Please let me know how long does it take for the insurance company to pay the motorbike insurance claim? What are the cases that exclude motorbike insurance liability? - Reader Ngan Ha
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1. How long does it take for an insurance company to pay a motorbike insurance claim?
Specifically, in Clause 3, Article 12 of Decree 67/2023/ND-CP, within 3 working days from the date of receiving notification from the insurance buyer or the insured person about the accident, the insurance company must make an advance payment of compensation for damage to health and life.
2. Motorcycle insurance compensation advance level
(1) In case the accident is determined to be within the scope of compensation for damages:
- 70% of the estimated insurance compensation as prescribed for one person in an accident in case of death.
- 50% of the estimated insurance compensation as prescribed for one person in an accident in case of bodily injury.
(2) In case the accident is not yet determined to be within the scope of compensation for damages:
- 30% of the statutory liability limit for one person in an accident in the event of death and an estimated injury rate of 81% or more.
- 10% of the prescribed insurance liability limit for one person in an accident for cases where the estimated injury rate is from 31% to less than 81%.
After making a provisional compensation payment, the insurance company has the right to request the Motor Vehicle Insurance Fund to refund the provisional compensation payment in case the accident is determined to be excluded from insurance liability or not covered by insurance.
(Clause 3, Article 12, Decree 67/2023/ND-CP)
3. Cases of exclusion from motorcycle insurance liability
Insurance companies are not responsible for insurance compensation in the following cases:
- Intentional acts causing damage by motor vehicle owners, drivers or injured persons.
- The driver who caused the accident intentionally fled without fulfilling the civil responsibility of the owner of the motor vehicle. In case the driver who caused the accident intentionally fled but has fulfilled the civil responsibility of the owner of the motor vehicle, it is not a case of insurance liability exclusion.
- The driver does not meet the age requirements as prescribed by the Law on Road Traffic; the driver does not have a driving license or uses an invalid driving license as prescribed by law on training, testing, and granting of driving licenses for road motor vehicles; the driving license is erased or uses an expired driving license at the time of the accident or uses an inappropriate driving license for a motor vehicle that requires a driving license. In case the driver has his/her driving license revoked or his/her driving license revoked, he/she is considered to have no driving license.
- Damage causing indirect consequences includes: reduction in commercial value, damage associated with the use and exploitation of damaged assets.
- Damage to property caused by driving a motor vehicle with a blood or breath alcohol concentration exceeding the normal value as guided by the Ministry of Health ; using drugs and stimulants prohibited by law.
- Damage to property stolen or robbed in the accident.
- Damage to special assets including: gold, silver, precious stones, valuable papers such as money, antiques, rare paintings, corpses, and remains.
- Damage caused by war, terrorism, earthquake.
(Clause 2, Article 7, Decree 67/2023/ND-CP)
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