Insurance Contracts Regulations 2017
25Prescribed events
Start here
Get a plain-English read of 25
Turn the raw legal text into a practical explanation grounded in Insurance Contracts Regulations 2017.
25 Prescribed events
(1) The following, except in so far as they are excluded by subsection (2), are declared to be prescribed events in relation to a contract referred to in subsection 24(1): (a) if the contract provides insurance cover (whether the cover is limited or restricted in any way) in respect of the insured person contracting a specified sickness or disease: (i) the death of the insured person; or (ii) the total disablement of the insured person from carrying out all the normal duties of his or her usual occupation; being death or disablement that results from the insured person contracting that sickness or disease; (b) if the contract (not being a contract referred to in paragraph (a)) provides insurance cover (whether the cover is limited or restricted in any way) in respect of the insured person contracting a sickness or disease—the total disablement of the insured person from carrying out all the normal duties of his or her usual occupation, being disablement that results from the person contracting a sickness or disease; (c) the death of the insured person, or the total disablement of the insured person from carrying out all the normal duties of his or her usual occupation, as a result of the insured person sustaining an accidental injury, being death or disablement that occurs within 12 months after the insured person sustains the injury; (d) the partial disablement of the insured person from carrying out the normal duties of his or her usual occupation as a result of the insured person sustaining an accidental injury, being disablement that occurs within 12 months after the insured person sustains the injury. (2) The following are excluded: (a) death or disablement that results from: (i) a deliberately self‑inflicted injury; or (ii) war or warlike activities; or (iii) the use, existence or escape of nuclear weapons material, or ionising radiation from, or contamination by radioactivity from, any nuclear fuel or nuclear waste from the combustion of nuclear fuel; (b) death or disablement that results from the insured person: (i) being under the influence of intoxicating liquor or of a drug, other than a drug taken or administered by or in accordance with the advice of a duly qualified medical practitioner; or (ii) being addicted to intoxicating liquor or to a drug; or (iii) taking part in a riot or civil commotion; or (iv) acting maliciously; or (v) engaging in professional sporting activities; (c) death or disablement occurring at a time when the insured person is flying, or engaging in aerial activities, otherwise than as a passenger in an aircraft that is authorised to fly under a law that relates to the safety of aircraft.