Legislator Rechtsprechung & Gesetzgebung
832.102 KVVOAMAL CH

Art. 8 Verordnung vom 27. Juni 1995 über die Krankenversicherung (KVV) - Prämienzuschlag bei verspätetem Beitritt

KVV; 1. Teil: Obligatorische Krankenpflegeversicherung; 1. Titel: Versicherungspflicht; 1. Kapitel: Allgemeine Bestimmungen
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Art. 8 KVV · Prämienzuschlag bei verspätetem Beitritt

Die Erhebungsdauer für den Prämienzuschlag bei verspätetem Beitritt nach Artikel 5 Absatz 2 des Gesetzes entspricht der doppelten Dauer der Verspätung, höchstens jedoch fünf Jahren. Der Prämienzuschlag beträgt 30 bis 50 Prozent der Prämie. Der Versicherer setzt den Zuschlag nach der finanziellen Lage der Versicherten fest. Hat die Zahlung des Prämienzuschlages eine Notlage für die Versicherten zur Folge, setzt der Versicherer einen Zuschlag von weniger als 30 Prozent fest und trägt dabei der Lage der Versicherten und den Umständen der Verspätung angemessen Rechnung.

Wenn eine Sozialhilfebehörde für die Prämien aufkommt, wird kein Prämienzuschlag erhoben.

Wechselt die versicherte Person den Versicherer, hat der bisherige Versicherer dem neuen Versicherer den Prämienzuschlag im Rahmen der Mitteilung gemäss Artikel 7 Absatz 5 des Gesetzes anzugeben. Ein einmal festgelegter Prämienzuschlag bleibt auch für spätere Versicherer verbindlich.

← Art. 7b KVV Verordnung vom 27. Juni 1995 über die Krankenversicherung (KVV) - Versicherungspflicht Art. 9 KVV →

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Gerichtsentscheide zu dieser Bestimmung (28)

VBE.2024.398 · ag (Art. 8 Abs. 1 KVV)
Late Health Insurance Enrollment Surcharge Reduced Due to Excusable Delay
This provision is cited in relation to the assessment of the premium surcharge amount and its duration.
VBE.2024.398 · ag (Art. 8 Abs. 3 KVV)
Late Health Insurance Enrollment Surcharge Reduced Due to Excusable Delay
This provision is mentioned as the basis for the principle that a previously determined premium surcharge remains binding for subsequent insurers.
S 2022 49 · zg (Art. 8 Abs. 3 KVV)
Late Enrollment Surcharge for Lapse in Foreign Health Insurance Coverage
Cited in the reasoning section (E. 6) stating that a previously determined premium surcharge remains binding for subsequent insurers.
S 2022 49 · zg (Art. 8 KVV)
Late Enrollment Surcharge for Lapse in Foreign Health Insurance Coverage
Cited in the reasoning section (E. 4.3.3) as the basis for determining the duration and amount of the premium surcharge.
A/3363/2019 · ge (Art. 8 al. 1 OAMal)
Health Insurance Late Affiliation Penalty Domicile Dispute
The court relies on the standard set in this article (and Art. 5 al. 2 LAMal) to evaluate and modify the penalty rate based on the insured's financial situation ('gêne').
A/2982/2019 · ge (art. 8 al. 1 OAMal)
Insurer's Failure to Warn on Retroactive Health Insurance Deadline
This article concerning the premium surcharge was cited in the reasoning regarding the insurer's assessment of the surcharge, which was subsequently annulled as a consequence of the main ruling.
36.2015.6 · ti (art. 8 OAMal)
Appeal Against Retroactive Cancellation of Health Insurance Affiliation
Cited in order 1.3 for sending the case back to TERZ 2 to rule on the late affiliation premium supplement.
36.2013.47 · ti (art. 8 OAMal)
Pensioner's Exemption from Mandatory Swiss Health Insurance
This article relates to premium supplements for late affiliation, which is not applicable since the insurance obligation was overturned.
36.2004.23 · ti (art. 8 OAMal)
Insurance Obligation Commencement Date Dispute
Cited by the appellant regarding the reduction of the late affiliation surcharge due to financial hardship, which the court considered in relation to the scope of good faith protection when establishing the theoretical start date.
36.2009.190 · ti (art. 8 OAMal)
Failure to Meet Statutory Appeal Deadline in Mandatory Health Insurance Case
Cited regarding the calculation of the supplementary premium supplement.
36.2008.91 · ti (art. 8 OAMal)
Health Insurance Enrollment and Deductible Calculation Dispute
Cited in the reasoning regarding the supplement for late affiliation, although the court stated it could not rule on it.
36.2005.226 · ti (Art. 8 OAMal)
Appellant v. Municipality Regarding Insurance Obligation Start Date
Mentioned in the context of the risk faced by the appellant due to the lack of information, although the final order does not rule on the premium supplement itself.
36.2002.44 · ti (Art. 8 OAMal)
Swiss Citizens' Penalty for Late Health Insurance Affiliation
Cited in relation to the supplement for late affiliation, although the court ultimately confirmed the administrative decision which addressed the start date of coverage and the existence of the supplement obligation.
36.2001.67 · ti (Art. 8 OAMal)
Appeal Against Compulsory Health Insurance Enrollment Due to Unjustified Delay
This article concerning the calculation of the late affiliation surcharge was analyzed, relevant to the issue decided under Art. 5 cpv. 2 LAMal.
36.2001.82 · ti (Art. 8 OAMal)
Appeal Regarding Retroactive Mandatory Health Insurance Enrollment and Premium Surcharge
The court implicitly confirmed the application of this provision regarding the calculation of the premium supplement for late affiliation when rejecting the appeal.