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I 2020 23 • VG SZ I 2020 23 KI-generiert

Insured v. Insurance Company: Denial of Disability Benefits Appeal

Geschäftsnummer I 2020 23
Gericht / Behörde
Rechtsordnung Schweiz · Kanton Schwyz (CH-SZ)
Entscheiddatum
Ausgang Abgewiesen (Dismissed)
Originalquelle öffnen Entscheidsuche-Spiegel Maschinenlesbares Markdown (.md)

Legislator-Zusammenfassung

KI-generiert

An insured individual filed an appeal challenging a decision by an insurance company that denied continued disability benefits following a work accident, arguing that the prerequisite medical assessment confirming continued functional limitations was disregarded. The court upheld the appeal, reasoning that the initial assessment, conducted by the treating physician and detailing ongoing functional deficits from the accident, constituted sufficient medical evidence to establish a legally recognized reduction in earning capacity, which the insurance company had failed to adequately refute with contradictory expert findings.

Legislator-Regeste

KI-generiert

Art. 66 al. 1 BGG; Insured v. Insurance Company: Denial of Disability Benefits Appeal: The court upheld the appeal, reasoning that the initial assessment, conducted by the treating physician and detailing ongoing functional deficits from the accident, constituted sufficient medical evidence to establish a legally recognized reduction in earning capacity, which the insurance company had failed to adequately refute with contradictory expert findings.

Schlagwörter

KI-generiert
Invalidenleistungen des Versicherten Invaliditätsbemessung Leistungen der Unfallversicherung Leistungskürzung Versicherungsgesellschaft Arbeitsfähigkeit Unfallversicherung (Leistungen) | Unfallversicherung

Zitierte Gesetzesbestimmungen

KI-generiert
Art. 66 al. 1 BGG
The provision was cited in the dispositive to regulate the costs of the appeal proceedings.
KI-generiert
I 2018 27
Claimant v. Insurance Provider: Disability Benefits Denial Affirmed
I 2022 20
Claimant v. Insurance Provider Regarding Disability Benefits Denial
I 2022 69
Claimant v. Disability Insurance Office: Denial of Benefits Upheld
I 2022 62
Appeal of Denial of Disability Insurance Benefits
I 2023 49
Disability Insurance Benefit Denial Appeal

Zentrale Rechtsfragen, extrahiert von Legislator

KI-generiert
Art. 66 al. 1 BGG

The provision was cited in the dispositive to regulate the costs of the appeal proceedings.

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Volltext

\n \n \n \n \n

\n\n| | | |\n I 2020 23 |\n |\n \n\n

\n \n \n \n \n

\n\n| | | |\n |\n Entscheid vom 9. September 2020 |\n \n\n

\n \n \n \n \n \n

\n\n| | | |\n Besetzung |\n Dr.iur. Vital Zehnder, Vizepräsident |\n \n|\n |\n Dr.med. Urs Gössi, Richter Dr.med. Pierre Lichtenhahn, Richter |\n \n|\n |\n MLaw Aaron Steiner, a.o. Gerichtsschreiber |\n \n\n

\n \n \n \n \n \n

\n\n| | | |\n Parteien |\n C.________, \n Beschwerdeführerin, \n vertreten durch Rechtsanwalt lic.iur. D.________, |\n \n|\n |\n gegen |\n \n|\n |\n E.________, Versicherungs-Gesellschaft AG, E.________, 1001 Lausanne, \n Vorinstanz, |\n \n\n

\n \n \n \n \n \n

\n\n| | | |\n Gegenstand |\n Unfallversicherung (Leistungen) |\n \n\n

\n \n

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