Non Waiver Agreement (Insurance) Template for Canada

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What is a Non Waiver Agreement (Insurance)?

The Non-Waiver Agreement (Insurance) is a critical document in Canadian insurance practice, used when an insurer needs to investigate a claim while preserving its right to deny coverage. This document becomes necessary when there are questions about coverage, policy terms, or circumstances surrounding a claim that require thorough investigation. It protects the insurer from arguments that their investigation activities constitute a waiver of their rights under the policy. The agreement is structured to comply with both federal and provincial insurance regulations in Canada, incorporating principles of good faith and fair dealing. It typically includes details about the claim, the scope of investigation, and the rights and obligations of all parties involved. This document is particularly important in complex claims where coverage issues may exist or where detailed investigation is required before making a coverage determination.

Reviewed by

Swetha Meenal

Legal Engineer, GenieAI

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A lawyer, legal researcher and legal tech founder, Swetha has built AI products deployed inside Tier 1 firms and enterprises. She ensures GenieAI's alignment with the latest regulation and executes testing on the legal robustness of Genie output.

Reviewed by

Imad Mohammed Nazar

Legal Engineer, GenieAI

Imad Mohammed Nazar profile photo

A Skadden-trained M&A lawyer, Imad advised on cross-border transactions and contractual risk before moving into legal AI. He reviews GenieAI's output for compliance and enforceability across our 150+ supported jurisdictions, as well as facilitating external benchmarking.

Jurisdiction

Canada

Publisher

GenieAI

Category

Waiver

Sector

Business

Cost

Free to use

Last updated

About the Non Waiver Agreement (Insurance)

A Non Waiver Agreement (Insurance) is a protective legal document that allows insurance companies in Canada to investigate claims thoroughly while explicitly preserving their right to later deny coverage. When you're dealing with an insurance claim that raises questions about coverage, policy terms, or circumstances, this agreement prevents the insurer's investigative activities from being interpreted as acceptance of the claim or waiver of their policy defenses.

When do you need this document?

You need a Non Waiver Agreement when there are potential coverage issues that require investigation before making a coverage determination. This typically occurs when policy exclusions might apply, when there are questions about the timing or cause of the loss, or when fraud is suspected. The agreement is also essential in complex liability claims where coverage depends on specific factual circumstances that need thorough investigation. If you're an insurer dealing with claims involving multiple parties, disputed facts, or potential policy violations, this document protects your legal position while you conduct your investigation.

Key legal considerations

The agreement must clearly state that the investigation does not constitute acceptance of coverage or waiver of any policy defenses. It should define the scope of the investigation, specify what rights are being reserved, and outline the obligations of both parties during the investigative process. You must ensure the language is unambiguous about the insurer's reservation of rights, including the right to deny coverage based on policy terms, exclusions, or other defenses. The document should also address cooperation requirements from the insured and establish timelines for the investigation process. Consider including provisions about independent experts, document production, and examination under oath if circumstances warrant.

Legal requirements in Canada

Under Canadian law, Non Waiver Agreements must comply with both federal Insurance Act provisions and provincial Insurance Acts that govern insurance contracts in each jurisdiction. The agreement must respect good faith and fair dealing principles required under common law, meaning insurers cannot use the investigation process to unreasonably delay claim resolution. Provincial Consumer Protection Acts may impose additional requirements regarding clear communication and fair treatment of insureds. The document must provide reasonable timelines for investigation completion and cannot indefinitely suspend the insurer's obligation to make coverage decisions. Some provinces require specific language regarding the insured's rights during the investigation process, and the agreement must not violate statutory provisions that limit insurers' ability to deny coverage based on technical policy violations.

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