Saturday, February 1, 2014

Major win for insurance firms in new Act as lawyers cry foul

PHOTO | FILE Association of Kenya Insurers (AKI) executive director Tom Gichuhi (left) with Pan African Life chief executive Tom Gitogo at a press briefing. Parliament has a lauded a new law that establishes terms and compensation caps for accident victims, which they said is a victory against fraud.

PHOTO | FILE Association of Kenya Insurers (AKI) executive director Tom Gichuhi (left) with Pan African Life chief executive Tom Gitogo at a press briefing. Parliament has a lauded a new law that establishes terms and compensation caps for accident victims, which they said is a victory against fraud.  NATION
By Lilian Ochieng'
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Lawyers have opposed a new insurance law likely to render them redundant.
The Insurance (Motor Vehicle Third Party Risks) Amendment Act, 2013 was assented to by President Uhuru Kenyatta on December 24 last year.

The Act, through a structured payment format, provides for maximum compensation rates in cases of death, or fixed compensation for each body part, such as broken leg or lost finger, based on an individual’s age, income, nature and extent of injury sustained, and number of dependants, among other considerations.

Children up to five years will be paid a maximum of Sh300,000, those between 5-12 years will receive Sh450,000 while minors between 12 and 18 years will be compensated Sh600,000.
For example, if a third-party accident victim loses the tip of his thumb, he will be paid Sh150,000 in compensation, and in case of death, a maximum of Sh3 million may be paid to his family.
However, the Law Society of Kenya says Parliament assumed judicial power in determining and legislating the amounts payable to the injured, which makes the law unconstitutional.
“The court has to be involved because it uses a medical report presented by medical experts to assess damages payable,” said LSK chairperson Eric Mutua. “Parliament ignored the advice of LSK regarding the legislation.”

The new law comes as a relief to the insurance industry that has been lobbying for it through the Association of Kenya Insurers since 2008.
“It is a big victory against corruption and will have a big impact on the industry,” said Tom Gichuhi, AKI chief executive officer.

Insurers have previously blamed the old system for loopholes often exploited by rogue lawyers, doctors and members of the Judiciary to settle fraudulent claims running into millions of shillings.
As insurers celebrate the law, lawyers maintain that the Act denies accident victims the right to choose between filing a claim in court or talking directly to the insurance company for settlement. This implies fewer grounds for a contested suit in court and leaves insurance companies in charge of the compensation process.

“The compensation structure is unfair and too complicated for the average Kenyan and is open to abuse,” said LSK chief executive officer Apollo Mboya.

LAW SUIT
The society said it has instructed lawyer Fred Ngatia to move to the High Court to have the law declared unconstitutional.
It will not be the first time lawyers will be going to court to challenge a law touching on third- party insurance claims. In 2008, lawyers opposed a similar law touching on the payment of compensation for injuries sustained at work on the same grounds.

According to Jubilee Insurance CEO Patrick Tumbo, the insurance industry pays an estimated Sh16.1 billion annually in compensation for motor vehicle industry-related claims, more than 50 per cent of the total claims settled in other compensations.

“About three-quarters of motor vehicle claims are fraudulent. This new law is here to streamline the industry through structured compensation,” said Mr Tumbo.
Pan Africa Insurance CEO Tom Gitogo defended the Act which he said offers a straightforward way of determining the amount of compensation to be paid out.

Among other complaints lawyers have about in the Act is that it is very lengthy, too structured, full of jargon and very confusing especially to a lay man. “Insurance companies are simply exploring ways of increasing premiums,” LSK’s Mr Mboya said

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