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I 2021 19 • VG SZ I 2021 19 Generato dall'IA

Sickness Benefit Denial Due to Insufficient Medical Documentation

Numero d'incarto I 2021 19
Autorità giudiziaria
Giurisdizione Svizzera · Canton Svitto (CH-SZ)
Data della decisione
Apri la fonte ufficiale Archivio Entscheidsuche Versione Markdown leggibile dalle macchine (.md)

Sintesi Legislator

Generato dall'IA

The case concerns a dispute over sickness benefits under mandatory health insurance, where the claimant sought daily sickness benefits after an alleged illness, but the insurer denied the claim. The court reasoned that although the claimant reported symptoms and underwent medical examinations, the medical documentation did not sufficiently establish an incapacity to work caused by a specific illness, leading to the rejection of the claim for daily benefits.

Regesto Legislator

Generato dall'IA

Sickness Benefit Denial Due to Insufficient Medical Documentation: The court reasoned that although the claimant reported symptoms and underwent medical examinations, the medical documentation did not sufficiently establish an incapacity to work caused by a specific illness, leading to the rejection of the claim for daily benefits.

Parole chiave

Generato dall'IA
domanda di prestazione d'assicurazione assicurazione malattia visita medica motivi medici prestazione obbligatoria incapacità di lavoro
Generato dall'IA
I 2021 11
Appeal of Disability Insurance Denial Based on Insufficient Medical Evidence
I 2020 21
Invalidity Insurance Pension Denial Due to Insufficient Medical Evidence
I 2021 70
Denial of Disability Insurance Benefits Upheld Due to Insufficient Medical Evidence of Impairment
I 2022 40
Insured Recovers Sickness Benefits Despite Alleged Pre-Existing Condition Misrepresentation
I 2019 80
Dispute Over Sickness Daily Benefits

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Testo completo

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\n\n| | | |\n I 2021 19 |\n |\n \n\n

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\n\n| | | |\n |\n Urteil vom 19. Oktober 2021 |\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 Stefanie Zlauwinen, a.o. Gerichtsschreiberin |\n \n\n

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\n\n| | | |\n Parteien |\n A.________, \n Klägerin, \n vertreten durch Rechtsanwalt lic.iur. B.________, |\n \n|\n |\n gegen |\n \n|\n |\n C.________, \n Beklagte, |\n \n\n

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\n\n| | | |\n Gegenstand |\n Krankenversicherung (Krankentaggeld nach VVG) |\n \n\n

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