Insurers pushing OH to use legal expenses cover

Insurers pushing OH to use legal expenses cover

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Discussion

bstark

Original Poster:

204 posts

134 months

Wednesday 18th November 2015
quotequote all
My OH was stationary in traffic at a red light when she was hit up the rear by the 3rd party. All pretty clear cut and it was downhill so it can't even be claimed she rolled backwards and caused the damage.

This all happened months ago and the 3rd party insurers have apparently just been ignoring our insurers, who are claiming they can't get hold of them. We have paid the excess and had the car repaired, so just want a no fault established so our premiums go back down.

Now OH's insurers have said they are going to start court action (good) but have sent forms and Ts&Cs to OH to start this as a separate claim on her legal expenses cover. This then puts the risk back on my OH if costs get out of hand or, presumably, if they lose the case (say a witness is magically invented).

Are they within their rights to do this? I was under the impression legal expenses was to recover personal injury losses or uninsured losses. Should our insurance company not be simply pursuing it directly to recover their losses for the repair, as part of their obligation under the insurance contract?

LoonR1

26,988 posts

178 months

Wednesday 18th November 2015
quotequote all
bstark said:
My OH was stationary in traffic at a red light when she was hit up the rear by the 3rd party. All pretty clear cut and it was downhill so it can't even be claimed she rolled backwards and caused the damage.

This all happened months ago and the 3rd party insurers have apparently just been ignoring our insurers, who are claiming they can't get hold of them. We have paid the excess and had the car repaired, so just want a no fault established so our premiums go back down.

Now OH's insurers have said they are going to start court action (good) but have sent forms and Ts&Cs to OH to start this as a separate claim on her legal expenses cover. This then puts the risk back on my OH if costs get out of hand or, presumably, if they lose the case (say a witness is magically invented).

Are they within their rights to do this? I was under the impression legal expenses was to recover personal injury losses or uninsured losses. Should our insurance company not be simply pursuing it directly to recover their losses for the repair, as part of their obligation under the insurance contract?
That shows an astonishing lack of understanding of both legal expenses an insurance in general.

There is no way I can even start to unravel that and try to explain it to you.

bstark

Original Poster:

204 posts

134 months

Wednesday 18th November 2015
quotequote all
Well if I understood it totally and knew the answer I wouldn't have asked the question, would I?

But thanks for your contribution :-)

LoonR1

26,988 posts

178 months

Wednesday 18th November 2015
quotequote all
bstark said:
Well if I understood it totally and knew the answer I wouldn't have asked the question, would I?

But thanks for your contribution :-)
The statements that you've made are the problem, nothing to do with the questions.

x type

913 posts

191 months

Wednesday 18th November 2015
quotequote all
I had a very similar situation a few yrs ago

I had bought a new to me car 1hr before an idiot drove into the side of me !!

He admitted it was his fault ...in a rush to pick wife up etc.
Gave me his name address insurance details pictures taken

Contacted my insurance with all the details , had my car repaired etc.

5 months later had a letter off MY insurance asking would I go to court and give my version of accident

Rang them and asked what was going on as I had given all details of 3rd party

Tw.. who had run into me had never answered any letter from his insurance and had never reported the accident

Threat of court to him must have frightened cr.. out of him

2 weeks later had letter saying all sorted .

My insurance said it was the legal aid dept who sorted it eventually





Edited by x type on Wednesday 18th November 20:58

outnumbered

4,094 posts

235 months

Wednesday 18th November 2015
quotequote all
bstark said:
Are they within their rights to do this? I was under the impression legal expenses was to recover personal injury losses or uninsured losses. Should our insurance company not be simply pursuing it directly to recover their losses for the repair, as part of their obligation under the insurance contract?
A quick google turned this up on the financial ombudsman site:

motor legal expenses / uninsured loss recovery insurance

Most motor insurance policies cover only insured losses - in other words, the loss or damage to the vehicle and the legal liability to third parties. There may also be uninsured losses, such as the policy excess, loss of personal possessions in the vehicle, personal injuries and loss of use of the vehicle.

Consumers are often offered the option of legal expenses / uninsured loss recovery insurance, when taking out a motor insurance policy. This insurance is designed to fund the cost of taking legal action, to recover the uninsured losses, against the party that caused the accident.

Like legal expenses insurance added to household policies, an insurer other than the motor insurer will usually underwrite or administer the uninsured loss-recovery insurance.

LoonR1

26,988 posts

178 months

Wednesday 18th November 2015
quotequote all
Bloody hell, the lack of knowledge is exceptional.

bad company

18,676 posts

267 months

Wednesday 18th November 2015
quotequote all
LoonR1 said:
bstark said:
Well if I understood it totally and knew the answer I wouldn't have asked the question, would I?

But thanks for your contribution :-)
The statements that you've made are the problem, nothing to do with the questions.
Loon has considerable expertise in this area but sometimes considers it beneath him to help.

Shame.

Steve H

5,315 posts

196 months

Wednesday 18th November 2015
quotequote all
Why bother answering then?

Do the OP a solid and lay out how this should work. Or bugger off.

anonymous-user

55 months

Wednesday 18th November 2015
quotequote all
bstark said:
My OH was stationary in traffic at a red light when she was hit up the rear by the 3rd party. All pretty clear cut and it was downhill so it can't even be claimed she rolled backwards and caused the damage.

This all happened months ago and the 3rd party insurers have apparently just been ignoring our insurers, who are claiming they can't get hold of them. We have paid the excess and had the car repaired, so just want a no fault established so our premiums go back down.

Now OH's insurers have said they are going to start court action (good) but have sent forms and Ts&Cs to OH to start this as a separate claim on her legal expenses cover. This then puts the risk back on my OH if costs get out of hand or, presumably, if they lose the case (say a witness is magically invented).

Are they within their rights to do this? I was under the impression legal expenses was to recover personal injury losses or uninsured losses. Should our insurance company not be simply pursuing it directly to recover their losses for the repair, as part of their obligation under the insurance contract?
Wouldn't worry about it, it's not unusual.

Forget Loon, for all he professes to know he's an absolute ahole.

bad company

18,676 posts

267 months

Wednesday 18th November 2015
quotequote all
LoonR1 said:
bad company said:
Loon has considerable expertise in this area but sometimes considers it beneath him to help.

Shame.
No, I find it impossible to explain it when there is nothing in the OP that makes any semblance of sense.

Consider it this way.

Today I drove my earwig along a house to get some TV, the walls whilst green were also a lovely shade of beef and smelt of eyeballs. I anoraked a state to rubber the speaker, however that step grew a larger twig. So my question. Based on this, if a fat dog does a wet fart on a rainy night in Glasgow will Mars survive the tote?

Make sense to you? Any chance of unraveling that and explaining it?
The op's problem is clear enough to me but unfortunately I don't know how to help him.

Dixy

2,930 posts

206 months

Wednesday 18th November 2015
quotequote all
LoonR1 said:
Bloody hell, the lack of knowledge is exceptional.
Are you still smarting that big billy goat gruff beat the st out of you?

If your not a troll then I apologize unreservedly and suggest you get your doctor to check your medication cos its not working.

paintman

7,694 posts

191 months

Wednesday 18th November 2015
quotequote all
LoonR1 said:
Consider it this way.
Today I drove my earwig along a house to get some TV, the walls whilst green were also a lovely shade of beef and smelt of eyeballs. I anoraked a state to rubber the speaker, however that step grew a larger twig. So my question. Based on this, if a fat dog does a wet fart on a rainy night in Glasgow will Mars survive the tote?

Make sense to you? Any chance of unraveling that and explaining it?
Sounds like bad acid. Better have a chat with your dealer.

bstark

Original Poster:

204 posts

134 months

Wednesday 18th November 2015
quotequote all
Thanks to those trying to help.

LoonR1 said:
No, I find it impossible to explain it when there is nothing in the OP that makes any semblance of sense.
Ok, I apologise, as I thought it was pretty clear. But here goes, as simply as I can make it:

Background: my missus was stationary in traffic when hit from behind by a third party. She is fully comp. She called her insurance, explained it and had the car repaired for the cost of the excess. We expected this to be sorted quickly as clearly no fault on her side, in the meantime our premiums have risen as the accident is not resolved as a no fault yet.

Since then: lots of calls to our insurance to chase progress. They have stated that it is clearly not my missus' fault and that they are pushing for a response from the third party.

Now: our insurance have arranged for court proceedings to start against the third party. This however seems to be set up so the proceedings and any costs that are outside the legal expenses cover are on behalf of my missus, with the legal firm stating they cannot take any instruction from our insurance company.

My question is: should our insurance company be issuing proceedings themselves as part of their service rather than placing the risk (such as it might be - we have no idea how expensive these things get and it isn't clear from the terms and conditions that have been sent) on my other half.


Not being involved in accidents, claims or legal proceedings on a regular basis my other half is stressed by what liability she may be taking on and is thinking of dropping it. Which annoys me as this is what the third party insurers are banking on happening.

dacouch

1,172 posts

130 months

Wednesday 18th November 2015
quotequote all
bad company said:
The op's problem is clear enough to me but unfortunately I don't know how to help him.
To be fair to Loon, the OP's first post does not make much sense insurance wise.


roofer

5,136 posts

212 months

Wednesday 18th November 2015
quotequote all
Unfortunately, the gobbledygook of insurance defeats the layman, which is most of us. You would expect common sense and decency to win in legal proceedings, but IANAL.

Little bit surprised in Loon as suspect he should have picked the bones out of your question, maybe he's having a bad day , we all do.

At the end of the day, your good lady has done no wrong, how can she lose anything regarding these proceedings ?

LoonR1

26,988 posts

178 months

Wednesday 18th November 2015
quotequote all
bstark said:
Ok, I apologise, as I thought it was pretty clear. But here goes, as simply as I can make it:

Background: my missus was stationary in traffic when hit from behind by a third party. She is fully comp. She called her insurance, explained it and had the car repaired for the cost of the excess. We expected this to be sorted quickly as clearly no fault on her side, in the meantime our premiums have risen as the accident is not resolved as a no fault yet.

Since then: lots of calls to our insurance to chase progress. They have stated that it is clearly not my missus' fault and that they are pushing for a response from the third party.

Now: our insurance have arranged for court proceedings to start against the third party. This however seems to be set up so the proceedings and any costs that are outside the legal expenses cover are on behalf of my missus, with the legal firm stating they cannot take any instruction from our insurance company.

My question is: should our insurance company be issuing proceedings themselves as part of their service rather than placing the risk (such as it might be - we have no idea how expensive these things get and it isn't clear from the terms and conditions that have been sent) on my other half.


Not being involved in accidents, claims or legal proceedings on a regular basis my other half is stressed by what liability she may be taking on and is thinking of dropping it. Which annoys me as this is what the third party insurers are banking on happening.
Ok, it's late and I'll have a go at trying to make sense of this for you. I can't answer your post, because it still doesn't make a lot of sense.

Your insurer is acting perfectly reasonably amd correctly. They have started proceedings to speed this up as they can't get any movement from the other side. Until they recover their outlay in full, they can not reasonably state that your claim was non-fault. However, as you also have money to recover (your excess) they want to quite correctly combine the proceedings into one court case for one amount of money. If they didn't, then the other insurer could quite rightly refuse your subsequent request for the refund of your excess (unless MOU was agreed, but I doubt you would know how to do that).

Your insurer have therefore asked you to use your legal expenses policy to cover the costs of the litigation. There is zero cost to you, these cover your for fees running to the £millions, and you won't be breaching that unless your claim is something really special. Your legal expenses insurer gets their fees back when they win and everyone is happy.

TL:DR
They are doing it right and you're stressing over nothing.


bstark

Original Poster:

204 posts

134 months

Wednesday 18th November 2015
quotequote all
Thank you...

LoonR1

26,988 posts

178 months

Wednesday 18th November 2015
quotequote all
x type said:
I had a very similar situation a few yrs ago

I had bought a new to me car 1hr before an idiot drove into the side of me !!

He admitted it was his fault ...in a rush to pick wife up etc.
Gave me his name address insurance details pictures taken

Contacted my insurance with all the details , had my car repaired etc.

5 months later had a letter off MY insurance asking would I go to court and give my version of accident

Rang them and asked what was going on as I had given all details of 3rd party

Tw.. who had run into me had never answered any letter from his insurance and had never reported the accident

Threat of court to him must have frightened cr.. out of him

2 weeks later had letter saying all sorted .

My insurance said it was the legal aid dept who sorted it eventually





Edited by x type on Wednesday 18th November 20:58
Now, having helped out, this is shocking. Truly shocking. It really shows zero understanding of insurance and it's painful to read this.

Firstly, your insurer asked you to go to court, so that you could make your case. You are the claimant, not your insurer. You have to make the case that the other driver was there and caused the damage. Without you, there is no case and you lose.

the court tactic is well used to threaten the other side amd they usually fold, but you need to help your insurer, or they won't get their money back and you won't get your NCD or excess back either.

The comment about "legal aid department", well, I mean........ What. The. fk. Seriously banghead

wibble cb

3,616 posts

208 months

Thursday 19th November 2015
quotequote all
years ago I had a similar experience, in that a driver caused damage to my car, admitted it to me and provided insurance dets, then proceeded to ignore his own insurance co when they tried to get his version of events (I dealt with his insurers direct to save my excess). His insurance co authorised the repair of my car ahead of him even contacting them (I was stationary and t boned by him in a carpark, so no way it was my fault) they eventually informed me when he did finally acknowledge the incident.