Direct Action Insurer: Direct Claim against Liability Insurer in Amsterdam
Legal information in Amsterdam
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Arslan AdvocatenLegal Editorial
5 min leestijd
# Direct Action Insurer: Direct Claim against Liability Insurer
As an injured party, you have the right under certain circumstances to directly address the insurer of the liable party. This right is called the **direct action** and is statutorily regulated in article 7:954 of the Dutch Civil Code. This option provides important protection for victims of damage.
## What is a Direct Action against the Insurer?
A direct action against the insurer is the right of an injured party to directly file a claim with the liability insurer of the damage causer, without the involvement of the insured themselves. This means that as a victim, you can address not only the damage causer but also directly their insurer.
This right is laid down in **article 7:954 paragraph 1 DCC**: The injured party has an independent right to payment vis-à-vis the insurer up to the amount of the insured sum. This provision gives you as an injured party an independent claim right that is separate from the insured.
### Why is the Direct Action Insurer Important?
The direct action offers various benefits for injured parties:
- **Better certainty of payment**: Insurers generally have more financial capacity than individuals or small businesses
- **Faster handling**: You do not have to wait for the liable party to compensate the damage
- **Protection in case of bankruptcy**: Even if the insured goes bankrupt, your claim against the insurer remains
- **Direct negotiation**: You can directly discuss damage compensation with the insurer
## Statutory Basis: Article 7:954 DCC
Article 7:954 DCC forms the legal basis for the direct action. The most important provisions:
**Paragraph 1**: The injured party has an independent right to payment vis-à-vis the insurer up to the amount of the insured sum.
**Paragraph 2**: The insurer may invoke the same defences against the injured party as against the insured, with the exception of defences relating to the insured's non-compliance with obligations towards the insurer.
**Paragraph 3**: In the event of bankruptcy or suspension of payments of the insured, the injured party may still exercise their claim against the insurer (separatism).
### Scope of the Direct Action
The direct action applies to various types of liability insurances:
- **Motor vehicle liability insurance** (mandatory motor vehicle liability insurance)
- **Business liability insurance** (AVB)
- **Professional liability insurance**
- **Private liability insurance** (AVP)
- **Product liability insurance**
## Conditions for a Direct Action Insurer
To successfully bring a direct action against the insurer, various conditions must be met:
### 1. Liability of the Insured
There must be liability of the insured for the damage incurred. This means you must be able to demonstrate that:
- The insured has committed a tort (article 6:162 DCC)
- There is contractual liability
- Statutory liability exists (e.g., strict liability)
### 2. Valid Insurance Contract
A valid liability insurance must exist that covers the damage. Check whether:
- The insurance was in force at the time of the damage-causing event
- The damage-causing event falls under the policy coverage
- The insured has paid their premiums
- No exclusion grounds apply
### 3. Coverage under the Policy
The damage must fall within the coverage of the insurance agreement. Note:
- Insured amounts and maxima
- Exclusions in the policy conditions
- Deductibles
- Territorial limitations
## Practical Examples of Direct Action
### Example 1: Traffic Accident
You are hit by a driver who runs a red light. You suffer whiplash complaints and your car is a total loss. Instead of personally addressing the driver, you can directly file a claim with their motor vehicle liability insurer. The insurer is obliged to compensate your damage up to the insured amount.
### Example 2: Workplace Accident
A plumber causes water damage during work in your home by damaging a pipe. You can directly address the business liability insurer of the plumbing company, without first having to summon the company itself.
### Example 3: Professional Error by Lawyer
Your lawyer makes a mistake as a result of which you lose a case and suffer significant damage. You can directly address the professional liability insurer of the lawyer for compensation of your damage, even if the law firm has since gone bankrupt.
### Example 4: Product Liability
A defective product from a manufacturer causes damage. Even if the manufacturer itself is no longer solvent, you can address the product liability insurer via direct action.
## Defences of the Insurer in Direct Action
The insurer may defend against your direct action with the same arguments it could raise against the insured, such as:
- **No liability**: The insured is not liable for the damage
- **Exclusions**: The damage falls under an exclusion ground in the policy
- **Limits**: The damage exceeds the insured amount
- **Causation**: There is no causal link between the conduct and the damage
**Important**: The insurer **cannot** raise defences that exclusively relate to the relationship with the insured, such as:
- The insured has not reported the damage
- The insured has outstanding premium payments
- The insured has breached their duty of disclosure
These internal defences cannot be invoked against you as an injured party.
## Comparison: Direct Action vs. Indirect Claim
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