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Health Insurance in Europe - Legal approach for Customer Grieviances

Medically Reviewed by The Medindia Medical Review Team on Sep 06, 2014


Legal approach for Customer Grieviances

No Country Potential path through national courts/tribunals for administrative (health-insurance) claims Potential path through national courts/tribunals for social health insurance claims
1 Australia Verwaltungsbehorde
Verwaltungsgerichtshof

Landes Arbeits-und Sozialgericht
Oberlandesgericht
Oberster Gerichtshof
2 Belgium Raad Van State/Conseil d'fEtat Arbeidsgerecht/Tribunal du Travail
Arbeidshof/Cour du Travail
Hof van Cassatie/Cour de Cassation

3 France Tribunal Administratif
Court Administrative d'fAppele
Conseil d'fEtat

Tribunal des Affaires de Securite Sociale
Cour de Cassation (Chambre Sociale)

4 Germany Sozialgericht
Landessozialgericht
Bundessozialgericht

Sozialgericht
Landessozialgericht
Bundessozialgericht

5 Israel Health funds ombuds/National ombud/State Comptroller/Regional Labour Court
National Labour Court
Supreme Court as High Court of Justice

Health funds ombuds/National ombud/State Comptroller/Regional Labour Court
National Labour Court
Supreme Court as High Court of Justice

6 Luxembourg Tribunal Administratif
Cour Administrative

Conseil Arbitral des Assurances Sociales
Conseil Superieur des Assurances Sociales

7 Netherlands Rechtbank (Department: bestuursrecht)
Raad van State (Department: bestuursrechtspraak)

Rechtbank (Department: bestuursrecht)
Centrale Raad van Beroep/Social-economical: College van Beroep voor het bedrijfsleven

8 Switzerland Decision by a cantonal authority
Kantonales Verwaltungsgericht or Besondere Gericht
Bundesgericht/Tribunal Federal/Eidgenossisches Versicherungsgericht/Tribunal federal des assurances

Decision by a federal authority
Eidgenossische Rekurskomissionen
Bundesgericht/Tribunal federal/Eidgenossisches Versicherungsgericht/ Tribunal federal des assurances


Important points in Legal processes

a) Different countries in Europe have different courts to deal with health-insurance related customer grievances, incase if the argument of a case is based on constitutional law.

b) The legal processes are not comparable with each other as they vary from country to country and many of the courts mentioned in the aforesaid list deal with other issues in addition to the administrative and social issues.

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