Which insurance terms and conditions can reduce a policyholder's entitlement to full indemnity following a loss?

Study for the CII Insurance Law (M05) exam. Enhance your preparation with quizzes featuring multiple choice questions, detailed hints, and explanations. Get ready to ace your test!

The correct answer is that both an average clause and a policy excess can reduce a policyholder's entitlement to full indemnity following a loss.

An average clause is often included in property insurance policies to ensure that the policyholder insures the property for its full value. When a policyholder underinsures their property, the average clause will come into play, and in the event of a loss, the insurer may only pay a proportion of the claim. This is calculated based on the level of insurance in relation to the actual value of the property at risk. Therefore, if a policyholder has insured their property for less than its value, they will not receive full indemnity, as the claim settlement will be adjusted downwards according to the average clause.

A policy excess, on the other hand, refers to the amount that a policyholder must pay out of their own pocket when they make a claim. For example, if a policy has an excess of $500 and the loss is $2,000, the insurer will only cover the remaining $1,500 after the excess is deducted. This means that the policyholder is not entitled to the full amount of the loss but rather a reduced amount after accounting for the excess.

Both of these mechanisms work

Subscribe

Get the latest from Examzify

You can unsubscribe at any time. Read our privacy policy