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Datassur Direct claims settlement system for MTPL insurance in Belgium Daniel FralaWarsaw DatassurSeptember 2009.

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Presentation on theme: "Datassur Direct claims settlement system for MTPL insurance in Belgium Daniel FralaWarsaw DatassurSeptember 2009."— Presentation transcript:

1 Datassur Direct claims settlement system for MTPL insurance in Belgium Daniel FralaWarsaw DatassurSeptember 2009

2 Datassur The Belgian motor insurance market In millions (2007) Total premium income % non-life premium income Motor premium income % motor premium income in non-life Belgium31, %3, % France194, %17, % Poland11, %2, % Source: CEA

3 Datassur The Belgian motor insurance market Top 10 (Economic groups in 2007) AXA/Winterthur27.26% Ethias 15.78% AG Insurance Belgium13.69% KBC11.47% P&V Assurances7.99% Dexia Insurance Belgium5.66% Mercator5.62% Allianz4.06% Generali Belgium2.13% Fédérale Assurance1.56% Market share of the top 15 99%

4 Datassur The Belgian motor insurance market Number of insurance companies offering motor insurance in 2007 Belgium65 France119 Poland29 Source: CEA

5 Datassur The Belgian motor insurance market Vehicle fleet as at 31 December 2008 Cars5,086,750 Vans561,300 Motorbikes384,310 Agricultural tractors170,500 Lorries104,810 Road tractors 48,680 Special vehicles47,260 Civil engineering equipment39,200 Agricultural equipment and cultivators18,670 Buses and coaches15,890 Total 6,477,400

6 Datassur The Belgian motor insurance market (2007) Vehicle fleet Belgium6,300,000 France38,640,000 Poland16,701,000 Source: CEA

7 Datassur The Belgian motor insurance market RDR (direct settlement compensation fund) figures Number of claims254,425261,500 Loss burden382,223,000411,800,000 Average claim cost1,5021,575

8 Datassur

9 Basic principles of RDR The victims 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.

10 Datassur Three agreements forming a single, indivisible whole: The loss assessment agreement The RDR agreement The recovery agreement Basic principles of RDR

11 Datassur The direct insurer mandates its own loss assessor to assess the damage to its clients 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. Loss assessment

12 Datassur 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. Loss assessment

13 Datassur The adverse loss assessor will act no later than seven days after being first contacted by their colleague. 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. Loss assessment

14 Datassur 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 Identified and covered for civil liability by member companies

15 Datassur Vehicles driving in the same direction Vehicles driving in opposite directions Requirement to give way Stationary or parked Manoeuvres and special cases RDR management Different scenarios (cases) on the list

16 Datassur Vehicles driving in the same direction Case 13 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. Scenario based on Article 12.4 of the Belgian Highway Code Y X

17 Datassur Vehicles driving in opposite directions Case 20 Scenario based on Article 15 of the Belgian Highway Code 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. Only vehicle Y encroaches onto the part of the carriageway intended for vehicles driving in the opposite direction. X Y

18 Datassur Manoeuvres Case 50 Y pulls out of its parking space. Y PARKING X

19 Datassur 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. The recovery settlement agreement

20 Datassur Thank you for your attention


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