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Insurance Contract
I need an insurance contract for a comprehensive health insurance policy that covers hospitalization, outpatient services, and maternity benefits for a family of four. The policy should include a no-claim bonus, a cashless facility at major hospitals, and a deductible option to reduce premium costs.
What is an Insurance Contract?
An Insurance Contract is a binding agreement between you and an insurance company where they promise to compensate you for specific losses in exchange for regular premium payments. In Pakistan, these contracts are governed by the Insurance Ordinance 2000 and must clearly spell out what's covered, how much you'll pay, and when the insurer will step in to help.
The contract creates legal obligations for both sides - you must disclose all relevant facts and pay on time, while the insurer must handle claims fairly and maintain sufficient funds as required by Pakistani law. Insurance contracts can cover everything from health and life to property and business risks, with terms that must align with Islamic principles in case of Takaful arrangements.
When should you use an Insurance Contract?
Insurance Contracts become essential when you need to protect yourself, your family, or your business from financial losses. You need one before starting a new business venture in Pakistan, buying property, operating vehicles, or when local regulations require coverage - like mandatory motor insurance under the Motor Vehicles Ordinance.
Get these contracts in place when taking loans (as lenders often require insurance), launching construction projects, importing goods, or expanding operations. For businesses, timing is crucial - secure coverage before operations begin or assets are acquired. Pakistani law requires specific insurance types for certain industries, including banking, healthcare, and transportation sectors.
What are the different types of Insurance Contract?
- Insurance Indemnity Contract: Covers general liability and property damage, protecting businesses against third-party claims
- Health Insurance Agreement: Provides medical coverage, including hospitalization and outpatient care under Pakistani healthcare regulations
- Life Insurance Agreement: Offers financial protection to beneficiaries after policyholder's death, available in both conventional and Takaful forms
- Life Settlement Agreement: Allows sale of existing life insurance policies to third parties for immediate cash value
- Subcontractor Insurance Agreement: Ensures contractors maintain adequate coverage for specific construction or service projects
Who should typically use an Insurance Contract?
- Insurance Companies: Licensed Pakistani insurers who draft and issue contracts, assess risks, collect premiums, and process claims under SECP regulations
- Policyholders: Individuals or businesses who pay premiums and receive coverage protection, including both conventional and Takaful participants
- Insurance Brokers: Licensed intermediaries who help clients find suitable coverage and negotiate terms with insurers
- Legal Advisors: Lawyers who review and customize contract terms to ensure compliance with Pakistani insurance laws
- Beneficiaries: Family members, business partners, or entities named to receive benefits when insured events occur
How do you write an Insurance Contract?
- Risk Assessment: Document all assets, activities, or individuals needing coverage, including current market values and potential risks
- Party Details: Gather complete information about policyholder, beneficiaries, and any additional insured parties with proper identification
- Coverage Scope: Define exact coverage limits, exclusions, and deductibles aligned with Pakistani insurance regulations
- Premium Structure: Calculate and document payment terms, frequency, and methods compliant with local banking rules
- Claim Procedures: Outline specific steps for filing claims, required documentation, and timeframes
- Compliance Check: Ensure alignment with SECP guidelines and Takaful principles where applicable
What should be included in an Insurance Contract?
- Identification Section: Full legal names and details of insurer, policyholder, and beneficiaries as per SECP requirements
- Coverage Terms: Detailed description of insured risks, exclusions, and conditions in clear, unambiguous language
- Premium Details: Payment amounts, schedules, and consequences of default under Pakistani insurance laws
- Claims Procedure: Step-by-step process for filing claims, required documentation, and timeline requirements
- Termination Clauses: Conditions for contract cancellation, surrender values, and grace periods
- Dispute Resolution: Arbitration procedures and governing law provisions compliant with local regulations
- Shariah Compliance: Additional clauses for Takaful products ensuring alignment with Islamic principles
What's the difference between an Insurance Contract and an Insurance Policy?
Insurance Contracts are often confused with an Insurance Policy, but they serve distinct purposes in Pakistani law. While both documents relate to insurance coverage, their scope and application differ significantly.
- Legal Nature: Insurance Contracts establish the fundamental agreement between insurer and insured, containing all terms and conditions. Insurance Policies are shorter documents that summarize key coverage details and serve as proof of insurance
- Content Depth: Insurance Contracts include detailed clauses about rights, obligations, and dispute resolution. Policies focus on coverage limits, premium amounts, and basic terms
- Regulatory Requirements: Contracts must meet strict SECP guidelines and Takaful principles. Policies have simpler compliance requirements focused on disclosure
- Usage Context: Contracts are referenced for legal disputes and detailed term interpretation. Policies are used for day-to-day verification of coverage and quick reference
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