Legislator Rechtsprechung & Gesetzgebung
I 2020 65 • VG SZ I 2020 65 KI-generiert

Accident Insurance Coverage Denial Based on Failure to Meet Statutory Illness Criteria

Geschäftsnummer I 2020 65
Gericht / Behörde
Rechtsordnung Schweiz · Kanton Schwyz (CH-SZ)
Entscheiddatum

Legislator-Zusammenfassung

KI-generiert

An individual appealed a decision concerning accident insurance coverage where the core issue was whether the claimant's diagnosis constituted an illness listed in the relevant accident statute. The court reasoned that while the claimant suffered from a condition, the medical evidence did not establish that the specific, recognized diagnosis from the statutory list was present, thus affirming the prior ruling that denied coverage based on the failure to meet the criteria for a listed occupational disease.

Legislator-Regeste

KI-generiert

Accident Insurance Coverage Denial Based on Failure to Meet Statutory Illness Criteria: The court reasoned that while the claimant suffered from a condition, the medical evidence did not establish that the specific, recognized diagnosis from the statutory list was present, thus affirming the prior ruling that denied coverage based on the failure to meet the criteria for a listed occupational disease.

Schlagwörter

KI-generiert
gesetzliche Unfallversicherung Versicherungsschutz medizinische Gründe Arbeitsunfälle unzumutbar trotz gesundheitlicher Beeinträchtigung Versicherungsvorbehalt
KI-generiert

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Volltext

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\n\n| | | |\n I 2020 65 |\n |\n \n\n

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\n\n| | | |\n |\n Entscheid vom 13. November 2020 |\n \n\n

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\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 Christina Zehnder, a.o. Gerichtsschreiberin |\n \n\n

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\n\n| | | |\n Parteien |\n A.________, \n Beschwerdeführer, |\n \n|\n |\n gegen |\n \n|\n |\n B.________ AG, \n Vorinstanz, |\n \n\n

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\n\n| | | \n Gegenstand · \n Unfallversicherung (Unfall; Listendiagnose