When trouble strikes – a dismissal, a disputed invoice, a compensation claim rejected after an accident – the natural reflex is to go to a lawyer. The insurer comes to mind only “later”, since legal protection is there precisely to pay the legal costs. But legal protection insurance is costs insurance with its own rules: the insurer takes on the costs and, in return, asks for a say in what costs arise and in what order. As a broker, I see that this is one of the common and costly reasons for rejection – while few people know about it. The good news: this mistake can be avoided by keeping to the right order.
Hungarian legal protection conditions typically set out the rule of prior consent explicitly. One Hungarian product information document puts it like this: “You are obliged to request the insurer's prior written consent before taking any important measure or procedural step (e.g. bringing an action, concluding a settlement, engaging an expert) that may affect the insurer's obligation to provide benefits. In the absence of such consent, the insurer is entitled to refuse to bear the costs so incurred.” Another Hungarian set of conditions spells out the same in more detail: the insured person must request the insurer's consent before filing a statement of claim or an appeal, or requesting the appointment of an expert; a settlement not agreed with the insurer has no effect on the insurer as regards the insurance benefit; and the engagement contract concluded with the lawyer, including the fee, must be submitted within two working days. The common denominator: the insurer wants to learn that proceedings have started or that a lawyer is working on the case not afterwards, on seeing the invoice, but beforehand. This is not mistrust but a precondition for examining the prospects of success and the reasonableness of the costs, which is discussed in the article on the prospects-of-success assessment.
The consequence varies from one set of conditions to another, but there are two typical outcomes. One is rejection: costs incurred without consent – an expert's fee, the court fee for proceedings that were not reported – are not borne by the insurer. The other is reimbursement at the “minimum fee”: under one Hungarian set of conditions, if the insured person agreed the amount of the lawyer's fee without the insurer's prior consent, the insurer pays an engagement fee equal to the minimum fee of a legal aid lawyer as laid down by law. This statutory minimum is typically well below market lawyers' fees, and the difference is left with you. Importantly, the insurer is not saying no to the whole case here – the case may be covered, but because of the error in the order of steps it will not pay part of the lawyer's invoice or certain costs. Which items the insurer otherwise pays in a case is listed in the article what the insurer pays in a case.
Yes – and this does not contradict the above. Under the special provisions on legal protection insurance in Act LXXXVIII of 2014 on Insurance Activities (Bit., the Insurance Act), in court and administrative proceedings, and in the event of a conflict of interest, the insured person may freely choose their legal representative; Hungarian policy conditions incorporate this as well. Free choice, however, is about who acts – not about when and at what price, without the insurer's knowledge. The conditions typically require you to notify the insurer of the chosen lawyer and the engagement fee, and the insurer accepts a reasonable fee proportionate to the task. For those who keep to this order, the free choice of lawyer is a real right; for those who reverse it, the right remains, but the reimbursement may be reduced. The details are described in the article on the free choice of lawyer.
The first step is reporting the case on the insurer's own legal protection line – the conditions typically set a deadline of 15–30 days from the occurrence of the legal case or from when you became aware of it, and under Section 6:453 of the Hungarian Civil Code (Ptk.), late reporting has legal consequences if, as a result, material circumstances can no longer be established. The steps of reporting are shown in the article on reporting a legal case. The second step is the advice line: many policies provide legal advice by telephone, which helps you decide whether you need a lawyer at all and what has to be done within a short time. The third step is the lawyer: the insurer's contracted lawyer or a representative of your choice who has been notified to the insurer – with the engagement fee accepted in advance. If a step really cannot be postponed – a submission with a deadline, administrative proceedings – state in writing, at the same time as reporting the case, that urgent action is needed: several sets of conditions deal separately with steps that cannot be postponed, but you need to check this in your own policy conditions. If you have already engaged a lawyer before contacting the insurer, do not wait any longer: send in the engagement contract and ask for retrospective approval – this is not automatic, but silence only makes the situation worse. If the case gets stuck or becomes disputed, I help where I can, acting on your behalf – in interpreting the policy conditions and in getting your questions to the insurer in the proper form; I do not provide legal representation – the lawyer's work is for the lawyer.
Write down the insurer's legal protection reporting line next to your policy, and treat it as the first call in any dispute – the lawyer is the second. Before taking out a policy, find the chapters on the “insured person's obligations” and the “lawyer's fees” in the conditions: they set out what requires consent and what happens without it. If you already have a contract, read the same two chapters now, at a calm time – in the middle of a dispute it is too late. The insurer pays only for what is an insured event under your contract, and only in the way the contract prescribes the order of steps.
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