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					<dc:identifier>http://www.legislation.gov.uk/ukpga/2016/12/section/28/enacted</dc:identifier><dc:title>Enterprise Act 2016</dc:title><dc:language>en</dc:language><dc:publisher>King's Printer of Acts of Parliament</dc:publisher><dc:modified>2016-07-05</dc:modified>
					
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									<ukm:Notes><ukm:Note IdURI="http://www.legislation.gov.uk/id/ukpga/2016/12/notes"/><ukm:Alternatives><ukm:Alternative URI="http://www.legislation.gov.uk/ukpga/2016/12/pdfs/ukpgaen_20160012_en.pdf" Date="2016-05-17" Title="Explanatory Note" Size="1147862"/></ukm:Alternatives>       
								</ukm:Notes> 
					<ukm:Alternatives><ukm:Alternative URI="http://www.legislation.gov.uk/ukpga/2016/12/pdfs/ukpga_20160012_en.pdf" Date="2016-05-24" Size="740615"/></ukm:Alternatives>
					
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				</ukm:Metadata><Primary><Body DocumentURI="http://www.legislation.gov.uk/ukpga/2016/12/body/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2016/12/body" NumberOfProvisions="94" NumberFormat="default"><Part DocumentURI="http://www.legislation.gov.uk/ukpga/2016/12/part/5/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2016/12/part/5" NumberOfProvisions="6" id="part-5"><Number>PART 5</Number><Title>Late payment of insurance claims</Title><P1group><Title>Insurance contracts: implied term about payment of claims</Title><P1 DocumentURI="http://www.legislation.gov.uk/ukpga/2016/12/section/28/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2016/12/section/28" id="section-28">
<Pnumber>28</Pnumber>
<P1para>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2016/12/section/28/1/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2016/12/section/28/1" id="section-28-1">
<Pnumber>1</Pnumber>
<P2para>
<Text>After section 13 of the Insurance Act 2015 (remedies for fraudulent claims: group insurance) insert—</Text>
<BlockAmendment TargetClass="primary" Context="main" TargetSubClass="unknown" Format="double">
<Part>
<Number>PART 4A</Number>
<Title>Late payment of claims</Title>
<P1group>
<Title>Implied term about payment of claims</Title>
<P1>
<Pnumber>13A</Pnumber>
<P1para>
<P2 id="p00279">
<Pnumber>1</Pnumber>
<P2para>
<Text>It is an implied term of every contract of insurance that if the insured makes a claim under the contract, the insurer must pay any sums due in respect of the claim within a reasonable time.</Text>
</P2para>
</P2>
<P2>
<Pnumber>2</Pnumber>
<P2para>
<Text>A reasonable time includes a reasonable time to investigate and assess the claim.</Text>
</P2para>
</P2>
<P2>
<Pnumber>3</Pnumber>
<P2para>
<Text>What is reasonable will depend on all the relevant circumstances, but the following are examples of things which may need to be taken into account—</Text>
<P3>
<Pnumber>a</Pnumber>
<P3para>
<Text>the type of insurance,</Text>
</P3para>
</P3>
<P3>
<Pnumber>b</Pnumber>
<P3para>
<Text>the size and complexity of the claim,</Text>
</P3para>
</P3>
<P3>
<Pnumber>c</Pnumber>
<P3para>
<Text>compliance with any relevant statutory or regulatory rules or guidance,</Text>
</P3para>
</P3>
<P3>
<Pnumber>d</Pnumber>
<P3para>
<Text>factors outside the insurer’s control.</Text>
</P3para>
</P3>
</P2para>
</P2>
<P2>
<Pnumber>4</Pnumber>
<P2para>
<Text>If the insurer shows that there were reasonable grounds for disputing the claim (whether as to the amount of any sum payable, or as to whether anything at all is payable)—</Text>
<P3>
<Pnumber>a</Pnumber>
<P3para>
<Text>the insurer does not breach the term implied by subsection <InternalLink Ref="p00279">(1)</InternalLink> merely by failing to pay the claim (or the affected part of it) while the dispute is continuing, but</Text>
</P3para>
</P3>
<P3>
<Pnumber>b</Pnumber>
<P3para>
<Text>the conduct of the insurer in handling the claim may be a relevant factor in deciding whether that term was breached and, if so, when.</Text>
</P3para>
</P3>
</P2para>
</P2>
<P2>
<Pnumber>5</Pnumber>
<P2para>
<Text>Remedies (for example, damages) available for breach of the term implied by subsection <InternalLink Ref="p00279">(1)</InternalLink> are in addition to and distinct from—</Text>
<P3>
<Pnumber>a</Pnumber>
<P3para>
<Text>any right to enforce payment of the sums due, and</Text>
</P3para>
</P3>
<P3>
<Pnumber>b</Pnumber>
<P3para>
<Text>any right to interest on those sums (whether under the contract, under another enactment, at the court’s discretion or otherwise).</Text>
</P3para>
</P3>
</P2para>
</P2>
</P1para>
</P1>
</P1group>
</Part>
</BlockAmendment>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2016/12/section/28/2/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2016/12/section/28/2" id="section-28-2">
<Pnumber>2</Pnumber>
<P2para>
<Text>In section 22 of that Act (application <Abbreviation Expansion="Et cetera" xml:lang="la">etc</Abbreviation> of Parts 2 to 5), after subsection (3) insert—</Text>
<BlockAmendment TargetClass="primary" Context="main" TargetSubClass="unknown" Format="double">
<P2>
<Pnumber>3A</Pnumber>
<P2para>
<Text>Part 4A applies only in relation to contracts of insurance entered into after that Part has come into force, and variations to such contracts.</Text>
</P2para>
</P2>
</BlockAmendment>
</P2para>
</P2>
</P1para>
</P1></P1group></Part></Body></Primary></Legislation>