Dutch
Civil Code
Book 7 Particular agreements
Title 7.17 Insurance agreement
Section 7.17.1 General provisions
Article 7:925 Definition of 'insurance agreement'
- 1. An insurance agreement is an agreement
under which one of the parties ('the insurer') engages himself towards
the opposite party ('the policyholder') to pay one or more insurance benefits
in exchange for an insurance premium, while neither party, at the moment
they entered into this agreement, knows for certain if, when and to what
amount any insurance benefits will have to be paid, nor how long the agreed
payment of insurance premiums will last. An insurance agreement is either
an indemnity insurance or a sums insurance (non-indemnity insurance).
- 2. An insurance on a person is the insurance which is concluded on the
life or health of a human being.
Article 7:926 'Insurance benefit' and 'beneficiary'
- 1. An insurance benefit includes also another performance than the payment
of money.
- 2. In the present Section (Section 7.17.1) by a beneficiary is understood
a person who is entitled, pursuant to the insurance agreement, to an insurance
benefit in case of the materialisation of a risk or who may become entitled
to an insurance benefit by accepting his appointment as insured person.
Article 7:927 Reinsurance agreements
The provisions of the present Title (Title 7.17) do not apply to reinsurance
agreements.
Article 7:928 Pre-contractual information duty
- 1. Before the conclusion of the insurance agreement the policyholder
must inform the insurer of all circumstances of which he is aware or ought
to be aware and of which he knows or ought to know that the insurer's
decision whether or not to enter into the insurance agreement, and if
so, on which terms and conditions, depends or may depend on it.
- 2. If the interests of a third person, whose identity is known at the
moment of the conclusion of the insurance agreement, are covered by the
insurance, then the duty to inform the insurer meant in paragraph 1 also
includes circumstances concerning that third person of which this third
party is aware or ought to be aware and of which he knows or ought to
know that the insurer's decision depends or may depend on it. The previous
sentence is not applicable in the event of an insurance on a person.
- 3. Where an insurance on a person relates to a risk run by a third party
whose identity is known and who has reached the age of sixteen years,
the duty to inform the insurer includes as well circumstances concerning
this third party of which this third party is aware or ought to be aware
and of which he knows or ought to know that the insurer's decision depends
or may depend on it.
- 4. The duty to inform the insurer does not relate to circumstances which
the insurer already knows or ought to know and neither to circumstances
which could not lead to a more unfavourable decision for the policyholder
or insured person. The policyholder or third party, meant in paragraph
2 or paragraph 3, cannot appeal to the fact that the insurer already knows
or ought to know certain circumstances if he has given an incorrect or
incomplete answer to a specific question that the insurer has asked o
this end. Furthermore, the duty to inform the insurer does not relate
to circumstances to which no medical examination may relate or about which
no questions may be asked pursuant to Article 4 up to and including 6
of the Act on Medical Examinations in the events meant in these Articles
of that Act.
- 5. The policyholder is only obliged to inform the insurer about facts
of his criminal past or that of a third party as far as these facts have
occurred within eight years prior to the conclusion of the insurance agreement
and as far as the insurer has explicitly asked a question about that past
in not to be mistaken words.
- 6. When the insurance agreement has been concluded on the basis of a
questionnaire formulated by the insurer, the insurer cannot appeal to
the fact that other questions are not answered or that circumstances about
which no questions were asked are not mentioned by the policyholder or
third party and neither to the fact that a question which was formulated
generally has been answered incompletely, unless this is done with the
wilful intent to mislead the insurer.
Article 7:929 Legal effects of a non-observance of
the pre-contractual information duty or the insurance agreement
- 1. The insurer who discovers that the pre-contractual information duty
of Article 7:928 has not been observed, may only invoke the effects thereof
if he has notified the policyholder of this non-observance within two
months after it has been discovered, mentioning as well the possible consequences
thereof.
- 2. The insurer who discovers that the policyholder has mislead him with
wilful intent or who would not have entered into the insurance agreement
if he would have been aware of the true state, may terminate the insurance
agreement with immediate effect within two months after this discovery.
- 3. The policyholder may terminate the insurance agreement with immediate
effect within two months after the insurer has acted in accordance with
paragraph 1 or, in the event of the materialisation of an insured risk,
after he has invoked the non-observance of the pre-contractual information
duty. Where it concerns an insurance on a person the insurer may restrict
the ending of the insurance agreement to the person to whose risk the
appeal to non-observance relates.
Article 7:930 Legal effects of a non-observance of
the pre-contractual information duty for the entitlement to insurance
benefits
- 1. When the pre-contractual information duty of Article 7:928 has not
been observed, there exists only an entitlement to an insurance benefit
if this results from paragraph 2 and 3.
- 2. The agreed insurance benefit is paid fully if the not mentioned or
incorrect circumstances are of no importance for the assessment of the
risk that has materialised itself.
- 3. If the requirements of paragraph 2 are not met, but the insurer would,
if he would have been aware of the true state, only have stipulated a
higher insurance premium or have closed the insurance for a lower insurance
sum, then the insurance benefit is reduced in proportion to the amount
that the insurance premiums would have been increased or to the amount
that the insured sum would have been decreased. Where the insurer, if
he would have been aware of the true state, would have stipulated other
conditions, the insurance benefit will be paid out as if these conditions
would have been included in the insurance agreement.
- 4. Contrary to paragraph 2 and 3, no insurance benefit is payable when
the insurer, who would have been aware of the true state, would not have
entered into the insurance agreement at all.
- 5. Contrary to paragraph 2 and 3, no insurance benefit is payable to
the policyholder or to a third party as meant in Article 7:928, paragraph
2 or 3, who has mislead the insurer with wilful intend. An insurance benefit
is neither payable to a third party if the policyholder, with the wilful
intend to mislead the insurer, has not observed the pre-contractual information
duty with regard to circumstances related to this third party.
Article 7:931 Exclusion of normal grounds of voidability
The insurer cannot invoke the grounds of voidability referred to in Article
3:44, paragraph 3, and Article 6:228 of the Civil Code.
Article 7:932 Handing over of a written insurance
policy
- 1. As soon as possible, the insurer hands
over a deed, called 'insurance policy', in which the insurance agreement
is written down. An insurance policy that is drawn up in the manner as
referred to in Article 156a, paragraph 1, of the Code of Civil Procedure
must contain an electronic signature which meets the requirements meant
in Article 3:15a, paragraph 2. The insurer is not obliged to issue an
insurance policy if the nature of the insurance agreement justifies a derogatory
use and the policyholder has no importance in the handing over of the
insurance policy.
- 2. Paragraph 1 applies accordingly to any
modifications to (changes in) the insurance agreements.
- 3. When a certificate of proof, handed over
by the insurer, is lost, the insurer will hand over a new certificate
of proof, if he desires so against the payment of costs. When the certificate
of proof is put to order or to bearer or in the event of the insurance
of goods which usually are traded by means of documents (negotiable instruments),
the insurer may, before the payment of the insurance benefit, demand from
the holder of a new certificate of proof that he provides security for
the time during which the insurer can be forced to make a payment.
Article 7:933 Communications from the insurer must
be in writing
- 1. All communications from the insurer based
on the provisions of the present Title (Title 7.17) or the insurance agreement
must be made in writing. The insurer may for this purpose cling to the
last domicile of the addressee as it is known to him.
- 2. Rules derogating from paragraph 1 may
be set by Order in Council where it concerns the transmission of communications
by electronic means. In such Order in Council rules may be provided as
well with respect to the way in which notifications, that have to be made
pursuant to the present Title (Title 7.17) or the insurance agreement,
have to be send by electronic means of communication.
- 3. An Order in Council as referred to in
paragraph 2 shall not be put forward for voting unless four weeks have
passed since the draft was submitted to Parliament (States-General).
Article 7:934 No timely payment of subsequent insurance
premiums
A non-compliance with the obligation to pay subsequent insurance premiums
can only lead to the end or suspension of the insurance agreement or the
applicable coverage if the debtor, after the due date, has been urged
in vain by letter of formal notice to pay the claimable debts within fourteen
days as from the day following that formal notice, mentioning as well
the consequences when no payment will be received. The first sentence
does not apply to the situation meant in Article 6:83, under point (c),
of the Civil Code.
Article 7:935 Offsetting due and demandable debts
with insurance benefits
- 1. The insurer may set off an insurance benefit which he has to pay
to a beneficiary, not being his debtor, against all due and demandable
insurance premiums claimable under the same insurance agreement as well
as against the damage due to a delay in payment of these debts and against
the costs referred to in Article 6:96 paragraph 2, under point (c), of
the Civil Code. The first sentence does not apply to insurances put to
order or to bearer.
- 2. Where it concerns an insurance against liability, the insurer is,
in derogation from Article 6:127, paragraph 2, of the Civil Code, not
allowed to set off an insurance benefit which he has to pay to the policyholder,
being the beneficiary, against other due and demandable insurance premiums,
damages and costs as meant in paragraph 1 than those claimable under the
same insurance agreement as which resulted in the payable insurance benefit.
Article 7:936 Payment of insurance premiums and the
'del credere clause'
- 1. Where an intermediary has made himself liable towards the insurer
for the payment of the insurance premiums and costs related to an insurance
agreement, in the sense that they form his own debts, the policyholder
will be acquitted towards the insurer as far as the premiums and costs
have been paid by the intermediary to the insurer, either because they
were booked to the debit of his current account with the insurer or in
another way, or as far as they have been paid by the policyholder to the
intermediary. The policyholder must compensate such insurance premiums
and costs to the intermediary.
- 2. When an insurance benefit has become payable, the insurer must, if
the intermediary requests so, hand over, irrespective of any rights of
third parties, a part of this benefit to the intermediary equal to what
the intermediary may claim pursuant to paragraph 1 from the policyholder.
Where the policyholder under the insurance agreement is entitled to the
insurance benefit, the insurer has the same obligation with respect to
what the intermediary may claim from the policyholder pursuant to other
insurance agreements in which the same policyholder and the same intermediary
are involved.
- 3. The insurer who intends to pay an insurance benefit to another person
than the intermediary, shall request the intermediary to inform him within
ten days about the amount he can claim pursuant to paragraph 1 from the
policyholder. If the intermediary responds to this request, the insurer
must hand over the specified amount to him as much as possible. When the
insurer has complied with this obligation or when the intermediary has
not mentioned any claimable amount within the period set to him for this
purpose, then the insurer is at liberty to pay the (remaining) indebted
insurance benefit in full to the beneficiary.
- 4. Paragraph 2 and 3 are not applicable:
a. to insurances put to order or to bearer,
unless the policyholder is the beneficiary of the insurance benefit;
b. to mandatory liability insurances.
- 5. Paragraph 2, second sentence, is furthermore
not applicable:
a. if the beneficiary's entitlement to the
insurance benefit is encumbered with a pledge as meant in Article 3:229
of the Civil Code or if a privilege as meant in Article 3:283 of the Civil
Code is attached to this entitlement;
b. to voluntarily concluded liability insurances.
- 6. When the intermediary collects the insurance benefit in the name
and on behalf of the beneficiary, he is entitled to set off the compensation
meant in paragraph 1, second sentence, indebted by the policyholder to
him, against what he has to pay out to the beneficiary, to the amount
of what he may claim from the policyholder pursuant to paragraph 2, 4
and 5 of the present Article.
Article 7:937 Acquittal of the insurer towards the
beneficiary
The insurer who pays an insurance benefit to an intermediary is only acquitted
towards to beneficiary insofar the benefit has been paid out by the intermediary
to the beneficiary, but in any case as far as the beneficiary has enjoyed
an advantage (profit) from the payment to the intermediary.
Article 7:938 Return of premium when no risk has been
run
- 1. Except when the policyholder or third party meant in Article 7:928,
paragraph 2 or 3, has wilfully intended to mislead the insurer, no premium
is indebted if no risk, whatsoever, has been run. When over a full insurance
year no risk has been run, no premium is indebted over that year. The
insurer is, nevertheless, entitled to a fair compensation for the costs
he has made at his own expense.
- 2. During one month after the end of a full insurance year in which
no risk has been run, each party may terminate the insurance agreement
with effect as of the beginning of the new insurance year. This termination
has no legal force if a risk has been run between the beginning of the
new insurance year and the termination.
- 3. Where the risk has been run with regard to a smaller number of objects
or a smaller quantity than insured, paragraph 1 and 2 apply as far as
no risk has been run.
Article 7:939 Reduction of premiums in the event of
an in between termination
Except in the event of a termination due to a wilful intend to mislead
the insurer, the running premiums with regard to an agreed insurance period
will be reduced in fairness when this agreement is terminated prematurely.
Article 7:940 Duration and ending of an insurance
agreement
- 1. In case of a termination at an effective
termination date at the end of an insurance period with the purpose to
prevent a continuation of the agreement, a term of notice of two months
has to be observed.
- 2. The policyholder and, unless it concerns
an insurance on a person, the insurer may terminate an insurance agreement
which has been concluded for a period of more than five years or which
has been extended for such a period at an effective termination date at
the end of each fifth year within that period. The term of notice mentioned
in paragraph 1 applies to such a termination.
- 3. If the insurer has stipulated the right
to terminate the insurance agreement prematurely, then the policyholder
shall have the same right. The insurer, respectively, policyholder has
to observe a term of notice of two months for such a termination, unless
the other party has wilfully intended to mislead him. Where the insurance
agreement covers damage caused by risks as meant in Article 3:38 of the
Financial Supervision Act, the insurer respectively policyholder has the
right, when such a risk has materialised itself or when such a materialisation
threatens to occur, to terminate the insurance agreement with due observance
of a term of notice of seven days instead of two months. Te insurer may
only terminate the insurance agreement prematurely on the grounds mentioned
in the insurance agreement which are of such a nature that the insurer
cannot be expected to be bound by the insurance agreement any longer.
- 4. Where the insurer on the basis of a to
this end stipulated right changes the conditions of the insurance agreement
to the disadvantage of the policyholder or beneficiary, the policyholder
may terminate the insurance agreement at an effective termination date
as of which the changed conditions take effect, but in any case within
one month after the change in conditions were notified to him.
- 5. The insurer is not allowed to end or
change an insurance on a person on the ground of increased health risks,
insofar these are related to the personal qualities or characteristics
of the person to which the insurance applies.
- 6. The policyholder may always terminate
the insurance agreement by electronic means of communication. Rules may
be set by Order in Council for the way in which a termination by electronic
means of communication is to be send.
- 7. The presentation of an Order in Council to
be determined pursuant to paragraph 6 shall not take place any sooner than
four weeks after the draft has been submitted to both Chambers of Parliament.
Article 7:941 Information duty at the materialisation
of the risk
- 1. As soon as the policyholder or the beneficiary has become aware or
ought to have become aware of the materialisation of the risk, he is obliged
to notify this materialisation to the insurer. This has to be done as
soon as reasonably possible.
- 2. The policyholder and the beneficiary are obliged to provide the insurer
within a reasonable period with all information and documents that are
of importance to assess the insurer's obligation to pay the insurance
benefit.
- 3. If the beneficiary has not complied with an obligation as meant in
paragraph 1 or 2, then the insurer is entitled to reduce the payable insurance
benefit with the damage he has suffered as a result of this non-compliance.
- 4. The insurer may only stipulate the loss of an entitlement to an insurance
benefit due to the non-compliance with an obligation as meant in paragraph
1 and 2, as far as his reasonable interests are harmed by such a non-compliance.
- 5. The entitlement to the insurance benefit expires if the policyholder
or beneficiary has not complied with an obligation as meant in paragraph
1 or 2 with the wilful intend to mislead the insurer, except as far as
this deceit does not justify the loss of the entitlement to the insurance
benefit.
Article 7:942 Prescription
- 1. A legal claim (right of action) against
the insurer to claim the payment of an insurance benefit becomes prescribed
upon the expiration of three years after the day following the one on
which the beneficiary has become aware that this benefit is due and demandable
(claimable).
- 2. The prescription period will be interrupted
by a written declaration in which a claim is laid to the insurance benefit.
A new prescription period of three years starts to run as of the day following
the one on which the insurer either has recognized the claim or has made
unmistakably clear to reject the claim.
- 3. In the event of an insurance against liability
the prescription period is interrupted, in derogation from paragraph 2, first
sentence, by any negotiation between the insurer and the beneficiary or
the person suffering damage. In such case a new prescription period of
three years starts to run as of the day following the one on which the
insurer either has recognized the claim or has made unmistakably clear
to the person with whom he is negotiating and, if this person is another
than the person entitled to the insurance benefit, to the latter that
he rejects the claim.
Article 7:943 Mandatory law
- 1. It is not possible to derogate from Articles 7:931, 7:932, 7935”,
paragraph 2, 7:936 and 7:939.
- 2. It is not possible to derogate to the disadvantage of the policyholder
or beneficiary from Articles 7:933, paragraph 1, first sentence, 7:937,
7:940, paragraph 1, 3, 5 and 6, 7:941, paragraph 1, 2, 4 and 5, and 7:942.
- 3. When the policyholder is a natural person who, when he entered into
the insurance agreement, did not act in the course of his professional
practice or business, it is not possible to derogate to the disadvantage
of the policyholder or beneficiary from Articles 7:928 up to and including
7:930, 7:934 and 7:940, paragraph 2 and 4.
Section 7.17.2 Indemnity insurance
Article 7:944 Definition of 'indemnity insurance agreement'
An indemnity insurance agreement is an insurance agreement intending to
provide a compensation for material loss which the insured person may
suffer.
Article 7:945 ‘Insured person’
For the purpose of the present Section (Section 7.17.2) by an 'insured
person' is understood the person who, in the event that he has suffered
damage, is entitled under the insurance agreement to a compensation or
who may become entitled to a compensation by accepting his appointment
as beneficiary.
Article 7:946 ‘Insured interests’
- 1. The insurance agreement only covers the interests of the policyholder,
unless something else has been agreed upon.
- 2. If by virtue of a marriage or registered partnership an object belongs
to a community of property, then the interests of both co-proprietors
are covered by an insurance of that object.
Article 7:947 Withdrawal of the appointment of a third
party as beneficiary
The policyholder may only withdraw an appointment of a third party as
beneficiary of an insurance benefit claimable in the event of damage in
cooperation with the insurer or this third party. However, where it concerns
damage already suffered, the policyholder and insurer cannot undo such
an appointment jointly.
Article 7:948 Transfer of insured interests
- 1. At a transfer of a thing or a limited property right with which a
thing is encumbered, the rights and obligations derived from the insurance
agreement, covering the interests of the alienator that this thing is
preserved, pass, together with the risk, to the acquiring party, even
when the risk already had passes to the acquiring party before the thing
or limited property right was legally transferred. The same applies to
secondary insurances which came to existence at the conclusion of this
same insurance agreement. No passage will take place if this is indicated
by the juridical act under which the thing is transferred or by a declaration
of the new interested party to the insurer.
- 2. The insurance agreement ceases to exist one month after it passed
over to the new insured person, unless within this period the new insured
person notifies the insurer that he continues the insurance agreement.
In that event the insurer may, within two months after he has received
this notification of the new insured person, terminate the insurance agreement
under observance of a term of notice of one month.
- 3. Insurance premiums due and demandable before the new insured person
has notified the insurer that he continues the insurance agreement are
only indebted by the policyholder.
- 4. The provisions in paragraph 2 do not lead to a lengthening of the
duration of the insurance agreement, nor to a restriction of the right
to terminate this agreement on another ground.
- 5. Paragraph 1 up to and including 4 do not apply if the insurance agreement
itself points out the acquiring party as third party who is appointed
as beneficiary in the sense of Article 7:947.
Article 7:949 Insurance policies put to order or to
bearer
With regard to insurance policies as referred to in Article 7:932, paragraph
3, second sentence, the holder of the insurance policy or of another document
issued by the insurer as certificate of proof is the insured person, provided
that the insured interests are his. Article 6:253, paragraph 2, of the
Civil Code and Articles 7:947, 7:948 and 7:950 do not apply to insurances
meant in the previous sentence.
Article 7:950 Right of termination at the death of
the policyholder
If the policyholder dies, both his heirs and the insurer may, with due
observance of a term of notice of one month, terminate the insurance agreement
within nine months from the moment on which they became aware of the policyholder's
death.
Article 7:951 Damage caused by the nature of or a
defect in the insured object itself
The insurer shall not pay a compensation for damage to the insured object
if this damage is caused by the nature of or a defect in that object itself.
Article 7:952 Own fault of the insured person
The insurer shall not pay a compensation for damage to an insured person
who has caused the damage himself on purpose or by reckless behaviour.
Article 7:953 Insurance against liability and the
prohibition to acknowledge (admit) certain events or facts
If an insurance against liability prohibits the insured person to make
certain acknowledgements, then a violation of this prohibition has no
effect as far as the acknowledgement is correct. A prohibition to acknowledge
facts has never any effect.
Article 7:954 Direct rights of the injured person
towards the insurer in case of an insurance against liability
- 1. If, in case of an insurance against liability, the insurer has been
informed pursuant to Article 7:941 of the materialisation of the risk,
then the injured person may claim that, if an insurance benefit has to
be paid by the insurer to the insured person, the amount of this benefit,
which the insured person under the insurance agreement may claim from
the insurer on the ground of the death or injury of the injured person,
is paid directly to him.
- 2. Where the insured person is a legal person who has ceased to exist,
while the obligation to compensate the damage of the injured person has
not passed over to another person, the injured person may claim the payment
referred to in paragraph 1 from the insurer without the need that the
insurer has been informed of the materialisation of the risk.
- 3. When the injured person has not yet exercised his right meant in
paragraph 1, a payment of the indebted insurance benefit to the insured
person shall only release the insurer from his obligation towards the
injured person if he has requested the injured person in vain if he wants
to exercise this right or if the injured person has waived this right.
- 4. The insured person is not competent to dispose of his entitlement
to the insurance benefit to the disadvantage of the injured person as
far as this entitlement forms a compensation for damage caused by death
or injury, nor is such an entitlement available for seizure by another
person than the injured person.
- 5. Insofar the insurance benefit which the insurer has to pay under
the insurance agreement to the insured person does not cover all the damage
for which the insured person is liable towards two or more injured persons,
the indebted insurance benefit will be imputed to each of the injured
person in proportion to the damage suffered by each of them and, as far
as the injured persons have suffered damage caused by death or injury
as well as other damage, in proportion to these different types of damage.
Nevertheless, the insurer who was unknown of the existence of debt-claims of
other injured persons and, therefore, has paid in good faith a larger
amount to an injured person or the insured person than the amount to which
this person would have been entitled according to the previous imputation
rule, is only obliged towards the other injured persons to pay the remaining
part of the indebted insurance benefit, provided that such a part is still
available in view of the maximum coverage of the insurance. The payment
to the injured persons may be postponed as far as there are reasonable
grounds to doubt about the amount that has to be paid pursuant to the
provision in the first sentence of this paragraph.
- 6. An injured person who files a lawsuit against the insurer in connection
with damage suffered by death or injury may only do so if he has ensured
that the insured person is called to court in time. This rule suffers
exception in the situation meant in paragraph 2.
- 7. Paragraph 1 up to and including 6 do not apply as far as the injured
person has been indemnified or as far as the law has granted him a separate
and independent right to damages against the insurer.
Article 7:955 Insured sum
- 1. The insured sum is the maximum amount of compensation which the insurer
is obliged to pay under the insurance agreement as a result of the same
event, subject to what is provided for by Article 7:959.
- 2. The insured sum will not be reduced by or after the payment of an
insurance benefit as meant in paragraph 1.
Article 7:956 Insured value
A building is insured for its rebuilding value, and other things for their
replacement value. The replacement value equals the amount required for
obtaining a thing of an equivalent type, quality, quantity, condition
and age (year).
Article 7:957 Obligation to take measures to prevent
or reduce damage
- 1. As soon as the policyholder or the insured person is aware or ought
to be aware of the materialisation of the risk or of a serious threat
of such a materialisation, each of them, in proportion to their opportunities,
is obliged to take, within a reasonable time, all measures that could
lead to the prevention or reduction of damage.
- 2. The insurer reimburses the expenses connected to the measures referred
to in paragraph 1 and compensates the damage which might have been caused
to objects used in this process.
- 3. If the insured person has not complied with the obligation referred
to in paragraph 1, the insurer is entitled to deduct the damage he has
suffered as a result of this non-compliance from the insurance benefit
to be paid.
Article 7:958 Compensation for damage
- 1. There is a total loss when an object:
a. has perished;
b. has been damaged in such a way that it has
stopped to be an object of the insured type, or;
c. is no longer under control of the insured
person and regaining this control is not to be expected.
- 2. In the event of a total loss the insurer compensates the value of
the insured interest in the object.
- 3. Where the insurer, in a situation as meant in paragraph 1, under
point (c), has complied with his obligation to pay the indebted insurance
benefit and, afterwards, it becomes possible to regain the object, he
may claim, at choice of the insured person, either a refund of the paid
insurance benefit or the transfer of the object in order to become its
proprietor.
- 4. With regard to an insurance for replacement value, for rebuilding
value or for new value the insurer compensates, in the event of partial
damage, at his own choice either the costs of repair and the reduction
in value of the object compared to its market (selling) value despite
its restoration, or the insured value of an undamaged object reduced by
the market (selling) value of its remains.
- 5. If the amount of the insured sum is less than the value underlying
the calculation of damages, then the compensation will be reduced according
to paragraph 2 and 4 in proportion to the extend that this amount is lower
than that value.
Article 7:959 Compensation for costs
- 1. The compensation meant in Article 7:957 (cost for preventing or reducing
damage) and reasonable costs made to assess the damage are for account
of the insurer, even when because of this, in combination with the compensation
for damages itself, the insured sum would be exceeded.
- 2. If the value of an undamaged object, calculated on the basis of the
insurance, is not fully covered by the insurance, then the compensation
meant in Article 7:957 (cost for preventing or reducing damage) is only
for account of the insurer under corresponding application of Article
7:958, paragraph 5.
Article 7:960 Indemnity principle
The insured person will receive no compensation under the insurance agreement
if he would attain a clearly more advantageous position as a result of
that agreement. The previous sentence does not apply when the value of
an object has been assessed in advance by an expert assigned for this
purpose or by parties themselves in conformity with an advisory report
of an expert.
Article 961 Multiple insurance coverage
- 1. If the same damage is covered by more than one insurance agreement,
then the insured person may, with due observance of Article 7:960, hold
each insurer liable for it. The insurer is to this end entitled to postpone
the compliance with his obligation to pay damages until the insured person
has mentioned the other insurance agreements.
- 2. For the purpose of paragraph 1, with damage covered by an insurance
agreement is equated damage which is compensated by the insurer without
being legally obliged to do so.
- 3. The insurers have mutually a right of recourse against each other
so that each of them bears his own part in proportion to the amount for
which each of them can be held liable separately. On the same basis the
insurers have mutually a right of recourse against each other for the
reasonable costs of assessing the damage as well as for the reasonable
costs of defence in and out of court. The insured person is towards each
of the insurers separately obliged to refrain from any behaviour which
could harm their mutual rights of recourse.
- 4. Where two or more insurers are involved in the same insurance agreement,
the liability of each insurer is restricted to a proportional part of
what in total is charged to that insurance.
Article 7:962 Subrogation of rights
- 1. If the insured person, to the point of the suffered damage, has other
debt-claims for compensation against third persons than those derived from
an insurance agreement, then these debt-claims pass by means of subrogation
to the insurer insofar he, whether or not on the basis of a legal obligation,
has compensated that damage. After the risk has been materialised, the
insured person must refrain from any behaviour which could harm the rights
of the insurer against third persons.
- 2. Where the insurer has acquired a debt-claim by means of subrogation or
on the basis of a transfer, he is not allowed to exercise it to the prejudice
of a right to damages of the insured person.
- 3. The insurer shall have no right of recourse or claim against the
insured person nor against a jointly insured person, the legally separated
spouse or the registered partner or other life companion of the insured
person, the insured person's blood relatives in the direct line, the employee
or employer of the insured person or a person who is in service under
an employment agreement of the same employer as the insured person. This
rule does not apply as far as such a person is towards the insured person
liable because of a circumstance which has been detrimental to the insurance
benefit, if that circumstance would be attributable to the insured person.
Article 7:963 Mandatory law
- 1. It is not possible to derogate from Articles 7:960 and 7:962, paragraph
2 and 3, first sentence.
- 2. It is not possible to derogate to the disadvantage of the insured
person from Article 7:953.
- 3. It is not possible to derogate to the disadvantage of a third person
from Article 7:947, second sentence.
- 4. It is not possible to derogate to the disadvantage of the injured
person from Article 7:954.
- 5. It is not possible to derogate to the disadvantage of the policyholder
or the insured person from Article 7:957, paragraph 2.
- 6. It is not possible to derogate to the disadvantage of the policyholder
or the insured person from Article 7:959, paragraph 1, as far as the costs
meant in that paragraph do not exceed the amount which is equal to the
insured sum and as far as the policyholder is a natural person who, when
entering into the insurance agreement, did not act in the course of his
professional practice or business.
Section 7.17.3 Sums insurance (non-indemnity
insurance)
Subsection 7.17.3.1 General provisions
Article 7:964 Definition of 'sums insurance agreement'
('non-indemnity insurance agreement')
A sums insurance agreement (non-indemnity agreement) is an insurance agreement
under which it is indifferent if and to what extend the insurance benefit
serves as compensation for damage. The conclusion of such an agreement
is only permitted by means of an insurance on a person and by means of
an insurance which as such is designated and approved by Order in Council,
which regulation, if necessary, also determines the applying limits.
Article 7:965 Definition of 'insured person', 'beneficiary'
and 'insurance benefit'
In the present Section (Section 7.17.3) by an 'insured person' is understood
the person to whom's life or health the insurance is related and by a
'beneficiary' is understood the person who is appointed as the one receiving
the insurance benefit. By an 'insurance benefit' is understood the amounts
meant in Articles 7:978, paragraph 2, 7:980, paragraph 2, 7:981 and 7:983.
Article 7:966 Appointment of a beneficiary and change
of such an appointment
- 1. The policyholder may, by means of a written
declaration to the insurer:
a. appoint himself or one or more third parties,
whether or not in addition to himself, as beneficiary, either as principal
beneficiary or as limited proprietor;
b. put the entitlement to the insurance benefit
under a fiduciary administration of an administrator;
c. revoke or change a disposal of an entitlement
as meant under point (a) or (b).
- 2. The insurer may reject an appointment
or its alteration if it would make performing his obligation to pay the
insurance benefit unreasonably more difficult. He shall exercise this
right by notifying the policyholder of his rejection within one month
after the appointment or alteration.
- 3. A fiduciary administration over an entitlement
to a sums insurance has the same legal effects as a fiduciary administration
instituted under a last will, on the understanding that:
a. the time periods meant in Articles 4:178,
4:179, paragraph 2, and 4:180, paragraph 2, of the Civil Code start to
run from the moment on which the insurance benefit or the first of a series
of such benefits has become due and demandable (eligible), and;
b. the fiduciary administration, as far as
it has not been instituted in the interest of another person than the
beneficiary, also ends when the policyholder and beneficiary have notified
the insurer in writing of their joint decision to end it.
- 4. The appointment of someone as principal
beneficiary as a way to provide security for a debt is considered to be
an appointment as pledgee. The previous sentence applies accordingly to
the appointment of someone as the principal beneficiary as a way to pay
or satisfy a debt, unless the appointment is restricted to what is indebted
to the principal beneficiary.
Article 7:967 Ending of an appointment as beneficiary;
- 1. Unless there appears to exist another intention, the appointment
of a beneficiary ends if he dies:
a. before he has accepted his appointment,
or;
b. before an insurance benefit to which the
appointment relates, has become due and demandable (eligible).
- 2. If the beneficiary has been appointed by means of the indication
of a certain capacity, then the appointment is regarded to have been done
in favour of the person who has this capacity at the moment on which the
appointment has become irrevocable pursuant to Article 7:968, under point
(b) up to and including point (d).
- 3. Contrary to paragraph 2, the appointment of a beneficiary by means
of an indication of a certain capacity will have become irrevocable if
it has been accepted [with approval of the policyholder; Article 7:969
paragraph 1, second sentence] by a person who possesses the indicated
capacity at the moment of acceptance.
- 4. If the beneficiary has been appointed by means of a statement that
the 'heirs' of the policyholder or of the insured person as such are appointed
as beneficiary, then for the purpose of the insurance agreement all persons
who are called to the deceased's estate in their capacity as heir will
be regarded as beneficiary, irrespective whether they have accepted the
inheritance. They are entitled to the insurance benefit in the same proportion
as in which they have been called to the deceased's estate.
- 5. Where the estate of the deceased policyholder or insured person itself
has been appointed as beneficiary, the entitlement to the insurance benefit
belongs to the heirs who have accepted the inheritance. They are entitled
to the insurance benefit in the same proportion as in which they have
obtained a share in the deceased's estate.
- 6. If the beneficiary has been appointed by means of a statement that
the 'children' of the policyholder or of the insured person as such are
appointed as beneficiary, then the descendents of these children will
be regarded as beneficiary by right of representation.
- 7. When an insurance benefit becomes due and demandable (eligible) because
of the death of the insured person, while another beneficiary appears
to have died at the same time or it appears that both have died and it
is not possible to determine who of them has died first, then the insurance
benefit does not accrue to this beneficiary, unless there appears to exist
another intention.
- 8. As long as no third party has been appointed
as beneficiary, the entitlement to the insurance benefit belongs to the
policyholder. In addition, the policyholder is deemed to have appointed
himself as beneficiary in the event that none of the appointments as beneficiary
of a third party has legal effect.
Article 7:968 Moment on which an appointment becomes
irrevocable
The appointment of a third party as beneficiary cannot be revoked:
a. if that third party has accepted his appointment;
b. if the risk has ceased to exist because
of the death of the insured person;
c. if an insurance benefit has become due and
demandable (eligible);
d. if this is indicated by the insurance agreement.
Article 7:969 Acceptance of the appointment as beneficiary
- 1. The favoured third party obtains his entitlement to the insurance
benefit by acceptance of his appointment as beneficiary. Contrary to Article
6:253, paragraph 3 and 4, of the Civil Code, he can only accept his appointment
by means of a declaration addressed to the insurer. Unless the appointment
has become irrevocable pursuant to Article 7:968, under point (b) up to
and including point (d), the beneficiary is only able to accept his appointment
if he notifies the insurer in writing of his acceptance and he presents
to him, in addition, a written approval of the policyholder of this acceptance.
- 2. Where the appointment as beneficiary has become irrevocable pursuant
to Article 7:968, under point (b) up to and including (d), the favoured
third party may reject his appointment by means of a written declaration
addressed to the insurer.
- 3. The favoured third party may undo his appointment as beneficiary
by waiving his rights to the insurance benefit.
Article 7:970 Transfer of an entitlement derived from
a sums insurance (non-indemnity insurance)
- 1. The entitlement of the policyholder derived from a sums insurance
(non-indemnity insurance) can only be transferred in full as a whole.
Nevertheless, the debt-claims derived from such an insurance may
be transferred separately as far as the law or the insurance agreement
does not provide otherwise.
- 2. The delivery of an entitlement or debt-claim to an insurance benefit derived
from a sums insurance (non-indemnity insurance) requires the written notification
of the transfer to the insurer by the alienator or the acquiring party.
Article 7:971 Establishment of a pledge on the entitlement
or debt-claims derived from a sums insurance (non-indemnity insurance)
- 1. Article 3:239 of the Civil Code does not apply to the establishment
of a pledge on an entitlement or debt-claim derived from a sums insurance (non-indemnity
insurance).
- 2. If the pledge is established on an entitlement to an insurance benefit,
then for the purpose of Articles 3:246 and 3:253 of the Civil Code and
Article 490b of the Code of Civil Procedure, the beneficiary will take
the place of pledgor. Where a third party, who has been appointed as beneficiary,
has not yet accepted his appointment, the pledgee will give him the opportunity
to do so.
- 3. A surplus as meant in Article 3:253 paragraph 1, second sentence,
of the Civil Code may also, contrary to paragraph 2, be handed over by
the pledgee to the insurer. The insurer then will have to pay this amount
to the beneficiary.
Article 7:972 Restrictions of the rights to be exercised
by the policyholder
- 1. The policyholder is only able to exercise the rights he has pursuant
to the insurance agreement with written approval of:
a. the beneficiary, when his appointment has
become irrevocable pursuant to Article 7:968;
b. the limited proprietor, when a limited property
right has been established on the entitlement to the insurance benefit,
obtained by the policyholder by virtue of the insurance agreement.
- 2. If the exercise of rights as meant in paragraph 1 would not lead
to a change in the legal status of the beneficiary or of the limited proprietor,
respectively, then the policyholder does not need his approval.
Article 7:973 Deliberately materialising the risk
No rights can be drawn from an insurance agreement by a person who has
been convicted by a final and binding judicial decision of deliberately
materialising the risk or of intentionally cooperating in such materialisation.
Article 7:974 Mandatory law
It is not possible to derogate from the formal requirements of Articles
7:966. paragraph 1, 7:969, paragraph 1, second sentence, 7:972 and 7:973.
Subsection 7.17.3.2 Life insurance (or 'life assurance')
Article 7:975 Definition of 'life insurance agreement'
A life insurance agreement is a sums insurance agreement (non-indemnity
insurance) concluded on the life or death of a specific person, on the
understanding that an accident insurance is not considered as a life insurance.
Article 7:976 Burial and funeral insurances
Articles 7:978, paragraph 1, 7:980, paragraph 1, and 7:981 do not apply
to an insurance intended to compensate the costs of the disposal of the
dead; neither is Article 7:986 applicable to such insurances, as far as
it is related to these statutory provisions. Further criteria may be set
by Order in Council. The value of these insurances and the rights resulting
from them cannot be seized and are not affected by the bankruptcy of the
policyholder, nor by the application of the Debt Repayment Scheme for
Natural Persons to the policyholder, and neither by the settlement of
his heritage.
Article 7:977 Termination, rescission and expiration
of a life insurance
- 1. Without prejudice to what is stipulated elsewhere in the present
Title (Title 7.17), a life insurance agreement cannot be terminated or
rescinded by the insurer, nor can it expire by virtue of any contractual
condition. The first sentence, however, does not stand in the way of a
contractual condition on the basis of which the life insurance agreement
[like an investment fund insurance] ends or may be terminated by the insurer
if it no longer has a paid up value or a surrender value as a result of
a stipulated right to set off insurance premiums, stipulated interest
and costs.
- 2. Without prejudice to what is stipulated elsewhere in the present
Section (Section 7.17.3), the insurer is only able to surrender the life
insurance against payment of the surrender value or to continue it free
of premium when the policyholder collaborates in this, which collaboration
must be obtained after the life insurance agreement was concluded.
Article 7:978 Right of the policyholder to surrender
the life insurance or to make it free of premium
- 1. As far as the life insurance, the life
annuity savings account or the life annuity investment right actually
provides for one or more insurance benefits, the policyholder has the
right to surrender it entirely or partially and take the surrender value
instead. The life insurance ends because of such surrender, except as
far as insurance benefits may still result from it. The surrender value
belongs to the policyholder.
- 2. When a life insurance has a paid up value,
the policyholder has the right to continue it free of premiums. This right
may be excluded as far as it concerns the situation that the amount of
the to be paid insurance benefits, accumulated (accrued) at the moment
on which the insurance has been made free of premiums, is less than a
minimum amount set to this end by Order in Council.
Article 7:979 Right to borrow money on the life insurance
policy
- 1. The policyholder has the right to borrow money from the insurer on
a life insurance meant in Article 7:978, paragraph 1, to the amount of
the surrender value and against the usual conditions.
- 2. As far as the policyholder does not pay back the amount that he has
borrowed pursuant to paragraph 1, the insurer may deduct this amount,
increased with interest and costs, from the cash value of the periodical
insurance benefits and withhold it from the payments he has to make by
virtue or on account of the insurance [for instance in the event of a
seizure or the bankruptcy of the policyholder]
Article 7:980 Non-payment of subsequent insurance
premiums.
- 1. A non-payment of subsequent insurance premiums can only have effect
if the insurer, after the due date, has pointed out this effect in a declaration
addressed to the policyholder and, if relevant, to the beneficiary who
has accepted his appointment, to the pledgee and to the seizor (attaching
creditor), and the requested payment has not been made within a period
of at least one month as set for this purpose in that declaration.
- 2. If the requested payment has not been made within the period meant
in paragraph 1, a life insurance with a paid up value will be continued
as a life insurance free of premiums or, if the life insurance agreement
provides for this possibility, it will be continued by means of a set
off of the insurance premiums, the stipulated interest and the costs against
the surrender value. Where no right of continuation, as referred to in
the previous sentence, exists, the life insurance agreement will end and
the policyholder will be entitled to the surrender value, if present.
- 3. It is possible to stipulate, in derogation from paragraph 1, that
interest and costs will be chargeable as from the due date of the insurance
premium.
Article 7:981 Death caused by an event excluded as
insured risk
Where the insured person has died as a result of a cause excluded as risk
and the life insurance has a surrender value, the insurer has to pay an
amount equal to the surrender value, calculated to the day prior to the
day of death. This amount belongs to the beneficiary. If the life insurance
has no surrender value, but it has a paid up value, then the policyholder
is considered to have exercised his right as meant in Article 7:978, paragraph
2, the day prior to the day of death, and the insured person is considered
to have died by a cause which is not excluded as risk.
Article 7:982 Incorrect information about age or gender
- 1. When the age or gender (sex) of the insured person has been reported
incorrectly, the life insurance is considered to have been concluded for
a calculated insurance benefit (or benefits) in adjustment with the correct
age or gender (sex), but on the basis of the same amount of insurance
premiums as agreed upon. Articles 7:929, 7:930 and 7:983 do not apply
to this extent.
- 2. Paragraph 1 does not apply if the insurer would not have concluded
the life insurance agreement if he would have been aware of the correct
age or correct gender (sex).
Article 7:983 Legal effects of non-compliance with
the pre-contractual information duty of Article 7:928 or 7:929
- 1. If the policyholder, pursuant to law or agreement, has the right
to surrender a life insurance agreement and to take the surrender value,
and this agreement is terminated in accordance with Article 7:929, then
the policyholder obtains an entitlement to the surrender value calculated
to the day prior to the termination.
- 2. If, at the end of the risk, the insurer invokes the legal effects
of a non-observance of the pre-contractual information duty referred to
in Article 7:928, then the beneficiary obtains an entitlement to an amount
calculated in an equal way as mentioned in paragraph 1. However, if the
application of Article 7:930, paragraph 2 or 3, would lead to a higher
insurance benefit, then the beneficiary obtains an entitlement to an amount
equal to that higher benefit.
- 3. The insurer who in accordance with Article 7:929, under reservation
of rights, has pointed out to the policyholder that the pre-contractual
information duty of Article 7:928 has not been observed or who has invoked
the legal effects of such a non-observance, notifies this, where relevant,
to the person who has accepted his appointment as beneficiary, and to
the pledgee. In the situation meant in the first sentence, the insurer
informs also the seizor (attaching creditor), unless a declaration as
meant in Article 476a, first paragraph, of the Code of Civil Procedure
has not yet been made.
Article 7:984 Pledging and foreclosure of the entitlement
of the policyholder
- 1. Where a pledge is established on a life insurance entitlement of
the policyholder, the pledgee has the right to surrender the life insurance
and to take the surrender value, unless the policyholder misses the right
to surrender the life insurance himself. As far as the appointment of
another person as beneficiary is not yet irrevocable, the pledgee is also
able to appoint the policyholder as beneficiary of the insurance benefit.
The pledgee is only able to surrender the life insurance and to take the
surrender value if the pledgee, on a moment that the debtor already was
in default, has notified the policyholder at least four weeks in advance
by registered letter or by bailiff’s notification of his intention
to surrender the life insurance and to take the surrender value. The insurer
has no duty to investigate if the debtor is in default. The pledgee sends
a copy of the registered letter of bailiff's notification, meant in the
third sentence, to the insurer.
- 2. To be able to surrender the life insurance and to take the surrender
value the pledgee must, at the moment on which he notifies the policyholder
of his intention to invoke this right, mention also that the policyholder,
during the period of four weeks meant in paragraph 1, has the right to
borrow money from the insurer on the life insurance, with which the policyholder
could pay off, as far as possible, the debt which the pledgor owes to
the pledgee, unless this right of the policyholder has been excluded in
the life insurance agreement.
- 3. Where the pledgee has surrendered the life insurance and taken the
surrender value or where the policyholder has borrowed money on the life
insurance in accordance with paragraph 2, the established pledge only
continues to rest on the debt-claim to the surrender value, respectively,
on the borrowed money on the life insurance.
- 4. The pledgee is not entitled to sell off the pledged entitlement to
the insurance benefit as provided for by Article 3:248 of the Civil Code.
Article 7:985 Prescription
A right of action against the insurer to claim the payment of an insurance
benefit becomes prescribed on the expiry of five years from the day on
which this debt-claim has become due and demandable (eligible), unless a longer
period has been agreed upon.
Article 7:986 Mandatory law
- 1. It is not possible to derogate from Article
7:984.
- 2. It is not possible to derogate to the
disadvantage of the policyholder, the beneficiary or the pledgee from
Articles 7:977, 7:981 and 7:982.
- 3. Where the policyholder is a natural person
who, when he entered into the life insurance agreement, did not act in
the course of his professional practice or business, it is not possible
to derogate to the disadvantage of him or of the beneficiary, the pledgee
or the seizor (attaching creditor) from Articles 7:978, paragraph 2, 7:980
and 7:983.
- 4. An exclusion or limitation of the right,
meant in Article 7:978, paragraph 1, cannot be invoked against the creditors
of the policyholder, against the liquidator in his bankruptcy, against
the administrator appointed under an official moratorium on payment granted
to the policyholder or under the application of the Debt Repayment Scheme
for Natural Persons to the policyholder or against the liquidator who
is settling the heritage (estate) of the deceased policyholder. The first
sentence does not apply to an insurance, a life annuity savings account
or a life annuity investment right which grants an entitlement to periodically
paid insurance benefits or periodically supplied benefits in kind, as
far as the premiums which have been paid to this end, also because the
contract of insurance, the contract of the life annuity savings account
or the contract of the life annuity investment right stipulates that it
cannot be surrendered against payment of the surrender value, could be
taken into account in determining the taxable income derived from employment
and home ownership..
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