Zur rechtskonformen Beurteilung eines Wundstars im Versicherungswesen
L Mewe
Abstract
L Mewe
Abstract
The author reports on differential diagnostic problems in the assessment of traumatic lens alterations. The question of the probability or possibility of a connection with the accident is discussed. A traumatic cataract, for example, is assessed differently by different types of insurance companies, since legal regulations governing insurance business differ. The author illustrates this with the assessment of a traumatic cataract by a statutory accident insurance company, a private accident insurance company, liability insurance companies, the statutory health insurance organization, the state pension fund and on the basis of the social indemnity legislation. The author points out the need for a basic knowledge of social legislation when giving an opinion.
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The author reports on differential diagnostic problems in the assessment of traumatic lens alterations. The question of the probability or possibility of a connection with the accident is discussed. A traumatic cataract, for example, is assessed differently by different types of insurance companies, since legal regulations governing insurance business differ. The author illustrates this with the assessment of a traumatic cataract by a statutory accident insurance company, a private accident insurance company, liability insurance companies, the statutory health insurance organization, the state pension fund and on the basis of the social indemnity legislation. The author points out the need for a basic knowledge of social legislation when giving an opinion.
Key concepts: Accident insurance, Legislation, Indemnity, Statutory law, Business, Liability insurance, Actuarial science, Social insurance