Jurisdiction over optional daily allowance insurance contract

ATA/221/1996Tribunal de Justiça / Câmara Administrativa23 de abr. de 1996Dismissed

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Extraído pela Omnilex

Resumo Omnilex

The case concerned an optional daily allowance insurance contract concluded with an insurer that was not a caisse. The Administrative Court declined jurisdiction, holding that the dispute was not within its competence under the LAMA/LAMal framework. The court further noted that Art. 102(5) LAMal did not have retroactive effect, so the new law could not confer jurisdiction for this dispute.

Sumário Omnilex

Art. 102 al. 5 LAMal; jurisdiction in disputes concerning optional daily allowance insurance; the new law has no retroactive effect. A dispute arising from an optional daily allowance insurance contract concluded with an insurer that is not a caisse does not fall within the Administrative Court's competence. The competence rules of the LAMA and the LAMal must be applied according to their temporal scope; Art. 102 al. 5 LAMal does not retroactively extend jurisdiction to pending or prior contractual relations (consid. unspecified).

Texto completo

Descripteurs

ASSURANCE SOCIALE; COMPETENCE; ASSURANCE FACULTATIVE; INDEMNITE JOURNALIERE; ASSU

Normes

LAMAL.102 al.5

Résumé

Incompétence du TA : contrat d'assurance facultatif d'indemnité journalière conclu avec une assurance qui n'est pas une caisse. Incompétence du TA selon la LAMA et la LAMAL : pas d'effet rétroactif de la LAMAL (art. 102 al. 5 LAMAL).

Palavras-chave

social insurancejurisdictionoptional insurancedaily allowance insuranceretroactivity

Extraído pela Omnilex

Questão jurídica principal

Whether the Administrative Court had jurisdiction over an optional daily allowance insurance dispute with an insurer that is not a caisse.

Decisão extraída

The Administrative Court lacked jurisdiction because the contract concerned optional daily allowance insurance and the insurer was not a caisse.

Fundamentação extraída

Under the LAMA and the LAMal, such a dispute did not fall within the Administrative Court's competence. Article 102(5) LAMal had no retroactive effect.

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