保险单终止:最大诚信原则在人寿保险理赔备案中的启示

J. P. N. Sianipar, A. B. Cahyono
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引用次数: 0

摘要

保险中被保险人向保险人的风险转移机制发生在双方都履行了保险协议的约定以及最大诚信原则、保险程序规定等保险义务原则的情况下。南雅加达地方法院判决号:16/Pdt.G/2016/PN.Jkt。因此,合议庭在原告履行最大诚信原则的基础上,排除了双方已达成的协议。被排除事项涉及双方约定的书面通知义务,但原告没有书面通知,而是口头通知。2014年第40号法未对索赔通知作出明确规定,导致难以确定某项通知是否适用最大诚信原则。国外一些立法对此进行了规范,可以为印尼监管机构完善现有监管提供借鉴。
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Insurance Policy Closure As The Implication of The Utmost Good Faith Principle in Life Insurance Claim Filing
The risk transfer mechanism from the insured to the insurer in insurance happens when both parties have fulfilled what has been agreed in insurance agreement along with obligatory insurance principle like the utmost good faith principle and the regulation regarding the insurance procedure. In the South Jakarta District Court Decision number: 16/Pdt.G/2016/PN.Jkt.Sel, Panel of Judges excluded what has been agreed by both parties on the basis of fulfillment of utmost good faith principle by the plaintiff. The excluded matter was regarding the written notification obligation that has been agreed by both parties, but the plaintiff did not notify it in writing but orally instead. Law No. 40 of 2014 does not clearly regulate claim notification, thus causing difficulty in determining whether certain notification is the application of the utmost good faith principle or not. Some foreign legislations regulate that matter, so they can become a reference for Indonesian regulators in perfecting the existing regulation.
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