– Unlawful denial of benefits based on lack of medical necessity – Some employees of benefits departments in private health insurance are engaged in strategic claims settlement for potentially up to more than nine million private health insurance policyholders. This means that one ignores if necessary also the supreme court iurisdiction and by own […]
Artikel zum Thema: Health Insurance
Choice of law and advantages of European life, pensions and health insurance
– Opportunities and risks for policyholders and their insurance brokers – Foreign insurance companies, especially those from the European Economic Area (EEA) and the European Union (EU), are increasingly competing with domestic suppliers. For insurance intermediaries and insurance customers, this creates risks, but also opportunities. Regular notification procedure EEA and EU insurers must […]
Cologne Higher Regional Court: Premium adjustments in private health insurance often ineffective!
– OLG Cologne judges generally usual procedure of the PKV as inadmissible – In its judgment of 20 July 2012 (Case No.: 20 U 149/11), the Cologne Higher Regional Court ruled that a procedure used for decades by private health insurers for premium adjustments was incorrect. As a result, many premium adjustments since 1995 […]
Reform of sickness insurance for non-payers and the uninsured
– Advantages of a private health insurance (PKV) with vital transplant – Experts believe that hundreds of thousands of citizens still do not have health insurance. Above all, the obligation to pay contributions plus – in the GKV – up to 60% interest annually, keeps affected persons from registering with their last insurance company […]
Private health insurance (PKV) at an economy price – for up to less than 100 euros per month
– How to save thousands of dollars every year with good nerves and advice? – The “last chance for privately insured people” is advertised en masse on the Internet, through ads that lead to the tariff change broker. For a few thousand euros the premium is lowered, by a tariff change. Two horse feet […]
Private health insurance: Risks when concluding and changing tariffs and insurers
– When the change into another private health insurance (PKV) fails en masse – Around 10% of Germans have private health insurance. On average, customers change insurance companies five times in their lifetime, if he engages in advertising through certain brokers and distributors. Massively it comes thereby later to a contestation or a Withdrawal by […]
Insurance benefits and insurance premiums in the event of insolvency of the insurance customer
Insolvency creditors normally have to register their claims in the table and can immediately write off up to more than 90%. The rate is often just above zero. Nevertheless, there are numerous exceptions to the rule of how to get your money despite the insolvency of the debtor. Maintenance obligations and intentional tort […]
Pre-programmed old-age poverty despite additional private provision by those with compulsory insurance
– Why average earners only have prospects of receiving a basic security pension – Anyone who is employed as a worker with a continuous income until the age of 67 can expect to receive a net pension amounting to 50% of their last net income when they retire in the not too distant future. […]
Employers are often liable to employees for company pension schemes
– What information, education and advisory duties are imposed on employers? – The Regional Labour Court (Landesarbeitsgericht – LAG Hamm, judgement of 06.12.2017, file no. 4 Sa 852/17) decided that the employer (AG) is liable for damages if the advice on deferred compensation in company pension schemes (bAV) was incorrect. This was the case even […]
Federal Supreme Court prohibits insurance consultants from charging contingency fees for changing tariffs in private health insurance
– How the insurance consultant with a second job may do exactly this and more nevertheless – Insurance brokers as well as insurance consultants are allowed to offer policyholders (VN) in private health insurance (PKV) at the change of tariff according to the new tariff. § Section 204 of the German Insurance Contract Act […]