Insured v. Insurance Company: Denial of Disability Benefits Appeal
Sintesi Legislator
Generato dall'IAAn insured individual filed an appeal challenging a decision by an insurance company that denied continued disability benefits following a work accident, arguing that the prerequisite medical assessment confirming continued functional limitations was disregarded. The court upheld the appeal, reasoning that the initial assessment, conducted by the treating physician and detailing ongoing functional deficits from the accident, constituted sufficient medical evidence to establish a legally recognized reduction in earning capacity, which the insurance company had failed to adequately refute with contradictory expert findings.
Regesto Legislator
Generato dall'IAArt. 66 al. 1 BGG; Insured v. Insurance Company: Denial of Disability Benefits Appeal: The court upheld the appeal, reasoning that the initial assessment, conducted by the treating physician and detailing ongoing functional deficits from the accident, constituted sufficient medical evidence to establish a legally recognized reduction in earning capacity, which the insurance company had failed to adequately refute with contradictory expert findings.
Parole chiave
Generato dall'IADisposizioni normative citate
Generato dall'IADecisioni correlate
Generato dall'IAQuestioni giuridiche chiave estratte da Legislator
Generato dall'IAThe provision was cited in the dispositive to regulate the costs of the appeal proceedings.
Testo completo
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\n\n| | | |\n I 2020 23 |\n |\n \n\n
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\n\n| | | |\n |\n Entscheid vom 9. September 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 Aaron Steiner, a.o. Gerichtsschreiber |\n \n\n
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\n\n| | | |\n Parteien |\n C.________, \n Beschwerdeführerin, \n vertreten durch Rechtsanwalt lic.iur. D.________, |\n \n|\n |\n gegen |\n \n|\n |\n E.________, Versicherungs-Gesellschaft AG, E.________, 1001 Lausanne, \n Vorinstanz, |\n \n\n
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\n\n| | | |\n Gegenstand |\n Unfallversicherung (Leistungen) |\n \n\n
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