Premium increase after move allows termination under LAMal

ATA/358/1998Cour de justice / Chambre administrative9 juin 1998Granted

Extrait par Omnilex

Résumé Omnilex

The court held that a health-insurance premium increase resulting from a change of residence is sufficient to trigger the insured’s right to terminate the policy within one month under Art. 7 LAMal. The move from Einsiedeln to Geneva led to a higher premium, and this increase was treated as legally relevant for termination purposes.

Regeste Omnilex

Art. 7 al. 2, 7 al. 7 LAMal; premium increase resulting from change of domicile and right to terminate the insurance contract. A premium increase attributable to a move to another municipality/canton constitutes a premium increase within the meaning of Art. 7 LAMal. It entitles the insured to exercise the special termination right within the statutory one-month period, regardless of the fact that the increase is not based on a general tariff change but on the insured’s relocation.

Texte intégral

Descripteurs

ASSURANCE SOCIALE; AM; PRIME D'ASSURANCE; AUGMENTATION(EN GENERAL); RESILIATION; ASSU

Normes

LAMAL.7 al.2

Résumé

L'augmentation de primes due à un changement de domicile (déménagement de Einsiedeln à Genève) permet à l'assuré de résilier son assurance dans le délai d'un mois de l'art. 7 al. 7 LAMAL.

Mots-clés

social insurancehealth insurancepremium increaseterminationchange of residence

Extrait par Omnilex

Questions juridiques clés extraites par Omnilex

Question juridique clé

Whether a premium increase caused by a change of residence entitles the insured to terminate the health insurance within one month under Art. 7(7) LAMal.

Solution extraite

Yes. A premium increase triggered by a move qualifies as a premium increase allowing termination within the statutory one-month period.

Motifs extraits

The premium change is treated as a relevant increase within the meaning of Art. 7 LAMal, even when it results from a change of domicile and not from a general tariff adjustment.

Premium increase after move allows termination under LAMalGénéré par IA