Social insurance premium arrears time-barred after three years

ATA/507/1997Tribunal de Justiça / Câmara Administrativa26 de ago. de 1997

Extraído pela Omnilex

Resumo Omnilex

The court held that a health insurer's claim for unpaid premiums is subject to a three-year extinction period by analogy to Art. 16(2) AVS. The period starts at the end of the calendar year in which the insurer demanded payment from the insured. On that basis, the insurer's claim had lapsed.

Sumário Omnilex

LAMA; prescription/peremption of premiums arrears; analogy to Art. 16 al. 2 LAVS. The limitation rules governing AVS claims apply by analogy in compulsory health insurance. The insurer's right to recover outstanding premiums is extinguished three years after the end of the calendar year in which it asserted payment against the insured; the claim is then perempted, irrespective of later enforcement steps. This solution follows the need for uniform treatment of social-insurance receivables and the protective function of a relatively short extinction period (cf. ATF 119 V 298).

Texto completo

Descripteurs

ASSURANCE SOCIALE; AM; PRIME D'ASSURANCE; PEREMPTION; ASSU

Normes

LAMA X; LAMA.1 ss

Résumé

Péremption pour trois ans du droit de la caisse-maladie de réclamer le paiement de cotisations arriérées. Analogie avec l'art. 16 al. 2 LAVS. Les dispositions sur la prescription prévues dans la LAVS sont applicables au domaine de la LAMA (ATF 119 V 298). En l'espèce, la créance de l'assureur s'est périmée trois ans après la fin de l'année civile au cours de laquelle celui-ci a requis de l'assuré le paiement de cotisations.

Palavras-chave

social insurancehealth insurancepremium arrearsperemptionlimitation periodanalogy

Extraído pela Omnilex

Questões jurídicas principais extraídas pela Omnilex

Questão jurídica principal

Whether the health insurer's claim for arrears of premiums was time-barred after three years.

Decisão extraída

The insurer's claim became extinguished three years after the end of the calendar year in which it demanded payment from the insured.

Fundamentação extraída

The limitation rules of the AVS apply by analogy in the health insurance area; the right to recover outstanding premiums is therefore subject to a three-year period.

Social insurance premium arrears time-barred after three yearsGerado por IA