ATA/343/1997•Accident insurance: no work incapacity after finger injury
ATA/343/1997Court of Justice / Administrative ChamberJun 3, 1997Dismissed
Extracted by Omnilex
The case concerns accident insurance after a finger/hand injury and an alleged relapse. The recourant, a tiler by profession, claimed continuing incapacity to work. The court held that he was fully able to resume his professional activity, so the request for accident-insurance benefits failed.
LAA art. 16; accident insurance benefits and incapacity to work after relapse and upper-limb injury. Where the insured person is medically found capable of fully resuming the customary profession, entitlement to ongoing daily benefits or other incapacity-based accident-insurance prestations falls away. The existence of a finger or hand lesion, including a fracture, is not in itself decisive; the legally relevant question is the resulting functional limitation and work capacity in the insured occupation.
Descripteurs
ASSURANCE SOCIALE; ACCIDENT; AA; LESION DU DOIGT; CAUSALITE; LESION DE LA MAIN; FRACTURE; RECHUTE; INCAPACITE DE TRAVAIL; ASSU
Normes
LAA.16
Résumé
Recourant, carreleur de profession, qui est pleinement en mesure de reprendre son activité professionnelle.
Extracted by Omnilex
Whether the insured person remained entitled to accident-insurance benefits after the relapse and hand/finger injury.
The claimant was found fully capable of resuming his professional activity, so further benefits were not warranted on the basis of work incapacity.
The decisive point was the assessment of medical capacity to work despite the reported lesion of the finger/hand and fracture after the relapse.
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