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842.1.13 VKPORP CH-FR

Art. 3 Ordinance on the Reduction of Health Insurance Premiums (ORP) - Entitled Persons (Art. 12 KVGG)

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Art. 3 VKP · Entitled Persons (Art. 12 KVGG)

1. Insured individuals and families are entitled to premium reduction if their annual assessable income does not exceed the following limits

a) 37,000 Swiss francs for single persons;

b) 43,400 Swiss francs for single persons with one or more dependent children;

c) 65,000 Swiss francs for married couples and registered partnerships.

2. These income limits are increased by 14,000 Swiss francs for each dependent child.

3. Dependent children are considered to be

a) Minors for whom there is an obligation of support;

b) Young adults in education (students or apprentices) for whom there is an obligation of support, up to the year in which they reach the age of 25;

c) Young adults who have not yet started or completed an appropriate vocational training and earn less than 18,000 Swiss francs within a twelve-month period, up to the year in which they reach the age of 25.

4. Dependent children can only be considered once in calculating the income limit of the mother or father, regardless of whether they live with one or both parents in a common household; the provision of Article 5 paragraph 6 applies, and in the case of a change in custody, Article 5 paragraph 5 remains reserved.

5. Upon written request, young adults between the ages of 18 and 25 can apply for an individual review of their dossier if they can prove that their parents no longer have an obligation of support towards them.

6. For young adults with completed vocational training who have already received a premium reduction with their parents and for whom there is generally no longer an obligation of support, the entitlement must still be calculated with the parents until the end of the current year. In the following year, they must submit their own application from January 1st according to Article 2.

7. Partners and children who are insured and reside abroad are not considered in determining the income limit.

← Art. 2 VKP - Submission of the Application (Art. 11 KVGG) Ordinance on the Reduction of Health Insurance Premiums (ORP) - Subject and Purpose Art. 4 VKP - Exceptions (Art. 13 KVGG) →

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Court Decisions Applying This Provision (26)

608 2024 140 · fr (Art. 3 al. 1 let. a ORP)
Administrative Appeal Regarding Health Insurance Premium Reduction Eligibility Based on Two-Year Income Lookback Rule
This provision defines the income limit (CHF 37'000) applicable to the appellant, confirmed by the court's decision on the applicable income limit.
608 2024 140 · fr (Art. 3 al. 4 ORP)
Administrative Appeal Regarding Health Insurance Premium Reduction Eligibility Based on Two-Year Income Lookback Rule
Mentioned implicitly as the basis for confirming the applicable income limit for the appellant (personne seule, sans enfant).
608 2022 189 · fr (Art. 3 al. 1 ORP)
Appeal Against Health Insurance Premium Reduction Based on Income Assessment
Cited in the reasoning to specify the income limits for entitlement to premium reduction for single persons without children.
608 2022 189 · fr (Art. 3 al. 1 let. a ORP)
Appeal Against Health Insurance Premium Reduction Based on Income Assessment
Cited to establish the income threshold below which the appellant would have been entitled to a premium reduction, which he exceeded.
608 2022 189 · fr (Art. 3 al. 2 let. a ORP)
Appeal Against Health Insurance Premium Reduction Based on Income Assessment
Cited in the reasoning to define what constitutes a dependent child.
608 2022 189 · fr (Art. 3 al. 2 let. b ORP)
Appeal Against Health Insurance Premium Reduction Based on Income Assessment
Cited in the reasoning to define what constitutes a dependent young adult in training.
608 2022 189 · fr (Art. 3 al. 2 let. c ORP)
Appeal Against Health Insurance Premium Reduction Based on Income Assessment
Cited in the reasoning to define what constitutes a dependent young adult not in training.
608 2022 26 · fr (Art. 3 al. 1 let. a ORP)
Appeal Regarding Health Insurance Premium Reduction Based on Income Assessment Year
This provision establishes the relevant income threshold (CHF 36'000 for a single person without children) against which the appellant's calculated income was compared, leading to the rejection of the appeal.
608 2021 87 · fr (art. 3 al. 1 ORP)
Insurance Premium Reduction Denial Upheld Based on 2021 Family Status
Cited to specify the income limits for single persons without children (CHF 36'000.-) and with children (CHF 43'400.-).
608 2021 87 · fr (art. 3 al. 1 ORP)
Insurance Premium Reduction Denial Upheld Based on 2021 Family Status
Used to confirm the income threshold applied to the appellant as a single person without children (CHF 36'000.-).
608 2021 87 · fr (art. 3 al. 4 ORP)
Insurance Premium Reduction Denial Upheld Based on 2021 Family Status
Cited in relation to the rule that a dependent child can only be counted once in the income limit calculation, subject to custody transfer rules.
608 2017 294 · fr (Art. 3 al. 1 let. a ORP)
Insured Denied 2018 Premium Reduction Based on 2016 Income Assessment
Cited in the reasoning to establish the income threshold for a single person without children for the year in question.
608 2016 215 · fr (Art. 3 al. 1 ORP)
Student Health Insurance Premium Reduction Appeal Based on Parental Income Assessment
Cited to specify the income limits set by the State Council for determining modest economic condition.
608 2016 215 · fr (Art. 3 al. 2 ORP)
Student Health Insurance Premium Reduction Appeal Based on Parental Income Assessment
Cited to specify the additional amount added to the income limits for each dependent child.
608 2016 41 · fr (Art. 3 al. 1 let. c ORP)
Insured Person v. Health Insurance Fund Regarding Retroactive Benefit Inclusion in Income Calculation for Premium Reduction
This article sets the income threshold of CHF 36,000 for persons without dependents, which the Court used to confirm the rejection of subsidies.