Principles of Insurance
Insurance is a risk management tool that helps individuals and businesses mitigate financial losses in exchange for regular premium payments. The principles of insurance ensure that the system operates fairly and efficiently for both the insurer and the policyholder. Below are the key principles of insurance:
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Principle of Utmost Good Faith (Uberrimae Fidei)
This principle requires both parties (the insurer and the insured) to disclose all relevant information truthfully and fully. The insured must provide complete details about the risk to the insurer, and the insurer must disclose the terms of the insurance policy clearly. Failure to do so can lead to the voiding of the insurance contract. -
Principle of Insurable Interest
For an insurance contract to be valid, the insured must have an insurable interest in the subject matter of the insurance. This means that the insured should stand to gain financially from the preservation of the subject matter or suffer a financial loss in case of damage or loss. For example, a person insures their own house or car but cannot insure another person’s property unless they have a financial stake in it. -
Principle of Indemnity
The purpose of insurance is to restore the insured to the same financial position they were in before the loss, but not to allow them to profit from the claim. Indemnity ensures that the insured is compensated for their actual loss, not more or less. This principle applies primarily to property and casualty insurance policies. -
Principle of Subrogation
Once the insurer has paid out a claim, they are entitled to recover the amount of the claim from a third party responsible for the loss. Subrogation helps prevent the insured from receiving compensation from both the insurer and the third party. It ensures that the insured cannot “double dip” from both sources for the same loss. -
Principle of Contribution
If the insured holds multiple insurance policies that cover the same risk, this principle applies. It ensures that the insured cannot claim the full amount from each insurer. Instead, the insurers share the loss proportionally, based on the value of their respective policies. This principle avoids overcompensation for the same loss. -
Principle of Loss Minimization (Prevention of Loss)
The insured is expected to take reasonable steps to prevent or reduce the chances of a loss. This could include actions like maintaining safety measures or avoiding hazardous situations. Insurance policies may even require the insured to follow certain risk-reducing behaviors or procedures to be eligible for coverage or lower premiums. -
Principle of Proximate Cause
The proximate cause refers to the event that directly causes the loss or damage. In insurance, this principle helps determine which event is covered by the policy. If a loss occurs due to a series of events, the insurer will identify the primary or proximate cause of the damage, and only that cause will be covered under the terms of the policy. -
Principle of Causality
This principle connects the occurrence of a loss to a specific cause. It emphasizes that the insurer should only be liable for losses directly resulting from a covered risk. If the loss is caused by an event that is not part of the policy’s terms, the claim may be denied.
These principles form the foundation of the insurance industry, ensuring that both policyholders and insurers act in good faith and that the system remains fair and effective.