Recovery of undue health insurance subsidies upheld

ATA/712/1998Cour de justice / Chambre administrative10 nov. 1998Dismissed

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Résumé Omnilex

The appellant contested the recovery/restriction of health-insurance subsidies paid unduly and relied on good faith and difficult financial circumstances. The court held that the cumulative requirements for relief were not met and upheld the adverse outcome against the appellant.

Regeste Omnilex

Art. 47 LAVS; repayment or restriction of undue social-insurance benefits may be set aside only if the claimant establishes both good faith and a difficult financial situation. These conditions are cumulative; failure to prove either element precludes relief from recovery, as confirmed in consid. unspecified.

Texte intégral

Descripteurs

ASSURANCE SOCIALE; AM; ASSURANCE OBLIGATOIRE; AYANT DROIT; DEBITEUR; CALCUL; ENFANT; PRIME D'ASSURANCE; REMBOURSEMENT DE FRAIS(ASSURANCE); SUBVENTION; ASSU

Normes

LAVS.47

Résumé

Les conditions cumulatives de bonne foi et de situation financière difficile que le recourant devait remplir pour échapper à la restriction des subventions indument versées par son assurance-maladie n'étaient pas remplies en l'espèce.

Mots-clés

social insurancehealth insurancesubsidyrecoverygood faithfinancial hardship

Extrait par Omnilex

Question juridique clé

Whether the appellant could avoid recovery/restriction of undue health-insurance subsidies on the basis of good faith and difficult financial circumstances.

Solution extraite

No. The cumulative conditions of good faith and difficult financial circumstances were not met.

Motifs extraits

The court found that the appellant did not satisfy both statutory conditions required to dispense with the limitation on unduly paid subsidies.

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