Principles of European Insurance Contract Law (PEICL)

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Principles of European Insurance Contract Law (PEICL) Prepared by the Project Group Restatement of European Insurance Contract Law established by Fritz Reichert-Facilides Chairman: Helmut Heiss Edited by the Drafting Committee: Jürgen Basedow, John Birds, Malcolm Clarke, Herman Cousy, Helmut Heiss in cooperation with Leander D. Loacker

ISBN (print) 978-3-86653-069-0 ISBN (ebook) 978-3-86653-853-5 The Deutsche Nationalbibliothek lists this publication in the Deutsche Nationalbibliografi e; detailed bibliographic data are available on the Internet at http://dnb.d-nb.de. 2009 by sellier. european law publishers GmbH, Munich. All rights reserved. No part of this publication may be reproduced, translated, stored in a retrieval system or transmitted, in any form or by any means, electronic, mechanical, photo-copying, recording or otherwise, without prior permission of the publisher. Design: Sandra Sellier, Munich. Production: Karina Hack, Munich. Typesetting: fi dus Publikations-Service GmbH, Nördlingen. Typeface: Goudy Old Style and Goudy Sans from Linotype. Printing and binding: Friedrich Pustet KG, Regensburg. Printed on acid-free, non-ageing paper. Printed in Germany.

Principles of European Insurance Contract Law (PEICL): Rules Part One Provisions Common to All Contracts Included in the Principles of European Insurance Contract Law (PEICL) Chapter One Introductory Provisions Application of the PEICL Article 1:101 Substantive Scope of Application Article 1:102 Optional Application Article 1:103 Mandatory Character Article 1:104 Interpretation Article 1:105 National Law and General Principles Section Two General Rules Article 1:201 Insurance Contract Article 1:202 Further Definitions Article 1:203 Language and Interpretation of Documents Article 1:204 Receipt of Documents: Proof Article 1:205 Form of Notice Article 1:206 Imputed Knowledge Article 1:207 Non-Discrimination Section Three Enforcement Article 1:301 Injunctions Article 1:302 Out-of-court Complaint and Redress Mechanisms Chapter Two Initial Stage and Duration of the Insurance Contract Applicant s Pre-Contractual Information Duty Article 2:101 Duty of Disclosure Article 2:102 Breach 1

Principles of European Insurance Contract Law (PEICL): Rules Article 2:103 Exceptions Article 2:104 Fraudulent Breach Article 2:105 Additional Information Section Two Insurer s Pre-Contractual Duties Article 2:201 Provision of Pre-Contractual Documents Article 2:202 Duty to Warn about Inconsistencies in the Cover Article 2:203 Duty to Warn about Commencement of Cover Section Three Conclusion of the Contract Article 2:301 Manner of Conclusion Article 2:302 Revocation of an Application for Insurance Article 2:303 Cooling-off Period Article 2:304 Abusive Clauses Section Four Retroactive and Preliminary Cover Article 2:401 Retroactive Cover Article 2:402 Preliminary Cover Article 2:403 Duration of Preliminary Cover Section Five Insurance Policy Article 2:501 Contents Article 2:502 Effects of the Policy Section Six Duration of the Insurance Contract Article 2:601 Duration of the Insurance Contract Article 2:602 Prolongation Article 2:603 Alteration of Terms and Conditions Article 2:604 Termination after the Occurrence of an Insured Event Section Seven Post-Contractual Information Duties of the Insurer Article 2:701 General Information Duty Article 2:702 Further Information upon Request Chapter Three Insurance Intermediaries Article 3:101 Powers of Insurance Agents Article 3:102 Agents of Insurers Purporting to Be Independent 2

Principles of European Insurance Contract Law (PEICL): Rules Chapter Four The Risk Insured Precautionary Measures Article 4:101 Precautionary Measures: Meaning Article 4:102 Insurer s Right to Terminate the Contract Article 4:103 Discharge of the Insurer s Liability Section Two Aggravation of Risk Article 4:201 Clauses Concerning Aggravation of Risk Article 4:202 Duty to Give Notice of an Aggravation of Risk Article 4:203 Sanctions Section Three Reduction of Risk Article 4:301 Consequences of the Reduction of Risk Chapter Five Insurance Premium Article 5:101 First or Single Premium Article 5:102 Subsequent Premium Article 5:103 Termination of the Contract Article 5:104 Divisibility of Premium Article 5:105 Right to Pay Premium Chapter Six Insured Event Article 6:101 Notice of Insured Event Article 6:102 Claims Cooperation Article 6:103 Acceptance of Claims Article 6:104 Time of Performance Article 6:105 Late Performance Chapter Seven Prescription Article 7:101 Action for Payment of Premium Article 7:102 Action for Payment of Insurance Benefits Article 7:103 Other Issues Relating to Prescription 3

Principles of European Insurance Contract Law (PEICL): Rules Part Two Provisions Common to Indemnity Insurance Chapter Eight Sum insured and Insured Value Article 8:101 Maximum Sums Payable Article 8:102 Underinsurance Article 8:103 Adjustment of Terms in Case of Overinsurance Article 8:104 Multiple Insurance Chapter Nine Entitlement to Indemnity Article 9:101 Causation of Loss Article 9:102 The Costs of Mitigation Chapter Ten Rights of Subrogation Article 10:101 Subrogation Chapter Eleven Insured Persons Other than the Policyholder Article 11:101 Entitlement of the Insured Article 11:102 Knowledge of the Insured Article 11:103 Breach of Duty by One Insured Chapter Twelve Insured Risk Article 12:101 Lack of Insured Risk Article 12:102 Transfer of Property Part Three Provisions Common to Insurance of Fixed Sums Chapter Thirteen Admissibility Article 13:101 Insurance of Fixed Sums 4

Chapter One: Introductory Provisions Part One Provisions Common to All Contracts Included in the Principles of European Insurance Contract Law (PEICL) Chapter One Introductory Provisions Application of the PEICL Article 1:101 Substantive Scope of Application (1) The PEICL shall apply to private insurance in general, including mutual insurance. (2) The PEICL shall not apply to reinsurance. Article 1:102 Optional Application The PEICL shall apply when the parties, notwithstanding any limitations of choice of law under private international law, have agreed that their contract shall be governed by them. Subject to Article 1:103, the PEICL shall apply as a whole and no exclusion of particular provisions shall be allowed. Article 1:103 Mandatory Character (1) Articles 1:102 sentence 2, 2:104, 13:101 [...] 1 are mandatory. Other articles are mandatory as far as they regulate fraudulent behaviour. (2) The contract may derogate from all other provisions of the PEICL as long as such derogation is not to the detriment of the policyholder, the insured or beneficiary. However, derogation shall be allowed to the benefit of any party in contracts covering (a) risks in classes 4, 5, 6, 7, 11 or 12 of the Annex to this Article; (b) risks in classes 14 or 15 of the Annex to this Article, when the policyholder is engaged professionally in an industrial or commercial activity or in one of the liberal professions, and the risks relate to such activity; (c) risks in classes 3, 8, 9, 10, 13 or 16 of the Annex to this Article, in so far as the policyholder exceeds the limits of at least two of the following three criteria: balance-sheet total: 6.2 million euros net turnover: 12.8 million euros average number of employees during the financial year: 250. 1 Articles 1:102 sentence 2, 2:104 and 13:101 are the only mandatory provisions so far; however further mandatory articles are anticipated in future Articles on specific branches of insurance. 5