ARTICLE · 28 SEPTEMBER 2023

Ny ankenævnskendelse om ophævelse af erhvervsevnetabsforsikring

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Ankenævnet for Forsikring har ved kendelse af 9. august 2023 (AK 99.297) givet et pensionsselskab medhold i ophør af ydelser og ophævelse af en forsikring...

DenmarkReal Estate and Construction

Joakim Bondesen

Ankenævnet for Forsikring har ved kendelse af 9. august 2023 (AK 99.297) givet et pensionsselskab medhold i ophør af ydelser og ophævelse af en forsikring for tab af erhvervsevne på grundlag af selskabets OSINT-materiale og observationer af forsikringstager (klager) sammenholdt med klagers angivelser til selskabet.

Ankenævnet fandt endvidere ikke, at der var anledning til at kritisere selskabet for et fremsat krav om tilbagebetaling af ydet forsikringsdækning i en afgrænset periode.

Sagens faktum

Klager pådrog sig en knæskade i 2008, og fik endvidere i 2010 anerkendt en patientskade efter foretaget kikkertoperation i knæet. Efter et længere behandlingsforløb, hvor klager var sygemeldt og modtog forsikringsydelser i en periode fra 2010-2011, blev klager mere permanent sygemeldt i kommunalt regi i 2012, hvor han efter en række afklarende forløb blev tilkendt førtidspension i 2019 i en forholdsvis ung alder.

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