Question

Difficulty: HardReinsurance, Co-insurance, and Underwriting Concepts

A commercial property valued at N500 million\text{N}500\text{ million} is covered under an agreement where three independent insurance companies—Firm X, Firm Y, and Firm Z—contract directly with the policyholder in a single policy to bear 50%50\%, 30%30\%, and 20%20\% of any indemnity liability respectively. Following a fire outbreak causing a total loss of N100 million\text{N}100\text{ million}, the policyholder submits a full claim of N100 million\text{N}100\text{ million} solely against Firm Y.

Which of the following statements correctly describes Firm Y's legal liability and the nature of this risk-sharing arrangement?

  1. Firm Y is liable to the policyholder for N30 million\text{N}30\text{ million} only, because under co-insurance, each insurer maintains a direct contractual relationship with the insured for its agreed proportion of the risk.Answer
  2. B
    Firm Y is legally obligated to settle the full N100 million\text{N}100\text{ million} claim with the policyholder and subsequently seek N70 million\text{N}70\text{ million} reimbursement from Firm X and Firm Z through reinsurance recourse.
  3. C
    Firm Y is liable for N30 million\text{N}30\text{ million} payable to Firm X as lead insurer, because co-insurance contracts require the insured to deal exclusively with the reinsurer holding the largest share.
  4. D
    Firm Y has no direct liability to the policyholder, as the policyholder can only recover losses from the reinsurer that originally underwrote the policy contract.

Answer

Firm Y is liable to the policyholder for N30 million\text{N}30\text{ million} only, because under co-insurance, each insurer maintains a direct contractual relationship with the insured for its agreed proportion of the risk.
Under co-insurance, multiple underwriting firms share a risk by entering into a direct policy agreement with the policyholder. Each insurer's legal obligation is limited to its agreed percentage of the loss. Therefore, Firm Y is directly liable to the insured for 30%30\% of the N100 million\text{N}100\text{ million} loss, which equals N30 million\text{N}30\text{ million}.

Step-by-Step Solution

1
Identify the risk-sharing mechanism
The arrangement involves multiple insurance companies directly contracting with the policyholder to share fixed percentages of risk, which defines co-insurance.
Co-insurance occurs when two or more insurers jointly cover a risk directly with the insured, whereas reinsurance involves an insurer transferring risk to another insurer without direct involvement of the insured.
2
Determine direct legal liability under co-insurance
Each co-insurer is severally liable to the policyholder only for its specified percentage of any incurred loss.
Under co-insurance rules, there is no joint liability unless explicitly stated; each underwriter settles claims corresponding to its percentage share directly with the insured.
3
Calculate Firm Y's financial liability for the loss
Firm Y's liability = 30%×N100 million=N30 million30\% \times \text{N}100\text{ million} = \text{N}30\text{ million}.
Firm Y agreed to cover 30%30\% of any total loss incurred by the policyholder.

Key Concept

Distinction between Co-insurance and Reinsurance
Estimated Time:2m 0s
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