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72-10361 Généré par l'IA

Insured Party v. Primary Health Insurance Fund Regarding Co-payment Exemption

Numéro de cause 72-10361
Autorité / Tribunal
Juridiction France (FR)
Date de la décision
Issue du litige Irrecevable (Inadmissible)
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Synthèse Legislator

Généré par l'IA

When an insured party contested a decision by a primary health insurance fund to eliminate the co-payment exemption for their child's prolonged medical condition, the initial appeal board rejected the claim; subsequently, the insured filed both an appeal to the Court of Appeal and a cassation appeal to the Supreme Court against the rejection, but a definitive appellate court decision declared the appeal to be admissible due to the indefinite nature of the request, rendering the concurrent cassation appeal inadmissible because it was lodged against a decision that had already been subjected to a successful and definitive appeal.

Regeste Legislator

Généré par l'IA

IRRECEVABLE LE POURVOI; Insured Party v. Primary Health Insurance Fund Regarding Co-payment Exemption: When an insured party contested a decision by a primary health insurance fund to eliminate the co-payment exemption for their child's prolonged medical condition, the initial appeal board rejected the claim; subsequently, the insured filed both an appeal to the Court of Appeal and a cassation appeal to the Supreme Court against the rejection, but a definitive appellate court decision declared the appeal to be admissible due to the indefinite nature of the request, rendering the concurrent cassation appeal inadmissible because it was lodged against a decision that had already been subjected to a successful and definitive appeal.

Mots-clés

Généré par l'IA
exemption de l'assurance-maladie caisses d'assurance-maladie allégations de santé participation de l'assuré aux frais qualité d'assuré participation aux frais en cas de séjour hospitalier

Dispositions légales citées

Généré par l'IA
IRRECEVABLE LE POURVOI
The appeal was declared inadmissible because it was filed against a decision subject to appeal, which was already appealed and declared admissible by a definitive appellate court ruling.
Généré par l'IA
70-13805
Insured Person v. Health Insurance Fund on Co-payment Exemption Revocation
73-11108
Insurer v. Social Security Recipient (Co-payment Exemption)
89-19034
Insured Person v. Social Security Fund Regarding Co-payment Exemption for Unlisted Ailment
79-11842
Insured Party v. Primary Fund on Scope of Withdrawn Appeal
22-14402
Health Fund v. Insured Person (Unauthorized Activity During Sick Leave)

Questions juridiques clés extraites par Legislator

Généré par l'IA
IRRECEVABLE LE POURVOI

The appeal was declared inadmissible because it was filed against a decision subject to appeal, which was already appealed and declared admissible by a definitive appellate court ruling.

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Texte complet

SUR LA RECEVABILITE DU POURVOI : ATTENDU QUE LA CAISSE PRIMAIRE D'ASSURANCE MALADIE DE L'AVEYRON, A, PAR UNE DECISION DU 18 DECEMBRE 1969, SUPPRIME L'EXONERATION DU TICKET MODERATEUR DONT AVAIT JUSQU'ALORS BENEFICIE L'ASSURE ELIE Y..., POUR SA X... LAURENCE, RECONNUE ATTEINTE D'UNE AFFECTION NECESSITANT UN TRAITEMENT PROLONGE ;

QUE Y... A CONTESTE CETTE DECISION DEVANT LA COMMISSION DE PREMIERE INSTANCE, QUI L'A DEBOUTE DE SON RECOURS ;

QUE CONTRE CE JUGEMENT QUALIFIE EN DERNIER RESSORT, Y... A FORME A LA FOIS UN POURVOI EN CASSATION ET UN APPEL ;

QUE PAR ARRET AVANT DIRE DROIT DE LA COUR D'APPEL DE MONTPELLIER EN DATE DU 13 OCTOBRE 1970, DEVENU DEFINITIF, L'APPEL DE Y... A ETE DECLARE RECEVABLE, EN RAISON DU CARACTERE INDETERMINE DE LA DEMANDE ;

QU'AINSI LE POURVOI DE Y..., FORME CONTRE UNE DECISION FRAPPEE D'APPEL ET DECLAREE SUSCEPTIBLE D'APPEL PAR UN ARRET AYANT L'AUTORITE DE LA CHOSE JUGEE, DOIT ETRE DECLARE IRRECEVABLE ;

PAR CES MOTIFS : DECLARE IRRECEVABLE LE POURVOI FORME CONTRE LA DECISION RENDUE LE 4 MARS 1970 PAR LA COMMISSION DE PREMIERE INSTANCE DE L'AVEYRON