The Sum Insured
sum-insured |
THE INSURED INTEREST;
In order for risk coverage to be
carried out through insurance, the person exposed to risk must have an interest
in the thing to be insured or, in the case of personal insurance, in the
insured person.
The insured or insurable interest
is understood to mean "the relationship"
that has to mediate between the insured and the thing (or person) exposed to
the risk, according to whose relationship, if the loss takes place, an economic loss or injury will occur, either directly,
if the consequences of the loss fall on his own person or patrimony (case of
the owner or the insurance on his own life), either indirectly if in any way he
has an interest or responsibility in what is damaged or
destroyed (as responsible for his conservation, if it is a depositary,
for example, or as a creditor, or as a
usufructuary).
The interest must exist for
the insurance to be contracted, because if there is no interest exposed to
damage, it would be indifferent to the policyholder that the claim occurs.
The interest must be lawful and
therefore derive from property or responsibility for the thing, and must also
be assessable financially, in order to be able
to value it for insurance purposes.
In personal insurance,
the interest must be had by the policyholder and the consent of the insured is
required, presuming the existence of the
interest when insurance is taken out on one's own life, on the life of
relatives or related persons (for example, for employees
of a company) or when there is an economic interest (for example, from
the creditor).
Insurance contract...
is void if at the time of its conclusion there is no interest of the insured in
compensation for damage. If the interest disappears once the insurance is
contracted, this is cause for termination of the
policy ".
The value of
the interest is also the limit of value by which you can take out insurance, in
order to avoid enrichment due to Sinister. The Insurance Contract Law
indicates, in this sense, that "for the determination of the damage, the
value of the insured interest will be taken into account at the time to the
claim, since that will be the actual damage suffered by the holder of the
interest.
THE CAPITAL OR SUM INSURED;
The insured capital is the
economic value in which the interest of the insured is
evaluated. Said capital appears in every insurance policy, as the limit
value of coverage that will be paid by the insurer in the event of a claim.
The insured
capital can be a determined, determinable figure, Fixed or variable, or consist of
the provision of a service.
In most
cases, the insured capital is an amount or sum, which corresponds to the value
of the insured assets or the one that the policyholder wishes to contract in
personal insurance.
It can also
be a determinable amount, depending on Reference figures, such as, for example,
the amount of inventory in the warehouse,
salaries paid, loss of rents in the event of a claim, etc.
When the capital is not
fixed in the policy, but it is formulated According to its calculation method,
the applicable premium will always be considered provisional, its amount being
regularized once the exact amount of the insured capital is known. This is the
case of the so-called "floating capital"
policies, in which a minimum and maximum capital are set, which is adjusted a
posterior based on the stocks actually stored, the goods transported, the
trips made, etc.
There are types of
insurance in which the insured benefit does not consists in the satisfaction
of economic compensation, but in the provision of a service by the insurer.
This occurs for example in travel assistance insurance,
health care insurance, etc.
In these cases, the valuation of the insured sum is made by the insurer
based on the estimated monetary cost of the insured service, in other words,
there is always a monetary translation of the commitments assumed by
the insurer, in accordance with the general principle of economic risk
assessment.
The insured sum is stated in the
policy. Therefore, it must include the capital or the system that will serve
to determine it,
or the scope of the coverage, stating the services that the insurer must
provide in the event of a claim.
In general,
the following rules can be established so that it concerns the insured capital:
The insured capital constitutes the
coverage limit;
The insured capital constitutes the coverage limit for the insurer because if the insured capital is less than the real value, that will constitute the limit of the benefit to be
satisfied because the price or insurance premium was calculated based on said
insured capital. Likewise, in the event that the real value of the thing is
less than the insured capital, the former will prevail, in order to avoid
enrichment in the event of a claim.
The sum insured represents the maximum limit
of the compensation to be paid by the insurer in each claim. There can
therefore be no enrichment due to the insurance.
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