| CLAIM SETTLEMENT FOR DOUBLE INSURANCE POLICY WITH SUM INSURED METHOD |
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| Written by pojokasuransi.com | |
| Sep 15, 2007 at 03:12 PM | |
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For the sample case, we take a fire insurance which has 2 (two) policies. First policy issued by X Insurance Co. and the other issued by Y Insurance Co. The trade of insured business is retailer of electronics goods like television, air conditioner, refrigerator, etc. The detailed sum insured for 2 (two) policies above is as follows : Sum Insured X
Insurance Co. Policy Y
Insurance Co. Policy -Building USD
20,000.00 USD
10,000.00 -Stock-in-trade USD 4,000.00 USD 6,000.00 Based on the spot investigation, claim analyst or loss
adjuster reported that the cause of loss was fire due to short circuit. The
insured propose a claim as much as USD 20,000.00 for building loss and USD 3,000.00
on stock-in-trade loss. The value of USD 20,000.00 was considered from building
condition after loss which was not stable anymore and need to be rebuilt after
the fire damage. For further information, the building was built in 2002 and
loss damage happens in 2007. Meanwhile, the stock-in-trade is a new items. So,
how we can calculate the actual loss and respective liability for each
insurance company ? First, we need information about construction index based on
local price. In For the loss on electronic goods as stock-in-trade, we need
information on stock declaration in every months and compared with damaged
items found while taking a claim investigation. If the items is new condition,
no depreciation will be made. And with assumption that the actual loss for
stock-in-trade is same with the proposed value by the insured, we can calculate
loss based on the formula bellow : Building : X Contribution = Sum Insured X x Loss Sum Insured X + Sum Insured Y =
USD 20,000.00 x USD 9,000.00 USD 20,000.00 + USD 10,000.00 =
USD 6,000.00 Y Contribution = Sum Insured Y x Loss Sum Insured X + Sum Insured Y = USD 10,000.00 x USD 9,000.00 USD 20,000.00 + USD 10,000.00 =
USD 3,000.00 Stock-in-trade : X Contribution = Sum Insured X x Loss Sum Insured X + Sum Insured Y =
USD 4,000.00 x USD 3,000.00 USD 4,000.00 + USD 6,000.00 =
USD 1,200.00 Y Contribution = Sum Insured Y x Loss Sum Insured X + Sum Insured Y = USD 6,000.00 x USD 3,000.00 USD 4,000.00 + USD 6,000.00 =
USD 1,800.00 So, the compensation paid by X Insurance Co. is USD 6,000.00
+ USD 1,200.00 = USD 7,200.00 and in
other side, Y Insurance Co. will pay the insured in a value of USD 3,000.00 +
USD 1,800.00 = USD 4,800.00. Total claim
payment received by the insured is USD 12,000.00. |










