Natural causal link to accident not established

ATA/543/1998Cour de justice / Chambre administrative1 sept. 1998Dismissed

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Résumé Omnilex

In this accident-insurance matter, the court held that the insured person had not proven a natural causal link between the accident and the health complaints. The expert evidence went no further than stating that such a link was possible. On that basis, entitlement to benefits under the Accident Insurance Act was denied.

Regeste Omnilex

Art. 6 LAA; natural causal link between accident and health impairment must be established with sufficient probability. A merely possible causal connection, even if mentioned by experts, is not enough to found entitlement to accident-insurance benefits. Where the evidence remains at the level of a possibility, the claim fails for lack of proof of causation.

Texte intégral

Descripteurs

ASSURANCE SOCIALE; ACCIDENT; AA; CAUSALITE NATURELLE; ASSU

Normes

LAA.6

Résumé

Lien de causalité naturelle avec l'accident non établi, les experts ayant admis qu'un tel lien était seulement possible.

Mots-clés

social insuranceaccident insurancenatural causationmedical expertiseproof

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Question juridique clé

Whether the insured person proved a natural causal link between the accident and the complained-of condition.

Solution extraite

No. The experts only admitted that such a link was possible, which was insufficient to establish natural causation.

Motifs extraits

A merely possible causal link does not meet the proof required for entitlement under accident insurance.

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