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Art. 4 Reglement betreffend Zusammensetzung, Organisation und Verfahren des Schiedsgerichtes gemäss Artikel 25 KUVG
Verfahren - Vorverfahren
Art. 4 Reglement betreffend Zusammensetzung, Organisation und Verfahren des Schiedsgerichtes gemäss Artikel 25 KUVG
1. Das Schiedsgericht kann nur angerufen werden, wenn das Versöhnungsverfahren vorausgegangen ist, es sei denn, dass ein anderer, vertraglich vereinbarter Schlichtungsversuch erfolgt ist.
2. Der Versöhnungsversuch findet vor dem Präsidenten des Schiedsgerichtes statt.
Gerichtsentscheide zu dieser Bestimmung (12)
C-1405/2019 (Art. 4 Abs. 4 Ziff. 2 Bst. a KVV)
Hospital Denied Specialized Surgery Contract Due to Insufficient Case Volume
This provision was implicitly considered when discussing the criteria for quality assessment.
S 2021 17 · gr (Art. 4 Abs. 1 KVV)
Appeal Against Denial of Health Insurance Premium Reductions After Deregistration
The appeal was dismissed because the appellant could not be considered as a person seconded under this provision, thus lacking entitlement.
C-6920/2016 (Art. 4 Verordnung vom 27. Juni 1995 über die Krankenversicherung (KVV, SR 832.102))
Child Benefits for Stepchildren: Thai Domicile Over Swiss Address
Specifies exceptions regarding mandatory health insurance for posted workers.
KV.2016.00036 · zh (Art. 4 Abs. 1 KVV)
Swiss Health Insurance Obligation for Posted German National in UK
This provision was used to establish that the appellant remained subject to mandatory Swiss health insurance as an employee sent abroad by a Swiss employer.
KV.2016.00030 · zh (Art. 4 Abs. 1 lit. a KVV)
Insurer's Right to Terminate Mandatory Health Insurance Due to Lack of Residency
Cited in the reasoning for background law concerning posted workers, but not explicitly in the dispositive orders (1-4).
KV.2016.00030 · zh (Art. 4 Abs. 1 lit. b KVV)
Insurer's Right to Terminate Mandatory Health Insurance Due to Lack of Residency
Cited in the reasoning for background law concerning posted workers, but not explicitly in the dispositive orders (1-4).
36.2014.12 · ti (Art. 4 OAMal)
Insured Reliance on Insurer's Assurance V. Retroactive Cancellation of Health Insurance
This article was central to the dispute, as the court ruled it was incorrectly applied by the insurer, leading to the successful appeal.
36.2014.12 · ti (Art. 4 cpv. 1 OAMal)
Insured Reliance on Insurer's Assurance V. Retroactive Cancellation of Health Insurance
The court concluded this article was incorrectly applied by the insurer, as international agreements should have governed the case.
TVR.2005.Nr.32 · tg (§ 4 Abs. 2 TG KVV)
Social Assistance Obligation Regarding Health Insurance Premiums Post-Benefit Suspension
The court applied this article, noting the social assistance authority's option to cover either the outstanding premiums or the medical costs incurred during the suspension period.
36.2014.12 · ti (Art. 4 OAMal)
Insurer Liable for Incorrect Advice on Cross-Border Insurance Coverage
Cited by the insurance company in their defense to argue that the applicant was correctly covered as a seconded worker, but the Tribunal found this article inapplicable in favor of the AELS Convention norm.
TVR.2006.Nr.29 · tg (§ 4 Abs. 2 TG KVV)
Insurer's Right to Suspend Benefits Upheld; Municipality Discretion on Premium Arrears Confirmed
Cited as the basis for clarifying that the municipality does not have an unconditional duty to assume premium arrears.
AM.5.22.ap.TF.9.2 · vd (art. 4 OAMal)
Appeal Regarding Retroactive Swiss Health Insurance Coverage for Detached Worker's Family in the US
This article concerning detached workers and family members is discussed as the legal basis potentially applicable to the applicants.