What is considered an insured event. Insured events and exclusions for mortgage insurance In what cases an insured event occurs

Life and health are defining human values.

Understanding this, many people try to anticipate various circumstances that may come their way, including accidents.

In this sense, life insurance against accidents serves as a certain financial support, with the help of which a person can more easily overcome difficulties and obstacles that have suddenly arisen and restore his health with the funds paid by the insurance company.

An accident is an unforeseen event, a sudden external impact that does not depend on the desire and will of a person and entailed bodily injury or death.

Accidents include:

  • natural disasters, explosion, thermal shock, lightning, electric shock;
  • severe burns, frostbite and drowning;
  • attack by animals or intruders;
  • fall, sudden suffocation, ingress of foreign objects into the respiratory tract;
  • accidental poisoning by poisonous plants, household chemicals, medicines prescribed by a physician;
  • Traffic accidents and other traffic accidents resulting in injury or death.

Chronic diseases (including heart attack and stroke) resulting from hereditary and other pathologies of the body, food and infectious intoxication are not included in the category of accidents.

The consequence of any accident is causing harm to health, and this is always accompanied by considerable costs. Often people who find themselves in such an unpleasant situation are forced to recover from an injury for a long time, therefore insurance payments will come in handy.

Types and forms of accident insurance

There are two types of insurance:

  1. Compulsory insurance. The legislation of the Russian Federation provides for compulsory insurance against accidents for certain categories of citizens, which include military personnel, law enforcement and court employees, employees of the Ministry of Emergency Situations.

    In the event of an insured event, the state guarantees for them monetary compensation from the Social Insurance Fund of the Russian Federation in the form of lump sum or monthly payments. The amount of payments is determined at the legislative level and depends on the categories of insured citizens and the region of coverage.

    Compulsory insurance comes into force in case of temporary or total disability, as well as death.

  2. Voluntary insurance. This type of insurance provides freedom of choice for the insured, who enters into an agreement with an insurance company, regarding the risks that he wants to insure.

    The contract between both parties is concluded on the basis of a written application of the insured, which can be individuals and legal entities. In this case insurance rates are determined not by law, but by the insurance market and economics.

Voluntary insurance can be carried out in two forms: collective (group) and individual.

Collective insurance provided by employers (private or legal persons) to their employees. As a rule, it is carried out in large Russian and Western organizations, for which the insurance of employees is traditionally part of the social package, as well as in enterprises whose employees are exposed to high risks (dangerous production).

Insurance premiums are made at the expense of the organization (insured), and insurance is issued for a team of employees (insured) in the form of coverage for 24 hours or during business hours.

Group insurance serves serious financial support an employee who has received an industrial injury, as well as the family in the event of his disability or death.

The organization (insured) in this case is provided with protection against unplanned expenses. In addition, the state provides tax breaks for such employers, and rates for collective insurance significantly lower than individual.

At individual insurance an individual or legal entity enters into an agreement and pays contributions independently.

Both forms of accident insurance provide for the right of the insured to appoint certain beneficiaries in case of his death.

This right allows him to ensure the financial security of a particular person when loss of a breadwinner and support the material level of the family.

According to the validity period, voluntary accident insurance can be:

  • full (the guarantee is provided for any period of private and professional life during the validity of the contract);
  • partial (the contract is drawn up for a certain period, for example, for the duration of a trip abroad);
  • additional (accident insurance is used as part of a combined policy, for example, in car insurance).

Consequences and scope of insurance liability

An accident can lead to the following consequences:

  1. Disability with full or partial, temporary or permanent disability.
  2. Of death.

Disability can have different degrees depending on the level of loss or reduction in the ability to work of the victim. The conditions of the insurance contract may provide for all the consequences of accidents and include them in the scope of insurance liability in various combinations or together.

The insured event occurs during the validity period of the contract and must be confirmed by certificate issued by a medical institution.

The following risks can be classified as insured:

  • injuries resulting from an accident;
  • various types of accidental poisoning (except for toxic infections);
  • tick-borne encephalitis and poliomyelitis;
  • pathologies during childbirth and ectopic pregnancy, leading to the removal of organs;
  • accidental fractures, burns, dislocations, injuries of organs;
  • the death of the insured, which occurred due to the above reasons, as well as as a result of a foreign body entering the respiratory organs or anaphylactic shock, frostbite.

The following cases are classified as non-insurable:

  • injuries received by the insured as a result of committing criminal acts;
  • injuries received in an alcoholic or narcotic state from any vehicle;
  • injuries resulting from suicide or intentionally inflicting bodily harm on oneself;
  • death due to the above circumstances.

What to do if an insured event occurs

  1. Seek immediate medical attention.
  2. Notify the insurer within the period specified in the contract (usually within 30 days) about the incident that happened to you (or another person insured by you).
  3. Send an application for insurance compensation to the insurance company, attaching all supporting documents to it (death certificate, certificates from medical institutions, traffic police report, certificate of disability, etc.).
  4. If you are an heir or beneficiary, provide the insurer with a document confirming your right to receive insurance compensation (certificate of inheritance or order appointing you as beneficiary).

You must have an identity card and an appropriate policy with you. The application is considered within 10-60 days.

Insurance premiums and payments


The sum insured is negotiated between both parties. The insured (in case of voluntary insurance) may choose the amount of insurance compensation considering their financial possibilities.

The amount of the insurance premium is a certain percentage of the total sum insured.

The more risks are included in the insurance policy, the higher the final rate will be.

In general, accident insurance (mandatory or voluntary) is a very necessary measure. Unfortunately, many people only think about it. after his misfortune.

And in vain. It is much more comfortable to live knowing that in case of unforeseen circumstances you have a good financial guarantee, which will help restore strength and health or support a family in a difficult situation.

Why wait for the thunder to strike?

Video report on insurance against accidents at work

The current one is based on the order of insurance premiums, insured events that have occurred and the payments following them. Many people try to provide themselves financially by creating a kind of financial security system by concluding appropriate agreements. Then, in the event of an insured event, they expect to legally receive compensation.

The concept of "insured event" has a three-dimensional design

From a legal point of view, an insured event is a complex of factors, including the consequences of specific negative phenomena, their accidental occurrence, causing harm to a particular object, and against these factors this object is insured.

A potentially dangerous phenomenon or event may not even occur, however, it is the random nature that determines the nature of the existing insurance relations. We can say that such accidents are of an objective nature, since there is no information about whether an unfavorable event will occur or not.

An insured event has a three-dimensional structure, and an insured event must necessarily have the following elements:

  • the appearance of danger;
  • infliction of any harm;
  • causal relationship between the first two elements.

All legal consequences of the type of change of subject matter in relation to the obligation of the insurer are also linked to these three elements. Such a special event as an insured event, in the event of its occurrence, leads to the eligibility of the insurer fixed in the obligation.

After the occurrence of an insured event, the insurer must compensate for the damage caused to the policyholder or third party insurers accompanying liability insurance. Insured events are prescribed in the contract, which in most cases is closed.

The term “insured event” used in jurisprudence is of Latin origin and can be interpreted as “circumstance, occasion, event, as well as death or fall”.

Accident as an insured event

According to the legislation of the Russian Federation, an insured event is an event that has already occurred, provided for by the contract or law, and in the event of which the insurer is obliged to make an insured payment either to the insured, or to the insured, or to a third party determined in accordance with the terms of the contract.

In case of property insurance, an appropriate insured event is one of the circumstances specified in the contract, which led to its depreciation, its loss, loss or damage. Sometimes contracts also prescribe additional conditions that serve to expand the powers of compulsory insurance.

In personal insurance, an insured event is an event that caused any loss of health or death of a person. Insured accidents at work have their own characteristics, since if during the investigation a gross negligence was established on the part of the insured person, which caused harm to health, then the degree of guilt of this person, measured in percentages, should be established.

All about insurance - in the thematic video:

Types of insured events

Injury - as an insured event

First of all, insurance is divided into voluntary and mandatory. Almost all material goods that are in the framework of civil circulation are subject to various forms of insurance, and such a measure is designed to protect citizens from unexpected consequences associated with damage and loss of property.

Depending on the industry of insurance, insured events are:

  • property;
  • Personal insured events;
  • Social;
  • Liability risk insurance;
  • Entrepreneurial risk insurance.
  • Types and conditions for the emergence of compulsory insurance.

This type of insurance arises when one of three conditions is met:

  1. If voluntary insurance of certain commercial risks is inappropriate for insurers;
  2. If the policyholder underestimates the significance of certain risks;
  3. Protection against such risks is an objective necessity, and therefore the state has established compulsory insurance.

In the Russian Federation there are the following areas of compulsory insurance:

  • OSGOP;
  • Compulsory insurance of persons performing military service.

These types of insurance are important for certain categories of citizens who, in the absence of such insurance, cannot engage in certain activities. To date, the introduction of compulsory insurance in the following areas is being discussed:

  1. (at the initiative of Gosstroy);
  2. Individuals and legal entities providing medical services to the population;
  3. Responsibility of various manufacturers of goods and (important for branches of Western firms to report to the Board of Shareholders).

How to arrange insurance claims?

There are several types of insurance

According to the current legislation, there are special procedures for determining the procedure for paying insurance compensation and the conditions under which such are carried out. These procedures include:

  • Establishing whether there are any grounds for the payment of any insurance compensation;
  • The existence of a regulation of this kind of grounds and justification of the methodology for calculating the amount of the necessary insurance compensation.

What documents are required?

To confirm the occurrence of an insured event and its identification, the insurance conditions must have the following documents:

  • Personal information of the policyholder that an insured event has occurred;
  • List of property that was stolen, damaged or destroyed under certain circumstances;
  • Insurance certificate stating that the property was destroyed.

The last document must be drawn up in accordance with all insurance rules and confirm not only the fact of property destruction, but also the circumstances and causes of the insured event.

Only on the basis of such an act can the amount of damage caused to the property of the insured be calculated, the amount of insurance compensation determined and the right of the insured to receive payment established.

What can serve as the basis for determining the most accurate amount of insurance compensation?

Insurance compensation is calculated based on the following information:

  • Data that the applicant himself indicated in his application;
  • Information that is established and reflected by the insurer in the insurance act;
  • Data that were provided by the competent authorities in the event of an official request to them.

How is the value of damage determined in a particular insured event?

To apply for insurance, you need to prepare a package of documents

Insurance appraisal allows you to determine the value of both depreciated and lost property. The insurance indemnity depends on the previously calculated damage and the conditions specified in the insurance contract.

The value can be expressed either in the full amount of damage, or in its part, which will be issued to the insured and directed to compensate for the losses incurred.

With proportional insurance, compensation is paid to a person in one or another proportion in relation to the total sum insured to the total value of its value. The part that is applied to the property for which the policyholder paid the insurance premium is taken into account.

Clients very often apply for registration of an insured event under the so-called first-risk system, according to which the client is compensated for damage in an amount that does not exceed the sum insured, on the basis of which the insurance premiums were paid by the participant.

Losses may even be less than the established sum insured, and then the contract will still be implemented within the remainder.

Features of an insured event on a loan associated with the death of the borrower

The current Civil Code of the Russian Federation provides that any outstanding debt obligations of a recently deceased borrower pass to his heirs. At the same time, the heirs are liable solely within the limits of the transferred property, so that the amount of obligations does not exceed the amount that was actually transferred.

If there are several heirs, then the amount of the debt is divided in proportion to the shares of the property that each of the heirs receives. In the event of a conclusion or in a situation with a car loan, not only the debt, but also the collateral, passes to the heirs. If the pledge was sold and the amount is directed to, then the heirs receive the balance of the money remaining after the obligation has been fulfilled.

If the will is formed in favor of one or another minor, then the repayment of debts acquired after the entry is carried out by parents or guardians. However, a minor citizen is still legally responsible for the full fulfillment of obligations arising from the unexpected occurrence of an insured event on a loan.

Features of the circumstance under consideration

Insurance allows you to compensate for damage in 100%

When studying an insured event for a particular loan, a number of circumstances should be borne in mind:

  • The bank has the right to demand the sale of property at auction, if the loan agreement is not secured by a guarantee, and the inheritance was not legally accepted;
  • If members of the debtor's family after his death use or dispose of the remaining property, but are not simultaneously with these heirs, then, accordingly, they do not inherit debts. However, if housing has already been foreclosed on by banks, then family members lose their right to reside in housing and are subject to eviction, although this may in some cases be contrary to family and housing laws. So, it is impossible to evict families where there are minor children or family members do not have other housing.

They arise from the heirs of the borrower even before the legal registration of the right to inheritance. Therefore, this type of insured event on a loan can be an example of indisputability and unambiguity in the framework of this dispute.

"Forfeit Reduction"

Consideration of an insured event in the aspect of Article 333 of the Civil Code of the Russian Federation opens up several possibilities at once:

  • The bank can go to a meeting and officially conclude by reducing or canceling fines if the heir is ready to fully repay the debt and is not going to challenge it;
  • The heir may emphasize that the delay did not arise as a result of the debtor's negligence, but was caused by unforeseen circumstances about which the heir was not and could not be informed;
  • The heir has the right to formalize.

Features of insurance premiums for accidents

No one is immune from unforeseen situations!

There is one detail in the legal regulation of this social insurance - the presence of regulations, where all the main elements of taxation are established.

Insurance premiums are tax payments, and have all their main features, and therefore all issues related to their payment are subject to the norms of the tax legislation of the Russian Federation. So, in case of violations, financial sanctions and penalties are imposed.

Can employees be classified as insured persons?

Federal legislation concerning compulsory social insurance against industrial accidents and certain occupational diseases implies the recognition of workers as insured persons.

For an insured event that occurred at work, the employees of the company are provided with the following payments:

  1. , which compensates for temporary disability caused by an accident that occurred during production activities;
  2. Monthly insurance payments;
  3. One-time insurance payment;
  4. Compensation for social, professional, medical and other rehabilitation, as well as other additional expenses.

The first benefit is issued on the basis of, and the employer must fulfill all payments in full and in due time.

Opinion of a legal expert:

An insured event is the core of an insured event. Do you want to know what is the meaning of the work of an insurance agent with a client? Everything is very simple. His task is to first intimidate the client that the same insured event will happen, and you are not insured. And then his task is to give hope if he buys an insurance policy.

But seriously, the article details everything about the insured event. But some very important information is missing. When concluding a voluntary insurance contract, it is very important to clarify absolutely all insured events that are provided for by the insurance rules of this insurance company. Get to know each one specifically. Insurance companies make inexpensive basic packages of insured events, and then they offer additional ones to add more. And it's already starting to get not so cheap.

If the basic package contains few options, it may turn out that it does not insure almost anything. Or insure those insured events that are not important to you. Keep in mind that a good insurance company will offer you the best package that is right for you. And the second, which may be even more important than the first.

Also, thoroughly understand in what cases your insurance payment will be denied. It can be so difficult that you won't notice the catch right away. But, if suddenly such an insured event occurred, you will definitely be told in all colors and colors why you should be denied payment. And don't forget to show your signature. It will be difficult to prove something in court, you must immediately keep your ears sharp.

Each insurer conducts its activities within the framework of the issued license, someone concludes personal insurance contracts, where the insured event will be deterioration in health, death, loss of work. Some do business exclusively within the framework of property relations, i.e. insure against theft, damage in an accident, fire in real estate.

basic information

Dear readers! The article talks about typical ways to solve legal issues, but each case is individual. If you want to know how solve exactly your problem- contact a consultant:

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Insurance activities are carried out according to certain rules.

First, insurance activities should be carried out only after obtaining a license.

Secondly, even after receiving the coveted license, the insurance office cannot insure anything and why it just pleases.

Thirdly, a written contract must be concluded between the insurer and the insured, in which all the nuances and features of the transaction must be spelled out.

And in the end, it is necessary to point out that it is not enough to choose an object of insurance that fits the legally approved norms, but also to provide for insured events, in the event of which the insured will receive compensation.

Definitions

Insurer- this is an organization or an entrepreneur who has the right to conclude an agreement with his client - the insured.

Policyholder- a client of the UK, in the role of which it can be both physical. person, and the company or even state. organization.

Object of insurance- this is what may suffer in the event of an insured event, for example, health, car, employment, any part of the body, etc.

Insurance case- these are the risks that may threaten the object, for example, an accident, disability, layoffs, visible damage to the skin on the part of the body that was insured.

Legislation

Some of the nuances of insurance are also described in the Civil Law, in its forty-eighth chapter.

Variety

Just like the types of insurance are different, the possible insurance risks are classified differently.

They are:

  1. Property.
  2. Personal.
  3. Social.
  4. cases of civil liability.
  5. Business vision risks.
  6. Cases covered by compulsory insurance.
  7. Loan insured events.

CASCO

Temporary disability of the mother

Social insurance for mothers who temporarily become disabled describes a specially developed bill, namely Federal Law No. 255 of December 29, 2006 “on compulsory insurance in the event of temporary disability and at the birth of a child.”

With OPS

Pension insurance is also mandatory.

Under this policy, the insured event is:

  1. Reaching retirement age.
  2. Getting a disability.
  3. A situation where a family loses its sole breadwinner.

Legislatively, this type of insurance is enshrined in Federal Regulatory Document No. 167 dated December 15, 2001.

With OSS

Compulsory insurance in the social sphere allows many citizens who find themselves in a difficult situation to count on support.

There is a social insurance in case, during the performance of work duties, an officially employed citizen suffers from an accident at work. This type of insurance is disclosed by Federal Law No. 125 of July 24, 1998 No.

About those risks in the social sphere that threaten the citizens of Russia outside the work process, tells the Federal Law No.

Deposit insurance

It is possible to insure a deposit in a banking institution in case the fin. the institution will lose its license.

All the features of concluding an agreement on deposit insurance in banks of the Russian Federation are prescribed in Federal Law No. 177 of December 23, 2003 No.

Property insurance for cardholders

In Russia, there is insurance that is directly related to bank cards issued by Mastercard, Visa systems.

Insurance risks include:

  1. I'm missing the cards.
  2. Wallet theft.
  3. Loss, loss, theft of documents, including those with details on the card.
  4. Theft of those things that were paid for by the card.

This type of insurance has a limited period in which it is necessary to inform about what happened:

  1. Police by filing a complaint.
  2. Insurance office.

It is required to notify these structures on the first day from the moment of the incident, otherwise there can be no question of compensation.

When traveling abroad

Departure abroad is insured by travel agencies, airlines:

  1. The air carrier insures the passenger in case of an aircraft crash, as a result of which the passenger may be injured or lose his life. Also, the list of risks under insurance from the airline includes damage or loss of luggage during the flight.
  2. Tour operators provide protection for risks that may already occur in another country, for example, injury, snake bite, severe burns, sunstroke.

Health insurance

Compulsory health insurance provides general measures to help you recover.

Some insurance companies in Russia provide medical insurance on a voluntary basis, which:

  1. Expands the list of insurance risks.
  2. Increases the amount of compensation.
  3. Provides in the form of compensation for sending a sick client for treatment abroad.

Goods insurance

Citizen's insurance against low-quality goods implies that if, when testing any purchased item, a defect, defect or damage associated with the transportation of goods is revealed, the buyer has the right to refuse the item and demand compensation from the insurer.

What affects the amount of insurance compensation

The process of drawing up an insurance contract has been completed, the insurance premium has been transferred to the insurer's account, and now the case that was described by the insurance agreement occurs.

What can the insured expect?

  1. For compensation in the amount specified in the contract. Provided that intentional damage to the object is not proven, and the entire premium under the insurance contract will be paid.
  2. Those who have received minor damage from an insured event count on the minimum amount of the sum insured. For example, the CASCO policy provides for payment when an accident occurs, but if there is only a scratch on the insured car during an accident, then the insurance company can pay a penny or refuse compensation altogether.
  3. No payment will be made if violations are revealed during the registration of insurance relations or if the policyholder has not performed mandatory actions after the event described in the insurance contract

Actions in the event of an insured event

Algorithm of actions in the event of a property insurance risk:

  1. Call a service that will eliminate the further development of events that increase the amount of damage.
  2. Invite services that will record the fact of what happened.
  3. Notify the insurer.
  4. Talk to all documents.
  5. Submit them to the insurance company.
  6. Do not interfere with your own investigation by specialists and assessors of the UK.
  7. Expect payment or denial of compensation.

In the event of an insured event under a health insurance policy, you must:

  1. Call for emergency medical assistance or go to the clinic on an urgent coupon.
  2. Obtain a health report from a medical professional.
  3. Prepare documents for the insurance office.
  4. Expect payment or other compensation under the policy.

APPLICATIONS AND CALLS ARE ACCEPTED 24/7 and 7 days a week.

Good afternoon dear friends! Today I would like to analyze the most popular questions about life insurance and accident insurance.

What do customers most often ask about:

1. What is the sum insured?
Sum insured - the amount of money, which is determined by the insurance contract, and on the basis of which the amount of the insurance premium (insurance premiums) and the amount of insurance payment in the event of an insured event are established.

2. What is an insurance premium (insurance fee)?
An insurance premium (insurance fee) is a payment for insurance that the policyholder is obliged to pay to the insurance company in the manner and within the time limits established by the insurance contract.

3. What is an insurance payment?
Insurance payment - the amount of money established by the insurance contract and paid to the insured, the insured person or the beneficiary upon the occurrence of an insured event.

4. What is an insured event?
An insured event is an event that has taken place, provided for by the insurance contract or the law, upon the occurrence of which the obligation of the insurance company arises to make an insurance payment to the insured, the insured person, the beneficiary or other third parties.

5. What is the redemption amount?
The redemption amount is the amount that is returned to the policyholder upon termination of the life insurance contract.

6. What is insurance coverage?
A set of obligations of an insurance company under an insurance contract.

7. What is insurance risk?
An insured risk is a prospective event against which insurance is provided. An event considered as an insured risk must have signs of probability and randomness of its occurrence.

8. From what moment is a life or accident insurance contract considered concluded?
The insurance contract, unless otherwise provided in it, shall enter into force from the moment of payment of the insurance premium or the first insurance premium.

9. How to determine the optimal premium under a life insurance contract and how should it be related to the sum insured?
The amount of the contribution, on the one hand, should provide the necessary financial protection for you and your family, and on the other hand, its payment should not burden your family budget excessively.

10. Is it possible to insure against an accident only for the duration of a trip, sports competition?
To insure travelers and athletes, it is more profitable to use special programs designed specifically for such cases. A standard accident insurance contract is concluded for a period of 1 year.

11. Are there limits on the amount of insurance cover under life and accident insurance contracts?
In life and accident insurance, the amount insured depends only on the amount of insurance premiums. Sometimes insurance companies limit the amount of insurance premiums, taking into account the annual income of the insured.

In life insurance, the sum insured for the risks included in the insurance contract is established by agreement between the insured and the insurer. However, the contract may provide for certain restrictions on the minimum and maximum sums insured.

12. If an accident insurance policy is only valid during business hours, how is that time determined?
Working time is the time of performance of official duties. It is determined in accordance with the Labor Code of Russia and the Internal Labor Regulations of the enterprise.

13. Can several beneficiaries be indicated in a life insurance contract?
Several beneficiaries may be appointed under an insurance contract. Upon the occurrence of an insured event, payment is made to beneficiaries in equal shares, or in a different proportion, in accordance with the terms of insurance.

14. If the beneficiary is not specified in the insurance contract, who will receive the insurance payment in the event of the death of the insured?
If the insurance contract does not specify the beneficiary, the insurance payment in connection with the death of the insured person shall be received by the heirs of the insured person.

15. How long does it take to notify the insurance company of the occurrence of an insured event under a life insurance and accident insurance contract?
According to the terms of the insurance contract, it is necessary to notify the insurance company within 30 days from the date when it became known about the occurrence of the insurance contract.

16. How quickly is the insurance payment made in the event of an insured event?
Usually, the insurance payment is made within 5 business days from the day the insurer receives all the necessary documents and draws up the insurance act.

17. Is it possible to terminate the life insurance contract for one reason or another?
The policyholder may terminate the life insurance contract by applying to the insurance company with a relevant application.

18. If I want to terminate the life insurance contract, can I get back the money paid?
By terminating a life insurance contract, you receive a redemption amount in accordance with the terms of the contract. Depending on the terms of the policy and the term of the contract, the redemption amount may be less than the amount of payments made, since part of the contributions of the funded programs are spent on financing the risk of death and administering the policy.

19. Is it possible to change the conditions of life insurance without terminating the contract?
Most insurance companies allow, at the request of the client, to change the amount of the sum insured, the set of risks and the frequency of payment of premiums.

20. If I can no longer pay for life insurance, do I have to terminate the contract?
If you cannot continue to pay insurance premiums, but do not want to terminate the contract, it can be transferred to the "paid" status. The policy will be valid until the end of the period specified in the insurance contract, but the sum insured is recalculated taking into account the contributions you have made. Only the insurance cover for the risk of "death for any reason" is obligatory retained; the protection for additional risks in such cases, as a rule, ceases to be valid.

However, the transfer to the “fully paid” status is possible provided that the redemption amount is currently higher than the established limit, thus, a sufficient reserve has been formed to stop the payment of insurance premiums.

21. What should I do if I have financial problems and I cannot pay life insurance premiums for some time?
Almost all life insurance contracts provide for a grace period during which the insurance coverage continues to operate despite the delay in payment of the policy. Usually the grace period is 1-2 months.

In addition, you can reduce the amount of insurance premiums, while maintaining protection against all risks, if you change the frequency of contributions: for example, if you paid premiums annually, you can switch to semi-annual installments.

You can leave the previous frequency of insurance payments, but reduce the amount of the premium, while also maintaining protection against all risks by reducing the sum insured.

The third option to reduce the cost of insurance is to give up part of the risks taken into account in the life insurance contract. Due to this, the amount of the insurance premium will decrease, but the amount of the insurance amount will remain unchanged.

22. The grace period for insurance allows you to defer the payment of the next installment under a life insurance contract. Can I use it once for the entire period of the contract or can there be several such grace periods?
The client has the right to use this opportunity when paying any regular installment, without restrictions, regardless of the frequency of payment of installments.

However, if an insured event occurs during the grace period, the insurance payment will be made minus the overdue insurance premium.

23. Under a life insurance contract, are payments made for bodily injuries received outside the territory of Russia?
Yes, unless otherwise provided by the terms of the contract. Most often, a life insurance contract provides for insurance coverage around the world, except for countries that do not fall under standard risks.

24. What documents are required to receive an insurance payment under a life insurance or accident insurance contract if the harm to health was caused during a stay outside the territory of Russia?
Standard package of documents: an application for an insurance payment, a certificate from the medical institution to which the client initially applied, translated into Russian and notarized, passport, insurance policy.

25. Under a life insurance contract, will an insurance payment be made for harm caused to health as a result of a terrorist attack?
Yes, of course, such a payment will be made.

26. If the term of the life insurance contract for children has expired, and the child has not yet reached the age of majority, can his legal representative receive the payment?
Until the child reaches the age of 14, deposits made in his name are managed by legal representatives. According to Article 26 of the Civil Code of the Russian Federation, when a child reaches the age of 14, he himself can partially dispose of deposits opened in his name, but only with the consent of the legal representative.

There is another option: contact the bank to open an account to which the insurance payment will be transferred, thus, it will be possible to dispose of the money by the child himself when he comes of age.

27. How is endowment life insurance different from other ways of accumulation?
Only accumulative life insurance combines the function of accumulation and at the same time financial protection. From the moment the contract starts, the insurance company assumes responsibility for the life and health of the insured person.

Due to the conservative nature of investments, endowment insurance ensures income stability, but if capital growth is in the foreground, it is worth looking for other mechanisms.

If you think about long-term financial planning, life insurance becomes a very profitable option. Cumulative life insurance provides a person with a strong financial foundation.

28. If an insured event occurs under a life insurance contract, as a result of which I will be exempted from paying premiums, for example, assignment of disability group I, will I continue to accrue investment income after that?
In accordance with the terms of the insurance contract, from the third year until the end of the contract (with the exception of programs with annuity payments), investment income will be accrued without fail, even if there is an exemption from paying insurance premiums in connection with the establishment of the I or II disability group for the insured.

29. If I am unable to continue paying the agreed premiums under the endowment life insurance contract and, in order not to terminate the contract, I agree to a reduction in the sum insured, will I continue to receive investment income?
When the sum insured is reduced under endowment insurance contracts, investment income is accrued if more than three years have passed by the time the financial changes were made. If less than three years have passed, the insurance company reserves the right to defer the accrual of investment income.

30. What liability is provided for intentionally causing harm to one's health in order to receive an insurance payment under a life or accident insurance contract?
According to Article 963 of the Civil Code of the Russian Federation, an insurance company is exempt from paying insurance compensation or the sum insured if the insured event occurred due to the intent of the insured, beneficiary or insured person.

All suspicious cases are necessarily investigated by the internal security service of the insurance company and, if there are grounds, a criminal case is initiated. Deliberate actions of the insured, the insured person or the beneficiary, aimed at the occurrence of an insured event and obtaining insurance compensation, are regarded as fraudulent under Russian law. Such actions are punishable under Article 159 of the Criminal Code of Russia.

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