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残疾人团体商业保险的实践偏差与矫正路径

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残疾人商业保险是残疾人"基本+补充"多层次保障体系中的重要组成部分,承保社会保障基本范围之外风险和承担基本水平之上责任.目前,我国尚不存在严格意义上的残疾人个人商业保险,仅有政府主导型的残疾人团体商业保险.检视生效裁判文书,辅之以各省市残联工作文件与相关保单条款,当前残疾人团体商业保险存在法律规范泛化的制度困境,存在保障程度偏弱、保单条款粗疏、裁判保护畸重等现实问题.未来,我国应通过立法保障机制系统构建残疾人团体商业保险的总括保险投保模式、共保体承保模式及配套支持制度,市场运作机制有效构建险种体系、拓展投保资金来源与设计具化保单条款,司法裁判机制及时调整保护取向、回归中立立场,以期实现保险业营业安全前提下残疾人最大保险保障之目标.
Practical Deviations and Corrective Paths of Group Commercial Insurance for Persons with Disabilities
Commercial insurance is an important part of the"basic+supplemental"multi-level protection system for persons with disabilities,covering risks beyond the basic scope of social security and assuming responsibilities above the basic level.At present,there is no individual commercial insurance for persons with disabilities in the strict sense of the term,and only government-led group commercial insurance exists in China.On reviewing the legal instruments in force,working documents of provincial and municipal disabled persons'federations and the contents of insurance policies,it was found that the implementation of group commercial insurance for persons with disabilities has revealed practical problems such as systematic dilemma of generalization of legal norms,a relatively low level of protection,rough terms and conditions of the policy,and excessive judicial protection.Future recommendations include systematically constructing the blanket insurance model,co-insurance body underwriting model and supporting system of group commercial insurance for persons with disabilities through the legislative protection mechanism,effectively constructing the insurance system,expanding the source of funds for insurance and materializing the terms of the policy through the market operation mechanism,and timely adjusting the protection orientation of the judicial adjudication mechanism to return to the neutral position,so as to realize the maximum insurance protection for persons with disabilities under the premise of the financial security of the insurance industry in China.

Persons with disabilitiesAccident insuranceSupplemental safeguardsWeak market protectionExcessive judicial protection

王旭升

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兰州大学法学院 兰州 730000

残疾人 意外伤害保险 补充保障 市场保障偏弱 司法保护畸重

2024

残疾人研究
残疾人事业发展研究会

残疾人研究

CSSCICHSSCD
影响因子:0.615
ISSN:2095-0810
年,卷(期):2024.(3)
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