Liability policies such as D&O policy, Professional liability, Public liability, CGL policy and product liability policies have exclusions like every other insurance policy. An important exclusion is the criminal act exclusion in liability policies.
Criminal act exclusions in liability insurance
policies are provisions which exclude coverage for claims arising from criminal
acts committed by the insured. The criminal act exclusion makes the insurance
contract void if it is evident that the insured is making a claim for a loss
that has occurred due to criminal actions or lawless behavior by the insured.
In short, the criminal act exclusion means that if the
insured is involved in an illegal activity or commits a crime, the insurance
policy will not cover any resulting claims or damages.
Purpose of the criminal act exclusion
The primary purpose of this exclusion is to prevent individuals or
entities from using insurance coverage when they engage in illegal
activities. The exclusion is meant to ensure that insurance companies do
not bear the financial burden of such actions.
Criminal acts in liability policies
The definition of criminal acts in liability policies includes any
intentional harm or damage like assault, vandalism, etc., Criminal activities
also include illegal activities such as drug trafficking.
For illustration purposes , dishonest acts such as forgery or
fraud or insider trading committed by directors or officers is a criminal act
and is considered as an exclusion in liability policies such as D&O
policies. Any such intentional criminal activity is not covered in the D&O
policy. Similarly E&O policies do not cover claims arising out of any
dishonest acts or criminal prosecution or illegal activities by the
insured.
Execution of the criminal acts exclusion
If the insured makes a claim and the insurance company suspects
that it is a fraudulent activity, the first step when assessing the claim is to
decide if the act that caused the loss can be classified as an admitted occurrence
according to the policy. However if it can be proved that the loss was due to an
act arising out of any criminal intent then the claim will be rejected by the
insurance company.
For this the insurance company has to prove that the actions of
the insured were criminal to apply this exclusion to any reported claims. It
then becomes incumbent on the insured to prove otherwise.
The criminal act exclusions in liability insurance are designed to
prevent coverage for claims resulting from the insured's illegal activities.
Understanding exclusions in insurance policies
It is important to understand the implications of not only the
criminal acts exclusion but also other exclusions when buying a liability
insurance policy.
One should review the terms of the liability insurance policy to
understand the scope of the criminal acts exclusion.
It is best to consult an insurance broker to seek clarification on
the application of these exclusions and if any exceptions or limitations might
affect coverage of the policy.
We at Zen Insurance Brokers assist in choosing
an insurance policy with clauses suited to your requirements. Choose your
insurance policy wisely. Get in touch with us for any assistance.
Disclaimer:
Zen Insurance Brokers is an IRDAI registered
broker which facilitates quick and adequate insurance broking services. We deal
with only regulator approved products of insurers. We do not underwrite the
products.
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