Chapter recap
Contract Law
Contract law vs. tort law, and the four elements of a contract
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Contract = duty from the parties' agreement; tort = duty imposed by law.
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Four elements: competent parties, legal purpose, offer and acceptance, consideration (Civ. Code §1550).
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Changing an important term = counteroffer, not acceptance.
Aleatory, conditional, unilateral, and adhesion
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Aleatory = unequal exchange that depends on an uncertain event.
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Conditional = insurer pays only if conditions are met; unilateral = only the insurer makes an enforceable promise.
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Adhesion = take it or leave it; ambiguity goes against the insurer (Civ. Code §1654).
Indemnity, personal contract, and utmost good faith
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Indemnity = pay the actual loss, no profit; the policy limit is only a cap.
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Personal contract = covers the person, not the property; a buyer needs the insurer's consent.
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§332: the disclosure duty applies to each party.
The policy and the six things it must specify
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§380: the policy = the written instrument that sets forth the insurance contract.
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§381's six: parties, property or life, insured's interest (if not absolute owner), risks, period, premium.
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Memory: 4 P's + interest + risks. No commission.
Concealment: what you leave out
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§330: concealment = neglect to communicate what you know and ought to communicate.
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§331: intentional OR unintentional concealment lets the injured party rescind.
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Concealment = silence; misrepresentation = a false statement.
What does not need to be disclosed (§§333, 339)
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§333 five: known, ought to know, waived, excluded by warranty (not otherwise material), excepted risk (not otherwise material).
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"Except in answer to inquiries": if asked, answer.
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§339: your own judgment need not be shared, even when asked.
Materiality: would it change the underwriter's mind?
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§334: materiality = probable and reasonable influence on the insurer, not the event.
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No link to the actual loss is needed.
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§360: representations use the same materiality rule as concealment.
Representations: what the applicant tells the insurer
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§358: false = facts don't match; intent doesn't matter.
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§355: change or withdraw only before the insurance is effected.
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§354: may qualify an implied warranty, never an express provision.
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§359: false in a material point → rescission.
Warranties: promises built into the policy
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§440: express or implied; §444: past, present, or future.
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§449: breach without fraud exonerates the insurer from the time of breach; earlier losses stay covered.
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§§447–448: material breach → may rescind; immaterial breach → no avoidance unless the policy says so.
Fraud: concealment with a purpose
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§338: fraudulent omission of facts showing a warranty is false → insurer may rescind.
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§1871.2 warning: knowingly false information = a crime; fines and state prison.
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The warning goes on application and claim forms, not on reinsurance contracts.
Waiver and estoppel
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Waiver = voluntary, intentional giving up of a known right.
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Estoppel = you can't contradict what you led the other to rely on (Evid. Code §623).
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Waiver looks at who gave up; estoppel looks at who relied.
Rescission: undoing the contract, and when an insurer may do it
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Rescission = contract undone, premium generally returned; cancellation = ends going forward.
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Grounds to rescind: §331 concealment, §338 fraud, §359 false representation, §447 material warranty.
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§448: an immaterial breach does not avoid the policy unless the policy says so.
Application, policy, endorsement; cancellation, lapse, grace period
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Application → policy → endorsement (a change after issue).
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Cancellation = ended early; lapse = unpaid premium; grace period = extra time to pay.
Rate, premium, earned and unearned premium
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Premium = units of coverage × rate.
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Earned = time used; unearned = time left (refunded on a pro rata basis).
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Example: $1,200 premium, 4 of 12 months used → earned $400, unearned $800.
Premium grace period after a declared emergency (§2062)
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§2062: declared emergency → 60-day premium grace period for residential property in the affected area.
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Alternative: reinstate a policy canceled for nonpayment with no lapse or late fees when the insured asks and pays promptly.
CA
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