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Misrepresentation, Non-Disclosure and Breach ... - Law Commission

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INSURANCE ON THE LIFE OF ANOTHER<br />

Different types of life insurance<br />

6.53 There are many ways in which life insurance may be structured. An individual<br />

may insure their own life, so that any benefit is paid to their estate. They may<br />

insure their own life <strong>and</strong> assign the benefit to another. Alternatively, they may<br />

insure another’s life, so that they receive the benefit if the other person dies.<br />

6.54 Take a typical case in which a husb<strong>and</strong> <strong>and</strong> wife wish to take out life insurance. It<br />

would be possible for each to take out a separate life insurance policy on their<br />

own life, with either the payments paid to their estates or assigned to the other.<br />

Alternatively, they may each take out separate policies on each other’s lives, so<br />

that each benefits if the other dies. Another variation is to take out a “joint life,<br />

first death” policy, which is usually structured as a joint policy on each other’s<br />

lives: if the husb<strong>and</strong> dies first, the wife receives a payment, <strong>and</strong> vice versa. Or<br />

the couple may take out a policy that pays only if they both die (referred to as<br />

insurance on the “death of the last survivor”).<br />

6.55 Life insurance may raise difficult legal issues about insurable interest (particularly<br />

if the parties are cohabiting rather than married). We do not examine these<br />

issues here. Instead, we intend to consider them in our second consultation<br />

paper. Here we focus on a limited issue. How should the law treat a<br />

misrepresentation by the life insured, where they are not the policyholder under<br />

the contract?<br />

Consumer life-of-another policies: misrepresentations by the life insured<br />

6.56 This issue arises where a consumer policyholder takes out insurance on another<br />

person’s life, for example, where a husb<strong>and</strong> insures his wife’s life. The person<br />

whose life is being insured is asked questions about their age <strong>and</strong> state of health,<br />

<strong>and</strong> the insurer relies on the information to underwrite the risk. However, this<br />

person is not a party to the contract. Under current law they are under no duty to<br />

disclose information, <strong>and</strong> if they misrepresent the position, this will not of itself<br />

give the insurer the right to avoid the policy unless the policyholder knows of the<br />

misrepresentation.<br />

6.57 The insurer may, reasonably, want the policyholder to be contractually bound by<br />

the information provided. Under current law, the easiest way to achieve this is to<br />

use a basis of the contract clause. The policyholder signs a form to say that the<br />

answers given by the life insured form “the basis of the contract”. This converts<br />

all the answers provided by the life insured into warranties.<br />

6.58 The problem with basis of the contract clauses is that they go much further than<br />

is required to protect the insurer’s legitimate interests. By converting every<br />

statement by the person whose life is insured into a warranty, the insurer is<br />

automatically discharged from liability for any breach. Even an innocent <strong>and</strong><br />

reasonable mistake by the person whose life is insured would prevent the<br />

policyholder from recovering under the policy, whether it was material to the risk<br />

or not. We think this goes too far.<br />

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