Legal expenses insurance

From Wikipedia, the free encyclopedia
Jump to navigation Jump to search

Legal protection insurance (LPI), also known as legal expenses insurance (LEI) or simply legal insurance, is a particular class of insurance [1] which facilitates access to law and justice by providing legal advice and covering legal costs of a dispute, regardless of whether the case is brought by or against the policyholder. Depending on the national rules, legal protection insurers can also represent the policyholder out-of-court or even in-court.

History[edit]

Legal protection insurance has a 100-year history.[2] The concept originated in 1911 when members of the 'Automobile Club de l’Ouest' were offered several additional services among which protection in case of fines or for disputes in front of police courts. This basic legal protection was then extended to traffic accidents and gave rise to the first legal protection insurance policy in France offered by ‘La Défense Automobile et Sportive (DAS)’ which was founded in 1917. ‘La Défense Automobile et Sportive (DAS)’ offered legal services and coverage of expenses for legal prosecution to car drivers and athletes.[3]

In 1928, a motoring club in Germany called the 'Deutsche Automobil Schutz' (D.A.S.) increased membership contributions to create a similar pool to pay for the defence of its members charged with traffic related offences. Members of the general public then enquired about joining the scheme. That is when the idea of an insurance available to the general public became firmly established. At present, D.A.S. Germany is still the largest legal protection insurer in the world, followed by ARAG, another German insurer. Legal protection insurance is today well established in Europe and has been developing beyond. The German market alone has 36% market share worldwide, followed by France with 12%. The European market represents more than 80% of the global legal protection insurance market.[4]

The International Association of Legal Protection Insurers (RIAD)[edit]

Legal protection insurers and service providers in this field are represented by a non-profit association called The International Association of Legal Protection Insurers (RIAD). RIAD was founded in 1969 as ‘Rencontre International des Assureurs Défense’ by 32 legal protection insurance companies representing 8 countries to advocate the introduction of the specialisation of legal protection insurance as the obligatory business model in all EU Member States. Today it unites, represents and defends the interest of more than 50 companies from most European countries, Canada, Japan and South Africa. It is committed to promoting easy, affordable and high-quality access to justice and the law and, in order to contribute to advancing and developing legal protection insurance further, RIAD engages with policy makers, regulators, and other stakeholders. To this end, RIAD also holds annual congresses, workshops and meetings to discuss issues which are topical for the industry. Its European members represent around 40% of the European market.

Purpose and Scope[edit]

Legal protection insurers cover the costs (e.g. legal fees and expenses of a lawyer) incurred in case of an unforeseen legal matter. These costs usually include lawyer and court fees, witness expenses, translation costs or expert fees. Depending on national law, legal protection insurers also provide legal services and represent policyholders out-of-court or in-court. The policyholder is usually protected for disputes in several areas of law such as contract, labour, consumer and family law (in rare cases including divorce). The premium is generally paid on an annual basis.

The extent of the cover depends on the type of contract and is defined in the policy terms and conditions. When the policy is sold as part of a home, motor or travel insurance package (i.e. add-on policy) it only covers disputes strictly linked to the purpose of the main cover (e.g. home related claims such as disputes with neighbours or car related disputes in case of a motor legal protection insurance). When legal protection insurance is purchased as a separate and independent insurance product (stand-alone cover) the range of services provided, the extent and scope of the cover are much larger. Sometimes legal protection insurance is offered as a benefit to members of a trade union or association.

In the European Union precise rules govern legal protection insurance and explicitly define how insurers must organise their business and manage claims. These rules are included in the Solvency II Directive (Articles 198 - 205) [5]

Legal protection insurance should not be confused with the coverage often included in a liability insurance. Liability coverage is designed to protect the policyholder against losses resulting from acts or omissions that are negligent and that result in damage to another person, his/her property or interests. Therefore, the main scope of third party liability insurance is to protect others from the consequences of the policyholder’s wrong-doing. In other words, the third-party liability insurance reimburses the other party’s damages which were caused by a negligent act of the insured. It does not intervene to protect the property and interests of the policyholder, except against being held liable for the other party’s damages. It will also provide legal representation and pay the cost of defense of the policyholder if the policyholder is sued as a result of being involved in an accident because losing the liability claim would be detrimental for the liability insurer since he would have to bear the financial consequences. The liability insurer, however, does not assist the policyholder to seek justice as a plaintiff in case he suffered a damage.

Different Forms of Legal Protection Insurance[edit]

Different forms of legal protection insurance exist and have developed depending on the national jurisdictions. Traditionally, legal protection insurance covers unforeseen events as Before-The-Event insurance (BTE). The ‘event’ in this case being the incident triggering the legal action. However, in some countries (e.g. Australia, Canada, and the UK), it is also possible to obtain cover after a legal dispute has been initiated which is described as After-The-Event insurance (ATE). In the US market, legal protection and support is often granted via legal plans or pre-paid legal services which, most of the time, are not an insurance.

‘Before-The-Event’ Legal Protection Insurance[edit]

This form of insurance is the most widespread. It covers those wishing to protect themselves against possible future claims and it is purchased before the prospect of any legal dispute. It supports the policyholder either by providing legal advice or even by representing the policyholder in-court or out-of-court. It also covers the costs and expenses of legal proceedings.

‘After-The-Event’ Legal Protection Insurance[edit]

ATE policies insure legal actions relating to events that have already happened. This insurance covers an already existing dispute where, however, proceedings have not yet started or significant legal costs or disbursements have not been incurred. Should the case fail, ATE insurance protects the insured against the risk of having to pay own expenses and adverse costs. This type of cover is usually only available for disputes having high prospects of success where the insurer is likely to be able to recover his costs from the adverse party. It is available in Australia, Canada, and the UK. In the UK solicitors who take on, for example, personal injury cases on a ‘no win no fee' basis, may require their clients (whether defendants or plaintiffs) to take out 'ATE insurance' so that costs will be covered if the case is lost. The premium payments, especially in a 'no win no fee' arrangement, may be deferred until the conclusion of the case; thus in most cases the premium itself is self-insured. This insurance is often offered by solicitors and claims management companies. The Legal Aid, Sentencing and Punishment of Offenders Act 2012 [6] (which came into force on 1 April 2013) introduced an important change regarding the recoverability of the premium: before the Act went into force the policyholder could recover the premium paid from the losing party whilst now the premium has to be paid by the client out of any damages received.

Legal Protection Insurance in Europe[edit]

The European market is by far the most developed, with Germany, France and the Netherlands, representing respectively 43%, 14%, and 8% of the market. According to a survey[7] commissioned by RIAD and conducted by Ipsos in August 2017 in Germany, France, Ireland, and the Netherlands, over a quarter of respondents had a legal dispute in the past 5 years. The replies showed that in all 4 countries people are mainly concerned about the costs of a dispute, this is particularly true in Ireland (50% of respondents) where fees for lawyers are extremely high. In comparison to the other countries, Dutch citizens are particularly wary of wasting time and energy (33%) while Germans are overly afraid of being deprived of their rights (27% compared to 18% in Ireland and only 10% and 8% in France and the Netherlands). Dutch respondents said that a legal protection insurer is the first point of reference if they have a legal dispute which shows the high appreciation Dutch people have for the services of legal protection insurers. This as well as the high quality of legal protection insurers in the Netherlands was confirmed by a survey commissioned in 2016 by the Dutch Ministry of Security and Justice. According to this survey employed lawyers of legal protection insurers scored highest in regard of the perceived quality of services as well as on the basis of a peer review.[8]

The UK is the only country where legal protection insurance is primarily marketed directly to the end user (no intermediaries). The focus is on preventive dispute resolution via in-house lawyers. 80% of issues are resolved in-house. In its report of November 2017[9]‘The Law and Practicalities of Before-The-Event (BTE) Insurance – An Information Study’ the UK Civil Justice Council concludes that legal protection insurance offers many people access to significant legal assistance. To this end, LPI's legal helplines are filling a real gap in the marketplace and in this regard insurers considerably improve access to justice in the current landscape. The report also sees a general lack of awareness among consumers about the existence of a legal protection cover as such as well as about the scope of the coverage. The report underlines that all stakeholders (lawyers, brokers, insurers, the Law Society, and the advice sector) can actively contribute to improving the awareness of legal protection insurance. With this the report confirms prior findings of two previous reports (Thematic Review of the UK's Motor Legal Expenses Insurance industry by the Financial Conduct Authority (FCA) of 2013,[10] Report of the UK Ministry of Justice published in October 2007[11]).The FCA saw that many consumers were not able to distinguish between the cover of motor insurance (protection against liability for third-party damages) and motor legal protection insurance (pursuit of claims to recover uninsured losses and protection against criminal prosecution). The 2007 report of the Ministry of Justice comes to the result that, although 59% of the UK population have some form of legal protection insurance (whether they knew it or not), fewer than one in four consumers had ever heard of BTE nor of ATE insurance. The Ministry's research estimated that 28 million British adults have actually BTE insurance, mostly as an add-on to another insurance policy.

Legal Protection Insurance Outside Europe[edit]

Legal protection insurance has gained significant importance in several countries outside Europe: Canada, Japan, South Africa and USA. It is also emerging in Australia, Chile, China, New Zealand and South Korea.

The Japanese market had a gross written premium of around 600 million euros in 2016, which makes of Japan the fifth biggest market after Germany, France, USA and the Netherlands. In 2016, legal protection cover added-on to motor insurance represented 90% of the market share; this is due to the fact that stand-alone insurance has only been introduced during in the last decade.

The Canadian market has been growing rapidly and several companies (some native, some US-based) offer legal protection insurance. In 2016 legal protection insurance gross written premium was around 56 million Canadian dollars; compared to the previous year almost double. In order to promote further access to justice, in 2013, the Canadian Bar Association partnered with a Canadian licensed specialist legal protection insurance company.[12] In Québec, legal protection insurance is both endorsed and promoted by Québec's law society (bar association), Le Barreau du Québec.[13]

The pioneer of legal protection insurance in South Africa is LegalWise which introduced a basic legal protection cover in the late 1970’s.

The USA market is dominated by pre-paid legal services/ legal plans and legal protection insurance is now starting to emerge. Legal plans are largely offered in the USA and usually provide for specific events, like drafting a contract or a will, while legal protection insurance covers unforeseen events (e.g. employment or consumer disputes). Legal plans rely mainly on bulk savings (for instance mass purchasing of legal services or in-house counsel for a specified group of people, such as trade union members) rather than on insurance principles, i.e. they do not include guarantees like insurance but provide cover only until the accumulated funds are used up. Legal plans are offered by trade unions as a free benefit of union membership or they are set up by groups of people having a common interest, like university students.

References[edit]