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Insurance Claim nightmare
westkate
#1 Posted : Saturday, June 14, 2014 11:35:57 PM
Rank: Member


Joined: 5/3/2014
Posts: 133
Location: nairobi
Sad thanks wazuan, my car rolled on may 9 2014, and my broker DTB reported the accident to APA but they never copied me. by then the vehicle was still at the kilimani police station. after pushing the broker to remove the car they ignored and i had no option but to head to APA myself .after pushing them they took the car to their yad and they accepted the car was a total loss after their assessor assessed it.
they asked me to to forward the break down receipts so that they can be included on the main claim. at this point all was well only to get a email from the broker representative that the cover was cancelled copied to APA. reason that i had not paid the full figures agreed to me by the broker. the cover was to be paid in 10 month from November 2013 to sept 2014. all we have now is a blame game between APA and DTB agent .no one is ready to face me and sort out the matter. when i follow on them they keep running away and there is no official communication from either party that they are not paying the claim .i don't know for how long this is going to be or i will end up loosing my car which is beyond repair. i believe there is a deal between the two parties to avoid compensation and that's why need your help
2012
#2 Posted : Monday, June 16, 2014 8:43:10 AM
Rank: Elder


Joined: 12/9/2009
Posts: 6,592
Location: Nairobi
Pay your insurance in full or at most in 2 equal installments. Your broker was cutting corners hoping that your car will not be involved in an accident within the time. You should check your records at APA and see if your broker was remitting and are up-to-date, because for them to chenga you like that it might mean they were not remitting.

BBI will solve it
:)
Forester
#3 Posted : Monday, June 16, 2014 3:28:56 PM
Rank: Member


Joined: 12/7/2010
Posts: 520
Location: Epicentre - Ngamia 1
If they continue playing cat & mouse, go to the press-write to Daily Nation,there's usually a section in the Thursday paper where the public air their grievances & ensure you have up to date info. No organization wants bad press, they'll sort you out ASAP. In future as adviced, lipa premiums in 2 instalments & forget mpaka renewal. Lastly,find a reputable broker - IRA usually publishes the list of licensed brokers in the dailies annually.

All the best!
Build your own dreams, or someone else will hire you to build theirs - Farrah Gray.
accelriskconsult
#4 Posted : Monday, June 16, 2014 4:04:30 PM
Rank: Member


Joined: 4/2/2011
Posts: 629
Location: Nai
Had you paid your premiums in full?

If so and if it was to the broker, worry not, the law of agency is on your side and you will be compensated.

If you had not paid in full, you are in problems
muganda
#5 Posted : Monday, June 16, 2014 4:14:07 PM
Rank: Elder


Joined: 9/15/2006
Posts: 3,905
When the children are naughty, the answer lies in speaking to the parent. So this calls for a visit to Zep-Re Place Longonot Road with documentation to speak to the Consumer Protection section. You'll be surprised how the previously naughty children will reform (if you have a case).

http://www.ira.go.ke/index.php/contact-us


Other reports:
>> Is insurance regulatory Authority (IRA) of kenya sleeping on job?
>> Old Mutual Very frustrating
westkate
#6 Posted : Tuesday, June 17, 2014 10:20:19 AM
Rank: Member


Joined: 5/3/2014
Posts: 133
Location: nairobi
Thanks wazua for the insight and advice.i hope something positive will come out my way.
smitha
#7 Posted : Monday, June 23, 2014 3:11:42 PM
Rank: New-farer


Joined: 6/10/2013
Posts: 52
Guys,

My car was written off 6 months into a 12 month policy. Claim was settled by the insurer who now tell me that I need to pay new premium for a replacement vehicle as the 6 months premium left on my previous policy is lost as I made a claim.

Is this true?
Gordon Gekko
#8 Posted : Monday, June 23, 2014 3:26:07 PM
Rank: Elder


Joined: 5/27/2008
Posts: 3,760
smitha wrote:
Guys,

My car was written off 6 months into a 12 month policy. Claim was settled by the insurer who now tell me that I need to pay new premium for a replacement vehicle as the 6 months premium left on my previous policy is lost as I made a claim.

Is this true?

The contract was extinguished after one of the parties, the car, 'died.'
Angelica _ann
#9 Posted : Monday, June 23, 2014 5:41:18 PM
Rank: Elder


Joined: 12/7/2012
Posts: 11,908
Gordon Gekko wrote:
smitha wrote:
Guys,

My car was written off 6 months into a 12 month policy. Claim was settled by the insurer who now tell me that I need to pay new premium for a replacement vehicle as the 6 months premium left on my previous policy is lost as I made a claim.

Is this true?

The contract was extinguished after one of the parties, the car, 'died.'

This is very straight forward case ..you have to start afresh with the new car!
In the business world, everyone is paid in two coins - cash and experience. Take the experience first; the cash will come later - H Geneen
Kwanini
#10 Posted : Monday, June 23, 2014 5:41:47 PM
Rank: Member


Joined: 1/28/2009
Posts: 353
Location: Cloud
i doubt this is true. what if u decide to buy a plot with the settlement cheque. or donate the proceeds. your broker needs spanking. the contract terminates once the risk strikes .
"For i am the master and the captain of my fate"
smitha
#11 Posted : Tuesday, June 24, 2014 4:52:19 PM
Rank: New-farer


Joined: 6/10/2013
Posts: 52
Thanks to all who replied. I guess time to fork out new premium for the replacement car.
Gordon Gekko
#12 Posted : Tuesday, June 24, 2014 5:24:03 PM
Rank: Elder


Joined: 5/27/2008
Posts: 3,760
Kwanini wrote:
i doubt this is true. what if u decide to buy a plot with the settlement cheque. or donate the proceeds. your broker needs spanking. the contract terminates once the risk strikes .

Not quite true. The contract can't terminate if the struck risk is a fender bender since the contract has a term. A write-off however terminates the contract.
Othelo
#13 Posted : Tuesday, June 24, 2014 5:43:57 PM
Rank: User


Joined: 1/20/2014
Posts: 3,528
Gordon Gekko wrote:
Kwanini wrote:
i doubt this is true. what if u decide to buy a plot with the settlement cheque. or donate the proceeds. your broker needs spanking. the contract terminates once the risk strikes .

Not quite true. The contract can't terminate if the struck risk is a fender bender since the contract has a term. A write-off however terminates the contract.

Thought that is why it was straight forward as highlighted by @angelica _ann up there ... (1) car was a write off and then (2) guy has been compensated and (3) therefore the initial contract ends!
Formal education will make you a living. Self-education will make you a fortune - Jim Rohn.
mkenyan
#14 Posted : Wednesday, June 25, 2014 9:25:11 AM
Rank: Veteran


Joined: 4/1/2009
Posts: 1,883
Kwanini wrote:
i doubt this is true. what if u decide to buy a plot with the settlement cheque. or donate the proceeds. your broker needs spanking. the contract terminates once the risk strikes .

my understanding is that the vehicle was a write off, the poster was compensated and now wants the insurance company to transfer the previous cover (which is no longer valid) to his/her new vehicle. why would you need to spank the broker instead of the poster is such a scenario?
Tommy
#15 Posted : Wednesday, June 25, 2014 8:29:17 PM
Rank: Veteran


Joined: 12/9/2010
Posts: 894
Location: Nairobi
i heard someone say that the insurance cover continues as long as you have no written to the insurer informing them that you have put the insurance on hold. this is a technicality that the insurer applies. i stand to be corrected
Don't wait for the Last Judgment. It happens every day. ~Albert Camus, The Fall, 1956
target1360
#16 Posted : Wednesday, June 25, 2014 8:39:21 PM
Rank: Member


Joined: 5/14/2014
Posts: 288
Location: nairobi
Tommy wrote:
i heard someone say that the insurance cover continues as long as you have no written to the insurer informing them that you have put the insurance on hold. this is a technicality that the insurer applies. i stand to be corrected


cover continues upto the end of year if there is no communication from either party on intention to suspend/cancel the cover
I find satisfaction in owning great business,not trading them
Othelo
#17 Posted : Thursday, June 26, 2014 9:46:17 AM
Rank: User


Joined: 1/20/2014
Posts: 3,528
Tommy wrote:
i heard someone say that the insurance cover continues as long as you have no written to the insurer informing them that you have put the insurance on hold. this is a technicality that the insurer applies. i stand to be corrected

Yes. But how does this aplly to the scenarious above?
Formal education will make you a living. Self-education will make you a fortune - Jim Rohn.
Tommy
#18 Posted : Thursday, June 26, 2014 9:59:13 PM
Rank: Veteran


Joined: 12/9/2010
Posts: 894
Location: Nairobi
Othelo wrote:
Tommy wrote:
i heard someone say that the insurance cover continues as long as you have no written to the insurer informing them that you have put the insurance on hold. this is a technicality that the insurer applies. i stand to be corrected

Yes. But how does this aplly to the scenarious above?

very relevant according to insurance industry. you have to suspend the cover through written communication.
Don't wait for the Last Judgment. It happens every day. ~Albert Camus, The Fall, 1956
mkenyan
#19 Posted : Friday, June 27, 2014 6:30:54 AM
Rank: Veteran


Joined: 4/1/2009
Posts: 1,883
Tommy wrote:
Othelo wrote:
Tommy wrote:
i heard someone say that the insurance cover continues as long as you have no written to the insurer informing them that you have put the insurance on hold. this is a technicality that the insurer applies. i stand to be corrected

Yes. But how does this aplly to the scenarious above?

very relevant according to insurance industry. you have to suspend the cover through written communication.

so how is it relevant to the scenarios above? have you even bothered to understand what the scenarios above entaill?
smitha
#20 Posted : Friday, June 27, 2014 9:00:49 AM
Rank: New-farer


Joined: 6/10/2013
Posts: 52
mkenyan, your understanding is correct

"my understanding is that the vehicle was a write off, the poster was compensated and now wants the insurance company to transfer the previous cover (which is no longer valid) to his/her new vehicle. why would you need to spank the broker instead of the poster is such a scenario?"

The insurer insists the policy is no more and in fact put up the premium for a new policy to a punitive 8% from 4.5% (inclusive of terrorism) due to my claim. Needless to say I am now with a different insurer who is offering a more sensible 4%.
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