Post on 18-Apr-2020
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EssentialBusinessLegalPolicyDocumentPlease read this policy carefully and in full tofamiliarise yourself with the terms and conditions,aswellasthe:
Legalandtaxadvicehelpline
Businesslegalserviceswebsite
Claimsprocedure.
If you are unsure about anything in this document pleasecontactwhoeveryoupurchasedyourpolicyfrom.Tomakeaclaimcall03332070560Oremailsimplybusiness@cl-uk.comTelephonehelplines24/7legaladviceonbusinessmatterswithinUKandEUlaw03445717978Redundancyapproval9amto5pmweekdays (exceptbankholidays)01179171698UKtaxadvice9amto5pmweekdays(exceptbankholidays)03445717978Crisiscommunication03445717964Confidentialcounselling03330002082BusinessLegalServiceRegistertodayat:www.araglegal.co.ukandenterthevouchercodeshowninyourpolicyscheduletoaccessthelawguideanddownloadlegaldocumentstohelpwithcommerciallegalmatters.
MainbenefitsofEssentialBusinessLegalCoverempowersyoutoprotectyourlegalrightsinthefuture.With support from ARAG you could be protected from legalcostsarisingfrom:• employmentdisputes(includingTUPE)&compensation
awards• employmentrestrictivecovenants• taxinvestigations&VATdisputes• legalnuisance,trespassordamagetoproperty• legaldefence• compliance®ulation• statutorylicenceappeals• lossofearnings• employees’extraprotection&identitytheft• crisiscommunication• contract&debtrecovery(optional)
WhoisARAG?Our UK operation provides a nationwide service from ourBristolHeadOffice.WearepartofARAGSE,agloballeaderinlegal expenses insurance which generates annual premiumincomeinexcessof€1.5billion.It has always been our vision to enable everyone, not justthose that canafford it, to assert their legal rights.With thisaiminmindweprovideinnovativeandaffordableproductstocompaniesandtheirdirectorsandpartners.We are committed to providing our customers with legaladvice and representation throughout a legal problem. Werecognisethatwewillonlygrowbyensuringthatweprovideexcellent products and an outstanding service to ourcustomers.
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Importantinformation
HelplinesAllhelplinesaresubjecttofairandreasonableuse.Theleveloffairusagewilldependonindividualcircumstances.However,ifouradvisorsconsiderthatyourhelplineusageisbecomingexcessivetheywilltellyou.Iffollowingthatwarningusageisnotreducedtoamorereasonablelevel,wecanrefusetoacceptfurthercalls.Legalandtaxadvice03445717978Ifyouhavealegalortaxproblemrelatingtoyourbusiness,werecommendyoucallourconfidentiallegalandtaxadvicehelpline.Legaladviceisavailable24hoursaday,365daysayear,andtaxadviceisavailablebetween9amand5pmonweekdays(exceptbankholidays).Theadvicecoversbusiness-relatedlegalmatterswithinUKandEUlawandtaxmatterswithintheUK.Yourquerywillbedealtwithbyaqualifiedspecialistwhoisexperiencedinhandlinglegalandtax-relatedmatters.Useofthisservicedoesnotconstitutereportingofaclaim.Redundancyapproval01179171698Wecanarrangeforspecialistadviceifyouareplanningredundancies.Thiswillassistyoutoimplementafairselectionprocessandensurethattheredundancynoticesarecorrectlyserved.Thisserviceisavailablebetween9amand5pmonweekdays(exceptbankholidays),subjecttoacharge.Crisiscommunication03445717964Ifyouareconcernedaboutaneventthatmayresultinnegativepublicitywhichcouldaffectyourbusiness,youcanaccessprofessionalpublicrelationssupportfromourCrisisCommunicationexperts.Wherepossible,initialadviceforyoutoactuponwillbeprovidedoverthephone,butifyourcircumstancesrequireprofessionalworktobecarriedoutinadvanceofanyactualadversepublicity,suchservicesareavailableonaconsultancybasisandsubjecttoyoupayingafee.Whereaneventhasledtoactualpublicityonline,inprintorbroadcast,thatcoulddamageyourbusiness,youareinsuredagainstthecostorcrisiscommunicationservicesunderInsuredevent11whenyouusethishelpline.Counsellingassistance03330002082Foranemployee(includingfamilymemberspermanentlylivingwiththem)needingconfidentialhelpandadvice,ourqualifiedcounsellorsareavailabletoprovidetelephonesupportonanymatterthatiscausingthemupset.
ClaimsProcedureIfyouneedtomakeaclaimyoumustnotifyusassoonaspossible.Aclaimform
• canberequestedbycallinguson03332070560or• bye-mailingsimplybusiness@cl-uk.com,or
Wewillrecordcontactdetailsandarrangeforaclaimformtobeemailedorpostedtotheinsured/you.Ifanyouinstructyourownsolicitororaccountantwithouttellingus,youwillbeliableforcoststhatarenotcoveredbythispolicyThecompletedclaimformandsupportingdocumentationcanbereturnedbyemail,postorfax.Furtherdetailsaresetoutintheclaimformitself.Whathappensnext?Youwillbesentawrittenacknowledgmentbytheendofthenextworkingdayafterreceiptofyourclaimform.Withinfiveworkingdaysofreceivingalltheinformationneededtoassesstheavailabilityofcoverunderthepolicy,youwillbesentadecisioninwritingeither:
• confirmingcoverunderthetermsofthispolicyandadvisingthenextstepstoprogressyourclaim;or
• iftheclaimisnotcovered,withafullexplanationofthereasonwhyandwhetheralternativeassistancecanbeoffered.
Whenarepresentativeisappointedtheywilltrytoresolveyourdisputewithoutdelay,arrangingmediationwheneverappropriate.Theappointedadvisor’sprogresswithyourwillbecheckedfromtimetotime.Sometimesmatterscannotberesolvedquickly,particularlyiftheothersideisslowtocooperateoralegaltimetableisdecidedbythecourts.Aclaimisconsideredtobereportedtouswhenwehavereceivedtheinsured'sfullycompletedclaimform.
PrivacyStatementThisisasummaryofhowwecollect,use,shareandstorepersonalinformation.Toviewourfullprivacystatement,pleaseseeourwebsitewww.arag.co.ukCollectingpersonalinformationARAGmayberequiredtocollectcertainpersonalorsensitiveinformationwhichmayincludename,address,dateofbirthandifappropriatemedicalinformation.WewillholdandprocessthisinformationinaccordancewiththeGeneralDataProtectionRegulations.Shouldweaskforpersonalorsensitiveinformation,weundertakethatitshallonlybeusedinaccordancewithourprivacystatement.Wemayalsocollectinformationforotherpartiessuchassuppliersweappointtoprocessthehandlingofaclaim.
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Importantinformation(continued)UsingpersonalorsensitiveinformationThereasonwecollectpersonalorsensitiveinformationistofulfilourcontractualandregulatoryobligationsinprovidingthisinsuranceproduct,forexampletoprocesspremiumorhandleaclaim.Tofulfiltheseobligations,wemayneedtosharepersonalorsensitiveinformationwithotherorganisations.Wewillnotdisclosepersonalorsensitiveinformationforanypurposeotherthanthepurposeforwhichitwascollected.Pleaserefertoourfullprivacystatementforfulldetails.KeepingpersonalinformationWeshallnotkeeppersonalinformationforanylongerthannecessary.
Yourrights• Anypersoninsuredbythispolicyhasanumberofrightsin
relationtohowweholdpersonaldataincluding;therighttoacopyofthepersonaldatawehold;therighttoobjecttotheuseofpersonaldataorthewithdrawalofpreviouslygivenconsent;therighttohavepersonaldatadeleted.Forafulllistofprivacyrightsandwhenwewillnotbeabletodeletepersonaldata,pleaserefertoourfullprivacystatement.‘Whathappensiftheinsurercannotmeetitsliabilities?BritSyndicate2987atLloyd’siscoveredbytheFinancialServicesCompensationScheme(FSCS).Youmaybeentitledtocompensationofupto90%ofthecostofyourclaim,intheunlikelyeventthattheinsurercannotmeetitsobligations.Furtherinformationaboutcompensationschemearrangementsisavailableatwww.fscs.org.uk
EssentialBusinessLegalThispolicyisevidenceofthecontractbetweenyouandtheinsurer.Thepolicyandscheduleshallbereadtogetherasonedocument.Termsthatappearinboldtypehavespecialmeanings.PleasereadMeaningsorwordsandtermsformoreinformation.
YourpolicycoverFollowinganInsuredeventtheinsurerwillpaylegalcosts&expensesincludingthecostofappeals(andcompensationawardsunderInsuredevent2Employmentcompensationawards)uptothelimitofindemnityandaggregatelimitspecifiedinthepolicyscheduletowhichthispolicyattachesforallclaimsrelatedbytimeororiginatingcausesubjecttoallthefollowingrequirementsbeingmet:1. Youhavepaidtheinsurancepremium.2. Theinsuredkeepstothetermsofthispolicyandcooperatesfullywithus.3. Theinsuredeventarisesinconnectionwiththebusinessshowninthescheduletowhichthispolicyattachesandoccurs
withintheterritoriallimit.4. Theclaim
a) alwayshasreasonableprospectsofsuccessandb) isreportedtous
i) duringtheperiodofinsuranceandii) assoonastheinsuredfirstbecomesawareofcircumstanceswhichcouldgiverisetoaclaim.
5. Unlessthereisaconflictofinterest,theinsuredalwaysagreestousetheappointedadvisorchosenbyusinanyclaima) tobeheardbythesmallclaimscourtoranEmploymentTribunaland/orb) beforeproceedingshavebeenorneedtobeissued.
6. Anydisputewillbedealtwiththroughmediationorbyacourt,tribunal,AdvisoryConciliationandArbitrationServiceorarelevantregulatoryorlicensingbodywithintheterritoriallimit.
Aclaimisconsideredtobereportedtouswhenwehavereceivedtheinsured’sfullycompletedclaimform.Insuredeventscovered
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1 EmploymentAdisputebetweenyouandyouremployee,ex-employee,oraprospectiveemployee,arisingfromabreachoranallegedbreachoftheira) contractofservicewithyouand/orb) relatedlegalrights.Aclaimcanbemadeunderthepolicyprovidedthatallinternalproceduresassetoutinthe
i) ACASCodeofPracticeforDisciplinaryandGrievanceProcedures,or
ii) LabourRelationsAgencyCodeofPracticeonDisciplinaryandGrievanceProceduresinNorthernIreland
havebeenoroughttohavebeenconcluded.
WhatisnotcoveredunderInsuredevent1Anyclaimarisingfromorrelatingto:1. thepursuitofanactionbyyouotherthananappealagainst
thedecisionofacourtortribunal2. redundancy,allegedredundancyorunfairselectionfor
redundancy,occurringduringthefirst180daysofthispolicy,exceptwhereyouhavehadequivalentcoverinforceupuntilthestartofthispolicy
3. legalcosts&expensesforpreparationandrepresentationataninternaldisciplinaryhearing,grievanceorappeal.
4. apensionschemewhereactionsarebroughtby10ormoreemployeesorex-employees
2 Employmentcompensationawards
FollowingaclaimwehaveacceptedunderInsuredevent1Employment,theinsurerwillpayanya) basicandcompensatoryawardawardedagainstyou
byatribunalorb) anamountagreedbyusinsettlementofadispute.Providedthatcompensationisi) agreedthroughmediationorconciliationorunderasettlementapprovedbyusinadvanceor
ii) awardedbyatribunaljudgmentafterfullargumentunlessgivenbydefault.
WhatisnotcoveredunderInsuredEvent2Compensationawardsandsettlementsrelatingto:1. moneyduetoantoanemployeeunderacontractora
statutoryprovisionrelatingthereto2. tradeunionmembershipornon-membership,industrialor
labourarbitration,collectivebargainingagreements,tradeunionrecognitionormattersconcerningaEuropeanWorksCouncil
3. civilclaimsorstatutoryrightsrelatingtotrusteesofoccupationalpensionschemes.
3 Employmentrestrictivecovenants
a) Adisputewithyouremployeeorex-employeewhicharisesfromtheirbreachofarestrictivecovenantwhereyouareseekingfinancialremedyordamages.Providedthattherestrictivecovenanti) isdesignedtoprotectyourlegitimatebusiness
interestsandii) isevidencedinwritingandsignedbyyour
employeeorex-employeeandiii) extendsnofurtherthanisreasonablynecessary
toprotectthebusinessinterestsandiv) doesnotcontainrestrictionsinexcessof12
months.b) Adisputewithanotherpartywhoallegesthatyou
havebreachedtheirlegalrightsprotectedbyarestrictivecovenant.
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4 Taxprotectiona) Aformallynotifiedenquiryintoyourtaxaffairs,or
intothepersonaltaxaffairsofyourdirectorsand/orpartners.
b) Adisputeaboutyourcompliancewithregulationsrelatingto:i) ValueAddedTax,orii) PayAsYouEarn,oriii) SocialSecurity,oriv) NationalInsuranceContributions,orv) theConstructionIndustryScheme,orvi) IR35followingacompliancecheckbyHMRevenue&Customs.
c) Anenquiryintoyourtaxaffairs,orintothepersonaltaxaffairsofyourdirectorsand/orpartners,arisingfromanallegeddiscoverybyHMRevenue&Customs.
Providedthat:i) allreturnsarecompletedandhavebeensubmitted
withinthestatutorytimescalespermittedii) youkeepproperrecordsinaccordancewith
statutoryrequirements;andiii) inrespectofanyappealablematteryouhave
requestedanInternalReviewfromHMRevenue&Customswhereavailable.
WhatisnotcoveredunderInsuredevent4Anyclaimarisingfromorrelatingto:1. taxreturnswhichresultinHMRevenue&Customs
imposingapenaltyorwhichcontaincarelessand/ordeliberatemisstatements
2. aninvestigationbytheFraudInvestigationServiceofHMRevenue&Customs
3. circumstanceswheretheDisclosureofTaxAvoidanceSchemeRegulationsapplyorshouldapplytotheinsured’sfinancialarrangements
4. anyenquirythatconcernsassets,moniesorwealthoutsideofGreatBritainandNorthernIreland
5. yourfailuretoregisterforVAT.
5 Property
Adisputerelatingtomaterialpropertywhichyouownorisyourresponsibility:a) followinganeventwhichcausesphysicaldamageto
yourmaterialpropertyb) followingapublicorprivatenuisanceortrespassc) whichyouwishtorecoverorrepossessfroman
employeeorex-employee.
WhatisnotcoveredunderInsuredevent5Anyclaimarisingfromorrelatingto:1. acontractbetweenyouandathirdpartyexceptforaclaim
under5c)2. goodsintransitorgoodslentorhiredout3. compulsorypurchase,demolitionrestrictions,controlsor
permissionsplacedonlandorpropertybyanygovernment,localorpublicauthority
4. adisputewithanypartyotherthanthepartywhocausedthedamage,nuisanceortrespass.
6 Legaldefence
a) Acriminalinvestigationand/orenquiryby:i) thepoliceii) ahealth&safetyauthorityoriii) otherbodywiththepowertoprosecutewhereitissuspectedthatanoffencemayhavebeencommittedthatcouldleadtotheinsuredbeingprosecuted.
b) Anoffenceorallegedoffencewhichleadstotheinsuredbeingprosecutedinacourtofcriminaljurisdiction.
c) Amotorprosecutionbroughtagainstyourdirectorsand/orpartnersthatarisesfromtheuseofanyvehicleforpersonal,socialordomesticpurposesortocommutetoorfromtheirplaceofwork.
WhatisnotcoveredunderInsuredevent6Anyclaimrelatingtoaparkingoffence.
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9 Lossofearnings
Theinsured’sabsencefromworktoattendcourt,tribunal,arbitration,regulatoryproceedingsoraprofessionalbody’sdisciplinaryhearingattherequestoftheappointedadvisororwhilstonjuryservicewhichresultsinlossofearnings.
WhatisnotcoveredunderInsuredevent9Anysumwhichcanberecoveredfromthecourtortribunal.
10 Employees’extraprotection
Atyourrequesta) wherecivilproceedingsareissuedagainstyour
employee:i) forunlawfuldiscrimination;orii) intheircapacityasatrusteeofapensionfund
setupforthebenefitofyouremployees;b) whereaninsuredoramemberoftheirfamily
suffersphysicalbodilyinjuryordeathasaresultofasuddenevent
c) aclaimarisingfrompersonalidentitythefttargetedatyourdirectorsand/orpartners.
WhatisnotcoveredunderInsuredevent10a)&b)Anyclaimarisingfromorrelatingto:1. defendingyou2. acondition,illnessordiseasewhichdevelopsgradually
overtime.
11 Crisiscommunication
Followinganeventwhichcausesyourbusinesssignificantadversepublicityorreputationaldamagewhichislikelytohaveawidespreadfinancialimpactonyourbusiness,wewilla) liaisewithyouandyoursolicitor(whetherthe
solicitorisanappointedadvisorunderthispolicy,oractsonyourbehalfunderanyotherpolicy),todraftamediastatementorpressreleaseand/or
b) preparecommunicationforyourstaff/customers/suppliersand/oratelephoneorwebsitescriptorsocialmediamessagingand/or
c) arrange,supportandrepresentaninsuredataneventwhichmediawillbereportingand/or
d) supporttheinsuredbytakingphonecalls/emails
WhatisnotcoveredunderInsuredevent11Anyclaimarisingfromorrelatingto:1. mattersthatshouldbedealtwiththroughyournormal
complaintsprocedures.2. amatterthathasnotactuallyresultedinadversepublicity
appearingonline,inprintorbroadcast3. legalcosts&expensesinexcessof£10,000.
7 Compliance®ulationa) ReceiptofaStatutoryNoticethatimposesterms
againstwhichyouwishtoappeal.b) Noticeofaformalinvestigationordisciplinary
hearingbyanyprofessionalorregulatorybody.c) Acivilactionallegingwrongfularrestarisingfroman
allegationoftheft.d) AclaimagainstyouforcompensationunderSection
13oftheDataProtectionAct1998includingcompensationawardedagainstyouprovidedthatyouareregisteredwiththeInformationCommissioner.
WhatisnotcoveredunderInsuredevent7Anyclaimarisingfromorrelatingto:1. thepursuitofanactionbyyouotherthananappeal2. aroutineinspectionbyaregulatoryauthorityaHealthandSafetyExecutiveFeeforIntervention
8 Statutorylicenceappeals
Anappealagainstadecisionbytherelevantauthoritytoalter,suspend,revokeorrefusetorenewyourstatutorylicenceorcompulsoryregistration.
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andmanginginteractionwithmediaoutletse) supportandpreparetheinsuredformedia
interviewsprovidedthatyouhavesoughtandfollowedadvicefromourCrisiscommunicationhelpline.
Optionalcover12 Contract&debtrecovery(Optional)
Abreachorallegedbreachofanagreementorallegedagreementwhichhasbeenenteredintobyyouoronyourbehalfrelatingtothepurchase,hire,hirepurchase,lease,servicing,maintenance,testing,saleorprovisionofgoodsorservices,providedthatifyouareclaimingforanundisputeddebtyouhaveexhaustedyournormalcreditcontrolprocedures.
WhatisnotcoveredunderInsuredevent12Anyclaimarisingfromorrelatingto:1. anamountwhichislessthan£2002. adisputewithatenantorleaseewhereyouarethe
landlordorlessor3. thesaleorpurchaseoflandorbuildings4. loans,mortgages,endowments,pensionsoranyother
financialproduct5. computerhardware,software,internetservicesorsystems
whicha) havebeensuppliedbyyouorb) havebeentailoredtoyourrequirements
6. abreachorallegedbreachofaprofessionaldutybyaninsured
7. thesettlementpayableunderaninsurancepolicy8. adisputerelatingtoanemployeeorex-employee9. adjudicationorarbitration.
Whatisnotcoveredbythispolicy(applicabletothewholepolicy)Theinsuredisnotcoveredforanyclaimarisingfromorrelatingto:1. legalcosts&expensesorcompensationawardsincurredwithoutourconsent
2. anyactualorallegedact,omissionordisputehappeningbefore,orexistingatthestartofthepolicy,andwhichtheinsured
kneworoughtreasonablytohaveknowncouldleadtoaclaim3. anallegationagainsttheinsuredinvolving:
a) assault,violence,indecentorobscenematerials,dishonesty,maliciousfalsehoodordefamation,themanufacturedealinginoruseofalcohol,illegaldrugs,illegalimmigration;exceptinrelationtoInsuredevent11CrisisCommunication
b) offencesunderPart7oftheProceedsofCrimeAct2002(moneylaunderingoffences)
4. defendingaclaiminrespectofdamagesforpersonalinjury(otherthaninjurytofeelingsinrelationtoInsuredevent1Employment),orlossordamagetopropertyownedbytheinsured
5. patents,copyright,passing-off,tradeorservicemarks,registereddesignsandconfidentialinformation(exceptinrelationtoInsuredevent3Employmentrestrictivecovenants)
6. adisputewithanysubsidiary,parent,associatedorsistercompanyorbetweenshareholdersorpartners7. franchiseoragencyagreements8. ajudicialreview9. adisputewithus,theinsurerorthepartywhoarrangedthiscovernotdealtwithunderCondition610. a) ionisingradiationsorcontaminationbyradioactivityfromanynuclearfuelorfromanynuclearwasteorfrom
thecombustionofnuclearfuel
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b) radioactive,toxic,explosiveorotherhazardouspropertiesofanyexplosivenuclearassemblyornuclearcomponentthereof
c) war,invasion,actofforeignenemyhostilities(whetherwarisdeclaredornot),civilwar,rebellion,revolution,insurrectionormilitaryorusurpedpower
d) pressurewavesfromaircraftsorotheraerialdevicestravellingatsonicorsupersonicspeed e) anyterroristaction(regardlessofanyothercauseoreventcontributingconcurrentlyorinanyother
sequencetotheliability)oranyactiontakenincontrolling,funding,preventingorsuppressingterroristaction.Iftheinsurerallegesthatbyreasonofthisexclusionanyliabilityorlossisnotcoveredbythispolicy,theburdenofprovingthecontraryshallbeupontheinsured.
11. Thepaymentoffines,penaltiesorcompensationawardedagainsttheinsured(exceptascoveredunderInsuredevent2
Employmentcompensationawardsor7d)orcostsawardedagainsttheinsuredbyacourtofcriminaljurisdiction.Policyconditions
Wheretheinsurer’sriskisaffectedbytheinsured’sfailuretokeeptotheseconditionstheinsurercancancelthispolicy,refuseaclaimorwithdrawfromanongoingclaim.Theinsureralsoreservestherighttoclaimbacklegalcosts&expensesfromtheinsuredifthishappens.1. Theinsured’sresponsibilities
Aninsuredmust:a) tellusimmediatelyofanythingthatmaymakeitmorecostlyordifficultfortheappointedadvisortoresolvetheclaimin
yourfavourb) cooperatefullywithus,givetheappointedadvisoranyinstructionswerequire,andkeepthemupdatedwithprogressof
theclaimandnothinderthemc) takereasonablestepstoclaimbacklegalcosts&expensesand,whererecovered,paythemtotheinsurerd) keeplegalcosts&expensesaslowaspossiblee) allowtheinsureratanytimetotakeoverandconductintheinsured’sname,anyclaim.
2. Freedomtochooseanappointedadvisor
a) Incertaincircumstancesassetoutin2.b)belowtheinsuredmaychooseanappointedadvisor.Inallothercasesnosuchrightexistsandweshallchoosetheappointedadvisor.
b) If:i) weagreetostartproceedingsorproceedingsareissuedagainstaninsured,orii) thereisaconflictofinteresttheinsuredmaychooseaqualifiedappointedadvisorexceptwheretheinsured’sclaimistobedealtwithbytheEmploymentTribunalorsmallclaimscourtwhereweshallalwayschoosetheappointedadvisor.
c) Wheretheinsuredwishestoexercisetherighttochoose,theinsuredmustwritetouswiththeirpreferredrepresentative’scontactdetails.Wheretheinsuredchoosestousetheirpreferredrepresentative,theinsurerwillnotpaymorethanweagreetopayasolicitorfromourpanel.(Ourpanelsolicitorfirmsarechosenwithcareandweagreespecialtermswiththemincludingrateswhichmaybelowerthanthoseavailablefromotherfirms.)
d) Iftheinsureddismissestheappointedadvisorwithoutgoodreason,orwithdrawsfromtheclaimwithoutourwrittenagreement,oriftheappointedadvisorrefuseswithgoodreasontocontinueactingforaninsured,coverwillendimmediately.
e) InrespectofaclaimunderInsuredevent12Contract&debtrecoveryyoumustenterintoaconditionalfeeagreement(unlesstheappointedadvisorhasenteredintoacollectiveconditionalfeeagreement)wherelegallypermitted.
3. Consenta) Theinsuredmustagreetoushavingsightoftheappointedadvisor’sfilerelatingtotheinsured’sclaim.Theinsuredis
consideredtohaveprovidedconsenttousorourappointedagenttohavesightoftheirfileforauditingandqualityandcostcontrolpurposes.
b) Aninsuredmusthaveyouragreementtoclaimunderthispolicy.
4. Settlementa) Theinsurercansettletheclaimbypayingthereasonablevalueoftheinsured’sclaim.b) Theinsuredmustnotnegotiate,settletheclaimoragreetopaylegalcosts&expenseswithoutourwrittenagreement.c) Iftheinsuredrefusestosettletheclaimfollowingadvicetodosofromtheappointedadvisortheinsurerreservesthe
righttorefusetopayfurtherlegalcosts&expenses.
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5. Barrister’sopinion
Wemayrequiretheinsuredtoobtainandpayforanopinionfromabarristerifadisputearisesregardingthemeritsorvalueoftheclaim.Iftheopinionsupportstheinsured,thentheinsurerwillreimbursethereasonablecostsofthatopinion.Ifthatopinionconflictswithadviceobtainedbyus,thentheinsurerwillpayforafinalopinionwhichshallbebindingontheinsuredandus.Thisdoesnotaffecttheinsured’srightunderCondition6below.
6. ArbitrationIfanydisputebetweentheinsuredandusarisesfromthispolicy,theinsuredcanmakeacomplainttousasdescribedonthebackpageofthispolicyandwewilltrytoresolvethematter.Ifweareunabletosatisfytheinsured’sconcernsandthemattercanbedealtwithbytheFinancialOmbudsmanServicetheinsuredcanaskthemtoarbitrateoverthecomplaint.IfthedisputecannotbedealtwithbytheFinancialOmbudsmanService,itcanbereferredforindependentarbitrationtoaqualifiedpersonagreeduponbybothparties.Theloserofthedisputeshallbeliabletopaythecostsincurred.IfwefailtoagreeonasuitablepersontoarbitratethematterwewillaskthePresidentoftherelevantLawSocietytonominate.ThearbitrationshallbesubjecttotheArbitrationActsandthearbitrator’sdecisionshallbebindingontheparties.
7. OtherinsuranceTheinsurerwillnotpaymorethantheirfairshare(rateableproportion)foranyclaimcoveredbyanotherpolicy,oranyclaimthatwouldhavebeencoveredbyanyotherpolicyifthispolicydidnotexist.
8. Fraudulentclaimsandclaimstaintedbydishonestya) Iftheinsuredmakesanyclaimwhichisfraudulentorfalse,thepolicyshallbecomevoidandallbenefitunderitwillbe
lost.b) Aninsuredshallatalltimesbeentirelytruthfulandopeninanyevidence,disclosureorstatementtheygiveandshallact
withcompletehonestyandintegritythroughout.Where,onthebalanceofprobabilitiesandhavingconsideredcarefullyallthefactsoftheclaim,itappearsthattheinsuredhasbreachedthisconditionandthatthebreachhas:i) affectedourassessmentofreasonableprospectsofsuccess,and/orii) prejudicedanypartoftheoutcomeoftheinsured’sclaimtheinsurershallhavenoliabilityforlegalcosts&expenses.
9. Cancellation
a) Youmaycancelthepolicywithin14daysofthedateofissueofthispolicywithafullrefundofyourpremiumpaidunless:i) youhavenotifiedaclaimwhichhasbeenorissubsequentlyacceptedunderthispolicyinwhichcasenoreturnof
premiumshallbeallowed.ii) thepolicycommencementdatehasalreadybeenreached,inwhichcasetheinsurershallrefundpartofthepremiumfor
theunexpiredtermyourbrokermaychargeyouafeeforcancellingyourinsurance
b) Youmaycancelthispolicyatanytimebycontactingus.Theinsurerwillrefundpartofthepremiumfortheremainingperiodofinsuranceunlessyouhavenotifiedaclaimwhichhasbeenorissubsequentlyacceptedunderthispolicyinwhichcasenoreturnofpremiumshallbeallowed.Yourbrokermaychargeyouacancellationfeeforcancellingyourinsurance
c) Wherethereisavalidreasonfordoingso,theinsurerhastherighttocancelthepolicyatanytimebygivingatleast21days‘writtennoticetoyou.Theinsurerwillrefundpartofthepremiumfortheunexpiredterm.Wewillsetoutthereasonforcancellationinwriting.Validreasonsmayincludebutarenotlimitedto:i) whereyoufailtoco-operatewithorprovideinformationtousortheappointedadvisorinawaythatmateriallyaffects
ourabilitytoprocessaclaim,orourabilitytodefendtheinsurer’sinterests,ii) whereyouusethreateningorabusivebehaviourorlanguage,orintimidateorbullyourstafforsuppliers,iii) wherewereasonablysuspectfraud.
d) Theinsurermayalsocancelthepolicyandrefundthepremiumfortheremainingperiodofinsuranceifatanytimeyou:i) enterintoavoluntaryarrangementoradeedofarrangementorii) becomebankrupt,areplacedintoadministration,receivershiporliquidationiii) haveyouraffairsorpropertyinthecareorcontrolofareceiveroradministrator.
Theinsureralsoreservestherighttowithdrawfromanyclaiminthecircumstancesnotedin9c)and9d).
10. Actsofparliament,statutoryinstruments,civilprocedurerules&jurisdictionAlllegalinstrumentsandrulesreferredtowithinthepolicyshallincludeequivalentlegislationinScotland,NorthernIreland,theIsleofManandtheChannelIslandsandanysubsequentamendmentorreplacementlegislation.Thispolicywillbegovernedby
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Englishlaw.
11. Contracts(RightsofThirdParties)Act1999ApersonwhoisnotpartytothiscontracthasnorighttoenforcethetermsandconditionsofthispolicyundertheContracts(RightsofThirdParties)Act1999.MeaningofWords&TermsCertainwordsandtermscontainedinthispolicyhavebeendefinedastheyhavethesamemeaningwherevertheyappear.
AppointedadvisorThesolicitor,accountant,mediatororotheradvisorappointedbyustoactonbehalfoftheinsured.CollectiveconditionalfeeagreementAlegallyenforceableagreemententeredintoonacommonbasisbetweentheappointedadvisorandustopaytheirprofessionalfeesonthebasisof100%“no-winno-fee”.ConditionalfeeagreementAlegallyenforceableagreementbetweentheinsuredandtheappointedadvisorforpayingtheirprofessionalfeesonthebasisof100%“no-winno-fee”.EmployeeAworkerwhohasorallegestheyhaveenteredintoacontractofservicewithyou,providedtheyhavebeendeclaredtous.Insured1. You,yourdirectors,partners,managers,officersandemployeesofyourbusiness.2. Theestate,heirs,legalrepresentativesorassignsofanypersonsmentionedin1.intheeventofsuchpersondying.3. Apersondeclaredtous,whoiscontractedtoperformworkforyou,whoinallotherrespectsyouhavearrangedtoinsureonthe
samebasisasyouremployeesandwhoperformsworkunderyoursupervision.InsurerBritSyndicate2987atLloyd’s(writtenunderuniquemarketreferenceB0356KA233D12A000orreplacementthereof).Legalcosts&expenses1. Reasonablelegalcostsanddisbursementsreasonablyandproportionatelyincurredbytheappointedadvisoronthestandardbasis
andagreedinadvancebyus.Theterm“standardbasis”canbefoundwithintheCourts’CivilProcedureRulesPart44.2. Incivilclaims,otherside’scosts,feesanddisbursementswheretheinsuredhasbeenorderedtopaythemorpaysthemwithour
agreement.3. ReasonableaccountancyfeesreasonablyincurredunderInsuredevent4Taxbytheappointedadvisorandagreedbyusinadvance.4. Youremployee’sbasicwagesorsalaryunderInsuredevent9Lossofearningsinthecourseoftheiremploymentwithyouwhile
attendingcourtortribunalattherequestoftheappointedadvisororwhilstonjuryservicewhereyoudonotpayfortimelostandlostwagesorsalarycannotbeclaimedbackfromthecourtortribunal.
5. TheprofessionalfeesandexpensesofanappointedadvisorselectedbyustoreducetheactualadverseornegativepublicityormediaattentiondirectedtowardsyouunderInsuredevent11Crisiscommunication.
PeriodofinsuranceTheperiodshowninthescheduletowhichthispolicyattaches.Reasonableprospectsofsuccess1. Otherthanassetoutin2.and3.below,agreaterthan50%chanceoftheinsuredsuccessfullypursuingordefendingtheclaimand,
iftheinsuredisseekingdamagesorcompensation,agreaterthan50%chanceofenforcinganyjudgmentthatmightbeobtained.2. Incriminalprosecutionclaimswheretheinsured
a) pleadsguilty,agreaterthan50%chanceofsuccessfullyreducinganysentenceorfineorb) pleadsnotguilty,agreaterthan50%chanceofthatpleabeingacceptedbythecourt.
3. Inallclaimsinvolvinganappeal,agreaterthan50%chanceoftheinsuredbeingsuccessful.Whereithasbeendeterminedthatreasonableprospectsofsuccessdonotexist,theinsuredshallbeliabletopayanylegalcostsincurredshouldtheypursueordefendtheirclaimirrespectiveoftheoutcome.
SmallclaimscourtAcourtinEngland&WalesthathearsaclaimfallingunderthesmallclaimstrackintheCountyCourtasdefinedbySection26.6(1)of
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theCivilProcedureRules1999;acourtinScotlandthatusesthesimpleclaimsprocedureassetoutbytheCourtsReform(Scotland)Act2014,acourtinNorthernIrelandwherethesumindisputeislessthan£3,000ortheequivalentjurisdictionintheterritoriallimitwherethepolicyapplies.TerritoriallimitForInsuredevents6Legaldefence,7Compliance®ulationand12Contract&debtrecoverytheUnitedKingdom,ChannelIslands,IsleofMan,Norway,SwitzerlandandcountriesintheEuropeanUnion.ForallotherInsuredeventstheUnitedKingdom,ChannelIslandsandtheIsleofMan.
We/Us/OurARAGplcwhoisauthorisedunderabindingauthorityagreementtoadministerthisinsuranceonbehalfoftheinsurer,BritSyndicate2987atLloyd’s.You/Your Thebusinessnamedintheschedule,includinganysubsidiaryand/orassociatedcompaniesdeclaredtous.Signedby
ManagingDirectorofARAGplc
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HowwehandlecomplaintsStep1ARAGiscommittedtoprovidingafirstclassserviceatalltimes.However,ifacomplaintarises,thisshouldbeaddressedtoourCustomerRelationsDepartmentwhowillarrangetohaveitreviewedattheappropriatelevel.Wecanbereachedinthefollowingways:
01179171561(hoursofoperationare9am-5pm,MondaystoFridaysexcludingbankholidays,forourmutualprotectionandtrainingpurposes,callsmayberecorded). customerrelations@arag.co.ukARAGplc,9WhiteladiesRoad,Clifton,Bristol,BS81NN
Step2ShouldyouremaindissatisfiedyoucanpursueyourcomplaintfurtherwithLloyd’s.Theycanbereachedinthefollowingways:
02073275693,Fax:02073275225 complaints@lloyds.com,Website:www.lloyds.com/complaintsLloyd’s,OneLimeStreet,London,EC3M7HA
Step3IfLloyd’sisnotabletoresolvethecomplainttoyoursatisfactionthenyoucanreferittotheFinancialOmbudsmanService(FOS)providedthatitfallswithintheirjurisdiction.TheFOScannormallydealwithcomplaintsfromsmallbusinesseswithanannualturnoveroflessthan€2million.Theycanbecontactedat:
08000234567or03001239123 complaint.info@financial-ombudsman.org.ukFinancialOmbudsmanService,ExchangeTower,London,E149SR
TTheFOSisanindependentserviceintheUKforsettlingdisputesbetweenconsumersandbusinessesprovidingfinancialservices.YoucanfindmoreinformationontheFinancialOmbudsmanServiceatwww.financial-ombudsman.org.ukTheFOS’sdecisionisbindingupontheinsurer,butyouarefreetorejectitwithoutaffectingyourlegalrights.ARAGplcisregisteredinEnglandnumber02585818.Registeredaddress:9WhiteladiesRoad,Clifton,BristolBS81NN.ARAGplcisauthorisedandregulatedbytheFinancialConductAuthorityfirmregistrationnumber452369.ARAGplcisauthorisedtoadministerthisinsuranceonbehalfoftheinsurerBritSyndicate2987atLloyd’s(writtenunderuniquemarketreferenceB0356KA233D12A000orreplacementthereof).BritSyndicatesLimited,themanagingagentforBritSyndicate2987atLloyd’s,isauthorisedbythePrudentialRegulationAuthorityandregulatedbytheFinancialConductAuthorityandPrudentialRegulationAuthority.ThiscanbecheckedbyvisitingtheFCAwebsiteatwww.fca.org.uk/register.ARAGplcandBritSyndicate2987atLloyd’sarecoveredbytheFinancialOmbudsmanService.
www.arag.co.ukEBLPW.08-18BL