IRDAI Surveyor Fire (S-02) flashcards
IRDAI Surveyor Fire (S-02) ยท Build recall with a focused review session.
32 cards. Read the term and the definition here. The deck at the top of this page is optional.
- Indemnity principle
- The insured is restored to the pre-loss financial position, no better and no worse; the sum insured caps payment but does not determine the amount of loss.
- Insurable interest
- A legal or financial relationship with the property such that the insured benefits from its preservation and suffers loss from its damage; must exist at the time of loss.
- Proximate cause
- The dominant, efficient cause of loss without which the loss would not have occurred; determines whether the peril is covered under the policy.
- Utmost good faith
- Both parties must disclose all material facts relevant to the risk; breach by the insured can render the policy voidable under the Indian Contract Act, 1872.
- Average clause
- Underinsurance penalty: claim = (sum insured / value at risk) x loss, applied when the sum insured is less than the value of the property covered.
- Subrogation
- After paying an indemnity, the insurer acquires the insured's rights to recover the loss from a negligent third party responsible for the damage.
- Contribution
- When multiple policies cover the same property and interest, each insurer pays a rateable share so the insured cannot recover more than the actual loss.
- Reinstatement value basis
- Settlement based on the cost of replacing or rebuilding with new property of like kind and quality, without deducting depreciation, subject to the sum insured.
- SFSP policy
- Standard Fire and Special Perils policy, the base Indian fire cover, including fire, lightning, explosion, riot, storm, flood, subsidence, and sprinkler leakage.
- Fire peril ignition requirement
- Cover requires actual ignition; scorching without ignition, or smoke damage from a non-covered source, is generally excluded from the fire peril.
- 12% condition
- If the sum insured on an item is below its value, the insured bears a rateable proportion of every claim; the average clause applies item by item.
- 5% declaration condition
- On declaration policies, monthly stock declarations are required; claims are settled on the higher of the average declaration or actual value.
- Standard exclusions
- War and nuclear risks, willful acts or gross negligence, spontaneous combustion, fermentation, and theft (unless separately covered) are excluded from SFSP.
- Removal of debris cover
- An extension covering costs of clearing debris after a covered loss, usually subject to a sub-limit expressed as a percentage of the claim.
- Reinstatement intention condition
- The insured must notify intention to reinstate within the period specified in the policy; otherwise the claim reverts to market value settlement.
- Terrorism extension
- Terrorism is not a standard SFSP peril; it must be expressly endorsed and separately rated to be covered under the policy.
- Value at risk
- The actual value of the insured property on the date of loss, used to test for underinsurance and to apply the average clause.
- Stock loss computation
- Loss = opening stock + purchases - sales - closing stock salvaged, cross-checked against books of account and stock statements.
- Depreciation in loss assessment
- Reduction applied to damaged assets based on age, condition, and useful life when settling on market value basis rather than reinstatement basis.
- Salvage deduction
- The realisable value of damaged property is deducted from the gross loss before applying average; salvage generally belongs to the insurer.
- Repair versus replacement
- For partial losses, repair cost is usually the correct measure if the asset remains functional; replacement applies when repair is uneconomic or impossible.
- Policy excess deduction
- The deductible or excess stated in the policy schedule is deducted from the assessed loss before payment, in addition to any average application.
- Surveyor licence validity
- A surveyor must hold a valid IRDAI licence for the class of business (fire) before conducting a survey; practising without one is an offence.
- Initial site inspection
- First visit records date and time of loss, cause, extent of damage, and secures the scene; dated photographs and videos are taken as evidence.
- Key claim documents
- Policy copy, claim form, FIR or incident report, fire brigade report, stock statements, purchase invoices, books of account, and repair estimates.
- Preliminary survey report
- An early report to the insurer summarising cause, extent, and preliminary loss estimate, submitted within the timeframe agreed with the insurer.
- Final survey report contents
- States proximate cause, coverage status, basis of assessment, valuation, exclusions affecting liability, and recommendations, with supporting evidence attached.
- Salvage chain of custody
- Record of salvaged property from collection to valuation and disposal, with the insured's acknowledgement, to prevent disputes over salvage value.
- Surveyors Regulations 2015
- IRDAI (Insurance Surveyors and Loss Assessors) Regulations, 2015 govern licensing, renewal, fees, records, and conduct of surveyors and loss assessors in India.
- Independence and impartiality
- Surveyors must have no direct or indirect interest in the subject matter and must not accept remuneration contingent on the claim amount assessed.
- Confidentiality obligation
- Information obtained during a survey must be kept confidential and used only for the purpose of the survey and report to the insurer.
- Record retention
- Surveyors must maintain records of surveys conducted and produce them to IRDAI on request; failure can lead to suspension or cancellation of licence.