CTP payments in 2018: rules for reimbursing the insurance amount

The content of the article

• Changes in OSAGO rules in 2018
• Legal regulation
• What is CTP?
• Object and subjects of insurance
• Compensation for damage to the injured party
• Maximum CTP Payments in Accidents in 2018
• Car Damage Limit
• In the case of the Euro Protocol
• For harm to health
• When establishing the disability of the victim
• In case of death of the victim
• How is insurance coverage calculated
• In-kind compensation for damage caused in 2018
• Requirements for the SC for the organization of quality repairs
• Carrying out repairs at the expense of the insurance company
• When is cash compensation possible?
• The procedure for registration of insurance payments under OSAGO in 2018
• What documents are needed
• Payout dates in 2018

In recent years, the car insurance system has undergone significant changes and it is logical that this topic is relevant for many motorists who are worried about what amount of mandatory contributions will be and what payments of insurance companies in compulsory motor liability insurance in 2018 they will have to rely on. Unfortunately, anyone can get into an accident, and you need to know what to do in such circumstances, what kind of compensation is supposed to be, how to get it,

Changes in OSAGO rules in 2018

Important OSAGO innovations are valid from the date of September 25, 2017. They relate to compensation for losses, repairs, the procedure for issuing insurance forms, the terms of inspection of the damaged car and the financial side for compensation payments for OSAGO and the cost of the policy itself. A new option of in-kind compensation – repairs – is already applied for insurance after April 28, 2018. Regardless of the term of the contract, the new rules provide for damage payments in the event of a collision of several (two or more) vehicles (TS).

In 2018, OSAGO forms will be equipped with a protective QR code, which opens the data on the policyholder in online access: you can check the authenticity of insurance from anywhere from the Internet. According to the new legislation, car owners are expected not only to increase tariffs for insurance services, but also a multiple increase in the total coverage. The amendments suggest a possible change in the price category of the vehicle user and calculation of the coefficient determined by the number of accidents for previous periods of driving, their severity, which ultimately leads to an increase in tariff rates.

The introduction of changes affects the price category of the MTPL policy and the calculation of the bonus-malus coefficient (MSC), which determines the cost formation. A driver who hasn’t been involved in an accident for a year receives a discount or otherwise, he will be expected to see a rise in his contribution for the next year. The new OSAGO calculation depends on the number and severity of accidents for the previous driving time and is formed from:

• region of registration of transport;
• the age and length of service of the insured;
• machine power;
• the number of persons with insured liability under compulsory motor liability insurance;
• validity period of the insurance;
• owner status (individual, legal entity).

Legal regulation

The main regulatory legislative document in this area is the latest version of the Law of 04.25.2002 No. 40-ФЗ “On Compulsory Third Party Liability Insurance of Vehicle Owners”. The innovations introduced by the Law of March 28, 2017 No. 49-ФЗ, began to operate on September 25, 2017 and affected the essential aspects of the process of “auto-citizens”:

• the terms for inspection by the insurers of the damaged car have been changed – the loss should be estimated 5 days after the application for the accident;
• independent examination prohibited;
• the period for claims from vehicle owners to insurance companies is 10 days;
• from September 2017, the policy must be at least 1 year old;
• after 04/28/17, the monetary compensation for OSAGO losses was replaced by in-kind – direct payments are received by repair shops;
• the limit of payments was increased to 400 thousand rubles for property, up to 500 thousand rubles for individuals.

The cost will be affected by the tariffs adopted by each region, and the average rate will start to be used for fleets and legal entities, which will also increase the cost of payment: the number of cars in the enterprise implies an increase in the number of car violations. For the perpetrators, higher odds will be established in cases of violations:

What is CTP?

The legislation obliges all owners of the vehicle to have an insurance policy that insures the risks of all victims: for people – the risk of harm to life / health; for motor vehicles – the risk of property damage. To purchase an insurance policy, you will need to submit:

• passport of the owner of the car and the insured;
• diagnostic inspection card (if the car is more than 3 years old);
• driving license for all prospective drivers;
• Title
• vehicle registration certificate.

After registration, the insurer issues to the policyholder the original insurance (policy), insurance rules, a memo in case of an accident, a document confirming the deposit of funds. The policy must always be carried with you in the car. A document drawn up by the insured independently by electronic means through the website of the insurance organization must be printed.

The insurance company responsible for the accident compensates for the losses to those who suffered, in cash or by repair. Payments are made within the limits specified by law. So, by law, protection is guaranteed to all participants in an accident: the victim receives insurance compensation, the culprit has no obligation to pay for the repair of someone else’s car in full. The policyholder must clearly understand:

• he does not have the right and opportunity to seek compensation if he is the culprit of the accident;
• damage is indemnified only to the injured party, which is recognized by the traffic police.

If the culprit has a CASCO policy, then in contrast to compulsory insurance, he will be entitled to payments for this type of insurance services both for himself and for his car, depending on the contract. In addition, in CASCO, the maximum amount, as well as the minimum, is possible any and is not limited to the official limit of compulsory motor third-party liability insurance in the event of a traffic accident.

The practice of applying normative acts proves that there are complex situations that cannot be resolved by law quickly and simply. In some cases, a citizen can be simultaneously recognized as a victim and guilty, then he already has the right to payments as a victim of an accident. Disagreements arising during the identification of the perpetrators, the amount of compensation are decided by the court using the statute of limitations, common in civil cases – 2 or 3 years.

Object and subjects of insurance

The main regulatory act distinguishes 2 types of victims – people and vehicles. The type of group of the object determines the form of compensation to the entity that has suffered damage. A lot of people can suffer in road accidents and the legislation specifically describes those entitled to insurance payments. These can be individuals – the victims of the accident themselves, or, if they die, their direct heirs and testamentary persons:

• driver not guilty of the incident;
• passengers
• pedestrians
• cyclists.

The insurance company pays expenses when liability of the owner of OSAGO insurance occurs in an accident involving his car and property damage of the following kind is caused: damage to other people’s cars, traffic lights, buildings, structures, structures, that is, the object of compulsory car insurance is the property interest of victims of the actions of the policy holder.

Compensation for damage to the injured party

CTP payments in 2018 are made taking into account the following: if the repair cost is higher than the cost of the car before the accident, the maximum possible amount is transferred; compensation for restoration takes into account the costs of transportation by a tow truck and depreciation of vehicles. If the limit established by the Law is sufficient for repair, then the perpetrator of the incident will not have to pay extra.

If the costs are exceeded, the victim has the right to demand surcharges from the perpetrator in court, as well as compensation for non-pecuniary damage required from the perpetrator only in court. If the calculated insurance payment does not suit the person who suffered, and there are intentions to receive maximum payments, it will be necessary to submit a written claim to the insurer. If an additional payment is not received within five days after this, you will have to file a claim. It is important to note that the insurance company may refuse to satisfy the application on the grounds of:

• in the car were substances hazardous to people around;
• the citizen lacked a driver’s license;
• the culprit of the accident is not indicated in the policy.

Maximum CTP Payments in Accidents in 2018

With the latest legislative innovations, the limit for OSAGO payment has been raised and in 2018 is:

• in case of harm to the life and health of the victim – 500,000 rubles for each;
• in case of damage to the property of the victim – 400,000 rubles each.

If the culprit of the emergency concluded an insurance contract before October 2018, losses are calculated according to the tariffs for the time the policy is issued. The numbers indicated above are maximum and it is not possible to get an amount over compulsory insurance. Specific amounts are considered by insurers, taking into account the depreciation of the vehicle, the severity of the injuries, the costs of restoration and many other factors: specialists carefully study the damage so as not to overpay the excess

Car Damage Limit

The maximum compensation is determined by Article 7 “Sum Insured” of Law No. 40-FZ and for property amounts to 400 thousand rubles. for each person who has suffered an accident, that is, this value is not divided into all participants, the right to claim fullness of compensation is given to everyone. The costs must be reimbursed by the insurer at its own expense by carrying out repair and restoration work. If both drivers are guilty, they can count on half the damage..

In the case of the Euro Protocol

The law provides for the documentation of accidents without the participation of traffic police and the beneficiary to independently send a notice to the insurance company. The copy is filled in by the guilty party along with the victim at the scene of the accident and is sent to the insurance company within 5 business days. It is necessary to photograph the place of the accident, damage, estimate the approximate losses and keep the car in a damaged form before being examined by a representative of the insurance company.

The maximum for insurance compensation in this case is 50,000 rubles. Conditions for compensation for losses through the so-called Europrotocol: only two vehicles participate in the collision; There are no injured (dead), no damage to other property; disagreement about the details of the accident, no damage between the participants. Europrotocol is issued according to the rules:

• ballpoint pen is used;
• each participant fills in the corresponding part of the protocol on his information;
• signatures of both parties are affixed on the front side;
• additions, corrections are signed by the person who has no objection to them.

For harm to health

Compulsory motor third-party liability insurance is paid to citizens who have been injured in an accident – these are the driver (not guilty of the accident), passengers, pedestrians, cyclists and other persons affected by the accident and, in the event of death, their heirs (ranked as such family members and citizens by testament) . A wide range of expenses has been established for injured individuals, which the insurance company must take into account in payments, but if injuries can be treated under the compulsory medical insurance system, the chances of receiving additional money are reduced.

Payments are made in proportion to the damage received. Reimbursable expenses are as follows:

• first aid;
• diagnostic study;
• treatment and stay in a medical facility, including food, medicines, medications and special materials;
• prosthetics;
• loss of earnings in the event of disability.

When establishing the disability of the victim

Upon receiving damage to life and health from the accident, the victim is fully examined. The amount of CTP insurance is determined by the damage caused on the basis of a medical report:

In case of death of the victim

In the event of the death of the participant in the accident, compensation is received to persons who are endowed with civil law with the right to compensation at the death of the breadwinner (in their absence, this is the spouse, parents, children and the persons who supported the deceased). The family receives funds for burial of not more than 25,000 rubles and also compensation for damage of 475,000 rubles.

How is insurance coverage calculated

The final result of coverage calculation is influenced by many factors. For determination, the following are taken into account:

• depreciation of the vehicle, taking into account the operating time, mileage (for monetary compensation) and parts to be replaced;
• transport power;
• features of damage;
• place and circumstances of the incident;
• driving experience;
• policy validity period;
• policy registration region;
• condition, type, cost of the vehicle before the incident.

In-kind compensation for damage caused in 2018

In accordance with the latest legislative amendments to OSAGO for insurance policies issued after April 28, 2017, losses in an insured event are compensated by repair at the expense of the insurer. The need for such an innovation was approved by the State Duma in order to block the path of fraud in obtaining funds by imaginary victims: for example, according to the Agency for Financial Research in 2016, the share of payments for motor vehicles to people who did not really suffer from road accidents reached half of all the amounts paid.

At the same time, today with the in-kind form of compensation there are many problems, vulnerabilities that cause dissatisfaction of drivers with this new system:

• the use of non-original spare parts, parts;
• insufficiency of allocated hours for work;
• practice of repairing parts instead of replacing them with new ones;
• incomplete repair of damage;
• general unsatisfactory quality of repair and restoration services.

As a result, if the victim doubts the correctly determined cost of spare parts or is unsatisfied with the quality of the performance of OSAGO repair, he can apply for an independent examination and submit a claim to insurers, and if the latter refuses, he can go to court to resolve the issue. For the injured party, such difficulties complicate the whole process, which is already troublesome and unpleasant.

Requirements for the SC for the organization of quality repairs

According to the law, the insurance company must enter into agreements with technical service stations and implement specific conditions for the organization of quality repair services:

• service stations (STOs) provided to the victim should be located within 50 km from the accident or the place of residence of the owner of the vehicle;
• repairs by such workshops cannot last longer than 30 days;
• if the proposed choice of a driver’s service station is not satisfactory, he may agree with the company the choice of another service station.

Carrying out repairs at the expense of the insurance company

The repair procedure begins with the insurance organization calculating the cost of repairs to restore the vehicle:

1. The insurer evaluates the work, calculates the cost of restoration according to the unified methodology of the insurance market regulator (Regulation of the Central Bank of September 19, 2014 N 432-P), where the amount is determined without taking into account depreciation of the vehicle, as in the case of cash payments.
2. The owner of a damaged vehicle is invited to choose a service station from the proposed list. For warranty cars, work is performed by dealerships while maintaining the warranty.
3. Workshops should be completed within a month.

When is cash compensation possible?

It is possible to receive compensation in cash for OSAGO in exchange for repairing a damaged vehicle when:

• the car is completely destroyed;
• the cost of repairs exceeds the limit of 400 thousand rubles, and the owner does not intend to pay extra for the service station;
• the insurance company in the allotted time is not able to organize high-quality repairs;
• the owner has difficult material conditions and the commission of the Russian Union of Auto Insurers approved his request;
• there is a written agreement between the insurer and the recipient for the amount determined by the insurance organization (usually less).

The procedure for registration of insurance payments under OSAGO in 2018

Obtaining CTP insurance at first glance does not seem difficult, but it is important to clearly follow the following steps:

• if there are victims, call the ambulance;
• call the representative of the traffic police;
• notify the insurance company of the insurance event;
• collect the necessary documents;
• draw up a written application and send it to the insurance company at its location or its representative;
• in addition to writing, documents can be sent electronically.

What documents are needed

From the citizen-applicant for accident insurance in the framework of OSAGO is required to submit a package of documentation:

• passport (photocopy) of the culprit;
• documents on the vehicle (copies);
• certificate from the traffic police;
• traffic accident notice;
• protocol (copy) of an administrative offense / decision to refuse to institute an administrative violation;
• details for transfer.

Payout dates in 2018

To resolve the issue of payments to the victim and insurance companies are given limited time. Within 5 calendar days, an application for an insured event must be sent to the insurance company, which was given 20 working days to transfer funds for restoration repair or to submit a justified refusal of compensation. If the twenty-day period is not respected, the company faces fines for the delay – it will have to pay the victim a penalty at the rate of 1% of insurance for each day of delay, but within the entire insurance premium under the contract.