Accident insurance long-term benefits under private contract

ATA/538/1998Corte di giustizia / Camera amministrativa1 set 1998

Estratto da Omnilex

Sintesi Omnilex

The case concerns accident insurance long-term benefits under a private-insurer contract concluded by a health insurer pursuant to Art. 70 para. 2 LAA. The provided summary indicates that the employer had no legal relationship with the private insurer. No further procedural details or dispositive outcome are available from the excerpt.

Massima Omnilex

Art. 70 al. 2 LAA; where a health insurer arranges long-term accident-insurance benefits through a private insurer, the contractual relationship is governed by that arrangement and does not, by itself, create a legal link between the employer and the private insurer. A declaratory action may only be assessed within the bounds of the legal relationship actually at issue; absent such a relationship, the employer is not directly bound vis-à-vis the private insurer.

Testo completo

Descripteurs

ASSURANCE SOCIALE; ACCIDENT; AA; ACTION EN CONSTATATION; PRESTATION D'ASSURANCE(EN GENERAL); ASSU

Normes

LAA.70 al.2

Résumé

Cas d'une caisse-maladie qui a conclu un contrat avec un assureur privé pour les prestations de longue durée (art. 70 al. 2 LAA). L'employeur n'a pas de lien avec l'assureur privé.

Parole chiave

social insuranceaccident insurancedeclaratory reliefinsurance benefitsprivate insureremployer relationship

Estratto da Omnilex

Questione giuridica chiave

Whether a health insurer may seek declaratory relief concerning long-term accident-insurance benefits under a private contract within the meaning of Art. 70 para. 2 LAA.

Questione giuridica chiave

Whether the employer has any legal link to the private insurer in that contractual setup.

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