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Judgment No. 3354

Decision

1. The decision of the President of the Office of 11 November 2009 is set aside and the case is remitted to the EPO for a redetermination as detailed under 9 of Judgment 3158.
2. The EPO shall pay the complainant moral damages in the amount of 700 euros.
3. It shall also pay him 600 euros in costs.
4. All other claims are dismissed.

Summary

The Tribunal set aside the decision dismissing the complainantís request for the reimbursement of pharmaceutical costs on the ground that the case should have been referred to the Medical Committee.

Judgment keywords

Keywords

insurance benefit

Consideration 5

Extract:

"A hearing of any internal appeal body provides an opportunity for the parties to articulate more fully their case and to answer questions from the members of the appeal body."

Keywords

internal appeals body; internal appeal

Consideration 10

Extract:

"[T]he President should not have, as she did in the impugned decision, dismissed out of hand the complainantís appeal against the rejection of his claim for reimbursement for the product and the treatment. The matter should have been considered by the Medical Committee before such action was taken, if it accorded with the opinion of the Medical Committee. Accordingly, the impugned decision is flawed and should be set aside."

Keywords

medical opinion; refund



 
Last updated: 27.02.2017 ^ top