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标题: 汽车保险被拒绝理赔的原因!重要!必读! [打印本页]

作者: 西澳海豚    时间: 2-2-2013 15:53
标题: 汽车保险被拒绝理赔的原因!重要!必读!
相信现在大家都已经有了保险意识,愿意花几百刀一年上个全险,但是在密密麻麻的保险条文里面,是不是每个人都知道在何种状况下,保险公司依法有权拒绝理赔?

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Lapse in Coverage(保险期限过期失效,check 或在日历上写下到期日并续保)

While it’s a simple matter to renew your car insurance without it expiring or lapsing, thousands of people forget to do it every year. Unfortunately, it can have a devastating backlash if you get in an accident with an expired car insurance policy. You’ll be liable to pay for all injuries associated with the accident including property damage to any vehicle involved. With direct deposit and automatic debits, this can be avoided, especially for those who are forgetful when it comes to renewing their policy.

Unlisted Driver(这一点不见得每家保险公司相同,至少我保过的两三家公司都需要强制注明驾驶人)

If someone else is driving your vehicle at the time of an accident and he or she are not included in your policy, your claim can sometimes be denied. Many times a child will borrow their parent’s car, even though they are not covered on the policy. Sometimes it’s a spouse, friend, or relative, but if they are not on the policy, they will be liable to pay out-of-pocket during an accident.

Denied for Further Investigation(这一点应该没有人会不配合)

Sometimes insurance companies will deny claims an order investigate the accident further and/or the claims associated. This could be because the insurance company believes either you or another party involved in the accident are committing insurance fraud. There are several reasons for insurance companies to look into fraudulent activity. Some parties will fake injuries and try to collect on lost wages when they were simply at home or hoping to take a paid vacation. There are even those who go as far as faking their own car being stolen to get money from insurance companies.

Damages Exceed the Amount of Coverage(请查明自己保单的自负额和上限赔偿金额)

There are also those cases where the combination of damages and injuries are so high they exceed the amount of coverage. If your liability coverage is only $25,000 and the combined injury related claims are $30,000, then the additional $5,000 in injuries will not be covered by the insurance company resulting in a partially denied claim.

Expired Drivers License(驾照过期,当然包括无驾照)

Taking a trip to your state’s Department of Motor Vehicles is a dreaded event. Long lines and sometimes the daunting task of filling out even more paperwork than you care to see in a year, let alone a day. However, if you drive with an expired license and end up causing an accident, your insurer may deny your claim even though you have great insurance. Check the fine print in your insurance policy. Most require that the driver have a current driver’s license.

Type of Coverage

Another reason for denial could be your type of coverage. Those who drive older vehicles or who don’t have a loan on their vehicle might only carry liability insurance with no collision coverage. If this is the case and liability is all you have, you will be denied coverage for damages done to your vehicle.

Inadequate Information

Many times the other party involved will claim not to have insurance or you don’t get adequate insurance information from them. In this case, you would file an Uninsured Motorist claim with your insurance company. They may deny the claim if they find out the other party is indeed insured.

You Forget to add your New Vehicle!

Many people will buy new vehicles and not put it on their insurance policy in the required timeframe given by each policy. If they get in an accident before adding the new vehicle, they’re out of luck and will be liable to pay out-of-pocket.

另外有两点很确定的是,违反交规(例如:超速,酒驾等)这个是不赔的,其次是车辆(事故后调查)未能通过 road worthy 检查(例如:轮胎胎纹不足)这个保险公司也会拒绝赔偿。

请大家注意了!
作者: 小名    时间: 2-2-2013 16:05
所以我很佩服那些超过3个月还用海外驾照开车的童鞋们的胆量。
作者: 西澳海豚    时间: 2-2-2013 16:13
标题: 回复 #2 小名 的帖子
所以我们有这个责任和义务,让他们知道事情的严重性。

不是~~撞了就跑路,这么简单!
作者: lavida    时间: 2-2-2013 17:50
为啥超过三个月用海外驾照不好啊,请LZ给俺们普及下知识,
作者: cynthiawu    时间: 2-2-2013 17:53
原帖由 lavida 于 2-2-2013 17:50 发表
为啥超过三个月用海外驾照不好啊,请LZ给俺们普及下知识,

PR到澳洲超过三个月还用海外驾照,等同无照驾驶。
作者: 西澳海豚    时间: 2-2-2013 18:22
还有就是~如果你的保费是月缴,当月未扣款成功,保险也随即停止,没有缓冲期。
作者: tiger-1    时间: 3-2-2013 12:16
好贴,GXFX!
作者: sharon11    时间: 3-2-2013 20:58
原帖由 cynthiawu 于 2-2-2013 17:53 发表

PR到澳洲超过三个月还用海外驾照,等同无照驾驶。

如果我不是PR,是不是就可以一直用海外驾照(半年以上),直到我转PR后的3个月为止呢?
作者: 西澳海豚    时间: 3-2-2013 21:46
标题: 回复 #8 sharon11 的帖子
请自行查明所在地之法令规定,各州不尽相同!
作者: Vernon86    时间: 3-2-2013 23:16
有些人为了图方便或省事 在驾照上偷懒,最终都会得不偿失的
作者: ding-a-ling    时间: 4-2-2013 00:47
我刚刚得知,澳洲不对旧车辆的质量把关的,车子再旧,只要不卖,就不需要roadworthy,照样可以开,怪不得经常看到马路上破破烂烂的车子都在颤颤巍巍的狂奔,这些车辆发生事故后,如果不能通过roadworthy,保险公司还能免责?当初收保险费的时候都不看看车子的?找机会真要看看保险法了。
作者: 西澳海豚    时间: 4-2-2013 01:35
标题: 回复 #11 ding-a-ling 的帖子
就我知道的,保险公司可以因为该车无法合法上路(例如胎纹过浅),而提出拒绝赔偿的请求。

有兴趣的可以查一下相关法令。

我没太多时间查到确实相关法令,但是以下是一些网路讯息,请大家自行判断。

Car insurance claim can be rejected if vehicle tyres are not roadworthy!

Your car isn’t roadworthy you’re not insured

If your car is not roadworthy are you still covered for insured if you have an accident?
作者: frankiedalian    时间: 4-2-2013 17:18
标题: 回复 #1 西澳瓶鼻海豚 的帖子
非常有用,感谢海豚分享
作者: 么么公主    时间: 1-8-2013 22:53
还有撞到boom gate也是不赔的。

我同学去年刚把车装废了。。。。




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