Facts
L., born on January 20, 1972, suffers from partial congenital anodontia with the absence of six permanent teeth. In 1982, the Disability Insurance (InvIA) covered the necessary medical measures for the treatment of this congenital disability until he reached the age of 20. In 1991, his dentist requested the coverage of the costs for dental implants, but the compensation fund and the InvIA appeals commission of the canton of Zurich rejected this request on the grounds that the entitlement to InvIA benefits expires upon reaching majority.Considerations
The Federal Insurance Court confirms that according to Art. 13 InvIA, the right to medical measures for the treatment of a congenital disability expires at the end of the month in which the insured person reaches the age of 20, even if the treatment had begun before this deadline. This legal limitation of the entitlement to benefits for minors is a decision of the legislator that the judge must respect.
Furthermore, the conditions of Art. 12 InvIA regarding medical measures aimed at professional integration are not met, as the…