The Policy Schedule
Start here. The schedule is a 2–4 page summary of your specific policy: your name, the insured property or vehicle, the cover level, sum insured, excess, optional extras, and effective dates. Everything in the schedule overrides the generic wording in the main policy document.
Check these on your schedule immediately:
- Is the insured name correct? (affects claim validity)
- Is the insured address or vehicle registration exact?
- Are the sum insured figures current and accurate?
- What is the total excess — compulsory plus voluntary?
- Which optional sections are shown as "included" vs "excluded"?
The Definitions Section
Before reading any other section, read the definitions. This section tells you exactly what specific words mean within the contract — and those definitions may not match ordinary usage.
Common examples of definitions that surprise policyholders:
- "Flood" — some policies define flood as specifically water overflowing from rivers or coastal surges. Rainwater accumulation on flat roofs or internal drainage failure may not be "flood."
- "Theft" — typically requires evidence of forced entry. Items left in an unlocked car or taken from an unlocked property may not meet the definition.
- "Accidental damage" — usually defined to exclude damage that is gradual, expected, or caused by negligence.
The Insuring Clause
This is the core promise: what the insurer agrees to cover. Read it carefully because it sets the outer boundary of cover. Everything in the policy is either within this clause or expressly excluded from it.
The insuring clause typically uses language like "we will indemnify you against..." or "we will pay for loss or damage caused by..." — followed by a list of insured perils or a broad statement of cover qualified by the exclusions section.
The Exclusions Section
This is the most important section to read. Exclusions define what the insuring clause does not cover. There are typically two types:
- General exclusions: Apply across the entire policy (war, terrorism, nuclear, deliberate acts by the insured).
- Section-specific exclusions: Apply only to a particular cover section (e.g., pet damage excluded from accidental damage, wear and tear excluded from buildings cover).
Reading Tip
Read exclusions in relation to the specific claim scenario you care about. Ask: "If this happened, which exclusion might apply?" Work backwards from the risk, not forward through every clause.
The Conditions Section
Conditions are obligations you must fulfil for cover to remain valid. Distinguish between:
- Conditions precedent to liability: Must be fulfilled for a claim to succeed — breach invalidates the claim regardless of whether it caused the loss.
- Conditions subsequent: Obligations that arise after a claim (cooperate with investigation, preserve evidence, report to police). Breach of these may limit or void the claim.
Endorsements and Schedules
Endorsements are amendments to the policy — they can add cover, restrict it, or override standard wording. They are often attached as separate pages and are easy to overlook.
Common endorsements include:
- Named driver restrictions on motor policies
- Specified articles listed separately with agreed values
- Excess changes agreed at inception or mid-term
- Flood exclusions in high-risk areas
Endorsements printed on your schedule take precedence over both the main policy wording and any renewal letters. If in doubt, the most recently dated document governs.
What Language to Watch For
Some phrases are consistent signals that cover is narrower than it appears:
- "subject to the terms and conditions" — always check what those terms actually are
- "arising directly from" — indirect losses (e.g., business interruption from a covered event) may not be covered
- "reasonable precautions" — vague standard that insurers can invoke to dispute a claim
- "we reserve the right" — means the insurer has discretion to act differently than the policy suggests in some circumstances