832.10
KVGLAMAL
CH
Art. 73 Bundesgesetz vom 18. März 1994 über die Krankenversicherung (KVG) - Koordination mit der Arbeitslosenversicherung
KVG; 3. Titel: Freiwillige Taggeldversicherung
Art. 73 KVG · Koordination mit der Arbeitslosenversicherung
Arbeitslosen ist bei einer Arbeitsunfähigkeit (Art. 6 ATSG ) von mehr als 50 Prozent das volle Taggeld und bei einer Arbeitsunfähigkeit von mehr als 25, aber höchstens 50 Prozent das halbe Taggeld auszurichten, sofern die Versicherer auf Grund ihrer Versicherungsbedingungen oder vertraglicher Vereinbarungen bei einem entsprechenden Grad der Arbeitsunfähigkeit grundsätzlich Leistungen erbringen.
Arbeitslose Versicherte haben gegen angemessene Prämienanpassung Anspruch auf Änderung ihrer bisherigen Versicherung in eine Versicherung mit Leistungsbeginn ab dem 31. Tag unter Beibehaltung der bisherigen Taggeldhöhe und ohne Berücksichtigung des Gesundheitszustandes im Zeitpunkt der Änderung.
Gerichtsentscheide zu dieser Bestimmung (38)
608 2025 43 · fr (art. 73 al. 1 LAMal)
Insured's Claim for Unemployment Benefit Repayment Against Disability Insurer Dismissed
Although cited in the reasoning (Section C), this article concerning priority of benefits was not explicitly cited in the dispositive orders (I, II, or III).
KK.2024.00012 · zh (Art. 73 Abs. 1 KVG)
Insured v. Insurer: Admissibility of Illegally Obtained Evidence in Disability Fraud Claim
Used in conjunction with Art. 100 VVG to determine the entitlement to full or half daily allowance based on the degree of incapacity to work for an unemployed person.
S2 23 84 · vs (Art. 73 KVG)
Claimant Benefits Termination Upheld Based on Insurer's Psychiatric Evaluation
Used to establish the basis for granting half sickness daily benefits for disability levels between 25% and 50% for unemployed persons, applicable under Art. 100 Abs. 2 VVG.
S2 24 88 · vs (Art. 73 KVG)
Insurer's Disability Benefit Reduction Overturned Due to Insufficient Medical Basis and Failure to Allow Mitigation Period
Cited in the reasoning regarding the coordination of benefits for unemployed persons with working capacity, directly informing the extent of the awarded sick pay.
605 2023 112 · fr (Art. 73 LAMal)
Unemployment Benefits Restitution Due to Overlapping Private Insurance Coverage
Cited in the reasoning regarding coordination rules, but not explicitly in the operative part.
A/3942/2023 · ge (art. 73 al. 1 LAMal)
Unemployment Benefits Repayment Following Partial Incapacity and Coordination of Sickness Benefits
This provision, in conjunction with Art. 28 LACI, was used as the basis for calculating the reduced unemployment benefit when the claimant had partial work capacity (50%).
36.2022.49 · ti (Art. 73 LAMal)
Insurance Claim for Sickness Daily Allowances and Psychiatric Condition Coverage Dispute
Cited in relation to the coordination rules applicable by reference in LCA insurance.
KK.2021.00020 · zh (Art. 100 Abs. 2 VVG in Verbindung mit Art. 73 Abs. 1 KVG)
Plaintiff Denied Sickness Benefits Due to 60% Work Capacity
Relevant for coordination rules concerning unemployed persons, but deemed not applicable as a prerequisite claim for daily benefits was missing.
KK.2020.00014 · zh (Art. 73 KVG)
Insurer Liable for Disability Benefits Following Relapse
Cited in conjunction with Art. 100 Abs. 2 VVG and Art. 71 Abs. 1 KVG.
2019.11.22.sv.3 · bl (Art. 73 Abs. 1 KVG)
Sickness Benefits Preclude Unemployment Benefits Due to Coordination Rules
Cited as a coordinating provision with Art. 28 Abs. 4 AVIG, determining the extent of sickness benefits based on the degree of work incapacity.
715.19.89.295 · bl (Art. 73 Abs. 1 KVG)
Coordination of Benefits: Sickness Benefits Preclude Unemployment Compensation When Higher
This provision is relevant for the coordination of benefits between sickness and unemployment insurance, establishing that a sickness insurer must pay full benefits for more than 50% incapacity for work.
200 2018 82 · be (Art. 73 Abs. 1 KVG)
Appeal Against Termination of Sickness Benefits Based on Expert Medical Report of Work Capacity
Cited regarding the possibility to regulate benefit claims for incapacity below 50% (Section 3.2).
OG O3V 17 25 · ar (Art. 73 Abs. 1 KVG)
Insured Sickness Benefits Following Job Loss and Partial Depression
This provision is cited in the reasoning (point 2.1) regarding the payment of full or half daily benefits based on the degree of incapacity, which underpins the court's decision on the continuation of benefits.
CDP.2018.125 · ne (Art. 73 al. 1 LAMal)
Unemployment Benefits Offset by Private Disability Payments: Coordination of Sickness and Unemployment Insurance
The court applied this provision to determine the proportional entitlement to daily allowances when there is partial incapacity to work concurrently with unemployment benefits.
S 2016 21 · gr (Art. 73 Abs. 1 KVG)
Unemployment Benefits Coordination with Sickness Fund Payments
This article was mentioned by the lower authority in its decision, which was under review, regarding the remaining claim against the sick-pay insurer.