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Insurance Agreement
I need an insurance agreement for a comprehensive health insurance policy that covers hospitalization, outpatient services, and dental care, with a deductible of MYR 500 and a co-payment of 10% for outpatient services. The policy should also include coverage for pre-existing conditions after a waiting period of 12 months.
What is an Insurance Agreement?
An Insurance Agreement is a legal contract between you and an insurance company that spells out what they'll cover and how much they'll pay if something goes wrong. In Malaysia, these agreements are governed by the Financial Services Act 2013 and must clearly state the premium payments, coverage limits, and any exclusions.
The agreement protects both parties by setting out exactly what happens when you need to make a claim. For example, if your car gets damaged, your motor insurance agreement will specify the repair costs covered, your deductible, and the claim process. Malaysian law requires certain types of insurance like motor and professional liability coverage to have standardized basic terms to protect consumers.
When should you use an Insurance Agreement?
You need an Insurance Agreement any time you're protecting valuable assets or managing significant risks in Malaysia. Common triggers include buying property, starting a business, purchasing a vehicle, or hiring employees. The agreement becomes essential when you're seeking financial protection against specific risks like fire, theft, accidents, or professional liability.
Malaysian law requires Insurance Agreements for certain activities - motor vehicle ownership needs basic coverage under the Road Transport Act 1987, and businesses often need professional indemnity insurance. Getting the right agreement in place before any incident occurs ensures you have clear documentation of your coverage and claim procedures when you need them most.
What are the different types of Insurance Agreement?
- Car Insurance Agreement: Required for all Malaysian drivers, covers vehicle damage, third-party liability, and optional comprehensive protection
- Risk Transfer Agreement: Shifts specific financial risks between parties, commonly used in construction and business partnerships
- Insurance Addendum: Modifies existing coverage terms or adds new provisions to address changing needs
- Independent Agent Agreement: Governs relationships between insurance companies and their authorized sales agents
- Home Buy Sell Agreement: Includes property insurance requirements for real estate transactions
Who should typically use an Insurance Agreement?
- Insurance Companies: Licensed insurers in Malaysia who underwrite policies and process claims, regulated by Bank Negara Malaysia
- Individual Policyholders: Malaysian residents who purchase coverage for personal assets, health, or liability protection
- Business Owners: Companies requiring coverage for property, liability, employee benefits, or professional indemnity
- Insurance Agents: Licensed professionals who sell policies and help clients understand coverage terms
- Legal Advisors: Lawyers who review and customize Insurance Agreements to ensure compliance with Malaysian regulations
- Claims Adjusters: Professionals who evaluate insurance claims and negotiate settlements under the agreement terms
How do you write an Insurance Agreement?
- Risk Assessment: List all assets, activities, or liabilities needing coverage under Malaysian law
- Party Details: Gather complete information about the insurer and insured, including registration numbers and contact details
- Coverage Scope: Define exact coverage limits, exclusions, and special conditions aligned with Bank Negara Malaysia guidelines
- Premium Structure: Calculate and document payment terms, frequencies, and any applicable taxes
- Claims Process: Outline clear procedures for filing claims and required documentation
- Document Generation: Use our platform to create a legally-compliant Insurance Agreement that includes all mandatory elements
- Final Review: Check all details against actual needs and regulatory requirements before signing
What should be included in an Insurance Agreement?
- Identification Section: Full names, addresses, and registration details of insurer and insured parties
- Coverage Terms: Detailed description of insured risks, coverage limits, and exclusions as per Malaysian Insurance Act
- Premium Details: Payment amounts, schedules, and methods compliant with Bank Negara Malaysia guidelines
- Claims Procedure: Step-by-step process for filing claims and required documentation
- Duration Clause: Policy period, renewal terms, and cancellation conditions
- Governing Law: Explicit statement of Malaysian jurisdiction and applicable regulations
- Signatures Block: Designated spaces for all parties' signatures and witness requirements
- Dispute Resolution: Clear procedures for handling disagreements under Malaysian law
What's the difference between an Insurance Agreement and an Access Agreement?
Let's compare an Insurance Agreement with an Indemnity Agreement, as they're often confused in Malaysian business contexts. While both deal with risk protection, they serve different purposes and operate under distinct legal frameworks.
- Scope of Protection: Insurance Agreements provide broad coverage against future risks for a premium, while Indemnity Agreements specifically protect against losses from particular actions or events
- Payment Structure: Insurance requires regular premium payments before any incident, whereas indemnity typically involves payment only after a loss occurs
- Regulatory Oversight: Insurance Agreements must comply with Bank Negara Malaysia regulations and the Financial Services Act 2013; Indemnity Agreements have fewer regulatory requirements
- Party Relationships: Insurance involves a licensed insurer and policyholder, while indemnity can be between any contracting parties
- Claims Process: Insurance claims follow strict procedural requirements and documentation, but indemnity claims often have simpler, negotiated processes
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