Legal Responsibility of the Insurance Company for Unpaid Participant Claims
DOI:
https://doi.org/10.58344/jws.v3i1.541Keywords:
Responsibility, Company Law, Insurance, Claims, ParticipantsAbstract
Insurance is a financial institution that has a vital role in the economy. Insurance protects the public from various risks, such as accidents, illness, and death. The insurance company must pay claims to insurance participants who experience losses in an insurance agreement. However, in practice, claims are often rejected by insurance companies. The purpose of this research is to analyze the legal responsibility of insurance companies for unpaid participant claims. This research uses normative legal research methods. Research data was obtained through a literature study. Research data was analyzed qualitatively using descriptive analysis methods. The research results show that insurance companies that reject insurance participants' claims can be subject to civil and criminal legal responsibility. If the participant's claim is not paid, the participant can file for bankruptcy through court. The regulations that provide the legal umbrella for protecting insurance participants consist of Law Number 8 of 1999 concerning Consumer Protection, Law Number 40 of 2014 concerning Insurance, Decree of the Minister of Finance No. 422/KMK.06/2003 concerning the Implementation of Insurance Business and Reinsurance Companies, and Financial Services Authority Regulation Number 23/POJK.05/2015 concerning Insurance Products and Marketing of Insurance Products. Legal protection for insurance policyholders as consumers are regulated in the Insurance Law and the Consumer Protection Law.
References
Afrita, I., & Arifalina, W. (2021). Tanggung Jawab Hukum Perusahaan Asuransi Jiwa Terhadap Tertanggung Dalam Pembayaran Klaim Asuransi. Jurnal Hukum Respublica, 20(2), 123–134.
Anam, R. C., & Astuti, Y. P. (2020). Analisis Kinerja Keuangan Perusahaan Asuransi Berdasarkan Rasio Keuangan Menggunakan Metode Goal Programming (Studi Kasus Pt Asuransi Kredit Indonesia). MATHunesa: Jurnal Ilmiah Matematika, 8(2), 135–144.
Bonita, B., & Nurdin, M. (2021). Perlindungan Hukum Terhadap Klaim Nasabah Produk Asuransi Yang Dikaitkan Dengan Investasi (PAYDI). Jurnal Justitia: Jurnal Ilmu Hukum Dan Humaniora, 8(4), 619–631.
Handayani, S. (2017). Pengaruh penyelesaian klaim asuransi terhadap pencapaian target penjualan produk asuransi ajb bumiputera 1912 cabang bengkulu. EKOMBIS REVIEW: Jurnal Ilmiah Ekonomi Dan Bisnis, 5(1).
Humaemah, R., & Ulpatiyani, U. (2021). Analisis Manajemen Risiko Dana Tabarru Asuransi Syariah (Studi Pada PT Asuransi Umum Bumiputera Muda 1967 Serang). Syar’Insurance: Jurnal Asuransi Syariah, 7(1), 25–43.
Kusnadi, I. H., & Lisnawati, L. A. (2020). Prosedur Pembukaan Rekening Tabungan Pada Pt. Bank Tabungan Pensiunan Nasional (Btpn) Kcp Subang. The World of Financial Administration Journal.
Laksono, J. T. (2018). Perlindungan Hukum Pemegang Polis Asuransi Terhadap Kendaraan Bermotor Dalam Angkutan Penyeberangan. Jurnal Hukum Magnum Opus, 1(1), 26–35.
Mahfud, I. (2021). Tinjauan Hukum Islam Terhadap Mekanisme Pengajuan Klaim Asuransi Syariah. Madani Syari’ah, 4(1), 14–27.
Majid, A., & Sumriyah, S. (2023). Bentuk Perlindungan Hukum Terhadap Nasabah Akibat Gagal Bayar Perusahaan Asuransi. Jurnal Hukum Dan Sosial Politik, 1(3), 125–134.
Nurkholidah, S. (2018). Penolakan Klaim Asuransi Jiwa Dan Kesehatan Pada PT. Allianz Indonesia. Az-Zarqa’: Jurnal Hukum Bisnis Islam, 10(1).
Pangaribuan, A. B., & Girsang, J. (2022). Perlindungan Pasien Covid-19 Dalam Asuransi Kesehatan Oleh E-Cash Pada Aplikasi Ovo. Journal of Law and Policy Transformation, 6(2), 42–54.
Rani, M. (2016). Insurance protection for fishermen. Jurnal Selat, 4(1), 1–14.
Ratnaningsih, R. (2022). Inkonsistensi Perlindungan Hukum Nasabah Pemegang Polis Asuransi Jiwa Bersama Bumi Putera 1912. Journal of Economic and Business Law Review, 2(1), 16–30.
Saputra, A., Listiyorini, D., & Muzayanah, M. (2021). Tanggungjawab Asuransi Dalam Mekanisme Klaim Pada Perjanjian Asuransi Berdasarkan Prinsip Utmost Good Faith. Jurnal Pendidikan Kewarganegaraan Undiksha, 9(1), 211–222.
Sari, M. P., Rafsanjani, A., Fatwa, A. M. J., Kharisma, N. A., & Rifqi, M. J. (2023). Analisis Fungsi Pengawasan Otoritas Jasa Keuangan Terhadap Perusahaan Asuransi. Jurnal Fundamental Justice, 1–16.
Sumiyati, S. (2017). Praktik Asuransi Dengan Sistem Multi Level Marketing Berdasarkan Undang-Undang Nomor 40 Tahun 2014 Tentang Perasuransian. Jurnal Bina Mulia Hukum, 1(2), 206–215.
Toyyibah, T., & Hariyanto, E. (2015). Implementasi Manajemen Resiko Pada Sistem Asuransi Jiwa Syariah Di PT. Prudential Life Assurance Cabang Madura. IQTISHADIA Jurnal Ekonomi & Perbankan Syariah, 2(2), 146–170.
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