灾难的后果:评估商业中断保险损失

Christopher C. French
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引用次数: 6

摘要

近年来,随着龙卷风、飓风和洪水的侵袭,业务中断造成的损失令人震惊。许多企业无法在这样的灾难中幸存下来。即使是购买了业务中断保险的企业主,也经常发现他们的保险公司对应该赔偿的损失金额有着截然不同的看法。业务中断保险的目的是确保企业在业务中断期间的收入流继续。造成这种意见分歧的原因是,营业中断保险政策中的损失评估条款对如何计算营业中断损失提供的指导很少。因此,关于业务中断损失估值的纠纷经常出现,法院和陪审团被迫解决这些纠纷,结果差异很大,不一致,而且不可预测。这种可预测性的缺乏给法律体系带来了负担,因为审判的商业中断案件远远超过了必要的数量。本文分析了中断保险的起源和目的,以及法院对标准形式的中断损失评估条款的不一致解释。然后,该条根据政策解释规则对现有的损失评估条款进行了解释,并考虑到政策是在接受或放弃的基础上出售的非协商附则合同,如果从产品责任的角度分析语言,结果是否会有所不同。文章最后分析了与商业中断保险损失支付相关的公共政策考虑,并提出了未来使用的其他损失评估公式,这些公式应提供一致、公平和可预测的损失评估和索赔支付,而无需提起诉讼。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Aftermath of Catastrophes: Valuing Business Interruption Insurance Losses
With the onslaught of tornadoes, hurricanes, and floods in recent years, business interruption losses have been staggering. Many businesses do not survive such catastrophes. Even business owners that purchased business interruption insurance, which is intended to ensure that a business’s revenue stream continues during an interruption in its operations, often find that their insurers have dramatically different views regarding the amount of the losses that should be reimbursed. The reason for this disparity in views is that the loss valuation provisions in business interruption insurance policies provide very little guidance regarding how business interruption losses should be calculated. Thus, disputes regarding the valuation of business interruption losses frequently arise and courts and juries are forced to resolve such disputes with widely varying, inconsistent, and unpredictable results. This lack of predictability has placed a burden on the legal system because far more business interruption cases are tried than are necessary. This Article analyzes the origins and purpose of business interruption insurance, as well as the courts’ inconsistent interpretations of the standard form business interruption loss valuation provisions. The Article then offers an interpretation of the existing loss valuation provisions under the rules of policy interpretation and considers whether the result would be different if the language were analyzed from a product liability perspective in light of the fact that policies are non-negotiated contracts of adhesion sold on a take-it-or-leave-it basis. The Article concludes with an analysis of the public policy considerations related to the payment of business interruption insurance losses and proposes alternative loss valuation formulas to be used in the future that should provide for consistent, fair and predictable loss valuations and payment of claims without litigation.
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