第3部份:索償
Paper II — General Insurance · Part 3: Claims
Q1 免費 Free
「近因原則」(Principle of Proximate Cause)在保險索賠中的作用是什麼?
What is the role of the Principle of Proximate Cause in insurance claims?
顯示答案 / Show Answer
正確答案 / Correct Answer: A
- 近因原則是保險的基本原則之一,用於確定導致損失的最直接、有效的主要原因(近因)。
- 若近因屬於保單承保的風險,保險公司須負責賠償;若近因屬於除外風險,則保險公司無須賠償。
- 例如:因地震(除外)引致火災(承保),近因為地震,若地震除外,則不賠。
- The Principle of Proximate Cause is one of the fundamental principles of insurance, used to identify the most direct, effective and dominant cause (proximate cause) of the loss.
- If the proximate cause is an insured peril, the insurer is liable; if it is an excluded peril, the insurer is not liable.
- For example: if an earthquake (excluded) causes a fire (covered), the proximate cause is the earthquake, and if earthquake is excluded, there is no coverage.
Q2 免費 Free
保險事故發生後,投保人的主要責任是什麼?
What are the main duties of the insured after an insured event occurs?
顯示答案 / Show Answer
正確答案 / Correct Answer: C
- 保險事故發生後,投保人通常有以下責任:(1)及時通知保險公司;(2)採取合理步驟防止損失進一步擴大(「減少損失的責任」);(3)保留損毀現場,不得在保險公司勘查前自行修復;(4)提供所有相關文件及配合調查。
- 不及時通知或蓄意擴大損失,可能影響索賠權利。
- After an insured event, the insured typically has the following duties: (1) notify the insurer promptly; (2) take reasonable steps to prevent further loss ('duty to mitigate'); (3) preserve the scene of damage and not repair before the insurer's inspection; (4) provide all relevant documents and cooperate with investigations.
- Failure to notify promptly or deliberately enlarging the loss may affect the right to claim.
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本應用為獨立學習工具,與香港保險業監管局 (IA) 無關,亦未獲其認可。
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