Is it possible to get money instead of repairs in case of an accident under CASCO insurance?
The motorist needs to study the contents of his policy, which spells out the options for possible payments in the event of an insured event.
The legislative act “On the organization of insurance business in the Russian Federation,” the latest version of which has been in force since August 2021, states that insurance conditions allow the replacement of damaged property with a similar product. If the item can be repaired, the insurance company must reimburse the costs for the damage repaired. The procedure for obtaining comprehensive insurance is enshrined in Chapter 48 of the Civil Code of the Russian Federation.
When an organization pays money or makes repairs under CASCO, this means that this provision is reflected in the contract. When applying for a policy, indicate how the services will be paid for:
- the insurance company sends the car to a service station;
- The service station is chosen by the client;
- Cash payments are made based on the conclusion of experts, and the insurer sends them for an independent examination.
The price of the policy directly depends on the provided payment of costs. The driver should be careful when purchasing CASCO insurance. The choice of an insurance company (IC) should be made not based on the cost of the issued paper, but by studying ways to satisfy requests for repayment of expenses.
Application for compensation under CASCO
Officially, there is no single sample application for compensation under CASCO. It can be written in any form, but some companies provide examples on their website. The most important thing is to indicate in the statement the fact of the incident and also describe the damage that was caused. Also, in the application for compensation under CASCO, you must indicate the following information:
- Full name of the insurance company;
- Full name of the applicant, as well as his contact details;
- Description of the incident during which the vehicle was damaged;
- Names and contact information (if available) of those involved in the accident;
- Description of the damage caused to the vehicle;
- Indication of compensation for damages;
- Bank details to which, in the event of a positive outcome of the case, the amount of compensation will be transferred.
Indicating this data will be quite enough to apply for compensation under CASCO insurance.
In what cases is monetary compensation possible?
If the car is repaired independently, according to the law (Article 929 clause 1 of the Civil Code of the Russian Federation), the insurer is obliged to reimburse the costs when the driver demands money for it. But first an independent examination of the machine must be carried out. Perform operations in the following order:
- provide the damaged car to the insurance company;
- faults are determined by examination;
- take an expert’s report where the cost of service station services is calculated;
- carry out repair work;
- The insurer inspects the restored car and draws up a report, which records the parameters of the actions taken.
Based on a calculation made by an independent appraiser, money is recovered from the insurance company. To confirm the costs, attach to the experts' report receipts for which payment was made to the car service center or an order drawn up by a car mechanic based on the order.
It happens that the insurer sends a vehicle to a service center, but the owner cannot repair it for reasons beyond his control:
- long lines;
- The car mechanic refused to service the scope of work, did not complete everything or provided poor quality service.
In this case, the insurance client may demand cash, since the organization has violated contractual terms.
Cars under warranty are repaired only at a car service center that is an official dealer of the company. When referred to another structure, the insurance company must pay the amount for the work performed specified in the invoice.
Step-by-step instructions for collecting payments
Despite the fact that insurers are trying with all their available forces not to issue or at least reduce insurance compensation for CASCO, it is still worth a try. Moreover, it is not that difficult.
- Step 1. First of all, call the traffic police (in some cases this may be the Ministry of Emergency Situations or the police). It is they who will issue you the certificate necessary to receive monetary compensation. Do not touch or move the machine under any circumstances. Also, you should not try to settle the matter amicably with the other party involved in the accident. In the future, the insurance company may regard this as fraud and refuse to pay out under CASCO. When authorities draw up a protocol, read it carefully and make sure that all details are taken into account. In such matters, every little detail is important.
- Step 2: Call your insurance company. As soon as an accident occurs, immediately after the traffic police call the organization. Otherwise, in the future you may forget, call too late, and this will result in additional problems. Therefore, always keep your CASCO insurance policy in your car so you can dial the right number.
- Step 3. The dispatcher will respond to you and must provide detailed instructions on how to proceed. Often, insurance compensation under CASCO is not paid because the applicant behaved incorrectly in the first minutes of an accident.
For example, in a stressful situation you signed a statement that you have no complaints against anyone. Therefore, no one will be involved in a criminal case and the police will not look for the culprit of the accident. Since insurance companies often demand compensation from the guilty party, by your rash act you are depriving them of this opportunity. And this is already a serious reason for refusing compensation for losses under CASCO.
- Step 4. Collect all the necessary documents and go to the insurance company. You will need to take an insurance policy, all documents for the car, a driver’s license (of the person who was driving at the time of the accident), a certificate from the traffic police.
- Step 5. Some companies ask to send documents by mail, which is always indicated in the policy. To know for sure, go to the insurance company's website, view the instructions for receiving compensation, or call the office. There they will tell you in detail how to correctly submit documents for insurance compensation under CASCO.
- Step 6. When the documents are accepted, ask about the information on your case: number, date of registration, as well as the period after which a decision on payment of money will be made. Feel free to call from time to time to see how things are going. Don't wait until the review deadline.
Why do insurance companies insist on compensation in the form of car repairs?
It is beneficial for insurance institutions to comply with the terms of the contract developed by them. Although it happens that the agreement does not contain a word about eliminating defects in auto repair shops. But when consumers contact us, insurance company employees begin:
- convince customers about the feasibility of auto repair;
- prove the immutability of the insurance rules adopted by the organization.
The reason is:
- Correction of technical components is not always carried out after an examination; if the insurer tried to convince the driver that there is no such need, it is possible that the car mechanic will eliminate defects only visible to him and will miss the main damaged units.
- Auto repair shops are often partners with insurance companies; mechanics install the spare parts they purchase, and in the documents they indicate prices that do not correspond to the actual ones.
- Space for fraudulent schemes. To avoid participation, you need to scrupulously check the car before and after restoration and payment records.
Repairing minor cosmetic damage to a vehicle and other minor breakdowns is profitable and convenient for drivers. Do not rush to refuse the services of workshops.
If the stated conditions in the CASCO pole contradict legal provisions and infringe on the rights of the consumer, they are not considered valid by law.
If it comes to litigation, you will need to provide correspondence with your opponent. Any position cannot be legally recognized on the basis of unfounded, oral statements. Documents must be attached to each request.
In what cases is refusal illegal?
- if the policyholder unintentionally distorted information about the insured event;
- delay in filing an application for the occurrence of an insured event, if this occurred due to objective circumstances (for example, if the policyholder was hospitalized and simply physically could not submit an application within the prescribed period);
- if the license plate number of the vehicle has been changed;
- if there is no vehicle technical inspection certificate. But the law does not stipulate that the inspection certificate must be presented to the insurer.
How to get a cash refund under CASCO
The CASCO agreement provides for rules that determine the procedure for issuing funds. The parties can change the conditions recorded by signatures upon mutual agreement of each point. If the policy does not provide for payment of damages in cash without the intervention of a car repair shop, then a similar procedure cannot be used for compensation.
Therefore, you need to re-read the concluded agreement; perhaps it contains a clause on payments or other types of compensation for property losses. If the violations in the car qualify as an insured event, there will be no problems.
To determine the amount, choose one of the options:
- turn to experts for settlements and pay for their services;
- the insurance company carries out the check if the client trusts the employees.
And yet there are ways to compensate for damages with money if this condition is not reflected in the agreement:
- the car is stolen by criminals, for such a case the help of a service station is not needed, but you need to discuss the situation with the insurer in advance;
- after eliminating the deformations, problems in the mechanisms remained, the work was carried out in bad faith or incompletely - there is no difference, but only an independent examination can prove this fact;
- If fraud or violations of the agreement are discovered, only the court can restore justice.
Application form and required documents
The procedure for any application form, the following documents are attached to the application:
- extracts from the traffic police, which reflect information about road accidents or collisions with solid obstacles;
- passports of the car owners who participated in the incident;
- PTS;
- driving license;
- CASCO policy with confirmation of payment;
- inspection card;
- materials on the accident on various media;
- witness statements about the accident.
An application for insurance coverage is filled out with a detailed reflection of all events, where the details are indicated:
- time;
- date of;
- insurance number;
- names of the persons involved;
- license plate numbers of cars.
Within what time frame is the insurer obliged to pay compensation?
After submitting all documents, the money transfer must arrive in the client’s account no later than 30 days. If the insurance company delays payments without explaining the reasons, or does not make contact with the client, you must demand an explanation of the reasons in writing. Typically the insurer refers to:
- for a long process of coordinating all repair issues;
- waiting for the recovery order.
When the Investigative Committee does not provide deadlines for reimbursement of funds in the case under consideration, a claim sent to the legal authority for pre-trial proceedings with a requirement to pay the costs within 7 days will correct the situation. If the terms of the complaint are not satisfied, you need to file a lawsuit and demand payment of penalties for overdue days.
In what situations do you receive insurance payments under CASCO?
If the rules of compulsory motor liability insurance are regulated at the legislative level, then CASCO is built on the basis of documents developed by insurance companies. Because of this, the list of services when you can receive a payment changes. It also depends on the amount of insurance that you are willing to pay.
There are also general rules that apply to everyone. Compensation is possible if the car has become unfit for use. The procedure for obtaining financing occurs within the framework of the clauses of the contract. At the same time, the insurance company retains components and assemblies that are suitable for further use. It can also give them to the policyholder. In the latter case, their cost is subtracted when calculating the final amount.
CASCO insurance is paid if:
- there is significant damage to the car or equipment during a collision with real estate or in an accident;
- the car fell into water, a ravine, or an abyss;
- the breakdowns occurred as a result of a natural disaster;
- a situation arose due to illegal actions of third parties;
- There is a fact of robbery on a car, its theft.
If you don’t know how to receive a CASCO payment, then you need to adhere to a certain scheme; first, if a case arises, you need to contact the employees of the selected company. Payments will be received by both the person who caused the accident and the victim. Experts recommend not admitting that you are guilty until the court makes a ruling, because if it turns out to be the other party, the insurer has the right to receive regressive payments. After the situation has arisen, write a statement within the established deadlines and collect a package of documents.
How many times can you receive a cash refund?
Receipt of cash is not limited by the number of requests; payments are made in the amounts stipulated by the agreement. For example, a policy is concluded for 600,000 rubles, the client is entitled to:
- financing as many times as there are requests until obligations are fully fulfilled;
- payment of all money if the car is stolen or completely destroyed beyond repair.
The insurance agreement specifies a maximum amount that should not exceed the actual price of the car. It is difficult for a car owner to receive full compensation:
- if theft is confirmed, the insurance company will deduct the depreciation of the vehicle;
- after the insurance claims are satisfied, the price of the policy is reduced by the payment made.
Additional Information. When the insurer paid the client 200,000 rubles. from 600,000 rub. for damage from an accident, then after the theft 400,000 rubles will not be transferred to him, from here the wear of all components will be deducted. The UK's approach to the complete destruction of a car is interesting. The mechanism is recognized as such if the expert determines at least 80% of the damage. The maximum amount will be reduced by 20%. This part is considered suitable for implementation. You can sell the iron for scrap and remove spare parts.
Refund Conditions
The exact conditions of compensation are always specified in the comprehensive insurance agreement. Of course, the contract must be valid.
The main condition is always to recognize the damage as an insured event. To do this, you need to send supporting documents to the insurer.
The second condition will be compliance with all insurance rules and clauses of the contract.
An application for compensation for damage can only be submitted by the policyholder or beneficiary (usually the owner of the vehicle [vehicle]). As well as a person who has a power of attorney certified by a notary or heirs.
When damage is not compensated
Cases that prevent compensation for losses are specified in the rules of insurance companies, as well as in the contract on voluntary property insurance. Typically this is:
- failure to fulfill obligations under the contract , including failure to submit the necessary documents;
- intentional damage;
- gross violation of traffic rules , including driving without a license, while drunk;
- driving a car by a person not registered in the comprehensive insurance (if there are restrictions);
- nuclear explosion and radiation;
- driving training and competitions;
- war and civil unrest;
- seizure or destruction of a vehicle by decision of government agencies;
- knowingly false information provided during insurance.
Look for details in the contract and rules of your insurance.
If the damage is compensated by third parties, the part of the damage that was compensated by them is not paid by the insurance company. And if payment from third parties was received after insurance payments, the policyholder is obliged to return to the insurance company an amount equal to that received from others.
If after paying for the theft the car is found. There are two options:
- return of insurance payments received from it;
- transfer of the found car to insurance , with the right to resell it.
What to do if the insurance company refuses to provide monetary compensation
The insurer may give various reasons for its refusal to compensate financial costs. Basically, the insurance company refers to a violation of insurance rules:
- deliberate destruction of a car to claim funds in an illegal way;
- refusal to restore minimal transportation violations to victims;
- there are no claims against the culprit of the incident, which is confirmed in writing by law enforcement agencies;
- the traffic police were not called to the scene of the accident, the owner of the car did not contact the Investigative Committee for a long time;
- the unreliability of the specified facts about the accident was discovered;
- the driver carried out the repair work himself without an expert assessment.
Only in court, by providing real evidence, can justice be achieved. To do this, you need to require a written official refusal from the insurance company.
Additional Information. According to reviews from car owners who have been through an accident, many are satisfied with repairs instead of monetary compensation. There was no need to search for spare parts and a workshop. But the quality of restoration and long terms did not satisfy everyone.
What affects the amount
If you look at all the offers from one insurer, you will understand: insurance companies offer several insurance options. Depending on the chosen direction, the client pays a certain tariff and can receive a certain amount of funds as a result.
At the same time, the policyholder is not limited in his capabilities. He has the right to choose on his own which policy to buy.
But for this he must pay attention to the following nuances:
- what is considered an insured event;
- what list of cases does the policy provide;
- how to process and receive money;
- what are the deadlines for submitting documents about the occurrence of an insured event;
- within what period the insurer undertakes to pay the money.
And the most important nuance is the maximum insurance payment. This is the amount beyond which the insurer will not “go” under any circumstances, even if the losses incurred by the insured person will be many times greater. For example, if the maximum payment under the contract is 500,000 rubles, then for losses of 700,000 rubles, the insured person will only be able to receive 500,000.
Regarding the list of insured events, this is also an important nuance. For example, according to the policy, the amount of compensation may be huge, but the insurance itself will only cover one or two cases. It could be car theft. Then, with any other options, it will be impossible to get money to cover losses.
Which companies compensate for damages under CASCO in cash?
Every organization that deals with auto insurance offers to conclude a CASCO agreement. Their actions are regulated by the Federal Law and established local rules, the provisions of which are developed on the basis of legislative norms.
As an example of which companies issue CASCO insurance with cash payment, you can consider Ingosstrakh. Where the organization operates according to 3 payment schemes:
- A constant amount is reimbursed in each insured event. In addition to thefts and complete destruction of the car, when it can no longer be restored after an accident, where all payments fixed in the contract are made, and the policy is canceled.
- When concluding an agreement for the first insured event within a year, when the maximum possible amount is paid, after which the insurance becomes invalid.
- The contract provides for a single sum insured. After each request from the policyholder, the finances will be reduced by the amount of payments made.
Rosgosstrakh acts according to a plan to implement specific actions, where the insured person:
- reports to law enforcement agencies about an accident; 3 days after the accident, the information must be received by the Investigative Committee;
- collects a documentary package that confirms the damage;
- transfers the vehicle for inspection.
The insurer determines the existence of an insured event based on the circumstances in order to find out how much to pay. The insured is given money if he agrees to replace this form of compensation with repairs, the transfers go to the service station.
Article 947 of the Civil Code of the Russian Federation states that the insured amount is an important condition of the contract, where the amount depends on the type of insurance. But each organization has its own rules, so before deciding to purchase CASCO, you need to consider all the conditions that different insurance companies offer.
Compensation under CASCO and OSAGO
Very often, motorists ask the question: “Is it possible to obtain CASCO and MTPL insurance at the same time?” Yes and no. It is impossible to answer this question unequivocally.
If you decide to pay for repairs through CASCO. Your form of compensation is aggregate. Previously, you have already spent some amount from your policy, and now you are missing, say, 50 thousand rubles for repairs. Then you can easily receive this amount through compulsory motor liability insurance. In other words, if there is not enough money under one insurance policy, insurance compensation can be obtained from another.
If you do not repair the car under CASCO, but do it at your own expense, then you also have the right to demand money from the culprit of the accident under OSAGO.