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Insurance Pooling Agreement
1. Parties: Identification of all participating insurers in the pool
2. Background: Context of the pool formation, objectives, and general purpose
3. Definitions: Detailed definitions of technical terms, roles, and key concepts used in the agreement
4. Pool Structure and Governance: Legal structure of the pool and its governance framework, including voting rights and decision-making processes
5. Risk Sharing Mechanism: Methodology for allocation of risks, limits, and exposures among pool members
6. Premium and Claims Handling: Procedures for premium collection, claims processing, and distribution of proceeds
7. Financial Arrangements: Financial obligations, capital requirements, and settlement procedures
8. Reporting Requirements: Obligations for financial and operational reporting among pool members
9. Compliance and Regulatory Matters: Regulatory compliance requirements and procedures
10. Entry and Exit Provisions: Terms for admitting new members and procedures for member withdrawal
11. Term and Termination: Duration of the agreement and circumstances for termination
12. Dispute Resolution: Procedures for resolving disputes between pool members
13. Confidentiality: Protection of confidential information and trade secrets
14. General Provisions: Standard legal provisions including notices, amendments, and governing law
1. Reinsurance Arrangements: Used when the pool collectively purchases reinsurance coverage
2. Investment Policy: Include when the pool maintains collective investment of premiums or reserves
3. Catastrophe Event Procedures: Required for pools covering catastrophic risks
4. Run-off Procedures: Detailed procedures for handling historical claims after member exit or pool termination
5. Data Protection: Detailed GDPR compliance procedures when handling significant personal data
6. Pool Manager Provisions: Include when a third-party manager is appointed to administer the pool
7. Broker Arrangements: Used when specific broker relationships are established for the pool
8. Cross-Border Provisions: Required when pool members are from multiple jurisdictions
1. Schedule 1 - Pool Members and Participation Shares: List of all pool members and their respective participation percentages
2. Schedule 2 - Risk Acceptance Criteria: Detailed underwriting guidelines and risk acceptance criteria
3. Schedule 3 - Claims Handling Procedures: Detailed procedures for claims processing and settlement
4. Schedule 4 - Financial Reporting Templates: Standardized formats for financial reporting
5. Schedule 5 - Governance Procedures: Detailed procedures for meetings, voting, and decision-making
6. Schedule 6 - Premium Calculation Methodology: Detailed methodology for calculating and allocating premiums
7. Schedule 7 - Service Providers: List of approved service providers and their roles
8. Appendix A - Pool Manager Agreement: Agreement with the pool manager if applicable
9. Appendix B - Technical Systems and Procedures: Documentation of technical systems and operational procedures
10. Appendix C - Compliance Protocols: Detailed compliance procedures and checklists
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