Accident Insurance Coverage Denial Based on Failure to Meet Statutory Illness Criteria
Sintesi Legislator
Generato dall'IAAn individual appealed a decision concerning accident insurance coverage where the core issue was whether the claimant's diagnosis constituted an illness listed in the relevant accident statute. The court reasoned that while the claimant suffered from a condition, the medical evidence did not establish that the specific, recognized diagnosis from the statutory list was present, thus affirming the prior ruling that denied coverage based on the failure to meet the criteria for a listed occupational disease.
Regesto Legislator
Generato dall'IAAccident Insurance Coverage Denial Based on Failure to Meet Statutory Illness Criteria: The court reasoned that while the claimant suffered from a condition, the medical evidence did not establish that the specific, recognized diagnosis from the statutory list was present, thus affirming the prior ruling that denied coverage based on the failure to meet the criteria for a listed occupational disease.
Parole chiave
Generato dall'IADecisioni correlate
Generato dall'IATesto completo
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\n\n| | | |\n I 2020 65 |\n |\n \n\n
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\n\n| | | |\n |\n Entscheid vom 13. November 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 Christina Zehnder, a.o. Gerichtsschreiberin |\n \n\n
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\n\n| | | |\n Parteien |\n A.________, \n Beschwerdeführer, |\n \n|\n |\n gegen |\n \n|\n |\n B.________ AG, \n Vorinstanz, |\n \n\n
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\n\n| | | \n Gegenstand · \n Unfallversicherung (Unfall; Listendiagnose