Cockatoo guide

Insurance coverage: connect the event to the policy wording

Insurance coverage is the protection provided by a particular contract for specified people, property, activities or events. It cannot be established solely from a product name, premium or headline benefit.

Insurance coverage is the protection provided by a particular contract for specified people, property, activities or events. It cannot be established solely from a product name, premium or headline benefit.

The distinction that matters

A sum insured is a limit, not proof that a particular cause of loss is accepted. Definitions, exclusions, endorsements and conditions all form part of the coverage assessment.

What to check

  • Who and what are insured.
  • The event and relevant definition.
  • Exclusions, conditions and endorsements.
  • Limits, sublimits and excesses.

Example to discuss

Ask the provider to trace a realistic event through the insuring clause, definitions and exclusions, then show how the settlement limit would be applied.

This is a hypothetical comparison, not a customer claim or a determination of cover.

Sources and further reading

General information only. The policy, schedule and applicable rules determine the actual position. For a personal decision, use an appropriately qualified adviser or the relevant provider.

Sources

References used in this guide