Premium increase after move allows termination under LAMal

ATA/358/1998Tribunal de Justiça / Câmara Administrativa9 de jun. de 1998Granted

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Extraído pela Omnilex

Resumo 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.

Sumário 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.

Texto completo

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.

Palavras-chave

social insurancehealth insurancepremium increaseterminationchange of residence

Extraído pela Omnilex

Questões jurídicas principais extraídas pela Omnilex

Questão jurídica principal

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.

Decisão extraída

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

Fundamentação extraída

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.

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