Question juridique clé
Whether the L-GAV allowed coordination of sickness benefits with IV pensions by reduction only in case of overcompensation.
Solution extraite
The L-GAV, read together with the KVG, required a KVG-compliant policy; reduction of sickness benefits was permitted only in cases of overcompensation.
Motifs extraits
Art. 53 L-GAV referred to a KVG-subject insurer. Under KVG/ATSG, sickness benefits may be reduced only when the concurrent social-insurance benefits exceed the relevant loss of earnings. The appellate court erred in treating the matter as an uncovered gap.