Insurer’s failure to decide objection for over a year is denial of justice

ATA/82/1998Cour de justice / Chambre administrative10 févr. 1998Granted

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Résumé Omnilex

In an accident-insurance dispute, the insurer had issued a contested decision but then failed to render a decision on opposition for more than one and a half years. The court held that this inactivity amounted to a denial of justice and therefore granted relief. The case turns on the insured person’s right to obtain a timely decision from the insurer.

Regeste Omnilex

LAA 6; denial of justice through failure to issue a decision on opposition within a reasonable time; the authority is in breach of its duty to decide when it remains inactive for an excessive period without sufficient justification. A delay of more than one and a half years after the contested decision is incompatible with the right to obtain a decision and constitutes denial of justice.

Texte intégral

Descripteurs

ASSURANCE SOCIALE; ACCIDENT; AA; DROIT D'OBTENIR UNE DECISION; ASSU

Normes

LAA.6

Résumé

Commet un déni de justice, l'assureur qui ne rend pas de décision sur opposition plus d'un an et demi après avoir rendu la décision querellée.

Mots-clés

social insuranceaccident insurancedenial of justiceright to a decisionreasonable time

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Questions juridiques clés extraites par Omnilex

Question juridique clé

Whether the insurer committed a denial of justice by failing to decide the opposition within a reasonable time.

Solution extraite

Yes. A delay of more than one and a half years after the contested decision, without issuing a decision on opposition, constitutes a denial of justice.

Motifs extraits

The right to obtain a decision requires the authority to act within a reasonable time; the prolonged inactivity was unjustified.

Insurer’s failure to decide objection for over a year is denial of justiceGénéré par IA