Key legal question
Whether the insured was entitled to free legal counsel in the AI administrative procedure from 2011-12-06 onward.
Extracted holding
The case did not present exceptional legal or factual difficulties making a lawyer objectively necessary; administrative legal aid was not required.
Extracted reasoning
Under Art. 37(4) LPGA, counsel is granted only exceptionally. The dispute mainly concerned understanding medical reports and participating in the expert examination; the insured had already been able to raise effective objections himself, and counsel's later intervention was not decisive.