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WILLIS

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Three key changes<br />

1<br />

Fair Presentation<br />

The new Act adjusts the disclosure<br />

obligations by requiring the insured to<br />

make “a fair presentation of the risk”<br />

to the insurer including “disclosure of<br />

every material circumstance which the<br />

insured knows or ought to know or gives<br />

sufficient information to put a prudent<br />

insurer on notice that it needs to make<br />

further enquiries.”<br />

Knowledge is by senior management and<br />

persons responsible for the insurance<br />

arrangements. It includes what ought<br />

to or should be known in the ordinary<br />

running of the business. It must be<br />

disclosed in a straight-forward and<br />

concise manner to minimise ambiguity<br />

and misunderstandings.<br />

Under current law, in the event of material<br />

non-disclosure or misrepresentation, the<br />

insurer is allowed to void the policy and<br />

refuse to pay claims, even for the most<br />

trivial or accidental breach.<br />

The new Act introduces the concept of<br />

“Proportionate Remedies”. The insurer<br />

would have to show that, but for a<br />

breach of fair presentation, it would:<br />

1. Not have accepted the insurance at<br />

all; or 2. Have done so on different terms<br />

If the breach is deliberate or reckless,<br />

the insurer: 1. May avoid the contract of<br />

insurance, refuse to pay all claims; and 2.<br />

Refuse to return any premium paid.<br />

Where the qualifying breach has been<br />

neither deliberate nor reckless then<br />

the new proportionate remedies will be<br />

applied:<br />

1. If the insurer would not have entered<br />

into the policy on any terms, the insurer<br />

may avoid the policy and refuse to pay<br />

all claims, but must return the premiums<br />

paid.<br />

www.willisinsurance.co.uk<br />

3

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