Automotive Insurance Claims Case Analysis

1. Auto insurance, as a common type of property insurance, particularly comprehensive car insurance, operates on the principle of compensation, which means the amount of compensation cannot exceed the actual value of the property. For instance, if a car's actual value is 100,000 yuan, even if the insured amount is 200,000 yuan, the owner can only receive a maximum of 100,000 yuan in compensation from the insurance company in the event of a loss. Any excess would be equivalent to wasted insurance premiums.

2. The car has been transferred to Ms. Tan, and she has also received claims for the two previous accidents. So why did the insurance company refuse to compensate for the third time? In the case of Ms. Tan, it is believed that when the insurance company handled the compensation for the first two accidents, she herself went to the office with Mr. Xu's ID card to handle the matter, indicating that the insurance company was aware of the change in the owner. Although there was no written change in the insured person, since the insurance company had agreed to compensate for the previous accidents, it seemed reasonable to assume that the change in the insured person was known.

3. Case 1: If your car is unfortunately struck by a building during an earthquake, the strategy would be to wait a few days after the earthquake to apply for compensation. Outofaccident statement: It was probably due to the wall loosening due to the earthquake, and finally, on a certain day, it collapsed (do not mention the accident during the earthquake). Case 2: If your beloved car breaks a windshield during an emergency brake due to items inside the car flying up.

4. Case 1: Mr. Zhang, while driving a Dazhong car, collided with a motorcyclist with the car door during dropoff, causing the motorcyclist to be injured and hospitalized. The Dazhong car was insured with compulsory liability insurance and was a family car. When the insurance company handled the claim, it was discovered that Mr. Zhang's vehicle was involved in operation, and it should be insured as an operational vehicle. The insurance company required a endorsement for additional insurance and then compensation.

Cases About Automotive Insurance

1. Firstly, comprehensive car insurance is mainly used to compensate for repair costs caused by accidental damage to vehicles. However, not all repair costs will be compensated. For example, if the loss is expanded due to personal negligence, the insurance company may not compensate. A typical case is: Mr. A's car engine leaked oil after an accident, but he drove the car to the repair shop forcibly, causing the engine to "explode".

2. We can gain a deeper understanding through the following cases. Case details: A new car owner sued an insurance company for not fulfilling the vehicle insurance contract. Ms. Tan's case was dismissed by the Beijing Shunyi District People's Court in 2003. How did the situation arise? Ms. Tan purchased a small car, a Jetta, from Mr. Xu in October of the same year and also legally handled the transfer of ownership of the car.

3. Car A: 2000 + (4000 2000) 80% = 3600 yuan. The property loss limit of the compulsory liability insurance of the other party's car is 2000 yuan, and the remaining part is compensated by the insurance company at 80% (the thirdparty liability insurance fully responsible for the deductible of 20%). Car B: 100 + (6000 100) 85% = 5115 yuan. The first party's compulsory liability insurance compensates for the property loss of the other party without responsibility for 100 yuan.

Reasons for Insurance Denial

1. Generally, insurance companies will not deny claims. Only when the following situations occur will insurance companies deny claims: the insured has concealed information in the health declaration, the insured has an accident due to reasons involving the exclusion clause, the accident occurs during the waiting period, the insurance company does not meet the claims conditions, or the claim documents are incomplete. If you really encounter insurance denial, do not panic.

2. If fraud is discovered in the claim process, such as forging documents or the accident scene, the insurance company will refuse to compensate. Lack of necessary proof documents: To process a claim, the insurance company usually requires applicants to provide a series of proof documents, such as medical reports, police reports, etc. If these necessary documents are missing, the insurance company may refuse to compensate.

3. If the husband's car hits the wife's car, the insurance company may refuse to compensate because it is difficult to prove whether there was fraud, and it is necessary to provide evidence to prove that the owner did not commit fraud, such as immediately reporting to the police after the accident and obtaining an accident responsibility certificate from the traffic police, or having witnesses prove the authenticity of the incident. Otherwise, it is indeed difficult to justify oneself and obtain compensation.

4. The reasons for insurance denial generally include the following: not paying insurance premiums on time. In life insurance contracts, after the insured pays the first insurance premium, the insurance contract begins to take effect. After that, the insured must pay insurance premiums on time. If the insured does not pay the insurance premium within the grace period and does not have the function of automatic premium payment, the insurance contract will be suspended. In the event of an insurance accident during the period of suspension of effect, the insurance company may refuse to compensate.

5. The first type of denial reason is: the wrong insurance type. Insurance actually has many categories, and different types of insurance have different protection functions. For example, some people buy an accident insurance that covers accidents such as bumps, falls, and burns. Unfortunately, they got sick and wanted to claim money from the insurance company. Of course, this cannot be compensated. Just like household appliances, refrigerators and washing machines have completely different functions and cannot replace each other.

6. One of the most common reasons for insurance denial is that the insured violates the content of the insurance contract. This may include not paying insurance premiums on time, concealing important facts, or providing false information. Once the insured violates the contract, the insurance company has the right to refuse compensation. Insurance fraud: If the insured has fraudulent behavior, such as deliberately causing an accident or providing false claim documents, the insurance company will resolutely refuse to compensate.

Full Insurance Insurance Coverage Case Analysis

1. Underinsurance, also known as low insurance, refers to an insurance contract where the insurance amount is lower than the insurance value. The characteristic of underinsurance is that the insurance premium is relatively lower than that of full insurance, but when an insurance accident occurs and causes the insurance subject to be damaged, underinsurance does not compensate in the same way as full insurance, but generally compensates in proportion.

2. In vehicle insurance claims, for partial losses, the insurance company will compensate fully, that is, according to the actual amount of loss. However, when the vehicle is completely destroyed, the insurance company will only compensate according to the actual value of the vehicle, that is, the depreciated value. This type of insurance coverage is known in the insurance industry as full insurance.

3. Full insurance is a type of insurance coverage. Specifically, full insurance refers to the insured determining the insurance amount according to the actual value or estimated value of the insurance subject when purchasing insurance, to ensure that sufficient compensation can be obtained from the insurance company in the event of an insurance accident to compensate for the loss. The significance of this type of insurance coverage is that, in the event of an insurance accident, the insured can obtain economic compensation that matches their loss.

4. Generally, in vehicle insurance, the main types of insurance related to the body insurance amount are car damage insurance and theft insurance. Insurance companies quote full insurance prices, and compensation can be obtained accordingly in the event of an accident. Assuming the body price of a new car is 100,000 yuan, full insurance for car damage is to insure for 100,000 yuan, and theft insurance is the same, so full compensation can be obtained in the event of an accident.

5. Plan 1: Full insurance, also known as full coverage insurance, refers to insuring the purchase price of a new car. The "new car purchase price" in the insurance contract refers to the price of the same type of new car (including purchase tax) purchased at the place of insurance signing. In the event of partial loss of the vehicle, the insurance company will compensate in full according to the actual loss. However, if the vehicle is completely destroyed, the insurance company will only compensate according to the actual value of the vehicle (after depreciation). This type of insurance coverage is known as full insurance.

How to Compensate for Insurance When Your New Car Is Scratched on the Road and You Don't Know Who Did It? How to Claim If You Have Full Insurance?

1. Compensate for the cost of painting, if you are kind, compensate according to the price of the repair shop outside, generally two or three hundred yuan per side for ordinary cars (excluding bodywork), four or five hundred yuan per side for MercedesBenz and BMW, and it is more expensive at the 4S store. Here is a reminder to car owners: Don't park at corners or intersections, or anywhere that is easily scratched by others, such as places that block people's driving or pedestrians.

2. It depends on who is at fault. If you are not at fault, you can let the insurance company compensate, but if you are at fault, the insurance company may not compensate in full. According to the traffic police's accident responsibility certificate, the insurance company will compensate for the part it should compensate. Everything goes through legal procedures, which are relatively fast. Therefore, this is also more secure and saves people from some disputes.

3. Remember, losses caused by the impact of items inside the car are not covered by the insurance company!!! ★★★ Case 3: If you collide with another car while towing, ignore some existing facts. Outofaccident statement: Don't mention that you were towing or being towed, otherwise, regardless of whether you are at fault or not, the insurance company will not compensate. Case 4: Moreover, if you are a boss and have a disagreement with a friend over some accounting issues.

4. The following exemptions apply: (ii) The loss of the insured motor vehicle should be compensated by the third party. If the third party cannot be found, a 30% absolute deductible rate is implemented. It depends on when you take out the insurance. If you took out the insurance at the end of 2020, it is likely to be a new policy. In the 2020 revised motor commercial insurance clauses, the above 30% absolute deductible rate has been deleted in the car damage insurance clause.