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ATA/696/1995•Natural causality denied under accident insurance
ATA/696/1995Court of Justice / Administrative ChamberDec 5, 1995Dismissed
Extracted by Omnilex
The dispute concerned accident insurance coverage for alleged health consequences of an accident. The court held that the required natural causal connection was not proven. The claim was therefore rejected.
Art. 6 LAA; natural causation in accident insurance: benefits presuppose that the accident is a natural cause of the health impairment. A causal link is absent where the evidence does not establish, with the required probability, that the accident triggered or materially contributed to the complained-of condition. Mere temporal proximity or an alleged sequence of events is insufficient.
Descripteurs
ASSURANCE SOCIALE; ACCIDENT; AA; CAUSALITE NATURELLE
Normes
LAA.6
Résumé
Pas de causalité naturelle.
Extracted by Omnilex
Whether there is a natural causal link between the accident and the claimed health consequences under accident insurance.
The court found that natural causation was not established.
The available material did not show that the accident was a natural cause of the claimed condition within the meaning of accident insurance law.
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