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ATA/270/1996•Psychological sinistrose does not justify benefits under accident insurance
ATA/270/1996Court of Justice / Administrative ChamberMay 14, 1996
Extracted by Omnilex
The case concerns an insured person who invoked accident insurance for psychological complaints described as sinistrose. The court held that such psychological troubles do not justify an integrity compensation and also do not warrant an invalidity pension. The summary indicates that the complaints were not treated as a compensable accident-related impairment under the accident insurance framework.
Art. 6 LAA; psychological complaints characterized as sinistrose are not, as a rule, sufficient to found entitlement to an integrity compensation or an invalidity pension under accident insurance. Where the medical picture is limited to a revendicatory psychological reaction without a compensable bodily or psychically protected impairment, benefits are to be denied; the mere existence of post-accident psychic symptoms does not establish an insured disability or compensable loss of integrity.
Descripteurs
ASSURANCE SOCIALE; ACCIDENT; AA; CAUSALITE ADEQUATE; TENDANCE A LA REVENDICATION; ASSU
Normes
LAA.6
Résumé
Des troubles psychologique relevant d'une sinistrose ne peuvent donner lieu à une indemnité pour atteinte à l'intégrité, ni à l'octroi d'une rente invalidité.
Extracted by Omnilex
Whether psychological disorders attributable to sinistrose entitle the insured to an integrity compensation under accident insurance.
No. Psychological troubles of the type described do not qualify for integrity compensation.
The complaints are psychological and fall within sinistrose rather than a compensable impairment of bodily or psychically protected integrity under accident insurance.
Whether such psychological complaints can justify an invalidity pension under accident insurance.
No. The psychological condition does not support entitlement to an invalidity pension.
The court treated the complaints as sinistrose-related and therefore insufficient to establish a compensable accident-related disability.
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