Obligation of private health insurers to provide advice

The private health insurance has a legal obligation to provide advice if there is a recognisable reason – and even more so if there is an explicit request – § 6 VVG. This also includes “human care until the end of life”, for example through palliative and, if necessary, hospice treatment, as well as through […]

Insurance intermediaries: Between the fulfilment of obligations and liability

The Federal Court of Justice (BGH, ruling of 10 March 2016, file no. I ZR 147/14) decided: “The obligations of the insurance broker to provide information and advice primarily include the questions of which risks the policyholder should insure, how the most effective cover can be achieved, with which risk carrier the cover can be […]

Insured event in legal expenses insurance (RSV): When does it make sense to file a coverage claim if benefits are denied?

Insurance companies offer the customer a good feeling until the customer is then faced with a mostly justified refusal of benefits in the event of a claim. The vast majority of intermediaries have hardly any market overview for a comparison of offers at home and abroad – especially not the customer. The broker lets a […]

Insurance obligation in the KV? Part 2

On 15 July 2015, the Federal Financial Supervisory Authority (BaFin) issued a statement on foreign private health insurance (PKV), including considerable legal errors. Here now part 2. High risk for European health insurance intermediaries from 2016″? In addition to the legal errors already mentioned (we already reported in Part 1), there is a risk for […]

Do brokers – as the customer’s trustees – have an obligation to continuously review the risk situation of their customers? Does such an obligation also exist for tied distribution?

From the series of newsletters of the DHBW (Baden-Wuerttemberg Cooperative State University) Heidenheim on the topic “Mediation Law in Practice”: At this point, lawyer Dr. Johannes Fiala, https://www.fiala.de, lecturer for insurance law at the DHBW Heidenheim, will answer your questions. Questions can be asked by emailing ott@dhbw-heidenheim.de. In the case of tied sales – in […]

No unlimited obligation to perform

Many private health insurance tariffs contain limits for certain services in the form of maximum rates. Brokers who now believe that an insurer with a so-called unlimited benefit commitment will pay more risk an advisory error. No insurer writes in its GCI that it will pay every bill up to any amount. If, however, no […]

Employers in the pension obligation

Since 1 January 2002, all employees subject to pension insurance have the right to deferred compensation within the framework of a company pension scheme (bAV). Practically every employer must therefore deal with this issue in his own interest and in the interest of his employees and look for ways of implementing it in the best […]

OLG Frankfurt: No insurance broker liability without continuing obligation

*by Dr. Johannes Fiala, Lawyer (Munich), Mediator (Univ.), MBA Financial Services (Univ.Wales), MM (Univ.), Certified Financial and Investment Advisor (A.F.A.), EC Expert (C.I.F.E.), Lecturer in Civil and Insurance Law (Univ. of Cooperative Education), Banker (www.fiala.de) “Facts do not cease to exist just because they go unnoticed” (Aldon’s Huxley). The OLG Frankfurt has dismissed the action […]

How far does the temporal benefit obligation of the daily sickness benefits insurance extend?

*by Dr. Johannes Fiala, Lawyer (Munich), Mediator (Univ.), MBA Financial Services (Univ.Wales), MM (Univ.), Certified Financial and Investment Advisor (A.F.A.), EC Expert (C.I.F.E.), Lecturer in Civil Law (Univ. of Cooperative Education), Banker (www.fiala.de) “There is known knowledge. These are things we know we know. There is known ignorance. That is, there are things we know […]

Company pension scheme: Successful Reversal with the Support Fund – Obligation to Provide Information on Total Loss Risk with Regard to U-Fund Insolvency Scenario

“The right has the curious property that you can keep it without having it.” (Joseph Unger) Particularly in the case of deferred compensation, it is advisable to choose a reinsured provident fund (U-fund) as the carrier in the company pension scheme (bAV). However, experts agree that this involves additional acquisition and administrative costs that are […]