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Décret n° 2010-244 du 9 mars 2010 : les dispositions du présent décret sont applicables aux victimes déclarées inaptes, conformément aux dispositions de l'article R. 4624-31 du code du travail, à compter du 1er juillet 2010.
\n

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La caisse met en œuvre les dispositions de l'article L. 133-4-1, notamment lorsque le versement de la rente intervient après le paiement de l'indemnité ou en cas d'annulation de l'avis d'inaptitude.

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En cas de versement indu d'une prestation, hormis les cas mentionnés à l'article L. 133-4 et les autres cas où une récupération peut être opérée auprès d'un professionnel de santé, l'organisme chargé de la gestion d'un régime obligatoire ou volontaire d'assurance maladie ou d'accidents du travail et de maladies professionnelles récupère l'indu correspondant auprès de l'assuré. Celui-ci, y compris lorsqu'il a été fait dans le cadre de la dispense d'avance des frais, peut, sous réserve que l'assuré n'en conteste pas le caractère indu, être récupéré par un ou plusieurs versements ou par retenue sur les prestations à venir en fonction de la situation sociale du ménage.
\n
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L133-4 (V)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000039787624", "@num": "L168-13", "#text": "Code de la sécurité sociale. - art. L168-13 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000041412191", "@num": "L323-6", "#text": "Code de la sécurité sociale. - art. L323-6 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000033715782", "@num": "L323-6-1", "#text": "Code de la sécurité sociale. - art. 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En cas de versement indu d'une prestation, hormis les cas mentionnés à l'article L. 133-4 et les autres cas où une récupération peut être opérée auprès d'un professionnel de santé, l'organisme chargé de la gestion d'un régime obligatoire ou volontaire d'assurance maladie ou d'accidents du travail et de maladies professionnelles récupère l'indu correspondant auprès de l'assuré. Celui-ci, y compris lorsqu'il a été fait dans le cadre de la dispense d'avance des frais, peut, sous réserve que l'assuré n'en conteste pas le caractère indu, être récupéré par un ou plusieurs versements ou par retenue sur les prestations à venir en fonction de la situation sociale du ménage.
\n
L'organisme mentionné au premier alinéa informe le cas échéant, s'il peut être identifié, l'organisme d'assurance maladie complémentaire de l'assuré de la mise en oeuvre de la procédure visée au présent article.
" } }, "LEGIARTI000021955554": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "1", "TYPE": "ENTIEREMENT_MODIF", "DATE_FIN": "2999-01-01", "DATE_DEBUT": "2999-01-01" } }, "META_COMMUN": { "ID": "LEGIARTI000021955554", "URL": "article/LEGI/ARTI/00/00/21/95/55/LEGIARTI000021955554.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "LIENS": { "LIEN": [ { "@id": "LEGIARTI000021957796", "@num": "D433-2", "#text": "Code de la sécurité sociale. - art. D433-2 (V)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CREE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000021957792", "@num": "D433-3", "#text": "Code de la sécurité sociale. - art. D433-3 (V)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CREE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000021957789", "@num": "D433-4", "#text": "Code de la sécurité sociale. - art. D433-4 (V)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CREE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000021957784", "@num": "D433-5", "#text": "Code de la sécurité sociale. - art. D433-5 (V)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CREE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000021957781", "@num": "D433-6", "#text": "Code de la sécurité sociale. - art. D433-6 (V)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CREE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000021957778", "@num": "D433-7", "#text": "Code de la sécurité sociale. - art. D433-7 (V)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CREE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000021957775", "@num": "D433-8", "#text": "Code de la sécurité sociale. - art. D433-8 (V)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CREE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" } ] }, "CONTEXTE": { "TEXTE": { "@cid": "JORFTEXT000021954687", "@nor": "MTSS0931240D", "@num": "2010-244", "@nature": "DECRET", "TITRE_TXT": [ { "@fin": "2999-01-01", "#text": "Décret n° 2010-244 du 9 mars 2010 relatif à l'indemnisation du salarié déclaré inapte suite à un accident du travail ou à une maladie professionnelle", "@debut": "2999-01-01", "@id_txt": "JORFTEXT000021954687", "@c_titre_court": "Décret n°2010-244 du 9 mars 2010" }, { "@fin": "2999-01-01", "#text": "Décret n° 2010-244 du 9 mars 2010 relatif à l'indemnisation du salarié déclaré inapte suite à un accident du travail ou à une maladie professionnelle", "@debut": "2010-03-12", "@id_txt": "LEGITEXT000021955549", "@c_titre_court": "Décret n°2010-244 du 9 mars 2010" } ], "@ministere": "Ministère du travail, des relations sociales, de la famille, de la solidarité et de la ville", "@date_publi": "2010-03-11", "@date_signature": "2010-03-09" } }, "VERSIONS": { "VERSION": [ { "LIEN_ART": { "@id": "LEGIARTI000021955554", "@fin": "2999-01-01", "@num": "1", "@debut": "2999-01-01", "@origine": "LEGI" } }, { "LIEN_ART": { "@id": "JORFARTI000021954690", "@fin": "2999-01-01", "@num": "1", "@debut": "2999-01-01", "@origine": "JORF" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "
A modifié les dispositions suivantes :

- Code de la sécurité sociale.
Art. D433-2, Art. D433-3, Art. D433-4, Art. D433-5, Art. D433-6, Art. D433-7, Art. D433-8\n
\n

\n
" } }, "LEGIARTI000037951433": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "L133-4-1", "ETAT": "MODIFIE_MORT_NE", "TYPE": "AUTONOME", "DATE_FIN": "2019-07-26", "DATE_DEBUT": "2020-01-01" } }, "META_COMMUN": { "ID": "LEGIARTI000037951433", "URL": "article/LEGI/ARTI/00/00/37/95/14/LEGIARTI000037951433.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "LIENS": { "LIEN": [ { "@id": "LEGIARTI000037872149", "@num": "8-4", "#text": "Ordonnance n° 77-1102 du 26 septembre 1977 - art. 8-4 (VD)", "@sens": "cible", "@cidtexte": "JORFTEXT000000699946", "@numtexte": "77-1102", "@typelien": "CITATION", "@naturetexte": "ORDONNANCE", "@datesignatexte": "1977-09-26" }, { "@id": "LEGIARTI000037951187", "@num": "9-6", "#text": "Ordonnance n° 77-1102 du 26 septembre 1977 - art. 9-6 (VD)", "@sens": "cible", "@cidtexte": "JORFTEXT000000699946", "@numtexte": "77-1102", "@typelien": "CITATION", "@naturetexte": "ORDONNANCE", "@datesignatexte": "1977-09-26" }, { "@id": "JORFTEXT000000866621", "#text": "Décret n° 85-1353 du 17 décembre 1985", "@sens": "source", "@cidtexte": "JORFTEXT000000866621", "@numtexte": "85-1353", "@typelien": "CODIFICATION", "@naturetexte": "DECRET", "@datesignatexte": "1985-12-17" }, { "@id": "LEGIARTI000044629874", "@num": "5", "#text": "Loi n° 87-563 du 17 juillet 1987 - art. 5 (VD)", "@sens": "cible", "@cidtexte": "JORFTEXT000000508819", "@nortexte": "ASEX8700087L", "@numtexte": "87-563", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "1987-07-17" }, { "@id": "LEGIARTI000037951138", "@num": "7", "#text": "Loi n° 87-563 du 17 juillet 1987 - art. 7 (VD)", "@sens": "cible", "@cidtexte": "JORFTEXT000000508819", "@nortexte": "ASEX8700087L", "@numtexte": "87-563", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "1987-07-17" }, { "@id": "LEGIARTI000041490949", "@num": "20-5-6", "#text": "Ordonnance n° 96-1122 du 20 décembre 1996 - art. 20-5-6 (M)", "@sens": "cible", "@cidtexte": "JORFTEXT000000368749", "@nortexte": "DOMX9600135R", "@numtexte": "96-1122", "@typelien": "CITATION", "@naturetexte": "ORDONNANCE", "@datesignatexte": "1996-12-20" }, { "@id": "LEGIARTI000006252691", "@num": "3", "#text": "Arrêté du 26 juin 2006 - art. 3 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000792699", "@nortexte": "SANS0622660A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2006-06-26" }, { "@id": "LEGIARTI000037849586", "@num": "77", "#text": "LOI n°2018-1203 du 22 décembre 2018 - art. 77 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000037847585", "@nortexte": "CPAX1824950L", "@numtexte": "2018-1203", "@typelien": "MODIFIE", "@naturetexte": "LOI", "@datesignatexte": "2018-12-22" }, { "@id": "LEGIARTI000038818828", "@num": "1", "#text": "Ordonnance n°2019-765 du 24 juillet 2019 - art. 1", "@sens": "cible", "@cidtexte": "JORFTEXT000038811663", "@nortexte": "SSAS1918011R", "@numtexte": "2019-765", "@typelien": "CITATION", "@naturetexte": "ORDONNANCE", "@datesignatexte": "2019-07-24" }, { "@id": "LEGIARTI000043280646", "@num": "3", "#text": "Décret n°2021-306 du 23 mars 2021 - art. 3", "@sens": "cible", "@cidtexte": "JORFTEXT000043280035", "@nortexte": "SSAS2006004D", "@numtexte": "2021-306", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2021-03-23" }, { "@id": "LEGIARTI000043280648", "@num": "4", "#text": "Décret n°2021-306 du 23 mars 2021 - art. 4", "@sens": "cible", "@cidtexte": "JORFTEXT000043280035", "@nortexte": "SSAS2006004D", "@numtexte": "2021-306", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2021-03-23" }, { "@id": "LEGIARTI000048964415", "@num": "L214-14", "#text": "Code de l'action sociale et des familles - art. L214-14 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006074069", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000043280781", "@num": "R262-92-1", "#text": "Code de l'action sociale et des familles - art. R262-92-1 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006074069", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000040338120", "@num": "D133-2-2", "#text": "Code de la sécurité sociale. - art. D133-2-2 (VD)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000040338143", "@num": "D133-2-3", "#text": "Code de la sécurité sociale. - art. D133-2-3 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000021957775", "@num": "D433-8", "#text": "Code de la sécurité sociale. - art. D433-8 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000044404353", "@num": "L114-17-1", "#text": "Code de la sécurité sociale. - art. L114-17-1 (M)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006740151", "@num": "L133-4", "#text": "Code de la sécurité sociale. - art. 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L'organisme mentionné au premier alinéa informe le cas échéant, s'il peut être identifié, l'organisme d'assurance maladie complémentaire de l'assuré de la mise en œuvre de la procédure visée au présent article.

Lorsque l'indu notifié ne peut être recouvré sur les prestations mentionnées au même premier alinéa, la récupération peut être opérée, sous réserve que l'assuré ne conteste pas le caractère indu et n'opte pas pour le remboursement en un ou plusieurs versements dans un délai fixé par décret qui ne peut excéder douze mois, par retenue sur les prestations mentionnées aux titres IV et V du livre III, à l'article L. 511-1 et aux titres Ier à IV du livre VIII du présent code, à l'article L. 351-1 du code de la construction et de l'habitation et à l'article L. 262-46 du code de l'action sociale et des familles, par l'organisme gestionnaire de ces prestations et avec son accord. Toutefois, suite à cet accord, le recouvrement ne peut être effectué que si l'assuré n'est débiteur d'aucun indu sur ces mêmes prestations. Ce recouvrement est opéré selon les modalités applicables aux prestations sur lesquelles les retenues sont effectuées. Un décret fixe les modalités d'application et le traitement comptable afférant à ces opérations.

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Le b du 1° de l'article 1er de l'ordonnance n° 2019-765 du 24 juillet 2019 modifiant l'article L. 133-4-1 dans sa rédaction issue du 2° du I de l'article 77 de la loi n° 2018-1203 du 22 décembre 2018 prévoit qu'au deuxième alinéa, les mots : \"que l'assuré ne conteste pas le caractère indu et\" soient remplacés par les mots : \"des dispositions des quatrième à huitième alinéas et si l'assuré\". Or la loi n° 2018-1203 du 22 décembre 2018 a introduit un troisième alinéa à l'article L. 133-4-1 où se trouvent les termes à modifier. Il en résulte qu'au lieu de lire : \"Au deuxième alinéa, les mots : \"que l'assuré ne conteste pas le caractère indu et\" sont remplacés par les mots : \"des dispositions des quatrième à huitième alinéas et si l'assuré \". Il convient de lire : \"Au troisième alinéa, les mots : \"que l'assuré ne conteste pas le caractère indu et\" sont remplacés par les mots : \"des dispositions des quatrième à huitième alinéas et si l'assuré \".

Conformément à l’article 3 de l’ordonnance n° 2019-765 du 24 juillet 2019, ces dispositions entrent en vigueur à une date fixée par décret en Conseil d'Etat, au plus tôt le 1er janvier 2020 et au plus tard le 1er juillet 2020.

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Lorsque l'indu notifié ne peut être recouvré sur les prestations mentionnées au même premier alinéa, la récupération peut être opérée, sous réserve des quatrième au huitième alinéas et si l'assuré n'opte pas pour le remboursement en un ou plusieurs versements dans un délai fixé par décret qui ne peut excéder douze mois, par retenue sur les prestations mentionnées aux titres IV et V du livre III, à l'article L. 511-1 et aux titres Ier à IV du livre VIII du présent code, à l'article L. 821-1 du code de la construction et de l'habitation et à l'article L. 262-46 du code de l'action sociale et des familles, par l'organisme gestionnaire de ces prestations et avec son accord. Toutefois, suite à cet accord, le recouvrement ne peut être effectué que si l'assuré n'est débiteur d'aucun indu sur ces mêmes prestations. Ce recouvrement est opéré selon les modalités applicables aux prestations sur lesquelles les retenues sont effectuées. Un décret fixe les modalités d'application et le traitement comptable afférant à ces opérations.

Préalablement à l'exercice du recours mentionné à l'article L. 142-4, l'assuré peut, dans un délai déterminé à compter de la notification de l'indu, par des observations écrites ou orales, demander la rectification des informations le concernant, lorsque ces informations ont une incidence sur le montant de cet indu. L'assuré justifie de sa demande par tous moyens en sa possession.

Sans préjudice de la possibilité pour l'assuré d'exercer le recours mentionné à l'article L. 142-4, l'indu est mis en recouvrement au plus tôt, dans les conditions prévues par le présent article :

1° Soit à l'expiration du délai mentionné au troisième alinéa lorsque l'assuré n'a pas exercé, à cette date, le droit de rectification mentionné à ce même alinéa. Sans préjudice des dispositions du présent alinéa, la demande de rectification présentée postérieurement au délai mentionné au troisième alinéa est réputée être exercée dans les conditions du recours préalable mentionné à l'article L. 142-4 ;

2° Soit, en cas d'exercice de ce droit de rectification :

a) Au terme d'un délai déterminé suivant l'expiration d'un délai valant décision implicite de rejet ;

b) Ou dès la notification de la décision du directeur à l'assuré lorsque cette notification intervient avant l'expiration du délai valant décision implicite de rejet mentionné à l'alinéa précédent.

Un décret en Conseil d'Etat fixe :

1° Le délai mentionné au troisième alinéa ;

2° Les délais mentionnés au a du 2° ;

3° Les mentions devant figurer sur la notification de l'indu, qui comportent obligatoirement le délai mentionné au troisième alinéa et les voies et délais du recours préalable mentionné à l'article L. 142-4.

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Lorsque l'indu notifié ne peut être recouvré sur les prestations mentionnées au même premier alinéa, la récupération peut être opérée, sous réserve des dispositions des quatrième à neuvième alinéas et si l'assuré n'opte pas pour le remboursement en un ou plusieurs versements dans un délai fixé par décret qui ne peut excéder douze mois, par retenue sur les prestations mentionnées à l'article L. 168-8, aux titres IV et V du livre III, à l'article L. 511-1 et aux titres Ier à IV du livre VIII du présent code, à l'article L. 821-1 du code de la construction et de l'habitation et à l'article L. 262-46 du code de l'action sociale et des familles, par l'organisme gestionnaire de ces prestations et avec son accord. Toutefois, suite à cet accord, le recouvrement ne peut être effectué que si l'assuré n'est débiteur d'aucun indu sur ces mêmes prestations. Ce recouvrement est opéré selon les modalités applicables aux prestations sur lesquelles les retenues sont effectuées. Un décret fixe les modalités d'application et le traitement comptable afférant à ces opérations.

1° Soit à l'expiration du délai mentionné au quatrième alinéa lorsque l'assuré n'a pas exercé, à cette date, le droit de rectification mentionné à ce même alinéa. Sans préjudice des dispositions du présent alinéa, la demande de rectification présentée postérieurement au délai mentionné au quatrième alinéa est réputée être exercée dans les conditions du recours préalable mentionné à l'article L. 142-4 ;

2° Soit, en cas d'exercice de ce droit de rectification :

a) Au terme d'un délai déterminé suivant l'expiration d'un délai valant décision implicite de rejet ;

Un décret en Conseil d'Etat fixe :

1° Le délai mentionné au quatrième alinéa ;

2° Les délais mentionnés au a du 2° ;

3° Les mentions devant figurer sur la notification de l'indu, qui comportent obligatoirement le délai mentionné au quatrième alinéa et les voies et délais du recours préalable mentionné à l'article L. 142-4.

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En cas de versement indu d'une prestation, hormis les cas mentionnés à l'article L. 133-4 et les autres cas où une récupération peut être opérée auprès d'un professionnel de santé, l'organisme chargé de la gestion d'un régime obligatoire ou volontaire d'assurance maladie ou d'accidents du travail et de maladies professionnelles récupère l'indu correspondant auprès de l'assuré. Sous réserve des dispositions des quatrième à neuvième alinéas, cet indu, y compris lorsqu'il a été fait dans le cadre de la dispense d'avance des frais, peut être récupéré par un ou plusieurs versements ou par retenue sur les prestations à venir en fonction de la situation sociale du ménage. En contrepartie des frais de gestion qu'il engage lorsque le versement indu est le résultat d'une fraude de l'assuré, l'organisme d'assurance maladie recouvre auprès de ce dernier une indemnité équivalant à 10 % des sommes réclamées au titre des remboursements intervenus à tort. Cette indemnité est recouvrée dans les mêmes conditions que les indus recouvrés au titre du présent article.

2° Soit, en cas d'exercice de ce droit de rectification :

a) Au terme d'un délai déterminé suivant l'expiration d'un délai valant décision implicite de rejet ;

Un décret en Conseil d'Etat fixe :

1° Le délai mentionné au quatrième alinéa ;

2° Les délais mentionnés au a du 2° ;

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Article D433-8 AUTONOME VIGUEUR, en vigueur depuis le 12/03/2010 (Code de la sécurité sociale)