How to Claim Compensation for a Rib Fracture in a Car Accident?

 Dispute Case No. Red ChM.113/2020
Awarded Compensation: 29,542 THB

The claimant demanded compensation as follows:

  • Medical expenses before filing the dispute: 50,000 THB
  • Future medical expenses: 150,000 THB
  • Other related expenses: 50,000 THB
  • Loss of earnings during recovery: 45,160 THB
  • Loss of future earning capacity: 100,000 THB
  • Non-pecuniary damages: 200,000 THB

The respondent (Company A Insurance Co., Ltd.) was the insurer of the vehicle registered in Samut Prakan, driven by Mr. A on the date of the accident, which collided with the claimant’s car.

The respondent objected to the claims, arguing that:

1.Medical expenses before filing the dispute (50,000 THB) were exaggerated, with no evidence of such loss.

2.Future medical expenses (150,000 THB) were unreasonable since the claimant’s injuries were not serious enough to require long-term treatment.

3.Other related expenses (50,000 THB) were unfounded.

4.Loss of earnings (45,160 THB) was unsubstantiated, as the claimant continued receiving salary.

5.Loss of future earning capacity (100,000 THB) and non-pecuniary damages (200,000 THB) were baseless.

The respondent claimed the demands were made in bad faith and thus should not be liable.

Issues for Consideration:

1.Is the respondent liable to compensate the claimant, and to what extent?

2.Is the claimant entitled to claim 15% annual interest from the date of filing until full payment?

Arbitration Decision

Medical expenses before filing the dispute

Evidence confirmed the claimant received treatment at Hospital A and Hospital S, paying 425 THB and 4,737 THB respectively, totaling 5,162 THB. The respondent failed to refute this evidence.
➡ The respondent must compensate 5,162 THB.

Future medical expenses

 The claimant initially claimed 150,000 THB but later testified for 21,400 THB. Since the treatment methods cited (high-power laser, MRI) were not medically prescribed, and the claimant only researched them online without medical recommendation, the claim lacked justification.
➡ The respondent is not liable for future medical expenses.

Other related expenses

Transportation to the hospital (approx. 35.9 km, 3 trips) cost 1,800 THB, which was reasonable and uncontested. However, the 200 THB fee for requesting medical records was litigation-related and not compensable.
➡ The respondent must compensate 1,800 THB.

Loss of earnings during recovery

 The claimant, a state enterprise employee earning 22,580 THB/month, alleged 2 months of lost income (45,160 THB). However, testimony later confirmed only 1 month of leave. Under labor law, sick leave up to 30 days per year is paid. No evidence proved salary deduction.
➡ The respondent is not liable for 22,580 THB claimed salary loss.
➡ The claim for loss of additional freelance income (air conditioning installation and electrical work) of 39,000 THB was also dismissed due to insufficient proof.

Loss of future earning capacity

  • As a state enterprise employee: The claim that sick leave beyond 15 days affects promotions and bonuses was inaccurate. Regulations only apply to special promotions, not standard salary increases or annual bonuses. No evidence proved loss of benefits.
  • As a freelance technician: No valid evidence confirmed such employment.

➡ The respondent is not liable for this claim.

Non-pecuniary damages

 Medical records confirmed rib fractures and bruises requiring 30 days of rest. However, no severe suffering was proven beyond temporary discomfort. The claim for 200,000 THB was deemed excessive.
➡ The tribunal awarded 20,000 THB.

Final Award

The respondent must compensate the claimant as follows:

1.Medical expenses before filing: 5,162 THB

2.Other related expenses: 1,800 THB

3.Non-pecuniary damages: 22,580 THB
Total: 29,542 THB, plus 15% annual interest from the date of filing until payment in full.

Arbitration costs are to be borne by the respondent. Payment must be made within 30 days from receipt of this award.

Legal References: Civil and Commercial Code, Sections 877, 446
Arbitrator: Mr. Somchai Yuwawitthayaphanit
Dispute Case No.: ChM.96/2020

Editorial Note

Although the arbitrator concluded the claimant was not severely affected, the working group observed that the claimant did endure suffering since the accident. The arbitrator’s dismissal of this aspect may not fully reflect the claimant’s hardship. Additionally, under the insurance policy terms, once the insurer denied compensation, interest at 15% per year should apply a condition the insurer was fully aware of but still contested.

Protect Your Rights – Start with Legal Consultation

Claiming compensation from accidents or injuries is complex, involving laws, evidence, and negotiations with insurers. Mistakes can cost you your rightful compensation.

👉 To ensure fair treatment, consult an insurance litigation lawyer at Wongsakorn Law Office. Our team is ready to advise, strategize, and act to fully protect your rights. Click >> Contact Us <<

Can You Claim Insurance Compensation for Broken Teeth in a Car Accident?

A car accident doesn’t just damage vehicles—it can also seriously harm drivers and passengers. One common and painful injury is broken or loosened teeth due to impact, which isn’t just a cosmetic issue but a serious health concern requiring immediate treatment. So, in such cases, can you claim compensation from your insurer for “car crash with broken teeth”?

The answer is yes, but it depends on several factors: the type of car insurance you have, whether it covers personal accidents, and whether you have adequate documentation to support your claim.

Which Types of Car Insurance Cover Dental Injuries?

To claim dental treatment under car insurance, consider the following policy types:

1.Voluntary Car Insurance (Comprehensive – Class 1, 2+, 3+)

o    Class 1 typically covers both vehicle damage and bodily injury, including dental treatment for broken teeth.

o    Class 2+ and 3+ may cover personal accident injuries—but you must check the actual terms in your policy.

o    If your policy has a Personal Accident (PA) rider, it may cover dental treatment or broken teeth.

2.Compulsory Third-Party Liability Insurance (CTPL / พ.ร.บ.)

o    CTPL covers medical treatment up to 30,000 THB per person for injuries. If a broken tooth is part of that injury, you can claim it.

o    With a valid medical certificate and dental or hospital receipts, you can submit your claim accordingly.

Documents Required to Claim Dental Treatment

If you’re injured and experience dental trauma in an accident, gather these documents:

1.Copy of your insurance policy

2.Medical or dental certificate stating the injury (e.g., broken or loose teeth, need for crowns or implants)

3.Dental treatment receipts

4.Police accident report or daily log copy

5.Photos of the injuries or post-treatment (if available)

6.Copies of your ID card and house registration

Key Tips Before Filing a Dental Claim

  • Insurers may categorize treatment as “cosmetic” unless medical necessity is proven, so strong documentation is essential.
  • You can still claim excess coverage under Class 1 or a PA rider even after claiming CTPL.
  • Passengers can directly claim from the at-fault vehicle’s insurance.

What to Do If Your Claim Is Denied

If your insurer refuses or underpays your dental claim, do the following:

1.Consult a lawyer first to evaluate legal validity and policy terms, and to prepare legal action if severe injury or bad-faith denial occurs.

2.Contact your insurer and provide additional medical documents, e.g., detailed certificates.

3.File a complaint with the Office of Insurance Commission (OIC) to seek mediation.

How Legal Help Can Make a Difference

A real arbitration case illustrates the importance of legal representation. In Arbitration Case No. 217/2561 (Sourced from Arbitration Decisions on Insurance Injury, by Supasit Siri, Attorney Arm):

  • Claimant requested ~900,000 THB—including medical costs, future treatment, lost income, and mental distress.
  • Insurer contested the high amount and cited a 500,000 THB coverage limit.
  • Arbitrators awarded 379,310 THB (with interest), breaking down as:
    • Future dental treatment: 100,000 THB
    • Lost income during recovery: 29,310 THB
    • Future earning capacity loss: 100,000 THB
    • Non-economic damages: 150,000 THB
    • Plus legal interest of 15% p.a.

This case shows dental injury claims are complex. Legal guidance can ensure you receive what you rightfully deserve.

Why You Should Consult a Lawyer Immediately?

Consulting a lawyer first is the most effective way to protect your rights. A legal expert can help you draft demand letters, file police reports, review policy details, and pursue litigation when necessary. With legal support, you’ll be equipped to claim full compensation—covering medical bills, lost wages, and emotional harm—without being shortchanged by insurers.

Summary

  • In case of a car crash with broken teeth, you may claim under CTPL and voluntary insurance (Class 1 or PA rider).
  • Prepare full documentation and understand your policy.
  • If your claim is unjustly denied, consult a lawyer first, then follow up with the insurer and OIC if needed.

🔑 Remember: Protect your rights and ensure you receive all the compensation you deserve.

Line @ คลิก! โทรหาเรา คลิก!