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5 B 40/13, 5 B 40/13 (5 C 40/13) AI generated

Invalidity of health allowance limitation for basic tariff insured civil servants due to lack of statutory authorization

Case Number 5 B 40/13, 5 B 40/13 (5 C 40/13)
Court / Authority
Jurisdiction Germany (DE)
Decision Date
Outcome Allowed / Granted
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Legislator summary

AI generated

The Federal Administrative Court admitted the revision, ruling in favor of the plaintiff (civil servant) and finding his complaint well-founded. The dispute centered on the validity of a regulation in the Federal Allowance Ordinance that restricted health allowance payments for civil servants with private "basic tariff" insurance to the flat rates agreed upon under § 75(3b) of the Fifth Book of the Social Code (SGB V). The court determined that the appeal raised a question of fundamental significance requiring clarification on whether this restriction is legally ineffective due to a lack of sufficient statutory authorization, violating the legal reservation principle. The key legal basis for the admission is § 132(2)(1) of the Administrative Court Procedure Act (VwGO), citing the need to assess the validity of § 6(5) Sentence 1 of the Federal Allowance Ordinance against constitutional requirements.

Legislator headnote

AI generated

§ 132 Abs. 2 Nr. 1 VwGO; Invalidity of health allowance limitation for basic tariff insured civil servants due to lack of statutory authorization: Die Beschwerde des Klägers ist zulässig und begründet. Die Revision ist nach § 132 Abs. 2 Nr. 1 VwGO wegen grundsätzlicher Bedeutung der Rechtssache zuzulassen.

Keywords

AI generated
basic health insurance regulations for civil servants social insurance dispute constitutional invalidity invalidity insurance tariff dispute

Cited Legislation

AI generated
§ 132 Abs. 2 Nr. 1 VwGO
Die Revision ist nach § 132 Abs. 2 Nr. 1 VwGO wegen grundsätzlicher Bedeutung der Rechtssache zuzulassen.
AI generated
5 C 1/12
Civil servant benefits: invalidity of total benefit exclusion for lack of health insurance due to insufficient statutory authorization
5 C 16/13
Unconstitutionality of Basistarif clause in Beihilfe ordinance restricting allowances for involuntarily insured civil servants under Art. 3 Abs. 1 GG
1 BvR 1120/17
Adequacy of private health insurance basic tariff and mandatory statutory coverage for formerly privately insured persons
B 12 KR 20/18 R
Mandatory health insurance continuation for civil servants: Beihilfe alone insufficient to prove alternative coverage
5 C 5/22
Insufficiency of statutory authorization for salary-group-dependent health benefit reductions under the reservation of law

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Full text

Beihilfebeschränkung für im Basistarif privat versicherte Beamte; Revisionszulassung

[GRUENDE]

Die Beschwerde des Klägers ist zulässig und begründet. Die Revision ist nach § 132 Abs. 2 Nr. 1 VwGO wegen grundsätzlicher Bedeutung der Rechtssache zuzulassen.

Die Revision kann dem Senat Gelegenheit zur Klärung der Frage geben, ob die Regelung des § 6 Abs. 5 Satz 1 Bundesbeihilfeverordnung, wonach im sog. Basistarif Versicherten Beihilfe nur nach Maßgabe der in den Verträgen nach § 75 Abs. 3b Satz 1 des Fünften Buches Sozialgesetzbuch vereinbarten Gebührenregelungen zu gewähren ist, im Hinblick auf den Grundsatz vom Vorbehalt des Gesetzes mangels hinreichender gesetzlicher Ermächtigung unwirksam ist.