842.1.1
KVGGLALAMAL
CH-FR
CH-FR
Art. 13 Loi d'application de la loi fédérale sur l'assurance-maladie (LALAMal) - Aide aux assurés - Exceptions
Réduction des primes
Art. 13 LALAMal · Exceptions
1. N'ont pas droit à une réduction des primes
a) les personnes dont le revenu ou la fortune excèdent les montants fixés par le Conseil d'Etat;
b) les personnes qui font l'objet d'une taxation fiscale d'office.
Décisions judiciaires appliquant cette disposition (13)
608 2024 168 · fr (Art. 13 al. 1 let. b LALAMal)
Insured vs. Compensation Fund: Refusal of Premium Reduction Based on Official Tax Assessment
Cited in the reasoning regarding the exclusion of benefits due to official taxation, but not present in the dispositive.
608 2024 70 · fr (art. 13 al. 1 let. b LALAMal)
Insurance Premium Reduction Appeal Based on Recent Divorce and Tax Assessment
This provision establishes the ground for the initial refusal (taxation d'office), which the court subsequently ordered to be re-examined.
608 2023 61 · fr (art. 13 al. 1, 4 et 5 des conditions générales de l'assurance collective d'une indemnité journalière selon la LAMal (BEGM02-F11 - Edition du 1.01.2011))
Farmer's Sickness Benefits Denial Upheld Due to Actual Earnings Exceeding Adapted Role Potential
Cited to establish the contractual basis for notification deadlines, which the court applied to reject the appeal regarding the starting date of benefits.
608 2022 189 · fr (Art. 13 al. 1 let. a LALAMal)
Appeal Against Health Insurance Premium Reduction Based on Income Assessment
Cited in the reasoning to establish that persons whose income or assets exceed the amounts fixed by the State Council do not have the right to a premium reduction.
608 2022 141 · fr (art. 13 al. 1 let. a LALAMal)
Insurance Premium Reduction Eligibility for New Residents
This provision, excluding those whose income/wealth exceeds the set limits, was cited to explain the canton's regulatory framework, but not used in the final dispositive order.
608 2022 26 · fr (Art. 13 al. 1 let. a LALAMal)
Appeal Regarding Health Insurance Premium Reduction Based on Income Assessment Year
Cited in the reasoning to indicate the grounds for ineligibility based on exceeding fixed amounts.
608 2021 87 · fr (art. 13 al. 1 let. a LALAMal)
Insurance Premium Reduction Denial Upheld Based on 2021 Family Status
Cited in the context of non-entitlement to premium reduction when income exceeds set limits.
608 2015 161 · fr (Art. 13 lit. a KVGG)
Spousal Income Calculation for Health Insurance Premium Reduction Denial
Cited to establish that persons whose gross income exceeds the cantonal limits are not entitled to premium reduction.
608 2015 58 · fr (Art. 13 KVGG)
Health Insurance Premium Reduction Calculation Based on Prior Year's Income
Cited in the reasoning to define who is not entitled based on income or asset thresholds set by the State Council.
608 2015 209 · fr (art. 13 let. b LALAMal)
Applicant v. Health Insurance Premium Reduction Denial
Cited in the reasoning to support the conclusion that the appellant could not benefit from the premium reduction due to having an ex officio tax assessment.
608 2015 10 · fr (Art. 13 KVGG)
Appeal Against Refusal of Health Insurance Premium Reduction Based on Post-Marriage Income Assessment
Cited in the reasoning to define who is excluded from premium reduction based on gross income or assets.
608 2014 75 · fr (Art. 13 KVGG)
Appeal Dismissed: Health Insurance Premium Reduction Denial Upheld Based on Prior Year's Tax Assessment Income
Cited regarding the condition that excludes entitlement if gross income or assets exceed set amounts.
605 2011 190 · fr (Art. 13 KVGG)
Insured v. Canton: Health Insurance Premium Reduction Based on Income Assessment Timing
Cited as the cantonal provision stating that persons exceeding income/asset limits have no right to reduction.