832.01
LVLAMAL
CH-VD
CH-VD
Art. 9 Vaud Act implementing the Federal Act on Health Insurance (LVLAMal) - Beneficiaries [ 10, 11 ]
Title II, Chapter I
Art. 9 LVLAMal - Beneficiaries [ 10, 11 ] · Beneficiaries [ 10, 11 ]
1. Insured individuals of modest economic condition subject to this law as per Article 2 may benefit from a subsidy for the payment of all or part of their premiums for mandatory health care insurance.
2. Persons are considered to be of modest economic condition if their income calculated in accordance with Articles 11 and 12 is equal to or below the limits set by the Council of State, or if they meet the conditions for the granting of a specific subsidy within the meaning of Article 17a.
3. Specifically, a person is not considered to be of modest economic condition if they have insufficient financial resources due to a deliberate choice on their part.
4. Regulation [E] specifies the cases in which insured individuals cannot evidently be considered to be of modest economic condition.
Court Decisions Applying This Provision (29)
LAVAM.6.22.3.2023 · vd (art. 9 al. 3 LVLAMal)
Insured v. Subsidy Authority (Medical Limitation on Earning Capacity)
This provision, concerning the definition of modest economic condition, was used in the reasoning to determine that an insured person deliberately maintaining insufficient resources is excluded, although the final order admitted the appeal based on the grounds that the taxpayer's reduced capacity was medically justified (thus overcoming the presumption of deliberate choice implied by this article).
LAVAM.2.22.2.2023 · vd (art. 9 al. 1 LVLAMal)
Insured's Appeal Against Restitution of Health Insurance Subsidies Following Inheritance
Cited in the context of the initial condition for receiving subsidies, which was relevant to the initial decision challenged.
LAVAM.4.22.9.2022 · vd (Art. 9 al. 3 LVLAMal)
Claimant v. State Insurance Fund (Health Insurance Subsidies)
Cited as a key provision defining who is not considered to be of modest economic standing, particularly concerning deliberate renunciation of earning capacity, which was central to denying the subsidy for certain periods.
Arr.t.2022.283 · vd (art. 9 al. 3 LVLAMal)
Appeal Dismissed: Voluntary Renunciation of Employment Precludes Health Insurance Subsidy Eligibility
This provision was cited in the final order (III) as it establishes the condition for denying the subsidy based on a deliberate choice leading to insufficient financial resources.
HC.2021.168 · vd (Art. 9 LVLAMal)
Cantonal Liability for Official's Negligence in Disability Claim Appeal
Cited in the reasoning section regarding subsides for insured persons of modest economic condition in Vaud.
Arr.t.2021.16 · vd (art. 9 LVLAMal)
Appeal Regarding 2017 Health Insurance Subsidy Denial Based on Annualized Unemployment Income
Cited as the cantonal implementation determining that modestly situated insured persons can benefit from a subsidy based on income calculated according to Articles 11 and 12 LVLAMal.
Arr.t.2019.522 · vd (art. 9 al. 2 LVLAMal)
Appeal on Health Insurance Subsidy Reduction Based on Untimely Opposition and Income Calculation
Defines low-income insured persons whose income is equal to or less than the reference income calculated according to Articles 11 and 12 LVLAMal, relevant for the subsidy entitlement.
Arr.t.2017.789 · vd (Art. 9 LVLAMal)
Insured Denied Premium Subsidies Due to Insufficient Job Search Efforts
This provision defines who is considered an insured person of modest economic condition for the purpose of subsidies.
Arr.t.2017.137 · vd (Art. 9 al. 3 LVLAMal)
Insured Person's Deliberate Part-Time Employment Bars Health Insurance Subsidy Eligibility
This provision defines a person not considered of modest economic status, which was the basis for rejecting the appeal in the final order.
Arr.t.2016.81 · vd (Art. 9 al. 3 LVLAMal)
Provisional Resident Denied Health Subsidies Due to Public Assistance and Employment Status
Cited as part of the legal basis for denying the right to subsidies because the appellant chose not to use their earning capacity.
Arr.t.2015.1058 · vd (Art. 9 al. 1 LVLAMal)
Health Insurance Subsidy Denial Upheld for Voluntary Underemployment
This provision, cited in the reasoning before the final orders, defines the general right to a premium reduction for insured persons of modest economic standing, justifying the overall framework for the decision.
Arr.t.2015.1058 · vd (Art. 9 al. 3 LVLAMal)
Health Insurance Subsidy Denial Upheld for Voluntary Underemployment
This provision defines who is not considered to be of modest economic standing, specifically excluding those who deliberately forgo their full earning capacity, which was the basis for rejecting the appeal.
Arr.t.2015.617 · vd (Art. 9 LVLAMal)
Insured Person v. Insurance Office Regarding Sickness Benefit Subsidy Recalculation
Cited in the introductory list of applicable provisions and relates to the definition of insured persons eligible for subsidies.
Arr.t.2014.317 · vd (Art. 9 al. 3 LVLAMal)
Insurance Subsidy Eligibility Based on Intentional Unemployment
This provision excludes persons with insufficient financial resources due to deliberate choice from being considered of modest economic status, justifying the rejection of the subsidy.
Arr.t.2014.117 · vd (Art. 9 LVLAMal)
Appeal Dismissed: Denial of 2013 Health Insurance Subsidies Upheld Due to Voluntary Income Limitation
The rejection of the appeal confirms the denial of the subsidy based on the criteria established in this article.