Unemployment benefits do not extend accident coverage

ATA/554/1997Court of Justice / Administrative ChamberSep 23, 1997

Extracted by Omnilex

Omnilex summary

The case concerns whether PCMM payments, granted in lieu of unemployment-insurance benefits, extend coverage under accident insurance. The answer is negative because those payments do not replace salary. As a result, accident-insurance coverage is not prolonged by such benefits.

Omnilex headnote

Art. 7 al. 1 let. b OLAA; accident-insurance coverage is extended only where the relevant payment replaces salary. Benefits paid in lieu of unemployment-insurance indemnities do not constitute wage replacement and therefore do not prolong accident-insurance coverage.

Full text

Descripteurs

ASSURANCE SOCIALE; CHOMAGE; ACCIDENT; AA; COUVERTURE; AFFILIATION; ASSU

Normes

OLAA.7 al.1 litt.b

Résumé

Les PCMM ne sont pas versées en lieu et place du salaire mais en lieu et place des indemnités de l'assurance-chômage. Leur versement ne prolonge donc pas la couverture de l'assurance-accident.

Keywords

social insuranceunemploymentaccident insurancecoveragesalary replacementaffiliation

Extracted by Omnilex

Key legal questions extracted by Omnilex

Key legal question

Whether PCMM payments extend accident-insurance coverage under Art. 7 al. 1 let. b OLAA

Extracted holding

No. PCMM are paid in place of unemployment-insurance benefits, not in place of salary, so they do not prolong accident-insurance coverage.

Extracted reasoning

The decisive criterion is whether the payment replaces salary. A benefit replacing unemployment compensation does not satisfy that condition and therefore cannot extend accident coverage.

Unemployment benefits do not extend accident coverageAI generated