Court allows insurance payout for aggravated neck injury caused by accident, not pre-existing disease.
Legislator summary
AI generatedThe court ruled that the insured's neck injury was an aggravation of a pre-existing condition triggered by an accident, mandating insurance compensation. The insurer argued the injury stemmed solely from the insured's underlying disease, but the court found the accident was the decisive factor. Consequently, the court ordered the payment of benefits for the aggravated condition.
Legislator headnote
AI generatedInsurance Act s. 10; Accident Liability Act s. 2: An injury is considered an aggravation of a pre-existing condition if an accident triggers a worsening of the condition, entitling the insured to compensation for the aggravated portion.
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Työntekijä, joka poti kaularangan nikamarikkoa, oli sähkökaapin kaaduttua saanut kiertonikaman hampaan, IV ja VIII rintanikaman ja oikean ulkokehräsluun murtumat. VAKO epäsi korvauksen kaularangan nikamarikosta. IV -jaosto KKO 3.12.1982: Kaularangan nikamarikko oli tapaturmasta pahentunut ja sairauden pahenemisesta määrättiin maksettavaksi korvaus. (Lääkintöhallitus: Salenius-Larmi)