Zurich Fidelity Guarantee Insurance

Transcription

Zurich Fidelity Guarantee InsurancePolicy Wording

ContentsAbout our Fidelity Guarantee InsuranceAbout Zurich3How to apply for this insurance3Our contract with you3Duty of Disclosure3Non-disclosure or Misrepresentation4Goods and Services Tax4Your Privacy4Confirmation of transactions4Cooling-off Period4How to make a claim4General Insurance Code of Practice5Complaints and Disputes Resolution process5Headings5Definitions5Dishonest act5Employee5Excess5Insured5Limit of liability6Period of insurance6Property6Schedule6Subsidiary company6Time limitations6Our Agreement6Insuring Clause6Limitations of Cover6Excess6Limit of liability6Non-accumulation of liability7Territorial and Jurisdictional limits7Valuation and Foreign currency7Extensions of Cover77Claims preparation costs7Continuity of cover8Merger, takeover, sale, winding-up of insured8Reinstatement of the limit of liability8Unidentifiable employees8PCUS-000015-2006 - ZU07201Additional insureds – Liability for prior lossesPage of 12

Exclusions9Computer virus9Cost of reproducing information9Damages9Fraudulent claims9Inventory / Profit and loss9Knowledge of prior theft9Legal proceedings9Loss of potential income9Loss of trade secrets9Non-payment / Default of loan9Other insurance9Professional liability9Subsequent losses9Trading losses9Claims Conditions10Reporting10Subrogation10Standard ConditionsPage of 1210Cancellation10Misrepresentation, Misdescription, Non-disclosure10Change of risk10Singular and plural10Notice11Proper law and jurisdiction11Payments in respect to Goods and Services Tax11Privacy11Complaints and Disputes Resolution process12

Zurich Fidelity Guarantee InsuranceAbout ZurichOur contract with youZurich is proud to present the Zurich Fidelity GuaranteeYour policy is a contract of insurance between you and Zurich andInsurance product.contains all the details of the cover that we provide.The insurer of this product is Zurich Australian Insurance Limited (ZAIL),Your policy is made up of:ABN 13 000 296 640, AFS Licence Number 232507, a subsidiary ofZurich Financial Services Australia Limited (ZFSA). In this policy wording, buy our Zurich Fidelity Insurance product. It tells you what isZAIL may also be expressed as ‘Zurich’, ‘we’, ‘us’ or ‘our’.covered, sets out the claims procedure, exclusions and otherZFSA and its subsidiaries are members of the Swiss-based ZurichGroup, offering an extensive range of general insurance, investment,life insurance and superannuation products and services forterms and conditions of cover; the insurance details relevant to you. It includes any changes,property, motor, liability, workers compensation, compulsory thirdexclusions, terms and conditions made to suit your individualparty, directors and officers, and professional indemnity risks.that words are abbreviations or have a particular defined meaning.your most current policy schedule issued by us. The policyschedule is a separate document unique to you, which showsIn Australia, Zurich offers general insurance products coveringWe sometimes capitalise or italicise terms in this document, to showthe proposal, which is the information you provide to us whenapplying for insurance cover;individuals, small to medium sized businesses, larger companies andmulti-national corporations.the policy wording. This is common to all customers whocircumstances and may amend the policy; and any other written change otherwise advised by us in writing(such as an endorsement). These written changes vary orYou should refer to the Definitions section of this document on pagemodify the above documents.5 to obtain the full meaning of such terms.Please note, only those covers shown in your policy schedule areHow to apply for this insuranceinsured.Zurich generally distributes its products through licensed insuranceThis document is used for any offer of renewal we may make, unlessbrokers or advisers. Insurance brokers or advisers are qualifiedwe tell you otherwise. Please keep your policy in a safe place.professionals who are able to access a wide selection of insuranceproducts from which they are able to recommend those best suitedto your insurance requirements, after taking into account yourWe reserve the right to change the terms of this product wherepermitted to do so by law.individual circumstances.Duty of DisclosureThroughout this document when we are referring to your insuranceBefore you enter into a contract of general insurance with us, youbroker or adviser, we may simply refer to them as your intermediary.have a duty under the Insurance Contracts Act 1984 to disclose toIf you are interested in buying this product, you should contact yourus every matter you know or could reasonably be expected to know,intermediary. Your intermediary can help you tailor your insuranceis relevant to our decision whether to insure you, and if so, on whatpolicy to best suit you. If you then decide to apply for insurance andterms. This applies to all persons to be covered under this contract ofwe accept your proposal, we will issue you with a policy scheduleinsurance.of insurance, which is a document that sets out the details of yourYou have the same duty to disclose those matters to us before youparticular insurance policy with us.renew, extend, vary or reinstate a contract of general insurance.If you have any inquiries about this product, you should speak to yourYour duty however, does not require disclosure of a matter:intermediary who should be able to provide you with all the information that diminishes the risk to be insured;provided by your intermediary you can contact us at the address or that is of common knowledge;telephone number shown on the back cover of this policy. However, that we know or in the ordinary course of our business weand assistance you require. If you are not satisfied with the informationwe are only able to provide factual information or general advice aboutthe product. We do not give any advice on whether the product isappropriate for your personal objectives, needs or financial situation.ought to know; that we indicate to you that we do not want to know.Page of 12

Non-disclosure or MisrepresentationYour PrivacyIf you make a misrepresentation to us, or if you do not comply withWe are committed to protecting the privacy of your personalyour duty of disclosure and we issue your policy with terms andinformation and complying with the National Privacy Principles underconditions that are different to the terms and conditions that wouldthe Privacy Act 1998 (Cth). For further details on how we do this,have been issued had there not been any misrepresentation, or yourplease refer to Privacy on page 11.duty of disclosure had been complied with, then: we may reduce the cover provided, so that we are placed inConfirmation of transactionsthe same position as we would have been in, had there notPlease contact us, if for any reason you wish to make an enquirybeen any misrepresentation and your duty of disclosure hadabout your policy or obtain confirmation of any policy transaction.been complied with; andYou should first check if your intermediary already has the we may also cancel your policy; or we may treat your policy as if it never existed if theinformation. Our contact details are on the back cover of thisdocument.misrepresentation or your non-compliance with your duty ofCooling-off Perioddisclosure was fraudulent.After you apply for a Zurich product and you have received theGoods and Services TaxThis policy has provision for payment of Goods and ServicesTax (GST):policy document, you have 21 days to check that the policy meetsyour needs. Within this time you may cancel the policy and receive afull refund of any premiums paid, unless: by the insured in relation to the premium payment; by us in relation to claim payments depending on the typeof claim.you have made a claim or become entitled to make a claimunder your policy; or you have exercised any right or power you have in respect ofyour policy or the policy has ended.The GST component of a claim will be settled according to any InputYour request will need to be in writing and forwarded to us via yourTax Credit (ITC) the insured is entitled to, for example,intermediary.Input Tax Credit0%Claim SettlementYou can cancel your policy at any time after the cooling-off period.Settled inclusive of GSTPlease refer to Cancellation under Standard Conditions on page 10.100%Settled less GST70%Settled less 70% of the GSTThe insured must advise the correct ITC percentage. Any GST liabilityarising from the insured’s incorrect advice is payable by the insured.For further information see ‘Payments in respect to Goods andServices Tax’ on page 11.Page of 12How to make a claimIf you need to make a claim against this policy, please refer to ClaimsConditions on page 10. If you have any queries, please contact yourintermediary as soon as possible, or call us on 132 687.

General Insurance Code of PracticeDefinitionsAs a member of the Insurance Council of Australia Limited, weWhen used in this policy, its schedule and its endorsements thesubscribe to the General Insurance Code of Practice.following definitions shall apply:The purpose of the Code is to raise the standards of practice andDishonest actservice in the general insurance industry.dishonest act means the unlawful taking of property with the intentThe Code aims to: constantly improve claims handling in an efficient, honest andfair manner; build and maintain community faith and trust in the financialintegrity of the insurance industry; and provide helpful community information and education aboutgeneral insurance.Complaints and Disputes ResolutionprocessIf you have a complaint about an insurance product issued by us or aservice you have received from us, including the settlement of a claim,please contact your intermediary to initiate the complaint with us.If you are unable to contact your intermediary, call us on 132 687.If you are not satisfied with our initial response, you may then useour Internal Disputes Resolution process or, ultimately, our ExternalDisputes Resolution Scheme.Please refer to ‘Complaints and Disputes Resolution process’ on page12 for full details of our process and how you can access it.HeadingsHeadings have been included for ease of reference, but do not formpart of the policy.to cause loss to the insured or financial gain to the employee.Employeeemployee means:(a) a person under contract of service to the insured whom theinsured remunerates by salary, wages or commissions andwhom the insured has the right to control and direct in theperformance of their duties;(b) any director or trustee of any insured while performing actsfalling within the scope of the usual duties of an employee;(c) any ex-employee for a period not exceeding 30 days aftertermination/resignation of employment with the insured,arising out of the duties of that employee during his/heremployment with the insured;(d) any temporary personnel assigned to perform employee duties forany insured within the insured’s premises by any agency furnishingtemporary personnel on a contingent or part-time basis, providedhowever, that this policy does not cover any loss caused by suchindividual if such loss is also covered by any insurance held by theagency furnishing such temporary personnel;(e) any work experience student.The definition of employee does not include a broker, commissionagent, consignee, contractor or other agent or similar representative.Excessexcess means the amount the insured first bears in relation to eachloss. The excess applies to all amounts payable under this policy.Insuredinsured means:(a) you, your or the Insured named in the schedule;(b) subsidiary companies incorporated in the Commonwealth ofAustralia;(c) any welfare, social or sporting club formed with the insured’sknowledge and consent exclusively for the benefit ofemployees and their families.Page of 12

Limit of liabilitylimit of liability means the total aggregate liability we willreimburse the insured and shall not exceed the Limit of Liabilitystated in the schedule.Period of insuranceperiod of insurance means the Period of Insurance stated inthe schedule.Our AgreementSubject to the prior payment of or the insured’s agreement to paythe premium set out in the schedule, we agree with the insured toprovide insurance as set out in this policy.In issuing this policy, we rely on the information contained in theproposal form and or any other information given by or on behalf ofthe insured which shall be the basis of the contract.Propertyproperty means currency, coin, bank notes, bullion, negotiable andnon-negotiable instruments, goods or other items either belonging to,or in the care, physical custody or control of the insured and for whichthe insured is legally liable other than property excluded by this policy.Scheduleschedule means the Schedule attaching to and forming part ofInsuring ClauseSubject to the limit of liability stated in the schedule and the termsand conditions of this policy, we will reimburse the insured for lossof property which:(a) directly results from a dishonest act of an employeecommitted alone or in collusion with others; andthe policy wording, including any renewal schedule.Subsidiary companysubsidiary company means a company or legal entity in respectof which the first named insured named in the schedule directlyor indirectly:(b) is discovered during the time limitations.Limitations of Cover1.Excess(a)(a) controls or controlled the composition of the board ofpart of loss which exceeds the excess and such excessdirectors; and/orshall be borne by the insured uninsured and at theinsured’s own risk.(b) controls or controlled more than half of the voting power; and/or(b)(c) holds or held more than half of the issued share capital orunder a prior policy containing an excess amount,and shall in any event include any company or legal entity whosethe excess amount specified in the schedule shall befinancial accounts are required to be consolidated with those ofreduced by the excess amount applied to such loss bythe first named insured pursuant to the Corporations Law or thethe prior policy.applicable Australian accounting standard.time limitations means the period of insurance and the earlier ofeither 12 months after the expiration of the period of insurance orthe period up to the date upon which the employee committing aShould any loss be discovered which is partlyrecoverable under this policy and partly recoverableother ownership of the entity,Time limitationsOur liability under this policy shall apply only to that2.Limit of liability(a)We shall not be liable for more than the limit of liabilitystated in the schedule for any loss:(i)arising directly or indirectly from any oneemployee or any number of employees acting indishonest act is terminated.collusion, or in respect of which the employee isimplicated regardless of whether the dishonestact was committed or the loss occurred duringmore than one period of insurance; and(ii)in respect of one dishonest act or series ofdishonest acts arising from the one sourceor original cause, regardless of whether thedishonest act was committed or the loss occurredduring more than one period of insurance.Page of 12

(b)Where more than one dishonest act is committed and/or loss occurs during more than one period of insurance,the dishonest act is deemed to have been committedExtensions of Cover1.on the date of the first dishonest act or alternatively theto the policy or new subsidiary company formed or acquired,loss is deemed to have occurred on the date upon whichcoverage is provided for:the first loss occurred.3.(a)Non-accumulation of liability(a)Additional insureds – Liability for prior lossesIf during the period of insurance an additional insured is addedaddition; andRegardless of the number of years coverage shall(b)continue in force and the number of premiums whichwhatsoever, our liability with respect to any loss orProvided that:losses shall not be cumulative from one period of(i)insurance to another period of insurance. Where thereis more than one insured, our aggregate limit of liabilityfor loss or losses sustained by any or all of them shalland there is continuity of cover from the date the lossnot exceed the amount for which we would be liable ifwas sustained to the effective date of the inclusion; and(ii)the loss is discovered within the time limitationsOur total aggregate limit for losses under this policy orprovided by this policy if it would have been coveredany other fidelity policy issued by the Zurich Group ofunder the prior policy, except for the fact that it wasinsurance companies in respect of the same period ofdiscovered after the time limitations under that policyinsurance shall not exceed the aggregate limit of liabilityhad expired; andset out in the schedule of this policy.(iii)the amount payable shall form part of and will not be inaddition to the limit of liability; andTerritorial and Jurisdictional limitsThis policy shall apply to dishonest acts committed within the5.the additional insured carried a policy providingcomparable cover prior to the inclusion under this policyall losses were sustained by any one of them.4.any losses sustained prior to the effective date of suchaddition or acquisition,shall be payable or paid or any other circumstances(b)any losses sustained after the effective date of such(iv)the loss would have been covered under this policy ifTerritorial and Jurisdictional Limits specified in the schedule.this policy with its terms, conditions and exclusions asValuation and Foreign currencyat the date of substitution had been in force when theWe shall not be liable under this policy for more than;dishonest act causing the loss was committed; and(a)the actual market value of lost, damaged or destroyed(v)securities at the close of business on the business dayThe amount payable under this extension will not exceed theimmediately preceding the day on which the loss islesser of:discovered, or for more than the actual cost of replacing(1)the securities, whichever is less;(b)had applied at the date of discovery of the loss; or(2)or other records;the Australian dollar value of a foreign currency basedon the rate of exchange published in The AustralianFinancial Review on the day any loss involving foreigncurrency is discovered.the amount which would have been payable under theprior policy if the prior policy had continued in force orthe cost of blank books, pages, tapes or other blankmaterials to replace lost or damaged books of account(c)the loss has not been notified to any other insurer.2.the limit of liability at the date of substitution.Claims preparation costsWe agree to reimburse the insured for an amount no greaterthan the amount of loss payable under this policy, for thereasonable costs incurred in substantiating a loss.Provided that the amount payable under this extension shallbe part of and not in addition to the limit of liability specifiedin the schedule.This extension shall not apply in respect of any loss which doesnot exceed the excess.Page of 12

3.Continuity of cover5.Reinstatement of the limit of liabilityIf this policy has been substituted for any prior policy providingIn the event of the insured successfully making a claim undercomparable cover held by the insured with any other insurerthis policy, the limit of liability shall be reinstated for theand there is unbroken continuity of cover apart from theamount required to restore the limit of liability to the amountsubstitution, this insurance applies to any loss discoveredstated in the schedule.within the time limitations provided by this policy if it wouldProvided that:have been covered under the prior policy except for the fact(a)that it was discovered after the time limitations under thatan amount equal to the limit of liability;policy had expired.(b)Provided that:(a)the amount payable shall form part of and will not be inthe loss would have been covered under this policy ifthis policy with its terms, conditions and exclusions asat the date of substitution had been in force when thedishonest act causing the loss was committed; and(c)the amount payable will not exceed the lesser of:(i)the amount which would have been payableunder the prior policy if the prior policy hadcontinued in force or had applied at the date ofdiscovery of the loss; or(ii)(d)the limit of liability at the date of substitution; andthe loss arises from a dishonest act committed after theRetroactive Date in the schedule, and(e)4.the loss has not been notified to any other insurer.Merger, takeover, sale, winding-up of insuredIf, during the period of insurance, the insured is subject to amerger, takeover, sale or winding-up, or the responsibilitiesof any insured are fully assumed by any other person and/orentity, then coverage shall continue through to the expiryof this policy, and apply only to loss sustained prior to theeffective date of the merger, takeover, sale or winding-up orassumption of responsibilities.Page of 12our liability in respect of more than one loss arisingfrom the same source or cause shall not exceed thelimit of liability.addition to the limit of liability; and(b)the aggregate of amounts so reinstated shall not exceed6.Unidentifiable employeesIf a loss is alleged to have been caused by the fraud ordishonesty of any one or more of the employees and theinsured shall be unable to designate the specific employeecausing the loss, the insured’s claim in respect of such lossshall not be invalidated by their inability to do so, provided theinsured is able to furnish evidence to prove to us that the losswas in fact due to the fraud or dishonesty of one or more ofits employees.

Exclusions10.loss arising from the complete or partial non-payment of orWe will not pay anything in respect of any:1.caused by a mechanical failure and/or programming errors.2.Other insuranceliability for which the insured is entitled to claim under anyother policy but subject always to the provisions of theInsurance Contracts Act 1984 (as amended).12.or punitive damages.Professional liabilityloss arising out of a breach of duty owed in a professionalDamagesloss which wholly or in part consists of exemplary, aggravatedcapacity by the insured.13.Subsequent lossesloss arising from any dishonest act committed by an employeeFraudulent claimsafter the insured has discovered any other dishonest acts byfraudulent claim or claims made by or involving any fraudulentthe employee.means or devices used by the insured or any person acting onthe insured’s behalf to obtain any benefit under this policy orany loss giving rise to a claim under this policy caused by orwith the collaboration of any insured.5.11.loss involving the cost of reproducing any informationaccounts, microfilms, tapes or other records.4.accounts or invoices or other transactions of similar character.Cost of reproducing informationcontained in any lost or damaged manuscripts, records,3.default on any loan, extension of credit, discounted or acquiredComputer virusloss or part of a loss arising out of any computer virus or lossNon-payment / Default of loan14.Trading lossesloss resulting directly or indirectly from trading in securitiesor derivatives whether or not in the name of the insured andwhether or not in a genuine or fictitious account.Inventory / Profit and lossloss or part of a loss where proof of its existence or amountdepends on any comparison of inventory records with aphysical count or a profit and loss computation.Exclusion 5. does not apply to the extent that the insured canprove the existence or amount of the loss through evidencewholly independent of the comparison or computation.6.Knowledge of prior theftloss caused by an employee if an elected or appointed officerof the insured possessed at any time knowledge of any act oracts of theft, fraud or dishonesty committed by such employeeduring the term of the employment of such employee, or priorto employment by the insured, provided that such conductinvolved property valued at 25,000 or more.7.Legal proceedingscosts incurred by the insured in connection with any legalproceeding.8.9.Loss of potential income(a)loss of potential income not in fact earned; or(b)other consequential or indirect loss.Loss of trade secretsloss of trade secrets, confidential processing methods or otherconfidential information of any kind.Page of 12

Claims ConditionsStandard ConditionsCompliance with the following conditions is a condition precedent to1.our obligation to indemnify the insured under this policy.1.Cancellation(a)in writing to us;Reporting(b)On discovering a loss or circumstances likely to give rise to aloss the insured must:(a)give immediate notice to us;(b)within 120 days provide to us a written statement1984 (as amended), such cancellation to take effectwithin 30 days from the time of notification received bythe insured;(c)of the loss and all other relevant information;complete any claim form or sworn proof of loss that weunexpired period of insurance;(d)provide full assistance and cooperation to us in2.(e)take all reasonable steps to obtain recovery of the lossand prevent any further loss.Upon cancellation by us a refund of premium will beallowed pro rata for the unexpired period of insurance.2.Misrepresentation, Misdescription, Non-disclosureWe may, if they so choose, proceed to conduct the defence ofThis policy is voidable in the event of fraudulentany claim made against an insured, and shall in any event retainmisrepresentation, misdescription or non-disclosure. We maythe right to actively participate in the defence. The insured shalldeny a claim or reduce a claim amount if the insured has failednot admit liability for or settle any claim under this policy orto comply with the duties of utmost good faith or disclosureincur any costs or expenses without our prior written consent.or if the insured has made a false statement to us before theSuch consent shall not be unreasonably withheld.contract was entered into. In determining whether any non-Subrogationdisclosures or representations are grounds for not meeting(a)(b)(c)The insured will do and permit all things and executea claim or reducing the claim amount we shall rely upon theall documents reasonably required by us to enable us torelevant provisions of the Insurance Contracts Act 1984 (aspursue any recovery rights in respect of the loss.amended).To the extent allowed by law, the insured will retain3.Change of riskall amounts payable to and property of any employeeEvery change materially affecting the facts or circumstances,implicated in the loss, which may be in or come to thedegree or amount of risk existing at the commencement ofinsured’s possession or under the insured’s control andthis insurance or at any subsequent renewal date, shall bewill apply the amounts or property towards makingnotified in writing to us as soon as such change comes to thegood the loss.notice of the insured or any officer or representative of theinsured. On receipt of such notice we may vary the terms ofAll recoveries whether made by the insured or us will bethis policy and/or charge such additional premium as we mayapplied to reimbursement in the following priorities:(i)(ii)(iii)all costs incurred in effecting the recoveries;(iv)determine appropriate in the circumstances.4.Singular and pluralto the insured to the extent that the loss exceedsExcept where the context otherwise requires, a reference tothe limit of liability;the singular includes the plural and vice versa.to us to the extent that it has indemnified theinsured under this policy;Page 10 of 12We will be entitled to retain any tax owing for which weare unable to obtain a refund;investigating the loss; and(e)Upon cancellation by the insured a refund of premiumwill be allowed pro rata of 70% of the premium for themay require;(d)We may cancel this policy in any of the relevantcircumstances set out in the Insurance Contracts Actcontaining details of the cause, description and amount(c)You may cancel this policy at any time by giving noticeto the insured to the extent of any excess.

5.6.Notice8.PrivacyEvery notice or communication to us shall be in writing andZurich respects your privacy. Before we collect personalsent to the office where this policy was issued.information you should know the following things:Proper law and jurisdictionWe require personal information about you to assess your(a)request for insurance and to administer the policy.The construction, interpretation and meaning ofthe provisions of this policy shall be determined inaccordance with Australian law.(b) personal information (other than sensitive informationIn the event of any dispute arising under this policy,including but not limited to its construction and/orvalidity and/or performance and/or interpretation, thesuch as health information) to your intermediary. We will also, where relevant, disclose your personalinformation, including sensitive information, toinsured will submit to the exclusive jurisdiction of anyour service providers (including loss adjusters,competent Court in the Commonwealth of Australia.7.Where relevant for this purpose, we will disclose youradministrators, reinsurers) and to our business partnersPayments in respect to Goods and Services Taxfor this purpose. By submitting your personal details,When we make a payment under this policy for the acquisition ofyou consent to those organisations collecting and usgoods, services or other supply, we will reduce the amount of thedisclosing personal and sensitive information about youpayment by the amount of any input tax credit that the insuredfor this purpose.are, or will be, or would have been entitled to under A New TaxSystem (Goods and Services Tax) Act 1999, in relation to that partners we commonly use is available on request, or onacquisition, whether or not that acquisition is actually made.our website. Go to www.zurich.com.au and click on t

About our Fidelity Guarantee Insurance About Zurich 3 How to apply for this insurance 3 Our contract with you 3 . Cost of reproducing information 9 Damages 9 Fraudulent claims 9 . appropriate for your personal objectives, needs or financial situation.