Ombudsmann Private Kranken- und Pflegeversicherung

Overview

Fees for traders

Fees to be paid by the insurer

Insurers do not contribute to the costs of Ombudsman proceedings for individual complaints. Insurers contribute to the costs of Ombudsman proceedings jointly by way of a collective levy paid to the Association of Private Health Insurers.

The entity is competent for disputes in the following sectors

• Financial Services
• Non-life Insurance - Health, accident and other
• Insurance - Other

Fees to be paid by the consumer

• No

Fees to be paid by the trader

• Yes

Type of fee for the trader

• Fixed fee

Language(s) of the procedure

• German

The procedure is done

• in writing

Outcome of the procedure

• Non-binding

Grounds for refusal

• The consumer did not attempt to contact the trader first to try and resolve the matter bilaterally
• The dispute is frivolous or vexatious
• The complaint is being or has previously been considered by another dispute resolution body or by a court
• The value of the claim is below or above the required threshold