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PRINCIPLES OF AGREEMENT - Coggle Diagram
PRINCIPLES OF AGREEMENT
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REASONABLE MAN TEST
The proposer is expected to provide an insurer with all the relevant information required that a reasonable man would know to be material to the risk. If a reasonable man would have recognised the facts to be material, the proposer is expected also to recognise this.
With a life insurance proposal there is some information that will always be considered to be material and so must be disclosed:
- Insurance record of the proposer/insured
The fact that a policy has been cancelled, or that a previous proposal was declined, or accepted at other than ordinary terms, must be disclosed.
- Risk experience of proposer
Should the proposer have submitted a dread disease or disability claim at any time in the past and is now looking for cover for the same risk, this must be disclosed.
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PROVIDED AS BACKGROUND INFORMATION ONLY There are certain policy conditions which will automatically be declared null and void if an insurer should rely on them, whether they have been included or not.
- Firstly, an insurer cannot claim exemption from liability for the actions, omissions or representations made by a person acting on its behalf in relation to a long term policy.
- Secondly, no insurer can decline its obligations in terms of a long term policy, by claiming that the person who negotiated on behalf of the policyholder was not acting on behalf of the insured.
- Thirdly, an insurer cannot make the payment of a claim contingent on the admission of the claim by a reinsurer.
- Fourthly, any provision in any documentation that waives the rights granted by FAIS or the Long Term Insurance Act to any person entering into a long term contract, or the rights of a life insured under a long term policy, are void abinitio.