Regulatory part

When the victim, the heirs or the spouse provides only part of the information requested by the insurer in its correspondence and the reply does not allow, due to the lack of sufficient information, to establish the offer of compensation, the insurer has a period of fifteen days from the receipt of the complete reply to present to the interested party a new request in which it specifies the missing…

When the victim does not undergo the medical examination mentioned in article R. 211-43 or when he/she disputes the choice of the doctor and no agreement can be reached with the insurer, the appointment of a doctor as expert by the interim relief judge, at the insurer’s request, extends by one month the time limit given to the insurer to submit the offer of compensation.

When the victim lives overseas or abroad, the time limits set by articles R. 211-31 and R. 211-32 are extended by one month. The time limit given to the insurer to make an offer of compensation is extended by the same amount of time. When a third party payer lives overseas or abroad, the time limits provided for in article L. 211-9 are increased by one month.

The time limits referred to in this section are calculated in accordance with Articles 641 and 642 of the Code of Civil Procedure.

At the insurer’s request, the victim must provide the following information: 1° Full name ; 2° Their date and place of birth; 3° His professional activity and the address of his employer(s); 4° The amount of his or her professional income, with supporting documents; 5° A description of the damage caused to his/her person, accompanied by a copy of the initial medical certificate and other supporting documents in the event…

When the offer of compensation is to be made to the victim’s heirs, spouse or the persons mentioned in the second paragraph of article L. 211-9, each of these persons must, at the insurer’s request, provide the following information: 1° Full name ; 2° Their date and place of birth; 3° The full name, date and place of birth of the victim; 4° His relationship to the victim; 5° His…

The correspondence sent by the insurer in application of articles R. 211-37 and R. 211-38 shall mention, in addition to the information provided for in article L. 211-10, the name of the person responsible for following up the accident. It reminds the person concerned of the consequences of failing to reply or replying incompletely. It states that the copy of the police or gendarmerie investigation report that the person concerned…

In addition to the information required by article L. 211-16, the offer of compensation must indicate the valuation of each head of loss, the claims of each third party payer and the sums due to the beneficiary. It shall be accompanied by a copy of the statements produced by the third party payers. Where applicable, the offer specifies the limitations or exclusions of compensation chosen by the insurer, and the…

The request sent by the insurer to a third party payer with a view to the production of its claims shall state the surname, first names and address of the victim, his professional activity and the address of his employer(s). It also clearly states the provisions of articles L. 211-11 and L. 211-12. In the absence of this information, the forfeiture period provided for in the second paragraph of article…

The third party payer shall indicate to the insurer, for each sum for which he is claiming reimbursement, the legislative, regulatory or contractual provision under which this sum is due to the victim. In the case provided for in the third paragraph of Article L. 211-11, the amounts claimed are provisional only if the third party payer expressly states this.