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  • 8/10/2019 3. CLAIMS

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    leund ly bis arjud, js sbk `eucd net dkoenstrjtk tbjt it wjs eutsidk tbk s`epk ea bis jmkn`y.

    Henstjntines Jmjpites jnd Jnetbkrv. Ijn @bjrcks Jmnkw jnd EtbkrsX

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    te jveid cijlicity in rkspk`t ea tbksk rishs jnd wkrk net cijlck te Pvknshj Hrkdit aer tbksk rishs.

    Pin`k tbk rkinsurkr is ajr rkoevkd areo tbk eriminjc insurkd it dkpknds bkjvicy en tbk insurkr te ojhk dktjickd invkstimjtiens ea tbkeriminjc `cjio te knsurk tbjt it is ckmitiojtk jnd `evkrkd undkr tbk tkros ea tbk eriminjc insurjn`k peci`y. Tbk @eurt ea Jppkjc in tbkrk`knt `jsk eaLretbkrten jnd Etbkrs v. Jskmurjderj @ecskmures PJ jnd Jnetbkr(

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    Lcj`h Pkj Pbippinm @erperjtienv. Ojssik (Tbk Citsien Vridk)X:92;_ : Cceyds \kp. 40=

    Tbk pcjintiaas wkrk ewnkrs ea tbk sbip wbi`b wjs insurkd jmjinst wjr rishs witb tbk dkakndjnt undkrwritkrs. Tbk peci`y `entjinkd j `enditien tbjt ia

    tbk sbip sjickd inte bjzjrdeus wjtkrs, jn jdditienjc prkoiuo sbeucd lk pjid te tbk undkrwritkrs. Durinm tbk Irjn/Irjq wjr tbk sbip kntkrkd tbk djnmkr

    zenk jnd wjs dkstreykd ly oissick airk. Tbk `eurt bkcd tbjt tbk sbipewnkrs jnd tbk lrehkrs j`tkd arjuduckntcy jnd tbjt tbk duty iopeskd upen tbk

    insurkd te dis`cesk `ir`uostjn`ks wbi`b wicc jaak`t tbk prkoiuo `bjrmkd deks `entinuk jatkr tbk rish bjs lkkn j``kptkd en `evkr.

    @entinkntjc Iccineis Ljnh Trust @eopjny ea @bi`jmev. Jccijn`k Jssurjn`k @eopjny Cioitkd (Tbk @jptjin

    Vjnjmes)X:921_ < Cceyds \kp. 4=6

    In @entinkntjc Iccineis Ljnh Trust @eopjny ea @bi`jmev. Jccijn`k Jssurjn`k @eopjny Cioitkd (Tbk @jptjin Vjnjmes) X:921_ < Cceyds \kp. 4=6

    tbk insurkd ojdk j arjuducknt `cjio. Tbk insurkd wbe ewnkd tbk sbip mreundkd tbk sbip jnd skt it jcimbt jnd tbkn seumbt te rk`evkr tbk `est ea j

    `enstru`tivk tetjc cess undkr tbk tkros ea tbk insurjn`k peci`y. Tbk `eurt bkcd tbjt tbk insurkd bjd lkkn arjuducknt jnd ly virtuk ea sk`tien := ea tbk

    Ojrink Insurjn`k J`t :961 tbk insurkrs wkrk jlck te tkroinjtk tbk `entrj`t jl initie.

    Erjhpev. Ljr`cjys Insurjn`k Pkrvi`ks jnd JnetbkrX:99;_ C.\.C.\. 440

    Tbk pcjintiaa ojdk oisrkprkskntjtiens te @eookr`ijc [nien rkmjrdinm tbk `enditien ea bis prepkrty in Cenden. Bk wjs jwjrk tbjt tbkrk bjd lkkn dry

    ret prelckos witb tbk prepkrty aer seok tiok jnd bk kxjmmkrjtkd tbk `cjios aer cess ea rknt areo tbk lkdsittinm reeos in tbk prepkrty. Tbk @eookr`ijc

    [nien insurjn`k peci`y bjd rk`kntcy lkkn rkviskd te ojhk it `enaero te pcjin Knmcisb, jnd js j rksuct tbk sk`tien (rkcjtinm te tbk aj`t tbjt tbk

    suloissien ea j arjuducknt `cjio weucd rkoevk jcc lknkaits undkr tbk insurjn`k peci`y) bjd lkkn rkoevkd. Nkvkrtbkckss, tbk @eurt ea Jppkjc bkcd tbjt

    tbis ojdk ne diaakrkn`k. Tbk aj`t ea tbk ojttkr wjs tbjt js pjrt ea tbk duty ea utoest meed ajitb tbk insurkd is elcimkd te put aerwjrd benkst `cjios, jnd

    ia j arjuducknt `cjio is ojdk tbkn tbis wicc okjn tbjt tbk insurkr `jn lk dis`bjrmkd areo cijlicity.

    Insurjn`k @erperjtien ea tbk @bjnnkc Iscjnds jnd \eyjc Insurjn`k @eopjny Cioitkdv. O`Bumb jnd \eyjc Betkc

    CioitkdX:99=_ C.\.C.\. 94In Insurjn`k @erperjtien ea tbk @bjnnkc Iscjnds jnd \eyjc Insurjn`k @eopjny Cioitkdv. O`Bumb jnd \eyjc Betkc CioitkdX:99=_ C.\.C.\. 94 tbk

    insurkd inacjtkd tbk `cjio ly kxjmmkrjtinm tbk reeo e``upjn`y jt tbk betkc. Tbis `jsk wjs unusujc in tbjt tbk `entrj`t `entjinkd spk`ijc `enditiens

    rkmjrdinm tbk eptiens jvjicjlck te tbk insurkr in tbk kvknt tbjt tbk insurkd prkskntkd j arjuducknt `cjio, jnd tbk `jsk vkry ou`b ae`uskd upen tbk

    intkrprktjtien ea tbk tkros. Bewkvkr, tbk `eurt sticc okntienkd tbk `entinuinm duty ea utoest meed ajitb.

    In Dirk`t Cink Insurjn`k pc` v. Hbjn jnd Etbkrs X

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    suo lk`jok pjyjlck upen rkckmjtien ea tbk `cul wbktbkr er net it `eucd sbew tbjt it bjd j`tujccy suaakrkd okjsurjlck ainjn`ijc cess.

    In tbk rk`knt `jsk ea]iskv. Mrupe Nj`ienjc Vrevin`ijc PJX

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    Ojbciv. Jllky Ciak Jssurjn`k @eopjny CioitkdX:991_ C.\.C.\.

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    jcwjys ckjr.

    \EJ\ Ojrink Cioitkdv. Liokb Irjn Insurjn`k @eopjny X:992_ : Cceyds \kp. 4

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    @eooutjtienJ `eooutjtien jmrkkoknt is jn undkrstjndinm lktwkkn tbk rkinsurkr jnd tbk rkinsurkd wbkrkly in `ensidkrjtien ea j pjyoknt ly tbkrkinsurkr te tbk rkinsurkd tbk rkinsurkd rkckjsks tbk rkinsurkr areo auturk cijlicitiks undkr tbk rkinsurjn`k `entrj`t.

    It is diaai`uct te dktkroink tbk `errk`t pri`k aer j `eooutjtien lut in `ensidkrinm tbk vjcuk tbk rkinsurkr wicc ceeh jt tbk `cjiosbistery ea tbk `entrj`t er `entrj`ts jnd pregk`t inte tbk auturk wbjt `cjios jrk cihkcy te lk ojdk jnd tbk cihkcy `est ea tbesk `cjios,jnd wbjt pjyoknts jrk cihkcy te lk ojdk in tbk auturk in rkspk`t ea kxistinm `cjios. Tbk rkinsurkr wicc nerojccy `jrry eut j

    witbeut-prkgudi`k inspk`tien ea tbk rkinsurkds rk`erds prier te j `eooutjtien te mivk it j lkttkr undkrstjndinm ea tbk rkinsurkds`cjios stjtisti`s jnd te jssist witb `jc`ucjtinm tbk in`urrkd lut net rkpertkd (ILN\) aimurks. Tbk rkinsurkr wicc pregk`t tbk `cjiosaimurks inte tbk auturk jnd tbkn ojhk j dkdu`tien te tjhk j``eunt ea tbk aj`t tbjt tbk rkinsurkd is in rk`kipt ea tbk pjyoknt kjrcikr tbjnbk weucd bjvk lkkn ia tbk `cjios bjd lkkn pjid wbkn tbky wkrk prkskntkd in tbk auturk jnd wicc tbus lk jlck te invkst tbis oenky.\kinsurkrs sbeucd cijisk `ceskcy witb tbkir rktre`kssienjirks wbkn tbky jrk `ensidkrinm `eooutinm lusinkss in erdkr te jveid jnydiaai`uctiks wbi`b ojy jrisk wbkn tbk rkinsurkr triks te rk`evkr tbk `eooutjtien dkjc pjyoknt areo its ewn rkinsurkrs.

    ]bkn tbk `eooutjtien tkros bjvk lkkn jmrkkd lktwkkn tbk pjrtiks tbky wicc lk `enairokd in j rkckjsk jmrkkoknt. Tbk rkckjskjmrkkoknt wicc `ckjrcy idkntiay tbk `entrj`ts wbi`b bjvk lkkn `eooutkd, spk`iay tbk pjyoknt dktjics jnd eutcink wbkrk jnd wbkn tbkpjyoknt sbeucd lk ojdk. It wicc `entjin j `enaidkntijcity `cjusk prkvkntinm tbk pjrtiks areo dis`cesinm tbk dktjics ea tbkir jmrkkokntte etbkr pjrtiks, j `cjusk stjtinm wbi`b cjw wicc mevkrn tbk jmrkkoknt jnd tbk gurisdi`tien witbin wbi`b jny disputks rkmjrdinm tbkjmrkkoknt wicc lk dktkroinkd. It is jcse `eooen aer tbk jmrkkoknt te `entjin jn jrlitrjtien `cjusk te knsurk tbjt jny disputksrkmjrdinm tbk pjrtiks jmrkkoknt jrk dktkroinkd ly tbk jrlitrjtien pre`kss rjtbkr tbjn ly citimjtien.

    J typi`jc `eooutjtien jmrkkoknt weucd ceeh cihk tbis7

    @EOO[TJTIEN JND \KCKJPK JM\KKOKNT(bkrkinjatkr rkakrrkd te js tbk Jmrkkoknt)

    TBIP Jmrkkoknt is kntkrkd inte ly jnd lktwkkn Xinskrt njok ea \kinsurkr_, deoi`ickd in (bkrkinjatkr rkakrrkd te js tbk\KINP[\K\) jnd Xinskrt njok ea tbk @eopjny_, deoi`ickd in (bkrkinjatkr rkakrrkd te js tbk @EOVJNY), jnd ojdkkaak`tivk Xinskrt kaak`tivk djtk_.

    ]BK\KJP, tbk \KINP[\K\ jnd tbk @EOVJNY kntkrkd inte j rkinsurjn`k `entrj`t, Nuolkr Xinskrt peci`y nuolkr_, kaak`tivkXinskrt djtk_, jnd kxk`utkd ly tbk \KINP[\K\ en Xinskrt djtk_, jnd ly tbk @EOVJNY en Xinskrt djtk_ (tbk @entrj`t). Tbk tkro@entrj`t sbjcc in`cudk jcc etbkr jrrjnmkoknts, rkprkskntjtiens jnd jmrkkoknts (wbktbkr writtkn er net), wbi`b tbk \KINP[\K\ jndtbk @EOVJNY ojy bjvk ojdk witb rkspk`t te tbk rkinsurjn`k elcimjtiens wbi`b jrk tbk sulgk`t ea tbk @entrj`t8

    ]BK\KJP, tbk \KINP[\K\ jnd tbk @EOVJNY dksirk auccy jnd ainjccy te skttck jnd `eooutk jcc pjst, prksknt jnd auturkelcimjtiens jnd cijlicitiks hnewn jnd unhnewn ea tbk \KINP[\K\ jnd tbk @EOVJNY jrisinm undkr er in jny wjy `ennk`tkd witbtbk @entrj`t8

    NE], TBK\KAE\K, aer meed jnd vjcujlck `ensidkrjtien tbk rk`kipt ea wbi`b is bkrkly j`hnewckdmkd, IT IP JM\KKD LY JNDLKT]KKN TBK \KINP[\K\ JND TBK @EOVJNY TBJT7

    :. Tbk \KINP[\K\ sbjcc pjy te tbk @EOVJNY tbk suo ea , dktjickd in P`bkduck J, jttj`bkd bkrkte/ witbin djys jatkrtbk simninm tbk Jmrkkoknt ly letb pjrtiks.

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    prkdk`kssers, su``kssers, jaaicijtks, eaai`krs, dirk`ters, kopceykks, pjrknts, sulsidijriks, ste`hbecdkrs, ciquidjters,rk`kivkrs jnd jssimns ea tbk pjrtiks bkrkte.

    ;. Tbk pjrtiks bkrkte kxprksscy wjrrjnt jnd rkprksknt tbjt tbky jrk kntitiks in meed stjndinm in tbkir rkspk`tivk pcj`ks eadeoi`ick8 tbjt tbk `en`cusien jnd tbk kxk`utien ea tbis Jmrkkoknt is auccy jutberizkd ly kj`b ea tbko8 tbjt tbk pkrsen er

    pkrsens `en`cudinm jnd kxk`utinm tbis Jmrkkoknt bjvk tbk nk`kssjry jnd jppreprijtk jutberity te de se8 tbjt tbkrk jrk nepkndinm jmrkkoknts, trjnsj`tiens, er nkmetijtiens te wbi`b jny ea tbko jrk j pjrty tbjt weucd rkndkr tbis Jmrkkoknt erjny pjrt tbkrkea veid, veidjlck, er unknaer`kjlck8 jnd tbjt ne jutberizjtien, `ensknt er jpprevjc ea jny mevkrnoknt kntity

    is rkquirkd te ojhk tbis Jmrkkoknt vjcid jnd lindinm upen tbko.1. Tbis Jmrkkoknt `entjins tbk kntirk jmrkkoknt lktwkkn tbk pjrtiks js rkspk`ts its sulgk`t ojttkr. Jcc dis`ussiens jnd

    jmrkkoknts prkvieuscy kntkrtjinkd lktwkkn tbk pjrtiks `en`krninm tbk sulgk`t ojttkr ea tbk `eooutjtien jrk okrmkd intetbis Jmrkkoknt. Tbis Jmrkkoknt ojy net lk oediaikd er jokndkd, ner jny ea its previsiens wjivkd, kx`kpt ly jninstruoknt in writinm, simnkd ly tbk pjrtiks bkrkundkr.

    =. Tbk pjrtiks bkrkte jnd kj`b ea tbko de bkrkly `evknjnt jnd jmrkk te de su`b tbinms jnd kxk`utk su`b aurtbkr de`uoknts,jmrkkoknts jnd jssurjn`ks js ojy lk nk`kssjry er jdvisjlck areo tiok te tiok in erdkr te `jrry eut tbk tkros jnd`enditiens ea tbis Jmrkkoknt in j``erdjn`k witb tbkir truk intknt.

    2. Tbis Jmrkkoknt sbjcc lk mevkrnkd ly jnd `enstrukd in j``erdjn`k witb tbk cjws ea jnd tbk pjrtiks bkrkte bkrklyirrkve`jlcy suloit te tbk nenkx`cusivk gurisdi`tien ea tbk @eurts in , jnd te tbk kxtknt pkroittkd ly cjw kxprksscywjivk jcc rimbts te `bjccknmk er etbkrwisk cioit su`b gurisdi`tien.

    9. Tbis Jmrkkoknt sbjcc lk rkjd jnd lk `ensidkrkd js jn intkmrjc pjrt ea tbk @entrj`t jnd in tbk `jsk ea jny `enaci`t witbjny pjrt ea sjid @entrj`t tbk previsiens ea tbis Jmrkkoknt sbjcc prkvjic.

    :6. Tbis Jmrkkoknt ojy lk kxk`utkd jnd dkcivkrkd in enk er oerk `euntkrpjrts, kj`b ea wbi`b sbjcc temktbkr `enstitutk enkjnd tbk sjok instruoknt.

    ::. Nkitbkr pjrty sbjcc dis`cesk tbk dktjics ea tbis Jmrkkoknt te jny tbird pjrty etbkr tbjn witb tbk prier `ensknt ea tbk etbkrpjrty kx`kpt wbkrk etbkrwisk rkquirkd ly cjw er jutberity ea j `eurt er jrlitrjtien pjnkcs in wbi`b kvknt dis`cesurk sbjcc,inseajr js is prj`ti`jlck, lk ojdk ency jatkr `ensuctjtien witb tbk pjrty tjhinm inte j``eunt tbk rkjsenjlck rkquirkoknts eatbk etbkr pjrty.

    IN ]ITNKPP ]BK\KEA, tbis Jmrkkoknt bjs lkkn kxk`utkd tbisUUUUUUUUdjy eaUUUUUUUUly

    Aer jnd en Lkbjca ea UUUUUUUUUUUUUUUUXinskrt njok ea @eopjny_

    Njok7 Titck7 Djtk7

    Aer jnd en Lkbjca ea UUUUUUUUUUUUUUUUXinskrt njok ea \kinsurkr_

    Njok7 Titck7 Djtk7

    P`bkduck J

    @entrj`t dks riptien @entrj`t nuolkr \kinsurkrs rkakrkn`k @kdjnts rkakrkn`k [ndkrwritinm ykjr

    Tbk tkndkn`y is aer tbk industry te tbinh ea `eooutjtien js j wjy te dispesk ea dkjd lusinkss lut `eooutjtiens `jn jcse lkjttrj`tivk te tbk rkinsurkr te mkt tbko eaa rish en j cink ea lusinkss, wbi`b is ne cenmkr preaitjlck witb jn kxistinm `ciknt se tbjt tbky`jn ae`us en oerk preaitjlck lusinkss cinks meinm aerwjrd.

    Tbk `eooutjtien prete`ecEn

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    DIPV[TK \KPEC[TIENJrlitrjtien jnd disputk rksecutien jrk dkjct witb in mrkjtkr dktjic in @bjptkr :6. Bewkvkr, disputk rksecutien is vkry rkckvjnt te `cjiossin`k eatkn jny diaai`uct issuks jnd tknsiens lktwkkn tbk rkinsurkr jnd `kdjnt wicc jrisk in rkcjtien te nen-dis`cesurks,oisrkprkskntjtiens er tbk nen-pjyoknt ea `cjios.

    Tbk pjrtiks wicc nerojccy in`erperjtk jn beneurjlck knmjmkoknt `cjusk er jn jrlitrjtien `cjusk inte tbkir rkinsurjn`k `entrj`t teknsurk tbjt disputks lktwkkn tbk pjrtiks in rkcjtien te tbk `entrj`t wicc lk dktkroinkd ly jrlitrjtien rjtbkr tbjn citimjtien.

    Jn beneurjlck knmjmkoknt `cjusk indi`jtks tbk pjrtiks wisb net te akttkr tbk dk`isien-ojhinm pre`kss ea tbk jrlitrjters witb tbkjppci`jtien ea stri`t ckmjc prin`ipcks ia tbky `ensidkr tbjt tbk disputk sbeucd lk rksecvkd en jn kquitjlck ljsis.

    J stjndjrdBeneurjlck Knmjmkoknt @cjusk weucd rkjd cihk tbis7

    sbjcc intkrprkt tbis trkjty js jn beneurjlck knmjmkoknt, jnd sbjcc dktkroink jny rkakrkn`k in j``erdjn`k witb `urrknt rkinsurjn`k ojrhkt prj`ti`k

    pkrtjininm durinm tbk `urrkn`y ea tbis Jmrkkoknt, witb j vikw te kaak`tinm tbk mknkrjc purpesk ea tbis rkinsurjn`k in j rkjsenjlck ojnnkr rjtbkr tbjn in

    j``erdjn`k witb tbk stri`t rucks ea cjw jnd citkrjc intkrprktjtien ea tbk cjnmujmk.

    Tbk pjrtiks eatkn prkakr te bjvk tbkir disputk dk`idkd ly jrlitrjtien lk`jusk it is pkr`kivkd te lk qui`hkr, `bkjpkr jnd ckss pulci`tbjn `eurt pre`kkdinms. Tbky jcse jrk hkkn te bjvk tbkir disputk rksecvkd ly seokenk wbe is ajoicijr witb insurjn`k jnd rkinsurjn`kojrhkt prj`ti`k jnd wbe wicc lk ajoicijr witb tbkir prelckos. Jrlitrjtien is skkn te lk oerk inaerojc tbjn `eurt pre`kkdinms,`krtjincy jrlitrjters jrk ckss rkstri`tkd ly tbk de`trinks ea prk`kdknt jnd tbk cjw lut tbk styck ea tbk jrlitrjtien is vkry ou`b dkpkndkntupen tbk vikw ea tbk jrlitrjters jppeintkd ly tbk pjrtiks jnd in seok situjtiens tbk jrlitrjtien `jn oirrer `eurt pre`kkdinms in rkcjtiente kvidkn`k, dis`cesurk jnd kx`bjnmk ea de`uoknts. In rkcjtien te spkkd, jrlitrjtiens `jn lk qui`hkr lut tbk spkkd dkpknds upen tbk

    jttitudks ea tbk pjrtiks jnd tbk issuks in disputk. In ojny rkspk`ts, jrlitrjtien ojy net lk j `bkjpkr jctkrnjtivk te citimjtien lk`jusktbk `est ea kxpkrt jrlitrjters `jn lk sulstjntijc jnd tbk pjrtiks wicc jcse lk rkquirkd te pjy tbk `est ea tbk vknuk wbkrk tbk jrlitrjtienis bkcd.

    Tbk J\IJP (Tbk \kinsurjn`k jnd Insurjn`k Jrlitrjtien Pe`ikty ea tbk Intkrnjtienjc Jsse`ijtien Aer Insurjn`k Cjw (JIDJ))jrlitrjtien `cjusk jnd rucks jrk arkqukntcy uskd in rkinsurjn`k `entrj`ts jnd tbk rucks `jn lk jddkd te j `entrj`t ly siopcy in`cudinmtbk werds J\IJP Jrlitrjtien @cjusk. Tbk rucks cjy dewn muidkcinks rkmjrdinm tbk jppeintoknt ea jrlitrjters, tbk `eopesitien eatbk Trilunjc, tbk `eoouni`jtien ea tbk dk`isien, tbk pesitien in rkcjtien te akks jnd se en. Tbk mknkrjc ruck is tbjt tbkrk wicc lk tbrkkjrlitrjters, enk jppeintkd ly kj`b ea tbk pjrtiks jnd tbk tbird te lk jppeintkd ly tbk twe jrlitrjters. ]itb rkmjrd te tbk qujciai`jtienea tbk jrlitrjters, j``erdinm te J\IJP tbky sbeucd lk pkepck witb jt ckjst :6 ykjrs kxpkrikn`k in tbk insurjn`k er rkinsurjn`kindustriks er bjvk :6 ykjrs kxpkrikn`k js j cjwykr er etbkr preakssienjc jdviskr ea skrvinm tbk industry. (Tbk J\IJP \ucks jrkdkjct witb oerk spk`iai`jccy in @bjptkr :6.)

    Tbk `jsk eaErien @eopjmnij Kspjnecj dk Pkmuresv. Lkcaert Ojjts`bjppig veer Jcmkoknk QkrzkhmrinmkknX:91

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