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大风导致事故的保险索赔注意事项

Author: | 2017.05.08


2017年5月5日,北京迎来罕见9级大风,大风导致多起高空坠物砸伤路人和砸坏财物等事件。

发生这样的事故,相关保险责任如何认定?如何向保险公司索赔?


1、第一时间向保险公司报案

大风致坠物砸坏车辆时,被保险人应根据保单,在事故现场第一时间向保险公司报案,并根据保险公司工作人员提示进行证据固定。

2、车辆损失险的保险责任认定

情形一:大风刮倒大树、广告牌或楼顶掉下异物砸坏停在路边的车辆,属于外界物体倒塌。车辆损失险保险条款(以平安财险条款为例)对车辆损失险有这样一条约定:保险期间内,因“外界物体坠落、倒塌”原因造成被保险机动车的直接损失,保险人依照本保险合同的约定负责赔偿,属于车辆损失险责任范围。因此,被砸坏车辆被保险人可依据车辆损失险保单,向保险公司索赔。

情形二:如果在大风天气,树先被刮倒,车辆再撞上去,则属于碰撞。根据保险条款约定,保险期间内,被保险人或其允许的合法驾驶人在使用被保险机动车过程中,因“碰撞”原因造成被保险车辆的直接损失,则保险公司仍应当按照保险合同约定进行赔偿。

3、保险赔付后,被保险人就赔偿不足部分可向侵权人继续索赔

《侵权责任法》第八十五条和第八十七条分别规定了两种情况下的侵权责任,一是主体明确的高空坠物,即确定坠物来自何处,此时,所有人、管理人或者使用人不能证明自己没有过错的,应当承担侵权责任;二是主体不明的高空坠物,比如,路人被某高空坠物砸伤,却不知道该坠物来自具体何处,此时,除能够证明自己不是侵权人的外,由可能加害的建筑物使用人给予补偿。不管是哪种情况,作为所有人、管理人或使用人都有可能成为赔偿或补偿主体。

因此,被保险人既可根据保险法律关系要求保险公司赔偿,也可根据侵权法律关系要求侵权人赔偿;但是保险适用补偿原则。实践中,保险公司赔付之后即取得被保险人对侵权人的代位追偿权;保险赔付后,被保险人就赔偿不足部分可向侵权人继续索赔。


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