Definition of the size of insurance payment

49. At causing to the victim of a mutilation or other damage of its health to compensation are subject lost suffered earnings (income) which it had or definitely could have at date of causing to it of harm, and also in addition incurred expenses caused by damage of health, including expenses on treatment, an additional food, acquisition of medicines, the prosthetics, extraneous leaving, sanatorium treatment, acquisition of special vehicles, preparation for other trade if it is established that the victim needs these kinds of the help and leaving and has no right to their free reception.

50. For reception of insurance payment at a tresspass of life and to health of the victim, except the documents provided by point 44 of the present Rules, the victim applies the documents provided by points 51 on the statement for insurance payment, 53 - 56 present Rules.

51. At a requirement presentation about compensation of the lost earnings (income) of the victim are represented:

The conclusion of corresponding medical institution with instructions of character of the traumas received by the victim and mutilations, the diagnosis, the invalidity period;

The conclusion mediko-social or a forensic medical examination about disability degree;

The inquiry of the employer (educational institution, social security body) about the size of earnings (the income, pension, the grant) the victim for the period necessary for calculation of compensation;

Other documents confirming incomes of the victim which are considered at definition of the size of the lost earnings (income).

52. The size of the lost earnings (income) subject to compensation victims is defined in percentage to its average monthly earnings (income) to a mutilation or other damage of health or before loss of the work capacity by it, corresponding to degree of loss by victim of professional work capacity, according to the legislation of the Russian Federation.

53. At a requirement presentation about harm compensation in connection with death of the supporter are represented:

The statement with transfer of members of a family of the victim and instructions of the persons who were on its expense and having the right to reception from it of the maintenance;

The certificate on death of the victim in road and transport incident;

The inquiry on the earnings (income), received pension, the lifelong maintenance, grants, other payments (a rent, the alimony and etc.) the victim for the period provided by the civil legislation for calculation of compensation of harm in connection with death of the supporter;

The birth certificate of the child (children) if at the moment of approach of insured event in charge of the victim there were minor children;

The inquiry of establishment mediko-social or a forensic medical examination about a physical inability establishment if at the moment of approach of insured event in charge of the victim there were invalids;

The inquiry of educational institution that the member of a family of the victim, having the right to compensation reception, is trained in this educational institution if at the moment of approach of insured event in charge of the victim there were the persons trained in educational institution;

The conclusion (the inquiry of medical institution, social security body) about necessity of extraneous leaving if at the moment of approach of insured event in charge of the victim there were persons who needed extraneous leaving;

The inquiry of body of social security (medical institution, local government, a placement service) that one of parents, the spouse or other member of a family of the victim doesn't work and it is occupied by care of its relatives if at the moment of approach of insured event in charge of the victim there were the idle members of a family occupied with care by its relatives.

The damage caused to persons as a result of death of the supporter, as a rule, is compensated by regular payments (rent), however in coordination with the specified persons insurance payments can be carried out at a time for all date of performance the insurer of obligations to these persons.

54. At a requirement presentation about reimbursement for burial of the victim are represented:

The certificate on death;

The documents confirming made expenses on ritual services and burial.

55. At a requirement presentation about compensation of expenses in addition suffered by the victim on treatment and acquisition of medicines, to which free reception the victim hasn't the right (including over the base program of obligatory medical insurance), are represented:
Extract from the case record, given out by medical institution;

The documents confirming fee of medical institution;

The documents confirming payment of got medicines.

56. At a requirement presentation about compensation of the expenses in addition suffered by the victim caused by damage of health (except expenses on treatment and acquisition of medicines), medical certificate, the conclusion mediko-social or a forensic medical examination about necessity of an additional food, the prosthetics, extraneous leaving, the sanatorium treatment, special vehicles are represented, and also:

At a requirement presentation about reimbursement for an additional food:


• the inquiry of local governments or other authorized bodies on the prices which have developed in given region for the products entering into a daily grocery set of an additional food;
• the inquiry of medical institution on structure of a grocery set of an additional food necessary for a suffered daily allowance;
• the documents confirming payment of got products from a food set of an additional food.

Expenses on an additional food join in insurance payment at a rate of not more than 3 percent of the insurance sum;

At a requirement presentation about reimbursement for prosthetics - the documents confirming fee on prosthetics;

At a requirement presentation about reimbursement for extraneous leaving - the documents confirming fee on extraneous leaving.
Expenses on extraneous leaving join in the sum of insurance payment at a rate of not more than 10 percent of the insurance sum;

At a requirement presentation about reimbursement for sanatorium treatment:


• an extract from the case record, given out by establishment in which sanatorium treatment was carried out;
• the permit on sanatorium treatment;
• the documents confirming payment of the permit on sanatorium treatment;

At a requirement presentation about reimbursement for acquisition of special vehicles:


• a copy of the passport of a vehicle or the certificate on its registration;
• the documents confirming payment of the got special vehicle;
• the contract according to which the special vehicle is got;

At a requirement presentation about reimbursement for vocational training of the victim:


• the account on payment of vocational training (conversion training);
• a copy of the contract with the organization which is carrying out vocational training (conversion training);
• the document confirming payment of vocational training (conversion training).

57. The insurer has the right in coordination with suffered to make partial insurance payment on the basis of documents on the given medical services, necessity for which rendering has been caused by insured event, or to pay these services to medical institution which has directly rendered them.

58. Payment of the insurance sum for the harm caused to life or health of the victim, is made irrespective of the sums which are due to it on social security and contracts of obligatory and voluntary personal insurance.

59. Bodies of the state social insurance and social security, and also the insurance medical organizations haven't the right to show регрессные the requirement to the insurer who is carrying out obligatory insurance.

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