832.10
EGKVGLILAMAL
CH-JU
CH-JU
Art. 5 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. 5 Loi portant introduction de la loi fédérale sur l’assurance-maladie (LiLAMal)
1 La Caisse de compensation affilie d'office toute personne tenue de s'assurer qui n'a pas donné suite à cette obligation dans le délai imparti par la commune.
2 Tout fournisseur de prestations peut signaler à la Caisse de compensation une personne tenue de s'assurer qui ne serait pas affiliée à l'assurance obligatoire.
3 En principe, la Caisse de compensation choisit parmi les dix assureurs affiliés à la Fédération jurassienne des caisses-maladie qui offrent, sur l'ensemble du territoire cantonal, les primes les plus avantageuses aux assurés.
Décisions judiciaires appliquant cette disposition (93)
BGE 129 V 159 (Art. 5 cpv. 2 LAMal)
Health insurance: Canton lacks authority to retroactively assign voluntarily insured resident or to impose late-joining premium surcharge; that assessment belongs to the insurer, not administrative or judicial authorities.
Ground for annulling the cantonal authority's decision on the premium surcharge and the ex officio affiliation, as the insurer is competent to decide on the surcharge.
730.2024.206 · bl (Art. 5 Abs. 2 KVG)
Late Objections to Health Insurance Surcharge Upheld
Provides the legal basis for the premium surcharge due to late joining.
VBE.2024.398 · ag (Art. 5 Abs. 2 KVG)
Late Health Insurance Enrollment Surcharge Reduced Due to Excusable Delay
This provision is cited as the legal basis for imposing a premium surcharge due to late joining the compulsory health insurance.
KV.2023.10 · sg (Art. 5 Abs. 3 KVG)
Swiss Health Insurance Obligation During Short-Term Foreign Stay
Cited in the reasoning (E. 3.1) regarding the termination of insurance obligation, though not explicitly in the operative part, it forms part of the grounds for the decision structure leading to the conclusion based on Art. 3 Abs. 1 KVG.
S 2022 49 · zg (Art. 5 Abs. 2 KVG)
Late Enrollment Surcharge for Lapse in Foreign Health Insurance Coverage
Cited in the reasoning section (E. 4.3.1.1, E. 4.3.2) as the basis for applying the rule that insurance begins at the time of application in case of late entry, which justifies the court's decision regarding the insurance start date.
KV.2022.00051 · zh (Art. 5 Abs. 2 KVG)
Student Denied Swiss Health Insurance Exemption Due to Inadequate Foreign Coverage
Specifies that insurance coverage begins at the time of joining, even if the joining is delayed, and that premiums cannot be claimed retroactively.
KV.2022.00019 · zh (Art. 5 Abs. 3 KVG)
Appeal Regarding Mandatory Health Insurance Coverage Termination Date Amidst Outstanding Premiums
The court annulled the decision regarding the termination of insurance as of June 30, 2018, pending further clarification on whether this provision applied.
KV.2022.00019 · zh (Art. 5 Abs. 3 KVG)
Insurer Coverage Dispute and Foreign Residence Determination
Cited as the basis for the annulment of the challenged decision regarding the end date of mandatory insurance as of June 30, 2018, pending further clarification.
II 2022 29 · sz (Art. 5 Abs. 3 KVG)
German National's Appeal for Swiss Health Insurance Exemption Denied
Cited when discussing the termination of Swiss insurance coverage upon relocation abroad, although not the main ground for dismissing the appeal.
VBE.2021.462 · ag (Art. 5 Abs. 2 KVG)
Mandatory Health Insurance Enrollment and Premium Surcharge in Switzerland
Cited as the legal basis for the imposition of a premium surcharge in case of inexcusable delay.
KV.2021.00053 · zh (Art. 5 Abs. 2 KVG)
German National v. Swiss Health Insurance Obligation
Cited to explain that if the accession to insurance is late, insurance begins at the time of accession, which is relevant to the court's final considerations regarding the start date of coverage.
S 2021 30 · gr (Art. 5 Abs. 3 KVG)
Cantonal Appeal Regarding Retroactive Cancellation of Mandatory Health Insurance for Incarcerated Foreign National
Cited in the reasoning regarding the termination of insurance, but deemed not applicable because the initial insurance obligation never existed.
A/3363/2019 · ge (Art. 5 al. 2 LAMal)
Health Insurance Late Affiliation Penalty Domicile Dispute
The ruling on the penalty amount (reduction/suppression) is linked to the concept of 'gêne' (hardship), which is regulated by this article.
A/2982/2019 · ge (art. 5 al. 2 LAMal)
Insurer's Failure to Warn on Retroactive Health Insurance Deadline
This article was cited in the reasoning when discussing that the excusable nature of the delay only affects the premium surcharge, not the start date of coverage, although the final order ultimately grants retroactive effect based on Art. 9 Cst.
KV.2019.00083 · zh (Art. 5 Abs. 2 KVG)
Insurance Obligation Start Date Based on Excusable Reliance on Official Assurances
The court modifies the decision regarding the start date of insurance and implicitly confirms the condition for applying a premium surcharge mentioned in this article by ruling that no surcharge applies.