COMP 4

Eligible claimants

COMP 4.1

Application and Purpose

Application

COMP 4.1.1

See Notes

handbook-rule
This chapter applies to the FSCS.

COMP 4.1.2

See Notes

handbook-guidance
It is also relevant to those who may wish to bring a claim for compensation.

Purpose

COMP 4.1.3

See Notes

handbook-guidance
The purpose of this chapter is to set out the types of person who are able to claim compensation or benefit from the protection the FSCS is able to provide. A claimant needs to be an eligible claimant to satisfy COMP 3.2.1R(1).

COMP 4.2

Who is eligible to benefit from the protection provided by the FSCS?

COMP 4.2.1

See Notes

handbook-rule
Unless COMP 4.2.3 R applies, an eligible claimant is any person who at any material time:
(1) did not come within COMP 4.2.2 R; or
(2) did come within COMP 4.2.2 R, but satisfied the relevant exception in COMP 4.3 or COMP 4.4.

COMP 4.2.2

See Notes

handbook-rule

Table COMP 4.2.2R Persons not eligible to claim unless COMP 4.3 applies (see COMP 4.2.1R)

This table belongs to COMP 4.2.1R

COMP 4.2.3

See Notes

handbook-rule
A person who is a small business is an eligible claimant in respect of a relevant general insurance contract entered into before commencement only if the person is a partnership.

COMP 4.3

Exceptions: Circumstances where a person coming within COMP 4.2.2R may receive compensation

Deposits (and balances in dormant accounts)

COMP 4.3.1

See Notes

handbook-rule
A person is eligible to claim compensation in respect of a protected depositor a protected dormant accountif, at the date on which the relevant person is determined to be in default:
(1) he came within category (14) of COMP 4.2.2R; or
(2) he came within any of categories (1)-(3), (7) or (12) of COMP 4.2.2R, and was not a large company, large mutual association, or a credit institution; or
(3) he was a credit union.

Long term insurance

COMP 4.3.2

See Notes

handbook-rule
A person other than one which comes within any of categories (7), (9), (12) or (15) of COMP 4.2.2R is eligible to claim compensation in respect of a long term insurance contract.

Relevant general insurance contracts

COMP 4.3.3

See Notes

handbook-rule
(1) A person falling within categories (1)-(4) of COMP 4.2.2 R is eligible to claim compensation in respect of a relevant general insurance contract if, at the date the contract commenced he was a small business.
(2) Where the contract has been renewed, the last renewal date shall be taken as the commencement date.

COMP 4.3.4

See Notes

handbook-rule
A partnership which falls within category 14, or category 17, or both of COMP 4.2.2R is eligible to claim compensation in respect of a relevant general insurance contract entered into before commencement.

COMP 4.3.5

See Notes

handbook-rule
A person who comes within category (16) of COMP 4.2.2R (a 'category 16 person') is eligible to claim compensation if:
(1) the person insured would have been an eligible claimant at the time that his rights against the insurer were transferred to and vested in the category 16 person; or
(2) the liability of the person insured in respect of the category 16 person was a liability under a contract of employer's liability insurance which would have been a liability subject to compulsory insurance had the contract been entered into after 1 January 1972 or (for contracts in Northern Ireland) 29 December 1975; or
(3) the extent of the liability of the person insured in respect of the category 16 person had been agreed in writing by the insurer, or determined by a court or arbitrator, before the date on which the insurer is determined to be in default.

Liability subject to compulsory insurance

COMP 4.3.6

See Notes

handbook-rule
A person who comes within COMP 4.2.2R is eligible to claim compensation in respect of a liability subject to compulsory insurance if the claim is:

Eligibility to claim in specified circumstances

COMP 4.3.8

See Notes

handbook-rule
The FSCS may treat a person who comes within category (7) or (12) of COMP 4.2.2 R as eligible to claim compensation where:
(1) this is desirable to achieve the efficient performance of any of its functions, including without limitation, to facilitate a transfer of business or any part thereof, to secure the issue of policies by another firm to eligible claimants in substitution for their existing policies, to achieve the efficient payment of compensation, to secure under COMP 3.3.2C R the payment of benefits under a long term insurance contract; and
(2) treating these persons as eligible to claim compensation would, in the opinion of the FSCS, be beneficial to the generality of eligible claimants who will be affected by the action in (1).

COMP 4.4

Exceptions: Relevant general insurance contracts: mesothelioma claims

Application

COMP 4.4.1

See Notes

handbook-rule
This section applies in respect of any claim for a contribution by a responsible person made on or after 25 July 2006 in relation to a mesothelioma victim's claim which is determined by agreement in writing, a court or an arbitrator on or after 3 May 2006.

Claims for contribution by responsible persons

COMP 4.4.2

See Notes

handbook-rule
The rules in this sourcebook shall have effect as modified to the extent necessary to enable the FSCS to receive, assess, determine and make payments in respect of applications for compensation from responsible persons in accordance with article 9A of the compensation transitionals order and regulation 3 of the mesothelioma regulations.

COMP 4.4.3

See Notes

handbook-rule
In particular:
(1) a responsible person is eligible to claim in accordance with the provisions of this section;
(2) the FSCS may pay compensation to a responsible person where it is satisfied that an eligible claimant has a claim under a protected contract of insurance issued by an insurerin default, which, but for satisfaction of that claim by the responsible person, the FSCS would have paid;
(3) a responsible person in (2) may claim compensation only if, having satisfied a claim in relation to a mesothelioma victim, he could claim contribution from an insurerin default;
(4) the FSCS may pay compensation in respect of any contribution for which an insurerin default is liable by agreement in writing, or by a determination of a court or arbitrator; and
(5) in this section, references to an insurer include an authorised insurance company, and references to in default include an article 9 default.

COMP 4.4.4

See Notes

handbook-guidance
The provisions in this section establish a scheme for contribution claims by responsible persons. The requirement in COMP 12.2.7 R to take into account payments to the claimant do not therefore require the FSCS, in paying compensation in respect of such a claim, to take into account any payments referred to in that rule made by a responsible person in calculating the claimant's overall claim.

Limits to amounts payable for contribution claims

COMP 4.4.5

See Notes

handbook-rule
The amount payable by the FSCS in respect of a claim in accordance with the provisions of this section may not exceed the amount that it would have paid if the mesothelioma victim (or a responsible person other than an insurer of such a person) to whom the contribution claim relates had made that claim directly against FSCS.