ATA/712/1998•Recovery of undue health insurance subsidies upheld
ATA/712/1998Tribunal de Justiça / Câmara Administrativa10 de nov. de 1998Dismissed
Extraído pela Omnilex
The appellant contested the recovery/restriction of health-insurance subsidies paid unduly and relied on good faith and difficult financial circumstances. The court held that the cumulative requirements for relief were not met and upheld the adverse outcome against the appellant.
Art. 47 LAVS; repayment or restriction of undue social-insurance benefits may be set aside only if the claimant establishes both good faith and a difficult financial situation. These conditions are cumulative; failure to prove either element precludes relief from recovery, as confirmed in consid. unspecified.
Descripteurs
ASSURANCE SOCIALE; AM; ASSURANCE OBLIGATOIRE; AYANT DROIT; DEBITEUR; CALCUL; ENFANT; PRIME D'ASSURANCE; REMBOURSEMENT DE FRAIS(ASSURANCE); SUBVENTION; ASSU
Normes
LAVS.47
Résumé
Les conditions cumulatives de bonne foi et de situation financière difficile que le recourant devait remplir pour échapper à la restriction des subventions indument versées par son assurance-maladie n'étaient pas remplies en l'espèce.
Extraído pela Omnilex
Whether the appellant could avoid recovery/restriction of undue health-insurance subsidies on the basis of good faith and difficult financial circumstances.
No. The cumulative conditions of good faith and difficult financial circumstances were not met.
The court found that the appellant did not satisfy both statutory conditions required to dispense with the limitation on unduly paid subsidies.
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