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Art. 42 LCAMal Legge di applicazione della legge federale sull’assicurazione malattie (LCAMal)

LCAMal

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Art. 42 LCAMal

[82] 1 I beneficiari di prestazioni complementari AVS/AI sono esentati dal presentare l’istanza di riduzione dei premi.

2 Se il premio effettivamente dovuto dal beneficiario di prestazioni complementari all’AVS/AI al suo assicuratore malattie è inferiore al premio forfettario previsto dall’ordinanza del Dipartimento federale dell’interno valida per l’anno di riferimento, l’importo di riduzione dei premi corrisponde al premio effettivamente dovuto.

Se il premio effettivamente dovuto dal beneficiario di prestazioni complementari all’AVS/AI al suo assicuratore malattie è superiore al premio forfettario previsto dall’ordinanza del Dipartimento federale dell’interno valida per l’anno di riferimento, l’importo di riduzione dei premi corrisponde al premio forfettario.

3 La riduzione dei premi di cui al cpv. 2 è versata direttamente dal Cantone agli assicuratori malattie.

[82] Art. modificato dalla L 14.12.2011; in vigore dal 1.1.2012 - BU 2012, 54; precedenti modifiche: BU 2007, 48; BU 2010, 297.

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Decisioni giudiziarie che applicano questa disposizione (27)

36.2021.23 · ti (art. 42 LCAMal)

Insured Domicile on January 1st Determines Subsidy Competence

Cited in reasoning regarding beneficiaries of supplementary benefits.

36.2020.20 · ti (art. 42 e 43 LCAMal)

Insured Party v. Health Insurance Authority Regarding Premium Reduction Calculation

Cited in the reasoning to specify cases where the written application with documentation is not required for premium reduction.

36.2020.18 · ti (art. 42 e 43 LCAMal)

Insured's Appeal of Mandatory Health Insurance Premium Reduction Denial Upheld on Available Income Calculation

Cited in the reasoning concerning exceptions to the requirement for a written application (beneficiaries of complementary benefits or Laps benefits).

36.2019.63 · ti (Art. 42 cpv. 1 LCAMal)

Insurance Premium Reduction Retroactivity Denial

Cited in the reasoning regarding beneficiaries of harmonized benefits receiving maximum RIPAM automatically.

36.2019.52 · ti (art. 42 e 43 LCAMal)

Petitioner v. Compensation Fund (Health Insurance Reduction Recalculation)

Cited regarding beneficiaries of complementary benefits (PC AVS/AI) and Laps, but not in the final orders.

36.2018.76 · ti (art. 42 e 43 LCAMal)

Insured Denied Health Insurance Premium Reduction Despite Father's Death

Cited regarding exceptions to the written application requirement for beneficiaries of supplementary benefits.

36.2018.8 · ti (art. 42 LCAMal)

Health Insurance Premium Reduction Revocation Upheld Due to Undisclosed Cohabitation and Income Aggregation

Exempts beneficiaries of complementary AVS/AI benefits from the standard application procedure.

36.2018.2 · ti (Art. 42 LCAMal)

Health Insurance Premium Reduction Denial Upheld on Income Calculation and Reference Unit Composition

Mentioned as an exception to the general rule for submitting applications.

33.2017.3 · ti (Art. 42 LCAMal cpv. 2)

Supplementary Benefits Calculation Based on Exempt Health Insurance Premium Status

This provision was cited in the reasoning concerning the non-payment of the health insurance premium, which was ultimately superseded by the final finding of no excess expenses.

36.2017.49 · ti (art. 42 e 43 LCAMal)

Health Insurance Premium Reduction Recalculation Due to Undisclosed Cohabitant and Student Dependent

Cited in the reasoning regarding exceptions to the written application requirement for recipients of supplementary benefits.

36.2016.54 · ti (Art. 42 e 43 LCAMal)

Social Security Premium Reduction Revocation Upheld Due to Stable Cohabitation and Income Aggregation

Cited as exceptions to the general rule requiring a written application for RIPAM.

36.2016.17 · ti (art. 42 LCAMal)

Health Insurance Premium Reduction Eligibility Based on Stable Cohabitation

Relates to exceptions concerning applicants receiving supplementary benefits from AVS/AI.

36.2015.55 · ti (Art. 42 e 43 LCAMal)

Appeal Regarding Rejection of Health Insurance Premium Reduction Based on 2015 Income Data

Cited in the reasoning listing exceptions where RIPAM is granted based on entitlement to complementary benefits.

36.2014.6 · ti (art. 42 e 43 LCAMal)

Taxpayer Appeal: Property Value Attribution Following Habitation Right Establishment

Cited in reasoning 2.3 regarding exceptions for beneficiaries of supplementary benefits.

36.2013.28 · ti (Art. 42 LCAMal)

Appellant v. Health Insurance Fund on Premium Subsidy Calculation

Mentioned in the reasoning regarding exceptions to receiving RIPAM for PC beneficiaries, though not explicitly used in the final orders.