |
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174 | (2) |
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176 | (1) |
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3 Insurable Interest in Marine and Property Insurance |
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177 | (16) |
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3.1 The Requirement for Insurable Interest |
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177 | (1) |
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3.2 The Definition of Insurable Interest |
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178 | (1) |
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178 | (3) |
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3.2.2 Sales of Real Property |
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181 | (1) |
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182 | (1) |
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183 | (2) |
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3.2.5 Marine Insurance: Specific Cases |
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185 | (1) |
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3.3 Towards a Broader Test of `Factual Expectation' |
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186 | (7) |
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193 | (18) |
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1 Third Parties and Insurance |
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193 | (1) |
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2 Insuring on Behalf of Another Person |
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194 | (10) |
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194 | (1) |
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2.1.1 Ordinary Agency Principles |
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194 | (2) |
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2.1.2 Undisclosed Principal |
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196 | (2) |
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198 | (2) |
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200 | (1) |
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200 | (2) |
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2.2.2 Married Women's Property Act 1882 |
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202 | (1) |
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2.3 Contracts (Rights of Third Parties) Act 1999 |
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203 | (1) |
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3 The Rights of Co-insureds |
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204 | (3) |
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3.1 The Nature of Co-insurance |
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204 | (1) |
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3.2 The Rights of the Parties under Co-insurance Arrangements |
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205 | (1) |
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3.2.1 Insurable Interest and Measure of Indemnity |
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205 | (1) |
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3.2.2 Breach of the Duty of Fair Presentation |
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206 | (1) |
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3.2.3 Breach of Other Duties |
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207 | (1) |
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207 | (4) |
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207 | (1) |
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4.2 Assignment of the Policy |
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208 | (1) |
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4.3 Assignment of the Proceeds of the Policy |
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209 | (2) |
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8 The Terms of the Insurance Contract |
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211 | (34) |
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1 The Classification of Terms of Insurance Contracts |
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211 | (3) |
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1.1 The Perspective of the General Law of Contract |
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211 | (1) |
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1.2 Classification of Terms |
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212 | (2) |
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214 | (12) |
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2.1 Conditions Precedent to the Risk |
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214 | (1) |
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2.2 Conditions Precedent to Liability |
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215 | (1) |
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2.3 Terms Not Expressed to Be Conditions Precedent |
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216 | (1) |
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2.4 Distinguishing Conditions Precedent and Other Terms |
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217 | (1) |
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218 | (1) |
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2.5.1 Construction of Conditions |
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218 | (1) |
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2.5.2 Waiver of Breach of Condition |
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219 | (3) |
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2.6 Section 11 of the Insurance Act 2015 |
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222 | (1) |
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2.6.1 Background to Reform |
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222 | (2) |
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224 | (1) |
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2.6.3 Defining the Risk as a Whole |
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224 | (1) |
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2.6.4 Effect of Non-compliance |
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225 | (1) |
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226 | (10) |
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3.1 The Nature of Warranties |
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226 | (1) |
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3.1.1 The Meaning of the Word `Warranty' |
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226 | (1) |
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3.1.2 Creation of Warranties |
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227 | (2) |
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3.2 Construction of Warranties |
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229 | (1) |
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3.2.1 Present and Continuing Warranties |
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229 | (3) |
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3.2.2 The Obligations Imposed by Warranties |
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232 | (3) |
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235 | (1) |
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4 Consequences of Breach of Warranty |
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236 | (9) |
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4.1 The Common Law and the Codification |
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236 | (2) |
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4.2 Suspensory Conditions |
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238 | (3) |
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241 | (4) |
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9 Construing the Terms of the Insurance Contract |
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245 | (17) |
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1 The Intentions of the Parties |
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245 | (9) |
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1.1 The Approach of the English Courts |
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245 | (3) |
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1.2 Pre-contractual Negotiations: The Exclusionary Rule |
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248 | (1) |
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1.3 The Post-contractual Conduct of the Parties |
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249 | (1) |
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250 | (2) |
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1.5 Reasonable Expectations of the Insured |
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252 | (2) |
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2 Specific Rules of Construction |
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254 | (5) |
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2.1 Words with Established Meaning |
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254 | (2) |
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256 | (1) |
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257 | (1) |
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257 | (1) |
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2.5 The Format of the Policy |
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258 | (1) |
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3 Consumer Rights Act 2015 |
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259 | (1) |
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260 | (2) |
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262 | (28) |
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262 | (4) |
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2 Agreements to Alter the Rule of Causation |
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266 | (4) |
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270 | (3) |
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3.1 The Nature of Concurrent Causes |
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270 | (1) |
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3.2 Interdependent Concurrent Causes |
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270 | (2) |
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3.3 Independent Concurrent Causes |
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272 | (1) |
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4 The Conduct of the Insured |
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273 | (17) |
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4.1 Evasive Action Taken by the Insured |
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273 | (4) |
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277 | (1) |
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4.2.1 Deliberate Intention to Cause Loss |
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277 | (1) |
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278 | (3) |
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281 | (1) |
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4.3.1 The Forfeiture Rule |
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281 | (1) |
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4.3.2 Forfeiture Act 1982 |
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282 | (1) |
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4.3.3 Deliberate Killing and Liability Insurance |
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283 | (2) |
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285 | (2) |
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4.4 The Relevance of the Insured's Negligence |
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287 | (3) |
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290 | (24) |
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290 | (8) |
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1.1 Determining the Nature of Claims Conditions |
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290 | (1) |
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291 | (3) |
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1.3 Particulars of the Loss and Co-operation Clauses |
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294 | (2) |
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1.4 Waiver of Breach of Condition |
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296 | (1) |
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297 | (1) |
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2 The Insurers' Duties in Handling Claims |
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298 | (2) |
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3 Fraudulent Claims by the Insured |
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300 | (9) |
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3.1 What Is a Fraudulent Claim? |
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301 | (1) |
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3.1.1 The Meaning of `Fraud' |
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301 | (1) |
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3.1.2 The Meaning of `Claim' |
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301 | (1) |
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3.1.3 Classes of Fraudulent Claim |
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302 | (3) |
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3.1.4 Fraudulent Means or Devices |
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305 | (1) |
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306 | (1) |
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3.2 The Consequences of a Fraudulent Claim |
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307 | (1) |
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3.2.1 Effect of the Insurance Act 2015 on a Fraudulent Claimant |
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307 | (1) |
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3.2.2 Beneficiaries and Co-insureds |
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308 | (1) |
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3.2.3 Express Fraudulent Claims Clauses |
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309 | (1) |
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4 Fraudulent Claims by Third Parties |
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309 | (1) |
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310 | (1) |
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311 | (3) |
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12 Indemnity and Reinstatement |
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314 | (28) |
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1 The Principle of Indemnity |
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314 | (8) |
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314 | (1) |
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314 | (1) |
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315 | (1) |
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316 | (1) |
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1.2.1 The Meaning of Indemnity: Valued and Unvalued Policies |
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316 | (2) |
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1.2.2 Unvalued Policies on Buildings |
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318 | (2) |
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1.2.3 Unvalued Policies on Goods |
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320 | (2) |
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322 | (7) |
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322 | (1) |
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2.2 Under-insurance and the Principle of Average |
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323 | (1) |
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324 | (1) |
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324 | (1) |
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325 | (1) |
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2.5.1 The Importance of Aggregation |
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325 | (1) |
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2.5.2 Event and Occurrence |
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325 | (1) |
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326 | (1) |
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327 | (2) |
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329 | (7) |
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3.1 The Common Law Background |
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329 | (3) |
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332 | (1) |
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3.3 Statutory Provision for Late Payment |
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333 | (1) |
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3.3.1 The Right to Damages for Late Payment |
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333 | (2) |
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335 | (1) |
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336 | (1) |
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336 | (6) |
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4.1 Contractual Reinstatement |
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336 | (3) |
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4.2 Fires Prevention (Metropolis) Act 1774, Section 83 |
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339 | (3) |
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13 Subrogation and Contribution |
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342 | (27) |
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342 | (20) |
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1.1 The Nature of Subrogation |
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342 | (1) |
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1.1.1 Origins and Purposes |
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342 | (2) |
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1.1.2 Is Subrogation Discretionary? |
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344 | (2) |
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1.1.3 Subrogation, Contribution, Abandonment and Assignment |
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346 | (1) |
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1.2 The Requirements for Subrogation |
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347 | (1) |
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1.2.1 The Policy Must Be an Indemnity Policy |
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347 | (1) |
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1.2.2 The Provision of an Indemnity |
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347 | (2) |
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1.2.3 The Insurance Payment Must Relate to a Loss under the Policy |
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349 | (1) |
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1.2.4 The Sum Received from the Third Party Must Relate to the Insured Loss |
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350 | (1) |
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1.2.5 The Action Must Be Brought in the Name of the Insured |
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351 | (2) |
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1.3 The Allocation of Subrogation Recoveries |
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353 | (1) |
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1.3.1 The Insured Must Be Fully Indemnified |
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353 | (2) |
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1.3.2 The Insurers May Not Make a Profit |
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355 | (1) |
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1.3.3 Holding the Proceeds |
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355 | (1) |
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1.4 Subrogation Immunity and Third Parties |
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356 | (1) |
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356 | (1) |
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1.4.2 Composite Insurance |
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356 | (2) |
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1.4.3 Third Party Immunity |
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358 | (2) |
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1.4.4 Effect of Contractual Arrangements Removing or Restricting Subrogation Rights |
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360 | (1) |
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1.4.5 Subrogation Waiver by the Insurers |
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361 | (1) |
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2 Double Insurance and Contribution |
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362 | (7) |
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362 | (1) |
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2.1.1 Significance and Meaning |
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362 | (2) |
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2.1.2 Contractual Variations on Double Insurance |
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364 | (2) |
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366 | (1) |
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2.2.1 The Nature of Contribution |
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366 | (1) |
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2.2.2 The Timing of a Contribution Claim |
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367 | (1) |
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2.2.3 Calculating Contribution |
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368 | (1) |
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369 | (24) |
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1 Requirements of Compulsory Insurance |
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369 | (8) |
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1.1 Compulsory Liability Cover |
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369 | (1) |
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1.1.1 The Obligation to Insure |
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369 | (2) |
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1.1.2 The Policy of Insurance |
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371 | (1) |
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1.1.3 The Certificate of Insurance |
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372 | (1) |
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373 | (1) |
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374 | (1) |
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375 | (1) |
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1.5 `Road or Other Public Place' |
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376 | (1) |
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377 | (6) |
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2.1 The Liability of the Insured: Breach of Statutory Duty |
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377 | (1) |
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2.2 Action against Insurer to Enforce a Judgment |
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378 | (1) |
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2.2.1 Elements of the Enforcement Action |
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378 | (1) |
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2.2.2 Defences to an Enforcement Action |
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379 | (1) |
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2.3 Direct Action against Insurers |
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380 | (1) |
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381 | (1) |
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382 | (1) |
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2.6 Deliberate Running Down |
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383 | (1) |
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3 Hire of Replacement Vehicles |
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383 | (2) |
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4 The Effect of Exclusions in the Policy |
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385 | (4) |
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385 | (2) |
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4.2 Contractual Limits on Coverage |
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387 | (2) |
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5 Uninsured and Untraced Drivers |
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389 | (2) |
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5.1 The Motor Insurers' Bureau |
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389 | (1) |
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5.2 The Uninsured Drivers Agreement 2015 |
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389 | (2) |
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5.3 The Untraced Drivers Agreement 2017 |
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391 | (1) |
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6 Cross-border Accidents: The Green Card Scheme |
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391 | (2) |
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393 | (28) |
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1 Principles Applicable to Liability Policies |
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393 | (15) |
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1.1 Importance of Liability Insurance |
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393 | (1) |
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1.2 Types of Liability Policy |
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394 | (1) |
|
1.2.1 Occurrence Policies |
|
|
394 | (1) |
|
1.2.2 Claims Made Policies |
|
|
395 | (4) |
|
1.3 Scope of Liability Policies |
|
|
399 | (1) |
|
|
399 | (1) |
|
1.3.2 Classification of the Claim against the Insured |
|
|
400 | (1) |
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|
401 | (1) |
|
|
401 | (1) |
|
1.4.1 The Trigger for Coverage |
|
|
401 | (2) |
|
1.4.2 The Duties of the Insured in the Claims and Settlement Process |
|
|
403 | (1) |
|
1.4.3 The Duties of the Insurers in the Settlement Process |
|
|
404 | (1) |
|
1.4.4 The Insurers' Duties in Defending the Insured |
|
|
405 | (1) |
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|
406 | (2) |
|
2 Specific Forms of Liability Insurance |
|
|
408 | (7) |
|
2.1 Employers' Liability Insurance |
|
|
408 | (1) |
|
|
408 | (2) |
|
|
410 | (2) |
|
|
412 | (1) |
|
2.2 Product Liability Insurance |
|
|
413 | (1) |
|
2.3 Directors and Officers Liability Insurance |
|
|
414 | (1) |
|
3 Third Parties (Rights against Insurers) Act 2010 |
|
|
415 | (6) |
|
3.1 Background to the 2010 Act |
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|
415 | (1) |
|
3.2 Conditions for the Application of the 2010 Act |
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|
416 | (1) |
|
3.2.1 Scope of the 2010 Act |
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|
416 | (1) |
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|
417 | (1) |
|
3.2.3 Insurers' Defences under the Policy |
|
|
418 | (2) |
|
3.2.4 Obtaining Insurance Information |
|
|
420 | (1) |
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|
421 | (17) |
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|
421 | (6) |
|
1.1 The Nature of Property Insurance |
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|
421 | (1) |
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|
422 | (2) |
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|
424 | (3) |
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|
427 | (1) |
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|
427 | (4) |
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|
427 | (2) |
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|
429 | (2) |
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|
431 | (4) |
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|
435 | (3) |
|
4.1 Legal Expenses Insurance |
|
|
435 | (1) |
|
4.2 After the Event Insurance |
|
|
436 | (2) |
|
|
438 | (36) |
|
1 Interpreting the Marine Insurance Act 1906 |
|
|
438 | (1) |
|
2 The Form of a Marine Insurance Policy |
|
|
439 | (1) |
|
3 The Nature of Marine Insurance |
|
|
440 | (2) |
|
4 Time and Voyage Policies |
|
|
442 | (3) |
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|
445 | (5) |
|
5.1 Express and Implied Warranties |
|
|
445 | (1) |
|
|
445 | (1) |
|
5.2.1 Seaworthiness in Voyage Policies |
|
|
445 | (3) |
|
5.2.2 Seaworthiness in Time Policies |
|
|
448 | (1) |
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|
449 | (1) |
|
|
450 | (3) |
|
7 Exclusions from Marine Policies |
|
|
453 | (4) |
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|
453 | (1) |
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|
453 | (3) |
|
7.3 War and Strikes Risks |
|
|
456 | (1) |
|
|
457 | (13) |
|
|
457 | (1) |
|
8.1.1 Total, Loss and Partial Loss |
|
|
457 | (2) |
|
8.1.2 Constructive Total Loss |
|
|
459 | (3) |
|
8.1.3 Notice of Abandonment |
|
|
462 | (1) |
|
8.1.4 Rights over the Abandoned Subject Matter |
|
|
463 | (3) |
|
|
466 | (1) |
|
|
467 | (3) |
|
|
470 | (2) |
|
9.1 The Duty to Sue and Labour |
|
|
470 | (1) |
|
9.2 Payment for Suing and Labouring Expenditure |
|
|
471 | (1) |
|
|
472 | (2) |
|
|
474 | (21) |
|
|
474 | (2) |
|
2 Types of Reinsurance Contracts |
|
|
476 | (3) |
|
3 Formation of the Contract |
|
|
479 | (2) |
|
4 Express and Implied Terms |
|
|
481 | (5) |
|
4.1 Express Terms and Incorporation of Terms |
|
|
481 | (2) |
|
|
483 | (1) |
|
4.3 Interpretation of Reinsurance Contracts: The Presumption of Back-to-Back Cover |
|
|
483 | (3) |
|
|
486 | (9) |
|
|
486 | (1) |
|
5.2 The Effect of a Settlement by the Reinsured |
|
|
487 | (2) |
|
5.3 Follow the Settlements |
|
|
489 | (2) |
|
5.4 Proof of Loss under Treaties |
|
|
491 | (1) |
|
|
492 | (1) |
|
5.6 `Claims Co-operation' or `Claims Control' Clauses |
|
|
493 | (2) |
|
|
495 | (22) |
|
|
495 | (1) |
|
2 Mesothelioma and Liability Insurance |
|
|
495 | (6) |
|
2.1 Liability in Tort for Mesothelioma |
|
|
495 | (2) |
|
2.2 Insurance Issues Arising from Mesothelioma |
|
|
497 | (3) |
|
2.3 Reinsurance Issues Arising from Mesothelioma |
|
|
500 | (1) |
|
3 COVID-19 and Business Interruption Insurance |
|
|
501 | (8) |
|
3.1 The Nature of Business Interruption Insurance |
|
|
501 | (2) |
|
|
503 | (3) |
|
|
506 | (2) |
|
|
508 | (1) |
|
4 Earthquakes and Property Insurance |
|
|
509 | (8) |
|
4.1 The Canterbury Earthquakes |
|
|
509 | (1) |
|
4.2 Insurance Coverage for Property Damage |
|
|
510 | (3) |
|
|
513 | (2) |
|
4.4 Sale of Damaged Buildings |
|
|
515 | (2) |
Index |
|
517 | |