Insurance Fraud and the Role of the Civil Law

P. Rawlings, Jon P. Lowry
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Abstract

Two UK Supreme Court decisions have considered insurance fraud. The first, Versloot Dredging BV v HDI-Gerling Industries Versicherung (The DC Merwestone), concerned the use of a fraudulent device being harnessed to support a legitimate claim which, in the view of the majority, was an area of insurance law in need of re-evaluation. The second, Haywood v Zurich Insurance Co, concerned the use of fraud to increase the settlement paid by the insurer and whether an insurer, which suspects fraud but has nevertheless chosen to settle a claim, is entitled to set aside the settlement under the tort of deceit where it subsequently discovers proof that it was in fact fraudulent. This case note examines not only the legal implications of the decisions and their likely impact on industry practice, it also focuses on the broader issue of the proper province of the civil law and whether general deterrence can be justified as a proper objective where the criminal law is deficient in punishing fraud because of its higher standard of proof.
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保险欺诈与民法的作用
英国最高法院的两项判决涉及保险欺诈。第一起案件是Versloot Dredging BV诉HDI-Gerling Industries Versicherung (The DC Merwestone),涉及使用欺诈性设备来支持合法索赔,在大多数人看来,这是一个需要重新评估的保险法领域。第二起案件是Haywood v Zurich Insurance Co .,涉及保险人利用欺诈手段增加支付的和解金额,以及如果保险人怀疑存在欺诈行为,但仍选择和解索赔,在随后发现证据证明其实际上是欺诈行为的情况下,是否有权根据欺诈侵权行为撤销和解金额。本案例说明不仅审查了这些决定的法律含义及其对行业实践的可能影响,还侧重于民法适当范围的更广泛问题,以及在刑法因其更高的举证标准而在惩罚欺诈方面存在缺陷的情况下,一般威慑是否可以被证明是一个适当的目标。
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