832.10
KVGLAMAL
CH
CH
Art. 71 Bundesgesetz vom 18. März 1994 über die Krankenversicherung (KVG) - Ausscheiden aus einer Kollektivversicherung
KVG; 3. Titel: Freiwillige Taggeldversicherung
Art. 71 KVG · Ausscheiden aus einer Kollektivversicherung
Scheidet eine versicherte Person aus der Kollektivversicherung aus, weil sie nicht mehr zu dem im Vertrag umschriebenen Kreis der Versicherten zählt oder weil der Vertrag aufgelöst wird, so hat sie das Recht, in die Einzelversicherung des Versicherers überzutreten. Soweit die versicherte Person in der Einzelversicherung nicht höhere Leistungen versichert, dürfen keine neuen Versicherungsvorbehalte angebracht werden; das im Kollektivvertrag massgebende Eintrittsalter ist beizubehalten.
Der Versicherer hat dafür zu sorgen, dass die versicherte Person schriftlich über ihr Recht zum Übertritt in die Einzelversicherung aufgeklärt wird. Unterlässt er dies, so bleibt die versicherte Person in der Kollektivversicherung. Sie hat ihr Übertrittsrecht innert drei Monaten nach Erhalt der Mitteilung geltend zu machen.
Gerichtsentscheide zu dieser Bestimmung (49)
KV.2022.00049 · zh (Art. 71 Abs. 2 KVG)
Insured's Failure to Timely Elect Individual Coverage After Bankruptcy Following Insufficient Notice
This provision regarding the right to transition to individual insurance and the three-month deadline was central to assessing the termination of coverage based on the appellant's failure to act after gaining knowledge of the right.
KV.2022.00049 · zh (Art. 71 Abs. 1 KVG)
Insured's Knowledge of Conversion Option Trumps Lack of Formal Notice
Cited in the reasoning section to explain the right of transfer to individual insurance upon leaving the collective insurance.
KV.2022.00049 · zh (Art. 71 Abs. 2 KVG)
Insured's Knowledge of Conversion Option Trumps Lack of Formal Notice
Cited in the reasoning section regarding the consequence of the insurer failing to inform the insured person about the right to transfer.
36.2022.10 · ti (Art. 71 cpv. 1 LAMal)
Insurance Policy Reinstatement Denial Upheld Due to Irrelevant Error of Law in Termination Agreement
The court cited this article regarding the right to transfer to individual insurance upon leaving a collective insurance scheme.
36.2022.10 · ti (Art. 71 cpv. 2 LAMal)
Insurance Policy Reinstatement Denial Upheld Due to Irrelevant Error of Law in Termination Agreement
The court cited this article regarding the obligation of the insurer to inform the insured of their right to switch to individual insurance.
KK.2020.00014 · zh (Art. 71 Abs. 1 KVG)
Insurer Liable for Disability Benefits Following Relapse
Cited as a basis for the right of a collectively insured person to switch to an individual insurance policy.
A/2347/2019 · ge (art. 71 al. 2 deuxième phrase, LAMal)
Insured Worker Coverage After Termination and Failure to Notify of Conversion Rights
The court ruled that the appellant must be considered part of the collective insurance until June 15, 2018, based on this provision concerning the insurer's failure to inform the insured about the right to switch to individual insurance.
ZV.2019.2 · bs (Art. 71 KVG)
Claimant v. Insurer: Sickness Benefits Upon Transition to Individual Policy Post-Unemployment
This article, referenced by Art. 100 Abs. 2 VVG, governs the right to transition from collective to individual insurance upon ceasing to belong to the collective group.
AM.19.19.52.2019 · vd (Art. 71 LAMal)
Insured Denied Disability Benefits After Employment Termination Due to Missed Individual Coverage Deadline
This provision concerning the right to transition to individual insurance was central to the court's finding that the appeal was unfounded, as the appellant failed to exercise this right.
A/3485/2018 · ge (art. 71 LAMal)
Employee Sickness Indemnity Benefits Appeal Following Dismissal-Triggered Depression
Cited in the reasoning regarding the right to switch to individual insurance after leaving the collective insurance circle, which was applied in the analysis.
AM.6.17.8.2019 · vd (Art. 67 et 71 LAMal)
Insured v. Employer Group Sickness Insurer (Employment Termination Validity and Coverage Extension)
These articles concerning daily sickness benefit insurance were cited at the beginning of the factual part, and Art. 71 LAMal relates to the right to switch to individual insurance, which was central to the appeal's consideration (point 6).
A/4038/2017 · ge (art. 71 LAMal)
Disability Benefits Appeal Based on Work Capacity Assessment Following Back Pain and Suspected Ankylosing Spondylitis
Although cited in the reasoning regarding the transition to individual insurance, it is not explicitly cited in the operative orders (dispositive), so it must be excluded based on the rules.
AM.17.17.55.2018 · vd (Art. 71 al. 1 LAMal)
Cross-Border Worker Disability Insurance Termination Discriminatory
Cited in the background section, but the dispositive relies on the conclusion derived from the incompatibility of Art. 11 ch. 2 let. g LAMal conditions with EU law.
608 2017 266 · fr (Art. 71 LAMal)
Insured's Appeal of Sickness Benefits Termination Rejected
Cited when discussing the potential continuation of collective insurance coverage upon leaving the insured group, though ultimately declared irrelevant to the final decision on benefits.
A/3075/2017 · ge (art. 71 LAMal)
Insured Concierge Sickness Benefits Appeal: Duration and Loss of Earnings Threshold
Cited in the reasoning regarding the insured's right to transfer to individual insurance upon leaving the collective insurance circle.