Increase of collective insurance premiums upheld

ATA/554/1995Tribunal de Justiça / Câmara Administrativa17 de out. de 1995Dismissed

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Extraído pela Omnilex

Resumo Omnilex

The decision concerns an increase in premiums under a collective insurance contract. The court held the increase admissible because the contract itself allowed premium adjustments and the collective arrangement was running at a deficit. The challenge was therefore rejected.

Sumário Omnilex

LAMA 6 bis; increase of premiums under a collective insurance contract: an adjustment is permissible where it rests on a contractual basis and is objectively justified by the deficit situation of the collective contract. The insured party cannot successfully oppose the increase when the contractual mechanism for premium revision is validly invoked and the economic conditions underlying the collective scheme warrant the adjustment.

Texto completo

Descripteurs

ASSURANCE SOCIALE; AM; PRIME D'ASSURANCE; AUGMENTATION(EN GENERAL); ASSU

Normes

LAMA.6 bis

Résumé

Augmentation des primes d'un contrat collectif admise, la possibilité d'augmentater les primes reposant sur une base contractuelle et étant justifiée par le fait que le contrat collectif en question était déficitaire.

Palavras-chave

social insuranceinsurance premiumcollective insurancepremium increasecontractual basisdeficit

Extraído pela Omnilex

Questão jurídica principal

Whether the increase of premiums under the collective insurance contract was admissible.

Decisão extraída

The increase was admissible because the contract provided a contractual basis for adjusting premiums and the collective contract was operating at a deficit.

Fundamentação extraída

The court accepted that the insurer could raise premiums under the contractual terms, and that the deficit of the collective contract justified the adjustment.

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