projects
ATA/222/1997 ΓÇó Accident insurance: case remitted for new expertise
ATA/222/1997Court of Justice / Administrative ChamberApr 8, 1997Remanded
In an accident-insurance dispute, the court sent the file back to the insurer. It held that further clarification was required, namely a new expert assessment and an economic inquiry to determine any possible loss of earnings of the insured person. The decision is a remand for additional fact-finding rather than a final merits ruling.
Art. 6 LAA; remand for further evidentiary clarification in accident insurance proceedings. Where the factual basis does not permit a reliable assessment of the insured person's entitlement, the decision-maker may remit the file for supplementary expert evidence and, if relevant, an economic investigation to determine the existence and extent of any loss of earnings. A remand is justified when the decisive facts are not sufficiently established for a final substantive determination.
Descripteurs
ASSURANCE SOCIALE; ACCIDENT; AA; EXPERTISE; DECISION DE RENVOI; ASSU
Normes
LAA.6
Résumé
Renvoi du dossier à l'assurance pour nouvelle expertise et calcul de l'éventuelle perte de gain de l'assuré (enquête économique).