ATA/556/1997•Accident insurance: remittal for expert assessment of earning capacity
ATA/556/1997Tribunal de Justiça / Câmara Administrativa23 de set. de 1997Partially Granted
Extraído pela Omnilex
The appellant challenged the assessment of disability benefits under accident insurance. The court found that the record did not yet permit a determination of earning capacity and therefore remitted the matter to the insurer for an expert assessment. At the same time, it upheld the 10% impairment award for the wrist injury.
Art. 6 LAA; where the file does not permit a reliable assessment of earning capacity, the matter must be remitted for further expert clarification. An impairment compensation award may nevertheless be confirmed if the factual basis concerning the bodily injury is sufficient and the degree of impairment is established.
Descripteurs
ASSURANCE SOCIALE; ACCIDENT; AA; AFFECTION DE L'ARTICULATION; INDEMNITE POUR ATTEINTE A L'INTEGRITE; INCAPACITE DE GAIN; DECISION DE RENVOI; ASSU
Normes
LAA.6
Résumé
Dossier retourné à la caisse pour qu'elle effectue une expertise pour déterminer la capacité de gain de la recourante. IPAI de 10 % confirmé pour lésion au poignet.
Extraído pela Omnilex
Whether the insurer had sufficiently established the appellant's earning capacity after the accident.
No; the case had to be remitted so the insurer could obtain an expert assessment on earning capacity.
The existing file was insufficient to determine the degree of incapacity of gain, so further medical/economic clarification was required.
Whether the impairment compensation for the wrist injury should be changed from 10%.
No; the 10% impairment award was upheld.
The wrist lesion justified the confirmed impairment degree.
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