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ATA/270/1996 ΓÇó Psychological sinistrose does not justify benefits under accident insurance
ATA/270/1996Court of Justice / Administrative ChamberMay 14, 1996
The case concerns an insured person who invoked accident insurance for psychological complaints described as sinistrose. The court held that such psychological troubles do not justify an integrity compensation and also do not warrant an invalidity pension. The summary indicates that the complaints were not treated as a compensable accident-related impairment under the accident insurance framework.
Art. 6 LAA; psychological complaints characterized as sinistrose are not, as a rule, sufficient to found entitlement to an integrity compensation or an invalidity pension under accident insurance. Where the medical picture is limited to a revendicatory psychological reaction without a compensable bodily or psychically protected impairment, benefits are to be denied; the mere existence of post-accident psychic symptoms does not establish an insured disability or compensable loss of integrity.
Descripteurs
ASSURANCE SOCIALE; ACCIDENT; AA; CAUSALITE ADEQUATE; TENDANCE A LA REVENDICATION; ASSU
Normes
LAA.6
Résumé
Des troubles psychologique relevant d'une sinistrose ne peuvent donner lieu à une indemnité pour atteinte à l'intégrité, ni à l'octroi d'une rente invalidité.