orangeblock

Another accident waiting to happen

07 August 2008 | | Gareth Stokes

South Africa’s legislators have been at it again; but for once the financial services industry has escaped the brunt of their intervention. This time it’s those who earn their keep from the country’s notorious Road Accident Fund (RAF) and the thousands who make claims against the Fund, who are up in arms. Amendments to the Road Accident Fund Act 56 of 1996 were published on 21 July 2008 and are in force from 1 August 2008.

The RAF claims that the changes were necessary to create an environment in which the fund could stave off bankruptcy. Amounts earned by the Fund from a government established fuel levy are insufficient to meet current claims with the result that a deficit of some R20bn already exists. “The amendments introduce a number of limitations on the Fund’s liability to pay for certain types of compensation. It is expected that these limitations will improve the Fund’s financial position and ensure its ability to pay claims in the future.”

Changes should limit the Fund’s future liability

Some of the major changes included in the RAF Amendments Bill are:

  • The R25 000 claim limit which applied to passengers will be lifted
  • People conveyed for reward on a motorcycle will be able to claim in future
  • The exclusion of claims by passengers, in a single motor vehicle accident, where the claimant is in law responsible for the maintenance of the driver, or where the claimant is a member of the same household as the driver is abolished
  • A new exclusion in respect of claims for secondary emotional shock has been introduced
  • The Fund’s liability in respect of medical expenses is limited to one of two medical tariffs
  • And the Fund’s liability in respect of claims for loss of income is limited to R 160 000 per year, irrespective of the actual loss!

We expect most RAF claimants will be happy with the changes. There are certainly indications that the bill is tailoring the Fund to better serve the majority of South Africa’s road users. But that doesn’t mean there aren’t problems.

Everyone shouts when their money is involved!

Tucked away among the list of amendments we found one that’s caused more than its share of fuss over the past week. The Act will allow “the RAF to pay the compensation to the claimant or directly to the medical service provider.” Hundreds of attorneys who earn a living from assisting claimants with RAF claims are up in arms. The reason is most of them offer services on a ‘no win, no fee’ basis. These attorneys have agreements in place with the claimants to ensure payment when a claim is settled. Not only does the law now fly in the face of the legal agreements drawn up between claimants and attorneys; but the risk to the legal profession in providing these ‘free’ services has escalated significantly.

To make matters worse the RAF has already instructed its staff to bypass attorneys and law firms in settling claims. Affected attorneys were quick to turn to the courts for assistance. The Law Society of SA has an urgent application with the Cape Town High Court to have certain instructions issued by the RAF declared invalid. A firm of attorneys has brought a similar motion in Johannesburg. Part of the Law Society’s official statement reads:

“The [RAF] decision is aimed at eliminating the current system of paying compensation awards for road accident victims to their authorised attorneys. Attorneys, up to now, have acted for them on the basis that they will have to pay from their own pockets substantial costs needed to mount the claims, and to run the risk of the claims failing.

“Currently, sums owing to claimants by way of compensation and costs are paid into the trust accounts of attorneys with powers of attorney signed by their client directing the RAF to do so. From those payments, attorneys -- who are under the supervision of their law societies and who are backed by the Attorneys Fidelity Fund -- deduct what they have already advanced in payment of medical, actuarial and other experts and counsel.”

More smoke and mirrors…

We’ve known for some time that the RAF is financially unsound. Part of the motivation for making amendments to the bill was to bail out a system with a claims deficit in the region of R20bn. What we need to ponder at the moment is what motivated the decision to encourage RAF staff to settle with claimants directly. The value of the claim won’t be affected – so we must assume this move is aimed at reducing attorney involvement in the claim process. With less ‘free’ attorney assistance we might see fewer cases making it to claims stage… Or perhaps we’re just being cynical.

As things stand the amendments may go part of the way to solving the RAF’s financial crisis. But the real solution lies in improving the operation’s administrative ability and ensuring that claims are dealt with efficiently and appropriately.

Editor’s thoughts:
The RAF claim is about as close as South Africa gets to the US personal injury lawyer. Legal personnel are so keen to get in on the action they’ll take cases on a ‘no win no fee’ basis. RAF lawyers offer similar services – preying on those injured in accidents and taking a healthy slice of any award made. Can the average citizen make an RAF claim without the assistance of an attorney? Add your comment below, or send to gareth@fanews.co.za

Comments

Added by Gideon Raath, 11 Aug 2008
It seems that we are all in agreement that the RAF is in real bad shape. they recently paid a stippens of R500m out to a foreigner and there are no indications that they powers that be are intending to amend the legislation before 2009 influx of foreigners for the curtain raiser event for 2010. It seems as if the South African Public not only have to look after a considerable amount of Zimbabweans but we are also being set up to pay for injuries caused to foreigners during these events. I am also omitting the fact that we have a sizable tourism industry and millions of visitors frequent our shores daily. I agree. Give the RAF back to the insurance industry. On the other hand I have not seen the insurance industry take proactive steps in marketing their personal accident insurance policies or third party policies because an injured person can also claim from the driver of the vehicle if the RAF does not pay him enough! were the insurance companies caught off guard with their marketing campaigns?
Report Abuse
Added by MP, 08 Aug 2008
It is time this fund was closed. R20 billion deficit indeed; has a thorough audit been conducted covering the last 20 years and also the RAF funds current activities. I believe that a great deal will be uncovered– including mismanagement - and a number of people subject to criminal prosecution! What we should all be asking for is that every vehicle that makes use of public roads be subject to individual vehicle insurance cover – either 3rd party or comprehensive. The choice should be available to the vehicle owner with the vehicle, with, perhaps a designated driver. It should be mandatory that a document proving valid and current insurance be in the vehicle for inspection, with traffic police and SAPS (via Internet/Cellphone) link to an insurance database. This vehicle insurance cover should provide the current insurance benefits covered by 3rd party/comprehensive cover and also include cover/benefits currently provided by the RAF. The law should be if there is no current valid insurance the vehicle may not be used anywhere.– no insurance no use of public roads by the vehicle. However all risk cover (3rd party/comprehensive/RAF) should be available only to the driver who has a legal and valid driver’s license for the class of vehicle being driven. If not in possession of a legal and valid driver’s license or is uninsured the driver and vehicle owner (if the vehicle has been driven with the owners knowledge and consent) must be held responsible for all and any losses. All claims(for the specific accident) concerned and forfeit personal and business assets to cover the value of the other parties losses. There should also be a jail sentence involved for the driver and the owner (if the vehicle has been driven with the owners knowledge and consent) of the vehicle. Where an accident involves a proven drunk driver (drugged driver?) the insurer should have the right to reclaim all payments made to the other party. Again provision should be made to claim from the personal and business assets of the driver and vehicle owner (if the vehicle has been driven with the owners knowledge and consent). There are probably qualified persons who could enlarge and improve on this suggestion. Will you put this out for discussion and comment?
Report Abuse
Added by Objective, 07 Aug 2008
The RAF have, over a long period of time, attempted to mislead the public as to the real cause of their difficulties and into thinking that they are acting in the interests of the public when they are not.The reason for their financial woes is gross mismanagement , corruption and incompetence, not the actions of the legal profession, who have selflessly assisted injured persons in obtaining proper compensation from the courts. Attorneys often lay out large sums of money - running into hundreds of thousands of Rands to assist clients in properly presenting their cases, without any certainty of recovery, nevermind receiving anything for their services.Would you do this?.The RAF know that if they can cut out attorneys claimants will not be able to dispute their pathetic offers, out of ignorance and a lack of resources.They will be forced to accept whatever they are offered and will not be able to have their cases decided upon by an independant party.I know of one person who was offered R23 000 by the RAF for a head injury and was later awarded over R2m.There are many people who would today be totally destitute had it not been for the efforts of their attorneys.And not forget that the RAF will quite readily spend R100 to save R1.Give the RAF back to the insurance industry and things would be very different.
Report Abuse
Added by TONY, 07 Aug 2008
Once again the wrong aspects are addressed and I fear, some grey areas are created. What were the structural problems behind the fund's difficulties in the first place and were they ever admitted and addressed? Hospitalisation after a road accident may now have piles of stretchers lying in the passages of State hospitals as well.
Report Abuse

Comment on this Post

Name*

Email Address*

Comment*

Another accident waiting to happen
quick poll
Question

Discovery’s 2024 data highlights suicide and motor vehicle accidents as leading causes of unnatural death claims. Which of these insurance planning priorities do you find most relevant in practice?

Answer