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論著名稱: 健保署代位求償案:向責任保險人之代位追償與第三人直接請求權之關係(The Claim of Subrogation for Public Safety Accident of NHIA : The Relationship between the Subrogation from National Health Insurance to the Liability Insurer and the Direct Claim from the Third Party)
編著譯者: 葉啟洲
出版日期: 2021.05
刊登出處: 台灣/月旦醫事法報告第 55 期 /62-77 頁
頁  數: 10 點閱次數: 348
下載點數: 40 點 銷售明細: 權利金查詢 變更售價
授 權 者: 葉啟洲
關 鍵 詞: 代位全民健康保險直接請求權侵權行為責任保險
中文摘要: 全民健康保險之保險對象,如因第三人應負賠償之事故而受到傷害,全民健康保險提供給付之後,得向第三人之責任保險人代位行使保險對象的損害賠償請求權。然依保險法第 94 條第 2 項規定,責任保險人僅於其被保險人對於第三人之賠償責任確定時,始須向第三人直接給付賠償金額,故全民健康保險向責任保險人代位請求賠償時,亦須以該責任保險之被保險人賠償責任業經確定為要件。本件最高法院判決未注意保險法第 94 條第 2 項在全民健保代位追償關係的適用,並不妥當。

英文關鍵詞: subrogationnational health insurancedirect claimtortliability insurance
英文摘要: The insurance object could claim for compensation for damage to the liability insurer who is also the third party, if the former got damage from an accident which the latter was obliged to compensate, and after the payment by National Health Insurance had been fulfilled. However, according to paragraph 94 section 2 Insurance Law, the liability insurer wouldn’t pay the compensation to the third party until that the obligation of the compensation of the insured to the third party had been confirmed. In this respect, after the obligation of compensation of the insured should be confirmed, National Health Insurance could subrogate the liability insurer to claim for compensation. The judgment from Supreme Court might not be proper that the relationship between the legal rule mentioned above and the subrogation of National Health Insurance didn’t be considered.

目  次: 壹、案件概述
貳、歷審判決要旨
一、一審判決
二、二審判決
三、三審判決
參、判決評析
一、全民健保代位追償之理論基礎
二、全民健保代位追償之要件
三、全民健保向第三人之代位
四、全民健保向責任保險人之代位
肆、結論

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