Insurance Law

Insurance agreements have a unique and distinctive character. An insurance contract, which is classified as an aleatory agreement

Overview

Insurance agreements have a unique and distinctive character. An insurance contract, which is classified as an aleatory agreement (“konsovereenkomst”—an act whose outcome, whether advantageous or disadvantageous to all or certain parties, depends on an uncertain future event) as regulated under Article 1774 of the Indonesian Civil Code (KUHPerdata), has legal consequences that require the contract to comply with specific legal principles. These include the principle of insurable interest, the principle of indemnity, the principle of utmost good faith (uberrimae fidei), and the principle of subrogation, all of which align with Articles 250, 251, 252, 253, and 284 of the Indonesian Commercial Code (KUHD). With respect to the principle of utmost good faith (uberrimae fidei) as regulated under Article 251 KUHD.

In early 2025, the Constitutional Court delivered Decision Number 83/PUU-XXII/2024 concerning the judicial review of Article 251 of the Commercial Code (Staatsblad 1847 No. 23) against Article 1(3), Article 27(1), Article 28D(1), and Article 28G(1) of the 1945 Constitution. The Petitioner argued that Article 251 KUHD reflects the Principle of Insurer Protection, considered the original intent of the article. This principle was formulated and popularized by English Judge Scrutton L.J in Rozannes vs. Bowen (1982), essentially stating that “as the underwriter knows nothing and the man who comes to him to ask him to insure knows everything, it is the duty of the assured… to make a full disclosure to the underwriter without being asked of all the material circumstances.”

In practice, this Principle of Insurer Protection has allowed insurance companies (insurers) to unilaterally and immediately cancel a policy if the insured is suspected of providing inaccurate information or failing to disclose material facts that could influence the insurer’s underwriting decision. The wording of Article 251 KUHD, which embodies this principle, has created legal uncertainty and unfair protection for

policyholders. Insurance companies are often considered to have failed to provide adequate education to policyholders regarding material fact disclosure during underwriting. Yet, once the premium is paid, the insurer may attempt to cancel the policy or deny policy benefits—particularly after a claim is filed—using the allegation of nondisclosure.
After examining submissions from various institutions, the Constitutional Court ruled that Article 251 KUHD is conditionally unconstitutional to the extent that it is not interpreted as follows “including that cancellation of coverage must be based on an agreement between the insurer and the insured, or based on a court decision.”

We note that the insurance industry has shown significant growth. Although Covid-19 once weakened several general and life insurance companies—particularly those offering credit insurance, health insurance, and life insurance—the industry is recovering due to the rise of online platforms that facilitate insurance product search and distribution. Additionally, the expansion of Peer-to-Peer Lending services and increased e-commerce transactions have driven demand for insurance products related to credit default protection and shipment protection.

Our firm has experienced advocates in handling insurance-related disputes. Each of our advocates has in-depth knowledge of insurance and reinsurance business formats, policy types, standard wordings, relationships between insurers and reinsurers, and other supporting insurance businesses. Our advocates are available for communication in both Indonesian and English.

We are well-positioned to offer legal expertise in insurance law, dispute resolution, cooperation structuring, and the development of comprehensive solutions tailored to your needs.

  1. Legal advice and opinions in insurance law.
  2. Assistance in day-to-day operations of General and Life Insurance companies (conventional and sharia).
    • Ensuring compliance with insurance regulations, particularly OJK Regulations and Circular Letters (POJK–SEOJK).
    • Assistance with insurance product and/or surety bond licensing at OJK
    • Assistance in dealing with actuaries, OJK, and other authorities.
    • Drafting insurance documents including policy wordings, surety certificates, and providing internal explanations on standard policy wordings.
    • Review of Cover Notes / Policies approved by underwriters, especially on the suitability of additional clauses/endorsements.
    • Assistance with corporate actions involving insurance companies, including changes of directors/commissioners or controlling shareholders requiring OJK fit and proper tests.
    • Drafting documents for claim denials/approvals, surety bond payouts, appeal responses, subrogation notices, and agreements with agents, aggregators, loss adjusters, etc.
    • Assistance in resolving claim disputes.
    • Support in handling ex gratia requests or non-technical liability claims.
    • Assistance for supporting insurance businesses such as brokers, aggregators (online platform distributors), loss adjusters, etc.
    • Assistance involving third-party administrators (TPA), vehicle repair service providers, spare-part suppliers, car dealerships (for motor insurance), etc.
    • Drafting agreements for coinsurance, co-bonding, bancassurance, reinsurance, and agreements relating to financial technology innovation in the non-bank financial sector.
    • Assistance to ensure compliance with the principle of utmost good faith during policy issuance and throughout the policy period.
  3. For Corporations / Individuals
    • Legal analysis and advice regarding insurance or surety bond products suitable for specific risks.
    • Explanation of policy wordings, including additional clauses/endorsements.
    • Explanation of rights and obligations of prospective insureds/obligees, including their duty to disclose material facts and the consequences of nondisclosure.
    • Assistance with filing insurance claims or surety bond payouts when insured risks occur, including appeals and filing complaints with OJK’s Consumer Protection Division in cases of unjustified claim denials.
    • Representation in insurance disputes through courts, the Financial Services Sector Alternative Dispute Resolution Institution (LAPS SJK), or arbitration (BANI or ad hoc), as required under the policy.
  1. Represented a Surety in a dispute concerning the payout of an Advance Payment Bond and Performance Bond issued for the Kataraja Toll Road Section 1 construction project, involving a state-owned construction enterprise (as Principal) and a consortium of major Indonesian property developers (as Obligee), with a dispute value of IDR 207,000,000,000.
  2. Represented one of Indonesia’s largest general insurers in an ad-hoc arbitration concerning a Construction and Erection All Risks claim filed by a major multidisciplinary construction engineering company focused on power plants and infrastructure. Partial win achieved: insurer’s liability reduced to approx. IDR 7,000,000,000 out of a ~20,000,000,000 claim.
  3. Advised a major general insurance company in Indonesia in its acquisition by an affiliate of a well-known conglomerate engaged in pulp & paper, agribusiness, F&B, financial services, real estate development, telecommunications, energy & infrastructure, healthcare, and education, with an acquisition value of approx. IDR 160,000,000,000.
  4. Represented an insurance brokerage company (part of a state-owned microfinance company) in negotiations with a publicly listed life insurer concerning the proposed cancellation and proportional premium refund of approximately 66,000 issued Credit Life Insurance (AJK) policies.
  5. Assisted an insurance brokerage company (also part of a state-owned group) in filing Credit Life Insurance claims for approximately 500 policies, with total benefits claimed at approx. IDR 55,000,000,000 and total approved claims of approx. IDR 50,000,000,000.
    Please feel free to send us your inquiries regarding your specific needs, and we will contact you as soon as possible. Need More Information?
Scroll to Top