3
Qualifying Conditions for Paying Compensation
3.1
The FSCS may pay compensation to an eligible claimant, subject to 18, if it is satisfied that:
- (1) an eligible claimant has made an application for compensation (or falls within the category of persons referred to in 3.2);
- (2) the claim is in respect of a protected claim against a relevant person (or where applicable, a successor) who is in default;
- (3) where the FSCS so:
- (a) requires, the claimant has assigned the whole or any part of his rights under the protected contract of insurance against the relevant person (or where applicable, a successor) or against any third party to the FSCS, on such terms as the FSCS thinks fit; and/or
- (b) determines, the claimant has immediately and automatically subrogated all or any part (as determined by the FSCS) of its rights and claims against the relevant person (or where relevant, a successor) under the protected contract of insurance or against any third party to the FSCS, on such conditions (under 13) as the FSCS thinks fit; and
- (4) it:
- (a) is not reasonably practicable or appropriate to make, or continue to make, arrangements to secure continuity of insurance under 4.1; and/or
- (b) would not be appropriate to take, or continue to take, measures under 5.1 to safeguard policyholders of a relevant person in financial difficulties.
- 01/10/2015
3.2
- 03/07/2015
3.3
The FSCS may pay compensation (and any recovery or other amount payable by the FSCS to the claimant) to a person who makes a claim on behalf of another person if the FSCS is satisfied that the person on whose behalf the claim is made:
- (1) is or would have been an eligible claimant; and
- (2) would have been paid compensation by the FSCS had he been able to make the claim himself, or to pursue his application for compensation further.
- 03/07/2015
3.4
Notwithstanding any provision in this Part to the contrary, the FSCS may:
- (1) pay compensation in accordance with 18;
- (2) secure continuity of a contract of long-term insurance in accordance with 4.1;
- (3) make a payment to an eligible claimant in accordance with 4.3;
- (4) take such measures as it considers appropriate in accordance with 5.1; or
- (5) make a payment to an insurer under write-down in accordance with 5A.1, so as to enable the insurer under write-down to pay a top-up amount in respect of a written-down claim in accordance with 5A.4;
- without fully or at all investigating the eligibility of the claimant and/or the validity and/or amount of the claim, if in the opinion of the FSCS:
- (a) the costs of investigating the merits of the claim are reasonably likely to be disproportionate to the likely benefit of such investigation; and
- (b) (as a result or otherwise) it is reasonably in the interests of relevant persons to do so.
- 19/09/2023