Transcript Diapositive 1 - Rzecznik Ubezpieczonych

Direct claims settlement system for
MTPL insurance in Belgium
Datassur
Daniel Frala
Datassur
Warsaw
September 2009
The Belgian motor insurance market
In € millions
(2007)
Total
premium
income
% non-life
premium
income
31,440
30.18%
3,089
32.55%
France
194,310
30.01%
17,660
30.29%
Poland
11,580
41.77%
2,891
59.77%
Belgium
Source: CEA www.cea.assur.org
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Motor
premium
income
% motor
premium income
in
non-life
The Belgian motor insurance market
Top 10
(Economic groups in 2007)
•
•
•
•
•
•
•
•
•
•
AXA/Winterthur
Ethias
AG Insurance Belgium
KBC
P&V Assurances
Dexia Insurance Belgium
Mercator
Allianz
Generali Belgium
Fédérale Assurance
• Market share of the top 15
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27.26%
15.78%
13.69%
11.47%
7.99%
5.66%
5.62%
4.06%
2.13%
1.56%
99%
The Belgian motor insurance market
Number of insurance companies offering
motor insurance in 2007
• Belgium
• France
119
• Poland
29
Source: CEA www.cea.assur.org
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65
The Belgian motor insurance market
Vehicle fleet as at 31 December 2008
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•
•
•
•
•
•
•
•
•
•
Cars
Vans
Motorbikes
Agricultural tractors
Lorries
Road tractors
Special vehicles
Civil engineering equipment
Agricultural equipment and cultivators
Buses and coaches
5,086,750
561,300
384,310
170,500
104,810
48,680
47,260
39,200
18,670
15,890
•
Total
6,477,400
The Belgian motor insurance market (2007)
Vehicle fleet
• Belgium
• France
38,640,000
• Poland
16,701,000
Source: CEA www.cea.assur.org
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6,300,000
The Belgian motor insurance market
RDR (direct settlement compensation fund) figures
• Number of claims
• Loss burden
• Average claim cost
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2007
2008
254,425
261,500
€382,223,000
€411,800,000
€1,502
€1,575
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Basic principles of RDR
The victim’s insurer (‘direct’ insurer) may
compensate its policyholder in place of and on
behalf of the insurer of the party responsible
(‘adverse’ insurer), within the limits of liability
specified in the list of cases.
RDR settlement is permitted even in the event
of injury, provided there is no disability or
death.
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Basic principles of RDR
Three agreements forming a single,
indivisible whole:
• The loss assessment agreement
• The RDR agreement
• The recovery agreement
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Loss assessment
• The direct insurer mandates its own loss
assessor to assess the damage to its client’s
vehicle.
• In all cases, the insurer of the party presumed
responsible may have the loss assessment
monitored by its own loss assessor.
• Each company pays its own loss assessment
costs.
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Loss assessment
• Quantify the compensable damage
• Photograph the damage and provide a detailed
description of it
• Provide technical arguments in response to any
queries from the mandator.
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Loss assessment
• The adverse loss assessor will act no later than
seven days after being first contacted by their
colleague.
• Failing this, the direct loss assessor may
establish a figure alone, although this must not
exceed €25,000.
• The adverse loss assessor must respond within
seven days to the proposal made by the direct
loss assessor.
• Failing this, the direct loss assessor may
establish a figure alone, although this must not
exceed €25,000.
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RDR management
Conditions of application
• Accident in Belgium where the civil liability of
a third party is partially or fully established
• Contact between automotive vehicles
• Registered (B) or otherwise
• Normally based in Belgium
• Subject to an insurance
requirement
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• Identified and covered for civil
liability by member companies
RDR management
Different scenarios (cases) on the list
• Vehicles driving in the same direction
• Vehicles driving in opposite directions
• Requirement to give way
• Stationary or parked
• Manoeuvres and special cases
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Vehicles driving in the same direction
Case 13
Scenario based on Article 12.4 of the Belgian Highway Code
X
Y
• Vehicles X and Y are driving in the same direction in different lanes.
• Vehicle Y changes lane OR vehicle Y changes direction, thereby
cutting across vehicle X.
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Vehicles driving in opposite
directions
Case 20
Scenario based on Article 15 of the Belgian Highway Code
X
Y
•
The two vehicles must be driving in opposite directions on the same
carriageway.
• It must be possible to determine the position of the vehicles in
relation to the centre of the carriageway.
•
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Only vehicle Y encroaches onto the part of the carriageway intended
for vehicles driving in the opposite direction.
Manoeuvres
Case 50
PARKING
Y
X
Y pulls out of its parking space.
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The recovery settlement agreement
The damage amount paid is settled via a
compensation fund (Datassur)
• Up to €8,500: on the basis of the system of
average cost price
• Between €8,500 and €25,000: recovery of
real cost.
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Thank you for your attention
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