Legislator Jurisprudence & Législation
832.102 KUVG CH-VS

Art. 1 Règlement concernant la composition et l'organisation du tribunal arbitral prévu à l'article 25 de la LAMA, ainsi que la procédure à suivre devant ce tribunal

Organisation
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Art. 1 Règlement concernant la composition et l'organisation du tribunal arbitral prévu à l'article 25 de la LAMA, ainsi que la procédure à suivre devant ce tribunal

1. Le Conseil d'Etat nomme tous les quatre ans, pour la période législative en cours et en qualité d'arbitres chargés de juger les contestations entre caisses d'assurances (Caisse nationale et caisses-maladie), d'une part, et les médecins, pharmaciens, chiropraticiens, sages-femmes, personnel paramédical, laboratoires ou établissements hospitaliers, d'autre part

a) le président du Tribunal cantonal des assurances, comme président;

b) un représentant de la Caisse nationale;

c) un représentant des caisses-maladie;

d) un représentant de la Société médicale;

e) un représentant de la Société des pharmaciens;

f) un représentant des chiropraticiens;

g) un représentant des sages-femmes;

h) un représentant du personnel paramédical;

i) un représentant des laboratoires;

j) un représentant des établissements hospitaliers;

k) un suppléant pour chacun de ces groupes d'intéressés.

2. Ceux-ci sont consultés sur le choix des candidats.

Organisation Art. 2 Règlement concernant la composition et l'organisation du tribunal arbitral prévu à l'article 25 de la LAMA, ainsi que la procédure à suivre devant ce tribunal →

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Décisions judiciaires appliquant cette disposition (91)

KV.2024.00008 · zh (Art. 1 Abs. 1 KVV)
Insurer's Decision on Health Insurance Contract Adjustment Upheld Based on Pension Recipient's Habitual Residence
Cited as part of the legal framework confirming that the place of residence is determined according to Art. 23-26 ZGB.
200 2024 218 · be (Art. 1 Abs. 1 KVV)
Health Insurer Challenge Against Retroactive Compulsory Insurance Assignment
Cited in the reasoning defining the application of ZGB concerning residence.
200 2024 218 · be (Art. 1 Abs. 2 KVV)
Health Insurer Challenge Against Retroactive Compulsory Insurance Assignment
Cited in the reasoning regarding the insurance obligation for persons without residence in Switzerland.
KV.2023.10 · sg (Art. 1 Abs. 1 KVV)
Swiss Health Insurance Obligation During Short-Term Foreign Stay
Used in conjunction with Art. 3 Abs. 1 KVG to establish the health insurance obligation based on residence.
A/238/2023 · ge (art. 1 al. 2 let. c OAMal)
Asylum Seeker v. Health Insurer: Retroactive Insurance Coverage Due to Insurer's Omission
Basis for the right and obligation to be insured starting from the date of provisional admission.
KV.2023.00010 · zh (Art. 1 Abs. 2 lit. a KVV)
Insurer Liability for Foreign National's Medical Treatment Costs Affirmed
This provision was cited in the final dispositive orders (implicitly, as the main ground for dismissing the appeal, which confirmed the obligation to insure based on this article).
KV.2023.00010 · zh (Art. 1 Abs. 2 lit. a KVV)
Health Insurer v. Social Services Department Regarding Medical Visitor's Insurance Liability
Cited as the basis for determining that the insured person was subject to mandatory insurance due to receiving a short-stay residence permit.
KV.2021.00059 · zh (Art. 1 KVV)
Cross-Border Employee's Right to Switch to Mandatory Swiss Health Insurance Based on Legitimate Expectation
Mentioned in the reasoning regarding insurance obligation, but not cited in the operative orders.
KV.2021.00026 · zh (Art. 1 Abs. 2 lit. d KVV)
Swiss Health Insurance Obligation for Cross-Border Worker
This provision, in conjunction with Art. 3 Abs. 3 KVG, establishes that the person is subject to mandatory insurance even if they reside abroad.
KV.2021.00024 · zh (Art. 1 Abs. 1 KVV)
Dutch National Denied Swiss Health Insurance Exemption
Extends the insurance obligation to foreigners with a residence permit of at least three months.
A/1099/2021 · ge (Art. 1 al. 1 OAMal)
Swiss Nationals Compulsory Health Insurance Affiliation Appeal
Cited in the reasoning regarding who is required to be insured (Point 5a), not in the operative part.
A/1099/2021 · ge (Art. 1 al. 2 let. a OAMal)
Swiss Nationals Compulsory Health Insurance Affiliation Appeal
Cited in the reasoning regarding foreign nationals required to be insured (Point 5a), not in the operative part.
36.2021.23 · ti (art. 1 cpv. 1 OAMal)
Insured Domicile on January 1st Determines Subsidy Competence
Cited in reasoning regarding who is required to insure themselves based on Swiss domicile.
608 2020 86 · fr (Art. 1 al. 1 OAMal)
Termination of International Health Assistance for Swiss Pension Recipients
Cited to specify the scope of persons required to be insured under Art. 3 LAMal.
A/1144/2020 · ge (Art. 1 al. 1 OAMal)
Mandatory Swiss Health Insurance Affiliation Upheld Despite Broader Foreign Coverage
Cited in the reasoning regarding the obligation to affiliate upon taking up residence or birth in Switzerland.