Remand to insurer for further invalidity assessment

ATA/375/1998Cour de justice / Verwaltungskammer16.06.1998Remanded

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Omnilex-Zusammenfassung

In an accident-related disability insurance dispute, the court held that the record did not permit a final determination of invalidity and pension entitlement. It therefore remanded the file to the insurer so that it could conduct the investigation required by the relevant Federal Court case law cited in the decision.

Omnilex-Regeste

LAMal; invalidity assessment and disability pension entitlement after an accident; where the evidentiary record is insufficient for a final decision, the matter must be remanded to the insurer for further factual inquiry and reassessment in accordance with the applicable case law (consid. unspecified).

Gesamter Gesetzestext

Descripteurs

ACCIDENT; AA; EVALUATION DE L'INVALIDITE; RENTE D'INVALIDITE; ASSURANCE SOCIALE; ASSU

Normes

LAMAL.1

Résumé

Renvoi du dossier à l'assureur pour qu'il instruise conformément à l'ATF V. du 25.09.1997.

Schlagwörter

accidentinvalidity assessmentdisability pensionsocial insuranceremandfurther investigation

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Kernrechtsfrage

Whether the insurer had to further investigate the case before deciding on the disability pension entitlement.

Extrahierter Entscheid

The file had to be sent back to the insurer so that it could conduct further investigation in line with the cited Federal Court case law.

Extrahierte Begründung

The available record was insufficient for a final determination of disability and pension entitlement.

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