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