Accident insurance coverage lapses after 30 days without gainful activity

ATA/614/1996Corte di giustizia / Camera amministrativa29 ott 1996

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Sintesi Omnilex

The digest states that a person who has not engaged in any gainful activity, whether independent or salaried, during the 30 days before an accident is no longer insured ex lege for that accident. The legal issue concerns the duration of mandatory accident insurance coverage and the loss of affiliation after a 30-day period without employment. The cited basis is the LAA provisions on compulsory coverage.

Massima Omnilex

Art. 1, Art. 3 al. 2 et Art. 4 al. 1 LAA; assurance-accidents obligatoire et extinction de l’affiliation ex lege: la personne qui n’a exercé aucune activité lucrative, indépendante ou salariée, pendant les 30 jours précédant l’accident n’est plus assurée pour ce risque. La couverture obligatoire suppose un lien actuel avec une activité lucrative; à défaut d’une telle activité durant le délai de 30 jours, l’assujettissement cesse de plein droit pour l’événement en cause.

Testo completo

Descripteurs

ASSURANCE SOCIALE; ACCIDENT; AA; AFFILIATION; ASSURANCE OBLIGATOIRE; ASSU

Normes

LAA.4 al.1

Résumé

Celui qui n'a pas exercé d'activité lucrative, indépendante ou salariée, dans les 30 jours qui ont précédé un accident, n'est plus assuré ex lege pour ce genre d'événement (art. 1, 3 al. 2 et 4 al. 1 LAA).

Parole chiave

social insuranceaccident insurancemandatory affiliationcoverage periodgainful activity

Estratto da Omnilex

Questione giuridica chiave

Whether a person remains compulsorily insured against accidents after 30 days without gainful activity.

Decisione estratta

No. If a person has not carried on any gainful activity, whether self-employed or employed, during the 30 days preceding the accident, accident insurance coverage no longer exists ex lege for that event.

Motivazione estratta

The statutory system ties mandatory accident insurance to recent gainful activity; after a 30-day interruption without such activity, the legal affiliation for this type of risk ends under the relevant provisions.

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