Questão jurídica principal
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.
ATA/538/1998•Accident insurance long-term benefits under private contract
ATA/538/1998Tribunal de Justiça / Câmara Administrativa1 de set. de 1998
Extraído pela 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.
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.
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.
Extraído pela Omnilex
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.
Whether the employer has any legal link to the private insurer in that contractual setup.
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