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Health Insurance in Europe - Legal approach for Customer Grieviances

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
Health Insurance
Verwaltungsgerichtshof

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

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

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

4 Germany Sozialgericht
Health Insurance
Landessozialgericht
Health Insurance
Bundessozialgericht

Sozialgericht
Health Insurance
Landessozialgericht
Health Insurance
Bundessozialgericht

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

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

6 Luxembourg Tribunal Administratif
Health Insurance
Cour Administrative

Conseil Arbitral des Assurances Sociales
Health Insurance
Conseil Superieur des Assurances Sociales

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

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

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

Decision by a federal authority
Health Insurance
Eidgenossische Rekurskomissionen
Health Insurance
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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