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Published byDewi Gunawan Modified over 6 years ago
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Tilkema has cut his thumb off; What about the insurance company?
Legal aspects of insurance fraud in the Netherlands Antilles prof. dr. Frank Kunneman
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Is money a problem?
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Problem solved!
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USD 730,000.00
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Insurance fraud: Contractual default
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Three stages: non-disclosure disinformation Incurring the damages:
Applying for a policy: non-disclosure disinformation Incurring the damages: provoked damages recklessness Reporting damages: exaggerated claims false claims
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Stage I
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Tilkema’s thumb
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Soft fraud vs. Hard fraud
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Are there any facts that can be relevant for the assessment of your application?
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Best practice no. 1 Avoid general questions
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Specifically ask for a relevant criminal record
Best practice no. 2 Specifically ask for a relevant criminal record
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Best practice no. 3 Ask questions which are as specific as possible
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Legal consequences
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New system for soft fraud: policy remains intact
Three possibilities Total payment Partial payment No payment
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Stage II
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“My insurance broker told me the following
A Poem by Tom Lanoye: “My insurance broker told me the following after closing a “global estate fire insurance”:
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The best way to set your house ablaze:
Open all the doors inside the house Take a jerry can of gas Pour it on a dog Light a match Throw it on the dog
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A Parrot can solve your problems, too.
Do not forget to open the door of its cage!
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Stage III
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“My camera was stolen!” or Which one to declare? ?
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Expiration clause and partial fraud
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