Accident insurance coverage lapses after 30 days without gainful activity

ATA/614/1996Court of Justice / Administrative ChamberOct 29, 1996

Extracted by Omnilex

Omnilex summary

The digest states that a person who has not engaged in any gainful activity, whether independent or salaried, during the 30 days before an accident is no longer insured ex lege for that accident. The legal issue concerns the duration of mandatory accident insurance coverage and the loss of affiliation after a 30-day period without employment. The cited basis is the LAA provisions on compulsory coverage.

Omnilex headnote

Art. 1, Art. 3 al. 2 et Art. 4 al. 1 LAA; assurance-accidents obligatoire et extinction de l’affiliation ex lege: la personne qui n’a exercé aucune activité lucrative, indépendante ou salariée, pendant les 30 jours précédant l’accident n’est plus assurée pour ce risque. La couverture obligatoire suppose un lien actuel avec une activité lucrative; à défaut d’une telle activité durant le délai de 30 jours, l’assujettissement cesse de plein droit pour l’événement en cause.

Full text

Descripteurs

ASSURANCE SOCIALE; ACCIDENT; AA; AFFILIATION; ASSURANCE OBLIGATOIRE; ASSU

Normes

LAA.4 al.1

Résumé

Celui qui n'a pas exercé d'activité lucrative, indépendante ou salariée, dans les 30 jours qui ont précédé un accident, n'est plus assuré ex lege pour ce genre d'événement (art. 1, 3 al. 2 et 4 al. 1 LAA).

Keywords

social insuranceaccident insurancemandatory affiliationcoverage periodgainful activity

Extracted by Omnilex

Key legal questions extracted by Omnilex

Key legal question

Whether a person remains compulsorily insured against accidents after 30 days without gainful activity.

Extracted holding

No. If a person has not carried on any gainful activity, whether self-employed or employed, during the 30 days preceding the accident, accident insurance coverage no longer exists ex lege for that event.

Extracted reasoning

The statutory system ties mandatory accident insurance to recent gainful activity; after a 30-day interruption without such activity, the legal affiliation for this type of risk ends under the relevant provisions.

Accident insurance coverage lapses after 30 days without gainful activityAI generated