Questão jurídica principal
Whether the insured was still entitled to daily allowances after 2006-08-31
Decisão extraída
No. The insured had regained full work capacity in an adapted activity and the state of health was considered stabilized at the relevant time.
Fundamentação extraída
The medical opinion relied on by the insurer was accepted; alleged contradictions with other doctors were not substantiated. A later report based on a post-decision improvement could not change the assessment because legality is judged by the facts existing when the opposition decision was issued.