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Assignment And Agreement Form (Insurance)
"I need an Assignment and Agreement Form (Insurance) to transfer my corporate health insurance policy from my old company to my new company following an acquisition, with the transfer to be effective from March 1, 2025, ensuring compliance with SAMA regulations."
1. Parties: Identification of the Assignor (current policyholder), Assignee (new policyholder), and the Insurance Company
2. Background: Context of the assignment, including details of the original insurance policy and reason for assignment
3. Definitions: Definitions of key terms used in the agreement, including Policy, Assignment Date, Effective Date, and Premium
4. Assignment: Core terms of the assignment, including what rights and obligations are being transferred
5. Consideration: Details of any payment or consideration for the assignment
6. Representations and Warranties: Statements by both Assignor and Assignee about their capacity to enter into the agreement and the status of the policy
7. Regulatory Compliance: Confirmation of compliance with SAMA regulations and Shariah principles
8. Insurance Company Consent: Acknowledgment and consent of the insurance company to the assignment
9. Effective Date and Conditions: When the assignment takes effect and any conditions that must be met
10. Governing Law and Jurisdiction: Confirmation of Saudi Arabian law as governing law and jurisdiction for disputes
1. Premium Payment Arrangements: Used when there are ongoing premium payments to be addressed - specifies who will be responsible for future premium payments
2. Beneficiary Designation: Used in life insurance assignments when beneficiary arrangements need to be modified
3. Security Interest: Used when the assignment is for security purposes rather than absolute assignment
4. Claims Process: Used when specific arrangements for handling ongoing or pending claims need to be addressed
5. Regulatory Approvals: Used when specific regulatory approvals are required based on the type or value of policy being assigned
6. Zakat Considerations: Used when the assignment has implications for Zakat calculations and payments
1. Schedule 1 - Insurance Policy Details: Complete details of the insurance policy being assigned, including policy number, type, coverage amount, and current terms
2. Schedule 2 - SAMA Compliance Form: Standard regulatory form required by SAMA for insurance policy assignments
3. Schedule 3 - Identification Documents: Copies of required identification documents for both Assignor and Assignee
4. Schedule 4 - Premium Payment Schedule: Details of any outstanding or future premium payments
5. Appendix A - Consent Forms: Standard forms required for various consents, including insurance company consent
6. Appendix B - Shariah Compliance Certificate: Certificate from appropriate authority confirming compliance with Shariah principles if required
Authors
Assignee
Assignor
Assignment Date
Authorized Representative
Beneficiary
Business Day
Claim
Completion
Consideration
Effective Date
Encumbrance
Force Majeure
Governing Law
Insurance Company
Insurance Policy
Insured
Law
Liabilities
Notice
Original Policy Date
Parties
Policy Benefits
Policy Rights
Premium
Regulatory Authority
SAMA
Shariah Principles
Sum Insured
Term
Transfer
Warranties
Consideration
Representations and Warranties
Regulatory Compliance
Shariah Compliance
Consent and Acknowledgment
Premium Payment
Policy Benefits
Indemnification
Severability
Confidentiality
Notices
Amendment
Governing Law
Dispute Resolution
Force Majeure
Entire Agreement
Further Assurance
Assignment Conditions
Beneficiary Rights
Insurance Company Obligations
Documentation Requirements
Term and Termination
Costs and Expenses
Waiver
Counterparts
Insurance
Banking and Financial Services
Legal Services
Islamic Finance
Risk Management
Corporate Services
Healthcare Insurance
Property Insurance
Commercial Insurance
Life Insurance
Legal
Compliance
Risk Management
Insurance Operations
Policy Administration
Corporate Secretariat
Shariah Advisory
Regulatory Affairs
Documentation
Claims Processing
Insurance Manager
Legal Counsel
Compliance Officer
Risk Manager
Insurance Broker
Corporate Secretary
Financial Controller
Shariah Compliance Officer
Policy Administration Manager
Claims Manager
Underwriting Manager
Insurance Operations Director
Legal Documentation Specialist
Regulatory Affairs Manager
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