Rules On The Amount Of Claims And Calculation Procedures For The Person Not Suffered Material Losses

Original Language Title: Noteikumi par apdrošināšanas atlīdzības apmēru un aprēķināšanas kārtību par personai nodarītajiem nemateriālajiem zaudējumiem

Read the untranslated law here: https://www.vestnesis.lv/ta/id/108625

Cabinet of Ministers Regulations No. 331 in Riga, 17 May 2005 (pr. No 30 § 1) rules on insurance claims and the calculation procedure for the person not suffered material injury Issued under the motor liability insurance Act, compulsory 19. the third paragraph of article i. General questions 1. determines the extent of claims and procedures for calculating road vehicle insurance against civil liability in respect of the mandatory insurance for traffic accidents in person not mate rial suffered damages related to pain and mental suffering victim's physical injuries , disability, disability, as well as the victim's survivors, dependent or spouse's death or because the victim survivors, dependant or spouse become disabled in Group 1. 2. the insurance reimbursement for a road traffic accident the person suffered intangible losses (hereinafter insurance fees) paid in the form of a lump sum, if the insurer or the insurer of the vehicle, the Office has taken a decision on the costs of claims. II. the claims about 3. for claims in the injured party's pain and ga Riga victim suffering physical injury is from 20 to 400 lats. The victim claims costs in such cases and to the extent: 3.1 if the injured party is a serious injury, from 250 to 400 lats. The insurer or insurers pay the maximum payable by the Office the amount of claims set out in the specific degree of bodily injury, if the medical examiner's opinion, the findings of injury indicated as politraum (multiple anatomical areas of body injury);
3.2. If the injured party is a moderate personal injury — from 80 to 200 lats;
3.3. If the victim is a mild injury, which caused health problems, from 20 to 50 lats. 4. The insurer or the insurer of the vehicle does not have to pay the person not material damage on the victim's pain and mental anguish the victim a mild personal injury if they are not caused by health problems. 5. The insurer or insurers of vehicles insured by the Office of compensation in the amount of the victim's pain and mental suffering physical injury is calculated as follows: 5.1 finds bodily injury severity according to the medical expert opinion;
5.2. listing the injury according to the forensic expert found Mama;
5.3. fixed calculation of claims interest applicable to these rules (annex) 5.2 referred to bodily injury;
5.4. If the statements from the hospital and/or outpatient hospital's patient medical record listed next to the cases that extend or make more complicated road traffic accident injury gained in treatment as well as where the other factors that affect the quality of life of the victim after the road accident, in addition to the added 10% of that rule 5.5. bottom base rate referred to in paragraph 1;
5.5. the calculation of the total amount of claims in the injured party's physical trauma, using the following formula: A = Min + (P1 + P2 x 150 x 150 + ... + Pn 150 x 150 x + C), where: (A) the total amount of claims in the injured party's physical trauma (ls);
Min-the minimum insurance amount of the remuneration to each of the severity of bodily injury;
P1 ... PN: each percentage applicable to personal injury (annex);
C — this rule 5.4 referred next to the illness and other factors;
150-base factor. 6. the amount of claims in the injured party's pain and long gām in the suffering of a person subjected to mutilation, disability is from 25 to 250 lats. The victim claims costs in such cases and to the extent: 6.1. If the victim is tissue damage — visible scars and/or pigmentation, face and/or body asymmetry (no functional bothers you) — 25 lats;
6.2. If the victim is the tissue damage that is caused by functional disturbances, 50 lats;
6.3. If the injured person become disabled, group 1 — 175 lats;
6.4. If the injured person become disabled, group 2 — 100 lats;
6.5. If the injured person become disabled, group 3:50 lats;
6.6. If at the same time finds that rule 6.1 and 6.2 in these tissues, the insurer or the insurer of the vehicle, the Office paid for claims that rule 6.1 and 6.2 respectively referred to in subparagraph;
6.7. If at the same time finds that rule 6.3 or 6.4 or 6.5. disabilities and referred to in these rules referred to in paragraph 6.1. tissue damage, the insurer or the insurer of the vehicle charged by the Office accordingly claims that rule 6.3 or 6.4., or in the in point 6.5 and 6.1 of these regulations to the extent prescribed in paragraph;
6.8. If at the same time finds that rule 6.3 or 6.4 or 6.5. disabilities and referred to in these rules referred to in paragraph 6.2. tissue damage, the insurer or the insurer of the vehicle charged by the Office accordingly claims that rule 6.3 or 6.4., or in the in point 6.5 and 6.2 these rules specified in subparagraph;
6.9. If at the same time finds that rule 6.3 or 6.4 or 6.5. disabilities and referred to in these regulations 6.1 and 6.2 in these tissues, the insurer or the insurer of the vehicle, the Office paid for claims that rule 6.3 or 6.4., or in the in point 6.5 and 6.1 of these regulations and the prescribed in paragraph 6.2. 7. Claims for pain and mental suffering survivors, dependent or spouse's death is 100 dollars for each applicant claims under motor liability insurance mandatory article 23 of the law of the person referred to in the first subparagraph. 8. the amount of the claims for pain and mental anguish that arose because the sponsor, dependant or spouse become disabled, group 1 is 100 dollars for each applicant claims under motor liability insurance mandatory article 23 of the law of the person referred to in the first subparagraph. 9. The injured party in the event of the death of rights to that rule 3 and 6 claims referred to in paragraph 1 may not inherit. 10. the total amount of the claims is up to 1000 lats each road traffic accident victim, if all these provisions is offset 3, 6, 7 and 8 above. III. receipt of claims required documents 11. Submission of claims for injured me in the nas and the emotional pain the suffering victim's physical injuries due to be accompanied by the following documents: 11.1. forensic copy of the expert opinion;
11.2. extracts from the patient's medical record, which is located in the hospital or outpatient treatment and/or institution in which road traffic accident victim delivered or contacted by a road traffic accident. 12. Submission of claims to the victim's pain and mental suffering due to impairment of the victim shall be accompanied by the following documents: 12.1. forensic copy of the expert opinion;
12.2. extracts from the patient's medical record, which is located in the hospital or outpatient treatment and/or institution in which road traffic accident victim delivered or contacted by a road traffic accident. 13. Submission of claims to the victim's pain and mental suffering victim's disability health and integrity of the Commission's medical expertise of disability issued a copy of the certificate (the original show) and the decision on the determination of disability for a certified copy. 14. Submission of claims for pain and mental suffering survivors, dependent or spouse's death be accompanied by the following documents: 14.1 in the event of the death of the survivor: 14.1.1. the dependent copy of the birth certificate (original show);
14.1.2. for deceased former dependent persons;
14.2. in case of death — dependants dependent birth certificate copy (the original show);
14.3. in case of death of the spouse, marriage certificate copy (shown in oriģin lu). 15. Submission of claims for pain and mental anguish that arose because the sponsor, dependant or spouse become disabled in Group 1, add the following: 15.1 the health and integrity of the expertise of the Commission issued the medical disability certificate copy (the original show) and the decision on the determination of disability for a certified copy thereof;
15.2. If the household becomes 1. disability:

15.2.1. a statement of the sponsor's dependent persons;
15.2.2. dependent persons birth certificate copy (shown in oriģin lu);
15.3. If the dependant became 1. disability, dependent or a horse-a copy of the certificate (the original show);
15.4. If your spouse become disabled, in Group 1, a copy of the marriage certificate (original show). 16. The insurer or insurers for claims submission by the Office of the road traffic accident person not suffered material losses and these rules 11, 12, 13, 14 and 15 of the documents referred to in paragraph add documents that are attached to the written application for road traffic accident person material losses. IV. final question 17. provisions applicable to 1 May 2005. Prime Minister a. Halloween Finance Minister O. Spurdziņš attachment Cabinet of 17 May 2005, regulations no 331 claims for the calculation of interest applicable under personal injury personal injury for no insurance BC for the calculation of the remuneration applicable percentage * i. spine vertebra body 1, arc and joint overgrowth crunch, except the sacrum and coccyx: 1.1. one of two vertebrae three-five 15 1.2 vertebra 30 1.3. six more vertebrae and 40 2. each šķērsizaugum or pointed spur fracture 5 3. Sacrum fracture 10 4.
The tail vertebra fracture 10 II. Shoulder, upper arm, forearm, hand 5. Blade breakage and/or clavicle fracture 10 6. Blade joint cavity crunch, the big crunch, the hills of the links or joint fracture, shoulder bag wrist mežģījum (except the habit mežģījum): 6.1 one broken bone, tendons, joint capsules of the fracture, the bone fragment atrāvum, shoulder joint mežģījum 5 6.2. large hills crunch, two bone fracture , with the shoulder blade fracture joints mežģījum 10 6.3 blades joints, upper arm and warheads, anatomical surgical neck fracture, fracture-mežģījum in 15 7. Upper arm bone fracture: 7.1 7.2 at any level of 20 8 15 dubultlūzum. Upper limb amputation or severe traumatic damage, followed by: 8.1. blades, collar bone or part of upper limb amputation 80 8.2 amputation at any level 70 8.3. only limbs amputation of upper arm level 90 9. Elbow joint damage : pronācij mežģījum of the forearm 9.1 5 9.2. bone fragment atrāvum, also epikondiļ, cane or arm bone fracture, mežģījum 5 9.3. stick and arm bone fracture, forearm mežģījum 10 9.4. intraartikulār fracture upper arm with the stick and arm bones (bone fracture of three) 20 10. Forearm bone fracture at any level, except the wrist area: 10.1 one broken bone, mežģījum 5 10.2. both bone fractures, bone is one dubultlūzum traumatic amputation of forearm, 10 11. or heavy damage followed by: 11.1. forearm amputation level 70 in any 11.2. eksartikulācij elbow joints 70 11.3. only limbs amputation of forearm level 90 12. Wrist traumatic lesion: 12.1. forearm one broken bone, īlenveid the wart (wart), atrāvum (fragment), atrāvum of bone, elbow bone heads mežģījum 5 12.2. forearm fracture of both bones of the wrist for 10 12.3. perilunār mežģījum is One of 15 13. hands hands, wrists or mežģījum of bone fracture 13.1. the one: (except laivveid bone) 5 13.2. and two more bone, bone laivveid 10 14. traumatic amputation of the hand or the heavy damage, followed by: 14.1 wrist amputation wrists-bone level or the wrist 60 14.2. the only hand amputation 90 15. First finger damage: 15.1 Naga tiles atrāvum 3 15.2. crunch, mežģījum, injury with Phalanx (phalanges) soft tissue defects, tendons (tendons) capsule rupture , tendons, joints, bone panarīcij a 5 16. Damage, followed by the first finger amputation: 16.1 the Phalanx level 10-16.2. starpfalang joint level (nail phalanx) 15 16.3. Basic phalanx, metakarpāl – the main phalanx bone joints level 20 16.4. with metakarpāl bone or part of 25 17. The second, third, fourth, fifth finger injury: 17.1. Naga atrāvum tiles 3 17.2. crunch, mežģījum, injury with Phalanx (phalanges) soft tissue defect tendon rupture,, tendons, joints, bones of 5 18 panarīcij. The second, third, fourth, fifth finger injury followed by: 18.1. amputation of nails at the level of the phalanges phalanx loss 5 18.2. vidusfalang level amputation (loss of two phalanges) 10 18.3. Basic phalanx amputation level, finger loss 15. finger amputation with 18.4 metakarpāl the bone part 20 III. Pelvis, thigh, Shin, foot 19. Pelvic bone fracture: 19.1. one bone fracture 10 19.2 two bone fracture or bone dubultlūzum in one one connection, fracture, and three more 15 19.3 bone fracture, two or three connection tear 20 20. Hip joint lesion (if there are multiple defects, claims for the worst): 20.1. bone fragment atrāvum 5 20.2. isolation of one or both of the atrāvum amended 10 20.3. hip 15 mežģījum 20.4. hip bone head, neck fracture of Femur 30 21. crunch: 21.1. any level except the wrist area of the upper dubultlūzum 21.2.25 30 22. traumatic amputation of the thighs or heavy damage, followed by: 22.1. single-limb amputation at any level 70 22.2. the only limb amputation 90 23. Knee damage: 23.1. with puncture hemartroz approved 5. excerpts of bone atrāvum 23.2, epikondij crunch, little big head bone fractures, damage to the meniscus, ligament rupture, mežģījum 5 23.3. Road, a spur of the lumbar starpkondiļ , kondiļ of bone fracture 10 23.4. thigh distal metafīz, kondiļ fracture with Shin bone fracture proximal to any of 20 24. Shin bone fracture at any level, except intraartikulār: 24.1. little big bone fracture, the bone fragment in 5 large atrāvum large bone 24.2. crunch, fibul dubultlūzum 10 of 24.3. tibij of the two bone or dubultlūzum of any level 15 25. traumatic amputation of lower leg or severe damage (if there are several lower leg or knee joint injury , claims paid for the heaviest), followed by: 25.1. lower amputation level 70 in 25.2. any eksartikulācij of knee joint 70 25.3. the only limb amputation in any level 90 26. lower leg ankle joint injury: 26.1. with puncture hemartroz approved 5 26.2. one ankle fractures, ligament rupture 5 26.3. two ankle fractures, ankle or both ankles and big big bone fracture, the edge of the starpkaul of the sindesmoz of isolated fracture of the ankle 10 26.4. ab crunch with a great big side of bone fracture great great intraartikulār of bone fracture injuries 15 27. Achilles tendon: 27.1. treating conservative 5. making operation 15 28 27.2. Feet and mežģījum feet of bone fractures: 28.1. single broken bone or mežģījum (except the heel bone and velteņkaul) 5 28.2., two-velteņkaul bone fracture, mežģījum 10 17.6. three and more bone fracture (mežģījum), a heel bone fracture, foot in subtalar mežģījum, mežģījum feet of bone joints (at the level of the Šepart the , Lisfrank joint) 15 29. Foot Amputation: 29.1. metatarsofalangeāl wrist level (all finger loss) 29.2 30. Tarsus bones or tarsal bone level 40 29.3. velteņkaul, heel bone (ft) 50 30. One foot finger (finger) phalanges fractures, mežģījum, tendon rupture: 30.1.30.2.5 one-finger two-three finger 5. four – five 30.3 finger 10 31. First traumatic amputation of fingers or serious damage followed by amputation: 31.1. Naga phalanx level (nail phalanx) 5 31.2. Basic phalanx level (the loss) 10 32. The second, third, fourth, fifth toe traumatic amputation or severe damage, followed by amputation: 32.1. one-or two-finger-vidusfalang level 5 32.2. two-finger one-the basic level of the Phalanx (finger) 32.3. three-four 10 finger nails or vidusfalang level three – four 15 32.4. finger phalanges of the basic level (the loss) 20 skull IV. , Central and peripheral nervous system 33. Skull fracture: 33.1. arches of bone fracture of the outer plate 33.2 33.3 5. vaults 15. base 20 20.8. vaults and the base of traumatic hemorrhage 25 34. Intrakraniāl: 34.1 34.2 of the hematoma epidurāl. 10. subdurāl intracerebral hematoma of 15 21.3. subdurāl and epidurāl (ICPI) Hematoma 20 35. Brain Trauma: 21.8. brain concussion 35.2 5. cerebral contusion, subarahnoidāl blood spill 15 35.3. foreign matter in the cranial cavity (excluding materials operation) 20 36. Nervous system damage that created: 36.1. upper or lower limbs 20 monoparēz 36.2. paraparēz or hemiparēz (both top and bottom, either right or left side of the parēz of the two limbs) 22.6 30. monopleģij (any extremity paralysis), amnesia (memory loss) 50 22.6. tetraparēz (both upper and lower limb parēz), coordination disorders, dementia (dementia), aphasia 70 22.7.

Hemi-, on-or tetraplēģij, dekortikācij, pelvic organ malfunction 80 22.7. one or more brain damage to peripheral nerves 10 37. Traumatic spinal cord injury (at any level): 37.1. concussion, bruising 5. bruising, 37.2 10 37.3 hematomielij. complete spinal cord rupture 80 38., hands, Neck, lumbar and sacral plexus injury (injury, rupture): 38.1. traumatic pleksīt 10 38.2. Plexus partial rupture 20 23.8. Plexus complete rupture 30 39. Nerve rupture : 24.3. one nerve rupture finger or wrist level 5 24.4. one nerve rupture forearm, lower level and two more 39.3 10 nerve rupture forearm, lower level 20 24.5. one nerve rupture upper arm, elbow joints, upper level 25 and two more 24.5 nerve rupture upper arm, elbow joints, upper level 30 g. organs of vision in one eye accommodation 40-15 41. Hemianopsij paralysis (loss of side vision) for one eye muscle damage in the eye (strabismus, traumatic PTOSIS, diplopia) 15 42. field of vision in one eye narrowing 10 43. pulsating eksoftalm in one eye for 20 44. izvadceļ tears in one eye injury that creates a disturbance of function 5 45. The eye (eye) injury, which caused both or one eye blind complete vision loss in 80 46. Blind removal of the eyeball (enukleācij) lessons injury 10 47. Orbital fracture 10 48. Eye injury that caused a decrease in Visual acuity 15 VI. Hearing organs 49. Ear shells damage followed by: 30.5. ear shells cartilage fracture, 5 othematom 30.6. ear shells loss 20 50. Hearing impairment after traumatic damage to the ear, one ear 15 51-bungplēvīt tear injuries due to (without a hearing impairment) 5 VII. Respiratory organs and respiratory system 52. Nasal bone or cartilage fracture, mežģījum, or maxilla frontal cavity front wall fracture. 5 53 shall be had the chest cavity , lung damage, traumatic subcutaneous emphysema, hemotoraks, pneimotoraks, traumatic Pleurisy: 53.1 53.2 5. unilaterally. mutual 10 54. Chest and organ damage, followed by: 54.1. lung lobe removal parts 25 54.2. the complete removal of one lung 50 55. Sternum fracture Rib fracture 5 56.5 (for each rib fractures, but not more than 15 total) piercing 57. traumatic thoracic injury : 57.1. without chest organ injury 5 57.2. chest organ injury 15 58. Larynx and trachea damage without breathing and speech disorders 10 59. Larynx and trachea damage, causing respiratory and speech disorders 20 VIII. Cardiovascular System heart, its 60 coat and the greater saphenous vein damage (without function impairment) 25 61. Great peripheral vascular damage (without circulatory disorders) 10 62. Great peripheral vascular damage that caused heart and circulatory failure 20 IX. Digestive System 63. Maxilla, cheek bones or mandibular fractures, mandibular mežģījum: 39.2. mandibular mežģījum (except the habit) 39.3 5. one broken bone in 10 and two more 63.3 bone fracture, one of 15 64. dubultlūzum bone jaw traumatic damage that caused parts of the jaw: 64.1. loss of 64.2. jaw full 40 loss 80 65. Oral, tongue traumatic lesions also, with scarring (regardless of size) 5 66. traumatic lesions of the tongue that created: 66.1. tongue tip loss 10 66.2. the loss of distal third of tongue level 15 66.3. tongue loss average third level 30 66.4. loss in the root of the tongue level or complete loss of 70 67. tongue tooth loss 3 (for each tooth loss) 68. Throat, oesophagus, intestinal injury, traumatic rupture, as well as the ezofagogastroskopij of the to remove any foreign matter or a specific diagnosis (without function impairment) 5 69. Esophageal traumatic damage that caused esophageal narrowing of the 40 70. Digestive traumatic injury that created: 70.1. stomach, intestinal tract, gut out scarred narrowing (deformation) 10 bowel fistula, 70.2 rekt-vaginal fistula, pancreatic fistula of anus prenatural 30 70.3. (kolostom) 50 71. Hernia that developed after damage to his stomach in the front wall , the diaphragm or post-operative scarring area when the operation made injuries due to traumatic injury of Liver 10 72. followed by: 72.1. liver 30 suturing 72.2. partial liver resection for traumatic lesions of Gallbladder 40 73. followed by a gall bladder removal of spleen traumatic damage 15 74.: 74.1. subkapsulār in the spleen rupture without operational intervention 5. spleen removal 20 75 74.2. Gastric, pancreatic, intestinal mesentery, traumatic injury, followed by : 75.1. necrosis, suturing, post traumatic cyst of 75.2.20, bowel, stomach, pancreatic resection for 30 gastroektomij 50 X 75.3. Uro system 76. Renal traumatic lesion: 76.1. kidney bruise, subkapsulār tear (without surgery) 5. kidney resection 30 76.2 76.3. removal of the kidney, ureter, bladder 60 77., traumatic urethral injuries: without function impairment of 77.1.5. interference with the function of 77.2 20 78. traumatic lesions of genital system (without function impairment) 5 79. Genital system traumatic damage that created: one testicle, 79.1. ovarian, fallopian tubes of the loss of both ovarian 79.2.15, only two of the fallopian tubes, ovaries, fallopian tubes, both only one testicle or testicles, or only partial penile loss 90 79.3. uterine amputation injuries: 79.3.1.40 years of age 90 79.3.2. between the ages of 40 and 50 years 50 79.3.3. over 50 years 10 80. Complete penile loss 90 XI. Soft tissue 81. Soft tissue damage in the face the front of the neck-side surface of the Chin area, ear-shell, which caused cosmetic defects 20 82. Soft tissue damage of the head traumatic hairy, on the body, extremities, which caused scarring 15 83. Not removed foreign objects 5 84. Muscle of periostīt hernia, disorder, muscle rupture, tendon rupture 5 85. Traumatic shock or injury induced haemorrhagic shock 5 86. Pregnancy break 100 notes. 1.6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 49, 53, 54, 65, 66, 70, 72, 74, 75, 76, 77 and in point. 79.1 and 79.2. subparagraph. the remuneration interest is totaled. 2. If a medical expert opinion contains the personal injury that is not mentioned in this table, compensatory interest shall be determined by the insurance specialist — a doctor.
Minister of finance Spurdziņš o.