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男子倒车撞死幼女 妻子起诉丈夫及保险公司索赔89万

2015-01-21 02:10:23   

根据中国保监会的车险合同范本,机动车商业保险基本条款第五条第一款规定,被保险机动车造成被保险人及其家庭成员的人身伤亡、所有或代管的财产的损失,不论在法律上是否应当由被保险人承担赔偿责任,保险人均不负责赔偿。也就是说,“家人免赔”已经成为保险业常见问题。

对此,社会上曾有很多声音指出,“家人免赔”是一个“霸王条款”,但目前这一条款依然客观存在。记者检索近几年类似案件的判决发现,全国各地法院对于此类案件的判决并不一致,有些法院支持了保险公司,认为条款有效。有些法院则认定是格式条款。而还有些法院则根据案件实际情况,使双方达成调解,保险公司支付了部分赔偿。有些法院则根据案件实际情况,判决支持投保者一方的诉讼请求。

父亲倒车撞死女儿保险公司赔61万

2014年3月的一天晚上,南京市民朱先生驾驶行驶证为其母亲名字的小轿车在自家厂院内倒车时,碰到了在院内行走的刚2周岁的女儿,女儿受伤后经抢救无效死亡。事故经交警部门认定,朱先生负事故全部责任。事故发生后,朱先生向保险公司理赔,保险公司拒绝赔偿。为此,朱先生将保险公司诉至溧水区法院,要求保险公司支付死亡赔偿金、精神抚慰金等共计61万元。其妻子作为第三人参加诉讼。

保险公司辩称,朱先生不具有第三者责任险的赔偿请求权。因朱先生作为车辆的驾驶人,即使是被保险人允许的合法驾驶人,并非保险单约定的被保险人,所以无保险赔偿请求权。另外,第三者责任险是代偿责任,要求被保险人对于受害人有法定的赔偿义务,而案件中受害人与朱先生系亲子关系,即朱先生既是赔偿权利主体也是赔偿义务主体,所以不能赔偿。

法院认为,我国保险法第十二条规定,被保险人是指其财产或者人身受保险合同保障,享有保险金请求权的人。朱先生系合法驾驶人,在驾车时受保险合同的制约,享有保险合同权利、承担保险合同义务,即朱先生在驾驶保险车辆时起就取代投保人(保险合同指定的被保险人)成为本案保险合同的被保险人。故朱先生享有保险金请求权,可以作为原告要求被告支付保险金。另外,朱先生驾驶保险车辆在倒车过程中因疏忽大意致其女儿受伤并经抢救无效死亡,女儿属于保险条款约定的第三者范畴,故法院判决保险公司在保险限额内向朱先生夫妇赔偿保险金61万元。

一审宣判后,保险公司不服,提起上诉。二审法院审理后驳回了保险公司的请求,维持原判。

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