Non-pecuniary (moral) losses in case of injury to body and health – Comparative perspectives XIII. AIDA Budapest Insurance Colloquium 27-28 November 2014 „Solatium doloris from liability insurance point of view – new challenges and questions, possible answers” Dr. Habil. Ádám Fuglinszky LL.M. (Heidelberg) PhD (Hamburg) Associate Professor, Eötvös Loránd University (ELTE), Budapest, fuglinszky@ajk.elte.hu Overview • I. Non pecuniary loss: characteristics and challenges • II. Structural questions – 1. Infringement of personality rights non-pecuniary loss – 2. Functional analysis No. 1: „Why?” – 3. Functional analysis No. 2: „How?” – 4. Lump sum categories – 5. The amount (flexibility, individualization, justice standardization + predictability) • III. Combinations • IV. Secondary victims, relational losses – 1. Accessory claims? / legal basis? – 2. Prerequisites / limits / exclusions – 3. Amounts I. Non pecuniary loss: characteristics and challenges • 1) Expressing in terms of money: „just as like you wished to see yourself while asleep” (Prof. Lábady) missing: – no a priori assigned values (upper limit) – no chance of ‘in integrum restitutio’ ► functional analysis – no a priori decisive aspects on the amount • 2) Public law impacts • 3) Impact of the economic/financial capacity of the society • 4) Fairness, Justice, Flexibility Predictability, Certainty of the law (a like cases a like) • 5) Individualization Standardization • 6) Temptation: let’s replace the complicated tort law by no fault (insurance) system, cf. – Québec: Automobile Insurance Act, RSQ, c A-25, art. 73, max $ 175,000 – New Zealand: Accident Compensation Act 2001 II. Structural questions 1. Infringement of personality rights nonpecuniary loss • Non pecuniary loss (reparation/compensation theory) ► nonpecuniary loss is the prerequisite of damages • Infringement of personality right (personality right theory) ► non-pecuniary loss effects amount only • (Hungary before the new Civil Code: non-pecuniary damages Mere unpleasure, anger, upset, disappointment, anxiety? Generally Ø, only if recognizable psychiatric illness…) II. Structural questions 2. Functional analysis No 1: „Why?” • Reparation/Compensation only? • Prevention? • Punishment/deterrence??? – are there punitive damages in the legal system – ne bis in idem – liability insurance – grade of fault among the decisive factors? ►practical relevance: a.o. victim in coma? II. Structural questions 3. Functional analysis No. 2: „How?” • Conceptual/objective approach (QC) – the injury/disability itself ≈ loss of an „immaterial resource” • Personal/subjective approach – the particular suffering • Functional approach: reasonable solace for the suffered misfortune (common law, Hungary, etc.) ► practical relevance: – impact on decisive factors – a.o. victim in coma? Austria, France: + / Netherlands debated, but rather Ø / Scotland Ø ► functional approach as synthesis? ► „fine tuning”? (cf. coma) II. Structural questions 4. Lump sum categories • Common law – Pain and suffering – Loss of amenities / loss of enjoyment of life – Loss of expectation of life – Disfigurement – Psychological losses (if ever…) • France – Pretium doloris or souffrances morales ou physiques – Préjudice d’agrément (loss of amenity or loss of well being, also in coma) – Préjudice esthétique (also in coma) – Préjudice sexuel • Spain/ Portugal: – more or less as in France – perjuicio juvenil / pretium juventutis: impairment of the ability to live out one’s youth II. Structural questions 5. The amount (flexibility, individualization, justice standardization + predictability) • 5.1. Free discretion without tables and charts (Hungary, before the new Civil Code), decisive factors: – Circumstances of the victim: age / the way of living has changed / moving possibilities / additional psychical factors / ability to work or to study – Impact on social relations (family, friends, free time activities, risk of isolation and loneliness) – The injury itself (severity, time of recovery, temporary/permanent, etc.) – Loss of earning capacity (non-pecuniary aspects as f.e. vocation) – Impacts on sexual life / loss of chance of having children – Grade of fault? (Financial situation of the victim and of the tortfeasor? Ø) II. Structural questions 5.2. Free discretion with non binding tables and charts in the practice • NL: Smartengeldbundel (Verkeersrecht) • F: medical experts: a.o. Association pour l'étude de la réparation du dommage corporel / „loterie judiciaire” – pretium doloris / souffrances physiques et morales / Thierry tables très léger (very light) / léger (light) / modéré (moderate) / moyen (medium) / assez important (quite severe) / important (severe) / très important (very severe) between € 1,000 (1,500) – 15,000 (25,000; 30,000) – préjudice esthétique medical expert gives points between 0 and 7 + sex + age + marital status + occupation II. Structural questions 5.2. Free discretion with non binding tables and charts in the practice •D: Schmerzensgeld (§ 253 BGB) + Tabellen (orientation) • A: Schmerzensgeld (§ 1325 ABGB): duration + intensity / impact on health – light ability of abstraction but not without pain app. € 100/day – medium ability of abstraction is limited to some activities app. € 150-220/day – strong no ability of abstraction, only the pain remains... app. € 200350/day • S: Tables by the Traffic Accident Compensation Board (Trafikskadenämnden) invalidity % + age • England free discretion, but Kemp and Kemp: The Quantum of Damages + Judicial Studies Board’s Guideline for the Assessment of General Damages in Personal Injury Cases II. Structural questions 5.3. Free discretion but binding thresholds (scaling down?... a like cases a like…) – the cap • Canada: „the trilogy” 1978: Andrews v. Grand & Toy Alberta Ltd.; Thornton v. Prince George School Board; Arnold v. Teno rough upper limit, $ 100,000/1978 • New South Wales: Civil Liability Act 2002, Personal Responsibility Act 2002 $ 350,000 cap in the most extreme cases – de minimis threshold • New South Wales not under 15% of the most severe case II. Structural questions • 5.4. Binding amounts prescribed by law – The Danish Liability for Damages Act (cap, fixed amounts, de minimis threshold 5%) • § 3 Pain and suffering DKK 130 (app. € 17) / day, max. DKK 50,000 (app. € 6,721) • § 4 Permanent injury medical nature + scope of the injury + inconvenience caused 100% = DKK 573,500 ~ € 77,091 (special cases max DKK 687,500 ~ app. € 92,416) (1%/year reduction over 39 years of age, additional 1%/year reduction over 59 years of age) III. Combinations Flexibility Individ. ■ Also Persona-lity prevention rights deterrence ■ Infring. ■Personal / Subjective ■ Lump sum / overall evaluation ■ Free discretion ■ FD + orientating charts ■ FD ■Functional +binding caps / thresholds ■ Nonpecuniary loss ■Reparation Only ■Conceptua l / objective ■Categories ■Amounts by law Predict. Standard. IV. Secondary victims, relational losses 1. Accessory claims? / legal basis? • Nervous shock? Cf. England: Alcock v Chief Constable of South Yorkshire Police [1992] 1 AC 310: – perceiving a shocking event with own senses – being present – sudden shock – close tie of love and affection – foreseeability • Impacts on / injury to health? (Cf. PETL: it is a different base of claim!) • Impact on the life of the relative (but not necessarily injury to his/her health, cf. Hungary, but see also „right to live in a complete and uninjured family“) • The loss and the emptiness felt upon it itself? (grief and sorrow) / close relationship – formally in law? – de facto? (even de facto cohabitation, step parents, or as in France: parents-inlaw, nephews, nieces, uncles, aunts f.e. if they brought up the child … but mere friendship?... ) – both? (DCFR) – rebuttably presumed in case of family relationship? IV. Secondary victims, relational losses 2. Variations (prerequisites / limits / exclusions) • No claim, unless nervous shock – medically ascertainable impairment of health, beyond mourning (Germany, Ireland) • No claim, unless medically ascertainable impairment or: – Gross fault (intention, gross negligence), and – Close family relationship to the primary victim, and – Close personal relationship. (Presumed: parent, child, spouse.) Finland (similar, cf. Tort Liability Act, C. 5 S. 4a (1)) • No fixed list of relatives + general prerequisites – certainty and directness of damages – emotional proximity France, Québec • Fixed list of relatives + amounts set by law (supplemented by nervous shock cases) – „Loss of guidance, care and companionship” (Canada, common law provinces + Cf. Alberta, Manitoba, Saskatchewan: fixed amounts!)) – „Bereavement” (England, Fatal Accidents Act, 1976 c 30) IV. Secondary victims, relational losses 3) Amounts • Fixed by law (some fatal accidents acts) – England Bereavement (£ 10.000) –Canada, common law provinces Loss of guidance, care and companionship • Alberta spouse, parents: $ 82,000 / child $ 49,000 • Manitoba spouse: $ 30,000 / others: $ 10,000 • Saskatch. spouse: $ 60,000 / child, parent: $ 30,000 • Free discretion – Québec Augustus v. Gosset: circumstances of the death, age, nature and quality of the relationship, the personality of the victim and his/her ability to manage the emotional consequences, impact on his life, etc. – Hungary …