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[私人意外保险中眼镜的评估]

[Evaluation of eyeglasses in private accident insurance].

作者信息

Gramberg-Danielsen B, Thomann H

出版信息

Klin Monbl Augenheilkd. 1984 Feb;184(2):141-3. doi: 10.1055/s-2008-1054429.

Abstract

In a ruling issued on 27 April 1983 the Bundesgerichtshof (the supreme court of the Federal Republic of Germany) clarified the question as to the extent to which the need for spectacles has to be taken into consideration in private accident insurance. Spectacles are not a prosthesis; the diminution of usability is assessed according to the wearer's visual acuity with correction; the need for spectacles has to be taken into account when determining the diminution of usability (as a pre-existent infirmity or as an injury caused by an accident). Concerning the premium surcharges and rebates demanded, which were not laid down by the BGH, the authors, continuing earlier discussions with a team from the German association of private accident insurers, came to the following agreements, which are recommended for general use: lower and medium grades of correction up to +10 D and -13 D (in cylindrical glasses in the meridian with higher refraction) are to be assessed as a 3% disablement; where the degree of correction is higher, i.e., more than +10 D and -13 D, the degree of disablement is assessed at 5%.

摘要

1983年4月27日,联邦德国最高法院(Bundesgerichtshof)发布一项裁决,阐明了在个人意外险中,眼镜需求在何种程度上必须被纳入考量的问题。眼镜并非假体;可用性的降低是根据佩戴者矫正后的视力来评估的;在确定可用性降低程度时(作为一种既存缺陷或由事故导致的伤害),必须考虑眼镜需求。关于未由联邦德国最高法院规定的保费附加费和折扣,作者们延续了与德国个人意外险保险人协会团队之前的讨论,达成了以下普遍适用的协议:屈光不正度数在+10 D及-13 D以下(柱镜在屈光力较强的子午线方向)的中低度数矫正,应评定为3%的残疾;若矫正度数更高,即超过+10 D及-13 D,则残疾程度评定为5%。

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