ATA/375/1998•Remand to insurer for further invalidity assessment
ATA/375/1998Tribunal de Justiça / Câmara Administrativa16 de jun. de 1998Remanded
Extraído pela Omnilex
In an accident-related disability insurance dispute, the court held that the record did not permit a final determination of invalidity and pension entitlement. It therefore remanded the file to the insurer so that it could conduct the investigation required by the relevant Federal Court case law cited in the decision.
LAMal; invalidity assessment and disability pension entitlement after an accident; where the evidentiary record is insufficient for a final decision, the matter must be remanded to the insurer for further factual inquiry and reassessment in accordance with the applicable case law (consid. unspecified).
Descripteurs
ACCIDENT; AA; EVALUATION DE L'INVALIDITE; RENTE D'INVALIDITE; ASSURANCE SOCIALE; ASSU
Normes
LAMAL.1
Résumé
Renvoi du dossier à l'assureur pour qu'il instruise conformément à l'ATF V. du 25.09.1997.
Extraído pela Omnilex
Whether the insurer had to further investigate the case before deciding on the disability pension entitlement.
The file had to be sent back to the insurer so that it could conduct further investigation in line with the cited Federal Court case law.
The available record was insufficient for a final determination of disability and pension entitlement.
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