821.10
EGKVGLILAMAL
CH-NE
CH-NE
Art. 18 Loi d'introduction de la loi fédérale sur l'assurance-maladie (LILAMal), du 4 octobre 1995 - Classification intermédiaire
8 Santé - Travail - Sécurité sociale - Dommages dus aux éléments - 82 Assurances sociales - 821 Assurance-maladie et accidents - CHAPITRE 2 Réduction des primes par les subsides des pouvoirs publics - Section 2: Classification
Art. 18 Loi d'introduction de la loi fédérale sur l'assurance-maladie (LILAMal), du 4 octobre 1995 · Classification intermédiaire
1 La classification peut, en outre, être revue, d'office ou sur demande, lorsque les circonstances l'exigent, en particulier en cas de modification notable de la situation familiale ou financière de l'assuré.
2. En cas de révision de la classification, le revenu déterminant se fonde sur les données financières les plus actuelles.
3. La modification de la classification résultant d'une révision d'office ou sur demande prend effet, en règle générale, à la date d'ouverture de la procédure de révision.
Décisions judiciaires appliquant cette disposition (7)
CDP.2015.299 · ne (Art. 18 al. 2 LILAMal)
Insured's Right to Health Insurance Subsidies Post-Spouse's Death Over Procedural Flaw in Benefit Termination
Cited in the reasoning regarding the need to use the most current financial data for an intermediate classification.
CDP.2015.299 · ne (Art. 18 al. 3 LILAMal)
Insured's Right to Health Insurance Subsidies Post-Spouse's Death Over Procedural Flaw in Benefit Termination
Cited in the reasoning regarding when classification changes take effect.
TA.1997.96 · ne (Art.18 al.3 LILAMal)
Restaurateur Health Insurance Premium Subsidy Eligibility Reassessment
Cited regarding the general rule for the effective date of an intermediate classification revision, although the appeal regarding the date was ultimately rejected.
TA.1997.464 · ne (art.18 al.2 LILAMal)
Partner's Private Account Liability Improperly Counted as Income for Health Insurance Subsidy Determination
Cited in the reasoning section concerning the basis for determining income in case of a classification revision, which informs the overall decision to annul.
TA.1997.464 · ne (art.18 al.3 LILAMal)
Partner's Private Account Liability Improperly Counted as Income for Health Insurance Subsidy Determination
Cited in the reasoning section concerning the general effective date of a classification modification following a revision, which informs the overall decision to annul.
TA.1997.500 · ne (art.18 al.2 LILAMal)
Merchant Health Insurance Subsidy Reclassification Dispute
Cited in the reasoning leading to the annulment, establishing that income for intermediate classification is based on the most current financial data.
TA.1997.500 · ne (art.18 al.3 LILAMal)
Merchant Health Insurance Subsidy Reclassification Dispute
Cited in the reasoning to confirm that the retroactive application of the revised classification from January 1, 1997, is acceptable.