Definitions which only apply to this
section:
We, our, us DAS Legal Expenses
Insurance Company Limited.
Representative The lawyer
or other suitably-qualified person, who we have appointed
to act for you in line
with the conditions of this section.
Legal Costs All reasonable and
necessary costs charged by the representative on a standard
basis. It also includes the
opponent’s costs in civil cases if you have to pay them, or
pay them with our agreement.
Date of the incident The date
the incident which may lead to a claim happened. If there is
more than one incident arising
at the same time or from the same cause, the date of the
incident is the date of the first of
these events.
Insured incident An event which
causes the death of, or bodily injury to you.
WHAT YOU ARE COVERED FOR
Legal expenses; up to £25,000
Under this section, we will negotiate for your legal rights
after an insured incident. We will also help in appealing or
defending an appeal as long as you tell us within the time
limits allowed that you want us to appeal.
Before we pay legal costs for appeals, we must agree that
it is always more likely than not that the appeal will be
successful.
If you use a representative, we will
pay the legal costs for this. The most we will pay for all
claims for an insured incident resulting from one or more
event arising at the same time or from the same cause is
£25,000.
We agree to provide legal expenses
to cover, keeping to the conditions and exclusions,
as long as:
- any legal proceedings will be dealt with by a court
or other body which we agree to;
- in civil claims, it is always more likely than not
that you will recover damages (or other
legal remedy) or make a successful defence;
- the insured incident happens during the period of insurance.
WHAT YOU ARE NOT COVERED FOR
As well as the general conditions, the following exclusions
and conditions apply:
1. Any claim reported to us more than 180 days after the
date you should have known about the insured incident.
2. Any legal costs incurred before we agree to pay them.
3. Any claim relating to the following :
- Any illness which develops gradually or is not caused
by a specific or sudden accident.
- You driving a motor vehicle for which you do not have
valid motor insurance.
- An application for Judicial Review.
4. Defending your legal rights (but defending a counter claim
is covered.) 5. Any disagreement with us that is not
in condition 18 of this section.
6. Any legal action you take which we or the representative
have not agreed to or where you do anything that
has a negative effect on us or the representative.
7. Any disagreement with Snowcard Insurance Services Ltd
or any of the insurers.
8. Fines, damages or other penalties which
you are ordered to pay.
9. Any legal costs that you have to pay under a contingency
fee arrangement (a contingency fee arrangement is when the lawyer
takes a percentage of the damages as the fee.)
10. Any insured incident intentionally brought about by you.
11. Any claim relating to your alleged dishonesty or
alleged violent behaviour.
12. Any claim relating to written or spoken comments which
damage your reputation.
CONDITIONS
You must do the following:
1. Send everything we ask for in writing and give us full
details of any claim, and any information we need, as soon
as possible.
2. We can take over in your name, any claim
or legal proceedings at any time.
We can negotiate any claim on your behalf.
3. You are free to choose a representative (by sending us
a suitably qualified person’s name and address) if:
- we agree to start court proceedings and it becomes
necessary for a lawyer to represent your interests in
those proceedings;
- there is a conflict of interest.;
4. We may choose not to accept your choice, but only in
exceptional circumstances. If there is a disagreement
over the choice of representative in these circumstances,
your may choose another suitably qualified person.
5. In all circumstances (except those in 3. above) we are
free to choose a representative.
6. We will appoint a representative to represent you
according to our standard conditions of appointment. The
representative must fully co-operate with us at all times.
7. We will have direct contact with the representative.
8. You must co-operate fully with us and the representative
and must keep us up-to-date with the progress of the
claim.
9. You must give the representative any instructions that
we ask for.
10. You must tell us if anyone offers to settle the claim.
11. If you do not accept a reasonable offer to settle a
claim, we may refuse to pay further legal costs.
12. You must not negotiate or agree to settle a claim
without our approval.
13. We may decide to pay you the amount of damages
that you are claiming or is being claimed against you
instead of starting or continuing legal proceedings.
14. If we ask, you must tell the representative to have legal
costs taxed, assessed or audited.
15. You must take every step to recover any legal costs that we
have to pay and must pay us any legal costs that you
recover.
16. If your representative refuses to continue acting for
you or if you dismiss your representative, the cover we
provide will end immediately, unless we agree to appoint
another representative.
17. If you stop a claim without our agreement, or do not
give suitable instructions to your representative, the
cover we provide will end immediately and we will be
entitled to reclaim any legal costs we have paid.
18. If we and you disagree about the choice of
representative or about how a claim is handled, we
and you can choose another representative to decide the matter.
We and you must both agree to this in writing.
If we
cannot agree with you about the choice of second
representative, we will ask the president of a relevant national
law society to choose a representative. Whoever loses the
disagreement will have to pay the costs of settling it.
19. We may ask you to get (at your own
expense) an opinion from a barrister chosen by you and
us about whether a claim or proceedings will be successful.
If the
barrister believes that it is more likely than not you will
recover damages (or reach a solution that we have agreed to)
or make a successful defence, we will pay the cost of getting
the opinion.
20. We will not pay any claim covered under any other policy,
or any claim that would have been covered by any other policy
if this policy did not exist.
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