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 />
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