examining these specific areas of accountability
within the insurance sector, and how they impact
the broader social fabric.
Theoretical Framework or Literature Review
During the study of the constitutional principles
of economic, administrative, and criminal
responsibility in the field of insurance, the works
of the following authors were studied: Antoniv,
Gavrilova, Hovorushko, Stetsyuk, Lasko,
Zayets, Ivasyuk, Kotlyar, Chichkan, Malynys,
Patsuriya, Rudyk, Uralova, Uschapovskyi,
Balina, and Baikov.
The issue of insurance during the war was
analyzed by Antoniv (2022). The research
findings have established that insurance contracts
in Ukraine remain legally binding, even in the
event of martial law, and typically incorporate
standard force majeure clauses akin to those
found in other contract types. Nevertheless, it's a
common industry practice for insurers to
explicitly exclude coverage for "war" risks, and
they often delineate war zones and territories not
under government control as ineligible for
insurance coverage. The ambiguity surrounding
the definition and status of these zones and
territories can potentially lead to disputes
between policyholders and insurers.
Consequently, it is now imperative for both
parties to initiate early and transparent
communication when addressing these specific
terms within insurance contracts to prevent
potential conflicts and ensure clarity.
The study of Gavrilova (2019) considered the
international experience of social insurance
against accidents at work and occupational
diseases. The study specifically delves into an
examination of how other nations, including
Bulgaria, Germany, France, the Netherlands,
Spain, and more, have structured their social
insurance systems to address industrial accidents
and occupational diseases. The author
underscores that adopting the best practices from
abroad in the realm of social insurance for
workplace accidents and occupational health
requires a fundamental shift away from the
prevalent state-paternalistic approach currently
ingrained in Ukrainian society. This approach
traditionally places the entire burden of social
security on state institutions. To successfully
integrate foreign expertise, it necessitates a
reconsideration of this dominant mindset and an
embrace of a more balanced and collaborative
approach to social security, where the state
collaborates with other stakeholders to provide
comprehensive coverage and support for the
population.
Moreover, Hovorushko and Stetsyuk (2014)
analyzed the general theoretical issues of
insurance, the constitutional prerequisites for the
functioning of the insurance institute, and the
liability arising from the violation of obligations
and requirements of legislation in this area.
Additionally, Lasko (2016) investigated the
constitutional foundations of Ukrainian
legislation on social security. Thus, Zayets
(2014) noted the problematic issues of combating
offenses in the field of insurance. It is concluded
that the first and most obvious step to effectively
counter offenses in the field of insurance is the
formation of a unified approach to the concept of
fraud in the field of insurance and its
consolidation at the legislative level. Another
important step will be the introduction of the
international experience of the system of
collective security in insurance, that is, the
unification of the efforts of all insurance
companies in the fight against fraud, the creation
of special state bodies and a central data bank on
cases of fraud in the field of insurance, the
legislative empowerment of employees of the
security services of insurance companies and
specially created investigative bodies with the
authority to carry out operational and
investigative measures regarding cases of
offenses in the insurance sector.
The peculiarities of committing fraud in the field
of property insurance are considered in the work
of Ivasyuk (2018). The author comes to the
conclusion that fraud in the field of insurance is
possible only in cases of insurance legal relations
between the insurer and the insured. In view of
the study of fraud in the field of property
insurance, the author refers to the composition of
the crime "fraud" provided for by the Criminal
Code of Ukraine. However, in the context of
insurance fraud, these fundamental ways of
committing fraud acquire a special meaning,
given the specifics of the insurance sector. Thus,
the author emphasizes that the criminal must
independently or with the help of other persons
artificially create an insurance case. The article
also explores the issue of the specificity of the
method of committing fraud in the field of
property insurance, depending on the subject of
the relevant crime. So, if the subject is directly
the insurance company itself, then the main way
of committing fraud in the field of property
insurance in such a case will be the issuance of
an invalid policy and its falsification. Moreover,
a case is possible when a fraudster pretends to be