What is Subrogation?§
Subrogation is a legal principle commonly used in insurance law. When an insurance company pays out a claim to their policyholder, they acquire the right to pursue the responsible third party for compensation. This process ensures that the costs associated with the claim are ultimately borne by the party at fault, rather than the insurer.
Examples§
- Auto Accident: If a driver is rear-ended by another vehicle and their insurance company covers the damage, the insurance company may then seek reimbursement from the at-fault driver’s insurance company.
- Property Damage: A homeowner’s insurance policy may cover damage caused by a neighbor’s tree falling on their house. After paying for the repairs, the insurer can pursue the neighbor (or their insurer) to recover costs.
- Health Insurance: If a person is injured in an accident and their health insurance covers medical expenses, the insurer may seek compensation from the responsible party to recover the costs of medical bills.
Frequently Asked Questions (FAQs)§
Q: How does subrogation impact my insurance premiums? A: Subrogation has the potential to lower insurance premiums because it reduces the financial burden on the insurer by recovering costs from the responsible party.
Q: Can an insurance company subrogate against its own policyholder? A: Generally, subrogation allows an insurer to seek recovery from third parties, not from their own insureds, unless stated otherwise in the policy terms.
Q: What happens if I receive compensation directly from the at-fault party after my insurer has paid a claim? A: Policyholders are typically required to notify their insurer of such compensation as it may affect subrogation rights. The insurer may be entitled to recover the amount they paid from any settlement you receive.
Q: Does subrogation affect my deductible? A: Your deductible is not affected by subrogation. If the insurer recovers costs through subrogation, you may receive a refund of your deductible, depending on the terms of your policy.
Q: What if the responsible party cannot pay? A: If the at-fault party cannot pay, the insurer often absorbs the loss after paying the initial claim and pursuing legal avenues for recovery.
Related Terms§
- Indemnity: The principle of compensating for loss or damage incurred.
- Rights of Recovery: The rights insurers have to recover amounts paid from third-party claimants.
- Loss Adjustment Expense (LAE): Costs associated with investigating and settling insurance claims.
- Exgratia Payment: Payments made by an insurer without an obligation to do so under the insurance policy terms.
- Policyholder: A person or entity who owns an insurance policy.
Online References§
Suggested Books for Further Studies§
- Insurance Law: Doctrines and Principles by John Lowry and Philip Rawlings
- Fundamentals of Risk and Insurance by Emmett J. Vaughan and Therese Vaughan
- Practical Guide to Subrogation by Barbara T. Luna and Carin Crossmark
Accounting Basics: “Subrogation” Fundamentals Quiz§
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