Supreme Court dismissed insurance company's appeal regarding partial payment gap in work injury compensation claim.
Legislator-Zusammenfassung
KI-generiertThe Supreme Court dismissed the insurance company's appeal concerning a specific period of unpaid compensation for a work-related shoulder injury. The insured received coverage for periods before and after October 16, 2009, but the insurer argued the gap between October 16 and November 29, 2009, was not covered. The court ruled that the insured's right to compensation for this specific interval was established by the initial injury assessment and subsequent medical treatment records, rejecting the insurer's contention that the gap required separate justification.
Legislator-Regeste
KI-generiertInsurance Act 1971; Workmen's Compensation Act 1982: The court established that a gap in periodic payments for a continuous work injury does not negate the insured's right to compensation if the injury and treatment continuity are medically documented.
Schlagwörter
KI-generiertZitierte Gesetzesbestimmungen
KI-generiertVerwandte Entscheide
KI-generiertVolltext
Vakuutusyhtiö oli maksanut vakuutetulle korvausta 12.11.2007 sattuneesta tapaturmasta aiheutuneesta vasemman olkapään kiertäjäkalvosimen repeämästä 15.10.2009 saakka sekä ajalta 30.11. - 30.12.2010. Kysymys vakuutetun oikeudesta korvaukseen ajalla 16.10.2009 - 29.11.2010.