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Cover, claims and the cost of a car
Insure Before DrivingCover, claims and the cost of a car

Cover Types

An exclusion and a condition precedent both end a claim, and they do it from opposite directions

One describes an event the policy never promised to cover; the other is a requirement placed on the policyholder, and failing it can defeat a claim the policy would otherwise have paid in full.

By Vaishnavi Rao4 min read

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Common questions

Can an insurer refuse a claim for late notification when the delay caused no harm?

Where the notification clause is drafted as a condition precedent, that is its traditional effect, and it is one of the harsher features of insurance contract law. Several jurisdictions have modified the position, requiring the insurer to show that it was prejudiced before it can refuse. Which rule applies depends entirely on where the policy was issued, so both the wording and the local law have to be checked.

Is an exclusion the same as something simply not being mentioned?

No, although the outcome can look similar. A policy covers only what its insuring clause says it covers, so a loss outside that clause is uncovered even if no exclusion names it. Exclusions exist to carve back things that would otherwise fall inside the general promise, which is why they tend to be oddly specific.

Does an explanation given at the point of sale change what a clause does?

The contract is the wording and the schedule, and an oral summary does not rewrite either. That said, in many markets an intermediary owes duties about the advice it gives, so a serious misdescription may create a separate complaint against the intermediary. That is a different remedy from the claim itself, and it is usually a slower one.

Cover Typespolicy wordingexclusionsconditionsclaims
Vaishnavi Rao
Editor, Insure Before Driving

Vaishnavi covers cover types, claims, premiums and the questions readers actually send in and reads the small print so you do not have to.