832.10 EGKVGLILAMAL

CH-JU

Art. 20 Loi portant introduction de la loi fédérale sur l’assurance-maladie (LiLAMal)

8. Santé, travail, sécurité sociale » 83. Assurances sociales » 832. Assurance en cas de maladie et d'accidents

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Art. 20 Loi portant introduction de la loi fédérale sur l’assurance-maladie (LiLAMal)

1 Les assurés de condition économique modeste bénéficient de réduction de primes.

1bis Une réduction de prime supplémentaire est accordée aux parents qui ont à charge un ou des enfants de moins de 18 ans révolus ou adultes en formation de moins de 25 ans révolus et dont la famille de faible condition économique réalise un revenu provenant d'une activité professionnelle.

2 La condition économique des assurés est définie, par leur revenu, leur fortune et leur situation familiale; elle est déterminée, en général, sur la base des taxations fiscales.

3 Le Gouvernement règle les détails par voie d'ordonnance. Il fixe les limites de revenu qui déterminent le droit à la réduction des primes au sens de l'alinéa 1 et ceux qui déterminent le droit à la réduction de prime supplémentaire au sens de l'alinéa 1bis.

← Art. 19 Loi portant introduction de la loi fédérale sur l’assurance-maladie (LiLAMal) 8. Santé, travail, sécurité sociale » 83. Assurances sociales » 832. Assurance en cas de maladie et d'accidents Art. 21 Loi portant introduction de la loi fédérale sur l’assurance-maladie (LiLAMal) →

Décisions judiciaires appliquant cette disposition (20)

608 2023 83 · fr (Art. 20 LAMal)

Swissmedic Drug Reimbursement Appeal Rejected Due to High Cost and Insufficient General Therapeutic Benefit

Cited in the reasoning when listing positive lists of services.

A/4172/2013 · ge (Art. 20 al. 2 LAMal)

Subsidy Denial Upheld Despite Mortgage Debt Exclusion

Cited in the reasoning to establish that the appellant is presumed not to be of modest economic standing based on high income/wealth.

VPB 150000035 (Art. 20 Abs. 3, LAMal)

Health Insurers' Delegation of Public Tasks

This article places the common institution under the supervision of the department.

36.2006.143 · ti (Art. 20 cpv. 1 della legge cantonale di applicazione della LAMal del 26 giugno 1997 (LCAMal; RL/TI 6.4.6.1))

Insurer Invalid Suspension of Benefits Due to Procedural Error in Debt Collection

Mentioned in reasoning regarding the authority competent for the suspension procedure.

36.2006.190 · ti (Art. 20 cpv. 1 della legge cantonale di applicazione della LAMal del 26 giugno 1997 (LCAMal; RL/TI 6.4.6.1))

Insured vs. Sickness Fund on Benefit Suspension Due to Unpaid Debts

Cited alongside Art. 82 of the implementing regulation to establish the authority competent to confirm suspension of payment of unrecoverable claims.

36.2006.176 · ti (art. 20 cpv. 1 della legge cantonale di applicazione della LAMal del 26 giugno 1997 (LCAMal; RL/TI 6.4.6.1))

Sickness Fund Benefit Suspension Overruled Due to Failure to Consult Social Assistance Authority

Cited in the reasoning as part of the legal basis determining the competent social assistance authority whose written confirmation was required before suspension.

36.2006.127 · ti (art. 20 cpv. 1 della legge cantonale di applicazione della LAMal del 26 giugno 1997 (LCAMal; RL/TI 6.4.6.1))

Insured Person v. Health Insurance Fund: Improper Suspension of Sickness Benefits

This cantonal law provision was cited in the reasoning regarding the proper authority for confirming suspension, which informed the annulment of the decision in order 1.

36.2006.148 · ti (art. 20 cpv. 1 della legge cantonale di applicazione della LAMal del 26 giugno 1997 (LCAMal; RL/TI 6.4.6.1))

Insurer Violated Procedure in Suspending Health Insurance Benefits for Unpaid Premiums

Cited in the reasoning regarding cantonal competence for suspension procedures, relevant to the substantive ground for decision.

36.2006.149 · ti (art. 20 cpv. 1 della legge cantonale di applicazione della LAMal del 26 giugno 1997 (LCAMal; RL/TI 6.4.6.1))

Insurer's Improper Suspension of Insurance Benefits Over Premium Arrears

This cantonal law defining the competent social insurance authority was discussed in the reasoning but not cited in the dispositive orders.

VPB 2004.1368 (Art. 20 al. 1 LAMal)

Managed Care Health Insurance Reform Act

This article establishes the annual contribution for general disease prevention and the promotion of integrated care.

36.2002.87 · ti (Art. 20 cpv. 1 LAMal)

Insured vs. Health Insurance Fund: Premium Calculation and Collection Fees Dispute

Cited in reasoning (2.7) regarding the health promotion contribution, but not explicitly cited in the dispositive orders 1 or 2 regarding the outcome.

36.2002.106 · ti (art. 20 cpv. 1 LAMal)

Insured's Appeal Against Health Insurance Premium Recovery and Cost-Sharing Amounts

Cited in the reasoning to define the contribution for health promotion that was subject to clarification.

VPB 2001.1067 (art. 20, al. 2 et 3, de la LAMal)

Federal Administration Organization Law Amendments

Need adaptation to delegate the competence to fix the annual contribution and to exercise supervision to the department.

ZZ.1997.40 · so (§ 20 Abs. 2 VO KVG)

Health Insurance Subsidy Payment Dispute

Cited as the legal basis allowing the direct payment of the premium reimbursement to the insurer, justifying the administrative decision.

36.2002.98 · ti (Art. 20 cpv. 1 LAMal)

Health Insurance Premium Dispute and Administrative Fee Reduction

Cited in the reasoning regarding the mandatory contribution for health promotion financed by insured persons.