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Insurance Law

LL.B. (THREE YEARS) · SEMESTER 2

Strictly as per the CBCS 2023 syllabus of Savitribai Phule Pune University, as amended on 18 July 2024

For students of Savitribai Phule Pune University and all its affiliated law colleges

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Contents

Module 1 Introduction to Insurance Law

  1. What Insurance Is 1
  2. How Insurance Began: The History across the Globe 9
  3. How Insurance Came to India 14
  4. How Life Insurance Was Nationalised 19
  5. How General Insurance Was Nationalised 27
  6. Privatisation and the Malhotra Committee 34
  7. Globalisation and Foreign Investment in Insurance 39
  8. The Sabka Bima Sabki Raksha Act, 2025 44
  9. The Nature and Characteristics of Insurance 49
  10. The Scope of Insurance 55
  11. The Need for and Importance of Insurance 61
  12. The Kinds of Insurance 66
  13. Compulsory Insurance 70
  14. Public Liability Insurance: The Duty to Insure 80
  15. Claims under the Public Liability Insurance Act 90
  16. The Insurance Regulatory Framework in India 102
  17. The IRDAI: Establishment, Composition and Structure 109
  18. The Duties, Powers and Functions of the IRDAI 116
  19. The Role of the IRDAI: Rules, Regulations and the Advisory Committee 122
  20. The IRDAI's Funds and Its Accountability 128
  21. The Rural and Social Sector Obligations 134
  22. Returns, Inspection and the Authority's Power to Call for Information 138
  23. Control over Management and the Administrator 144
  24. Penalties, Adjudication and Appeal under the Insurance Act 153
  25. Rules, Regulations and the Closing Provisions of the Insurance Act 161
  26. The Life Insurance Corporation of India 167
  27. How the Life Insurance Corporation Is Governed 174
  28. The Corporation's Funds, Accounts and Surplus 182
  29. The General Insurance Corporation and the Public Sector Insurers 188
  30. The Life and General Insurance Councils 195
  31. Registration of an Insurer 200
  32. Capital and Capital Structure of an Insurer 207
  33. Investment of Assets and the Solvency Margin 213
  34. Accounts, Audit and the Actuary 221

Module 2 General Principles of Insurance

  1. The General Principles of the Law of Insurance 229
  2. The Principle of Indemnity 232
  3. Double Insurance 237
  4. Subrogation 241
  5. Contribution 245
  6. Insurable Interest 249
  7. Insurance Distinguished from Wager, Indemnity and Guarantee 254
  8. Utmost Good Faith: Uberrima Fides 259
  9. Misrepresentation, Non-Disclosure and Fraud 265
  10. Section 45: When a Life Policy Can No Longer Be Questioned 271
  11. Causa Proxima: The Proximate Cause 277
  12. Risk: Its Meaning and Nature 281
  13. How Risk and Insurance Are Related 285
  14. Risk Management 291
  15. Loss Minimisation: The Duty to Act as if Uninsured 295

Module 3 Contract of Insurance

  1. Insurance as a Contract: The Law of Contract Applied 300
  2. The Proposal, Its Acceptance and the Cover Note 306
  3. The Insurance Policy 312
  4. Types of Insurance Policies 323
  5. Warranties, Conditions and Exceptions in a Policy 328
  6. How a Policy Is Read: The Rules of Construction 339
  7. Endorsements 347
  8. Professional Negligence Insurance 354
  9. Re-insurance 362
  10. Agents, Brokers and Other Intermediaries 367
  11. Consideration: The Premium 375
  12. Other Legal Aspects of General Insurance 381
  13. Nomination 389
  14. Assignment of a Policy 398

Module 4 Life & Health Insurance

  1. The Nature of Life Insurance 407
  2. The Principles of Life Insurance 413
  3. The Scope of Life Insurance and the Events Insured Against 419
  4. Kinds of Life Policy 425
  5. The Life Insurance Contract: Premium, Lapse, Revival and Surrender 430
  6. The Life Policy as Property 438
  7. Who Is Entitled to Payment under a Life Policy 444
  8. Settlement of Life Insurance Claims 450
  9. Insurance Pertaining to Life, Personal Accident and Hospitalisation 456
  10. Hospitalisation and Mediclaim 461
  11. Sickness and Critical Illness Insurance 467
  12. Health Cover for the Poor, the Sick and the Old 472
  13. Personal Accident Insurance 479

Module 5 Fire & Marine Insurance

  1. Fire Insurance: Nature and Scope 487
  2. The Basic Principles of Fire Insurance 494
  3. The Standard Fire and Special Perils Policy and the Bharat Products 502
  4. Property Insurance 509
  5. Riot, Strike, Civil Commotion and Malicious Damage 517
  6. Policies Covering Explosion, Earthquake and Flood 523
  7. Policies Covering Accidental Loss and Damage to Property 528
  8. Policies Covering Construction Risks 534
  9. Burglary and Theft Insurance 542
  10. Conditions and Warranties in Fire Insurance 550
  11. The Rights and Duties of the Parties 556
  12. The Fire Claim and the Surveyor 563
  13. Partial Loss: Particular Average, General Average and Salvage 571
  14. The Nature and Scope of Marine Insurance 576
  15. The Marine Insurance Act, 1963: Salient Features 581
  16. Insurable Interest in Marine Insurance 586
  17. Insurable Value 591
  18. Disclosure and Representations in Marine Insurance 595
  19. Conditions and Express Warranties in Marine Insurance 600
  20. Seaworthiness and Cargoworthiness 604
  21. The Voyage: Change, Deviation and Delay 609
  22. Perils of the Sea and the Proximate Cause 614
  23. Total Loss and Abandonment 619
  24. The Measure of Indemnity: Loss of Ship and of Freight 625
  25. Subrogation, Contribution and Under-insurance at Sea 631
  26. Assignment of a Marine Policy 635
  27. Return of Premium and the Closing Provisions 639
  28. Hull, Cargo and Freight Insurance 644
  29. The Marine Insurance Policy 650
  30. The Classification of Marine Policies 655
  31. Marine Cargo Policies in Practice: Specific, Open, Special Declaration, Special Storage, Annual and Duty Policies 660

Module 6 The Motor Vehicle Insurance

  1. Motor Insurance: Salient Features, Nature and Scope 663
  2. Persons Governed, and What the Policy Must Cover 672
  3. The Third Party Liability of the Owner 678
  4. The Certificate of Insurance and Its Transfer 683
  5. The Duty to Give Information, and the Rights of the Third Party 688
  6. The Insurer's Duty to Satisfy Awards, and Its Defences 694
  7. Settlement by the Insurance Company 701
  8. The Claims Tribunal: Constitution and Jurisdiction 705
  9. Making a Claim before the Tribunal 710
  10. The Procedure, Powers and Award of the Tribunal 716
  11. Assessment of Compensation 722
  12. Road Safety, Offences and the National Transportation Policy under the Motor Vehicles Act 728
  13. No Fault Liability, Hit and Run, and the Motor Vehicle Accident Fund 732

Module 7 Agricultural Insurance

  1. Agriculture Insurance in India 738
  2. The Problems Associated with Crop Insurance 747
  3. Crop Insurance in India: The Pradhan Mantri Fasal Bima Yojana 753
  4. Crop Insurance Underwriting 760
  5. Crop Insurance Claims 767

Module 8 Emerging Issues in Insurance Law, Insurance Fraud And Ethics

  1. The Future of Insurance in India and across the Globe 775
  2. Modern Liability Covers 780
  3. Insurance Fraud and Ethics: The Types of Fraud, Their Prevention and Detection, and Fair Treatment 785
  4. Insurance as a Service under the Consumer Protection Act, 2019 790
  5. Deficiency in Insurance Service, Unfair Practices and Unfair Terms 799
  6. The Role of Consumer Commissions in Insurance Disputes 808
  7. The Insurance Ombudsman 817
  8. Complaining to the Insurance Ombudsman 828
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