projekte
ATA/214/1997 ΓÇó Non-probative medical evidence leads to remand to CNA
ATA/214/1997Cour de justice / Verwaltungskammer08.04.1997Remanded
The court held that the medical reports could not be relied upon because the insured had failed to disclose relevant prior medical conditions. As CNA was therefore unable to decide the accident insurance claim on a complete factual basis, the matter was sent back to CNA for renewed examination and decision.
LAA art. 18; probative value of medical assessments in accident insurance proceedings; if relevant prior medical history is not disclosed by the insured and the insurer cannot assess the claim on a complete factual basis, the medical evidence lacks probative force. In such a situation, the decision must be annulled and the matter remitted to the insurer for further clarification and a new decision (consid. unspecified).
Descripteurs
ASSURANCE SOCIALE; ACCIDENT; AA; EXPERTISE; DECISION DE RENVOI; ASSU
Normes
LAA.18
Résumé
Appréciations médicales non probantes en raison d'antécédents médicaux non révélés par l'assuré. La CNA n'ayant pu statuer en pleine connaissance de cause, l'affaire doit lui être renvoyée.