INSURANCE BUSINESS (PROTECTION AND COMPENSATION FUND) REGULATIONS
Table of Provisions (50)
Statutory Text (50 Articles)
COMPENSATION FUND)
SUBSIDIARY LEGISLATION 403.25
INSURANCE BUSINESS (PROTECTION AND
COMPENSATION FUND) REGULATIONS
22nd November, 2024
LEGAL NOTICE 318 of 2024.
PART I
PRELIMINARY
(1)
The title of these regulations is the Insurance
Business (Protection and Compensation Fund) Regulations.
(2)
The scope of these regulations is to partially transpose
the relevant provisions of Directive 2009/103/EC of the European
Parliament and of the Council of 16 September 2009 relating to
insurance against civil liability in respect of the use of motor vehicles
and the enforcement of the obligation to insure against such liability,
as amended by Directive (EU) 2021/2118 of the European Parliament
and of the Council of 24 November 2021 amending Directive 2009/
103/EC relating to insurance against civil liability in respect of the use
of motor vehicles, and the enforcement of the obligation to insure
against such liability, as may be amended from time to time, and
includes any binding legal instruments, guidelines and any other
measures that have been or may be issued thereunder.
(1) In these regulations, unless the context otherwise
requires
''Act'' means the Insurance Business Act;
"administrator" means
(a)
in Malta, any person or body appointed by
the relevant authorities for the purpose of administering
reorganisation measures; or
(b)
in another Member State or EEA State, any
person or body appointed by the foreign administrative
or judicial authorities or by the governing bodies of an
insurance undertaking authorised in such Member State
or EEA State for the purposes of administering
reorganisation measures
Provided that "relevant authorities" shall
have the same meaning as assigned to it in the Insurance
Business (Reorganisation and Winding up of Insurance
Undertakings) Regulations;
"authorised reinsurance undertaking" shall have the same
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meaning as assigned to it in the Act;
"binding legal instruments" means any directly
applicable measures, including but not limited to any
implementing technical standards, regulatory technical
standards or any similar measures issued under European Union
legislation;
''business of motor insurance'' means the business of
insurance of group 2 as specified in Part II of the Third
Schedule to the Act or any class or part class thereof;
''competent authority'' shall have the same meaning as
assigned to it in the Act;
"European compensation body" means a body set up or
authorised by a Member State other than Malta, with the task of
providing compensation to injured parties who are resident
within its territory for damage to property or personal injuries
caused by a vehicle, in terms of Articles 10a(1) and 25a(1) of
the Motor Insurance Directive;
"European insurance undertaking" shall have the same
meaning as assigned to it in the Act;
"European regulatory authority" shall have the same
meaning as assigned to it in the Act;
''Financial Services Tribunal'' shall have the same
meaning as assigned to it in article 57 of the Act;
"from Malta" shall be construed as the carrying on of
motor vehicle liability insurance business by an insurer in
another Member State outside of Malta, and excludes any motor
vehicle liability insurance business carried on exclusively in
Malta;
"Fund A" means the fund which is composed of
contributions made by insurers which carry on
(a) long term business in Malta in any one (1)
or more of the following classes specified in the Second
Schedule to the Act: I, II, IV, VII and IX; and, or
(b) general business in Malta in any one (1) or
more of the following classes or part classes specified in
the Third Schedule to the Act: 1, where the insured is an
individual, 2, 3, 8, 9, 13, 16, 17 and 18; and, or
(c)
class 10 in terms of the Third Schedule to
COMPENSATION FUND)
the Act, also referred to as motor vehicle liability
insurance business which is carried on in Malta until the
day preceding the initiation date;
"Fund B" means the fund which is composed of
contributions made by insurers which carry on motor vehicle
liability insurance business in Malta on, or after the initiation
date as the case may be;
"Fund C" means the fund which is composed of
contributions made by insurers which carry on motor vehicle
liability insurance business from Malta on, or after the initiation
date, as the case may be;
"Fund D" means the fund in relation to any civil liability
in terms of Part V;
''gross premiums'', in relation to an insurer and a calendar
year, means premiums after deduction of discounts, refunds and
rebates of premium and premiums receivable by the insurer
under reinsurance contracts accepted by the undertaking but
before deduction of premiums for reinsurance ceded and before
deduction of commission payable by the undertaking
Provided that, in the case of an insurer which is an
undertaking whose head office is in a country outside Malta, or
an undertaking whose head office is in Malta and carries on
business of insurance in a country outside Malta, excluding
motor vehicle liability insurance business on, or after the
initiation date, the gross premium income relates to premium
income attributable to business of insurance carried on by the
insurer in Malta
Provided further that in the case of an insurer
which is an undertaking whose head office is in Malta and
which carries on motor vehicle liability insurance business in
Malta and, or from Malta, after the initiation date, the gross
premium income relates to premium income attributable to
motor vehicle liability insurance business carried on by the
insurer in Malta and from Malta, after the initiation date;
"home Member State" shall have the same meaning as
assigned to it in regulation 2(1) of the European Passport Rights
for Insurance and Reinsurance Undertakings Regulations;
"initiation date" means the 10th July 2024, being the date
of entry into force of the agreements referred to in the first
paragraph of Article 10a (13) and the first paragraph of Article
25a (13) of the Motor Insurance Directive;
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"injured party" and "party injured" means any person
entitled to compensation in respect of any loss or injury caused
by vehicles;
''insolvent insurer'' shall, for the purposes of Part III, be
construed in accordance with regulation 19(1), and for the
purposes of Part IV shall mean an insurer or a European
insurance undertaking subject to bankruptcy, winding up
proceedings or any other equivalent proceedings;
''insurer'' means
(a)
for the purposes of Fund A, in terms of Part
III, an insurance undertaking authorised under the Act to
carry on in Malta long term business or general business
or an insurance undertaking which is authorised
thereunder to carry on both long term business and
general business whether or not such business is, in each
case, combined with business of reinsurance. An
insurance undertaking whose business is restricted to
reinsurance and an undertaking which only in so far as it
carries on motor vehicle liability insurance business on
or after the initiation date shall be excluded;
(b)
for the purposes of Fund B, in terms of Part
IV, an insurance undertaking authorised under the Act to
carry on motor vehicle liability insurance business in
Malta on or after the initiation date;
(c)
for the purposes of Fund C, in terms of Part
IV, an insurance undertaking authorised under the Act to
carry on motor vehicle liability insurance business from
Malta on or after the initiation date;
(d)
for the purposes of Fund D in terms of Part
V, an insurance undertaking authorised under the Act to
carry on motor vehicle liability insurance business in
Malta
Provided that for the purposes of Fund A, Fund B and
Fund D, an insurer shall include a branch of a third country insurance
undertaking authorised under article 11 of the Act;
''insurer concerned'' shall have the meaning as assigned
to it in regulation 40;
"liquidator" means
(a)
in Malta, a liquidator appointed under the
Companies Act or the Act, as applicable, to an insurer
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and includes the official receiver when acting in the
capacity of liquidator; or
(b)
in another Member State or EEA State, any
person or body appointed by the foreign authorities,
foreign administrative or judicial authorities or by the
governing bodies of a European insurance undertaking
authorised in that Member State or EEA State, for the
purposes of administering winding-up proceedings;
''Management Committee'' means the Protection and
Compensation Fund Management Committee established by
regulation 5;
"Motor Insurance Directive" means Directive 2009/103/
EC of the European Parliament and of the Council of 16
September 2009 relating to insurance against civil liability in
respect of the use of motor vehicles and the enforcement of the
obligation to insure against such liability, as amended from time
to time, and includes any binding legal instruments, guidelines
and any other measures that have been or may be issued
thereunder;
"motor vehicle liability insurance business" means
business of insurance of class 10 as specified in Part I of the
Third Schedule to the Act;
''protected commitment'' shall be construed in accordance
with regulation 3(4)(a)(ii);
''protected liability'' shall be construed in accordance
with regulation 3(4)(d);
''protected risk'' shall be construed in accordance with
regulations 3(4)(a)(i) and 3(4) (b);
''the Protection and Compensation Fund" shall be
interpreted and construed in terms of Part XI of the Act and
shall comprise of Funds A, B, C and D as established by article
49 of the Act;
"Solvency II Directive" means Directive 2009/138/EC of
the European Parliament and of the Council of 25 November
2009 on the taking-up and pursuit of the business of Insurance
and Reinsurance (Solvency II) (recast), as amended from time
to time, and includes any binding legal instruments, guidelines
and any other measures that have been or may be issued
thereunder;
"third country insurance undertaking" shall have the
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same meaning as assigned to it in the Act;
"vehicle" shall have the same meaning as assigned to
"motor vehicle" in article 2 of the Motor Vehicles Insurance
(Third Party Risks) Ordinance, and the term "vehicle" shall be
construed accordingly;
"winding-up proceedings" means
(a)
for an insurer, the collective proceedings
involving the realisation of the assets of an insurance
undertaking and the distribution of the proceeds among
the insurance creditors, creditors, shareholders or
members as appropriate, which necessarily involve any
intervention by the relevant authorities or by foreign
authorities or foreign administrative or judicial
authorities, including where the collective proceedings
are terminated by a composition or other analogous
measure, whether or not they are founded on insolvency
or are voluntary or wound up by the court;
(b)
for a European insurance undertaking, the
winding-up proceedings as defined in Article 268(1)(d)
of the Solvency II Directive.
(2)
The words and expressions which are used in the Act
shall, unless defined otherwise in these regulations, have the same
meanings as assigned to it in the Act.
(3)
These regulations shall not apply to an authorised
reinsurance undertaking.
PART II
THE PROTECTION AND COMPENSATION FUND
(1)
The Protection and Compensation Fund shall
consist of different funds as may be prescribed by these regulations,
and of all contributions made thereto and of all other assets and
revenues pertaining to it. Without prejudice to the proviso to
regulation 6(3), the assets of every fund shall be kept separate and
separately identifiable from the assets of the other funds. The assets
and liabilities of each fund shall be treated for all intents and purposes
of law as a patrimony separate from the assets and liabilities of each of
the other funds. The liabilities incurred in respect of each fund shall be
paid out from the assets forming part of the patrimony of the said fund.
No creditor shall seek, whether in any proceedings or by any other
COMPENSATION FUND)
means whatsoever, to attempt to use any assets attributable to any one
fund to satisfy the liability which is not attributable to such fund.
(2)
The purposes of the Protection and Compensation Fund
shall be
(a)
for the payment of any claims in respect of risks
situated in Malta, excluding the payment of claims of motor
vehicle liability insurance business made on or after the
initiation date, and of commitments where Malta is the country
of the commitment, in the amounts prescribed by these
regulations against an insurer, remaining unpaid by reason of
the insolvency of such insurer;
(b)
for the payment of any claims in respect of risks
relating to motor vehicle liability insurance business, whether
such business is carried on in Malta or from Malta, against an
insurer, remaining unpaid by reason of insolvency of such
insurer;
(c)
for the payment of compensation to victims of
road traffic accidents in circumstances prescribed by these
regulations.
(3)
For the purposes of sub-regulation (2)
(a)
Parts III and IV make provision with respect to
payment of claims in the event of an insolvent insurer; and
(b)
Part V makes provision with
respect
to
compensation to victims of road traffic accidents.
(4)
There shall hereby be prescribed
(a)
in relation to Fund A in Part III
(i)
in respect of risks situated in Malta, the
following classes or part classes specified in Part I of the
Third Schedule to the Act as a protected risk, in classes
or part classes 1 where the insured is an individual, in
classes or part classes 2, 3, 8, 9, 10, 13, 16, 17 and 18,
and shall exclude class 10 as from the initiation date;
(ii)
in respect of commitments where Malta is
the country of the commitment, classes I, II, IV, VII and
IX specified in the Second Schedule to the Act as a
protected commitment;
subject, in each case, to such limitations and restrictions
prescribed by such Part;
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(b)
in relation to Fund B in Part IV, in respect of risks
situated in Malta, in class 10 as specified in Part I of the Third
Schedule to the Act as a protected risk carried on by an insurer
in Malta on or after the initiation date;
(c)
in relation to Fund C in Part IV, in respect of risks
situated outside Malta in class 10 as specified in Part I of the
Third Schedule to the Act carried on by an insurer from Malta
on or after the initiation date;
(d)
in relation to Fund D in Part V, any civil liability
to any person who is required to be covered by a policy of
insurance under compulsory insurance legislation as a protected
liability, subject to such limitations and restrictions prescribed
by such Part.
(1)
The Protection and Compensation Fund shall have
the power to delegate to any body or person any of its functions as the
Management Committee deems necessary.
(2)
The Management Committee shall have in place sound
and transparent governance practices.
(3)
The legal and judicial representation of the Protection
and Compensation Fund shall vest in the chairperson of the
Management Committee
Provided that, the Management Committee may appoint
any one (1) or more of its members or of the officers or agents of the
Protection and Compensation Fund to appear in the name and on
behalf of the Protection and Compensation Fund in any legal or
judicial proceedings and in any act, contract, instrument or other
document whatsoever. Where Part III, Part IV or Part V is in operation,
in respect of any powers and duties of the Protection and
Compensation Fund exercisable by any body or person as provided in
regulation 6(4), the legal representation of the Protection and
Compensation Fund may also vest in such body or person or in the
legal representative thereof.
(1)
There shall be a Management Committee to be
known as the Protection and Compensation Fund Management
Committee which shall consist of a chairperson and seven (7)
members to be appointed by the competent authority and which shall
include among its members
(a)
an officer, performing duties with the competent
authority possessing the necessary expertise and experience in
business of insurance;
(b)
three (3) persons nominated by an association or
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other body representing insurers and recognised for such
purpose by the competent authority, of whom
(i)
one (1) person shall represent insurers
whose head office is in Malta which carries on general
business in Malta;
(ii)
one (1) person shall represent insurers
whose head office is in Malta and which carries on long
term business in Malta; and
(iii) one (1) person shall represent insurers
whose head office is in Malta and which carries on motor
vehicle liability insurance business in Malta;
(c)
a person who, because of experience,
qualifications or activities is considered as being able to state
and represent the point of view of consumers of financial
services;
(d)
an independent person who, in the opinion of the
competent authority, possesses the necessary expertise and
experience in financial services; and
(e)
a person who represents insurers whose head
office in Malta and which carries on motor vehicle liability
insurance business from Malta
Provided that such members of the Management
Committee shall serve the Protection and Compensation Fund in their
own personal capacity and shall not represent or receive directives or
instructions from the person or entity nominating them. All members
of the Management Committee shall work in the best interest of the
Protection and Compensation Fund and shall pursue and promote its
purposes.
(2)
Whenever, for any reason whatsoever, the association or
other body representing insurers referred to in sub-regulation (1)(b)
fails to nominate, within the time given to it for such purpose by the
competent authority the persons, or any of the persons, which it is
required to nominate under the said sub-regulation, the competent
authority shall appoint the persons, or the remaining persons, having
regard to the nomination provisions of sub-regulation (1).
(3)
A person nominated by an association or other body
representing insurers shall not be eligible for appointment if he has a
financial or other interest that is likely to affect the discharge by him of
his functions under these regulations.
(4)
Every member of the Management Committee shall hold
COMPENSATION FUND)
office, including the office of chairperson, for such period and upon
such terms and conditions as may be determined by the competent
authority and indicated in the letter of appointment, such term of office
being not less than one (1) year and not more than three (3) years.
Every member of the Management Committee, including the
chairperson, shall be eligible for re-appointment.
(5)
A member of the Management Committee may be
relieved from office by the competent authority on the grounds of
inability to perform the functions of his office, whether due to
infirmity of mind or of body, or to any other cause, or of misbehaviour.
For the purposes of this sub-regulation, repeated and unjustified non-
attendance of the meetings of the Management Committee may be
deemed to amount to misbehaviour.
(6)
A member of the Management Committee may resign
from office by letter addressed to the competent authority.
(7)
The competent authority shall fill any vacancy occurring
in the Management Committee for any reason whatsoever as early as
the vacancy occurs. In so doing, the competent authority shall have
regard to the nomination provisions of sub-regulation (1).
(8)
Notice of the names of the members of the Management
Committee and of any resignation, dismissal and new appointment
shall be published in the Gazette.
(9)
The Management Committee may act notwithstanding
any vacancy among its members but shall conduct business only if at
least four (4) members are present.
(10) Whenever at any meeting of the Management Committee
the chairperson is absent, the members present for that meeting shall
elect from among themselves a person to act as chairperson and to
conduct the proceedings of such meeting.
(11) Decisions of the Management Committee shall be taken
by a majority of votes of the members present. The chairperson shall
have an original vote and, in the event of an equality of votes, a second
or casting vote.
(12) Subject to the provisions of the Act and of these
regulations, the Management Committee shall have the power to
regulate its own proceedings and may also establish such procedures
or make such rules as it may deem appropriate for the better fulfilment
of its purposes.
(13) Subject to sub-regulation (14), the Management
Committee shall pay to the chairperson and each member of the
Management Committee such remuneration as it may determine.
COMPENSATION FUND)
(14) Any determination of the Management Committee with
respect to the remuneration to be paid to the chairperson and to any
member of the Management Committee shall be subject to the
approval of the competent authority.
(15) The competent authority shall appoint one (1) of its
officers to serve as secretary to the Management Committee. Such
person shall be responsible to make the necessary preparations for the
meetings of the Management Committee and to keep the minutes
thereof.
(1)
The Protection and Compensation Fund shall be
administered by and be under the general control of the Management
Committee.
(2)
The Management Committee may invest contributions
made by insurers in terms of regulations 17 and 27 in a prudent
manner.
(3)
It shall be the duty of the Management Committee to
keep the assets of Fund A, Fund B, Fund C and Fund D separate and
separately identifiable
Provided that the Management Committee may cause or
permit the assets of Fund A, Fund B or Fund C or a combination of the
same to be collectively invested or collectively managed provided that
the assets in question remain separately identifiable.
(4)
Subject to the provisions of sub-regulation (1), the
Management Committee shall have the power to appoint officers or
agents of the Protection and Compensation Fund and to grant them
such powers or authority as it may deem appropriate. In consultation
with the competent authority, the said Committee may, for the better
fulfilment of its purposes, delegate any part of its business to be
conducted on its behalf by such body or person and under such
arrangements or agreements as it may deem appropriate.
(5)
The Management Committee shall not enter into an
arrangement or agreement as is envisaged in sub-regulation (4) in
respect of the purpose set out in regulation 3(2)(c), unless there is in
force and in a manner satisfactory to the Management Committee, an
agreement among insurers carrying on business of motor insurance in
Malta, binding on all parties thereto and requiring them to act as
insurers concerned, and where any such agreement between insurers
ceases to be operative or to be satisfactory to the Management
Committee, any agreement or arrangement entered into by the
Management Committee under this regulation shall cease to have
effect upon notice in writing by the Management Committee to such
person as may lawfully receive such notices on behalf of the body with
which the arrangement or agreement was made.
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(6)
Where an arrangement or agreement as is envisaged in
sub-regulation (5) has been entered into by the Management
Committee, and for so long as such arrangement or agreement is in
operation, Part III shall have effect if the arrangement or agreement
relates to the purpose set out in regulation 3(2)(a), Part IV shall have
effect if the arrangement or agreement relates to the purpose set out in
regulation 3(2)(b) on or after the initiation date, and Part V shall have
effect if the arrangement or agreement relates to the purpose set out in
regulation 3(2)(c).
(7)
The competent authority may issue Insurance Rules to
determine such incidental, supplementary and consequential
provisions as appear necessary for the performance of the
Management Committee’s functions and conduct of its business under
any provisions of these regulations.
(1)
Other than for the proper discharge of their duties
or functions under the Act, these regulations or as may be otherwise
provided in any other law, the Management Committee, including its
members and any former members of the said Committee, shall treat
any information acquired in the discharge of its duties as confidential,
and shall not, directly or indirectly, disclose such information to any
other person, except with the consent of the person who had divulged
the information
Provided that information may be disclosed by the
Management Committee for the purposes of any proceedings before
any court or tribunal.
(2)
Notwithstanding the provisions of sub-regulation (1), the
Management Committee shall have the power to co-operate with,
request from, and exchange information with the competent authority
where that information is necessary for the performance of its duties.
(1)
Every insurer shall, when satisfying its
obligations under regulations 17 and 27, furnish the Protection and
Compensation Fund with a statement of the gross premium income of
the undertaking liable to the contribution
(a)
in respect of Fund A, for general business, in any
one or more of the following classes or part classes as specified
in Part I of the Third Schedule of the Act: classes or part classes
1, where the insured is an individual, classes or part classes 2, 3,
8, 9, 10, 13, 16, 17 and 18, under regulation 17(5)(a), and
excluding motor vehicle liability insurance business carried out
on or after the initiation date;
(b)
in respect of Fund A, for long term business, in
any one or more of the following classes as specified in the
Second Schedule to the Act: classes I, II, IV, VII and IX, under
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regulation 17(5)(b);
(c)
in respect of Fund B, for motor vehicle liability
insurance business carried on in Malta on or after the initiation
date, under regulation 27(5)(a);
(d)
in respect of Fund C, for motor vehicle liability
insurance business carried on from Malta on or after the
initiation date, under regulation 27(5)(b).
(2)
Where an insurer is required under this regulation to
provide the Protection and Compensation Fund with a statement in
respect of the gross premium income of more than one kind of
business mentioned in sub-regulations (1)(a) and (b) the insurer shall
provide a separate statement in respect of gross premium income of
each kind of business.
(3)
Any person who causes or permits to be included in a
statement furnished to the Protection and Compensation Fund in
accordance with this regulation, any information which he knows to be
inaccurate, false or misleading in any material respect, or recklessly
furnishes information or makes a statement which is inaccurate, false
or misleading in any material respect shall, be guilty of an offence and
liable, on conviction, to a fine (multa) of not less than one thousand
and two hundred euro (€1,200) but not exceeding two thousand and
four hundred euro (€2,400).
(4)
Any insurer that infringes or fails to comply with sub-
regulations (1) or (2) shall be liable to an administrative penalty not
exceeding five thousand euro (€5,000) in respect of each infringement
or failure to comply, as the case may be, and where such infringement
or failure to comply continues, a further penalty not exceeding one
hundred and sixteen euro (€116) for each day during which the
infringement or failure to comply continues.
(5)
Any administrative penalty imposed by the competent
authority under sub-regulation (4) shall be recoverable by the
Protection and Compensation Fund in the same manner and to the
same extent as an administrative penalty is recoverable by the
competent authority under regulations made for the purposes of article
67(6) of the Act and, in any recovery, any reference to the ''competent
authority'' made in the said regulations shall be deemed to be a
reference to "the Protection and Compensation Fund''.
(1)
The Management Committee shall review the
adequacy of the contributions every three years, or whenever serious
events or future changes in economic conditions that may have adverse
effects on the overall financial standing of the insurers occur, or
whenever requested by the competent authority. The said review of the
adequacy of the contributions to Fund A, B and C, as stipulated in
COMPENSATION FUND)
regulations 17 and 27, shall take into account inter alia
(a)
the contributions made to the respective Fund;
(b)
the technical provisions
of
every
insurer
contributing to the respective Fund;
(c)
the solvency ratio of every insurer contributing to
the respective Fund;
(d)
any long term inflation;
(e)
an increase in the amount of insurers contributing
to the respective Fund;
(f)
the nature, type and mix of business carried on by
the insurers contributing to the respective Fund, and
(g)
any such other information
which
the
Management Committee deems appropriate.
(2)
The competent authority shall provide the Management
Committee with all the information necessary for the Management
Committee to conduct its review. Once the review is completed, the
Management Committee shall draw up a report on the adequacy of
such funds stating the reasons for its consideration and shall submit
that report to the competent authority
Provided that where the Management Committee
requires information from the competent authority which is not
publicly available, such information shall be provided to the said
Committee in an anonymised format.
(3)
Whenever the competent authority receives information
or a report as is provided for in sub-regulation (2), the competent
authority shall, after consultation with the Management Committee
and the auditor of the Protection and Compensation Fund, direct the
Management Committee in writing
(a)
to continue to exercise its functions and powers
under regulation 17 and 27 with respect to contributions to
Funds A, B and C made in accordance with sub-regulation (6)
and to require the contributions payable thereunder to continue
to be paid
(i)
according to the percentage specified in the
abovementioned regulations; or
(ii) according to a percentage that is higher or
lower than the percentage specified in the
abovementioned regulations as the competent authority
COMPENSATION FUND)
shall specify in the directive, or
(b) to suspend exercising its functions and powers
under regulations 17 and 27 with respect to contributions to
such funds in respect of such business and to suspend the
contributions payable thereunder, for a period of one or more
years, as the competent authority shall specify in the directive
Provided that where the competent authority directs the
Management Committee in writing to increase the percentage of
contributions stipulated in these regulations, the competent authority
shall ensure that any additional contribution does not unduly prejudice
the financial sustainability of the insurers contributing to the
respective Fund.
(4)
(a)
Whenever, and for so long as, payment of the
contributions under regulation 17 or 27 is suspended, every insurer,
other than an insolvent insurer, to which that directive applies shall pay
to the Protection and Compensation Fund a contribution of seven
hundred euro (€700) and such contribution shall be paid in the month
of January of each year and be at the disposal of the Management
Committee to meet ordinary expenses incurred by the administration of
the Protection and Compensation Fund as indicated in regulations
17(6) and 27(6).
(b)
For the purpose of this sub-regulation ''insurer''
shall include an insurer which was licensed under the Insurance
Business Act, 1981, repealed by the Act, or is authorised under
the Act to carry on business of long term insurance, whether or
not such business constitutes, in whole or in part, business of a
protected commitment and which ceased to carry on that
business and is carrying on servicing of such business, or which
ceases to carry on that business and shall carry on servicing of
such business.
(5)
Whenever payment of contributions under regulations 17
or 27 is suspended, every insurer authorised under the Act to carry on
business of insurance in Malta, on or after the date of enforcement of
such suspension, shall pay to Fund A, B or C respectively, the
contribution established by regulations 17(5) or 27(5) for a period to
be determined by the Management Committee in consultation with the
competent authority.
(6)
If, for so long as the directive issued by the competent
authority under sub-regulation (3) is in operation, whenever it appears
to the Management Committee that the circumstances which led to the
issuing of the said directive have changed substantially or materially
so that the funds held by the Protection and Compensation Fund are
inadequate for the Management Committee to exercise its functions
for the purpose of regulation 3(2)(a) and (b), the Management
COMPENSATION FUND)
Committee shall without delay, inform the competent authority of such
change and of the new circumstances and, on receiving such
information, the competent authority shall forthwith modify or revoke
its directive with respect to contributions to those funds.
(1)
Notwithstanding any provisions of these
regulations, if the Management Committee is required to make any
payment or to incur any other expenditure under any provision of Part
III, Part IV or Part V at a time when the Protection and Compensation
Fund makes available to it for expenditure under any such provision,
together with any other funds which are available to it from other
sources, including funds borrowed in terms of regulation 4(1) and
which might be applied to such expenditure, fall short of what is
prescribed or required by these regulations, the Management
Committee may then, in such a case, request every insurer to make
good the shortfall by such amount and within such time as it may
determine, subject to the provisions of regulations 17(2), 17(3), 27(3),
27(5), 28 and 39.
(2)
The Management Committee shall notify the competent
authority where an insurer fails to comply with the obligations
imposed on it under sub-regulation (1) and the competent authority
shall take all the appropriate measures including the imposition of an
administrative penalty in accordance with regulation 8(4), to ensure
that the insurer meets such obligations.
(1)
The Management Committee shall every calendar
year, and not later than five months after the end of its financial year,
submit to the competent authority a report on the discharge of its
functions, activities and operation of the Protection and Compensation
Fund during such year. Such report shall include inter alia
(a)
a statement showing the payments in and
payments out of the Protection and Compensation Fund during
its immediate previous year; and
(b)
annual financial statements prepared in
accordance with International Accounting Standards on
Auditing by approved auditors appointed for this purpose by the
Management Committee.
(2)
A copy of the report of the Management Committee
together with all documents attached referred to in this regulation,
shall upon request be made available to insurers contributing to the
Protection and Compensation Fund.
The financial year of the Protection and Compensation
Fund shall be an accounting period of twelve months ending on the
thirty-first day of December of each year.
COMPENSATION FUND)
(1)
The Management Committee shall cause proper
books of account to be kept with respect to
(a)
all sums of money received and disbursed by the
Protection and Compensation Fund and the matters in respect of
which the receipt and disbursements take place; and
(b)
the assets and liabilities of the Protection and
Compensation Fund.
(2)
Subject to the provisions of article 50 of the Act and
without prejudice to any separate treatment to be given under the said
provisions, separate accounts shall also be kept in respect of Funds A,
B, C and D. For the purposes of Fund A, separate accounts shall be
kept for contributions levied for general business and contributions
levied for long term business. All contributions and any income
derived in respect of any of Fund A, B, C and D respectively, as the
case may be, shall be utilised exclusively for disbursements relating to
each of the respective Fund
Provided that, notwithstanding the provisions of
regulations 17(6), 27(6) and 9(4), nothing in this sub-regulation shall
prevent the payment of sums belonging to the Protection and
Compensation Fund to meet administrative, legal, judicial or other
costs common to two or more Funds, subject to such costs being
properly apportioned between such Funds.
(3)
The books of account shall be kept at the offices of the
Protection and Compensation Fund or at such other place as the
Management Committee deems fit.
(4)
The provisions of article 181 of the Companies Act shall,
in so far as they are not incompatible, apply to the balance sheet and
profit and loss account of the Protection and Compensation Fund by
the substitution for references to ''company'' and ''directors'' in the said
provisions with references to ''the Protection and Compensation Fund''
and ''members of the Management Committee'' respectively.
(1)
Once at least in every financial year, the accounts
of the Protection and Compensation Fund shall be examined and the
correctness of every balance sheet and profit and loss account shall be
certified by an approved auditor appointed by the Management
Committee.
(2)
A copy of the audited financial statements or an extract
thereof, together with a copy of the auditor’s report, shall be published
in a manner determined by the Management Committee within five (5)
months from the end of the financial year and shall, together with the
report on the activities of the Protection and Compensation Fund for
such year made under regulation 11(1), be made available to the public
COMPENSATION FUND)
on request.
An insurer on whom an administrative penalty has been
imposed under any provisions of these regulations, may within a
period of thirty (30) days beginning from the date of service of a notice
imposing such penalty, appeal to the Financial Services Tribunal and
the provisions of article 58 of the Act shall apply mutatis mutandis.
PART III
CONTRIBUTIONS AND PAYMENT OF CLAIMS IN THE EVENT
OF INSOLVENT INSURERS FOR FUND A
For the purposes of this Part
(a)
unless specified otherwise, any reference in this
Part to "general business" shall mean general business carried
on in Malta in any one or more of the following classes or part
classes of Part I of the Third Schedule to the Act: classes or part
classes 1 where the insured is an individual, classes or part
classes 2, 3, 8, 9, 10, 13, 16, 17 and 18, however, in respect of
the said class or part class 10, also referred to as motor vehicle
liability insurance business, such motor vehicle liability
insurance business shall fall under "general business", for the
purposes of this Part, only with respect to such motor vehicle
liability insurance business carried on in Malta before the
initiation date;
(b)
unless specified otherwise, any reference in this
Part to "long term business" shall mean long term business
carried on in Malta in classes I, II, IV, VII and IX of the Second
Schedule to the Act
Provided that for the purposes of regulation 17(4) the
terms "general business" and "long term business" shall have the same
meaning as assigned to them in article 5(1) of the Act.
(1)
The contributions to Fund A to be made by
insurers pursuant to article 50 of the Act are those prescribed by this
regulation.
(2)
Subject to the provisions of the following sub-
regulations, the Management Committee shall in every calendar year
for the purpose of Fund A
(a)
in so far as that purpose relates solely to general
business, require every insurer carrying on general business in
Malta, whether or not such business constitutes, in whole or in
part, business of a protected risk, to pay a contribution to Fund
COMPENSATION FUND)
A to be utilised exclusively for the payment of claims relating
to protected risks situated in Malta as defined in regulation
3(2)(a); and
(b)
in so far as that purpose relates solely to long term
business, require every insurer carrying on long term business
in Malta, whether or not such business constitutes, in whole or
in part, business of a protected commitment, to pay a
contribution to Fund A to be utilised exclusively for the
payment of claims relating to protected commitments as
defined in regulation 3(2)(a) where Malta is the country of the
commitment.
(3)
The obligation to pay contributions under sub-regulation
(2) shall also apply to an insurer, other than an insolvent insurer which
was licensed under the Insurance Business Act, 1981, repealed by the
Act, or is authorised under the Act to carry on business of long term
insurance, whether or not such business constitutes, in whole or in
part, business of a protected commitment and which ceased to carry on
that business and is carrying on servicing of such business, or which
ceases to carry on that business and shall carry on servicing of such
business. The obligation to pay contributions shall continue until the
insurer proves to the satisfaction of the competent authority that it has
no further liability arising from such business.
(4)
Without prejudice to sub-regulation (3), where an insurer
is authorised to carry on both long term business and general business
in Malta, separate treatment shall be given to contributions paid by the
insurer into Fund A under this regulation
(a)
in respect of long term business, to be utilised
exclusively for the payment of claims relating to protected
commitments where Malta is the country of the commitment, as
construed in regulation 3(4)(a)(ii); and
(b)
in respect of general business, to be utilised
exclusively for the payment of claims relating to protected risks
situated in Malta as construed in regulation 3(4)(a)(i).
(5)
Subject to the provisions of regulations 8 and 9, the
amount every insurer shall be required to contribute to Fund A, in
accordance with sub-regulation (2) shall be
(a)
if the contribution is made in accordance with
sub-regulation 2(a), zero point one two five per centum
(0.125%) of, and calculated by reference to, the gross premium
income by the insurer for the year ending last before the
beginning of such calendar year in respect of general business
relating to risks situated in Malta; and
COMPENSATION FUND)
(b)
if the contribution is made in accordance with
sub-regulation 2(b), zero point one two five per centum
(0.125%) of, and calculated by reference to, the gross premium
income by the insurer for the year ending last before the
beginning of such calendar year in respect of long term
business effected after 30 June 1986 relating to commitments
where Malta is the country of commitment.
(6)
A sum not exceeding five (5) per centum from the total
amount of contributions payable to the Protection and Compensation
Fund under sub-regulation (2), as may be determined by the
Management Committee, shall be at the disposal of the Management
Committee to meet ordinary expenses incurred by the administration
of the Protection and Compensation Fund, other than extraordinary
expenses incurred in relation to Fund A.
(7)
Expenses incurred with respect to Fund A pursuant to, or
in consequence of, regulation 3(2)(a) shall be paid out as follows
(a)
in relation to protected risks situated in Malta as
defined in regulation 3(2)(a), from the contributions made in
respect of general business; and
(b)
in relation to protected commitments where Malta
is the country of the commitment as defined in regulation
3(2)(a), from the contributions made in respect of long term
business.
(8)
The contributions payable by every insurer under sub-
regulation (2) shall be due on the first day of July of each calendar year
but may be paid on any working day during such month.
(9)
Any contribution payable under this regulation
remaining unpaid by any insurer for any reason whatsoever, other than
by reason of the insolvency of the insurer, shall be recoverable by the
Protection and Compensation Fund from the said insurer in the same
manner as an administrative penalty is recoverable by the competent
authority under the regulations made for the purposes of article 67 of
the Act, and, in any such recovery, any reference to "the competent
authority" made in those regulations shall be deemed to be a reference
to "the Protection and Compensation Fund".
Where a third country insurance undertaking establishes
a branch in Malta in accordance with article 11 of the Act, and the said
branch carries on general business and, or long term business in Malta,
such branch shall contribute to Fund A in the same amounts and the
same manner as stipulated in regulation 17.
(1)
Whenever an insurer is unable to meet its
obligations, the Management Committee may, in respect of the said
COMPENSATION FUND)
obligations arising from a claim under a policy of insurance covering a
protected risk situated in Malta, or a protected commitment where
Malta is the country of the commitment, make payments out of Fund
A, under and in accordance with the provisions of this Part, to a
qualifying person.
(2)
Payment shall also be made out of Fund A under this Part
if the insolvent insurer is, at the time that it is unable to meet its
obligations, servicing or running-off the business of insurance it was
licensed to carry on under the Act.
(3)
No payment shall be made out of Fund A under this Part
unless the Management Committee is satisfied that the name of the
insolvent insurer is struck off the register in terms of the provisions of
the Companies Act, or that the insolvent insurer is definitely wound
up.
(4)
For the purposes of these regulations, a person is a
qualifying person in relation to an insolvent insurer if
(a)
he is an insured of the insolvent insurer, eligible
for protection under this regulation;
(b)
he is a person, other than the policyholder, to
whom payment in respect of any sums falling due under the
policy could have been made in accordance with the policy; or
(c)
he is a person to whom the insolvent insurer is
liable to pay any sum or other consideration in respect of the
insured’s legal liability to such person under the policy of
insurance.
In the case of long term business protected commitments,
payment shall be made out of Fund A to every qualifying person, and
in the case of general business protected risks in terms of regulation
3(2)(a), payment shall be made to every qualifying person who is an
individual and, or to every non-corporate body or association of
persons if all such persons are individuals.
(1)
Where the Protection and Compensation Fund
receives a claim on or after the initiation date from a qualifying
person, in order to process the said claim, it may require further
information from
(a)
the qualifying person;
(b)
the insolvent insurer;
(c)
the administrator or liquidator of the insolvent
insurer; and, or
COMPENSATION FUND)
(d)
any other party which may be privy to information
relevant to the claim.
(2)
Where an insolvent insurer or their respective
administrator or liquidator compensates or denies liability, it shall
inform the Protection and Compensation Fund, in a timely manner.
In respect of a protected liability which is a liability
required to be covered by the Motor Vehicles Insurance (Third-Party
Risks) Ordinance, payment under this Part in respect of protected
104. liabilities aforesaid incurred by the insured of an insolvent insurer
shall cover the whole of such liabilities. In respect of all other
protected liabilities, payment under this Part in respect of
(a)
long term business protected commitments in terms of
regulation 3(2)(a), shall be limited to seventy-five per centum (75%) of
the actuarial valuation of the contract of insurance at the time the
undertaking concerned ceased to carry on such business, adjusted for
any premiums paid till date of payment, remaining unpaid, or twenty-
three thousand and five hundred euro (€23,500), whichever is less;
(b)
general business protected risks in terms of regulation
3(2)(a), shall be limited to seventy-five per centum (75%) of the
liabilities incurred remaining unpaid in any one case or twenty-three
thousand and five hundred euro (€23,500), whichever is less
Provided that in each case, the total amount of payments
to be made by Fund A under this Part with respect to any one insolvent
insurer shall not exceed two million and three hundred and fifty
thousand euro (€2,350,000).
(1)
In no case shall any payment be made under this
Part
(a)
where the claim is in respect of unearned
premiums;
(b)
where the claim is by or in respect of a person
who holds directly or indirectly twenty per centum (20%) or
more of the issued shares of such insolvent insurer; and, or
(c)
for claims in relation to motor vehicle insurance
liability business carried on by an insurer in Malta on or after
the initiation date.
(2)
Where the Management Committee is of the opinion that
an applicant is not entitled to compensation in whole or in part, the
Management Committee shall give notice in writing of such opinion to
such applicant and the reasons therefor.
COMPENSATION FUND)
In considering compensation to any applicant for
payment from Fund A under this Part, the Management Committee
shall take into account any other amount of compensation paid to the
applicant in respect of the same liability under the Act or any other
law, and in calculating the amount in respect of which the insolvent
insurer is unable to meet its liabilities, deduct from the insolvent
insurer’s liability any such amount of other compensation paid.
No payment from Fund A shall be made under this Part
unless and until the applicant for payment has assigned to the
Protection and Compensation Fund any right to any payment to which
he may be entitled to in respect of the same liability, and where such
liability is covered by reinsurance, Fund A shall in addition, be entitled
to pursue any reinsurance recoveries as if it were the insolvent insurer.
This Part shall not apply
(a)
to an insolvent insurer who carries on solely and
exclusively business of insurance restricted to any one class or
part class and such class or part class is, under these
regulations, neither a protected risk nor a protected
commitment; or
(b)
to a branch of a European insurance undertaking
carrying on business of insurance in accordance with the
European Passport Rights for Insurance and Reinsurance
Undertakings Regulations, and which provides to the
satisfaction of the competent authority that equivalent
protection is available to policyholders of protected risks in
terms of regulation 3(2)(a) and protected commitments in a
manner not being less favourable than that prescribed by this
Part, in the event of the insolvency of the European insurance
undertaking.
PART IV
CONTRIBUTIONS TO FUND B AND FUND C AND PAYMENT OF
CLAIMS FROM FUND B AND FUND C IN THE EVENT OF
INSOLVENT INSURERS CARRYING ON MOTOR VEHICLE
LIABILITY INSURANCE BUSINESS ON OR AFTER THE
INITIATION DATE
(1)
The contributions to Fund B and Fund C to be
made by insurers pursuant to article 50 of the Act are those prescribed
by this regulation.
(2)
Fund B and Fund C shall have sufficient funds available
to compensate injured parties when compensation payments are due
under this Part in situations where
(a)
the insurer is subject to winding-up proceedings
or any other equivalent proceedings, on or after the initiation
COMPENSATION FUND)
date; or
(b)
the European insurance undertaking, is subject to
bankruptcy proceedings, winding up proceedings or any other
equivalent proceedings, on or after the initiation date
Provided that for the avoidance of doubt, in no case shall
any claim against Fund B or Fund C be paid out, where any bankruptcy
proceedings, winding up proceedings or any other equivalent
proceedings of an insurer or of a European insurance undertaking,
regardless of whether there was a declaration of insolvency or
otherwise of such insurer or of such European insurance undertaking,
were commenced before the initiation date.
(3)
Subject to the provisions of the following sub-
regulations, the Management Committee shall in every calendar year
for the purpose of Fund B and Fund C, require
(a)
every insurer carrying on motor vehicle liability
insurance business in Malta on and, or after the initiation date,
to pay a contribution to Fund B, to be utilised exclusively for
the payment of claims relating to motor vehicle liability
insurance business carried on in Malta; and
(b)
every insurer carrying on motor vehicle liability
insurance business from Malta on and, or after the initiation
date, to pay a contribution to Fund C, to be utilised exclusively
for the payment of claims relating to motor vehicle liability
insurance business carried on from Malta.
(4)
Where an insurer is authorised to carry on motor vehicle
liability insurance business both in Malta and from Malta, separate
treatment shall be given to contributions paid by the insurer under this
regulation with respect to motor vehicle liability insurance business
(a)
carried on in Malta, contributions shall be utilised
exclusively for the payment from Fund B of claims relating to
motor vehicle liability insurance business carried on in Malta;
and
(b)
carried on from Malta, contributions shall be
utilised exclusively for the payment from Fund C of claims
relating to motor vehicle liability insurance business carried on
from Malta.
(5)
Without prejudice to regulation 8, and subject to
regulation 9, the amount every insurer shall in every calendar year be
required to contribute under sub-regulation (3) shall be
(a)
where the contribution is made to Fund B, zero
COMPENSATION FUND)
point five per centum (0.5%) of, and calculated by reference to,
the gross premium income by the insurer, or where the insurer
is not actively carrying on new motor vehicle liability insurance
business or is subject to winding-up proceedings or any other
equivalent proceedings, zero point one two five per centum
(0.125%) of, and calculated by reference to, the technical
provisions of the insurer, for the year ending last before the
beginning of such calendar year in respect of class 10 in Part I
of the Third Schedule to the Act in respect of risks situated in
Malta;
(b)
where the contribution is made to Fund C, zero
point five per centum (0.5%) of, and calculated by reference to
the gross premium income by the insurer, or where the insurer is
not actively carrying on new motor vehicle liability insurance
business or is subject to winding-up proceedings or any other
equivalent proceedings, zero point one two five per centum
(0.125%) of and calculated by reference to the technical
provisions of the insurer, for the year ending last before the
beginning of such calendar year in respect of class 10 in Part I
of the Third Schedule to the Act in respect of risks situated
outside of Malta.
(6)
A sum not exceeding 5 per centum (5%) from the total
amounts of respective contributions payable to Fund B and Fund C
under sub-regulation (3), as may be determined by the Management
Committee, shall be at the disposal of the Management Committee to
meet ordinary expenses incurred by the administration of the said
Funds, other than extraordinary expenses incurred in relation to the
purposes specified in regulation 3(2)(b).
(7)
Expenses incurred by Fund B and Fund C respectively,
pursuant to, or in consequence of, regulation 3(2)(b) shall be paid out
(a)
in respect of Fund B, in relation to risks situated in
Malta, from the contributions made in respect of motor vehicle
liability insurance business carried on in Malta; and
(b)
in respect of Fund C, in relation to risks situated
outside of Malta, from the contributions made in respect of
motor vehicle liability insurance business carried on from
Malta.
(8)
The contributions payable by every insurer in accordance
with sub-regulation (3) shall be due on the first (1) day of July of each
calendar year but may be paid on any working day during that month
COMPENSATION FUND)
Provided that the contribution due under sub-regulation
5(a), only to the extent of the first contribution payable in 2024 under
these regulations, shall be fully due by the thirty first (31 st ) day of
December of the year two thousand and twenty four (2024). No part
thereof shall be refundable. Notwithstanding, when calculating the
amount of the contribution due under sub-regulation 5(a), account shall
be had of any amounts that may have already been paid by the insurer
to the Protection and Compensation Fund under regulation 7(5) of the
Protection and Compensation Fund Regulations, when assessing the
contributions due under regulation 17(5) and regulation 27(5)(a) of
these regulations
Provided further that for the purposes of the contribution
due under sub-regulation 5(b), only to the extent of the first annual
contribution payable in 2024 under these regulations, this shall be fully
due by the thirty first (31 st ) day of December of the year two thousand
and twenty four (2024). No part thereof shall be refundable.
(9)
Any contribution payable under this regulation
remaining unpaid by any insurer for any reason whatsoever, other than
by reason of the insolvency of the insurer, shall be recoverable by the
Protection and Compensation Fund from the insurer in the same
manner as an administrative penalty is recoverable by the competent
authority under the regulations made for the purposes of article 67(6)
of the Act and, in any such recovery, any reference to ''the competent
authority'' made in the said regulations shall be deemed to be a
reference to ''the Protection and Compensation Fund''.
Where a third country insurance undertaking establishes
a branch in Malta in accordance with article 11 of the Act, and the said
branch carries on motor vehicle liability business in Malta, such
branch shall contribute to Fund B in the same amounts and the same
manner as stipulated in regulation 27.
(1)
Where an insurer or a European insurance
undertaking, as the case may be, which carries on motor vehicle
liability insurance business is subject to or winding up proceedings or
any other equivalent proceedings and where
(a)
the accident occurs in Malta and
(i)
the injured party resides in Malta, and the
policyholder of the vehicle causing the injuries is insured
by a European insurance undertaking, and the injured
party is entitled to compensation, the injured party may
present a claim for compensation, directly to the
Protection and Compensation Fund, and the Management
Committee shall pay the claim out of Fund B; or
COMPENSATION FUND)
(ii)
the injured party resides in Malta, and the
policyholder of the vehicle causing the injuries is insured
by an insurer, and the injured party is entitled to
compensation, the injured party may present a claim for
compensation, directly to the Protection and
Compensation Fund, and the Management Committee
shall pay the claim out of Fund B; or
(b)
the accident occurs in a Member State other than
Malta and
(i)
the injured party resides in Malta and the
policyholder of the vehicle causing the injuries is insured
by the European insurance undertaking authorised in the
Member State in which the accident occurred, and the
injured party is entitled to compensation, the injured
party may present a claim for compensation, directly to
the Protection and Compensation Fund, and the
Management Committee shall pay the claim out of Fund
C; or
(ii)
the injured party resides in Malta and the
policyholder of the vehicle causing the injuries is insured
by an insurer, and the injured party is entitled to
compensation, the injured party may present a claim for
compensation, directly to the Protection and
Compensation Fund, and the Management Committee
shall pay the claim out of Fund B
Provided that notwithstanding anything contained in this
regulation, where an insurer which carries on motor vehicle liability
insurance business in Malta is subject to winding up proceedings or
any other equivalent proceedings after the initiation date, but the claim
relates to a risk which is situated in Malta, which occurred before the
initiation date, such injured party may make a claim to the Protection
and Compensation Fund and the Management Committee shall pay the
claim out of Fund A
Provided further that notwithstanding anything contained
in this regulation, where an insurer which carries on motor vehicle
liability insurance business from Malta is subject to winding up
proceedings or any other equivalent proceedings, after the initiation
date, but the claim relates to a risk which is situated in a Member State
outside Malta which occurred before the initiation date, such injured
party may make a claim to the Protection and Compensation Fund and
the Management Committee shall pay the claim out of Fund C.
(2)
Without prejudice to any obligation under regulation 14
of the Insurance Business (Reorganisation and Winding Up of
Insurance Undertakings) Regulations, whenever an order is made or a
COMPENSATION FUND)
decision is taken by the Maltese Courts or the competent authority or
any other competent body to commence winding-up proceedings or
any other equivalent proceedings in respect of an insurer carrying on
motor vehicle liability insurance business in Malta or from Malta, the
competent authority shall ensure that such order or decision is made
public. The Management Committee shall ensure that all the European
compensation bodies are promptly informed about such order or
decision
Provided that where the claim is in respect of damage
resulting from motor vehicle liability accidents occurring outside
Malta, the Management Committee shall ensure that the compensation
bodies referred to in Article 24 of the Motor Insurance Directive, in all
Member States are promptly informed about such order or decision.
(1)
Where an insurer or a European insurance
undertaking, as the case may be, which carries on motor vehicle
liability insurance business is subject to bankruptcy proceedings,
winding up proceedings or any other equivalent proceedings, and the
Management Committee receives a claim from the European
compensation body in accordance with Articles 10a(10) and 25a(10) of
the Motor Insurance Directive, the Management Committee shall,
where
(a)
the accident occurs in a Member State outside
Malta and the injured party resides in such Member State, and
the policyholder of the vehicle causing the injuries is insured by
an insurer, fully reimburse the European compensation body the
sum paid by way of compensation to the injured party out of
(i)
Fund B, where the policy was issued by an
insurer which carries on motor vehicle liability insurance
business in Malta; and, or
(ii)
Fund C, where the policy was issued by an
insurer carrying on motor vehicle liability insurance
business from Malta;
(b)
the accident occurs in Malta and the injured party
resides in a Member State outside Malta, and the policyholder
of the vehicle causing the injuries is insured by an insurer, fully
reimburse the European compensation body of the sum paid by
way of compensation to the injured party out of
(i)
Fund B, where the insurer carries on motor
vehicle liability insurance business in Malta; and, or
(ii)
Fund C, where the insurer carries on motor
vehicle liability insurance business from Malta.
COMPENSATION FUND)
(2)
The Protection and Compensation Fund shall, after it has
received a claim for reimbursement make payment to the European
compensation body pursuant to sub-regulation (1) within a reasonable
time not exceeding six (6) months, unless otherwise mutually agreed
to in writing, which period shall start to run from the date it has
received the claim for reimbursement.
(1)
Where the Protection and Compensation Fund
receives a claim from an injured party resident in Malta, and the
policyholder of the vehicle causing the injuries is insured by the
European insurance undertaking it shall inform
(a)
the European compensation body in the home
Member State of the European insurance undertaking; and
(b)
the European insurance undertaking subject to
bankruptcy proceedings, winding up proceedings, or any other
equivalent proceedings, or its administrator or liquidator
respectively;
that a claim from an injured party has been received.
(2)
Where the Protection and Compensation Fund receives a
claim from an injured party resident in Malta, and the policyholder of
the vehicle causing the injuries is insured by an insurer, the said Fund
shall inform the insurer which is subject to winding up proceedings, or
any other equivalent proceedings, its administrator or liquidator
respectively, that a claim from an injured party has been received.
(1)
With regards to a claim that has also been
received by the Protection and Compensation Fund, an insurer subject
to winding up proceedings or any other equivalent proceedings, or the
administrator or the liquidator of the said insurer shall inform the
Protection and Compensation Fund in a timely manner, where the said
insurer, or their respective administrator or liquidator compensates or
denies liability.
(2)
With regards to a claim that has also been received by the
Protection and Compensation Fund, an insurer subject to winding up
proceedings or the administrator or the liquidator of the said insurer, or
any other equivalent proceedings, the said insurer, the administrator or
the liquidator of the said insurer shall inform the respective European
compensation body in a timely manner where the said insurer
compensates or denies liability.
(3)
With regards to a claim that has also been received by the
Protection and Compensation Fund, a European insurance undertaking
subject to bankruptcy proceedings, winding up proceedings or any
other equivalent proceedings, the said European insurance
undertaking, the administrator or the liquidator of the said undertaking
COMPENSATION FUND)
shall inform the Protection and Compensation Fund where it
compensates or denies liability of a claim.
(1)
Where the Protection and Compensation Fund
has received a claim from an injured party resident in Malta, it shall on
the basis of information which it holds, including any other
information provided by the injured party at the Protection and
Compensation Fund’s request, provide the injured party with a
reasoned offer of compensation or a reasoned reply, as provided in
sub-regulation (2), within three (3) months from the date that the
injured party would have submitted the claim for compensation in
accordance with regulation 29.
(2)
Where the Protection and Compensation Fund has
established that it is
(a)
liable to provide compensation pursuant to
regulation 27(2) (a) or (b), that the claim is not contested, and
the damages have been partially or fully quantified, the
Protection and Compensation Fund shall make a reasoned offer
of compensation; or
(b)
not liable to provide compensation pursuant to
regulation 27(2) (a) or (b), or where liability is denied or
liability has not been clearly determined or the damages have
not been fully quantified, the Protection and Compensation
Fund shall provide a reasoned reply to the points made in the
claim.
(1)
Where the Protection and Compensation Fund has
established that compensation is due and a reasoned offer of
compensation is made in accordance with regulation 33(2)(a), the
Protection and Compensation Fund, shall pay compensation to the
injured party without undue delay, and in any event within three (3)
months of the acceptance by the injured party of the reasoned offer of
compensation made in accordance with the said regulation.
(2)
Where the damage has only been partially quantified, the
Protection and Compensation Fund, shall apply the requirements
concerning the payment of the compensation set out in sub-regulation
(1), in respect of such partially quantified damage, and from the
moment of acceptance of the corresponding reasoned offer of
compensation.
(3)
The Protection and Compensation Fund shall not make
the payment of compensation under this regulation subject to any
requirements apart from those established in these regulations.
Furthermore, the Protection and Compensation Fund shall not make
the payment of compensation subject to the requirement that the
injured party establishes that the legal or natural person liable for the
COMPENSATION FUND)
accident, is unable to, or refuses to pay.
Where the policyholder of the vehicle causing the
injuries is insured by a European insurance undertaking which is
subject to bankruptcy, winding up proceedings or any other equivalent
proceedings, and the injured party is resident in Malta, and the
Protection and Compensation Fund has compensated the injured party
in accordance with regulation 34, the said Protection and
Compensation Fund shall be entitled to claim full reimbursement of
the sum paid by way of compensation, from the European
compensation body in the home Member State of the said European
insurance undertaking.
(1)
Where the Protection and Compensation Fund has
provided compensation to an injured party resident in Malta and the
policyholder of the vehicle causing the injuries is insured by a
European insurance undertaking which is subject to bankruptcy,
winding up proceedings or any other equivalent proceedings, the said
Fund shall be subrogated in the rights of the injured party against the
person who caused the accident or the said European insurance
undertaking
Provided that such subrogation shall not take place with
respect to rights against the policyholder or other injured person who
caused the accident in so far as the liability of the policyholder or of
the injured person would be covered by the European insurance
undertaking subject to bankruptcy, winding up proceedings or any
other equivalent proceedings in accordance with applicable national
law
Provided further that, to the extent that the European
compensation body shall reimburse the Protection and Compensation
Fund in terms of Articles 10a(10) or 25a(10), as the case may be, of
the Motor Insurance Directive, the right of subrogation shall be
assigned to the European compensation body, for any such sum so
reimbursed.
(2)
Any subrogation made by a European compensation
body in pursuance of Articles 10a(10) and 25a(10) of the Motor
Insurance Directive, shall be acknowledged and recognised by the
Protection and Compensation Fund.
(1)
The Protection and Compensation Fund shall have
the power to co-operate in due time with
(a)
European compensation bodies;
(b)
interested parties, including insurers, European
insurance undertakings subject to bankruptcy, winding up
proceedings or any other equivalent proceedings, its
COMPENSATION FUND)
administrator or liquidator;
(c)
the European regulatory authority; and
(d)
bodies set up or authorised under Article 24 of the
Motor Insurance Directive;
at all stages during the proceedings referred to in this Part.
(2)
Cooperation in accordance with sub-regulation (1) shall
include requesting, receiving and providing information, including
details of specific claims, where relevant.
PART V
CONTRIBUTION AND COMPENSATION TO VICTIMS OF ROAD
TRAFFIC ACCIDENTS UNDER FUND D
(1)
In this Part, unless the context otherwise requires
''applicant'' means an injured party who applies for
compensation;
''Bureau'' means the association or other body established
by insurers carrying on a business of motor insurance with
which the Management Committee has made arrangements or
an agreement as provided in regulation 6(6);
''civil liability'' means any liability which may be
incurred in respect of the death of, or bodily injury to, any
person or in respect of any loss of, or damage to, any property
of any person which is required to be covered by a policy of
insurance in accordance with compulsory insurance legislation;
''compulsory insurance legislation'' means the Motor
Vehicles Insurance (Third-Party Risks) Ordinance, or any other
legislation substituting such law, and any regulations made
thereunder;
''debtor'' means a person responsible for the accident
which gave rise to civil liability;
''insurance'' means insurance against civil liability
effected by or under a policy of insurance, a cover note,
correspondence or any other means, whether or not a certificate
of insurance as required by compulsory insurance legislation
has been issued or delivered;
''judgement'' means a judgement of a competent court
having jurisdiction in Malta or in any Member state, which has
become res judicata.
COMPENSATION FUND)
(2)
To the extent of any powers and duties arising from any
arrangements or agreement entered into by the Management
Committee and the Bureau in accordance with regulation 6, ''Protection
and Compensation Fund'' in this Part shall include the Bureau.
An insurer carrying on a motor vehicle insurance liability
business in Malta shall pay a contribution to Fund D, of such amount
and at such time, as the Management Committee may determine,
taking into account the sums required, or expected to be required, for
the purpose of the said Fund. The contribution shall be utilised
exclusively for the payment of compensation relating to protected
liabilities to make payment of compensation to victims of road traffic
accidents in circumstances prescribed by these regulations.
(1)
Subject and without prejudice to the other
provisions of this regulation, ''insurer concerned'' means the insurer
who at the time of the accident which gave rise to a civil liability was
providing insurance against such liability in respect of the vehicle
arising out of the use of which the liability of the debtor was incurred.
(2)
An insurer is the insurer concerned notwithstanding that
(a)
the insurance was issued after the accident giving
rise to a civil liability but purported to be effective at the time of
such accident;
(b)
the insurance was obtained by fraud,
misrepresentation, non-disclosure of material facts or mistake;
(c)
a condition, description, limitation, exception or
some other term, whether expressed or implied, of the insurance
or of the proposal form on which it is based expressly or by
implication excludes the insurer’s liability whether generally or
in the particular circumstances which gave rise to the liability
of the debtor;
(d)
the debtor was in unauthorised possession of the
vehicle out of the use of which the liability of the debtor was
incurred;
(e)
the vehicle out of the use of which the civil
liability of the debtor arose was, at the time when the liability
was incurred
(i)
being used for a purpose not authorised
under the terms of the insurance; or
(ii)
being used by a person not authorised to
drive the vehicle under the terms of the insurance
Provided that an insurer shall not be considered as
COMPENSATION FUND)
the insurer concerned in the circumstances referred to in sub-
paragraph (ii), if the death, bodily injury or damage to property
is sustained by a person who voluntarily entered the vehicle
which caused such death, bodily injury or damage to property
when the insurer concerned proves that such person knew it was
uninsured; or
(f)
the driver of the vehicle out of the use of which
the civil liability of the debtor was incurred was, at the time
when the liability was incurred, disqualified from holding or
obtaining a licence to drive the vehicle or had his licence
suspended or had never validly held such licence.
(3)
An insurer is not the insurer concerned when
(a)
the insurance was cancelled before the date on
which the civil liability was incurred by agreement between the
insurer and the policy holder and with the prior written
permission of the Commissioner of Police;
(b)
the civil liability was incurred after the
cancellation of the insurance under a power of cancellation
clause or condition contained in such insurance and after notice
of such cancellation was given to the Commissioner of Police in
accordance with compulsory insurance legislation;
(c)
the insurance has ceased to be operative before the
date on which the civil liability was incurred by reason of a
transfer of interest in the vehicle which the insurance purports
to cover;
(d)
the civil liability was incurred after a decision
from a court having jurisdiction which has become res judicata
and declared the insurance void and, or unenforceable; or
(e)
the civil liability was incurred after the date on
which the insurance has lapsed.
(4)
For the purposes of these regulations, an insurer of a
motor trade road risk insurance covering unspecified vehicles shall, in
respect of such vehicles and irrespective of the basis of the insurance,
be the insurer concerned
(a)
in respect of vehicles not the property of the
insured, insofar as the vehicle in respect of which the claim
arises was in the custody or control of the insured or was only
removed from such custody or control without the authority of
the insured; and
(b)
in respect of vehicles which are at all times the
COMPENSATION FUND)
property of the insured except in respect of any vehicle
specifically excluded from the cover of the insurance by
reference to its registration mark and number, or specifically
insured in the name of the motor trader with another insurer
Provided that where an insurer concerned under a motor
trade risk insurance as aforesaid and an insurer concerned under a
specified vehicle insurance are both involved in circumstances in
which neither insurance is liable under its insurance, each of them
shall be liable jointly and severally for any amount due by way of
damages and costs in respect of any civil liability, such amount being
due in the internal relations between such insurers as to one half each.
(5)
Where a third country national entering Malta is insured
or holds a policy purporting to provide insurance against civil liability
and such insurance was lawfully issued in or from a country outside
Malta by an insurer, or a subsidiary or associated company of an
insurer, the company issuing the insurance shall be the insurer
concerned in the event of the person insured becoming a debtor.
(6)
For the purposes of this regulation, ''motor trade road risk
insurance'' means a policy of insurance provided to a person engaged
in the purchase, sale, repair, upkeep, servicing or maintenance of
motor vehicles which indemnifies him in respect of liabilities to third
parties arising out of the use of vehicles owned by him or in his
custody or control whilst being used on the road.
(1)
In cases where
(a)
a judgement in respect of any civil liability which
is required to be covered by a policy of insurance under
compulsory insurance legislation is given against any person
and;
(b)
either at the time of the accident giving rise to
such liability there is not in force a policy of insurance as
required by the said compulsory insurance legislation or such
policy of insurance is ineffective for any reason other than the
inability of the insurer to make payment; and, or
(c)
any such liability is not satisfied in full within
twenty-eight (28) days from the date the judgement may be
enforced,
in such cases, if there is no insurer concerned, the Protection
and Compensation Fund shall, subject to the provisions of these
regulations, make payments to the person in whose favour such
judgement was given, out of its funds set aside for utilisation for the
payment of compensation relating to protected liabilities
COMPENSATION FUND)
Provided that no payments shall be made under this
regulation where the judgement relates to a vehicle the use of which is
covered by a security, or instead of such security by a deposit, in
accordance with compulsory insurance legislation unless there is also
in force, in respect of such vehicle, a policy of insurance purporting to
cover such use of the vehicle.
(2)
Payment shall not be made in accordance with this
regulation unless the following conditions are satisfied
(a)
where the plaintiff has given notice of the
proceedings in which the judgement is given by registered post
or by means of a judicial letter, within seven (7) days after the
commencement of such proceedings
(i)
to the insurer, in any case in which there
was in force at the time of the accident a policy of
insurance purporting to cover the use of the vehicle, and
such fact was known to the said plaintiff; or
(ii)
to the Bureau in any other case;
(b)
the plaintiff has complied with all the
requirements of the Protection and Compensation Fund in
relation to any matter which may affect the payment of
compensation by the Protection and Compensation Fund in
accordance with these regulations;
(c)
the judgement and all rights thereunder have been
ceded to the Protection and Compensation Fund; and
(d)
the plaintiff in any of the aforesaid proceedings
had given credit to the Protection and Compensation Fund for
any amount paid to him by or on behalf of the defendant in such
proceedings with regard to any civil liability arising out of the
accident in respect of which compensation may be payable by
the Protection and Compensation Fund.
(3)
In the case of payments relating to damage to property
caused by an uninsured vehicle, the Protection and Compensation
Fund shall apply an excess of five hundred euro (€500) with respect to
each and every payment.
(1)
Without prejudice to any other practice which is
more favourable to the injured party, payment of compensation in
respect of civil liability to any person, caused by or arising out of the
use of a motor vehicle, other than payment of compensation falling
within the provisions of regulation 41, may be made out of funds set
aside by the Protection and Compensation Fund for the payment of
compensation relating to protected liabilities, if the following
COMPENSATION FUND)
conditions are satisfied
(a)
the applicant for payment is unable to trace any
person responsible for the civil liability;
(b)
the civil liability was caused in such
circumstances that on the balance of probabilities the
unidentified person would be liable to pay damages to the
applicant in respect of such civil liability;
(c)
the liability of the unidentified person to pay
damages to the applicant is one which is required to be covered
by insurance or security under compulsory insurance
legislation, it being assumed for this purpose, in the absence of
evidence to the contrary, that the vehicle was being used in
circumstances in which the user was required by the said
legislation to be insured or secured against third party risks;
(d)
the civil liability was not caused by the use of the
vehicle by the unidentified person as a weapon, that is to say in
a deliberate attempt to run down the deceased or injured person;
and
(e)
the application for compensation is made in
writing within two (2) years from the date of the occurrence of
the accident giving rise to the civil liability.
(2)
Where an application for compensation is made in
accordance with this regulation, the payment that may be made by the
Protection and Compensation Fund as referred to in sub-regulation (1)
shall be of such amount as a court in Malta applying Maltese law
would assess as damages which the applicant would have been entitled
to recover from the unidentified person in respect of such civil
liability, if proceedings to enforce a claim for damages in respect
thereof had been successfully brought by the applicant against the
unidentified person. The Protection and Compensation Fund shall only
be liable to pay up to such limits of liability as may be prescribed by
these regulations, under compulsory insurance legislation. The
Protection and Compensation Fund when assessing an application for
compensation shall
(a)
have the power to require any applicant to provide
such information as it may deem necessary for the purposes of
determining an application for granting compensation; and
(b)
on the basis of information provided at its request
by the applicant, give him a reasoned reply regarding the
payment of any compensation.
(3)
Payment in accordance with this regulation shall not be
COMPENSATION FUND)
made unless
(a)
the applicant has given all such assistance,
including information required under sub-regulation (2) as may
be reasonably required by or on behalf of the Protection and
Compensation Fund to enable any investigation to be carried
out; and
(b)
the applicant has assigned to the Protection and
Compensation Fund any right to any payment in respect of the
civil liability to which his application relates.
(4)
Payments relating to damage to property shall only be
made where the Protection and Compensation Fund has paid
compensation for significant personal injuries to any party injured as a
result of the same accident in which damage to property was caused by
the use of a vehicle by an unidentified person. In such cases, the
Protection and Compensation Fund shall apply an excess of five
hundred euro (€500) to be borne by the injured party suffering such
damage to property.
(5)
For the purposes of determining the conditions in which
personal injuries are to be considered significant, there shall be taken
into account, inter alia, whether the injury required hospital care.
(6)
The Protection and Compensation Fund shall determine
an application for compensation in accordance with this regulation
within three (3) months of receiving the information required to be
submitted under this regulation and if it refuses to effect
compensation, it shall inform the applicant in writing of the reasons
for its refusal.
In the case of an accident arising from the use of a stolen
vehicle or a vehicle obtained by violence and which gives rise to civil
liability, compensation by the Protection and Compensation Fund to
the injured party shall be made in the circumstances referred to in
article 12(3) of the Motor Vehicles Insurance (Third-Party Risks)
Ordinance
Provided that if the civil liability relates to damages to
property, the Protection and Compensation Fund shall apply an excess
of two hundred and fifty euro (€250) with respect to each and every
payment.
Payment for compensation in respect of civil liability
may not be made in accordance with these regulations where
(a)
at the time of the accident the person
(i)
being the owner of or being a person using
COMPENSATION FUND)
the vehicle, was using, or causing or permitting the
vehicle to be used, without there being in force in
relation to such use a policy of insurance or such security
as would comply with the compulsory insurance
legislation, knowing or having reason to believe that no
such policy or security was in force;
(ii)
was allowing himself to be carried in a
vehicle knowing or having reason to believe that the
vehicle had been taken without the consent of the owner
or other lawful authority, unless he believed or had
reason to believe that he had lawful authority to be
carried or would have had the owner’s consent if the
owner had known of the fact and the circumstances of his
carriage, or unless he had learned of the circumstances of
the taking of the vehicle after the journey had
commenced and he could not reasonably be expected to
alight from the vehicle; or
(iii) who sustained the death, bodily injury or
damage to property, voluntarily entered the vehicle
which caused such death, bodily injury or damage when
the Protection and Compensation Fund can prove that
such person knew it was uninsured;
(b)
pursuant to the Insurance Business Security Fund
Regulations 1986, repealed by the Protection and Compensation
Fund Regulations, the death or injury in respect of which
compensation would otherwise be payable occurred before the
1st of July, 1986.
Where the Protection and Compensation Fund is of the
opinion that an applicant is not entitled to compensation, in whole or
in part, in accordance with this Part, it shall communicate in writing
the reasons for its decision to the said applicant.
(1)
The competent authority may issue Insurance
Rules to insurers for the purposes of these regulations.
(2)
Such insurance rules may contain such incidental,
supplementary and consequential provisions as appear to the
competent authority to be expedient for the purposes of these
regulations.
PART VI
MISCELLANEOUS
(1)
Notwithstanding any other provision of these
regulations
COMPENSATION FUND)
(a)
the Protection and Compensation Fund
Management Committee appointed by the competent authority
in regulation 5 of the Protection and Compensation Fund
Regulations, shall continue in office as if the Protection and
Compensation Fund Management Committee were appointed
by the competent authority under regulation 5 of these
regulations;
(b)
the agreement entered into with the Bureau by the
Management Committee under regulation 6(2) of the Protection
and Compensation Fund Regulations, shall also continue for all
intents and purposes of the law, as if the Management
Committee appointed in accordance with these regulations had
entered into the said agreement with the Bureau in terms of
regulation 6(4);
(c)
all assets and liabilities of the Security Fund,
transferred to the Protection and Compensation Fund by virtue
of the Act, which as from the date of coming into force of the
Protection and Compensation Fund Regulations have been kept
separate from other assets and liabilities of the Protection and
Compensation Fund, shall continue to remain separate in the
Protection and Compensation Fund established under these
regulations, and the administration of the assets and liabilities
which were kept separate in virtue of Protection and
Compensation Fund Regulations shall continue to be governed
by regulation 10 of the Insurance Business Security Fund
Regulations 1986 until all obligations of the Security Fund
under the 1986 Regulations are discharged in full;
(d)
once the obligations of the Security Fund which
were kept separate under the Protection and Compensation
Fund established under the Protection and Compensation Fund
Regulations and these regulations, have been discharged in full,
any remaining assets in the Security Fund established under the
1986 Regulations shall be aggregated to Fund D and continue to
be used under these regulations exclusively for the same
purpose which they were used under the Insurance Business
Security Fund Regulations 1986;
(e)
the assets of the Protection and Compensation
Fund established under the Protection and Compensation Fund
Regulations shall be aggregated to the assets of, and shall form
part of Fund A and, or Fund D established under these
regulations, as may be determined by the Management
Committee.
(2)
For the purpose of this regulation, ''Security Fund'' means
the fund established by article 26 of the Insurance Business Act, 1981,
repealed by the Act.
COMPENSATION FUND)
The Protection and Compensation Fund Regulations are
hereby repealed, without prejudice to anything done or omitted to be
done thereunder. Nothing in these regulations shall be deemed to affect
the liability in respect of any contribution or other payments or
obligations due or arising under the Protection and Compensation Fund
Regulations, prior to the coming into force of these regulations.
These regulations are being published in the English
language only in accordance with article 64(11) of the Act.