With regards – S. Sampathkumar 4th Feb 2015.
Wrong Payment by Insurers and Extra Recovery Through Court !!
Posted on the 02 May 2024 by Sampathkumar Sampath
Often,
Insurance Companies are portrayed in poor light in Tamil Cinema ~ many a times,
people would talk of bribing people to have a property loss exaggerated and
paid. There have been scenes of people
faking death to get paid under life insurance policies and a frail-looking
Officer of the Company would come for verification and pay suitcase full of
cash ! [in Cinema, the insurance payment is done in cash at the doorstep !!]
Away under US Code,
there is special provision for recovery – it states that in addition to any
other method of recovery provided by law, the Secretary concerned may authorize
the recovery of any amount erroneously paid to a person by deduction from later
payments to that person. However, recovery
of an amount erroneously paid to a person
is not required if, in the judgment of the Secretary concerned— there has been
no fault by the person to whom the amount was erroneously paid; and recovery of
such amount would be contrary to the purposes or against equity and good
conscience.
Insurance bad faith
is a legal term of art unique to the law of the United States that describes a
tort claim that an insured person may have against an insurance company for its
bad acts. Under the law of most jurisdictions in the United States, insurance
companies owe a duty of good faith and fair dealing to the persons they insure.
If an insurance company violates that
covenant, the insured person (or "policyholder") may sue the company
on a tort claim in addition to a standard breach of contract claim.
Away
in UK, two sisters were ecstatic when Insurance letter arrived informing of
windfall settlement of £110,000
insurance after their father's death - but were forced to pay it all
back because it was the wrong man's money.
Elaine Briscoe and
Sandy Millington were delighted when the six-figure check arrived after a
three-year battle to track down the missing pension of Robert Gent. They
immediately split £40,000 between his four grandchildren - as former
grave-digger Mr Gent had wanted - and spent around £20,000 more. The sisters had spent three years in vain
trying to get the pension for their father after he retired at the age of 65 in
2008. They had still not managed to track it down by the time he died three
years later but vowed to continue looking for it in his memory.
So they were
overjoyed when Friends Life sent the check to their solicitors in October
2013; but within a month their joy
turned to horror when ‘Friends Life’ announced they had given them the pension
belonging to another customer with the same name. After spending much of the sum, the sisters
were horrified to learn of the mistake and struggled to repay the total. They
were recently forced to pay Friends Life £7,000 on top of the full amount paid
back as the Insurance company threatened them with legal action.
The devastated pair
were forced to sell their father's house - which they planned to keep as an
investment - to repay the money they had spent. They also had to borrow from
friends and other relatives to make up the full amount of £108,895 and paid it
all back within a year, by last October. Still, Friends Life took them to court earlier this
month and obtained an order to get even more from them - £6,000 in costs plus
£1,000 in interest. The company admitted making an error but said they were
forced to launch legal action because the executors told them the money had
been distributed and would not be repaid and the parties could not settle the
matter amicably.
Thus the botched
Insurance payout cost the sisters an extra £7,000. Going by the timeline, in Sept 2008, Robert
Gent retired from grave-digging and while the sisters attempted to obtain
father’s pension, he passed away in 2011.
Later in Oct 2013, Friendslife informed that they are owed £108,000 in
their father's name. In Nov 13, after the amount was disbursed, Friendlife
contacted the sisters informing that the payment was by mistake. In Oct 14, the repayment is made after
desperate borrowing and sale of house.
In Jan 15, the sisters are taken to Court and ordered to pay £6,000 in
costs and £1,000 interest.
The
sisters are quoted as saying 'We got
quoted a point of law which says that no one should gain from a mistake, which
we accept, but surely no one should have to pay for one either. The Company is
quoted as saying that the significant overpayment was a result of human error
!!
So, what is your say on this ?
With regards – S. Sampathkumar 4th Feb 2015.
With regards – S. Sampathkumar 4th Feb 2015.