King Price Insurance  


25 March 2009

No Appeal for FAIS Ombud Ruling

Renasa Insurance will have to pay out over R100,000 to a speeding driver
Renasa Insurance will have to pay out over R100,000 to a speeding driver
This ruling was passed by the FAIS Obmud, Charles Pillai

Renasa Insurance and its broker, Action Plan Management, will need to pay out nearly R110,000 to a policyholder for the loss of her car, after the FAIS ombud, Charles Pillai ruled that there is no leave for appeal in the case.

This month, it was decided that the driver had a right to claim the money from Renasa Insurance, despite the fact that she was speeding at the time of the accident.

The insurance company had claimed that Melishree Maduray of Phoenix had contravened the "good citizen warranty" clause in her insurance policy, which states that payments will not be made if the policyholder is not following the law. In this case, it was claimed, Maduray had been speeding, thus breaking the law.

However, Pillai found for the policyholder after he showed that nobody had pointed this clause out to Maduray at the time of her taking out the insurance and, worse, she had never been sent a copy of her insurance policy.

The FAIS ombud also said in his ruling that the good citizen warranty clause was "oppressive and unreasonable". Elaborating on his opinions, he claimed that it would be "impossible to find a driver who has not at some time or other inadvertently, if not deliberately, contravened one or other road traffic law or regulation."

Pillai also disputed Renasa Insurance and Action Plan Management's claim that he was not allowed to rule on the matter as the ombudman for short term insurance had already ruled in their favor.

He explained that the FAIS ombuds office works in a way that hears complaints and resolves them in a fair and informal manner and therefore he was fully entitled to reject their leave for appeal.





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Story Highlights »
  • FAIS Obmud rules in favour of a speedster
  • Pillai overruled the original judgement in favour of the insurer made by the short term insurance ombudsman

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