CIVIL LEGAL ASPECTS IN INSURANCE AGREEMENTS (RESEARCH STUDY OF PT PRUDENTIAL LIFE ASSURANCE)
Main Article Content
Robby Tandean Oei
Bambang Fitrianto
Hasdiana Juwita Bintang
This study discusses life insurance products accompanied by long-term investments from PT Prudential Life Assurance, which offers protection for insured by considering high risks related to market fluctuations and global economic uncertainty. This insurance product requires an in-depth understanding related to the legal arrangements for the insured, the legal liability of the insurance company in fulfilling claims, and the dispute resolution mechanism between the two parties. Therefore, it is important to research various legal aspects related to the implementation of life insurance products, especially those related to claim obligations, dispute resolution, and the difference between sharia and conventional insurance premiums. The formulation of the problem in this study is how the legal arrangements relate to life insurance products and what are the forms of legal liability that must be fulfilled by insurance companies in the claims process. This study aims to: 1) analyze the form of legal protection of the insured in the payment of life insurance claims, 2) examine the responsibility of insurance companies in the payment of life insurance claims, and 3) compare the form of dispute resolution and the difference between sharia and conventional insurance premiums. The methods used in this study are normative juridical approaches and empirical juridical approaches. The normative juridical approach is used to analyze legal provisions relevant to life insurance products, be it laws and regulations, agreements in insurance policies, or legal principles that govern legal protection for the insured. An empirical juridical approach is used to dig into data from practice in the field, which involves interviews with relevant parties in insurance companies and analysis of cases related to insurance claims. The data used in this study consisted of: 1) company policy documents and insurance policies, 2) laws and regulations governing the life insurance industry, 3) interviews with parties involved in the claims mechanism and dispute resolution, and 4) case studies related to insurance claims. The conclusion of this study shows that: 1) Legal protection for the insured in the payment of life insurance claims has been regulated in the applicable legal provisions, both through laws and regulations and clauses in the insurance policy, 2) The responsibility of insurance companies in the payment of claims is strictly regulated in the Consumer Protection Law, the Civil Code, and the Law on Insurance Business, 3) The settlement of insurance claims disputes is generally carried out through institutions Arbitration is in accordance with the terms of the policy, but can also be conducted through legal channels if there are no arbitration clause. The difference between sharia and conventional insurance premiums lies in the legal basis and the fund management mechanism, although both have similar basic principles in terms of legal protection for the insured.
A. Buku :
Abdulkadir Muhammad, Hukum Perdata Indonesia (Bandung; Penerbit PT Citra Aditya Bakti 2014), hal. 241-242.
Ahmad Miru, Sakka Pati, Hukum Perikatan, Jakarta: RajaGrafindo Persada, Tahun 2018, hal.77.
Bank Ocbc Pengertian Pemegang Polis, Ini Hak & Perlindungan Hukumnya 28 Des 2022 Depdikbud, Kamus Besar Bahasa Indonesia, Balai Pustaka, Jakarta,1996,hlm.63.
John M.Echols dalam Hassan Shadily, Kamus Inggris-Indonesia,Gramedia,1190,hlm.326 John M.Echols dalam Hassan Shadily,Loc. Cit.
Mislah Hayati Nasutio, Sutisna.2015, Faktor-Faktor Yang Mempengaruhi Minat Nasabah Terhadap Internet Banking. Jurnal Nisbah. Volume 1 Nomor 1, hlm. 65.
Tuti Rastuti, S.H.,M.H dalam buku “Aspek Hukum Perjanjian Asuransi” yang menggambarkan asuransi sebagai “iuran kerugian” adalah cannan, A review of Economic Theory, (London;1912), hlm. 424; encyclopaedia of Banking and Finance, New York, 1973, hlm. 383. “Distribusi Kerugian” dalam WF Gephart, Principles of Insurance, (New York 1911), hlm. 4-5. “Peringanan Kerugian”, Ibid., hlm. 1-2. “ Pengantian kerugian” oleh LD Edie, Economics Principles and Problem, London, 1926, hlm. 215. “Penutupan kerugian” dalam HA Silverman, The Subtance of Economics, London, 1993, hlm. 164.
B. Peraturan Perundang-Undangan :
Kitab Undang-Undang Hukum Perdata
Otoritas Jasa Keuangan ( OJK ) Nomor 23/POKL.02/2015
Undang-Undang Nomor 2 Tahun 1992 Tentang Usaha Perasuransian. Undang-Undang Nomor 40 Tahun 2014 Tentang Perasuransian
C. Jurnal :
Bambang Fitrianto, T Riza Zarzani, Anto Simanjuntak “Analisa Ilmu Hukum Terhadap Kajian Normatif Kebenaran dan Keadilan”
Beby Sendy, Dina Andiza, Rizkha Amalia “ Perlindungan Hukum Terhadap Nasabah Atas Data Kerahasiaan Menurut Standar Perbankan Ditinjau dari Undang-Undang Nomor
Tahun 2008 Tentang Perbankan Syariah ( Studi Penelitian Di Bank Syariah Indonesia Unit Cabang Pematang Siantar )
Fajrin Husain Lex Crimen Vol. V/No. 6/Ags/2016 “Perlindungan Hukum Terhadap Pemegang Polis Asuransi Menurut UU No.40 Tahun 2014 Tentang Perasuransian”
Irius Yikwa Lex Privatum, Vol.III/No. 1/Jan-Mar/2015 “ Aspek hukum pelaksanaan perjanjian asuransi”
Mohammad Hifni Fakultas Ilmu Hukum Universitas Bina Bangsa “Aspek Hukum Perjanjian Asuransi Dalam Perspektif Hukum Perdata Di Indonesia
Hasdiana Juwita Bintang “ Wanprestasi Hubungan Kerja Subkontraktor Antara Pihak PT Anugrah Putra Prima Perkasa Terhadap Pihak PT. Wika-Modern, KSO
Yoga Manggala Wisnu, Sri Wahyuni “Penyelesaian Sengketa Perjanjian Asuransi Jiwa Atas Informasi Tidak Benar Dari Pihak Agen Asuransi
D. Website :
https://www.ocbc.id/id/article/2022/12/28/pemegang-polis-adalah “28 Desember 2022” https://www.gramedia.com/literasi/nasabah/?srsltid=AfmBOooqbhgMNPEQUF88bud_vSfgr
suez_fFX7vs2f9_4EJjFFEOs-AN “2021”
https://www.gramedia.com/literasi/nasabah/?srsltid=AfmBOooqbhgMNPEQUF88bud_vSfgr
suez_fFX7vs2f9_4EejFFEOs-AN
https://www.hukumonline.com/berita/a/unsur-dan-cara-menyelesaikan-wanprestasi- lt62174878376c7/