Leisure time accident

If you are injured in an accident during leisure time, your insurance policy is of utmost importance. Leisure time accident insurance is often included in family and home contents insurance policies. As terms differ between both insurance companies and policies it is vital to read the policy terms carefully to fully realise your rights to compensation.

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What you should know

Leisure time accident

Some collective wage agreements/union contracts stipulate that employers must purchase leisure time accident insurance for their employees. This generally applies to government and municipal employees. If you have purchased a general accident insurance policy, it covers both leisure time accidents along with workplace accidents.

Leisure time accidents can also be covered by liability insurance if a third party is directly or indirectly responsible for the accident occurring. Such insurance policies traditionally lead to more extensive rights to compensation.
An unprovoked assault can under certain circumstances be classified as an accident during leisure time and therefore create a right for compensation from leisure time accident insurance policies.

Here for you

It is important to report an accident as soon as possible to the Icelandic Health Insurance and the insurance company, so that the right to compensation is not lost. Contact Fortis lawyers to get an assessment of the situation. We want you to use our knowledge to help you through a difficult time.

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Leisure time accident

Example

38-year-old / Knee injury

Contacted Fortis for an assessment two weeks after the accident. Fortis assisted the client in reporting the accident on the grounds of both leisure time accident insurance and the employer’s accident insurance, as the client had around the clock coverage due to their wage agreement/union contract. Fortis took care of all case elements, communications with all liable parties as well as data collection and analysis.

Less than a year after the client’s first meeting all necessary data had been gathered and Fortis had an impartial assessor assess the extent and the severity of the damages suffered in the accident.
The results of the assessment arrived eight weeks after the assessment meeting, resulting in 9% loss of amenity/medical disability. The total compensation amounted to approx. 2.800.000 kr.

58-year-old / Fracture of the upper arm

Contacted Fortis for an assessment eleven months after the accident. Fortis assisted the client in reporting the accident on the grounds of both leisure time accident insurance and the employer’s accident insurance, as the client had around the clock coverage due to their wage agreement/union contract. Fortis took care of all case elements, communications with all liable parties, arranging the reimbursement of medical expenses as well as data collection and analysis.
Six months after the client’s first meeting all necessary data had been gathered and Fortis had an impartial assessor assess the extent and the severity of the damages suffered in the accident.

The results of the assessment arrived six weeks after the assessment meeting, resulting in 5% loss of amenity/medical disability. The total compensation amounted to approx. 850.000 k

Please note that each case is unique and there are many variables that affect the amount of compensation, such as the insurance involved, age and assessment results. When settling on the basis of the tort law, the average income before the accident is also important.

The General Process of a Personal Injury Case

Fortis is with you every step of the way.

Step 1

Reporting the accident

It is important to report an accident to your insurance company as soon as possible so that you do not lose your right to compensation. Fortis lawyers can assist you with reporting if necessary.

Step 2

Data collection

The necessary data varies across case types, but for personal injury cases the main case data is data that proves and documents the accident and the injury; such as police reports, doctor’s reports and medical records, records from physical therapists, psychologists, dentists and other parties that assist the injured person in recovery. We at Fortis will take care of the data collection on your behalf.

Step 3

Assessment of consequences

When all the necessary data has been collected it is time to commission an impartial third-party assessor to assess the extent and the severity of the injuries suffered in the accident. As a general rule the assessment is not conducted until at least one year has elapsed from the accident’s occurrence. We at Fortis will guide you every step of the way during the assessment period of the case.

Step 4

Settlement

Fortis lawyers submit a claim for compensation based on the assessment. In most cases, an agreement on compensation is reached, but in cases where an agreement is not reached, Fortis lawyers will take care of legal action.

At what point is it too late to make a claim for compensation?

We strongly advise that you always speak with a lawyer as soon as possible after an accident occurs, as every case is unique. In some cases, the injured person is unaware of their right to compensation until years down the road. In such cases we advise you to get in contact to discuss the intricacies of your case and possible claims that can be made. We have made many successful claims for accidents many years down the line.

The law on the statute of limitations for personal injury cases varies according to accident types. The general rule for the statute of limitations for personal injury claims is 10 years after the injured person should have realised that they suffered permanent harm and damage. The final cut off is when 20 years have elapsed from the date of the accident’s occurrence.
The statute of limitations for traffic accidents are subject to special rules. For accidents occurring before 2020 the right to compensation could expire in four years, after the injured person should have realised that they had suffered permanent harm and damage, with the final cut-off date being 10 years since the date of the accident’s occurrence. For accidents occurring on or after January 1st 2020, the statute of limitations for claims due to traffic accidents is 10 years from the date of the accident’s occurrence.
For the vast majority of cases the injured person must report the accident to the insurance company within a year from when they should have realised that they suffered permanent harm or damage or risk the lapse of the right for compensation.

In the case of leisure time or work accidents the assessment of the extent and severity of the injuries suffered in the accident must also have been concluded and the report written within three years from the accident’s date of occurrence due to insurance policy terms. Should it not be complete in time, the right to compensation can also be lost.
Due to these rules and terms, the law on the statute of limitations does not have the final say for when the right to compensation expires.


Do I have the right to compensation despite being at fault for a traffic accident?

In short, yes.

There is a widespread misunderstanding that the at-fault driver in an accident is not entitled to compensation for their personal injuries. A driver, passengers and all other parties that are harmed in a vehicular accident do as a general rule all have the right for compensation. The same does not apply for the damage caused to the vehicle itself.

However, it must be noted that the consumption of alcohol or other intoxicants and/or other serious traffic offences may result in reduction or removal of the right to compensation.


Why do I need a lawyer?

Without the assistance of a lawyer, you do not stand on equal ground. You represent your own interests against expert employees of the insurance company, who safeguard their employer’s interests. There is a considerable risk that by not having expert representation you will not receive all the benefits and compensation you are entitled to. Furthermore, employees of insurance companies are not obligated to inform you of compensation you may be entitled to from other parties (e.g. due to a collective wage agreement/union contract).


How much does the assistance of a lawyer cost?

Fortis will provide you with an assessment of your case free of charge.

In the vast majority of cases, Fortis takes care of the cost associated with gathering medical records and other necessary data. In the beginning stages of your case, you will neither be billed for data collection and gathering, nor lawyer fees.

The cost for the assistance of a lawyer is generally paid at the final stage of the case, when a settlement has been agreed upon and paid by the insurance company and other parties if applicable. If the case is based on tort law, i.e. when the case is a traffic accident or a work accident on sea, the insurance company is generally liable to pay the majority of the costs of legal representation.


What do I need to keep in mind?

It is of vital importance to seek medical assistance as soon as possible after an accident, be it a hospital or health care centre. Otherwise, it may be difficult to prove that an injury or a symptom is a consequence of the accident.

You need to save and collect receipts due to healthcare visits, medicine and physical therapy costs to prove your expenses so that we may arrange for your costs to be reimbursed.

If you want to seek compensation for clothing or other damaged items you need to safely store the items in question, as the insurance company may require such items to be turned in.


What information do I need for my first meeting with Fortis?

For a first meeting it is important to have information on where and when the accident occurred as well as information about any medical help you received directly after the accident, e.g. if you went to the emergency room or if you visited a health care centre. If you are seeking assistance due to a traffic accident, information on the licence plate number of the relevant vehicle is appreciated.


Can I get costs associated with my accident reimbursed?

In most cases yes, you have the right to be reimbursed for costs associated with your accident, e.g. doctor’s visits, medication, physical therapy etc. To make a claim you will need to provide receipts for those costs. The relevant insurance company or the Icelandic Health Insurance (Sjúkratryggingar Íslands) are responsible for the repayment and will reimburse you once they receive data which confirms your injuries and their duty to compensate for it.

For leisure time accidents, the general rule is that there is a capped limit on the reimbursement of costs associated with the applicable insurance policy.

Associated costs can usually be claimed up until the point where the evaluation of permanent impairment and disability is conducted.


Can you estimate my settlement amount?

There is a set formula for the calculation of a settlement under tort law, e.g. traffic accidents and work accidents at sea. In such cases there are many variables, age, wage history and the result of the assessment for permanent impairment and disability.

For work accidents or leisure time accidents the amount of compensation varies according to the terms of the relevant insurance policy and the results of the assessment for permanent impairment and disability.

There is no reliable method to estimate settlement amounts until after the results of the assessment have been received.


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