Optimal Rules of Negligent Misrepresentation in Insurance Law

Henrik Lando
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引用次数: 1

Abstract

This article analyzes rules for negligent misrepresentation in insurance contract law. Before contract signature, the applicant can be asked by the insurer to fill in a questionnaire concerning the risk, and may then omit or make untrue statements about facts. Such misrepresentation is considered negligent by the court when it is unclear the misrepresentation was due to a mistake or intentional.Rules of negligent misrepresentation differ significantly across jurisdictions. For example, the rule of common law allows the insurer to rescind the contract, whereas the German rule does not allow the insurer to reduce cover at all. Other rules, that differ in the strictness of the consequences for the insured, apply in other European countries, and yet others have been proposed in current attempts to harmonise both American and European insurance contract law. This article allows for an evaluation of these rules through an analysis of the degree to which the insured should be allowed to lower coverage in case of negligent misrepresentation.On the one hand, a strict rule renders it easier for an insurer to separate different types of risk without having to use other costly means of separation such as a deductible. On the other hand, a strict rule exposes the insured, who may have committed a mistake, to risk. In this trade-off, the optimal rule depends, among other factors, on the cost for the insurer of auditing types when claims are presented, on whether the insurer can commit to an auditing strategy, on the risk aversion of the insured, and on the likelihood for the insured of making a mistake.
保险法中过失虚假陈述的最优规则
本文分析了保险合同法中过失虚假陈述的规则。在合同签订之前,投保人可以被保险人要求填写一份关于风险的调查问卷,然后可以省略或对事实作出不真实的陈述。当不清楚这种虚假陈述是由于错误或故意造成时,法院认为这种虚假陈述是过失。不同司法管辖区的过失失实陈述规则差别很大。例如,普通法规则允许保险人解除合同,而德国规则根本不允许保险人减少保险范围。其他规则在对被保险人后果的严格程度上有所不同,适用于其他欧洲国家,而在当前试图协调美国和欧洲保险合同法的尝试中,还提出了其他规则。本文允许通过对被保险人在疏忽失实陈述的情况下应被允许降低覆盖率的程度的分析来评估这些规则。一方面,严格的规则使保险公司更容易区分不同类型的风险,而不必使用其他昂贵的区分手段,如免赔额。另一方面,严格的规定使可能犯了错误的被保险人面临风险。在这种权衡中,除其他因素外,最优规则取决于保险公司在提出索赔时审计类型的成本,保险公司是否能够承诺审计策略,被保险人的风险厌恶程度,以及被保险人犯错的可能性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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