A commercial property valued at 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 , , and of any indemnity liability respectively. Following a fire outbreak causing a total loss of , the policyholder submits a full claim of solely against Firm Y.
Which of the following statements correctly describes Firm Y's legal liability and the nature of this risk-sharing arrangement?
- Firm Y is liable to the policyholder for only, because under co-insurance, each insurer maintains a direct contractual relationship with the insured for its agreed proportion of the risk.Cevap
- BFirm Y is legally obligated to settle the full claim with the policyholder and subsequently seek reimbursement from Firm X and Firm Z through reinsurance recourse.
- CFirm Y is liable for payable to Firm X as lead insurer, because co-insurance contracts require the insured to deal exclusively with the reinsurer holding the largest share.
- DFirm Y has no direct liability to the policyholder, as the policyholder can only recover losses from the reinsurer that originally underwrote the policy contract.
Cevap
Firm Y is liable to the policyholder for 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 of the loss, which equals .
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Distinction between Co-insurance and Reinsurance
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