832.102
KVVOAMAL
CH
CH
Art. 9 Verordnung vom 27. Juni 1995 über die Krankenversicherung (KVV) - Beendigung des Versicherungsverhältnisses
KVV; 1. Teil: Obligatorische Krankenpflegeversicherung; 1. Titel: Versicherungspflicht; 1. Kapitel: Allgemeine Bestimmungen
Art. 9 KVV · Beendigung des Versicherungsverhältnisses
Kommen Versicherte, auf welche die schweizerische Gesetzgebung über die Sozialhilfe nicht anwendbar ist, ihrer Zahlungsverpflichtung nicht nach, und kann das Vollstreckungsverfahren nicht durchgeführt werden oder hat es keine Zahlung der Prämien oder keine Kostenbeteiligung zur Folge, so kann der Versicherer nach schriftlicher Mahnung und Hinweis auf die Folgen des Zahlungsverzuges das Versicherungsverhältnis beenden.
Erfahren Versicherer, dass eine versicherte Person gleichzeitig bei einem oder mehreren anderen Versicherern versichert ist, insbesondere über eine Meldung der gemeinsamen Einrichtung nach Artikel 10 Absatz 3 der Verordnung vom 19. Oktober 2016 über den Risikoausgleich in der Krankenversicherung, so verfügen sie nach Anhörung dieser Person die Beendigung der Versicherungsverhältnisse, die nicht den Bestimmungen des KVG entsprechen.
Gerichtsentscheide zu dieser Bestimmung (38)
36.2011.84 · ti (art. 9 cpv. 2 OAMal)
Insurer Benefit Suspension Appeal: Reformatio in Peius and Violation of Right to be Heard
Mentioned as an older provision interpreted by the former TFA regarding the termination of benefit suspension.
KV.2007.18 · sg (Art. 9 Abs. 1 KVV)
Insured's Appeal Regarding Unpaid Health Insurance Premiums and Contract Validity
Cited in the reasoning structure regarding the obligation of the insurer to initiate enforcement proceedings.
36.2006.22 · ti (art. 9 cpv. 3 OAMal)
Spousal Liability for Health Insurance Premiums Limited to Principal Amount
Cited in the reasoning regarding the former possibility for insurers to deny switching policies due to arrears (now judged lacking legal basis).
36.2006.50 · ti (art. 9 cpv. 1 OAMal)
Insured v. Sickness Fund: Suspension of Benefits Over Unpaid Arrears
This provision, concerning enforcement procedures leading to an ACB, was mentioned in the context of compensation issues, but not directly in the final orders.
36.2006.50 · ti (art. 9 cpv. 2 OAMal)
Insured v. Sickness Fund: Suspension of Benefits Over Unpaid Arrears
This provision, concerning benefit suspension after ACB notification, was mentioned in the context of compensation issues, but not directly in the final orders.
36.2006.40 · ti (art. 9 cpv. 1 OAMal)
Insured Disabled Person v. Health Insurer Regarding Suspension of Benefits Over Unpaid Premiums
Cited in the reasoning regarding the requirement for the insurer to initiate enforcement proceedings when premiums are not paid.
36.2006.40 · ti (art. 9 cpv. 2 OAMal)
Insured Disabled Person v. Health Insurer Regarding Suspension of Benefits Over Unpaid Premiums
Cited in the reasoning regarding the possibility for the insurer to suspend remuneration of benefits after notification of a certificate of default.
36.2005.207 · ti (art. 9 cpv. 1 OAMal)
Insured Person v. Health Insurance Fund (Benefit Suspension Unlawful)
Cited in the reasoning concerning the procedure for debt recovery and compensation, which forms part of the legal framework used to assess the insurer's actions regarding the basis for benefit suspension.
36.2005.207 · ti (art. 9 cpv. 2 OAMal)
Insured Person v. Health Insurance Fund (Benefit Suspension Unlawful)
Cited in the reasoning concerning the conditions for benefit suspension, which forms part of the legal framework used to assess the insurer's actions regarding the basis for benefit suspension.
36.2005.125 · ti (art. 9 cpv. 3 OAMal)
Spousal Liability for Mandatory Health Insurance Premiums
Mentioned in the reasoning regarding the possibility of changing insurers, but this reasoning is not part of the final dispositive orders (1.-3.).
TVR.2005.Nr.32 · tg (Art. 9 Abs. 1 und 2 KVV)
Social Assistance Obligation Regarding Health Insurance Premiums Post-Benefit Suspension
The court referenced this article as the basis for allowing the health insurer to suspend benefits after issuing a loss certificate and notifying social assistance.
KV.2003.00038 · zh (Art. 9 Abs. 1 KVV)
_X_ v. _Y_ (Insurance Premiums and Fees)
Deals with the obligation of the insurer to initiate enforcement proceedings if premiums are not paid despite reminders (in its former version).
KV.2003.00038 · zh (Art. 9 Abs. 1 KVV)
Health Insurer Debt Collection for Unpaid Premiums Despite Agent Misrepresentation
Cited in the reasoning regarding initiating enforcement proceedings for non-payment, but not in the operative part.
TA.2004.44 · ne (Art. 9 al.1 OAMal)
Insurer's Claim for Revoked Premium Subsidy Arrears Upheld
Cited to explain the general rule for monthly premium payments (though noted as in force until December 31, 2002).
36.2004.1 · ti (art. 9 cpv. 1 OAMal)
Insured Person v. Health Insurer (Premium Recalculation and Execution Order)
Cited in the reasoning regarding the procedure in case of default in payment, but this provision is not cited in the final orders (1, 2, 3).