CELEX: 62008TO0144
Language: en
Date: 2008-09-09 00:00:00
Title: Order of the General Court (Fourth Chamber) of 9 September 2008.#Luigi Marcuccio v European Commission.#Case T-144/08.

ORDER OF THE COURT OF FIRST INSTANCE (Fourth Chamber)
      9 September 2008
      Case T-144/08
      Luigi Marcuccio
      v
      Commission of the European Communities 
      (Civil service – Social security – Refusal of the application for reimbursement of 100% of certain medical expenses incurred by the applicant)
      Application: first, for annulment of the decision refusing the applicant’s claim for reimbursement of 100% of certain medical expenses
         and, secondly, for an order that the Commission pay him EUR 89.56 by way of additional reimbursement of medical expenses or
         as compensation for loss.
      
      Held: The action is dismissed as inadmissible. Each party is to bear its own costs.
      
      Summary
      Officials – Social security – Sickness insurance – Medical expenses – Serious illness – Reimbursement at 100% – Conditions
      (Staff Regulations, Art. 72(1); Rules on Sickness Insurance, Art. 28 and Annex I, Section IV)
      The reimbursement of medical expenses at 100% under Article 72(1) of the Staff Regulations presupposes that the illness concerned
         is regarded as one of the illnesses expressly referred to in that provision, or that the appointing authority recognises the
         illness as being of a comparable seriousness to the illnesses referred to in that provision. To that end, it is manifestly
         for the official concerned to state which is the illness in question and to produce supporting documents. Under Article 28
         of the Rules on Sickness Insurance for Officials of the European Communities applications for reimbursement of expenses must
         be accompanied by original supporting documents, and according to Section IV of Annex I to those Rules applications to have
         an illness recognised as of a comparable seriousness to the four illnesses referred to in Article 72(1) of the Staff Regulations
         must be accompanied by a report from the doctor treating the official concerned.
      
      Where an application does not contain any new factor justifying the reimbursement at 100% of the medical expenses incurred
         by the official in question, the administration’s silence following that application does not in any way alter his legal situation
         resulting from the implied decision rejecting an earlier application in which he made that claim known to the administration,
         and therefore does not constitute an act adversely affecting him within the meaning of Articles 90 and 91 of the Staff Regulations.
      
      (see paras 30, 32, 34)