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INSURANCE REGULATORY AND
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DEVELOPMENT AUTHORITY OF INDIA
IRDAI/ INT/ GOU 146/ 05/ 2021 24th May, 2021
GUIDELINES ON STANDARD PROFESSIONAL INDEMNITY POLICY FOR
INSURANCE BROKERS/ CORPORATE AGENT/ WEB AGGREGATORS/
IMF
1. Preliminary
The insurance intermediaries engaged in solicitation and distribution of insurance
products, viz., Insurance Brokers, Corporate Agents, Insurance Web Aggregators,
Insurance Marketing Firms are required to take Professional Indemnity Insurance Policies
in order to get themselves indemnified from the claims lodged against them, arising out of
the contingencies mentioned in the regulations governing them. There have been
numerous instances where the policy taken by the intermediary do not comply with the
Regulatory provisions.
2. Objective
The objective of these guidelines is to specify the professional indemnity policy that meets
the regulatory requirements.
3. General
These Guidelines for Professional Indemnity Policy for Insurance Brokers, Corporate
Agents, Insurance Web Aggregators and Insurance Marketing Firms are issued in
exercise of the powers conferred upon the Authority under clause (i) of sub section (2) of
Section 14 of IRDA Act, 1999.
4. Guidelines on Standard Professional Indemnity Policy for Insurance brokers/
Corporate Agents/ Web Aggregators/ IMF
a. The standard professional indemnity policy shall have the mandatory covers as
specified in these Guidelines which shall be uniform across the market.
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'ffcf <t. 115/1, ~ ~ ' ,11,-1 fi{I ii:(~ I, ~ -500 032, 'Bffif Survey No. 115/1, Financial District, Nanak~amguda, Hy~era~ad-50~ 032, India
6) : +91-40-2020 4000 ~ : www.irdai.gov.in 6) : +91-40-2020 4000 Website : www.1rda1.gov.mb. The standard professional indemnity policy shall comply with all extant provisions as
per guidelines Ref. IRDAI/NL/GDL/F&U/030/02/2016 dated 18th February, 2016 as
amended from time to time.
c. Every General Insurer, who has been issued a Certificate of Registration to transact
General Insurance Business, shall endeavour to offer this Standard Professional
Indemnity for insurance brokers, corporate agents, web aggregators and insurance
marketing firms.
5. Index
S.No. Item Page No.
1 Section - I - General Rules and Regulations 3
2 Section - II - Standard Proposal Form 5
3 Section - Ill - Standard Policy Form 11
Sd/-
(S.N. Rajeswari)
Member (Distn)
2SECTION I
PROFESSIONAL INDEMNITY
(INSURANCE BROKER/ CORPORATE AGENT/ WEB AGGREGATOR/ IMF)
GENERAL RULES AND REGULATIONS
1. Applicability
The Professional Indemnity Policy (Insurance Brokers/ Corporate Agents/ Web
Aggregators/ IMF) contained in these guidelines meets the regulatory requirements as
specified in various insurance intermediaries regulations.
Any proposals beyond these may be considered by the insurance companies on merits.
Premium, rates and other terms and conditions for such covers may be decided by the
insurance companies as per their as per internal underwriting guidelines
2. Effective date
These Guidelines will come into force from 1st July, 2021.
3. Standard Proposal Form
The guideline specifies the proposal form that may be used by the insurers for
underwriting the risk.
4. Standard Policy Form
All Policies, fresh and renewals, issued in the specified professional indemnity will meet
the regulatory requirements of various insurance intermediary regulations.
5. Liabilities Covered
Policies issued shall cover all damages resulting from any claim for breach of duty of the
insured, fraud and dishonesty of any employee which the Insured becomes legally liable
to pay arising out of claims first made in writing against the Insured during the policy
period including legal costs and expenses incurred with prior consent of Insurers,
3subject always to the limits of indemnity and other terms, conditions and exceptions of
the policy. The ratio of limit of indemnity any one accident to any one year shall not exceed
1: 1.
6. Policy Period
An insurer shall issue an annual policy to the insurance intermediary. The insurer shall
endeavour to issue long term policy valid for the period of certificate of registration.
7. Premium Rates
The premium rates shall be determined by the insurers depending upon various risk
factors and its Board approved underwriting policy.
The Business Turnover/ fees figure wherever required shall be accurately assessed and
declared by the proposer at inception of the policy.
8. Retroactive Date
Retroactive Date is the date on which IRDAI has issued a license or certificate of
registration to the intermediary. Should the limits under the policy be increased in the
subsequent renewal, the date from which higher limits have been obtained shall be
considered as the new retroactive date for the increased limits only.
9. Penalty Provision for Non-Purchase or Break in Policy
Since all insurance intermediaries for solicitation and distribution must mandatorily
purchase a professional indemnity policy and the retroactive date is also from the date
of granting certificate of registration by IRDAI, penal provisions shall become applicable
in case the prospective insured has not purchased/ had a break in policy continuity.
During the gap period, subject to no known or reported losses/claims declaration a base
rate + 5% over and above the repo rate on the premium due may be charged by the
insurers for maintaining policy continuity.
4SECTION -11
PROFESSIONAL INDEMNITY
(INSURANCE BROKER/ CORPORATE AGENT/ WEB AGGREGATOR/ IMF)
PROPOSAL FORM
Insurance/ Re-Insurance Brokers/ Corporate Agent/ Web Aggregator/ Insurance
Marketing Firm - Professional Indemnity Proposal Form
Notice
1. This is a proposal for a contract of Insurance. The proposal must be completed, signed
and dated but completion does not bind you or the Insurer to enter into any contract
of Insurance. If space is insufficient to answer any questions fully, please attach a
signed continuation sheet.
2. All facts material to the proposed insurance must be disclosed, fully and truthfully to
the best of your knowledge and belief. Failure to do so may make the contract of
Insurance voidable or severely prejudice your rights in the event of a claim.
PROPOSER DETAILS
1. Name of company or entity (Insured):
2. Address of registered or principal office:
3. Type of Intermediary: (✓)
Direct Broker
Re-Insurance Broker
Composite Broker
Corporate Agent
Web Aggregator
Insurance Marketing Firm (IMF)
4. Website Address/Official e-mail ID:
5. Year & Date of Establishment:
6. IRDA Licence No. and Validity:
7. State the principal business activities for which insurance is desired:
8. State the capital employed in the entity as per last financial year audited balance sheet:
59. Has any change by way of merger, take-over or change of name occurred in the last
5 years?
If Yes, please provide details
10. Please provide details of Directors, partners or principals of the business
Name How long a Relevant Qualification and
Principal/Director/Partner? Year of Qualification
11. a. Please provide details of offices or subsidiaries that are to be covered by this
insurance:
b. Does the entity own any foreign subsidiary? If Yes, please give details:
12. Holding Pattern of the Entity
Private/Public(%)
FOi (%)
I nstitutional/Non-I nstitutional (%)
13. Please detail the business's gross Turnover/Fees for the last 3 Financial years and an
estimate for the next financial year:
Year India USA/Canada Rest of World TOTAL
Estimate
for next
Financial
Year
14. Please provide an estimate in percentage of total annual fees for the last complete
Financial year from the following categories (whichever applicable)
Type of Work %
6Personal Lines (incl. Motor)
Commercial Motor
Aviation (Small Aircraft)
Aviation (Other)
Marine (Small craft/Cargo)
Marine (Other)
Fire & Engg
Other Property
Liability
Others (Pl. specify)
Reinsurance
TOTAL 100%.
15. ls this business split representative of the Firm's business over the previous three
years? Yes/No
If No, please provide details:
16.Are any substantial changes in the% amounts shown above likely during the next 12
months? Yes/No
If yes, please provide details:
17. If the company places Commercial Property Insurance, provide details in respect of
the three largest placements
Client Class of Insurance Sum Insured
18. If the company places Commercial Lines (excluding Fire & Perils), Marine or Aviation
Insurance, provide details in respect of three largest placements
Client Class of Insurance Sum Insured
19. Does the company operate any Binding Authority (for RI brokers) arrangement
whereby an Insurer or Underwriter has granted the company authority to either quote
terms, set rates or handle claims without referral? Yes/No
If Yes, please provide details:
20. In respect of the Binding Authorities referred above:
a. Are all the Binding Authorities in written form? Yes/No
b. Do all the Binding Authorities have a specified renewal date? Yes/No
7c. Do all the Binding Authorities specify those individuals who have authority to
bind risks under the Binding Authority? Yes/No
ct. Do all the Binding Authorities restrict the territorial limits to those risks based
within India? Yes/No
21. ls the business or any partner, principal, or director connected or associated (by way
of shareholding, financial interest, contract of employment or otherwise) with any other
company or organization? Yes/No
If Yes, please provide details
22.
a. Does the company always obtain written references from former employees while
engaging employees? Yes/No
b. Are employees receiving cash and cheques in the course of their duties are required
to pay in daily? Yes/No
c. All cheques drawn for more than INR 50,000 require two signatories Yes/No
ct. Cash in hand and petty cash are checked independently of the employees
responsible at least monthly and additionally,.w ithout warning, at least every six
months Yes/No
e. Bank statement, receipts, and supporting documents are checked at least monthly
against the cash book entries independently of the employees making cash book
entries or paying into the bank
Yes/No
23. Does the company offer and promote continuing training? Yes/No
If Yes, please provide details
24. Claims History
a. Does any partner, director or principal, after enquiry, aware of any claims ever
having been made against the company or their predecessors in business or any
of the present or former partners, directors or principals? Yes/No
8b. Does any partner, director or principal, after enquiry, aware of any circumstances
or occurrences which may give rise to a claim against the company or their
predecessors in business or any of the present or former partners, directors or
principals? Yes/No
c. Does any partner, director or principal in receipt of any complaints, whether oral or
in writing, regarding services performed, products or solutions sold or provided, or
advice given by you Yes/No
If Yes to any of the above, please provide full details
d. Where claims have been notified to the Insurer/ Insurers, what actions have been
taken to prevent occurrence of such claim scenario?
25. Previous Insurance
a. Please give details of existing Professional Indemnity Insurance for the company:
Policy Period
Insurer
Limit of Indemnity
Policy Excess
Premium(~)
Territory/Jurisdiction
b. Has any proposal for Professional Indemnity Insurance made on behalf of the
company or any predecessors in the business, or present
partners/directors/principals ever been declined or has such insurance ever been
cancelled, renewal refused or special terms imposed? Yes/No
If Yes, please provide details
c. Had there been any break in Continuous Policy coverage since registration of the
Company? Yes/ No
If yes - Period to be specified and Reasons thereof to be given
26. Please provide Limit of Indemnity for which insurance is required.
INR ____ and ratio AOA: AOY = 1 : 1
27. For IMF, List of ISPs (Insurance Sales Person) and FSEs (only in the context of
offering insurance services) to be given:
28. Do you have a Cyber policy? Please give details
29. Would you like to cover Computer and Electronic crime under this policy?
930. If yes, please give the Limit of Indemnity.
31. Total Premium
Add - GST
TOTAL
I/We, hereby declare that the particulars contained herein are true and correct and that no
material fact has been withheld, misstated or misrepresented and also that this proposal cum
schedule forming part of the company's standard policy shall be basis of contract between
me/us and the insurance company.
PLACE
DATE Signature of Authorized representative
PROHIBITION OF REBATES
The following is the copy of section 41 of the insurance Act, 1938.
1. No person shall allow or offer to allow either directly or indirectly as on inducement to
any person to take out or renew or continue an insurance in respect of any kind or risk
relating to lives or property in India any rebate of the whole or part of commission
payable or any rebate or the premium - shown on the policy nor shall any person taking
out renewing continuing a policy except any rebate as may be allowed in accordance
with the published prospectuses or tables of the insurer.
2. Any person making default in complying with the provisions of this section shall be
punishable with fine which may extend to ten lakhs rupees.
Note: The Liability of the company does not commence until the proposal form has
been accepted and full premium has been paid.
10SECTION - Ill
PROFESSIONAL INDEMNITY
(INSURANCE BROKER/ CORPORATE AGENT/ WEB AGGREGATOR/ IMF)
POLICY FORM
Schedule
Policy Number:
ITEMS i
Policyholder
Policyholder's Main Address
Professional Services
From: To:
Policy Period -12 months
Limit of Liability (Aggregate)
Amount equal to 2% of the capital employed by
Retention (Each and Every Claim)
the Policy holder. <INR XXX>.
Date of grant of licence / certificate of registration
Retroactive Date
issued by the IRDAI. <DD/MM/YYYY>.
Premium
Date Proposal Signed
Insurer & Address
Endorsements
Sub-Limit for Lost Documents
Extension
Issued at> this > day of> 200
Signed by __ for and on behalf of the Insurer.
.................................................................... Authorised Signatory
11Notice
This is a claims made insurance policy. This policy will only apply to Claims first made against
the Insured by a Third Party and reported to the Insurer during the Policy Period. The limits
of liability available to pay judgments or settlements shall be reduced by amounts incurred for
legal defence. Further, please note that the amounts incurred for legal defence shall be applied
against the Retention amount.
In consideration of the payment of the Premium and subject to all of the provisions of
this policy, the Insurer agrees as follows.
Covers
All cover under this policy is afforded solely with respect to Claims first made against an
Insured during the Policy Period and reported to the Insurer as required by this policy.
Professional Liability The Insurer will pay on behalf of any Insured all Damages
resulting from any Claim for any Breach of Duty of the
Insured.
Fraud/Dishonesty The Insurer will pay on behalf of any Insured, who is not the
actual perpetrator, all Damages resulting from any Claim for
Fraud/ Dishonesty of any Employee.
Defence The Insurer has the right to defend any Claim which this policy
may respond to under its Covers or Extensions. The Insurer shall
pay Defence Costs incurred in defending such Claim.
The Insurer is under no obligation to pay Loss, unless the Wrongful Act: (i) first takes
place on or after the Retroactive Date; and (ii) is committed solely in the performance of
or failure to perform Professional Services as per IRDAI (Insurance Brokers)
Regulations, 2018, IRDAI (Registration of Corporate Agents) Regulations, 2015, IRDAI
(Insurance Web Aggregator) Regulations, 2017 and IRDAI (Insurance Marketing Firm)
Regulations, 2015 respectively.
12Extensions
Court Attendance for any person described in (i) and (ii) below who actually attends
court as a witness in connection with a Claim notified under and
covered by this policy, Defence Costs will include the following
rates per day for each day on which attendance in court has been
required:
(i) for any principal, partner, or director Insured Rs. 25,000
(ii) for any Employee Rs. 12,500
No Retention shall apply to this Extension.
Extended If the Insurer cancels or does not renew this policy, other than for
Reporting Period any breach of the terms of this policy by an Insured, the
Policyholder shall have the right to a period of 60 days following
the date of cancellation or expiry in which to give notice of any
covered Claim first made against the Insured. That extended
reporting period shall not apply if this policy or its cover has been
replaced.
Lost Documents With respect to a Third Party's Documents:
(i) for which an Insured is legally responsible, and
(ii) that, during the Policy Period, have been destroyed,
damaged, lost, distorted, erased or mislaid solely in the
performance or non-performance of Professional
Services,
Damages shall also include costs and expenses reasonably
incurred by the Insured in replacing or restoring such
Documents provided that:
(a) such loss or damage is sustained while the Documents
are either:
(i) in transit; or
(ii) in the custody of the Insured or of any person to whom
the Insured has entrusted them;
(b) where the lost or mislaid Documents have been the
subject of a diligent search by or on behalf of the Insured;
(c) the amount of any Claim for such costs and expenses
shall be supported by evidence of expenditure that shall
be subject to approval by a competent person to be
nominated by the Insurer with the consent of the Insured;
and
(d) the Insurer shall not be liable for any Claim arising out of
wear, tear and/or gradual deterioration, moth and vermin,
or other matters beyond the lnsured's control.
This Extension will be subject to a Sublimit of Liability of Rs. A
separate retention of Rs. instead of the Retention will
apply to each Claim covered under this Extension.
13Definitions
"Bodily Injury" means physical injury, sickness, disease or death; and if arising
out of the foregoing, nervous shock, emotional distress, mental
anguish or mental injury.
"Breach of Duty" means any actual or alleged negligent breach of duty, act, error,
misstatements, misleading statements, breach of confidentiality
or omission in the performance of or failure to perform
Professional Services.
"Claim" means any: (i) written demand or (ii) civil or administrative
proceeding, that seeks Damages from Wrongful Acts.
"Damages" means any amount that an Insured shall be legally liable to pay
to a Third Party in respect of judgments rendered against an
Insured, or for settlements negotiated by the Insurer with the
consent of either the Insured or the Policyholder.
"Defence Costs" means reasonable fees, costs and expenses incurred by or on
behalf of the Insured in the investigation, defence, adjustment,
settlement or appeal of any Claim. "Defence Costs" shall not
mean any internal or overhead expenses of any Insured or the
cost of any lnsured's time.
"Documents" means all documents of any nature whatsoever including
computer records and electronic or digitized data; but does not
include any currency, negotiable instruments or records thereof.
"Employee" any natural person who is or has been expressly engaged as an
employee under a contract of employment with the
Policyholder, including Insurance Sales Persons (ISP) and
Financial Service Executives (FSE) and includes any persons
sponsored/ authorised by the insured to handle insurance
on its behalf. "Employee" shall not mean any: (i) principal,
partner or director; (ii) temporary contract labour, self-employed
person or labour-only sub-contractor; or (iii) an Intern
"Fraud/ Dishonesty" means fraudulent or dishonest conduct of an Employee:
(i) not condoned, expressly or implicitly; and
(ii) that results in liability to;
the Policyholder.
"Infringement" means an unintentional infringement of any intellectual property
right of any Third Party, other than patents and Trade Secrets.
"Intern" means a student or trainee who works, sometimes without pay,
in order to gain work experience or satisfy requirements for a
qualification.
"Insured" means:
14a. the Policyholder;
b. any natural person, who is or has been a principal, partner
or director of the Policyholder;
c. any Employee;
d. any temporary contract labour, self-employed persons,
labour-only sub-contractors, solely under contract with,
and under the direction and direct supervision of the
Policyholder; and
e. any estates or legal representatives of any Insured
described in (b) and (c) of this definition;
but only when providing Professional Services in the foregoing
capacities.
"Insurer" means the entity specified as such in the Schedule.
"Limit of Liability" means the amount specified as such in the Schedule.
"Loss" means Damages and Defence Costs. "Loss" shall not mean
and this policy shall not cover any
a. taxes;
b. non-compensatory damages, including punitive,
multiple, exemplary or liquidated damages;
c. fines or penalties;
d. the costs and expenses of complying with any order
for, grant of or agreement to provide injunctive or other
non-monetary relief;
e. compensation, benefits or overhead of, or charges or
expenses by any Insured; or
f. any matters which may be deemed uninsurable under
the law governing this policy or the jurisdiction in which
a Claim is brought.
"Policy Period" means the period of time specified in the Schedule unless the
policy is cancelled in which event the Policy Period will end on
the effective date of the cancellation.
"Policyholder" means the entity or natural person specified as such in the
Schedule.
"Pollutants" means, but is not limited to, any solid, liquid, biological,
radiological, gaseous or thermal irritant or contaminant whether
occurring naturally or otherwise, including asbestos, smoke,
vapour, soot, fibres, mould, spores, fungus, germs, fumes, acids,
alkalis, nuclear or radioactive material of any sort, chemicals or
waste. "Waste" includes, but is not limited to, material to be
recycled, reconditioned or reclaimed.
15"Premium" means the amount specified as such in the Schedule and any
premium adjustment reflected in an endorsement to this policy.
"Professional Services" means services as specified as per IRDAI (Insurance Brokers)
Regulations, 2018, IRDAI (Registration of Corporate Agents)
Regulations, 2015, IRDAI (Insurance Web Aggregator)
Regulations, 2017 and IRDAI (Insurance Marketing Firm)
Regulations, 2015 respectively .
." Property Damage" means damage to or loss of or destruction of tangible property or
loss of use thereof.
"Retention" means the amount specified as such in the Schedule.
"Retroactive Date" means the date of grant of licence/certificate of registration
issued by the Insurance Regulatory and Development Authority
of India and which is specified as such in the Schedule. "Third
Party" means any entity or natural person; provided, however,
Third Party does not mean:
a. any Insured; or
b. any other entity or natural person having a financial interest or
executive role in the operation of the Policyholder.
"Trade Secret" means information that derives independent economic value,
actual or potential, from not being generally known and not being
readily ascertainable through proper means by other persons
who can obtain economic advantage from its disclosure or use.
"Wrongful Act" means any Breach of Duty, Infringement, libel, slander, or
Fraud/ Dishonesty.
16Exclusions
This policy shall not cover Loss in connection with any Claim:
Antitrust arising out of, based upon or attributable to any actual or alleged
antitrust violation, restraint of trade or unfair competition;
Bodily Injury/ arising out of, based upon or attributable to Bodily Injury or
Property Damage Property Damage unless arising from an actual or alleged
failure to achieve the legally required standard of care,
diligence and expertise in performing Professional Services;
Contractual Liability/ arising out of, based upon or attributable to any:
Performance
contractual liability or other obligation assumed, that goes
Guarantees
beyond the duty to use such skill and care as is ordinarily
applied to the professional services provided;
(i) guarantee or warranty; or
(ii) delay in performing, failing to perform or failing to
complete any
Professional Services, unless such delay or failure arises
from a Breach of Duty by an Insured;
Costs Assessment arising out of, based upon or attributable to any failure by any
Insured or other party acting for the Insured to make an
accurate pre-assessment of the cost of performing Professional
Services;
Employment/ arising out of, based upon or attributable to any: (i) actual or
alleged employment related: practices, harassment or
Discrimination
discrimination; or (ii) intentional or systemic harassment or
discrimination;
Insolvency arising out of, based upon or attributable to the insolvency,
administration or receivership of the Insured;
Infrastructure arising out of, based upon or attributable to:
a. mechanical failure;
b. electrical failure, including any electrical power interruption,
surge, brown out or black out; or
c. telecommunications or satellite systems failure;
Misdeeds arising out of, based upon or attributable to any act which a
judge, jury or other official tribunal or panel finds, or which an
Insured admits, to be a criminal, dishonest or fraudulent act; and
in such event, the Insurer shall be reimbursed for all Loss paid
in connection with such Claim; provided, however, that this
exclusion shall not apply to the Fraud/Dishonesty Cover.
Patent/Trade Secret arising out of, based upon or attributable to the breach of
licences concerning, infringement of or misappropriation of
patents or Trade Secrets;
17Pollution arising out of, based upon or attributable to: (i) the actual, alleged
or threatened presence, discharge, dispersal, release, migration
or escape of pollutants, or (ii) any direction, request or effort to:
(a) test for, monitor, clean up, remove, contain, treat, detoxify or
neutralise Pollutants, or (b) respond to or_a ssess the effects of
Pollutants;
Prior Claims/ a. made prior to or pending at the inception of this policy; or
b. arising out of, based upon or attributable to any
Circumstance
circumstance that, as of the inception of this policy,
may reasonably have been expected by any
Insured to give rise to a Claim;
Professional Services arising directly or indirectly from insured providing or failing to
of FSEs provide investment, financial advice or arrangement in relation
to investments, loans or mortgages of any kind
Trade Debts arising out of, based upon or attributable to any:
a. trading debt incurred by an Insured or
b. guarantee given by an Insured for a debt;
U. S.A./Canada claims made or pending within; or to enforce a judgment obtained
in, the United States of America, Canada, or any of their territories
or possessions; or
WarI Te rrorism arising out of, based upon or attributable to any war (declared
or otherwise), terrorism, warlike, military, terrorist or guerrilla
activity, sabotage, force of arms, hostilities (declared or
undeclared), rebellion, revolution, civil disorder, insurrection,
usurped power, confiscation, nationalisation or destruction of
or damage to property by or under the order of, any
governmental, public or local authority or any other political or
terrorist organisation.
Claims
Notification of Claims The Insured shall, as a condition precedent to the
obligations of the Insurer under this policy, give written
notice to the Insurer of any Claim first made against the
Insured as soon as practicable, during the Policy Period
and in any event within 30 days of any Claim made against
any Insured or any circumstances occurring during the
Policy Period which might reasonably be expected to give
rise to a Claim. All notifications must be in writing or by
facsimile, and addressed as required in the Claims Notice
Item on the Schedule.
18Related Claims If notice of a Claim against an Insured is given to the
Insurer pursuant to the terms and conditions of this policy,
then: (i) any subsequent Claim alleging, arising out of,
based upon or attributable to the facts alleged in that
previously noticed Claim; and (ii) any subsequent Claim
alleging any Wrongful Act which is the same as or related
to any Wrongful Act alleged in that previously noticed
Claim, shall be considered made against the Insured and
reported to the Insurer at the time notice was first given.
Any Claim or Claims arising out of, based upon or
attributable to (i) the same cause, or (ii) a single Wrongful
Act, or (iii) a series of continuous, repeated or related
Wrongful Acts, shall be considered a single Claim for the
purposes of this policy.
Circumstances During the Policy Period, an Insured may become aware
of circumstances which may reasonably be expected to give
rise to a Claim. In such event, an Insured may report the
circumstances in writing to the Insurer. If in doing so, the
Insured provides: (i) the reasons for anticipating the Claim,
and (ii) full particulars as to dates, acts and persons
involved; then any Claim which is subsequently made
against an Insured and reported in writing to the Insurer
alleging, arising out of, based upon or attributable to such
circumstances, or alleging any Wrongful Act which is the
same as or related to any Wrongful Act alleged or
described in the previously notified circumstances, shall be
considered first made against the Insured and reported to
the Insurer at the time the facts or circumstances were first
reported, if accepted by the Insurer.
Defence/Settlement The Insurer does not assume any duty to defend, and the
Insured shall defend and contest any Claim made against
them unless the Insurer, in its sole and absolute discretion,
elects in writing to take over and conduct the defence and
settlement of any Claim. If the Insurer does not so elect, it shall
be entitled, but not required, to participate fully in such defence
and the negotiation of any settlement that involves or appears
reasonably likely to involve the Insurer. The Insurer has the
right at any time after notification of a Claim to make a
payment to the Insured of the unpaid balance of the Limit of
Liability, and upon making such payment, all obligations of
the Insurer to the Insured under this policy, including, if any,
those relating to defence, shall cease.
19Insurer's Consent As a condition precedent to cover under this policy, no Insured
shall admit or assume any liability, enter into any settlement
agreement, consent to any judgment, or incur any Defence
Costs without the prior written consent of the Insurer. Only
those settlements, judgments and Defence Costs consented
to by the Insurer, and judgments resulting from Claims
defended in accordance with this policy, shall be recoverable
as Loss under this policy. The Insurer's consent shall not be
unreasonably withheld, provided that the Insurer shall be
entitled to exercise all of its rights under the policy.
lnsured's Consent The Insurer may make any settlement of any Claim it deems
expedient with respect to any Insured, subject to such
lnsured's written consent. If any Insured withholds consent
to such settlement, the Insurer's liability for all Loss on
account of such Claim shall not exceed the amount for which
the Insurer could have settled such Claim, plus Defence
Costs incurred as of the date such settlement was proposed
in writing by the Insurer, less coinsurance (if any) and the
applicable Retention.
Co-operation The Insured will at their own cost: (i) render all reasonable
assistance to the Insurer and co-operate in the defence of any
Claim and the assertion of indemnification and contribution
rights; (ii) use due diligence and do and concur in doing all
things reasonably practicable to avoid or diminish any Loss
under this policy; (iii) give such information and assistance to
the Insurer as the Insurer may reasonably require to enable
it to investigate any Loss or determine the Insurer's liability
under this policy.
Allocation In the event that any Claim involves both covered matters and
matters not covered under this policy, a fair and proper
allocation of any cost of defence, damages, judgments and/or
settlements shall be made between each Insured and the
Insurer taking into account the relative legal and financial
exposures attributable to covered matters and matters not
covered under this policy.
Fraudulent Claims If any Insured shall give any notice or claim cover for any Loss
under this policy knowing such notice or claim to be false or
fraudulent as regards amounts or otherwise, such Loss shall
be excluded from cover under the policy, and the Insurer shall
have the right, in its sole and absolute discretion, to avoid its
obligations under or void this policy in its entirety, and in such
case, all cover for Loss under the policy shall be forfeited and
all Premium deemed fully earned and non-refundable.
20Purchase and Administration
Policy Purchase In granting cover to the Insured, the Insurer has relied upon
the material statements and particulars in the proposal
together with its attachments and other information supplied.
These statements, attachments and information are the basis
of cover and shall be considered incorporated and constituting
part of this policy. If the Insurer becomes entitled to avoid this
policy from inception or from the time of any variation in cover,
the Insurer may at its discretion maintain this policy in full
force but exclude the consequences of and any Claim relating
to any matter which ought to have been disclosed before
inception or any variation in cover.
Administration >The Policyholder has acted and shall act on behalf of each
and every Insured with respect to: (1) negotiating terms and
conditions of, binding and amending cover; (2) exercising
rights of Insureds; (3) notices; (4) Premiums; (5)
endorsements; (6) dispute resolution; and (7) payments to any
Insured.
Limit and Retention
Limit of Liability The total amount payable by the Insurer under this policy shall
not exceed the Limit of Liability. Sub-limits of Liability,
Extensions and Defence Costs are part of that amount and are
not payable in addition to the Limit of Liability. The Limit of
Liability for the period provided in the Extended Reporting Period
Extension is part of, and not in addition to, the Limit of Liability
for the Policy Period. The inclusion of more than one Insured
under this policy does not operate to increase the total amount
payable by the Insurer under this policy. The Lost Documents
Extension Sublimit of Liability shall be part of and not in addition
to the Limit of Liability.
Retention The Insurer shall only pay for the amount of any Loss which is
in excess of the Retention. For the avoidance of doubt, the
Retention also applies to Defence Costs. The Retention is to
be borne by the Insured and shall remain uninsured. A single
Retention shall apply to Loss arising from all Claims alleging the
same Wrongful Act. Insurer may, in its sole and absolute
discretion, advance all or part of the Retention, and, in that event,
such amounts shall be reimbursed to the Insurer by the Insureds
forthwith.
21Other Insurance/ Unless otherwise required by law, Cover under this policy is
Indemnification provided only as excess over any self-insurance or other valid
and applicable insurance, unless such other insurance is written
only as specific excess insurance over the Limit of Liability.
Nothing contained herein shall be construed to increase the Limit
of Liability of this policy. To the extent that another insurance
policy imposes upon an insurer a duty to defend a Claim,
Defence Costs arising out of such Claim shall not be covered
under this policy.
22General Provisions
Assignment This policy and any rights under or in respect of it cannot be
assigned without the prior written consent of the Insurer.
Cancellation
By Policyholder. This policy may be cancelled by the Policyholder at any time
only by mailing written prior notice to the Insurer. In such case, if
no Claim has been made and no circumstance has been notified
prior to such cancellation; Insurer shall retain the customary
short rate proportion (unexpired portion of Premium less
handling charges) of the Premium. Otherwise, Premium shall
not be returnable and shall be deemed fully earned at
cancellation.
By Insurer. This policy may be cancelled by the Insurer delivering to the
Policyholder by registered, certified, other first class mail or
other reasonable delivery method, at the address of the
Policyholder set forth in the Schedule, written notice stating
when, not less than thirty (30) days thereafter, the cancellation
shall be effective. Proof of mailing or delivery of such notice shall
be sufficient proof of notice and this policy shall be deemed
cancelled as to all Insureds at the date and hour specified in such
notice. In such case, the Insurer shall be entitled to a pro-rata
proportion of the Premium. Payment or tender of any unearned
premium by the Insurer shall not be a condition precedent to the
effectiveness of cancellation, but such payment shall be made as
soon as practicable.
Arbitration Any and all disputes or differences which may arise under, out of,
in connection with or in relation to this policy, or to its existence,
validity or termination, or to the determination of the amount or
any amounts payable under this policy, shall be referred to a sole
arbitrator to be appointed by the parties to the dispute within 30
days of any party giving notice of arbitration to the other(s).
In the event that the parties are unable to agree upon the identity
of a sole arbitrator, the disputes or differences shall be referred
to the decision of 3 arbitrators of whom one shall be appointed in
writing by each of the parties within a period of 30 days after the
failure to appoint a sole arbitrator and the third (who shall serve
as Chairman) shall be appointed by the nominated arbitrators. In
case either party shall refuse or fail to appoint an arbitrator within
the aforesaid 30 days after receipt of notice in writing requiring an
appointment, the other party shall be at liberty to appoint a sole
arbitrator who shall thereafter be empowered to conduct the
arbitration and determine the disputes or differences referred to
23him as if he had been appointed a sole arbitrator with the consent
of both parties.
The parties shall share the expenses of the arbitrator or arbitral
tribunal equally and such expenses, along with the reasonable
costs of the parties in the arbitration, shall be awarded by the
arbitrator or arbitral tribunal in favour of the successful party in the
arbitration or, where no party can be said to have been wholly
successful, to the party who has substantially succeeded.
The place of arbitration shall be India, the language of the
arbitration shall be English, the law applicable to and in the
arbitration shall be Indian law and the arbitration process will be
in accordance with the provisions of the Arbitration & Conciliation
Act 1996, as amended from time to time.
It is a condition precedent to any right of action or suit upon this
policy that the award by such arbitrator or arbitrators shall be first
obtained.
In the event that these arbitration provisions shall be held to be
invalid then all such disputes shall be referred to the exclusive
jurisdiction of the Indian courts.
Insolvency Insolvency, receivership or bankruptcy of any Insured shall not
relieve the Insurer of any of its obligations hereunder.
Plurals, Headings and The descriptions in the headings and titles of this policy are
Titles solely for reference and convenience and do not lend any
meaning to this contract. Words and expressions in the
singular shall include the plural and vice versa. In this policy,
words in bold typeface have special meaning and are
defined. Words that are not specifically defined in this policy
have the meaning normally attributed to them.
Scope and Where legally permissible and subject to the U.S.A./Canada
Governing Law Exclusion, this policy shall apply to any Claim made against any
Insured anywhere in the world. Any interpretation of this policy
relating to its construction, validity or operation shall be made in
accordance with the laws of India and in accordance with the
English text as it appears in this policy.
Subrogation If any payment is to be made under this policy in respect of a
Claim, the Insurer shall be subrogated to all rights of recovery of
the Insured whether or not payment has in fact been made and
whether or not the Insured has been fully compensated for its
actual loss. The Insurer shall be entitled to pursue and enforce
24such rights in the name of the Insured, who shall provide the
Insurer with all reasonable assistance and co-operation in doing
so, including the execution of any necessary instruments and
papers. The Insured shall do nothing to prejudice these rights.
Any amount recovered in excess of the Insurer's total payment
shall be restored to the Insured less the cost to the Insurer of
such recovery. The Insurer agrees not to exercise any such
rights of recovery against any Employee unless the Claim is
brought about or contributed to by the dishonest, fraudulent,
intentional criminal or malicious act or omission of the Employee.
In its sole discretion, the Insurer may, in writing, waive any of its
rights set forth in this Subrogation Clause.
Validity This policy is not binding upon the Insurer unless it is
countersigned on the Schedule by an authorised representative
of the Insurer.
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