Art. 6 Loi d'application de la loi fédérale du 20 mars 1981 sur l'assurance-accidents (LAA) - Tribunal arbitral

605 2024 52 · fr (Art. 6 al. 1 LAA)

Insurance Benefits Appeal Over Shoulder Injury Due to Procedural Error and Insufficient Medical Rationale

The court admitted the appeal and annulled the contested decision, which implies that the standard insurance benefit provisions are the basis for the decision (though the instruction aspect is the primary ground for referral).

605 2025 21 · fr (Art. 6 UVG)

Blister Injury vs. Unusual External Factor in Accident Insurance

Cited in the reasoning to define the scope of accident insurance benefits, although the main ground for dismissal relates to the interpretation of Art. 4 ATSG.

605 2024 170 · fr (art. 6 al. 1 LAA)

Insurance Benefits Termination Upheld Despite Initial Procedural Flaw

This provision, regarding accident insurance benefits, forms the core legal basis for evaluating the continuity of benefits after the accident.

605 2024 184 · fr (Art. 6 al. 1 LAA)

Insured Person v. Accident Insurer (Causation of Tendon Rupture)

The decision is based on the principle that accident insurance benefits are due in case of professional or non-professional accidents, as the court decided to annul the previous decision and send the case back for further instruction and a new decision regarding the entitlement to benefits.

605 2024 184 · fr (Art. 6 al. 2 LAA)

Insured Person v. Accident Insurer (Causation of Tendon Rupture)

Cited in the reasoning regarding bodily injury covered by the insurance, which forms the context for the overall dispute regarding the causal link.

605 2024 102 · fr (Art. 6 al. 1 LAA)

Insured Person v. Insurer (Shoulder Injury Causation and Venous Thoracic Outlet Syndrome Relapse)

This article forms the basis for granting insurance benefits in case of accident, although the benefit award is partially superseded by the partial acquiescence regarding the vein hypertension syndrome.

605 2024 189 · fr (Art. 6 al. 1 LAA)

Appeal for Motorcycle Accident Surgery Coverage Denied Due to Pre-existing Degenerative Condition

The appeal was rejected because the court concluded that the right to insurance benefits based on the accident did not apply to the shoulder condition.

605 2024 189 · fr (Art. 6 al. 2 LAA)

Appeal for Motorcycle Accident Surgery Coverage Denied Due to Pre-existing Degenerative Condition

Cited in the context of analyzing whether the bodily injury met the criteria for an insured accident, although the final decision hinged on the lack of causality under Art. 6 al. 1 LAA.

605 2023 134 · fr (Art. 6 al. 1 LAA)

Insurance Benefits Denial Appeal for Alleged Lyme Disease Relapse

Implicitly relevant as the core issue concerns entitlement to accident insurance benefits for a relapse.

605 2024 175 · fr (Art. 6 al. 1 LAA)

Insurance Benefits Appeal for Skiing Injury Causation

The court held that the insurer must cover the consequences of the meniscal luxation based on this provision, as an accident was admitted.

605 2024 175 · fr (Art. 6 al. 2 LAA)

Insurance Benefits Appeal for Skiing Injury Causation

This article is cited as the basis for the general scope of insurance coverage for specific bodily lesions, though applied primarily via Art. 6 al. 1 in this case.

605 2024 167 · fr (Art. 6 al. 1 LAA)

Insurance Benefits Appeal Regarding Accident Causation for Shoulder Injury

The court applied this article to determine the accident insurance responsibility for the shoulder complaints, given that an accident under Art. 4 LPGA was admitted.

605 2024 167 · fr (Art. 6 al. 2 LAA)

Insurance Benefits Appeal Regarding Accident Causation for Shoulder Injury

This article was mentioned in the reasoning section (2.1) to contrast the application of Art. 6 al. 1 LAA, but it was not the basis for the final order regarding the shoulder injury (which was judged under Art. 6 al. 1 LAA).

605 2024 117 · fr (Art. 6 al. 1 LAA)

Appeal on Accident Insurance Benefits for Dental Injury Causation and Treatment Suitability

The court implicitly relied on the applicant's complaint regarding the violation of the right to be heard, which is based on Art. 6 al. 1 LAA, to justify the admission of the appeal, although the violation itself was deemed cured.

605 2024 30 · fr (Art. 6 al. 1 LAA)

Denial of Accident Insurance Benefits for SLAP II Lesion Upheld Due to Lack of Causal Link to Accident

The court confirms the refusal to pay insurance benefits, which is the consequence of finding no causal link, referencing the general provision for granting benefits in case of accident.