Duty of Disclosure for Insurance Contracts: a Comparative Note of the United Kingdom and Indonesia
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Corporate and Trade Law Review Volume 01 Issue 01 January = June 2021 Duty of Disclosure for Insurance Contracts: A Comparative Note of the United Kingdom and Indonesia Shanty Ika Yuniarti Erasmus University Rotterdam, The Netherlands Article Info ABSTRACT Keyword: Duty of disclosure is one of the most essential aspects of an insurance contract. Its role in an insurance contract is to avoid fraud and duty of disclosure; misinterpretations. A person seeking insurance must act in good faith, insurance contracts; and good faith requires to disclose every material fact known, related misrepresentation; to the risk. It begins with the proposer for the insurance policy that is contract law; obliged to disclose all information to the insurer. However, there is a possibility either the insured or insurer done a breach of duty of insurance law disclosure. Breach of duty of disclosure includes Non-Disclosure and Misrepresentation. Breach of duty of disclosure also possible to happen in the Pre-Contractual and Post-Contractual Stage in an Article History: insurance contract due to either a deliberate, reckless, or innocent Received: 23 Jun 2020 breach. The duty of disclosure in each country might be different depends on its jurisdiction, for example, the United Kingdom as a Reviewed: 25 Sept 2020 common law country and Indonesia as a civil law country. Accepted: 26 Oct 2020 Published: 18 Dec 2020 ABSTRAK Corresponding Author: Kewajiban pengungkapan adalah salah satu aspek terpenting dari kontrak asuransi. Perannya dalam kontrak asuransi adalah untuk Email: menghindari penipuan dan salah tafsir. Seseorang yang mencari [email protected] asuransi harus bertindak dengan itikad baik, dan itikad baik mensyaratkan untuk mengungkapkan setiap fakta material yang diketahui, terkait dengan risiko. Ini dimulai dengan pengusul polis asuransi yang berkewajiban untuk mengungkapkan semua informasi kepada perusahaan asuransi. Namun, ada kemungkinan tertanggung atau penanggung melakukan pelanggaran kewajiban pengungkapan. Pelanggaran kewajiban pengungkapan termasuk Non-Disclosure dan Misrepresentation. Pelanggaran kewajiban pengungkapan juga mungkin terjadi pada Tahap Pra-Kontrak dan Pasca-Kontrak dalam kontrak asuransi baik karena pelanggaran yang disengaja, gegabah, atau tidak sengaja. Kewajiban pengungkapan di setiap negara mungkin berbeda tergantung pada yurisdiksinya, misalnya, Inggris sebagai negara hukum umum dan Indonesia sebagai negara hukum perdata. 80 Corporate and Trade Law Review Volume 01 Issue 01 January = June 2021 INTRODUCTION One of the most fundamental aspects in an insurance contract is the duty of disclosure. Duty of disclosure in an insurance contract is a mutual duty imposed to both the insured and insurer. Duty of disclosure is necessary to an insurance contract in order to avoid fraud and misrepresentation, because then the parties, especially the insurer, would know more about the risks related to the insurance contract. Duty of disclosure has been an important part of insurance law in the United Kingdom. Insurance in the United Kingdom is currently regulated in Insurance Act 2015 (“IA 2015”), which was enforced in 12 August 2016. IA 2015 amends the Marine Insurance Act 1906 (“MIA 1906”), which is considered to be the greatest change to insurance contract law in the United Kingdom over 100 years. IA 2015 is the most significant reform of the United Kingdom insurance law since MIA 1906. Duty of disclosure remains an important part of insurance law in the IA 2015. It is also to note that IA 2015 distinguishes between consumer and non-consumer insurance contract. IA 2015 only applies to non-consumer insurance contract, while consumer insurance is governed under Consumer Insurance (Disclosure and Representation) Act 2012 (“CIDRA 2012”). In Indonesia, insurance law is regulated in Law No. 40 year 2014 concerning Insurance (“Indonesian Insurance Law”). Before law on insurance in Indonesia was enforced, regulation on insurance can be found in Article 246 of Indonesian Civil Code (Kitab Undang-Undang Hukum Perdata Indonesia) (“Indonesian Civil Code”). Article 251 of Indonesian Commercial Code (Kitab Undang-Undang Hukum Dagang Indonesia) (“Indonesian Commercial Code”) also regulates about utmost good faith. This duty of utmost good faith shall also be interpreted as duty of disclosure in the conclusion of an insurance contract. The duty to disclose is an important requirement in every insurance contract in many legal systems. However, there are no uniform principles that regulate the duty of disclosure in an insurance contract. Given the foregoing, this research aims to examines the implementation of duty of disclosure in relation to insurance contracts in the United Kingdom and Indonesia. RESULTS AND DISCUSSION 1. Duty of Disclosure in the United Kingdom and Indonesia This Chapter will discuss how the United Kingdom and Indonesia regulate duty of utmost good faith, which is manifested through duty of disclosure in insurance contracts, imposed to both the insured and insurer in pre-contractual and post-contractual stage. The purpose of the duty of disclosure is to enable the insurer to decide whether the insurer is able to accept the risk, determine the type of coverage, and decide the premium. 1.1. Doctrine of Utmost Good Faith in the United Kingdom and Indonesia An insurance contract is one of the certain contracts made by law, which is based on good faith or uberrimae fidei.1 In the United Kingdom, uberrimae fidei is clearly mentioned in Section 17 of MIA 1906, which states that a contract of marine insurance is a contract 1 Malcoma Clarke, The Law of Insurance Contracts (3rd edn, Sweet and Maxwell 1997) 390. 81 Corporate and Trade Law Review Volume 01 Issue 01 January = June 2021 based upon the utmost good faith, and, if the utmost good faith be not observed by either party, the contract may be avoided by the other party. Since MIA 1906 has been codified in common law, it has been generally used by the court that the application of MIA 1906 is not restricted only to marine insurance contracts, but insurance contracts in general. A new IA 2015 has been enforced in 12 August 2016 to amend the MIA 1906. After the amendment, Section 17 of the MIA 1906 would read that insurance contract must be based upon the utmost good faith. Good faith is discussed in Article 14 of the IA 2015. It is stated in Article 14(1) that any rule of law permitting a party to a contract of insurance to avoid the contract on the ground that the utmost good faith has not been observed by the other party, is abolished. In Indonesia, Article 1338 of Indonesian Civil Code states that an agreement must be implemented in good faith or uberrimae fidei. Good faith is the fundamental basis and faith underlying each contract that each party has an obligation to disclose or inform clearly and carefully about all the essential facts relating to the subject matter insured. This is since all the information received will be used to enforce the terms or condition or a clause in the contract. 1.2. Duty of Disclosure in the United Kingdom and Indonesia Duty of disclosure is the most important part in insurance contract and can be done in oral and written.2 A person seeking insurance must act in good faith, and good faith requires him to disclose every material fact known, related with the risk. It begins with the proposer for the insurance policy that is obliged to disclose all information to the insurer. Therefore, the insurer uses the information given to make consideration before accepting the risk.3 This duty of disclosure occurs in pre-contractual stage. Such duty is also imposed on the insurer. The insurer must also assist the insured with the terms of the contract before the conclusion of the contract. In the United Kingdom duty of disclosure can be seen in Section 18 – 20 MIA 1906. However, pursuant to Article 21(2) of the IA 2015, Sections 18-20 are omitted. Further, Section 3(4)(a) of IA 2015 replicated the duty of disclosure which was set out in Section 18(1) of MIA 1906, which states that disclosure of every material circumstance which the insured knows or ought to knows. Article 1338 of Indonesian Civil Code regulates the effects of a valid contract that fulfills the conditions regulated in Article 1320. Article 1338 stated that all valid agreements apply to the individuals who have concluded them as law. Such agreements are irrevocable other than by mutual consent, or pursuant to reasons stipulated by the law. They must be executed in good faith. It can be argued that good faith is being manifested into duty of disclosure. 1.3. Moral Hazard 2 Julie- Anne Tarr and others, Disclosure and Concealment in Consumer Insurance Contracts (1st edn, Cavendish Published Limited 2002) 66. 3 Nael G Bunni, Risk and Insurance Construction (2nd edn, Spoon and Press 2003) 212. 82 Corporate and Trade Law Review Volume 01 Issue 01 January = June 2021 Since an insurance contract is based on utmost good faith, which requires a duty to inform the insurer of any circumstance that is material to the judgment of insurer, moral hazard is needed. Generally, moral hazard exists when two parties deal with an agreement. Moral hazard in insurance contracts refers to the tendency of insurance protection to alter an individual’s motive to prevent loss.4 Both the insured and insurer possess a possibility to get in acting, which is contrary to the principles stated in the agreement. However, in many legal literatures of insurance contracts, moral hazard is rather emphasized on the insured. Moral Hazard can include anything which might indicate whether the insured is a desirable person to do business.5 Besides, there are many legal literatures stating that there are many differences on moral hazard. Moral hazard could be opened up for any avoidance of contract conducted by the insurer according to the utmost good faith in case it influences the judgment of the insurer.