The inspection results show that in 2023, this enterprise generated revenue from compulsory civil liability insurance premiums for motor vehicle owners of more than VND 625 billion, of which VND 110.5 billion for motorbike owners and VND 514.7 billion for car owners.
A series of violations in motorcycle and car insurance compensation were discovered (Screenshot)
Regarding the work of compulsory civil liability insurance compensation for motor vehicle owners, in 2023, VNI Insurance resolved 2,017 compensation records, corresponding to a compensation amount of VND 108.5 billion.
Of which, 66 were motorbikes (compensation of 4.4 billion VND) and 1,951 were cars (compensation of 104.1 billion VND). The total number of motor vehicle physical damage insurance claims settled during the year was 125,331, with insurance compensation of 815.5 billion VND.
Through inspection, the Department of Insurance Management and Supervision discovered that VNI had not complied with legal regulations on compensation payment deadlines, compensation advances, and collection of relevant documents from the police.
There are 10 cases where this company requires the insurance buyer to provide documents from the police agency in case of third-party injury loss when submitting insurance compensation dossiers, which is not in accordance with the provisions of Decree No. 03/2021/ND-CP.
Regarding the basis for compensation payment, there was one case of death in which the company compensated the customer 30 million VND, while the compensation for death according to regulations is 150 million VND, or according to the agreement between the car owner and the victim is 110 million VND. Thus, the basis for compensation payment in this case is not in accordance with regulations.
There were 10 cases where VNI did not notify accident victims of the amount of compensation for damage to health and life. The inspection agency also pointed out that the compensation for motor vehicle physical damage of this enterprise was not in accordance with the provisions of the Rules and Terms of Motor Vehicle Physical Damage of VNI approved by the Ministry of Finance regarding the time limit for settlement of insurance compensation and the basis for payment of motor vehicle physical damage insurance compensation.
In 2,017 records, 1,760 records had a compensation payment period within 15 days (accounting for 87.3%); 257 records had a compensation payment period of more than 15 days (accounting for 12.7%), of which 94 records had a compensation settlement period of more than 30 days (accounting for 4.7%).
The inspector selected a sample of 5 files according to VNI's report and found that the compensation payment period of these files was more than 15 days from the date VNI received complete and valid insurance claim documents from customers, which is not in accordance with the provisions of Decree No. 03/2021/ND-CP.
"The actual compensation payment period shows that the fastest is 19 days and the remaining records are 302 days, 369 days, 544 days and 607 days respectively" - the inspection conclusion clearly stated.
From the inspection results, the Department of Insurance Management and Supervision requested VNI to review and ensure strict implementation of regulations on compensation payment deadlines and make compensation advances in accordance with legal regulations.
The state management agency also requires businesses to properly fulfill their responsibilities as insurance companies in collecting compulsory civil liability insurance compensation records of motor vehicle owners, informing accident victims of the insurance compensation amount; and recording calls to the hotline as prescribed...
Source: https://nld.com.vn/phat-hien-nhieu-vi-pham-trong-boi-thuong-bao-hiem-xe-may-cua-bao-hiem-hang-khong-19625042311253167.htm
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