Insurance terms and conditions for casco (valid from ... - GJENSIDIGE
Insurance terms and conditions for casco (valid from ... - GJENSIDIGE
Insurance terms and conditions for casco (valid from ... - GJENSIDIGE
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
TERMS AND CONDITIONS OF VEHICLE INSURANCE<br />
Unofficial translation<br />
The present <strong>terms</strong> <strong>and</strong> <strong>conditions</strong> of vehicle insurance shall be<br />
applied to the insurance contracts concluded in the Estonian Branch<br />
of AAS Gjensidige Baltic, the insurance object of which is a l<strong>and</strong><br />
vehicle registered at the Estonian Motor Vehicle Registration Centre.<br />
The parties shall emanate <strong>from</strong> the Law of Obligations Act <strong>and</strong> other<br />
legal acts of the Republic of Estonia in the questions unsettled in the<br />
<strong>terms</strong> <strong>and</strong> <strong>conditions</strong> of vehicle insurance.<br />
TERMS<br />
Insurer is the Estonian Branch of AAS Gjensidige Baltic.<br />
Policyholder is a person who has concluded an insurance contract<br />
with the Insurer. Policyholder is the a person who has an insurable<br />
interest as the owner of the insured object or as its lawful possessor.<br />
The lawful possessors of the insurance object <strong>and</strong> the employees of<br />
the Policyholder shall be equated with the Policyholder in fulfilling the<br />
obligations resulting <strong>from</strong> the insurance contract.<br />
Beneficiary is the person specified in the insurance contract to whom<br />
the insurance indemnity shall be paid in case of an insured event.<br />
Sum insured is the sum determined in the insurance contract which<br />
shall be the insurance limit in case of an insured event. If the<br />
insurance contract does not state otherwise, the sum insured is equal<br />
to the insurable value. The sum insured shall not decrease at the<br />
payment of the insurance indemnity.<br />
Insurable value is the market value of the insurance object at the<br />
conclusion of the insurance contract.<br />
Market value is the average sale price of the insured object in the<br />
Republic of Estonia (hereinafter Estonia) at the conclusion of the<br />
insurance contract.<br />
New value insurance is the insurance cover of a new vehicle. A<br />
new vehicle is a vehicle which has not had any owners after the<br />
issuance <strong>from</strong> the factory <strong>and</strong> the vehicle is registered <strong>for</strong> the first<br />
time in Estonia.<br />
Insured event is, in the framework of the present <strong>conditions</strong>, the<br />
damage, destruction or loss of the vehicle, if this event is the basis <strong>for</strong><br />
the insurance indemnity on the basis of the contract.<br />
<strong>Insurance</strong> Indemnity is the sum paid after the occurrence of the<br />
insured event, <strong>from</strong> which excess has been subtracted. The <strong>for</strong>m <strong>and</strong><br />
the amount of the insurance indemnity shall be decided by the<br />
Insurer. The <strong>for</strong>m of the indemnity may be a monetary indemnity or<br />
replacing the damaged vehicle <strong>and</strong>/or its parts or reimbursing its<br />
replacing costs. The amount of the paid indemnity<br />
is limited with the size of the property damage <strong>and</strong> the insurance<br />
sum.<br />
<strong>Insurance</strong> premium is the amount of money which the Policyholder<br />
must pay to the Insurer by date (dates) agreed on in the insurance<br />
contract. In calculating the insurance premium the agreed insurance<br />
option (limited motor hull insurance, comprehensive motor hull<br />
insurance), <strong>valid</strong>ity area, the category <strong>and</strong> usage area of the vehicle,<br />
the amount <strong>and</strong> value of the accessories, the size of excess, etc. are<br />
taken into account.<br />
Anti-theft device – alarm device, security bolts on cast wheel discs<br />
or any other anti-theft device which should be installed to the vehicle<br />
priot to the conclusion of the insurance contract, if the Insurer has<br />
required this to decrease the insured risk.<br />
The alarm device is an electronical device the task of which is to give<br />
sound <strong>and</strong> optical signs, if the unauthorised person opens either the<br />
door or hatch of the vehicle or disturbs other alarm sensors<br />
(compartment sensor, dump sensor, jolt sensor etc) <strong>and</strong> hinder the<br />
starting of the vehicle (immobiliser).<br />
1. OBJECT OF INSURANCE<br />
1.1. The Object of <strong>Insurance</strong> is a l<strong>and</strong> vehicle (hereinafter Vehicle)<br />
registered at the Estonian Motor Vehicle Registration Centre.<br />
1.2. The completeness of the vehicle (the st<strong>and</strong>ard equipment <strong>and</strong><br />
accessories of the vehicle) shall be determined in the insurance<br />
contract.<br />
1.3. The object of insurance may also be an object inside the vehicle,<br />
when it has been agreed upon in the insurance contract, except <strong>for</strong><br />
antiques, unique objects <strong>and</strong> object of precious metal, collections,<br />
manuscripts, cash <strong>and</strong> securities, documents, photos, plans <strong>and</strong><br />
schemes, personal computers <strong>and</strong> electronic data media, mobile<br />
phones <strong>and</strong> other analogous electronic devices.<br />
2. INSURED RISK<br />
2.1. The insured risk is the hazard against which the vehicle is<br />
insured.<br />
2.2. The increase of the insured risk shall primarily be influenced by<br />
changing the area of application of the vehicle (giving the normal<br />
vehicle into use <strong>for</strong> a fee, <strong>for</strong> instance as a short-term rental or a<br />
rental vehicle, a taxi, etc.), the making of duplicate keys, exchanging<br />
the anti-theft equipment, the loss of the vehicle’s registration<br />
documents, etc.<br />
2.3. The Insurer must be notified of all the a<strong>for</strong>ementioned changes<br />
increasing the insured risk <strong>and</strong> also of changes <strong>for</strong> which the<br />
Policyholder can not decide whether the insured risk increases or not.<br />
3. INSURED EVENT<br />
3.1. The insured event is the damage, destruction or loss of the<br />
vehicle or its parts as a result of the events determined in the<br />
following insurance options.<br />
3.2. Limited motor hull insurance – An unexpected damage<br />
resulting <strong>from</strong> a direct <strong>and</strong> un<strong>for</strong>eseeable external mechanical <strong>for</strong>ce<br />
(including traffic accident) on the vehicle or its part (parts), damage<br />
caused by a natural disaster, damage caused by fire (including<br />
damage caused by smoke, carbon black <strong>and</strong> extinguishing works),<br />
damage caused by explosion <strong>and</strong> damage caused by the impairment<br />
of the vehicle by third parties (v<strong>and</strong>alism). Also all necessary <strong>and</strong><br />
reasoned costs <strong>for</strong> pulling the vehicle back on the road or the<br />
reasoned costs <strong>for</strong> transporting the vehicle to the nearest repairer or<br />
to the primary repairer determined by the Insurer incipiated due to<br />
the a<strong>for</strong>ementioned events are compensated <strong>for</strong> in the amount of up<br />
to 190 euros. Provided the property damage caused to the vehicle<br />
(e.g. repairs costs) will be below the excess rate, the property<br />
damage of the vehicle + the vehicle pulling on/transport costs<br />
(considering the indemnity limit) are subject to compensation within<br />
the part exceeding the excess rate.<br />
VEHICLE INSURANCE CONDITIONS SK101•2011 (<strong>valid</strong> <strong>from</strong> 01.03.2011) 1/5
3.3. Comprehensive motor hull insurance – damage stipulated in<br />
clause 3.2. shall be indemnified, also damage due to the theft of the<br />
vehicle or its parts, damage incipiated by the robbery or robbery<br />
attempt of the vehicle on the premise that the vehicle had anti-theft<br />
device accepted by Insurer installed <strong>and</strong> in working order at the time<br />
of the a<strong>for</strong>ementioned event (the working requirement does not apply<br />
in case of robbery) <strong>and</strong> the parts of the stolen vehicle were<br />
permanently connected with the vehicle at the moment of the theft.<br />
3.4. Glass insurance – damage <strong>from</strong> an extra-vehicle <strong>for</strong>ce on the<br />
windows (car, light truck – salon windows <strong>and</strong> truck, bus –<br />
windshield) shall be compensated <strong>for</strong> if the glass needs to be<br />
replaced or repaired <strong>for</strong> compliance with the technical requirements of<br />
the vehicle. Windshield is the glass in the field of vision of the driver<br />
at the onward driving of the vehicle, the level of which is<br />
perpendicular with the longitudinal axis of the vehicle. Glass<br />
insurance also compensates <strong>for</strong> the membrane on the glass if it has<br />
been installed in consistency with the requirements <strong>valid</strong> in<br />
Estonia.The glass insurance cover is not exp<strong>and</strong>ing to the glass roof<br />
<strong>and</strong> glass roof hatch. The sum insured of the glass of the vehicle<br />
(compartment window or windshield) is the price of a new or<br />
equivalent glass with installation costs.<br />
3.5. New value insurance – damage resulting <strong>from</strong> the insured<br />
events determined in clauses 3.2. <strong>and</strong> 3.3. shall be compensated <strong>for</strong><br />
in the amount of the first-h<strong>and</strong> sale price of the vehicle together with<br />
the st<strong>and</strong>ard equipment <strong>and</strong> accessories, certified by the vendor (the<br />
insurable value of a vehicle equates with the first-h<strong>and</strong> sale price), on<br />
the following special <strong>conditions</strong>:<br />
3.5.1. new value insurance applies during 1 year <strong>from</strong> the conclusion<br />
of the primary insurance contract <strong>and</strong>/or passage of 25000 km;<br />
3.5.2. new value insurance coverage is offered <strong>for</strong> a vehicle, the firsth<strong>and</strong><br />
sale of which was no longer than 45 calendar days ago;<br />
3.5.3. new value insurance compensates <strong>for</strong> the loss only if the repair<br />
costs exceed 65% of the first-h<strong>and</strong> sale price of the vehicle;<br />
3.5.4. new value insurance only compensates <strong>for</strong> the damages if the<br />
vehicle has had a single owner <strong>from</strong> the first-h<strong>and</strong> sale;<br />
3.5.5. all unpaid insurance payments, excess <strong>and</strong> possible<br />
contractual indemnity decreases shall be deducted <strong>from</strong> the new<br />
value insurance benefit.<br />
3.6. Lack of usage – reasoned damage caused by the lack of the<br />
possibility to use the vehicle is compensated <strong>for</strong>. The lack of the<br />
possibility to use the vehicle is a situation:<br />
3.6.1. when the damage to the vehicle due to the insured event<br />
stipulated in clauses 3.2. <strong>and</strong> 3.3. is being eliminated at a repair shop;<br />
3.6.2. when the technical condition of the vehicle after the occurrence<br />
of the insured event prohibits its use or the vehicle may not be used<br />
according to the stipulations provided in the legal acts, then the<br />
reasoned lack of usage is also the period inbetween the insured<br />
event <strong>and</strong> the repairs.<br />
Time expense caused by the unreasoned actions/inactivity of the<br />
Policyholder is not regarded as the lack of usage;<br />
3.6.3. if the vehicle has departed <strong>from</strong> the usage/ownership of its<br />
lawful possessor at the occurrence of an insured event mentioned in<br />
clause 3.3. <strong>and</strong> only if the Insurer has the obligation to compensate<br />
<strong>for</strong> the damages.<br />
3.7. The following shall apply to the lack of usage restitution:<br />
3.7.1. the <strong>for</strong>m of the insurance indemnity is cash benefit;<br />
3.7.2. insurance indemnity shall be paid <strong>from</strong> the fifth day <strong>and</strong> <strong>for</strong> one<br />
insured event <strong>for</strong> the maximum of 16 calendar days, excess is 4<br />
calendar days <strong>from</strong> the occurrence of the insured event of lack of<br />
usage;<br />
3.7.3. the maximum insurance indemnity <strong>for</strong> one calendar day has<br />
been stipulated in the insurance contract;<br />
3.7.4. maximally 2 insured events are reimbursed <strong>for</strong> a one-year<br />
insurance period.<br />
4. EXCESS<br />
4.1. Excess is a part of the damage determined in the insurance<br />
contract that the Insurer r shall not reimburse.<br />
4.2. Excess shall be applied as follows:<br />
4.2.1. the main excess in case of traffic accidents, natural disasters,<br />
v<strong>and</strong>alism or fire shall be measured as a sum of money;<br />
4.2.2. in case of the theft <strong>and</strong> robbery of the vehicle <strong>and</strong> its single<br />
parts (including the navigation, DVD <strong>and</strong> audio system) a percentage<br />
<strong>from</strong> the amount of loss is applied, but no less than the main excess<br />
set in the insurance contract. In the case stipulated in clause 11.3 the<br />
excess of theft is applied in double sum.<br />
4.2.3. in case of lack of usage indemnification the time period is<br />
applied;<br />
4.2.4. in case of the total destruction of the vehicle a percentage <strong>from</strong><br />
the amount of loss is applied, if it has been agreed in the insurance<br />
contract.<br />
4.3. The insurance contract may determine different excesses <strong>for</strong><br />
different risks, which shall be applied either jointly or separately,<br />
depending on the <strong>conditions</strong> of the insurance contract.<br />
4.4. Excess shall be applied to all insurance cases, if it has not been<br />
stated otherwise in the insurance contract.<br />
4.5. All excesses shall be doubled if the vehicle is repaired or<br />
recovered outside Estonia after the occurrence of the insured event.<br />
5. INSURANCE PERIOD AND THE VALIDITY OF THE<br />
INSURANCE CONTRACT<br />
5.1. <strong>Insurance</strong> period is the time period marked in the insurance<br />
contract during which the insurance contract is <strong>valid</strong> <strong>and</strong> on the basis<br />
of which insurance indemnities are calculated.<br />
5.2. The insurance contract is <strong>valid</strong> during the period, on the<br />
<strong>conditions</strong> <strong>and</strong> territory determined in the insurance contract.<br />
5.3. The insurance contract determines the insurance territory where<br />
the insurance contract applies. The insurance territory may be:<br />
5.3.1. Estonia <strong>and</strong> two (2) freely chosen countries <strong>from</strong> the list:<br />
Latvia, Lithuania, Finl<strong>and</strong> or Sweden;<br />
5.3.2. Within the geographical boundaries of Europe (except <strong>for</strong> the<br />
CIS countries + Ukraine);<br />
5.3.3. Upon settlement (in addition to clauses 5.3.1. or 5.3.2.) the CIS<br />
territory located within the geographical boundaries of Europe +<br />
Ukraine.<br />
6. OVER-INSURANCE, UNDER-INSURANCE AND MULTIPLE<br />
INSURANCE<br />
6.1. Over-insurance is a situation when the sum insured exceeds the<br />
market value of the vehicle at the conclusion of the insurance<br />
contract. In case of over-insurance the Insurer does not compensate<br />
<strong>for</strong> more than the actual damage, but not exceeding the insurable<br />
value.<br />
6.2. Under-insurance is a situation when the sum insured is smaller<br />
than the market value of the vehicle at the conclusion of the<br />
insurance contract. In case of under-insurance reimbursement is the<br />
same as the rate between the sum insured <strong>and</strong> the insurable value,<br />
which is calculated at the moment of concluding the insurance<br />
contract.<br />
6.3. Multiple insurance is a situation when the vehicle is either fully or<br />
partly insured <strong>for</strong> the same insurance risk at several Insurers . AAS<br />
Gjensidige Baltic Estonian Branch treats this as an unjustified<br />
enrichment desire <strong>and</strong> as the Insurer has a right, depending on the<br />
situation, either to decrease the reimbursed sum or to fully refuse the<br />
compensation.<br />
7. THE CONCLUSION AND ENACTMENT OF THE<br />
INSURANCE CONTRACT<br />
7.1. The Policyholder is obliged at the conclusion of the insurance<br />
contract:<br />
7.1.1. to present true <strong>and</strong> exhaustive data to the Insurer in questions<br />
related to the insurance contract <strong>and</strong> notify of all the known important<br />
circumstances influencing the insured risk;<br />
7.1.2. to present the registration certificate of the vehicle <strong>and</strong> the sale<br />
contract of the vehicle at the request of the Insurer;<br />
7.1.3. to allow the representative of the Insurer to inspect the vehicle;<br />
7.1.4. to fulfil the safety requirements set by the Insurer necessary<br />
<strong>for</strong> decreasing the insured risk (dem<strong>and</strong> to install anti-theft<br />
equipment, installing security bolts/nuts on rims, etc).<br />
VEHICLE INSURANCE CONDITIONS SK101•2011 (<strong>valid</strong> <strong>from</strong> 01.03.2011) 2/5
7.2. The Insurer is obliged to introduce the insurance <strong>terms</strong> <strong>and</strong><br />
<strong>conditions</strong> to the Policyholder at the conclusion of the insurance<br />
contract.<br />
7.3. The insurance contract takes effect <strong>and</strong> the insurance cover of<br />
the policy begins on the commencement date of the insurance period.<br />
7.4. When the first instalment of the insurance payment has not been<br />
made by the set deadline or has been made only partially, the<br />
Insurer is exempt <strong>from</strong> the obligation to fulfil the insurance contract.<br />
8. TERMINATION, CANCELLATION OR WITHDRAWAL FROM<br />
THE INSURANCE CONTRACT<br />
8.1. The insurance contract is terminated:<br />
8.1.1. at the passing of the insurance period;<br />
8.1.2. at the deletion of the vehicle <strong>from</strong> ARK;<br />
8.1.3. at the cancellation of the insurance contract;<br />
8.1.4. at withdrawal <strong>from</strong> the insurance contract;<br />
8.1.5. on other grounds stipulated by legislation.<br />
8.2. Cancellation of the insurance contract:<br />
8.2.1. The parties of the insurance contract have a right to cancel the<br />
insurance contract in cases <strong>and</strong> on grounds stipulated by legislation.<br />
8.3. The Insurer has a right to cancel the insurance contract:<br />
8.3.1. if the Policyholder materially breached the requirements, <strong>terms</strong><br />
<strong>and</strong> <strong>conditions</strong> of the insurance contract;<br />
8.3.2. if the Policyholder or Beneficiary has deceived (or tried to<br />
deceive) the Insurer regarding the insurance contract or the<br />
circumstances of the insured event;<br />
8.3.3. at the increase of the insured risk;<br />
8.3.4. if the Policyholder has not paid the second or the following<br />
instalments.<br />
8.4. The Insurer is obliged to follow the <strong>terms</strong> <strong>and</strong> deadlines set in<br />
the Law of Obligations Act at cancelling the insurance contract.<br />
8.5. After the occurrence of the insured event both parties of the<br />
insurance contract have a right to cancel it by notifying the other party<br />
one week in advance.<br />
8.6. At the cancellation of the insurance contract the Insurer retains<br />
the obligation <strong>for</strong> the insured events which occurred during the <strong>valid</strong>ity<br />
period of the contract.<br />
8.7. At the cancellation of the insurance contract by the Policyholder,<br />
the Policyholder is obliged to pay all instalments <strong>and</strong> satisfy the<br />
claims emanating <strong>from</strong> the cancellation of the insurance contract.<br />
8.8. The Insurer has a right to withdraw <strong>from</strong> the insurance contract if<br />
the Policyholder:<br />
8.8.1. has not notified the Insurer about important circumstances<br />
affecting the insured risk at the conclusion of the insurance contract;<br />
8.8.2. consciously presented false data (breach of clause 7.1.);<br />
8.8.3. has not paid the first instalment by the agreed deadline <strong>and</strong> if<br />
the Insurer has not issued a new payment deadline <strong>for</strong> the<br />
Policyholder in 14 days, it is presumed that the Insurer has<br />
withdrawn <strong>from</strong> the contract.<br />
8.9. The Insurer has a right to withdraw <strong>from</strong> the contract in one<br />
month <strong>from</strong> the moment it learned or must have learned about the<br />
breach of the notification obligation specified in clause 8.8.1.<br />
8.10. At the cancellation of the insurance contract the Policyholder<br />
has a right to reclaim the insurance payment <strong>for</strong> period until the end<br />
of the insurance period, <strong>from</strong> which the administrative costs of the<br />
Insurer (up to 10% of the yearly insurance payment, but not less than<br />
13 euros) have been subtracted. If the insurance contract is cancelled<br />
after the occurrence of the insured event, the Insurer has a right to<br />
retain the instalment unpaid by the Policyholder <strong>from</strong> the<br />
indemnification until the cancellation date.<br />
8.11. At the withdrawal <strong>from</strong> the insurance contract the Insurer<br />
returns the paid insurance payment to the Policyholder, <strong>from</strong> which<br />
the administrative costs of the Insurer (up to 10% of the yearly<br />
insurance payment, but not less than 13 euros) have been<br />
subtracted.<br />
9. OBLIGATIONS OF THE POLICYHOLDER<br />
9.1. The Policyholder is obliged to:<br />
9.1.1. acquaint with the insurance <strong>terms</strong> <strong>and</strong> <strong>conditions</strong> <strong>and</strong> notify the<br />
Insurer of all circumstances known to him at the conclusion of the<br />
insurance contract which, due to their nature, have an effect on<br />
determining the <strong>conditions</strong> of the insurance contract;<br />
9.1.2. keep <strong>and</strong> use the vehicle in a careful <strong>and</strong> safe manner, do<br />
everything possible to prevent the insured event <strong>and</strong> to lessen the<br />
possible damage, not to increase the insured risk <strong>and</strong> not to allow the<br />
increasing of the insured risk by persons who are at the<br />
Policyholder’s responsibility;<br />
9.1.3. clarify to the person who shall possess or own the vehicle the<br />
o b l i g a t i o n s e m a n a t i n g f r o m t h e i n s u r a n c e c o n t r a c t ;<br />
9.1.4. immediately notify the Insurer of the incipience of multiple<br />
insurance, changing of the important risk circumstances <strong>and</strong> the<br />
possible increase of the insured risk (<strong>for</strong> example changing the use or<br />
maintenance <strong>conditions</strong> of the vehicle or the anti-theft devices of the<br />
vehicle);<br />
9.1.5. immediately notify the Insurer about the transfer of the vehicle;<br />
9.1.6. allow the representative of the Insurer to photograph the<br />
vehicle <strong>and</strong> its accessories prior to the enactment of the insurance<br />
contract <strong>and</strong> familiarize with the state of the vehicle <strong>and</strong> the<br />
documents necessary <strong>for</strong> insuring the vehicle (see clause 7);<br />
9.1.7. lock the vehicle when leaving it, close the windows <strong>and</strong> sunroof<br />
(close the roof in case of convertible vehicles), take along removable<br />
<strong>and</strong> portable details of audio, navigation <strong>and</strong> DVD system (e.g. car<br />
stereo with a removable front panel, display of DVD player,<br />
removable GPS-device) <strong>and</strong> all registration documents <strong>and</strong> keys of<br />
the vehicle <strong>and</strong> activate the anti-theft devices. The Policyholder or the<br />
person authorised by it should be convinced when leaving the vehicle<br />
that the anti-theft device applied (e.g. the control light of the device<br />
indicates the start of alarm <strong>and</strong> all doors are locked <strong>and</strong><br />
windows/hatches closed);<br />
9.1.8. keep the keys <strong>and</strong> registration documents of the vehicle so that<br />
it would not be easy <strong>for</strong> third parties to get hold of them (in such a<br />
way that it would be impossible to remove the a<strong>for</strong>ementioned objects<br />
<strong>from</strong> the Policyholder without using <strong>for</strong>ce or violence).<br />
9.2. The mechanical <strong>and</strong>/or electronical keys, the electronic<br />
remote controls of anti-theft devices <strong>and</strong> the registration<br />
documents of the vehicle may not be kept in the vehicle.<br />
9.3. At the occurrence of the insured event, the Policyholder is<br />
obliged to:<br />
9.3.1. immediately take precautions to save the vehicle, prohibit the<br />
damage increase <strong>and</strong> lessen the possible damage;<br />
9.3.2. notify the Insurer at first chance of the insured event, but not<br />
later than within 3 workdays, by doing it personally or through the<br />
representative. This obligation is considered as fulfilled when the<br />
Policyholder has notified of the traffic accident <strong>and</strong> registered it<br />
according to the clause 9.3.3 of these <strong>terms</strong> <strong>and</strong> <strong>conditions</strong>;<br />
9.3.3. notify of the traffic accident <strong>and</strong> register it according to the <strong>valid</strong><br />
legal acts (Motor Third Party Liability Act, Traffic Act, Traffic Code<br />
etc). If the Policyholder has been notified by the insurance company<br />
h<strong>and</strong>ling the traffic damage that the Policyholder is the person having<br />
caused the traffic accident, it is obliged to notify Insurer of it within 3<br />
workdays <strong>from</strong> becoming aware of it.<br />
9.3.4. register the theft (robbery) <strong>and</strong> v<strong>and</strong>alism at the police with the<br />
application to start the procedure;<br />
9.3.5. register the fire both at the police <strong>and</strong> the Rescue Board;<br />
9.3.6. if the damage has been caused by snow, ice, icicles or the<br />
objects (e.g. downpipe)fallen <strong>from</strong> the building or roof, to fix the event<br />
immediately in writing together with the possessor or manager of the<br />
building. If the event cannot be fixed in writing together with the<br />
possessor or manager of the building, the police should be<br />
immediately notified of the event (incl municipal police).<br />
9.4. if an event occurs which the Policyholder can not explicitly<br />
classify, the Policyholder must, without leaving, call the police to the<br />
scene;<br />
9.5. notification of the insured event must be in writing or in the <strong>for</strong>mat<br />
which can be reproduced in writing (e-mail, application at the office of<br />
the Insurer) <strong>and</strong> contain data of the event, the estimated damage,<br />
witnesses, possible parties <strong>and</strong> the person at fault, <strong>and</strong> thereafter<br />
follow the instructions given by the representative of the Insurer;<br />
9.6. The Policyholder must present the remains of the damaged<br />
vehicle <strong>and</strong> its damaged accessories (if these were insured) to the<br />
Insurer <strong>for</strong> inspection during the phase following the occurrence of<br />
the insured event <strong>and</strong> prior to repairs. Prior to starting the repair<br />
VEHICLE INSURANCE CONDITIONS SK101•2011 (<strong>valid</strong> <strong>from</strong> 01.03.2011) 3/5
works the executor of the repairs <strong>and</strong> repairs calculation should be<br />
agreed with the Insurer in the <strong>for</strong>mat which can be reproduced in<br />
writing. The Policyholder may not repair, recover or utilize the vehicle<br />
without consent <strong>from</strong> the Insurer.<br />
9.7. At the occurrence of the insured event outside the Republic of<br />
Estonia the Policyholder is obliged to transfer the racked or damaged<br />
vehicle to the Insurer on the territory of the Republic of Estonia.<br />
9.8. At the theft of the vehicle all parts of the registration certificate<br />
<strong>and</strong> all key sets (including electronical keys/remote controls <strong>for</strong> antitheft<br />
systems) <strong>and</strong> the details of portable audio, navigation <strong>and</strong> DVD<br />
system must be presented to the Insurer together with the application<br />
<strong>for</strong> compensation. In case of robbery all keys <strong>and</strong> documents at the<br />
possession of the Policyholder must be presented.<br />
9.9. In case of the theft of the cast wheel discs/tyres of the vehicle the<br />
key of the security bolt should be immediately submitted to the<br />
representative of the Insurer.<br />
9.10. The Policyholder is responsible <strong>for</strong> proving the occurrence of<br />
the insured event. The Policyholder is obliged to present<br />
data to the Insurer necessary <strong>for</strong> determining the obligation of the<br />
Insurer.<br />
9.11. If the stolen or robbed vehicle is found, the Policyholder is<br />
obliged to notify the Insurer of it during 3 workdays in the <strong>for</strong>mat<br />
which can be reproduced in writing.<br />
10. OBLIGATIONS OF THE INSURER<br />
10.1. The Insurer is obliged to:<br />
10.1.1. introduce documents related to the conclusion of the<br />
insurance contract to the Policyholder prior to the conclusion of the<br />
insurance contract;<br />
10.1.2. immediately start the h<strong>and</strong>ling of the insurance case at the<br />
reception of the written application by the Policyholder <strong>and</strong> determine<br />
the benefit;<br />
10.1.3. inspect the damaged vehicle in 7 workdays <strong>from</strong> the reception<br />
of the written application by the Policyholder;<br />
10.1.4. decide on compensation or non-compensation at once, but no<br />
later than in 10 workdays starting <strong>from</strong> the reception of all required<br />
documents <strong>and</strong> determining the damage <strong>and</strong> its causes;<br />
10.1.5. decide on compensation or non-compensation in case of the<br />
theft or robbery of the vehicle as soon as possible, but no later than in<br />
2 months <strong>from</strong> the date the Insurer was notified about the occurrence<br />
of the event. In case of commenced criminal proceedings the Insurer<br />
has a right to delay the decision until the guilty party is prosecuted or<br />
up to the receipt of the decision that the criminal proceedings have<br />
been ended or stopped.<br />
10.1.6. The Insurer is obliged to notify the Policyholder in writing<br />
about non-compensation as soon as possible, but no later than in 7<br />
workdays starting <strong>from</strong> the decision, showing the reason <strong>and</strong> basis <strong>for</strong><br />
decreasing or refusing the insured indemnity.<br />
10.2. The Insurer has a right to inspect the vehicle during the<br />
insurance period <strong>and</strong>, <strong>for</strong> decreasing the increased insured risk,<br />
dem<strong>and</strong> the application of complementary security means <strong>and</strong> to<br />
increase the insurance payment according to the increased insured<br />
risk. The dem<strong>and</strong> <strong>for</strong> additional security means shall be <strong>for</strong>warded to<br />
the Policyholder in writing. If the Policyholder does not agree with the<br />
application of the supplementary security means, the Insurer has a<br />
right to cancel the insurance contract on <strong>conditions</strong> <strong>and</strong> by deadlines<br />
set in the Law of Obligations Act.<br />
11. COMPENSATION FOR DAMAGE<br />
11.1. Direct property damage <strong>and</strong> other reasoned costs determined in<br />
the insurance contract shall be compensated <strong>for</strong>. If the recovery costs<br />
of the vehicle are compensated <strong>for</strong>, the Insurer has a right to<br />
determine the place <strong>for</strong> the recovery of the vehicle or organize <strong>and</strong><br />
order the recovery of the vehicle itself. If the replacement costs of the<br />
vehicle are compensated <strong>for</strong>, Insurer has a right to determine the<br />
place <strong>for</strong> the replacement vehicle. If the Policyholder or the<br />
Beneficiary do not agree with the a<strong>for</strong>ementioned, Insurer shall<br />
compensate <strong>for</strong> the damage in the amount which it would be at the<br />
observance of the subclauses in the present point.<br />
11.2. If the vehicle is robbed or stolen or if the recovery of the vehicle<br />
is not economically reasoned, the insurable value of the vehicle is<br />
compensated <strong>for</strong>, the amount of which is the sum denoted on the<br />
insurance policy, of which the depreciation rate of 1% (2% in case of<br />
new vehicles, if the insurance contract does not include the new value<br />
insurance) is subtracted <strong>from</strong> the sum insured by each month <strong>from</strong><br />
the conclusion date of the insurance contract to the date of the<br />
occurrence of the insured event, also excess of the Policyholder,<br />
decreases of the insurance indemnity determined in the insurance<br />
contract <strong>and</strong> unpaid instalments <strong>for</strong> the period until the end of the<br />
insurance period are subtracted <strong>from</strong> the sum insured. The new<br />
vehicle is the vehicle which has not had any owner after it has been<br />
issued <strong>from</strong> the producer factory, the vehicle has been registered in<br />
Estonia <strong>for</strong> the first time <strong>and</strong> no more than one year has passed <strong>from</strong><br />
its primary registration in Estonia or any other country.<br />
11.3. In case of the theft of the cast wheel discs/tyres of the vehicle<br />
the cost of the equivalent cast wheel discs/tyres will be compensated,<br />
by reasonably considering the decrease in value resulting <strong>from</strong><br />
depreciation. By compensating the acquisition cost of the new cast<br />
wheel discs/tyres the Insurer has the right to apply the double excess<br />
rate.<br />
11.4. If it has been decided that recovering the vehicle is<br />
economically reasoned, the reasonable recovery cost of the vehicle is<br />
compensated <strong>for</strong>, <strong>from</strong> which excess <strong>and</strong> insurance indemnity<br />
decreases determined in the insurance contract have been<br />
subtracted.<br />
11.5. At recovering the vehicle spare the parts complying with the<br />
degree of wear <strong>and</strong> tear <strong>and</strong> age of the vehicle are used. If it is<br />
impossible or unreasonable to use spare parts with the corresponding<br />
degree of wear, the price of the new parts including installation costs<br />
is compensated <strong>for</strong>. The Insurer has a right to determine where the<br />
required part must be purchased <strong>from</strong> (according to the factory<br />
requirements in case of cars with a <strong>valid</strong> warranty).<br />
11.6. The Insurer compensates <strong>for</strong> the recovery <strong>and</strong> replacement<br />
costs of the engine, transmission, chassis <strong>and</strong> their related systems<br />
<strong>and</strong> mechanisms not more than at the cost of the original parts <strong>and</strong><br />
complexity of the manufacturer, irrespective of which engine,<br />
transmission, chassis <strong>and</strong> their related systems <strong>and</strong> mechanisms<br />
were installed to the vehicle at the moment of its insuring.<br />
11.7. The Insurer has a right to set-off the unpaid instalments until<br />
the end of the insurance period against its obligation to comply with<br />
the insurance contract.<br />
11.8. The ownership right of the vehicle or the remains of a vehicle<br />
<strong>and</strong> its accessories which the Insurer has compensated <strong>for</strong> shall be<br />
transferred to the Insurer. If the owner of the vehicle wishes to keep<br />
the vehicle damaged by an insured event or does not cede it to the<br />
Insurer, then the insurance indemnity is decreased by the value of<br />
the asset after the occurrence of the insurance event.<br />
11.9. If the Policyholder or the Beneficiary restores possession over<br />
the stolen or robbed vehicle, its possession must be ceded over to<br />
t h e I n s u r e r o r r e t u r n t h e i n s u r a n c e i n d e m n i t y .<br />
11.10. At the theft of the audio, navigation or DVD system with the<br />
removable details the insurance indemnity is decreased by 30% if the<br />
portable details (e.g. removal front panel of the audio system) are not<br />
presented.<br />
11.11. The maximum insurance indemnity <strong>for</strong> accessories at the<br />
occurrence of one insured event is determined in the insurance<br />
contract.<br />
12. RELEASING THE INSURER FROM THE LIABILITY TO<br />
COMPLY WITH THE INSURANCE CONTRACT<br />
12.1. The Insurer is partly or wholly released <strong>from</strong> the liability to<br />
comply with the insurance contract if:<br />
12.1.1. the Policyholder has not paid the insurance premium by the<br />
set deadline (in case of instalment by the additional date specified by<br />
the Insurer) <strong>and</strong> if the insured event occurs after the passed deadline<br />
of the instalment;<br />
12.1.2. the Policyholder has not deliberately fulfilled the obligation<br />
stipulated in the insurance contract <strong>and</strong> the non-fulfilment of the<br />
obligation had an impact on the occurrence of the insured event or<br />
the size of the damage or the fulfilment obligation of the Insurer;<br />
12.1.3. the insured event occurred due to the gross negligence or<br />
intent of the Policyholder or the Beneficiary.<br />
VEHICLE INSURANCE CONDITIONS SK101•2011 (<strong>valid</strong> <strong>from</strong> 01.03.2011) 4/5
12.1.4. The Policyholder or the Beneficiary misin<strong>for</strong>med or pursued to<br />
misin<strong>for</strong>m the Insurer regarding the circumstances of occurrence of<br />
the damage <strong>and</strong>/or its size or pursued to deceive the Insurer in some<br />
other way regarding the insurance contract or the circumstances of its<br />
fulfilment;<br />
12.1.5 The vehicle was stolen by means of a key which the<br />
Policyholder had left to the vehicle or if the key (also electronic) of the<br />
vehicle had left the possession of the Policyholder due to the<br />
negligence prior to the occurrence of the insured event (except <strong>for</strong><br />
robbery);<br />
12.1.6. In case of the theft of the vehicle or parts of the vehicle the<br />
vehicle had no anti-theft devices required by the Insurer or if these<br />
had not applied.<br />
12.1.7.The vehicle lacked the <strong>valid</strong> technical inspection at the<br />
occurrence of the insured event, except in case when the vehicle did<br />
not participate in road traffic;<br />
12.1.8. The cause <strong>for</strong> the damage was the insufficient amount <strong>and</strong>/or<br />
circulation of fuel, cooling liquid or lubricant of required quality;<br />
12.1.9. The damage was caused due to the movement of the<br />
reasonably unattached luggage or cargo;<br />
12.1.10. During the occurrence of the insured event the person<br />
driving the vehicle was:<br />
12.1.10.1 under the effect of alcohol, narcotic or psychoactive<br />
substances, also if the driver has used the a<strong>for</strong>ementioned<br />
substances be<strong>for</strong>e registering the traffic accident as required<br />
according to <strong>valid</strong> legislation or if the driver refuses the intoxication<br />
detection after the occurrence of the insured event according to <strong>valid</strong><br />
legislation;<br />
12.1.10.2 in such a disease condition or state of fatigue which<br />
prohibited the clear perception of traffic <strong>conditions</strong> <strong>and</strong> the<br />
undeviating compliance with the requirements of the legal acts;<br />
12.1.10.3 without the corresponding driving privilege <strong>for</strong> the type of<br />
vehicle or if the driving privilege had been suspended or stopped;<br />
12.1.10.4 the person driving the vehicle left the scene of the occurred<br />
insured event by breaching <strong>valid</strong> legislation;<br />
12.1.10.5 the person driving the vehicle ignored the speed allowed by<br />
means of a traffic control device (e.g. road sign) or legislation;<br />
12.2. The Insurer decides on the scope of release <strong>from</strong> liability to<br />
comply with the insurance contract according to the collected<br />
in<strong>for</strong>mation.<br />
13.1.13. Damage caused to the vehicle during the period when the<br />
vehicle was out of the possession of its owner or lawful possessor<br />
<strong>and</strong> if the police had not been notified as required;<br />
13.1.14. Additional costs caused by transporting people, cargo or<br />
luggage;<br />
13.1.15. Damage caused by the loss of possession of the vehicle by<br />
the Policyholder due to fraud or embezzlement;<br />
13.1.16. Damage caused by the theft or robbery of parts demounted<br />
<strong>from</strong> the vehicle by the Policyholder or at its knowledge;<br />
13.1.17 Damage occurred due to the fact that the Policyholder used<br />
the vehicle <strong>for</strong> the illegal purpose or helped the lawbreaker.<br />
13.2. Not <strong>for</strong> reimbursement is damage caused to the vehicle in<br />
relation to:<br />
13.2.1. participation at the competition/training or driving at the rally<br />
track.<br />
13.2.2. driving outside road traffic (e.g. on the l<strong>and</strong>scape, field, in<br />
water, coastal area, nonofficial ice road etc);<br />
13.2.3. using nuclear energy <strong>for</strong> all purposes, or losing control over it;<br />
13.2.4. war, civil war, invasion, terrorism, mass disorders, civil riots,<br />
revolution, coup d'etat, strike, confiscation, arrest <strong>and</strong> lockout.<br />
13.2.5. damage caused by the unavailability of the damaged vehicle.<br />
14. RETURNING THE INSURANCE INDEMNITY<br />
The Policyholder <strong>and</strong>/or Beneficiary is obliged to return the insurance<br />
indemnity to the Insurer if the circumstances precluding the<br />
reimbursement became evident after compensating, or if a third party<br />
has compensated <strong>for</strong> the damage.<br />
15. FORM OF NOTIFICATION<br />
All notices shall be <strong>for</strong>warded to the other party of the insurance<br />
contract in the <strong>for</strong>m which can be reproduced in writing.<br />
16. FILING COMPLAINTS AND SETTLING DISPUTES<br />
16.1. The Policyholder has a right to file a complaint concerning the<br />
actions of the <strong>Insurance</strong> Provider to the Financial Supervision<br />
Authority (Sakala 4, Tallinn, www.fi.ee).<br />
16.2. All disputes arising <strong>from</strong> the insurance contract shall be settled<br />
upon agreement. In case of disagreement, the dispute will be settled<br />
in the court.<br />
13. PRECLUSIONS<br />
13.1. Not <strong>for</strong> reimbursement is:<br />
13.1.1. The damage, when it was not caused by an event classified<br />
as the insured event;<br />
13.1.2. The damage which did not occur during the insurance period;<br />
13.1.3. The damage, which was caused by using the vehicle outside<br />
the insurance territory;<br />
13.1.4. The damage, when other types of damage were made to the<br />
vehicle with the theft <strong>and</strong> the vehicle was not insured with the option<br />
of comprehensive motor hull insurance;<br />
13.1.5. The cost of the technical inspection or warranty repairs of the<br />
vehicle, the cost of amortized or defective spare parts (details) <strong>and</strong><br />
their repair or replacement costs, the washing or cleaning costs<br />
irrespective of the insured event;<br />
13.1.6. The costs of the express delivery of spare parts;<br />
13.1.7. The damage caused by the rebuilding of the vehicle or its<br />
accessories non-compliant with requirements, amortization (also in<br />
relation to theft or non-permitted use) or defects; the corrosion of the<br />
vehicle, lacking or wrong maintenance, repairs <strong>and</strong> use;<br />
13.1.8. Damages to tyres, when it has not caused compensated<br />
damage to the vehicle. Damages of tyres with tread pattern<br />
exceeding the allowed wear limit <strong>and</strong> damages caused by the use of<br />
such tyres is not compensated <strong>for</strong>.<br />
13.1.9. Damage caused by the detail or device of the vehicle;<br />
13.1.10 Damage caused to the vehicle during loading <strong>and</strong>/or lifting<br />
operations;<br />
13.1.11. Damage caused by animals having stayed in the<br />
compartment of the vehicle;<br />
13.1.12. Damage caused to the compartment of the vehicle by the<br />
persons having stayed in the vehicle;<br />
VEHICLE INSURANCE CONDITIONS SK101•2011 (<strong>valid</strong> <strong>from</strong> 01.03.2011) 5/5