Jurisdiction over optional daily allowance insurance contract

ATA/221/1996Cour de justice / Chambre administrative23 avr. 1996Dismissed

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Résumé Omnilex

The case concerned an optional daily allowance insurance contract concluded with an insurer that was not a caisse. The Administrative Court declined jurisdiction, holding that the dispute was not within its competence under the LAMA/LAMal framework. The court further noted that Art. 102(5) LAMal did not have retroactive effect, so the new law could not confer jurisdiction for this dispute.

Regeste Omnilex

Art. 102 al. 5 LAMal; jurisdiction in disputes concerning optional daily allowance insurance; the new law has no retroactive effect. A dispute arising from an optional daily allowance insurance contract concluded with an insurer that is not a caisse does not fall within the Administrative Court's competence. The competence rules of the LAMA and the LAMal must be applied according to their temporal scope; Art. 102 al. 5 LAMal does not retroactively extend jurisdiction to pending or prior contractual relations (consid. unspecified).

Texte intégral

Descripteurs

ASSURANCE SOCIALE; COMPETENCE; ASSURANCE FACULTATIVE; INDEMNITE JOURNALIERE; ASSU

Normes

LAMAL.102 al.5

Résumé

Incompétence du TA : contrat d'assurance facultatif d'indemnité journalière conclu avec une assurance qui n'est pas une caisse. Incompétence du TA selon la LAMA et la LAMAL : pas d'effet rétroactif de la LAMAL (art. 102 al. 5 LAMAL).

Mots-clés

social insurancejurisdictionoptional insurancedaily allowance insuranceretroactivity

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Question juridique clé

Whether the Administrative Court had jurisdiction over an optional daily allowance insurance dispute with an insurer that is not a caisse.

Solution extraite

The Administrative Court lacked jurisdiction because the contract concerned optional daily allowance insurance and the insurer was not a caisse.

Motifs extraits

Under the LAMA and the LAMal, such a dispute did not fall within the Administrative Court's competence. Article 102(5) LAMal had no retroactive effect.

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