COMP 4
Eligible claimants
COMP 4.1
Application and Purpose
- 01/12/2004
Application
COMP 4.1.1
See Notes
This chapter applies to the FSCS.
- 01/04/2013
COMP 4.1.2
See Notes
It is also relevant to those who may wish to bring a claim for compensation.
- 01/04/2013
Purpose
COMP 4.1.3
See Notes
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).
- 01/04/2013
COMP 4.2
Who is eligible to benefit from the protection provided by the FSCS?
- 01/12/2004
COMP 4.2.1
See Notes
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
- 01/04/2013
COMP 4.2.2
See Notes
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
| (1) | Firms (other than a sole trader firm ; a credit union ; a trustee of a stakeholder pension scheme (which is not an occupational pension scheme) or personal pension scheme; a firm carrying on the regulated activity of operating, or winding up, a stakeholder pension scheme (which is not an occupational pension scheme) or personal pension scheme; or a small business ; in each case, whose claim arises out of a regulated activity for which they do not have a permission) | ||
| (2) | Overseas financial services institutions | ||
| (3) | Collective investment schemes, and anyone who is the operator or depositary of such a scheme . | ||
| (4) | Pension and retirement funds, and anyone who is a trustee of such a fund. However, this exclusion does not apply to: | ||
| (a) | a trustee of a personal pension scheme or a stakeholder pension scheme (which is not an occupational pension scheme ); or | ||
| (b) | a trustee of a small self-administered scheme or an occupational pension scheme of an employer which is not a large company , large partnership or large mutual association . | ||
| (5) | Supranational institutions, governments, and central administrative authorities | ||
| (6) | Provincial, regional, local and municipal authorities | ||
| (7) | Directors of the relevant person in default. However, this exclusion does not apply if: | ||
| (a) | both of the following apply: | ||
| (i) | the relevant person in default is a mutual association which is not a large mutual association; and | ||
| (ii) | the directors do not receive a salary or other remuneration for services performed by them for the relevant person in default, or | ||
| (b) | the relevant person in default is a credit union. | ||
| (8) | [deleted] | ||
| (9) | Bodies corporate in the same group as the relevant person in default unless that body corporate is: | ||
| (a) | a trustee of: | ||
| (i) | a stakeholder pension scheme (which is not an occupational pension scheme) or a personal pension scheme (but in each case if the trustee is a firm it will only be an eligible claimant if its claim arises out of a regulated activity for which it does not have a permission); | ||
| (ii) | (if the claim is with respect to a long-term insurance contract) a small self-administered scheme or an occupational pension scheme; or | ||
| (iii) | (if the claim is not with respect to a long-term insurance contract) a small self-administered scheme or an occupational pension scheme of an employer which is not a large company, large partnership or large mutual association; or | ||
| (b) | carrying on the regulated activity of operating or winding up a stakeholder pension scheme (which is not an occupational pension scheme) or personal pension scheme. | ||
| (10) | [deleted] | ||
| (11) | [deleted] | ||
| (12) | Persons who, in the opinion of the FSCS, are responsible for, or have contributed to, the relevant person'sdefault | ||
| (13) | Large companies | ||
| (14) | Large partnerships | ||
| (15) | Persons whose claim arises from transactions in connection with which they have been convicted of an offence of money laundering. | ||
| (16) | Persons whose claim arises under the Third Parties (Rights against Insurers) Act 1930 | ||
| (17) | Where the claim is in relation to a protected contract of insurance or protected non-investment insurance mediation, body corporate, partnerships, mutual associations and unincorporated associations which are not small businesses. | ||
| (18) | Alternative investment funds, and anyone who is the AIFM or depositary of an alternative investment fund. | ||
| (19) | Large mutual associations | ||
- 28/02/2014
COMP 4.2.3
See Notes
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.
- 01/04/2013
COMP 4.3
Exceptions: Circumstances where a person coming within COMP 4.2.2R may receive compensation
- 01/12/2004
Deposits (and balances in dormant accounts)
COMP 4.3.1
See Notes
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 or a credit institution; or
(3) he was a credit union.
(4) he came within category (19) of COMP 4.2.2 R
- 17/12/2013
Long term insurance
COMP 4.3.2
See Notes
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.
- 01/04/2013
Relevant general insurance contracts
COMP 4.3.3
See Notes
(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.
- 01/04/2013
COMP 4.3.4
See Notes
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.
- 01/04/2013
COMP 4.3.5
See Notes
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.
- 01/04/2013
Liability subject to compulsory insurance
COMP 4.3.6
See Notes
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:
- 01/04/2013
Eligibility to claim in specified circumstances
COMP 4.3.8
See Notes
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).
- 01/04/2013
COMP 4.4
Exceptions: Relevant general insurance contracts: mesothelioma claims
- 22/12/2006
Application
COMP 4.4.1
See Notes
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.
- 01/04/2013
Claims for contribution by responsible persons
COMP 4.4.2
See Notes
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.
- 01/04/2013
COMP 4.4.3
See Notes
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.
- 01/04/2013
COMP 4.4.4
See Notes
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.
- 01/04/2013
Limits to amounts payable for contribution claims
COMP 4.4.5
See Notes
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.
- 01/04/2013