830.11 ATSVOPGA

CH

Art. 5 Ordinanza dell' 11 settembre 2002 sulla parte generale del diritto delle assicurazioni sociali (OPGA) - Gravi difficoltà

OPGA; Capitolo 1: Disposizioni concernenti le prestazioni

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Art. 5 OPGA · Gravi difficoltà

La grave difficoltà ai sensi dell’articolo 25 capoverso 1 LPGA è data quando le spese riconosciute a norma della legge federale del 6 ottobre 2006 sulle prestazioni complementari all’assicurazione per la vecchiaia, i superstiti e l’invalidità (LPC) e le spese supplementari di cui al capoverso 4 superano i redditi determinanti secondo la LPC.

Per il calcolo delle spese riconosciute ai sensi del capoverso 1 sono computati: a. per le persone che vivono a casa: quale pigione di un appartamento, l’importo massimo secondo le categorie di cui all’articolo 10 capoverso 1 lettera b LPC; b. per le persone che vivono in un istituto o in un ospedale: quale importo per le spese personali, 4800 franchi l’anno; c. per tutti: quale importo forfettario per l’assicurazione obbligatoria delle cure medico-sanitarie, il premio massimo per la rispettiva categoria secondo la versione vigente dell’ordinanza del Dipartimento federale dell’interno (DFI) sui premi medi cantonali e regionali dell’assicurazione delle cure medico-sanitarie per il calcolo delle prestazioni complementari.

Per le persone che vivono in un istituto o in un ospedale il computo della sostanza ammonta ad un quindicesimo della sostanza netta, ad un decimo se si tratta di beneficiari di rendite di vecchiaia. Nel caso di persone parzialmente invalide è computato solo il reddito effettivo ottenuto dall’attività lucrativa. Non è tenuto conto di un’eventuale limitazione cantonale delle spese per il soggiorno in un istituto.

Sono computati come spese supplementari: a. per le persone sole, 8000 franchi; b. per i coniugi, 12 000 franchi; c. per gli orfani che hanno diritto a una rendita e i figli che danno diritto a una rendita per figli dell’AVS o dell’AI, 4000 franchi per figlio.

← Art. 4 OPGA Ordinanza dell' 11 settembre 2002 sulla parte generale del diritto delle assicurazioni sociali (OPGA) Art. 6 OPGA →

Decisioni giudiziarie che applicano questa disposizione (186)

AB.2025.00008 · zh (Art. 5 Abs. 1 ATSV)

Old-Age Pension Overpayment Remitted Due to Good Faith and Financial Hardship

This article defines when great hardship occurs, which is a condition for waiving repayment.

33.2024.23 · ti (art. 5 cpv. 1 OPGA)

Claimant v. Cantonal Compensation Fund (Waiver of Overpayment Repayment)

Cited in the reasoning (2.4) to define what constitutes severe hardship (grave difficulty) in relation to expenses versus income.

745.23.388.141 · bl (Art. 5 Abs. 1 ATSV)

Intellectual Disability and Good Faith Repayment of Benefits

This provision, read in conjunction with Art. 25 Abs. 1 ATSG, defines the conditions for great hardship, which was a criterion for waiving the refund.

200 2023 88 · be (art. 4 et 5 OPGA)

Insured Obligation to Reimburse Accident Insurance Benefits Due to Undisclosed Gainful Employment

Cited in the reasoning section (7.1) for the procedure to follow for filing a request for remission.

33.2023.26 · ti (art. 5 cpv. 1 OPGA)

Recipient Challenging Repayment of Unduly Received Benefits Denied Waiver Due to Lack of Good Faith

Cited to define serious difficulty (grave difficoltà) for the purpose of the waiver, based on the relationship between recognized expenses and determinant income.

200 2024 27 · be (art. 4 et 5 OPGA)

Unemployment Benefit Repayment Following Final Suspension Decision

Cited in the final section to inform the appellant about the procedural rules for requesting a waiver of restitution liability.

ZL.2023.00049 · zh (Art. 5 Abs. 1 ATSV)

Appeal Regarding Recovery of Overpaid Supplementary Benefits Due to Increased Income and Inheritance

Cited in the reasoning (E. 1.2.6) regarding the definition of great hardship, but not explicitly cited in the operative part (Order 1) as the ground for the specific decision.

ZL.2023.00049 · zh (Art. 5 Abs. 2 und 3 ATSV)

Appeal Regarding Recovery of Overpaid Supplementary Benefits Due to Increased Income and Inheritance

Cited in the reasoning (E. 1.2.6) regarding additional requirements for hardship assessment, but not explicitly cited in the operative part (Order 1) as the ground for the specific decision.

ZL.2023.00049 · zh (Art. 5 Abs. 4 ATSV)

Appeal Regarding Recovery of Overpaid Supplementary Benefits Due to Increased Income and Inheritance

Cited in the reasoning (E. 1.2.6) regarding additional expenses for hardship assessment, but not explicitly cited in the operative part (Order 1) as the ground for the specific decision.

200 2023 5 · be (Art. 5 Abs. 1 ATSV)

Unemployment Benefit Repayment Waiver Denied Due to Lack of Good Faith

Cited to define what constitutes 'great hardship' regarding reimbursement of benefits.

200 2023 5 · be (Art. 5 Abs. 4 ATSV)

Unemployment Benefit Repayment Waiver Denied Due to Lack of Good Faith

Cited as part of the definition of great hardship under Art. 5 Abs. 1 ATSV.

2023.OG.V.22.34 · ur (Art. 5 Abs. 1 ATSV)

Waiver of Benefit Repayment Denied Due to Insufficient Hardship

This provision defines what constitutes 'great hardship' (grosse Härte), a necessary condition for the reimbursement waiver.

ZL.2022.00025 · zh (Art. 5 ATSV)

Appeal Dismissed: Retroactive Repayment of Supplementary Benefits Due to Omitted Income

Cited as part of the legal framework concerning the repayment of unduly received benefits (mentioned in the reasoning).

200 2022 123 · be (Art. 4 et 5 OPGA)

Restitution of Unduly Received COVID-19 Short-Time Work Compensation After Abrogation of Legal Exception

Cited to specify the procedure and deadline for the appellant to apply for remission of the repayment obligation after the judgment becomes final.

A/3033/2021 · ge (art. 5 al. 1 OPGA)

Family Benefits Repayment Obligation Upheld Despite Hardship Claim

Cited in section 2.3 as the definition of a difficult situation, relevant to the substantive decision in orders 2, 3, and 4.