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Showing posts with label Insurance Law. Show all posts
Showing posts with label Insurance Law. Show all posts

Wednesday 26 June 2019

CLAIMING DEATH BENEFITS OF A DECEASED EMPLOYEE IN NIGERIA

A. Introduction

This edition of Akintunde Esan’s Legal Illumination is focused on providing legal illumination for the next of kin, beneficiaries, dependants or legal representatives of deceased employees having challenges with claiming their death benefits.

B. The Relevant Laws

The claiming of death benefits of deceased employees/workers in Nigeria is subject to the provisions of Nigerian Labour Law, Insurance Law, Employee's Compensation Law and Administration of Estate Laws. 

C. Employee’s Death Benefits

The Death benefits of a deceased employee for the purposes of this legal illumination are all the benefits that, accrued or accrues to an employee by virtue of his or her employment as at the time and date of his or her death, which his or her next of kin, beneficiaries, dependants or legal representatives are legally entitled to claim. 

These benefits could be one or more of the following: outstanding salaries, bonuses and allowances, pension and retirement fund, insurances, compensations, reimbursements, material entitlements, gifts and miscellaneous policy, contractual and statutory entitlements. 

D. Employment Contract and Death of an Employee

Generally, the Law which regulates the terms and conditions of employment in Nigeria is the Labour Act

The Act provides that, a contract of employment becomes terminated by the expiry of the period for which it was made; or by the death of the worker before the expiry of that period; or by notice in accordance with section 11 of the Labour Act or in any other way in which a contract is legally terminable or held to be terminated.

The termination of a contract by the death of an employee shall be without prejudice to the legal claims of his personal representatives or dependants.2 

Likewise, a contract of employment cannot be deemed to be binding on the family or dependants of an employee (dead or alive) unless it contains an express provision to that effect.

E. Compensation for the Death of a Deceased Employee

The Employee's Compensation Act 2011 provides compensation for death, injuries or disease arising out of or in the course of an employment. Where death results from the injury of an employee, the Act provides that compensation shall be paid to the dependants of the deceased.4

F. The Pension of a Deceased Employee

Generally, there are pension schemes designed to provide employees with a regular and stable income after retirement from employment and to also serve as benefits to the employee’s dependants upon his or her demise. 

The Law that governs and regulates the administration of the contributory pension scheme for both the public and private sectors in Nigeria is Pension Reform Act 2014 which repealed the Pension Reform Act No. 2 of 2004 (repealed Act).
  
The Act provides that every employee shall maintain a Retirement Savings Account (“RSA”) in his name with any Pension Fund Administrator (“PFA”) of his choice. The RSA is financed by contributions from both the employer and employee.5    

In the event of death, before or after retirement, the funds in RSA would form part of the deceased employee’s estate, the implication of which is that, it is only the personal representatives of the deceased which are either the Executors appointed by his or her will or Administrators who have obtained Letters of Administration from the Probate Registry of the High Court with the requisite jurisdiction that can make claims.

In essence, it is only the next of kin, dependant or beneficiaries stated in a Will admitted to Probate or recognised in a Letter of Administration as the beneficiaries of the estate of the deceased employee that would be entitled to claim the funds in the RSA.6   

G. Group Life Insurance Policy

Section 4(5) of the Pension Reform Act, 2014 provides that every employer shall maintain a Group Life Insurance Policy in favour of each employee for a minimum of three times the annual total emolument of the employee.

In the event of death, the entitlement of the deceased employee under the Life Assurance Policy does not accrue to the estate of the deceased employee and shall be paid by the Insurance Company directly to the named next of kin or beneficiary on record.

Section 8 of the Pension Reform Act, 2014 provides further that, the mandatory Group Life Insurance Policy prescribed under Section 4(5) of the Act shall be paid to the named beneficiary or next of kin of a deceased employee in line with Section 57 of the Insurance Act.7  Unlike under the repealed Pension Act.8

H. Administration of the Estate of a Deceased Employee

The law which regulates the Estates of deceased persons is the Administration of Estates Laws of the states of the federation of Nigeria, while the procedure for the grant of the right to administer the estate of deceased persons is governed by High Court (Civil Procedure) Rules of each state of the federation.

It is instructive to note that, the death benefits of a deceased employee accrues to his estate and under the Administration of Estate Law9 no beneficiary, personal representative, next of kin or dependant of a deceased employee is automatically entitled to claim from his or her estate without first applying for and obtaining Letter of Administration or probate if named as an Executor in the will of the deceased employee which makes reference to the said death benefit.10 

I. Conclusion

Sometimes misunderstanding on death benefits between the employer of a deceased employee and the beneficiaries of deceased employee may result into reluctance of the employer to release the benefits to them. 

Equally, lack of understanding among the beneficiaries themselves seeking to claim the death benefits may degenerate into a crisis, confusion and stiff resistance from employers, siblings, surviving spouses, step fathers, step mothers, relatives and other interested parties.

At such a juncture, the intervention of a competent and resourceful Lawyer sound in Nigerian labour law, insurance law, pension law, property law and administration of estate law becomes inevitable in order to get the relevant issues sorted out.

You may contact Akintunde Esan (the Legal Adviser Online) or Ase Olodumare Chambers for further illumination on how to claim the death benefits of a deceased employee or benefactor and on how to obtain a Letter of Administration or Probate in Nigeria.

CLAIMING DEATH BENEFITS OF A DECEASED EMPLOYEE IN NIGERIA is a legal illumination of AKINTUNDE ESAN known as The LEGAL ADVISER ONLINE. Akintunde Esan is the Managing Partner & Principal Consultant @ ASE OLODUMARE CHAMBERS (Legal Practitioners/Consultants & Chartered Mediators)

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1.    Section 9 (7) ) Labour Act
2.   Section 9 (8) ) Labour Act
3.   Section 9(1) Labour Act
4.   Section 17 Employee's Compensation Act, 2011
5.   S.3 and 4 Pension Reform  Act, (PRA)2014
6.   S.8 PRA,2014
7.   Insurance Act 2003, Cap. N53 LFN vol. 7 2004 “A policy of insurance shall not be made on the life of a person or other event without inserting in the policy the name of the person interested in it, or for those whose benefit or on whose account the policy is made.”
8.   Pension Reform Act No. 2  2004
9.   Lagos State Administration of Estate, Laws of Lagos State,2015
10. Ironbar v. Federal Mortgage Finance. (2009) 15 NWLR (Pt.1165) CA 506 at 533, paras, B-F

Wednesday 15 June 2016

CONTRACT OF INSURANCE AND INSURANCE CLAIMS IN NIGERIA

Introduction
 
A contract of insurance and the making of insurance claims usually involve the insurer, insured, insurance brokers, third party claimants and solicitors. This edition of Akintunde Esan’s Legal Illumination seeks to provide useful hints to these insurance service providers and receivers on the conditions necessary to constitute a valid contract of insurance and insurance claims in Nigerian Insurance jurisprudence.

1. Formation of Contract of Insurance
 
a) Non-marine Insurance Contracts
 
In non-marine insurance contracts,  the usual practice is for the proposer to complete, sign and return the proposal form to the insurers, there is no legal necessity on his part to complete any proposal form before a valid and enforceable contract may arise. It is only in marine insurance transactions that writing is a conditio sine qua non for an enforceable contract to arise. 

b) Marine Insurance Contracts
 
A contract of marine insurance is a contract of indemnity and hence the policy and or insurance certificate bears the signature of the insurer only. 

The law, in so far as non-marine insurance transactions are concerned, is that even an oral contract of such insurance is valid so long as it is reasonably clear that there is a definite intention on the part of the parties to enter into such a contract provided, however, the parties concerned are in consensus ad idem on the fundamental essentials of such insurance contract. Ngillari v. NICON (1998) LPELR-1989(SC) per Iguh J.S.C. (Pp. 38-39, Paras. B-A)
 
c) Acceptance of Insurance Proposal
 
A contract of insurance should be one of utmost good faith, “uberima fidei”. To constitute a contract of insurance therefore, there must be an unqualified acceptance by the other party. In other words, a prima facie contract of insurance only comes into existence the moment an insurance proposal in the normal form is accepted unequivocally without qualification by the insured. Industrial and General Insurance Company Limited v. Kechinyere Adogu (Mrs.) (infra) per Aji, J.C.A.(P. 22, paras. D-F)
 
d) Payment of Insurance Premium
 
The fundamental purpose of an insurance contract is to give cover to an insurance risk. Section 50(1) and (2) of the Insurance Act makes payment of insurance premium a condition precedent to a valid contract of insurance. 

e) Interpretation of Statute - Section 50 (1) of the Insurance Act 2004
 
The provisions of section 50(1) of the Insurance Act provides as follows: 
“The receipt of an insurance premium shall be a condition precedent to a valid contract of insurance and there shall be no cover in respect of an insurance risk, unless the premium is paid in advance.”
In Industrial and General Insurance Company Limited v. Kechinyere Adogu (Mrs.) (2009) LPELR-15093(CA) Aji, J.C.A. at Pp. 20-21, paras. E-F held that:
“Section 50(1) of the Insurance Act is clear and unambiguous. It is simply to the effect that the receipt of an insurance premium is a condition precedent to a valid contract of insurance, and there is not cover in respect of an insurance risk unless the premium is paid in advance. In other words, a valid insurance contract is made when a premium for the insurance is paid in advance by the insured."
f) It should be noted that, a contract of insurance may involve merely a promise to pay the premium. It is not the law that there must be implied in a contract of insurance a provision that the right of indemnity by the assured is conditional on his previous payment of the premiums. See National Insurance Corporation of Nigeria v. Power & Industrial Engineering Company Ltd. (1986) LPELR-1965(SC) Per Obaseki, J.S.C. at P. 42, paras. D-F.
 
2. Subject Matter of the Contract of Insurance
 
Where the subject matter of the contract of insurance had ceased to exist before the contract of insurance is concluded, the contract is void. See LEADWAY ASSURANCE CO. LTD VS. J.U.C LTD (2005) 5 NWLR (PT. 919) 539 AT 555-556.
 
3. Premium to be Arranged
 
The words 'Premium to be arranged' have been held to mean premium to be agreed. Libercan Insurance Agency Inc. v. Mosse (1977)2 Lloyds Rep 560 QBD. at 568. The clause does not contemplate any alteration in the terms of the insurance other than in respect of premium. National Insurance Corporation of Nigeria v. Power & Industrial Engineering Company Ltd. (1986) LPELR-1965(SC) Per Uwais J.S.C. (P. 42, paras C-D)
 
4. Insurance Broker
 
An insurance broker is not the agent of the insured but that of the insurer since the insurer usually pays commission to the broker. Unity Kapital Assurance Plc v. Akut Investment Limited.
 
Where the parties contract through an agent, in this case a broker, the incidences of the contract between the insured and the broker and between the broker and the insurer are distinct from that between the insurer and the insured. This is because once the insured pays his premium to the broker he has met his obligation to the insurer and the insurer cannot resile from the contract whether or not the broker remits the sum paid to the insurer. Shoreline Liftboats Nigeria Ltd. & Ors v. Premium Insurance Brokers Ltd. & Anor (2012) LPELR-9795(CA) Per Agbo, J.C.A at P. 10, paras. B-D.
 
5. Unforeseen Future Occurrence
 
It is trite that a contract of insurance is meant for unforeseen future occurrence and not for an incident that has occurred. See Ajaokuta Steel Co. Nig v. Corporate Insurers Ltd (supra)

6. A Third Party Claiming against an Insured in Respect of a Risk Insured Against
 
The common law position is that a third party cannot join an insurer but the position has since changed by legislation. See the case of Unity Life and Fire Insurance Co. v Ladega (1996) 1 NWLR (Pt.427) where OGUNTADE JCA (as he then was) held as follows:
"Under the common law, the Plaintiff in this matter, could not have joined the appellant as a party to the suit brought against the persons said to be responsible, for the Plaintiff's injuries. However, Section 11 of the Insurance (Special Provisions) Decree No.40 of 1988 altered the position. The Section provides: "Where a third party is entitled to claim against an insured in respect of a risk insured against, he shall have a right to join the insurer of that risk in an action against the insured in respect of the claim: provided that before bringing an application to join the insurer, the third party shall have given to the insurer at least thirty days notice of the pending action and of his intention to bring the application."
It should be noted that though, the argument that the insurer cannot be sued along with the insured is not correct, doing so however is subject to some conditionalities. Per NIMPAR, J.C.A. (Pp. 41-42, paras. C-D) DAREGO v. A.G. LEVENTIS NIGERIA LTD & ORS (2015) LPELR-25009(CA).
 
7. A Passenger Vehicle
 
"A passenger vehicle" was defined in section 2(1) of the Motor Vehicles (Third Party Insurance) Act as "a motor vehicle used for carrying passengers for hire or reward", so that it is only if the person is being carried for hire or reward that an insured must be covered by a policy. See Lion Of Africa Insurance Company Ltd v. Mrs Stella Anuluoha (1972) LPELR-3181(SC).
 
8. Compulsory Insurance
 
The question whether direct remedies against an insurance company is available to a third party within the range of compulsory insurance was answered by the Supreme Court in Lion Of Africa Insurance Company Ltd v. Anuluoha (supra) per Lewis J.S.C. at Pp. 8-9, paras. G-D thus:
"Subject to certain exceptions a policy is not required to cover liability in respect of the death of, or bodily injury to, a person being carried in or upon, or entering or getting into or alighting from, the vehicle at the time of the occurrence of the event out of which the claim arises. Anyone who travels as a passenger in a private car has, of course, a right of action against his host, if negligent driving of the host, or of the host's servant if he is driving within the scope of his employment, results in injuries to the passenger, but this may be a barren remedy if the host is insured only within the compulsory limits. Even if the host has a wider insurance, the direct remedies against the insurance company available to a third party within the range of compulsory insurance will not be open to the passenger."
Conclusion
 
The insurance service providers and receivers in need of further illuminations on the conditions necessary to constitute a valid contract of insurance or claim are advised to contact Akintunde Esan.
 
CONTRACT OF INSURANCE AND INSURANCE CLAIMS IN NIGERIA is a legal illumination of AKINTUNDE ESAN known as The LEGAL ADVISER ONLINE. Akintunde Esan is the Managing Partner & Principal Consultant @ ASE OLODUMARE CHAMBERS (Legal Practitioners/Consultants & Chartered Mediators)

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