842.1.1 KVGGLALAMAL

CH-FR

Art. 11 Loi d'application de la loi fédérale sur l'assurance-maladie (LALAMal) - Aide aux assurés - Conditions

Réduction des primes

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Art. 11 LALAMal · Conditions

1. Les assurés de condition économique modeste peuvent présenter une demande tendant à la réduction de leurs primes auprès de la Caisse AVS.

2. Pour les personnes à charge, tels les mineurs, les apprentis, les étudiants et les jeunes adultes sans formation, la demande doit être présentée par les parents ou le représentant légal. Le Conseil d'Etat fixe les modalités d'exécution.

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4. La Caisse AVS, au moyen d'une procédure d'appel, ouvre aux communes et aux autorités cantonales concernées l'accès aux données des bénéficiaires de réduction des primes. La demande doit être motivée par des besoins de service, et le traitement des données personnelles doit respecter les principes de la législation sur la protection des données.

← Art. 10 LALAMal Loi d'application de la loi fédérale sur l'assurance-maladie (LALAMal) - Objet et champ d'application Art. 12 LALAMal →

Décisions judiciaires appliquant cette disposition (9)

608 2024 168 · fr (Art. 11 al. 1 LALAMal)

Insured vs. Compensation Fund: Refusal of Premium Reduction Based on Official Tax Assessment

Cited in the reasoning regarding the insured person's right to file a claim for premium reduction, but not present in the dispositive.

608 2024 127 · fr (Art. 11 al. 1 LALAMal)

Health Insurance Premium Reduction Retroactivity Appeal Dismissal

Cited in the reasoning to establish that eligible insured persons can submit an application for premium reduction to the AVS Compensation Fund.

608 2024 70 · fr (art. 11 al. 1 LALAMal)

Insurance Premium Reduction Appeal Based on Recent Divorce and Tax Assessment

Cantonal provision on applications, but not cited in the operative part.

608 2018 293 · fr (Art. 11 Abs. 1 KVGG)

Appeal Dismissed for Untimely Health Insurance Premium Subsidy Application

This article grants insured persons in modest economic circumstances the right to submit an application for premium reduction.

608 2016 215 · fr (Art. 11 al. 1 LALAMal)

Student Health Insurance Premium Reduction Appeal Based on Parental Income Assessment

Cited to establish that insured persons of modest economic condition can submit a request for premium reduction to the AVS fund.

608 2016 215 · fr (Art. 11 al. 2 LALAMal)

Student Health Insurance Premium Reduction Appeal Based on Parental Income Assessment

Cited to stipulate that for dependent persons (like minors or students), the application is presented by the parents or legal representative, which is a key element in the analysis of who should be included in the economic assessment.

608 2015 195 · fr (Art. 11 Abs. 2 KVGG)

Health Insurance Premium Reduction Appeal for Adult Vocational Trainee's Independent Application

This article, concerning the requirement for dependent persons to submit their application in the name of their parents, was used to confirm that the non-admission decision was correct.

608 2015 161 · fr (Art. 11 Abs. 2 KVGG)

Spousal Income Calculation for Health Insurance Premium Reduction Denial

Cited in the reasoning regarding the requirement for dependent persons (minors, apprentices, students) to apply in the name of their parents or legal guardian.

608 2015 161 · fr (Art. 11 Abs. 2 KVGG)

Spousal Income Calculation for Health Insurance Premium Reduction Denial

Cited in the reasoning to support the view that dependent persons must apply within the family unit, thereby justifying the refusal of a separate application for the stepdaughter.