853.100
LCAMALKVGAV
CH-TI
CH-TI
Art. 67 LCAMal Legge di applicazione della legge federale sull’assicurazione malattie (LCAMal)
LCAMal
Art. 67 LCAMal
1 Le convenzioni tariffali stipulate, da un lato, da uno o più fornitori di prestazioni o federazioni di fornitori di prestazioni e, dall’altro, da uno o più assicuratori o federazioni di assicuratori, devono garantire un servizio sanitario efficiente in tutto il Cantone, conformemente alle disposizioni di legge e nel rispetto dei principi di equità e di economicità.
2 In particolare i fornitori di prestazioni e gli assicuratori prevedono nelle convenzioni tariffali norme destinate a garantire l’economicità delle prestazioni.
Decisioni giudiziarie che applicano questa disposizione (74)
36.2010.86 · ti (Art. 67 vReg. LCAMal (= art. 31 nReg. LCAMal))
Insured Denied Health Premium Reduction Appeal Due to Untimely Submission
Cited in the context of situations where the administration must independently calculate income outside the reference taxation.
36.2009.145 · ti (Art. 67 vReg. LCAMal)
Insured Person v. Mandatory Health Insurance Fund (Late Application for Premium Reduction)
Cited in the reasoning (point 4) as the previous version of Article 31 Reg. LCAMal, listing cases where income must be independently determined by the IAS.
36.2009.110 · ti (Art. 67 Reg. LCAMal)
Insured Denied Premium Reduction for Failure to Use Mandated Reference Tax Year
Cited in reasoning as the provision referring to the important decrease in income (letter m) justifying autonomous assessment.
36.2009.110 · ti (Art. 67 vReg. LCAMal)
Insured Denied Premium Reduction for Failure to Use Mandated Reference Tax Year
Cited in reasoning as the previous regulation number corresponding to the current grounds for autonomous assessment (Art. 31 nReg. LCAMal).
36.2009.33 · ti (Art. 67 vReg. LCAMal)
Insured Denied Premium Reduction Based on Asset Assessment
Cited as the previous version of Art. 31 Reg. LCAMal, listing cases for autonomous assessment.
36.2009.4 · ti (art. 67 Reg. LCAMal [ora art. 31 RLCAMal])
Insured Denied Health Insurance Premium Subsidy Based on Income Calculation
Cited in the reasoning section regarding the comparison of current income data with reference taxation data in cases of significant income decrease.
36.2008.56 · ti (art. 67 Reg. LCAMal, letter d)
Applicant v. State: Health Insurance Subsidy Eligibility Based on Outdated Income Metric
Cited in the reasoning section regarding autonomous income assessment for sole individuals with low taxable income.
36.2008.56 · ti (art. 67 Reg. LCAMal, letter m)
Applicant v. State: Health Insurance Subsidy Eligibility Based on Outdated Income Metric
Cited in the reasoning section as the provision allowing for the comparison of recent income with reference taxation data when there is a significant decrease in income.
36.2007.172 · ti (art. 67 litt. m Reg. LCAMal)
Appeal on Mandatory Health Insurance Subsidy Based on Imputed Rental Income Reduction
Cited when concluding that the notional rental value decrease is excluded from the list of grounds for autonomous assessment under this provision.
36.2007.172 · ti (art. 67 litt. m Reg. LCAMal)
Appeal on Mandatory Health Insurance Subsidy Based on Imputed Rental Income Reduction
Cited when discussing whether the reduction of rental value should be considered for autonomous income assessment.
36.2007.172 · ti (art. 67 litt. m. Reg. LCAMal)
Appeal on Mandatory Health Insurance Subsidy Based on Imputed Rental Income Reduction
Cited regarding the condition for autonomous income assessment which the appellant implicitly relied upon.
36.2007.80 · ti (Art. 67 Reg. LCAMal)
Insured Denied Premium Reduction and Improperly Seeking Revision
Cited as a condition for revision of a subsidy decision, but found not to be met in the specific case.
36.2007.42 · ti (art. 67 Reg. LCAMal)
Insured Party v. Health Insurance Premium Subsidy Board (Appeal of Revision Denial)
Cited extensively in the reasoning to deny the grounds for revision, but not explicitly cited in the dispositive orders 1-4.
36.2007.60 · ti (Art. 67 Reg. LCAMal)
Appeal of 2007 Health Insurance Subsidy Denial Based on 2004 Income and Net Worth Data
This article lists specific cases where the Social Insurance Institute autonomously assesses the determining income, which the appellant tried to invoke based on asset reduction.
36.2007.41 · ti (Art. 67 Reg. LCAMal)
Insurance Subsidy Denial Upheld Based on Assumed Income Calculation
Regulation cited listing cases where IAS must autonomously determine income (Cited in reasoning, not dispositive).