put questions to 180000 lawyers answer online
home page > Selected answers > Selected answers to insurance claims > Does mutual insurance not cover claims

Does mutual insurance not cover claims

Time: May 10th, 2024 label: Financial insurance Insurance claims Reading: 1464 people
Lawyer's analysis:
Problems in claims settlement of mutual insurance
Mutual insurance is an institutional arrangement based on the mutual protection of members. Its idea is to gather a group of people with the same beliefs and pursuits to achieve the purpose of common protection by sharing risks and supporting each other. The emergence of this kind of mutual insurance business aims to overcome the limitations of the traditional insurance industry in many aspects, such as the scope of protection and payment of fees, and is committed to providing more extensive and diversified insurance protection for the general public.
Legal basis:
Article 28 of the Social Insurance Law: Medical expenses that meet the requirements of the basic medical insurance drug catalogue, diagnosis and treatment items, medical service facility standards, and emergency and rescue shall be paid from the basic medical insurance fund in accordance with national regulations.
Copyright notice: This platform has exclusive copyright on the content mode of graphics and text, and can not be copied or reproduced in any form without permission.

The compensation scope of the third party liability insurance usually includes the following aspects: personal injury of the third party: if the insured's behavior causes the injury of the third party, the insurance company will, according to the victim's medical expenses, lost time expenses, nursing expenses, disability compensation, death compensation and other losses

It depends on what your insurance contract says. If you buy insurance that includes natural disaster protection, it is like buying a comprehensive shield, and the insurance company must compensate according to the contract. It's like you ordered a portion of the seasoning Big Hamburg, and people have to give you enough meat and

General accident: medical expenses incurred during the insurance period due to the death or disability of the insured due to accidents, and outpatient or inpatient treatment due to accidents. Traffic accident: the insured takes a plane, train, ship or car as a passenger

Selected pictures and texts Pufa video Voice Answers
  • How to pay housing insurance

     Legal Advisor

    Legal Advisor

    For property insurance, the applicant needs to fill in a detailed policy, including name, date, information of the insured, details of the insured, liability period, value and amount, etc. The insurance policy will be issued after being reviewed by the insurance company and confirmed on site. The applicant must pay the insurance premium on schedule, and the real estate insurance can be handled by the agent. The whole process involves the application for insurance (usually in writing), and both parties agree on the cost (inquiry process), aiming to protect the rights and interests of both parties.

    Views: eight hundred and ninety-one 2024-07-01
  • What if the insurance company doesn't pay for the drugs

     Legal Advisor

    Legal Advisor

    If the insurance company refuses to compensate for drug expenses, it shall first communicate with the insurance company and provide evidence. If communication fails, complain to the superior or regulatory authority. If it is still unresolved, you can appeal to the court for settlement of claims. Before taking action, it is recommended to consult a lawyer to understand the rights and risks.

    Views: one thousand and forty-nine 2024-07-01
  • How much does the insurance company charge for non settlement of claims

     Legal Advisor

    Legal Advisor

    The deductibles of insurance events are divided into absolute deductibles and deductibles. The absolute deductible varies by region and qualification level, and the deductible ratio is usually 5% of the claim amount. The special deductible shall be agreed by both parties, and no compensation shall be made if the deductible is not exceeded. The absolute deductible only compensates the excess part, which is applicable to a single loss; The relative deductible will fully compensate the loss exceeding the deductible.

    Views: eight hundred and fifty-one 2024-07-01
  • Can we get compensation by buying insurance to conceal the condition of hepatitis B

    Qu Quanfang, lawyer

    It can not be compensated after 2 years of concealing hepatitis B insurance. If the insurer asks about the subject matter of the insurance or about the insured, the applicant shall truthfully inform the insurer. The insurer has the right to terminate the contract if the applicant fails to perform the obligation of truthful disclosure as specified in the preceding paragraph intentionally or due to gross negligence, which is enough to affect the insurer's decision on whether to accept the insurance or increase the premium rate.

    Play volume: six hundred and nineteen 2022-06-07
  • Can I get compensation for lying about not having hepatitis B when I buy insurance

    Qu Quanfang, lawyer

    It can not be compensated after 2 years of concealing hepatitis B insurance. If the insurer asks about the subject matter of the insurance or about the insured, the applicant shall truthfully inform the insurer. The insurer has the right to terminate the contract if the applicant fails to perform the obligation of truthful disclosure as specified in the preceding paragraph intentionally or due to gross negligence, which is enough to affect the insurer's decision on whether to accept the insurance or increase the premium rate.

    Play volume: one thousand three hundred and ninety 2022-06-07
 Legal Counsel

Nomogram

Consult immediately
  • What if the insurance company doesn't pay 20000 yuan

    1526 people read

    First, confirm whether the risk is within the insurance liability agreed in the insurance contract. If the insurance liability is covered but the claim is refused, you can complain to the insurance supervision department or appeal to the law. In this process, it is necessary to pay attention to the time limit for traffic accident claims to ensure that claims are submitted within the claim period, so as not to miss the effective time.

  • Under what circumstances does the insurer not bear compensation

    1711 people read

    Under the following circumstances, the insurance company has the right to refuse the claim settlement application: including but not limited to false statements, intentional concealment of important information, failure to pay premiums on time, accidents not covered by the insurance, illegal or criminal acts involved, violation of the terms of the insurance contract, etc. Please ensure that you provide true and complete information and comply with the insurance contract.

  • What to do if the other insurance company has a dispute

    1439 people read

    After the dispute arises, both parties should negotiate objectively and sincerely, compromise with each other, and seek a settlement plan acceptable to both parties. There are independent reconciliation and third-party led reconciliation. Independent reconciliation means that the two parties communicate directly, while the third party leads the reconciliation to promote consensus through mediation by the third party.

  • If life insurance claims, will it not be settled if the accident happens again

    1465 people read

    Usually, insurance companies pay compensation to victims or their families. In the event of an event within the insurance coverage, the victim or his/her family members have the right to make a claim. The insurance company will make compensation according to the contract and the actual situation to ensure that the victim or his/her family members receive corresponding economic compensation.

How much is the sentence for rape Several years for intentional injury Does pushing cause minor injuries count as intentional injuries Intentionally hurt others without causing harm At the age of 15, the general sentence is several years How to judge if you intentionally hurt someone's body Wouldn't he be sentenced if he didn't intentionally hurt someone How to judge 14 year old child's intentional injury Penalty for intentional injury to public security How long is the lowest sentence for the letter How to Measure Penalty in Fraud Cases How to judge minor injury level II intentional injury How to sentence and compensate for intentional and minor injuries How to convict an accessory to fraud 15 year old gang robbery will be sentenced to how long How long is the sentence for riding a bicycle to kill a person How to compensate for intentional injury with a knife Compensation for intentional injury How long is the general sentence for the crime of introducing one person for prostitution Deliberately injure others, severely injured, with a second grade sentence of several years How to Judge Minor Injury for the Crime of Intentionally Injuring Others How to sentence and compensate for intentional injury and minor injury How long is the general sentence for intentional injury causing minor injury Several years for traffic accident How long is the sentence for the crime of stealing the border How many years to sentence for intentional injury The minimum length of life imprisonment How to sentence a 70 year old man for intentional injury How many years is the sentence for intentionally wounding and causing death What are the compensations for traffic accidents
View All