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Detekce pojistných podvodů / Detection of Insurance FraudMinár, Tomáš January 2012 (has links)
This thesis focuses on the area of detection of potential insurance frauds by using Business Intelligence (BI) and its practical application to real data of compulsory and accident insurance. It describes the basic concepts of insurance business, the individual layers of BI architecture, and a detailed description of the implementation process from data transformation through the use of advanced analytical methods to the presentation of acquired information.
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Titanic : Ur ett modernt försäkringsperspektivAl Kamsie, Samer, Klevsäter, Lars-Peter January 2019 (has links)
Sjöförsäkring är ett samlingsnamn för en massa försäkringar ett rederi måste ha för att bedriva sjöfartsverksamhet. De två vanligaste som berör själva fartyget och dess framdrift är kasko och P&I. Genom att använda RMS TITANIC fallet ämnar studien att faställa om försäkringstagaren till fartyget har rätt till försäkringsersättning eller inte enligt modern svensk sjöförsäkring. Undersökningen ämnar titta närmare på hur försäkringsbolag tillämpar villkoren för identifikation samt vad som skiljer vårdslöshet från grov vårdslöshet, för att kunna konstatera om ersättning skall betalas ut till ägaren av RMS TITANIC. Studien använder en kvalitativ metod med semistrukturerade intervjuer samt litteraturstudie. Resultatet visar att svenska försäkringsbolag tillämpar identifikation i ringa utsträckning som möjliggör att försäkringsskyddet för fartygsägare inte påverkas om en besättningsman agerar vårdslöst ombord men detsamma gäller inte om handlingen var grovt vårdslös. Det innebär att försäkringstagaren till RMS TITANIC har rätt till ersättning enligt modern sjöförsäkring. / Maritime insurance is a collective name for a multiple insurances a shipping company must have in order to conduct maritime operations. The two most common ones that affect the ship itself and its operation are Kasko and P&I. Using the RMS TITANIC case, the study intends to determine whether the policyholder of the vessel is entitled to insurance compensation or not according to modern Swedish maritime insurance. The study looks more closely at how insurance companies apply the terms for identification and what differentiates negligence from gross negligence, in order to determine whether compensation should be paid to the owner of RMS TITANIC. The study uses a qualitative method with semi-structured interviews and literature study. The result shows that Swedish insurance companies apply identification to a small extent, which allows insurance coverage for shipowners not to be affected if a crew acts carelessly on board, but the same does not apply if the act was grossly negligent. This means that the policyholder of RMS TITANIC is entitled to compensation according to modern maritime insurance.
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Výpovědní důvody podle § 52 písm. g) a h) zákoníku práce / Reasons for notice of termination of employment relationship according to Sec. 52 (g) and (h) of the Labour CodeHořejší, Lucie January 2013 (has links)
The topic of my thesis is the analysis of two selected reasons for notice of termination given by an employer to an employee as stated by the Labour Code. The first reason (according to Sec. 52 (g) of the Labour Code) consists in violation of employee's duties and obligation ensuing from the legal regulation applying on the work performed by the employee. The second reason (according to Sec. 52 (h) of the Labour Code), which was implemented into the Labour Code with its effectiveness as of 1 January 2012, introduces a so-called "other duty of an employee" consisting in violation of the regime of an employee who is temporarily unfit to perform work for the employer due to his/her sickness or injury as set by the Act on Sickness Insurance. The analysis will be based primarily on the case law of the Supreme Court of the Czech Republic which, in the long term, tends to shape the legal regulation of the analyzed issue. Although not being a formal source of law, the case law of the Supreme Court is of a great importance in the area of termination of employment relationships in the Czech labour law in practice.
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ESTUDO DO MODELO DE PREVIDÊNCIA SOCIAL DO TRABALHADOR RURAL BRASILEIRO.Lima, Carolina Arantes Neuber 27 March 2015 (has links)
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Previous issue date: 2015-03-27 / This study is meant to examine the model of social security system of Brazilians rural
workers, correlating it with existing models in the legal system of other sovereign
States, classifying it and promoting an analysis of its economic-financial and actuarial
viability in light of historical, legal and socioeconomic national context. By recognizing
the social security as a social right founded on the principle of solidarity and the social
welfare for rural workers as a fundamental right, constitutionally fixed in the Brazilian
law, the research presents the categories of rural workers currently appointed in the
national legal system, introducing the pension benefits available to each one of them.
Finally, it aims to verify the contribution of the pension system of the Brazilian rural
workers to the actuarial and financial balance or unbalance of the social security
system, indicating the possible future implications. Despite the use of historical and
socioeconomic information, justified by the interdisciplinarity of this master degree
program, the work tried to highlight the legal aspect and its evolution. The search result
is therefore intended to demonstrate the importance of the path covered by Brazilian
legislation and the future challenges relating to the social security model for rural
workers. / O presente trabalho tem por intuito examinar o modelo de previdência social do
trabalhador rural brasileiro, correlacionando-o com modelos existentes no
ordenamento jurídico de outros Estados soberanos, classificando-o e promovendo
uma análise sobre sua viabilidade econômico-financeira e atuarial em face do contexto
histórico, jurídico e socioeconômico nacional. Através do reconhecimento da
seguridade social como direito social lastreado no princípio da solidariedade e da
previdência social do trabalhador rural como direito fundamental constitucionalmente
previsto na legislação brasileira, apresenta-se as categorias de trabalhadores rurais
atualmente previstas no sistema normativo pátrio e os benefícios a elas acessíveis.
Busca-se, por fim, verificar a contribuição do regime previdenciário do trabalhador
rural brasileiro para o equilíbrio ou desequilíbrio atuarial e financeiro do sistema de
seguridade social, indicando as possíveis implicações futuras. Em que pese a
utilização de dados históricos e socioeconômicos, justificados pela
interdisciplinaridade do programa de mestrado em Direito, Relações Internacionais e
Desenvolvimento da PUC-GO, procurou-se destacar o aspecto jurídico e sua
evolução. O resultado da pesquisa pretende, assim, demonstrar a importância do
caminho trilhado pela legislação brasileira e os desafios futuros em relação à
previdência social do trabalhador rural.
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O enquadramento do Bóia-Fria no ordenamento pátrio: a busca da classificação como segurado da Previdencia SocialWashington, Aroldo José 20 March 2014 (has links)
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Previous issue date: 2014-03-20 / This work will be examined in the light of the Theory of Legal Argumentation , the weighting of constitutional principles relating to the Social Security Law . The goal will be to demonstrate that the rural worker flywheel , also called " float - cold ," Social Security is insured , and will seek classification as held Social Security therefore has the worker entitled to Social Security , despite there is no express legal provision , because it does not fit the definition of employee in the definition given by the Labor Law , as it is possible worker . In everyday practice , the employee steering wheel does not collect social security contributions , and consequently face this fact would not be insured framed as Social Security . Will demonstrate that this task is the assignment of borrower services , and therefore fits the employee steering wheel, as insured , with foundations of constitutional principles and rules governing the matter in understanding complied with the administrative and judicial . The research method is worked in a descriptive way , and will be developed with the research of labor and social security doctrines , organized with dogmatic and even search the Jurisprudence of the Courts dealing with this matter, which will bring clarity to the legal loophole which governs the matter / O presente trabalho será analisado à luz da Teoria da Argumentação Jurídica, da ponderação de princípios constitucionais, atinentes ao Direito Previdenciário. O objetivo será demonstrar que o trabalhador rural volante, denominado também de bóia fria , é segurado da Previdência Social; buscar-se-á sua classificação como segurado da Previdência Social: consequentemente, tem o trabalhador, direito ao Seguro Social, apesar de não haver expressa previsão legal, pois o mesmo não se enquadra na definição de empregado, na definição dada pelo Direito do Trabalho, por se tratar de trabalhador eventual. Na prática cotidiana, o trabalhador volante não recolhe a contribuição previdenciária; diante dessa realidade, não estaria enquadrado como segurado da Previdência Social. Demonstrar-se-á que este encargo é de atribuição do tomador de serviços; portanto, enquadra-se o trabalhador volante, como segurado, com fundamentos de princípios e regras constitucionais que regem a matéria entendimento acatado em âmbito administrativo e judicial. O método de investigação é trabalhado de maneira descritiva, e será desenvolvido com a pesquisa das doutrinas trabalhista e previdenciária, com visão dogmática organizada, e ainda pesquisa da Jurisprudência dos Tribunais que tratam desta matéria, pretendendo trazer clareza à lacuna legislativa que rege a matéria
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保險當事人定位之研究 / The study of the positioning of the parties of insurance contract邱永慶, Chung, Ung-Chin Unknown Date (has links)
私法上的法律行為必有其主體,並以意思表示為要素,而以發生私法上效果為其目的。其成立與否所須包涵之要素有三,即當事人、意思表示及標的三者。當事人,係指於法律行為中享受權利、負擔義務之人,且經由當事人意思表示始構成法律行為,缺此主體則法律行為失其附麗而無由成立;契約,則為雙方當事人以發生債之關係為目的,相互為對立的意思表示,趨於一致的法律行為。保險契約,亦屬於契約之一種,其成立與否,自應檢視是否包含當事人、意思表示及標的三者。我國保險法第1條規定:「本法所稱保險,謂當事人約定,一方交付保險費於他方,他方對於因不可預料,或不可抗力之事故所致之損害,負擔賠償財物之行為。」就上述三要件中,意思表示,一般情形下係指「要保」(要約)之意思表示,及「承保」(承諾)之意思表示合致,保險契約即為成立 ;而標的則係指法律行為的內容,保險標的之內容相當複雜,保險標的僅係其中一項,除此之外,尚包括保險金額、保險期間、保險事故、保險費及其他非屬必要之點者。關於此二要件,除了保險契約是否為要式契約或要物契約,仍受學者爭議外,一般而言並無太大問題。然而就保險契約之主體─當事人之角色,多數學者均僅依我國保險法第3條及第44條之規定,而逕認保險當事人係指保險人及要保人 ,而鮮少有對於保險當事人定位之問題提出質疑者。
事實上保險當事人之角色,於英美法系之制度,與大陸法系之制度迥然不同,前者以被保險人(the insured; the assured)與保險人(the insurer; the underwriter)為當事人;而後者則以要保人(the applicant; 日:保險契約者;德:der Versicherungsnehmer)與保險人(日:保險者;德:der Versicherer)為當事人。兩者對於保險當事人之定義及內涵,及其所扮演之角色各有不同之規定,然我國保險法學者則不分英美法系或大陸法系之學者,均認要保人及保險人為保險契約之當事人。此或係由於我國保險法第3條規定:「本法所稱要保人,指對保險標的具有保險利益,向保險人申請訂立契約,並負有交付保險費義務之人。」因此自然以訂立契約之人(為意思表示之人)為保險契約當事人之一方,而以而為承諾意思表示之保險人為他方當事人。若我國保險法僅對要保人做此定義,則此說應係相當合理且明確的解釋。然而相當值得玩味的是,保險法第4條另對於「被保險人」有所定義:「本法所稱被保險人,指於保險事故發生時,遭受損害,享有賠償請求權之人,要保人亦得為被保險人。」若將保險法第3條及第4條及同法其他相關規定合併觀之,則會發生許多混淆不清,及難以解決之問題。
本文即在對於保險契約當事人究應做何定位,就不同法系之規定加以比較與分析,並期望透過本文所建議之修法方式,使保險契約當事人之定位能臻於明確,以避免依現行法律及學說所造成之困擾與紛爭,以早日達成政府所規劃之「亞太營運中心」目標。
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Socialiniai - ekonominiai veiksniai, įtakojantys sicialinio draudimo plėtrą Lietuvoje / Social and economic factors that influence to the development of social insurance in LithuaniaRimpo, Valentina 18 December 2006 (has links)
Valstybės piliečių gerovę užtikrinantys socialinių ir ekonominių priemonių visuma ir principai yra valstybės socialinė politika. Lietuvoje pasirinktas korporatyvusis – klientelistinis socialinės politikos modelis, būdinga ribota socialinė parama ir specialios ribotos valstybės išmokos. Valstybinis socialinis draudimas, kaip vienas iš socialinės politikos elementų, pagrįstas kartų solidarumo principu: dirbantieji mokėdami socialinio draudimo įmokas remia dėl atsiradusios socialinės rizikos negalinčius dirbti pensininkus, neįgalius asmenis, bedarbius, kūdikių susilaukusius ir kt. Socialinio draudimo politikai vykdyti Lietuvoje veikia Valstybinio socialinio draudimo fondo valdyba „Sodra“ prie Socialinės apsaugos ir darbo ministerijos, kuri yra įgaliota administruoti savarankiško valstybinio socialinio draudimo fondo lėšas: rinkti įmokas ir jas perskirstyti. Socialinis draudimas apima pensijų draudimą, ligos ir motinystės draudimą ir nelaimingų atsitikimų darbe bei profesinių ligų socialinį draudimą. Valstybinio socialinio draudimo sistemos finansų pagrindas yra valstybinio socialinio draudimo fondo biudžetas, sudaromas vieneriems metams. / The social policy of state is consisting of social and economic measures that provide well-being of state citizens. Lithuania has chosen a client-corporation model of the social policy which is characteristic by limited social assistance and special payments from the state part.
The state social insurance as one of the element of social policy is based on generation solidarity: the working pay social insurance fees supporting in this way pensioners, disableds, unemployeds, taking care of baby, etc., al who can not work due to the social risk.
The social policy in Lithuania carries out “Sodra” by the Ministry of social security and labour of the Republic of Lithuania. “Sodra” has legal power to administrate money of the independent social insurance fund: collect fees distribute them.
The social insurance provides pension insurance, insurance against illness, mother insurance, insurance against working accident or professional illness.
The financial base of state social insurance is the budget of state social insurance fund approved for one year.
Incomes of the fund budget mostly depend of the quantity of insured people. Last time we see some demographic tendencies: negative increase of population, growing up of emigration, quality changes of population. Incomes depend also of the employment level in the country and of the range of salary of insured persons, as well as their distribution by groups referring the salary level.
Costs of the budget fund are influenced by the... [to full text]
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Pojištění odpovědnosti za škodu způsobenou provozem vozidla / Liability Insurance for Use of Road VehiclesPROCHÁZKOVÁ, Lada January 2013 (has links)
This thesis focuses on liability for damage caused by vehicles with emphasis on the settlement of claims in nestadradních cases. Work maps ensure the process of liquidation in the event of damage caused by an uninsured vehicle, or vehicle insured by a foreign insurer. The aim is to assess practices and their effectiveness due to the victim.
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O enquadramento previdenciário do índio no Brasil: análise da sua qualidade de segurado numa perspectiva crítica à luz da cidadania socialSilva, Antônio Pedro Ferreira da 23 October 2015 (has links)
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Previous issue date: 2015-10-23 / Esta pesquisa promoveu a análise crítica da relação jurídico-previdenciária entre o Estado e os povos indígenas, com vistas a verificar como se apresenta a qualidade de segurado do índio relativamente ao Regime Geral de Previdência Social, tendo como pano de fundo a cidadania social. Dessa forma, delimitado o campo de análise, verifica-se que o objeto indica que se trata de uma pesquisa qualitativa. A revisão bibliográfica e a análise documental serviram como métodos para a análise do fenômeno. O estudo evidenciou que, em razão de outras pautas mais urgentes que tocam as causas dos povos indígenas, as questões previdenciárias são prescindidas do cuidado que se requer, tanto pelo Estado quanto pelos interessados. Por outro lado, a importância da previdência social se revela, porque é por meio dela que o Estado ampara o cidadão vinculado ao sistema, em algumas contingências da vida. Como política social, a previdência alcança toda a família do segurado, garantindo o mínimo existencial. Nessa perspectiva, a pesquisa foi dividida em três eixos: no primeiro, foi traçado um panorama histórico da relação entre o Estado e os povos indígenas, desde o período colonial até a Constituição de 1988, tendo como base de sustentação teórica livros e documentos públicos; no segundo, foi analisado o Regime Geral de Previdência Social, sem prescindir de sua contextualização vinculada à crise do Estado e do Welfare State, tendo sido utilizados livros específicos da seara previdenciária e sobre a crise do Estado; no terceiro eixo, verificou-se como se apresenta a qualidade de segurado do índio e se há ou não necessidade de adequação, ante a visão administrativa, por meio da análise de documentos públicos e atos administrativos. Nas considerações finais, a hipótese da pesquisa foi confirmada, revelando que o enquadramento do índio como segurado do Regime Geral de Previdência encontra-se inadequado. / Having social citizenship as background, this research promoted a critical analysis of the legal and social security relationship between the State and indigenous peoples in order to see how the insured status of such peoples are presented by the General Regime for Social Security. After determining the field of analysis, the object of the study suggested the need for a qualitative approach to carry out the research. The methods employed for analyzing the phenomenon included literature review and document analysis. The study revealed that due to other pressing agendas related to the indigenous peoples, social security issues have been neglected not only by the State, but also by the concerned ones. On the other hand, the importance of social security was acknowledged as it is through such means that the State maintains citizens affiliated to the system in some contingencies of life. As a social policy, social security reaches the families of the insured ones. From this perspective, the present research was divided into three parts. Firstly, a historical overview of the relationship between the State and the indigenous peoples was outlined (from the colonial period up to the 1988 Constitution), having books and public documents as theoretical support. Secondly, the General Regime for Social Security was analyzed without disregarding its contextualization linked to the crisis of the State and to the Welfare State. Such analysis was carried out by using specific books on social security and on the crisis of the State. Thirdly, and also by researching via public documents and administrative acts, the insured status of the indigenous peoples was analyzed in order to find out whether it needs to be adapted by the administrative viewpoint. In the final considerations, the research hypothesis was confirmed by disclosing that the adjustment of indigenous peoples into the General Regime for Social Security is inadequate.
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Informovanost veřejnosti o systému veřejného zdravotního pojištění / Level on public knowledge concerning of helth insurence policyŘEHÁKOVÁ, Jana January 2008 (has links)
Public health insurance is an important part of the Czech health system. In the Czech Republic the model of national health insurance is administered using system of several insurance companies. The main target of these companies is to collect insurance rate from the payers and to cover health care provided to the insuree. The aim of this work is to map and assess professional and non - professional public knowledge of the system of the public health insurance. Three goals were set within the work. The first one was to find out the level of the professional public knowledge of the public health insurance. The second one was to find out the level of the non - professional public knowledge of the public health insurance. The third one was to compare both groups knowledge of the public health insurance. To realize the above mentioned aims three hypotheses were set. Hypothesis No.1: Most of the professional public is informed about the valid legal arrangement of the public health insurance. Hypothesis No. 2: Most of the non -professional public is informed about the valid legal arrangement of the public health insurance. Hypothesis No. 3: There is no difference between the professional and non - professional public knowledge of the valid legal arrangement of the public health insurance. To prove the set hypotheses the form of quantitative research was used. The technique of questionnaire was used for data collecting. For practical part the identical questionnaire for both professional and non - professional public was used. The research group of the questionnaire investigation was formed by respondents living and working in České Budějovice. The professional public within the research work was formed by people who work or worked in the health or social sphere. The final research group was formed by 200 respondents of professional and 200 respondents of non - professional public. The target of the thesis and partial aims were accomplished. The first two hypotheses were proved. The third one was not proved by the research work. It has been investigated what areas is professional and non - professional public most or less informed in. The results of the research work may be used for publication in the professional journals.
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