“Whether (a) Spanish penalty interest or legal interest should be awarded in this case and (b) if so, in what amount.”
“In my judgment the interest payable under Act 50/1980 is not a matter of procedure for the purposes of article 1(3) of Rome II, and is governed by the law applicable to the non-contractual obligation, namely the law of Spain.”
“9. When the Insurance Compensation Consortium has to satisfy the compensation as a guarantee fund, it shall be understood that it is in default only in the event that a period of three months has elapsed from the date on which it is claimed the payment of the compensation without the Consortium having proceeded to pay it in accordance with its specific regulations, and the obligation to compensate for delay in the non-payment of the minimum amount shall not be applicable to it. In the remainder when the Consortium intervenes as a guarantee fund and, without exception, when the Consortium contracts as direct insurer, the present article shall be fully applicable.”
“8. There will be no compensation for the insurer's delay when the failure to pay the compensation or the payment of the minimum amount is based on a justified cause or is not attributable to him.”
“Ms Wyles KC (“LWKC”): An insurer or the MIB receiving the Letter of Claim to the MIB would not have evidence allowing quantification of the claim. Ms Astigarraga: This is the initial claim. I do not refer to that document as I am not familiar with it here. The Letter of Claim in Spain is a simple letter of one page informing about the existence of the accident and the injuries, and no medical evidence is generally attached. The judgment setting the date of penalty interest will consider the attitude of the defendant – if, after receiving it and having knowledge of an injured person, they did something or did nothing. Sometimes they send their own doctors to assess the damages. They usually request having the possibility to do an initial assessment, mainly even before receiving any medical evidence. It is a point the judges can take into account – the attitude to mitigate the damages by acting quickly. LWKC: If they do that, that would be a reasonable thing to do? Ms Astigarraga: Yes. It is the insurer’s obligation to assess promptly and to do payments, even if the initial payment could be£5,000 or£10,000 – an amount to cover the injuries that they have knowledge of at that time. If the claimant is in hospital for a month, it could be for that month. That is the obligation, to do this.”
“In general, in short, and invoking a clearly established model of conduct, the purpose of Article 20 Insurance Contract Law is to sanction the failure to pay compensation, or to offer adequate compensation, from the moment that an orderly insurer, having knowledge of the incident, would have satisfied or offered it.”
“*Please note that The Royal Surrey County Hospital have intimated that [DHV] may have had brain surgery to remove (evacuate) his sub-dural haematoma. This procedure is not listed in the discharge summary from Son Espases Hospital, nor were [the claimant or his former girlfriend] ever aware of any neuro surgery having taken place.” “*Please note that The Royal Surrey County Hospital have intimated that [DHV] may have had brain surgery to remove (evacuate) his sub-dural haematoma. This procedure is not listed in the discharge summary from Son Espases Hospital, nor were [the claimant or his former girlfriend] ever aware of any neuro surgery having taken place.”
“Patrick Vincent KC (“PVKC”): The Immediate Needs Assessment has very detailed descriptions of the injuries, their effects, care, the treatment likely, the effect on his earnings – a comprehensive overview. If that is what it is, that complies with what the Claimant should be producing to the insurers to allow them to value the claim?”
“the Spanish Supreme Court has decided a large number of cases regarding Article 20. The doctrine emanating from these judgments can be summed up as: (i) Article 20 aims to penalize insurers who unduly delay the payment of compensation arising from their insurance activity; (ii) This Article applies in general and will only cease to apply in special cases with a restrictive criterion”
“this Court has declared on repeated occasions that the compensation established in Article 20 of the Law of Insurance Contracts has from its genesis a marked penalising character and a clearly preventive purpose, to the extent that it serves as an incentive and stimulus for the fulfilment of the main obligation that weighs on the insurer, which is that of the opportune payment of the corresponding compensation capable of providing the full restitution of the right or legitimate interest of the injured party. The insurer's default only disappears when from the circumstances of the claim or from the text of the policy, uncertainty arises regarding the insurance cover which makes the intervention of the judicial body necessary in the face of the existing discrepancy between the parties in this respect, until this uncertainty is cleared up by the judicial decision, none of which is present in the case (judgements of13 June 2007 ; 26 May and20 September 2011 and25 January 2012 . Regarding uncertainty, the Court has also stated that the mere discrepancy in the amounts claimed does not constitute uncertainty.”
“From the information I have been given and have been able to study, I would point out that the MIB has not until recently had all the information, or at least all the really important information, about the extent and consequences of the injuries suffered by the Claimant and about the financial implications of the claim.”
“If a Spanish Court were to examine the situation from the point of view of the information available to the MIB and the times at which it was provided by the Claimant's legal representatives, as well as the amounts and dates of the payments on account made by the MIB to the Claimant, the Spanish Court would most probably come to the conclusion that it is not appropriate in this case to impose on the MIB the payment of a punitive rate of interest. .. It is not for me, of course, to argue on this point, but I feel I must stress that, in my professional opinion, a literal and strict application of the punitive interest of article 20 of the Spanish Insurance Law would not be a fair application if a Spanish court were to decide a case in circumstances similar to this one.”
“The insurer's default only disappears when there is uncertainty about the insurance coverage that makes the intervention of the Court necessary due to the discrepancy between the parties.”