The insurance contract is an
agreement where one party obligates itself to make good the financial loss or
damage sustained by a second party when a designated event occurs. The event
must be fortuitous and happen by accident. The named insured must have
insurable interest at the time of loss. One final point is that in order for
any contract to be considered insurance, there must be a risk of loss.
FORTUITOUS EVENT
An occurrence largely beyond the
control of any involved party; happening by chance; accidental; for example:
fire, lightning, windstorm, explosion, or flood.
INSURABLE INTEREST
In order to recover from a loss to
property, the holder must have an insurable interest in the property at the
time of the event or occurrence. An insurable interest is any right, title, or
interest in property where the holder of that right, title or interest sustains
financial loss if the property is damaged or destroyed. Any lawful and
substantial economic interest in the safety or preservation of the property
from loss, destruction or damage also constitutes an insurable interest.
An entity does not have to be the
property owner to have an insurable interest in it. Examples include, but are
not limited to, mortgagees, trustees, vendors, lessees and bailees. Insurable
interest for any entity must exist at the time the loss occurs.
RISK OF LOSS
If property could never be destroyed, there is no risk of loss. If
property must necessarily disintegrate or be destroyed, there is no risk of
loss. Between these two extremes is the exposure of risk that can be insured.
BINDERS (not mentioned in the policy)
A binder provides immediate coverage on a risk. A binder may be written or oral
and is temporary evidence of coverage. It is issued to show evidence of
insurance coverage subject to the policy being issued, is usually effective for
a 30-day period and remains in force for this period of time unless cancelled
or replaced by the actual policy.
Special
Legal Concepts
Affecting Insurance Contracts
ADHESION
A contract of adhesion is basically
one prepared by one party to be accepted by the second party. As a result, any
ambiguity in the contract is construed against the preparer; in this case, the
insurance company.
ALEATORY
This is a contract whose
performance depends on chance. Insurance policies are always considered
aleatory contracts because they promise to perform only if certain events
happen.