{ "article": { "LEGIARTI000042559944": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "R932-1-6-4", "ETAT": "VIGUEUR", "TYPE": "AUTONOME", "DATE_FIN": "2999-01-01", "DATE_DEBUT": "2020-12-01" } }, "META_COMMUN": { "ID": "LEGIARTI000042559944", "URL": "article/LEGI/ARTI/00/00/42/55/99/LEGIARTI000042559944.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "NOTA": { "CONTENU": "

Conformément à l'article 4 du décret n° 2020-1438 du 24 novembre 2020, ces dispositions entrent en vigueur le 1er décembre 2020. Elles s'appliquent aux contrats et adhésions en cours à cette date.

" }, "LIENS": { "LIEN": [ { "@id": "LEGIARTI000042559702", "@num": "2", "#text": "Décret n°2020-1438 du 24 novembre 2020 - art. 2", "@sens": "cible", "@cidtexte": "JORFTEXT000042558814", "@nortexte": "SSAS2022982D", "@numtexte": "2020-1438", "@typelien": "CREE", "@naturetexte": "DECRET", "@datesignatexte": "2020-11-24" }, { "@id": "LEGIARTI000006745370", "@num": "L871-1", "#text": "Code de la sécurité sociale. - art. L871-1", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" } ] }, "CONTEXTE": { "TEXTE": { "TM": { "TM": { "TM": { "TM": { "TM": { "TITRE_TM": [ { "@id": "LEGISCTA000006173647", "@fin": "2999-01-01", "#text": "Section 1 : Dispositions relatives aux opérations collectives à adhésion obligatoire.", "@debut": "1996-09-14" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006156783", "@fin": "2999-01-01", "#text": "Chapitre II : Opérations des institutions de prévoyance", "@debut": "1996-09-14" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006141962", "@fin": "2999-01-01", "#text": "Titre III : Institutions de prévoyance et opérations de ces institutions", "@debut": "1996-04-06" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006126978", "@fin": "2999-01-01", "#text": "Livre IX : Dispositions relatives à la protection sociale complémentaire des salariés et aux institutions à caractère paritaire", "@debut": "1996-04-06" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006106085", "@fin": "2999-01-01", "#text": "Partie réglementaire - Décrets en Conseil d'Etat", "@debut": "1961-01-12" } ] }, "@cid": "LEGITEXT000006073189", "@nature": "CODE", "TITRE_TXT": [ { "@fin": "2999-01-01", "#text": "Code de la sécurité sociale", "@debut": "1958-10-16", "@id_txt": "LEGITEXT000006073189", "@c_titre_court": "Code de la sécurité sociale." } ], "@date_publi": "2999-01-01", "@date_signature": "2999-01-01" } }, "VERSIONS": { "VERSION": [ { "@etat": "VIGUEUR", "LIEN_ART": { "@id": "LEGIARTI000042559944", "@fin": "2999-01-01", "@num": "R932-1-6-4", "@etat": "VIGUEUR", "@debut": "2020-12-01", "@origine": "LEGI" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "

L'obligation prévue au deuxième alinéa de l'article L. 932-12-1 est réputée satisfaite si le droit de résiliation est mentionné sur l'avis annuel de cotisations ou lors de la communication annuelle prévue à la dernière phrase du premier alinéa de l'article L. 871-1.

" } }, "LEGIARTI000006745370": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "L871-1", "ETAT": "MODIFIE_MORT_NE", "TYPE": "AUTONOME", "DATE_FIN": "2004-12-31", "DATE_DEBUT": "2006-01-01" } }, "META_COMMUN": { "ID": "LEGIARTI000006745370", "URL": "article/LEGI/ARTI/00/00/06/74/53/LEGIARTI000006745370.xml", "NATURE": "Article", "ORIGINE": "LEGI", "ANCIEN_ID": "SSAXXXXXXXX1X871L01AXXAA" } }, "NOTA": { "CONTENU": "
NOTA : Loi 2004-810 du 13 août 2004 art. 57 II : Les dispositions de l'article L. 871-1 du code de la sécurité sociale s'appliquent à compter du 1er janvier 2006.
\n
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Annexe (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000022972408", "@nortexte": "SASS1027217A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2010-10-20" }, { "@id": "LEGIARTI000023347083", "@num": "21", "#text": "LOI n°2010-1657 du 29 décembre 2010 - art. 21 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000023314376", "@nortexte": "BCRX1023155L", "@numtexte": "2010-1657", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2010-12-29" }, { "@id": "LEGIARTI000024774177", "@num": "28", "#text": "Décret n°2011-1474\n du 8 novembre 2011 - art. 28 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000024772150", "@nortexte": "IOCB1111985D", "@numtexte": "2011-1474", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2011-11-08" }, { "@id": "LEGIARTI000031773860", "@num": "1", "#text": "Arrêté du 17 avril 2012 - art. 1 (VT)", "@sens": "cible", "@cidtexte": "JORFTEXT000025794894", "@nortexte": "ETSS1209771A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2012-04-17" }, { "@id": "LEGITEXT000037996739", "#text": "Décret n°2019-21 du 11 janvier 2019 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000037995163", "@nortexte": "SSAS1831369D", "@numtexte": "2019-21", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2019-01-11" }, { "@id": "LEGIARTI000037996746", "@num": "2", "#text": "Décret n°2019-21 du 11 janvier 2019 - art. 2 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000037995163", "@nortexte": "SSAS1831369D", "@numtexte": "2019-21", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2019-01-11" }, { "@id": "LEGIARTI000038350198", "#text": "Arrêté du 2 avril 2019 - art.", "@sens": "cible", "@cidtexte": "JORFTEXT000038349512", "@nortexte": "SSAS1909855A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2019-04-02" }, { "@id": "LEGIARTI000038538346", "#text": "Arrêté du 24 mai 2019 - art. 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L827-3 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000044416551", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000049488763", "@num": "10", "#text": "Accord collectif du 8 avril 2024 - art. 10 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000049486828", "@nortexte": "MENH2410111O", "@typelien": "CITATION", "@naturetexte": "ACCORD_FONCTION_PUBLIQUE", "@datesignatexte": "2024-04-08" }, { "@id": "LEGIARTI000049917571", "#text": "Accord collectif du 14 juin 2024 - art. (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000049910198", "@nortexte": "TSSR2418846O", "@typelien": "CITATION", "@naturetexte": "ACCORD_FONCTION_PUBLIQUE", "@datesignatexte": "2024-06-14" }, { "@id": "LEGIARTI000048840866", "@num": "L4123-3", "#text": "Code de la défense. - art. L4123-3 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006071307", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000034588166", "@num": "L221-5", "#text": "Code de la mutualité - art. L221-5 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006074067", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGITEXT000006073189", "#text": "Code de la sécurité sociale L863-1, L242-1, 154 bis, L162-5-3, L161-36-2", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006741277", "@num": "L161-36-2", "#text": "Code de la sécurité sociale. - art. L161-36-2 (V)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006740743", "@num": "L162-5-3", "#text": "Code de la sécurité sociale. - art. L162-5-3 (Ab)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000048697512", "@num": "L165-1", "#text": "Code de la sécurité sociale. - art. L165-1 (M)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000047452667", "@num": "L242-1", "#text": "Code de la sécurité sociale. - art. L242-1 (VD)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000036390517", "@num": "L651-5", "#text": "Code de la sécurité sociale. - art. L651-5 (T)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000039778713", "@num": "L861-12", "#text": "Code de la sécurité sociale. - art. L861-12 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000048702084", "@num": "L861-3", "#text": "Code de la sécurité sociale. - art. L861-3 (VD)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000037950163", "@num": "L862-4", "#text": "Code de la sécurité sociale. - art. L862-4 (VD)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000029354513", "@num": "L863-1", "#text": "Code de la sécurité sociale. - art. L863-1 (VT)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000029354508", "@num": "L863-6", "#text": "Code de la sécurité sociale. - art. L863-6 (VT)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000031666818", "@num": "L864-2", "#text": "Code de la sécurité sociale. - art. L864-2 (VT)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000031686110", "@num": "L911-7", "#text": "Code de la sécurité sociale. - art. L911-7 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000037950320", "@num": "L911-7-1", "#text": "Code de la sécurité sociale. - art. L911-7-1 (VD)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000034588299", "@num": "L932-3", "#text": "Code de la sécurité sociale. - art. L932-3 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000029779013", "@num": "R871-1", "#text": "Code de la sécurité sociale. - art. 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L112-3 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073984", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000030028579", "@num": "1001", "#text": "Code général des impôts, CGI. - art. 1001 (VD)", "@sens": "cible", "@cidtexte": "LEGITEXT000006069577", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000047288764", "@num": "154 bis", "#text": "Code général des impôts, CGI. - art. 154 bis (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006069577", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000025092537", "@num": "207", "#text": "Code général des impôts, CGI. - art. 207 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006069577", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000049641925", "@num": "83", "#text": "Code général des impôts, CGI. - art. 83 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006069577", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000027795472", "@num": "995", "#text": "Code général des impôts, CGI. - art. 995 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006069577", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" } ] }, "CONTEXTE": { "TEXTE": { "TM": { "TM": { "TM": { "TITRE_TM": [ { "@id": "LEGISCTA000006141697", "@fin": "2005-12-20", "#text": "Titre 7 : Contenu des dispositifs d'assurance maladie complémentaire de santé bénéficiant d'une aide.", "@debut": "2004-12-31" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006126917", "@fin": "2019-09-01", "#text": "Livre 8 : Allocations aux personnes âgées - Allocation aux adultes handicapés - Allocation de logement sociale - Aides à l'emploi pour la garde des jeunes enfants - Aides aux collectivités et organismes logeant à titre temporaire des personnes défavorisées ou gérant des aires d'accueil des gens du voyage - Protection complémentaire en matière de santé", "@debut": "2000-07-06" }, { "@id": "LEGISCTA000038834503", "@fin": "2999-01-01", "#text": "Livre VIII : Allocations aux personnes âgées - Allocation aux adultes handicapés - Aides à l'emploi pour la garde des jeunes enfants - Aides aux collectivités et organismes logeant à titre temporaire des personnes défavorisées ou gérant des aires d'accueil des gens du voyage - Protection complémentaire en matière de santé", "@debut": "2019-09-01" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006106050", "@fin": "2999-01-01", "#text": "Partie législative", "@debut": "1985-12-21" } ] }, "@cid": "LEGITEXT000006073189", "@nature": "CODE", "TITRE_TXT": [ { "@fin": "2999-01-01", "#text": "Code de la sécurité sociale", "@debut": "1958-10-16", "@id_txt": "LEGITEXT000006073189", "@c_titre_court": "Code de la sécurité sociale." } ], "@date_publi": "2999-01-01", "@date_signature": "2999-01-01" } }, "VERSIONS": { "VERSION": [ { "@etat": "MODIFIE_MORT_NE", "LIEN_ART": { "@id": "LEGIARTI000006745370", "@fin": "2004-12-31", "@num": "L871-1", "@etat": "MODIFIE_MORT_NE", "@debut": "2006-01-01", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006745371", "@fin": "2005-12-20", "@num": "L871-1", "@etat": "MODIFIE", "@debut": "2004-12-31", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006745372", "@fin": "2006-12-22", "@num": "L871-1", "@etat": "MODIFIE", "@debut": "2005-12-20", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006745373", "@fin": "2007-12-22", "@num": "L871-1", "@etat": "MODIFIE", "@debut": "2006-12-22", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000017845110", "@fin": "2010-05-08", "@num": "L871-1", "@etat": "MODIFIE", "@debut": "2007-12-22", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000022267798", "@fin": "2011-12-23", "@num": "L871-1", "@etat": "MODIFIE", "@debut": "2010-05-08", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000025013197", "@fin": "2012-12-19", "@num": "L871-1", "@etat": "MODIFIE", "@debut": "2011-12-23", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000026799158", "@fin": "2015-01-01", "@num": "L871-1", "@etat": "MODIFIE", "@debut": "2012-12-19", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000028394302", "@fin": "2015-04-01", "@num": "L871-1", "@etat": "MODIFIE", "@debut": "2015-01-01", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000029354533", "@fin": "2016-01-01", "@num": "L871-1", "@etat": "MODIFIE", "@debut": "2015-04-01", "@origine": "LEGI" } }, { "@etat": "MODIFIE_MORT_NE", "LIEN_ART": { "@id": "LEGIARTI000030307753", "@fin": "2015-12-23", "@num": "L871-1", "@etat": "MODIFIE_MORT_NE", "@debut": "2016-01-01", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000031686803", "@fin": "2016-01-28", "@num": "L871-1", "@etat": "MODIFIE", "@debut": "2016-01-01", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000031928862", "@fin": "2016-12-25", "@num": "L871-1", "@etat": "MODIFIE", "@debut": "2016-01-28", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000033714925", "@fin": "2019-07-17", "@num": "L871-1", "@etat": "MODIFIE", "@debut": "2016-12-25", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000038775240", "@fin": "2019-11-01", "@num": "L871-1", "@etat": "MODIFIE", "@debut": "2019-07-17", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000038047365", "@fin": "2020-01-01", "@num": "L871-1", "@etat": "MODIFIE", "@debut": "2019-11-01", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000038775343", "@fin": "2022-01-01", "@num": "L871-1", "@etat": "MODIFIE", "@debut": "2020-01-01", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000042685398", "@fin": "2023-12-28", "@num": "L871-1", "@etat": "MODIFIE", "@debut": "2022-01-01", "@origine": "LEGI" } }, { "@etat": "VIGUEUR", "LIEN_ART": { "@id": "LEGIARTI000048703173", "@fin": "2999-01-01", "@num": "L871-1", "@etat": "VIGUEUR", "@debut": "2023-12-28", "@origine": "LEGI" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "
Le bénéfice des dispositions de l'article L. 863-1, des sixième et huitième alinéas de l'article L. 242-1, du 1° quater de l'article 83 du code général des impôts, du deuxième alinéa du I de l'article 154 bis et des 15° et 16° de l'article 995 du même code, dans le cas de garanties destinées au remboursement ou à l'indemnisation des frais occasionnés par une maladie, une maternité ou un accident, est subordonné au respect, par les opérations d'assurance concernées, de règles fixées par décret en Conseil d'Etat après avis de l'Union nationale des caisses d'assurance maladie et de l'Union nationale des organismes d'assurance maladie complémentaire.
\n
Ces règles prévoient l'exclusion totale ou partielle de la prise en charge de la majoration de participation des assurés et de leurs ayants droit visée à l'article L. 162-5-3 et des actes et prestations pour lesquels le patient n'a pas accordé l'autorisation visée à l'article L. 161-36-2.
\n
Elles prévoient également la prise en charge totale ou partielle des prestations liées à la prévention, aux consultations du médecin traitant mentionné à l'article L. 162-5-3 et aux prescriptions de celui-ci.
" } }, "LEGIARTI000006745371": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "L871-1", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2005-12-20", "DATE_DEBUT": "2004-12-31" } }, "META_COMMUN": { "ID": "LEGIARTI000006745371", "URL": "article/LEGI/ARTI/00/00/06/74/53/LEGIARTI000006745371.xml", "NATURE": "Article", "ORIGINE": "LEGI", "ANCIEN_ID": "SSAXXXXXXXX1X871L01AXXAB" } }, "NOTA": { "CONTENU": "
NOTA : Loi 2004-810 du 13 août 2004 art. 57 II : Les dispositions de l'article L. 871-1 du code de la sécurité sociale s'appliquent à compter du 1er janvier 2006.
\n
" }, "LIENS": { "LIEN": [ { "@id": "JORFTEXT000000866621", "#text": "Décret 85-1353 1985-12-17", "@sens": "source", "@cidtexte": "JORFTEXT000000866621", "@numtexte": "85-1353", "@typelien": "CODIFICATION", "@naturetexte": "DECRET", "@datesignatexte": "1985-12-17" }, { "@id": "LEGIARTI000006756625", "@num": "6-1", "#text": "Loi n° 89-1009 du 31 décembre 1989 - art. 6-1 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000709057", "@nortexte": "SPSX8900080L", "@numtexte": "89-1009", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "1989-12-31" }, { "@id": "LEGIARTI000006758988", "@num": "57", "#text": "Loi n°2004-810 du 13 août 2004 - art. 57 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000625158", "@nortexte": "SANX0400122L", "@numtexte": "2004-810", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2004-08-13" }, { "@id": "LEGIARTI000006322307", "@num": "51", "#text": "Loi n°2004-1485 du 30 décembre 2004 - art. 51 () JORF 31 décembre 2004", "@sens": "source", "@cidtexte": "JORFTEXT000000240757", "@nortexte": "ECOX0400254L", "@numtexte": "2004-1485", "@typelien": "MODIFICATION", "@naturetexte": "LOI", "@datesignatexte": "2004-12-30" }, { "@id": "LEGIARTI000032182077", "@num": "41", "#text": "Loi n°2005-1579 du 19 décembre 2005 - art. 41 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000815414", "@nortexte": "SANX0500246L", "@numtexte": "2005-1579", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2005-12-19" }, { "@id": "LEGIARTI000006759201", "@num": "54", "#text": "Loi n°2005-1579 du 19 décembre 2005 - art. 54 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000815414", "@nortexte": "SANX0500246L", "@numtexte": "2005-1579", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2005-12-19" }, { "@id": "LEGIARTI000006417062", "@num": "20", "#text": "Décret n°2007-1373 du 19 septembre 2007 - art. 20 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000652964", "@nortexte": "BCFF0751468D", "@numtexte": "2007-1373", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2007-09-19" }, { "@id": "LEGIARTI000032182093", "@num": "107", "#text": "LOI n°2007-1824\n du 25 décembre 2007 - art. 107 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000017839505", "@nortexte": "BCFX0770033L", "@numtexte": "2007-1824", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2007-12-25" }, { "@id": "LEGIARTI000022445589", "@num": "20", "#text": "Décret n°2010-754 du 5 juillet 2010 - art. 20 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000022443617", "@nortexte": "DEFH1002813D", "@numtexte": "2010-754", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2010-07-05" }, { "@id": "LEGIARTI000043138095", "@num": "Annexe", "#text": "Arrêté du 20 octobre 2010 - art. Annexe (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000022972408", "@nortexte": "SASS1027217A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2010-10-20" }, { "@id": "LEGIARTI000023347083", "@num": "21", "#text": "LOI n°2010-1657 du 29 décembre 2010 - art. 21 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000023314376", "@nortexte": "BCRX1023155L", "@numtexte": "2010-1657", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2010-12-29" }, { "@id": "LEGIARTI000024774177", "@num": "28", "#text": "Décret n°2011-1474\n du 8 novembre 2011 - art. 28 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000024772150", "@nortexte": "IOCB1111985D", "@numtexte": "2011-1474", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2011-11-08" }, { "@id": "LEGIARTI000031773860", "@num": "1", "#text": "Arrêté du 17 avril 2012 - art. 1 (VT)", "@sens": "cible", "@cidtexte": "JORFTEXT000025794894", "@nortexte": "ETSS1209771A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2012-04-17" }, { "@id": "LEGITEXT000037996739", "#text": "Décret n°2019-21 du 11 janvier 2019 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000037995163", "@nortexte": "SSAS1831369D", "@numtexte": "2019-21", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2019-01-11" }, { "@id": "LEGIARTI000037996746", "@num": "2", "#text": "Décret n°2019-21 du 11 janvier 2019 - art. 2 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000037995163", "@nortexte": "SSAS1831369D", "@numtexte": "2019-21", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2019-01-11" }, { "@id": "LEGIARTI000038350198", "#text": "Arrêté du 2 avril 2019 - art.", "@sens": "cible", "@cidtexte": "JORFTEXT000038349512", "@nortexte": "SSAS1909855A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2019-04-02" }, { "@id": "LEGIARTI000038538346", "#text": "Arrêté du 24 mai 2019 - art. (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000038529223", "@nortexte": "SSAS1911866A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2019-05-24" }, { "@id": "LEGIARTI000038538348", "#text": "Arrêté du 24 mai 2019 - art. (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000038529223", "@nortexte": "SSAS1911866A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2019-05-24" }, { "@id": "LEGIARTI000041960620", "@num": "1", "#text": "Arrêté du 6 mai 2020 - art. 1 (VD)", "@sens": "cible", "@cidtexte": "JORFTEXT000041959083", "@nortexte": "SSAS2011374A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2020-05-06" }, { "@id": "LEGIARTI000041960624", "@num": "3", "#text": "Arrêté du 6 mai 2020 - art. 3 (VD)", "@sens": "cible", "@cidtexte": "JORFTEXT000041959083", "@nortexte": "SSAS2011374A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2020-05-06" }, { "@id": "LEGIARTI000042559700", "@num": "1", "#text": "Décret n°2020-1438 du 24 novembre 2020 - art. 1", "@sens": "cible", "@cidtexte": "JORFTEXT000042558814", "@nortexte": "SSAS2022982D", "@numtexte": "2020-1438", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2020-11-24" }, { "@id": "LEGIARTI000042559704", "@num": "3", "#text": "Décret n°2020-1438 du 24 novembre 2020 - art. 3", "@sens": "cible", "@cidtexte": "JORFTEXT000042558814", "@nortexte": "SSAS2022982D", "@numtexte": "2020-1438", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2020-11-24" }, { "@id": "LEGIARTI000043137301", "#text": "Arrêté du 9 février 2021 - art.", "@sens": "cible", "@cidtexte": "JORFTEXT000043134322", "@nortexte": "SSAS2104662A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2021-02-09" }, { "@id": "LEGIARTI000048840873", "@num": "L827-3", "#text": "Code général de la fonction publique - art. L827-3 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000044416551", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000049488763", "@num": "10", "#text": "Accord collectif du 8 avril 2024 - art. 10 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000049486828", "@nortexte": "MENH2410111O", "@typelien": "CITATION", "@naturetexte": "ACCORD_FONCTION_PUBLIQUE", "@datesignatexte": "2024-04-08" }, { "@id": "LEGIARTI000049917571", "#text": "Accord collectif du 14 juin 2024 - art. (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000049910198", "@nortexte": "TSSR2418846O", "@typelien": "CITATION", "@naturetexte": "ACCORD_FONCTION_PUBLIQUE", "@datesignatexte": "2024-06-14" }, { "#text": "CGI 83, 995", "@sens": "source", "@typelien": "CITATION" }, { "@id": "LEGIARTI000048840866", "@num": "L4123-3", "#text": "Code de la défense. - art. L4123-3 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006071307", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000034588166", "@num": "L221-5", "#text": "Code de la mutualité - art. L221-5 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006074067", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGITEXT000006073189", "#text": "Code de la sécurité sociale L863-1, L242-1, 154 bis, L162-5-3, L161-36-2, L162-5", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006741277", "@num": "L161-36-2", "#text": "Code de la sécurité sociale. - art. L161-36-2 (V)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006740684", "@num": "L162-5", "#text": "Code de la sécurité sociale. - art. L162-5 (M)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006740743", "@num": "L162-5-3", "#text": "Code de la sécurité sociale. - art. L162-5-3 (Ab)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000048697512", "@num": "L165-1", "#text": "Code de la sécurité sociale. - art. L165-1 (M)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000047452667", "@num": "L242-1", "#text": "Code de la sécurité sociale. - art. L242-1 (VD)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000036390517", "@num": "L651-5", "#text": "Code de la sécurité sociale. - art. L651-5 (T)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000039778713", "@num": "L861-12", "#text": "Code de la sécurité sociale. - art. L861-12 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000048702084", "@num": "L861-3", "#text": "Code de la sécurité sociale. - art. L861-3 (VD)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000037950163", "@num": "L862-4", "#text": "Code de la sécurité sociale. - art. L862-4 (VD)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000029354513", "@num": "L863-1", "#text": "Code de la sécurité sociale. - art. L863-1 (VT)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000029354508", "@num": "L863-6", "#text": "Code de la sécurité sociale. - art. L863-6 (VT)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000031666818", "@num": "L864-2", "#text": "Code de la sécurité sociale. - art. L864-2 (VT)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000031686110", "@num": "L911-7", "#text": "Code de la sécurité sociale. - art. L911-7 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000037950320", "@num": "L911-7-1", "#text": "Code de la sécurité sociale. - art. L911-7-1 (VD)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000034588299", "@num": "L932-3", "#text": "Code de la sécurité sociale. - art. L932-3 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000029779013", "@num": "R871-1", "#text": "Code de la sécurité sociale. - art. R871-1 (VD)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000050506958", "@num": "R871-2", "#text": "Code de la sécurité sociale. - art. R871-2 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000042559944", "@num": "R932-1-6-4", "#text": "Code de la sécurité sociale. - art. R932-1-6-4 (VD)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006791920", "@num": "L112-3", "#text": "Code des assurances - art. L112-3 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073984", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000030028579", "@num": "1001", "#text": "Code général des impôts, CGI. - art. 1001 (VD)", "@sens": "cible", "@cidtexte": "LEGITEXT000006069577", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000047288764", "@num": "154 bis", "#text": "Code général des impôts, CGI. - art. 154 bis (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006069577", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000025092537", "@num": "207", "#text": "Code général des impôts, CGI. - art. 207 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006069577", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000049641925", "@num": "83", "#text": "Code général des impôts, CGI. - art. 83 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006069577", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000027795472", "@num": "995", "#text": "Code général des impôts, CGI. - art. 995 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006069577", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" } ] }, "CONTEXTE": { "TEXTE": { "TM": { "TM": { "TM": { "TITRE_TM": [ { "@id": "LEGISCTA000006141697", "@fin": "2005-12-20", "#text": "Titre 7 : Contenu des dispositifs d'assurance maladie complémentaire de santé bénéficiant d'une aide.", "@debut": "2004-12-31" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006126917", "@fin": "2019-09-01", "#text": "Livre 8 : Allocations aux personnes âgées - Allocation aux adultes handicapés - Allocation de logement sociale - Aides à l'emploi pour la garde des jeunes enfants - Aides aux collectivités et organismes logeant à titre temporaire des personnes défavorisées ou gérant des aires d'accueil des gens du voyage - Protection complémentaire en matière de santé", "@debut": "2000-07-06" }, { "@id": "LEGISCTA000038834503", "@fin": "2999-01-01", "#text": "Livre VIII : Allocations aux personnes âgées - Allocation aux adultes handicapés - Aides à l'emploi pour la garde des jeunes enfants - Aides aux collectivités et organismes logeant à titre temporaire des personnes défavorisées ou gérant des aires d'accueil des gens du voyage - Protection complémentaire en matière de santé", "@debut": "2019-09-01" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006106050", "@fin": "2999-01-01", "#text": "Partie législative", "@debut": "1985-12-21" } ] }, "@cid": "LEGITEXT000006073189", "@nature": "CODE", "TITRE_TXT": [ { "@fin": "2999-01-01", "#text": "Code de la sécurité sociale", "@debut": "1958-10-16", "@id_txt": "LEGITEXT000006073189", "@c_titre_court": "Code de la sécurité sociale." } ], "@date_publi": "2999-01-01", "@date_signature": "2999-01-01" } }, "VERSIONS": { "VERSION": [ { "@etat": "MODIFIE_MORT_NE", "LIEN_ART": { "@id": "LEGIARTI000006745370", "@fin": "2004-12-31", "@num": "L871-1", "@etat": "MODIFIE_MORT_NE", "@debut": "2006-01-01", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006745371", "@fin": "2005-12-20", "@num": "L871-1", "@etat": "MODIFIE", "@debut": "2004-12-31", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006745372", "@fin": "2006-12-22", "@num": "L871-1", "@etat": "MODIFIE", "@debut": "2005-12-20", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006745373", "@fin": "2007-12-22", "@num": "L871-1", "@etat": "MODIFIE", "@debut": "2006-12-22", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000017845110", "@fin": "2010-05-08", "@num": "L871-1", "@etat": "MODIFIE", "@debut": "2007-12-22", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000022267798", "@fin": "2011-12-23", "@num": "L871-1", "@etat": "MODIFIE", "@debut": "2010-05-08", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000025013197", "@fin": "2012-12-19", "@num": "L871-1", "@etat": "MODIFIE", "@debut": "2011-12-23", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000026799158", "@fin": "2015-01-01", "@num": "L871-1", "@etat": "MODIFIE", "@debut": "2012-12-19", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000028394302", "@fin": "2015-04-01", "@num": "L871-1", "@etat": "MODIFIE", "@debut": "2015-01-01", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000029354533", "@fin": "2016-01-01", "@num": "L871-1", "@etat": "MODIFIE", "@debut": "2015-04-01", "@origine": "LEGI" } }, { "@etat": "MODIFIE_MORT_NE", "LIEN_ART": { "@id": "LEGIARTI000030307753", "@fin": "2015-12-23", "@num": "L871-1", "@etat": "MODIFIE_MORT_NE", "@debut": "2016-01-01", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000031686803", "@fin": "2016-01-28", "@num": "L871-1", "@etat": "MODIFIE", "@debut": "2016-01-01", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000031928862", "@fin": "2016-12-25", "@num": "L871-1", "@etat": "MODIFIE", "@debut": "2016-01-28", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000033714925", "@fin": "2019-07-17", "@num": "L871-1", "@etat": "MODIFIE", "@debut": "2016-12-25", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000038775240", "@fin": "2019-11-01", "@num": "L871-1", "@etat": "MODIFIE", "@debut": "2019-07-17", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000038047365", "@fin": "2020-01-01", "@num": "L871-1", "@etat": "MODIFIE", "@debut": "2019-11-01", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000038775343", "@fin": "2022-01-01", "@num": "L871-1", "@etat": "MODIFIE", "@debut": "2020-01-01", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000042685398", "@fin": "2023-12-28", "@num": "L871-1", "@etat": "MODIFIE", "@debut": "2022-01-01", "@origine": "LEGI" } }, { "@etat": "VIGUEUR", "LIEN_ART": { "@id": "LEGIARTI000048703173", "@fin": "2999-01-01", "@num": "L871-1", "@etat": "VIGUEUR", "@debut": "2023-12-28", "@origine": "LEGI" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "
Le bénéfice des dispositions de l'article L. 863-1, des sixième et huitième alinéas de l'article L. 242-1, du 1° quater de l'article 83 du code général des impôts, du deuxième alinéa du I de l'article 154 bis et des 15° et 16° de l'article 995 du même code, dans le cas de garanties destinées au remboursement ou à l'indemnisation des frais occasionnés par une maladie, une maternité ou un accident, est subordonné au respect, par les opérations d'assurance concernées, de règles fixées par décret en Conseil d'Etat après avis de l'Union nationale des caisses d'assurance maladie et de l'Union nationale des organismes d'assurance maladie complémentaire.
\n
Ces règles prévoient l'exclusion totale ou partielle de la prise en charge de la majoration de participation des assurés et de leurs ayants droit visée à l'article L. 162-5-3 et des actes et prestations pour lesquels le patient n'a pas accordé l'autorisation visée à l'article L. 161-36-2. Elles prévoient également l'exclusion totale ou partielle de la prise en charge des dépassements d'honoraires sur le tarif des actes et consultations visés au 18° de l'article L. 162-5.
\n
Elles prévoient également la prise en charge totale ou partielle des prestations liées à la prévention, aux consultations du médecin traitant mentionné à l'article L. 162-5-3 et aux prescriptions de celui-ci.
" } }, "LEGIARTI000006745372": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "L871-1", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2006-12-22", "DATE_DEBUT": "2005-12-20" } }, "META_COMMUN": { "ID": "LEGIARTI000006745372", "URL": "article/LEGI/ARTI/00/00/06/74/53/LEGIARTI000006745372.xml", "NATURE": "Article", "ORIGINE": "LEGI", "ANCIEN_ID": "SSAXXXXXXXX1X871L01AXXAC" } }, "NOTA": { "CONTENU": "
NOTA : Loi 2004-810 du 13 août 2004 art. 57 II : Les dispositions de l'article L. 871-1 du code de la sécurité sociale s'appliquent à compter du 1er janvier 2006.
\n
" }, "LIENS": { "LIEN": [ { "@id": "JORFTEXT000000866621", "#text": "Décret 85-1353 1985-12-17", "@sens": "source", "@cidtexte": "JORFTEXT000000866621", "@numtexte": "85-1353", "@typelien": "CODIFICATION", "@naturetexte": "DECRET", "@datesignatexte": "1985-12-17" }, { "@id": "LEGIARTI000006756625", "@num": "6-1", "#text": "Loi n° 89-1009 du 31 décembre 1989 - art. 6-1 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000709057", "@nortexte": "SPSX8900080L", "@numtexte": "89-1009", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "1989-12-31" }, { "@id": "LEGIARTI000006758988", "@num": "57", "#text": "Loi n°2004-810 du 13 août 2004 - art. 57 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000625158", "@nortexte": "SANX0400122L", "@numtexte": "2004-810", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2004-08-13" }, { "@id": "LEGIARTI000006759201", "@num": "54", "#text": "Loi n°2005-1579 du 19 décembre 2005 - art. 54 (V) JORF 20 décembre 2005", "@sens": "source", "@cidtexte": "JORFTEXT000000815414", "@nortexte": "SANX0500246L", "@numtexte": "2005-1579", "@typelien": "MODIFICATION", "@naturetexte": "LOI", "@datesignatexte": "2005-12-19" }, { "@id": "LEGIARTI000032182077", "@num": "41", "#text": "Loi n°2005-1579 du 19 décembre 2005 - art. 41 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000815414", "@nortexte": "SANX0500246L", "@numtexte": "2005-1579", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2005-12-19" }, { "@id": "LEGIARTI000006759201", "@num": "54", "#text": "Loi n°2005-1579 du 19 décembre 2005 - art. 54 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000815414", "@nortexte": "SANX0500246L", "@numtexte": "2005-1579", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2005-12-19" }, { "@id": "LEGIARTI000006417062", "@num": "20", "#text": "Décret n°2007-1373 du 19 septembre 2007 - art. 20 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000652964", "@nortexte": "BCFF0751468D", "@numtexte": "2007-1373", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2007-09-19" }, { "@id": "LEGIARTI000032182093", "@num": "107", "#text": "LOI n°2007-1824\n du 25 décembre 2007 - art. 107 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000017839505", "@nortexte": "BCFX0770033L", "@numtexte": "2007-1824", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2007-12-25" }, { "@id": "LEGIARTI000022445589", "@num": "20", "#text": "Décret n°2010-754 du 5 juillet 2010 - art. 20 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000022443617", "@nortexte": "DEFH1002813D", "@numtexte": "2010-754", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2010-07-05" }, { "@id": "LEGIARTI000043138095", "@num": "Annexe", "#text": "Arrêté du 20 octobre 2010 - art. Annexe (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000022972408", "@nortexte": "SASS1027217A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2010-10-20" }, { "@id": "LEGIARTI000023347083", "@num": "21", "#text": "LOI n°2010-1657 du 29 décembre 2010 - art. 21 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000023314376", "@nortexte": "BCRX1023155L", "@numtexte": "2010-1657", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2010-12-29" }, { "@id": "LEGIARTI000024774177", "@num": "28", "#text": "Décret n°2011-1474\n du 8 novembre 2011 - art. 28 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000024772150", "@nortexte": "IOCB1111985D", "@numtexte": "2011-1474", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2011-11-08" }, { "@id": "LEGIARTI000031773860", "@num": "1", "#text": "Arrêté du 17 avril 2012 - art. 1 (VT)", "@sens": "cible", "@cidtexte": "JORFTEXT000025794894", "@nortexte": "ETSS1209771A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2012-04-17" }, { "@id": "LEGITEXT000037996739", "#text": "Décret n°2019-21 du 11 janvier 2019 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000037995163", "@nortexte": "SSAS1831369D", "@numtexte": "2019-21", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2019-01-11" }, { "@id": "LEGIARTI000037996746", "@num": "2", "#text": "Décret n°2019-21 du 11 janvier 2019 - art. 2 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000037995163", "@nortexte": "SSAS1831369D", "@numtexte": "2019-21", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2019-01-11" }, { "@id": "LEGIARTI000038350198", "#text": "Arrêté du 2 avril 2019 - art.", "@sens": "cible", "@cidtexte": "JORFTEXT000038349512", "@nortexte": "SSAS1909855A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2019-04-02" }, { "@id": "LEGIARTI000038538346", "#text": "Arrêté du 24 mai 2019 - art. (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000038529223", "@nortexte": "SSAS1911866A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2019-05-24" }, { "@id": "LEGIARTI000038538348", "#text": "Arrêté du 24 mai 2019 - art. 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Le bénéfice des dispositions de l'article L. 863-1, des sixième et huitième alinéas de l'article L. 242-1, du 1° quater de l'article 83 du code général des impôts, du deuxième alinéa du I de l'article 154 bis et des 15° et 16° de l'article 995 du même code, dans le cas de garanties destinées au remboursement ou à l'indemnisation des frais occasionnés par une maladie, une maternité ou un accident, est subordonné au respect, par les opérations d'assurance concernées, de règles fixées par décret en Conseil d'Etat après avis de l'Union nationale des caisses d'assurance maladie et de l'Union nationale des organismes d'assurance maladie complémentaire.
\n
Ces règles prévoient l'exclusion totale ou partielle de la prise en charge de la majoration de participation des assurés et de leurs ayants droit visée à l'article L. 162-5-3 et des actes et prestations pour lesquels le patient n'a pas accordé l'autorisation visée à l'article L. 161-36-2. Elles prévoient également l'exclusion totale ou partielle de la prise en charge des dépassements d'honoraires sur le tarif des actes et consultations visés au 18° de l'article L. 162-5.
\n
Elles prévoient également la prise en charge totale ou partielle des prestations liées à la prévention, aux consultations du médecin traitant mentionné à l'article L. 162-5-3 et aux prescriptions de celui-ci.
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Allocation aux adultes handicapés - Aides à l'emploi pour la garde des jeunes enfants - Aides aux collectivités et organismes logeant à titre temporaire des personnes défavorisées ou gérant des aires d'accueil des gens du voyage - Protection complémentaire en matière de santé", "@debut": "2019-09-01" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006106050", "@fin": "2999-01-01", "#text": "Partie législative", "@debut": "1985-12-21" } ] }, "@cid": "LEGITEXT000006073189", "@nature": "CODE", "TITRE_TXT": [ { "@fin": "2999-01-01", "#text": "Code de la sécurité sociale", "@debut": "1958-10-16", "@id_txt": "LEGITEXT000006073189", "@c_titre_court": "Code de la sécurité sociale." } ], "@date_publi": "2999-01-01", "@date_signature": "2999-01-01" } }, "VERSIONS": { "VERSION": [ { "@etat": "MODIFIE_MORT_NE", "LIEN_ART": { "@id": "LEGIARTI000006745370", "@fin": "2004-12-31", "@num": "L871-1", "@etat": "MODIFIE_MORT_NE", "@debut": "2006-01-01", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006745371", "@fin": "2005-12-20", "@num": "L871-1", "@etat": "MODIFIE", "@debut": "2004-12-31", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006745372", "@fin": "2006-12-22", "@num": "L871-1", "@etat": "MODIFIE", "@debut": "2005-12-20", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006745373", "@fin": "2007-12-22", "@num": "L871-1", "@etat": "MODIFIE", "@debut": "2006-12-22", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000017845110", "@fin": "2010-05-08", "@num": "L871-1", "@etat": "MODIFIE", "@debut": "2007-12-22", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000022267798", "@fin": "2011-12-23", "@num": "L871-1", "@etat": "MODIFIE", "@debut": "2010-05-08", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000025013197", "@fin": "2012-12-19", "@num": "L871-1", "@etat": "MODIFIE", "@debut": "2011-12-23", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000026799158", "@fin": "2015-01-01", "@num": "L871-1", "@etat": "MODIFIE", "@debut": "2012-12-19", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000028394302", "@fin": "2015-04-01", "@num": "L871-1", "@etat": "MODIFIE", "@debut": "2015-01-01", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000029354533", "@fin": "2016-01-01", "@num": "L871-1", "@etat": "MODIFIE", "@debut": "2015-04-01", "@origine": "LEGI" } }, { "@etat": "MODIFIE_MORT_NE", "LIEN_ART": { "@id": "LEGIARTI000030307753", "@fin": "2015-12-23", "@num": "L871-1", "@etat": "MODIFIE_MORT_NE", "@debut": "2016-01-01", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000031686803", "@fin": "2016-01-28", "@num": "L871-1", "@etat": "MODIFIE", "@debut": "2016-01-01", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000031928862", "@fin": "2016-12-25", "@num": "L871-1", "@etat": "MODIFIE", "@debut": "2016-01-28", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000033714925", "@fin": "2019-07-17", "@num": "L871-1", "@etat": "MODIFIE", "@debut": "2016-12-25", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000038775240", "@fin": "2019-11-01", "@num": "L871-1", "@etat": "MODIFIE", "@debut": "2019-07-17", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000038047365", "@fin": "2020-01-01", "@num": "L871-1", "@etat": "MODIFIE", "@debut": "2019-11-01", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000038775343", "@fin": "2022-01-01", "@num": "L871-1", "@etat": "MODIFIE", "@debut": "2020-01-01", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000042685398", "@fin": "2023-12-28", "@num": "L871-1", "@etat": "MODIFIE", "@debut": "2022-01-01", "@origine": "LEGI" } }, { "@etat": "VIGUEUR", "LIEN_ART": { "@id": "LEGIARTI000048703173", "@fin": "2999-01-01", "@num": "L871-1", "@etat": "VIGUEUR", "@debut": "2023-12-28", "@origine": "LEGI" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "
Le bénéfice des dispositions de l'article L. 863-1, des sixième et huitième alinéas de l'article L. 242-1, ou pour les salariés du secteur agricole des sixième et huitième alinéas de l'article L. 741-10 du code rural du 1° quater de l'article 83 du code général des impôts, du deuxième alinéa du I de l'article 154 bis et des 15° et 16° de l'article 995 du même code, dans le cas de garanties destinées au remboursement ou à l'indemnisation des frais occasionnés par une maladie, une maternité ou un accident, est subordonné au respect, par les opérations d'assurance concernées, de règles fixées par décret en Conseil d'Etat après avis de l'Union nationale des caisses d'assurance maladie et de l'Union nationale des organismes d'assurance maladie complémentaire.
\n
Ces règles prévoient l'exclusion totale ou partielle de la prise en charge de la majoration de participation des assurés et de leurs ayants droit visée à l'article L. 162-5-3 et des actes et prestations pour lesquels le patient n'a pas accordé l'autorisation visée à l'article L. 161-36-2. Elles prévoient également l'exclusion totale ou partielle de la prise en charge des dépassements d'honoraires sur le tarif des actes et consultations visés au 18° de l'article L. 162-5.
\n
Elles prévoient également la prise en charge totale ou partielle des prestations liées à la prévention, aux consultations du médecin traitant mentionné à l'article L. 162-5-3 et aux prescriptions de celui-ci.
" } }, "LEGIARTI000017845110": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "L871-1", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2010-05-08", "DATE_DEBUT": "2007-12-22" } }, "META_COMMUN": { "ID": "LEGIARTI000017845110", "URL": "article/LEGI/ARTI/00/00/17/84/51/LEGIARTI000017845110.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "NOTA": { "CONTENU": "

Conformément à l'article 52-II 3 de la loi n° 2007-1786 du 19 décembre 2007, les termes \"\n\n\n\n\nà la condition que les opérations d'assurance concernées ne couvrent pas la participation forfaitaire et la franchise respectivement mentionnées au II et au III de l'article L. 322-2 du présent code et qu'elles respectent les règles\"\n\n\n\n\n s'appliquent aux garanties nouvelles, reconduites ou en cours au 1er janvier 2008.

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Ces règles prévoient l'exclusion totale ou partielle de la prise en charge de la majoration de participation des assurés et de leurs ayants droit visée à l'article L. 162-5-3 et des actes et prestations pour lesquels le patient n'a pas accordé l'autorisation visée à l'article L. 161-36-2. Elles prévoient également l'exclusion totale ou partielle de la prise en charge des dépassements d'honoraires sur le tarif des actes et consultations visés au 18° de l'article L. 162-5.

Elles prévoient également la prise en charge totale ou partielle des prestations liées à la prévention, aux consultations du médecin traitant mentionné à l'article L. 162-5-3 et aux prescriptions de celui-ci.

" } }, "LEGIARTI000022267798": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "L871-1", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2011-12-23", "DATE_DEBUT": "2010-05-08" } }, "META_COMMUN": { "ID": "LEGIARTI000022267798", "URL": "article/LEGI/ARTI/00/00/22/26/77/LEGIARTI000022267798.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "LIENS": { "LIEN": [ { "@id": "LEGIARTI000006756625", "@num": "6-1", "#text": "Loi n° 89-1009 du 31 décembre 1989 - art. 6-1 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000709057", "@nortexte": "SPSX8900080L", "@numtexte": "89-1009", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "1989-12-31" }, { "@id": "LEGIARTI000006758988", "@num": "57", "#text": "Loi n°2004-810 du 13 août 2004 - art. 57 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000625158", "@nortexte": "SANX0400122L", "@numtexte": "2004-810", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2004-08-13" }, { "@id": "LEGIARTI000032182077", "@num": "41", "#text": "Loi n°2005-1579 du 19 décembre 2005 - art. 41 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000815414", "@nortexte": "SANX0500246L", "@numtexte": "2005-1579", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2005-12-19" }, { "@id": "LEGIARTI000006759201", "@num": "54", "#text": "Loi n°2005-1579 du 19 décembre 2005 - art. 54 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000815414", "@nortexte": "SANX0500246L", "@numtexte": "2005-1579", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2005-12-19" }, { "@id": "LEGIARTI000006417062", "@num": "20", "#text": "Décret n°2007-1373 du 19 septembre 2007 - art. 20 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000652964", "@nortexte": "BCFF0751468D", "@numtexte": "2007-1373", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2007-09-19" }, { "@id": "LEGIARTI000032182093", "@num": "107", "#text": "LOI n°2007-1824\n du 25 décembre 2007 - art. 107 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000017839505", "@nortexte": "BCFX0770033L", "@numtexte": "2007-1824", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2007-12-25" }, { "@id": "LEGIARTI000022445589", "@num": "20", "#text": "Décret n°2010-754 du 5 juillet 2010 - art. 20 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000022443617", "@nortexte": "DEFH1002813D", "@numtexte": "2010-754", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2010-07-05" }, { "@id": "LEGIARTI000043138095", "@num": "Annexe", "#text": "Arrêté du 20 octobre 2010 - art. 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Le bénéfice des dispositions de l'article L. 863-1, des sixième et huitième alinéas de l'article L. 242-1, ou pour les salariés du secteur agricole des sixième et huitième alinéas de l'article L. 741-10 du code rural du 1° quater de l'article 83 du code général des impôts, du deuxième alinéa du I de l'article 154 bis, du 13° de l'article 995 et du 2° bis de l'article 1001 du même code, dans le cas de garanties destinées au remboursement ou à l'indemnisation des frais occasionnés par une maladie, une maternité ou un accident, est subordonné à la condition que les opérations d'assurance concernées ne couvrent pas la participation forfaitaire et la franchise respectivement mentionnées au II et au III de l'article L. 322-2 du présent code et qu'elles respectent les règles fixées par décret en Conseil d'Etat après avis de l'Union nationale des caisses d'assurance maladie et de l'Union nationale des organismes d'assurance maladie complémentaire. Le bénéfice de ces mêmes dispositions est également subordonné à la condition que la mutuelle ou union relevant du code de la mutualité, l'institution de prévoyance régie par le présent code ou l'entreprise d'assurances régie par le code des assurances communique annuellement aux assurés le montant et la composition des frais de gestion et d'acquisition de l'organisme affectés aux garanties destinées au remboursement et à l'indemnisation des frais occasionnés par une maladie, une maternité ou un accident, en pourcentage des cotisations ou primes afférents à ce risque, selon des modalités précisées par arrêté du ministre chargé de la sécurité sociale.

Elles prévoient également la prise en charge des dépassements d'honoraires sur le tarif des actes et consultations des médecins autorisés à pratiquer des dépassements d'honoraires encadrés en application du I de l'article 56 de la loi n° 2011-1906 du 21 décembre 2011 de financement de la sécurité sociale pour 2012 à hauteur du taux maximal de dépassements d'honoraires autorisé par lesdites dispositions conventionnelles.

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Ces règles prévoient l'exclusion totale ou partielle de la prise en charge de la majoration de participation des assurés et de leurs ayants droit visée à l'article L. 162-5-3 et des actes et prestations pour lesquels le patient n'a pas accordé l'autorisation mentionnée à l'article L. 1111-15 du code de la santé publique. Elles prévoient également l'exclusion totale ou partielle de la prise en charge des dépassements d'honoraires sur le tarif des actes et consultations visés au 18° de l'article L. 162-5.

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Elles prévoient, en outre, la prise en charge totale ou partielle de tout ou partie de la participation de l'assuré aux tarifs servant de base au calcul des prestations de l'assurance maladie prévue au I de l'article L. 322-2 pour les prestations couvertes par les régimes obligatoires, y compris les prestations liées à la prévention, et du forfait journalier prévu à l'article L. 174-4.

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Elles fixent les conditions dans lesquelles peuvent être pris en charge les dépassements tarifaires sur les consultations et les actes des médecins ainsi que les frais exposés, en sus des tarifs de responsabilité, pour les soins dentaires prothétiques ou d'orthopédie dentofaciale et pour certains dispositifs médicaux à usage individuel admis au remboursement, notamment les dispositifs d'optique médicale. Ces conditions peuvent comprendre des plafonds de prise en charge distincts par catégorie de prestations notamment ainsi que, s'agissant des soins dentaires prothétiques ou d'orthopédie dentofaciale et de certains dispositifs médicaux à usage individuel, des niveaux minimaux de prise en charge.

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" } }, "LEGIARTI000029354533": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "L871-1", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2016-01-01", "DATE_DEBUT": "2015-04-01" } }, "META_COMMUN": { "ID": "LEGIARTI000029354533", "URL": "article/LEGI/ARTI/00/00/29/35/45/LEGIARTI000029354533.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "NOTA": { "CONTENU": "

Conformément au B du II de l'article 56 de la loi n° 2013-1203 du 23 décembre 2013, modifié par l'article 14 2° de la loi n° 2014-892 du 8 août 2014, l'article L. 871-1 du code de la sécurité sociale entre en vigueur pour les contrats, les bulletins d'adhésion ou les règlements conclus, souscrits ou renouvelés à compter du 1er avril 2015.

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Ces règles prévoient l'exclusion totale ou partielle de la prise en charge de la majoration de participation des assurés et de leurs ayants droit visée à l'article L. 162-5-3 et des actes et prestations pour lesquels le patient n'a pas accordé l'autorisation mentionnée à l'article L. 1111-15 du code de la santé publique. Elles prévoient également l'exclusion totale ou partielle de la prise en charge des dépassements d'honoraires sur le tarif des actes et consultations visés au 18° de l'article L. 162-5.

Elles fixent les conditions dans lesquelles peuvent être pris en charge les dépassements tarifaires sur les consultations et les actes des médecins, en distinguant, le cas échéant, ceux des médecins ayant adhéré au contrat d'accès aux soins instauré par la convention nationale mentionnée à l'article L. 162-5 de ceux des médecins non adhérents. Elles fixent également les conditions dans lesquelles peuvent être pris en charge les frais exposés, en sus des tarifs de responsabilité, pour les soins dentaires prothétiques ou d'orthopédie dentofaciale et pour certains dispositifs médicaux à usage individuel admis au remboursement, notamment les dispositifs d'optique médicale. Ces conditions peuvent comprendre des plafonds de prise en charge distincts par catégorie de prestations notamment ainsi que, s'agissant des soins dentaires prothétiques ou d'orthopédie dentofaciale et de certains dispositifs médicaux à usage individuel, des niveaux minimaux de prise en charge.

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Le bénéfice des dispositions de l'article L. 863-1, des sixième et huitième alinéas de l'article L. 242-1, ou pour les salariés du secteur agricole des sixième et huitième alinéas de l'article L. 741-10 du code rural du 1° quater de l'article 83 du code général des impôts, du deuxième alinéa du I de l'article 154 bis, du II et du 2° du II bis de l'article L. 862-4 du présent code, dans le cas de garanties destinées au remboursement ou à l'indemnisation des frais occasionnés par une maladie, une maternité ou un accident, est subordonné à la condition que les opérations d'assurance concernées ne couvrent pas la participation forfaitaire et la franchise respectivement mentionnées au II et au III de l'article L. 322-2 du présent code et qu'elles respectent les règles fixées par décret en Conseil d'Etat après avis de l'Union nationale des caisses d'assurance maladie et de l'Union nationale des organismes d'assurance maladie complémentaire. Le bénéfice de ces mêmes dispositions est également subordonné à la condition que la mutuelle ou union relevant du code de la mutualité, l'institution de prévoyance régie par le présent code ou l'entreprise d'assurances régie par le code des assurances communique annuellement aux assurés le montant et la composition des frais de gestion et d'acquisition de l'organisme affectés aux garanties destinées au remboursement et à l'indemnisation des frais occasionnés par une maladie, une maternité ou un accident, en pourcentage des cotisations ou primes afférents à ce risque, selon des modalités précisées par arrêté du ministre chargé de la sécurité sociale.

Ces règles prévoient l'exclusion totale ou partielle de la prise en charge de la majoration de participation des assurés et de leurs ayants droit visée à l'article L. 162-5-3 et des actes et prestations pour lesquels le patient n'a pas accordé l'autorisation mentionnée à l'article L. 1111-15 du code de la santé publique. Elles prévoient également l'exclusion totale ou partielle de la prise en charge des dépassements d'honoraires sur le tarif des actes et consultations visés au 18° de l'article L. 162-5.

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Le bénéfice des dispositions de l'article L. 863-1, des sixième et huitième alinéas de l'article L. 242-1, ou pour les salariés du secteur agricole des sixième et huitième alinéas de l'article L. 741-10 du code rural du 1° quater de l'article 83 du code général des impôts, du deuxième alinéa du I de l'article 154 bis, du II et du 2° du II bis de l'article L. 862-4 du présent code, dans le cas de garanties destinées au remboursement ou à l'indemnisation des frais occasionnés par une maladie, une maternité ou un accident, est subordonné à la condition que les opérations d'assurance concernées ne couvrent pas la participation forfaitaire et la franchise respectivement mentionnées au II et au III de l'article L. 160-13 du présent code et qu'elles respectent les règles fixées par décret en Conseil d'Etat après avis de l'Union nationale des caisses d'assurance maladie et de l'Union nationale des organismes d'assurance maladie complémentaire. Le bénéfice de ces mêmes dispositions est également subordonné à la condition que la mutuelle ou union relevant du code de la mutualité, l'institution de prévoyance régie par le présent code ou l'entreprise d'assurances régie par le code des assurances communique annuellement aux assurés le montant et la composition des frais de gestion et d'acquisition de l'organisme affectés aux garanties destinées au remboursement et à l'indemnisation des frais occasionnés par une maladie, une maternité ou un accident, en pourcentage des cotisations ou primes afférents à ce risque, selon des modalités précisées par arrêté du ministre chargé de la sécurité sociale.

Ces règles prévoient l'exclusion totale ou partielle de la prise en charge de la majoration de participation des assurés et de leurs ayants droit visée à l'article L. 162-5-3 et des actes et prestations pour lesquels le patient n'a pas accordé l'autorisation mentionnée à l'article L. 1111-15 du code de la santé publique. Elles prévoient également l'exclusion totale ou partielle de la prise en charge des dépassements d'honoraires sur le tarif des actes et consultations visés au 18° de l'article L. 162-5.

Elles prévoient, en outre, la prise en charge totale ou partielle de tout ou partie de la participation de l'assuré aux tarifs servant de base au calcul des prestations de l'assurance maladie prévue au I de l'article L. 160-13 pour les prestations couvertes par les régimes obligatoires, y compris les prestations liées à la prévention, et du forfait journalier prévu à l'article L. 174-4.

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(1) Conformément à l'article 83 VI de la loi n° 2016-41 du 26 janvier 2016, ces dispositions entrent en vigueur le 1er janvier 2017.

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Le bénéfice des dispositions de l'article L. 863-1, des sixième et huitième alinéas de l'article L. 242-1, ou pour les salariés du secteur agricole des sixième et huitième alinéas de l'article L. 741-10 du code rural du 1° quater de l'article 83 du code général des impôts, du deuxième alinéa du I de l'article 154 bis, du II et du 2° du II bis de l'article L. 862-4 du présent code, dans le cas de garanties destinées au remboursement ou à l'indemnisation des frais occasionnés par une maladie, une maternité ou un accident, est subordonné à la condition que les opérations d'assurance concernées ne couvrent pas la participation forfaitaire et la franchise respectivement mentionnées au II et au III de l'article L. 160-13 du présent code, qu'elles permettent à l'assuré de bénéficier du mécanisme de tiers payant sur les prestations faisant l'objet de ces garanties, au moins à hauteur des tarifs de responsabilité (1), et qu'elles respectent les règles fixées par décret en Conseil d'Etat après avis de l'Union nationale des caisses d'assurance maladie et de l'Union nationale des organismes d'assurance maladie complémentaire. Le bénéfice de ces mêmes dispositions est également subordonné à la condition que la mutuelle ou union relevant du code de la mutualité, l'institution de prévoyance régie par le présent code ou l'entreprise d'assurances régie par le code des assurances communique annuellement aux assurés le montant et la composition des frais de gestion et d'acquisition de l'organisme affectés aux garanties destinées au remboursement et à l'indemnisation des frais occasionnés par une maladie, une maternité ou un accident, en pourcentage des cotisations ou primes afférents à ce risque, selon des modalités précisées par arrêté du ministre chargé de la sécurité sociale.

Ces règles prévoient l'exclusion totale ou partielle de la prise en charge de la majoration de participation des assurés et de leurs ayants droit visée à l'article L. 162-5-3 ainsi que de la prise en charge des dépassements d'honoraires sur le tarif des actes et consultations visés au 18° de l'article L. 162-5.

Elles prévoient, en outre, la prise en charge totale ou partielle de tout ou partie de la participation de l'assuré aux tarifs servant de base au calcul des prestations de l'assurance maladie prévue au I de l'article L. 160-13 pour les prestations couvertes par les régimes obligatoires, y compris les prestations liées à la prévention, et du forfait journalier prévu à l'article L. 174-4.

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(1) Conformément à l'article 83 VI de la loi n° 2016-41 du 26 janvier 2016, ces dispositions entrent en vigueur le 1er janvier 2017.

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Le bénéfice des dispositions de l'article L. 863-1, des sixième et huitième alinéas de l'article L. 242-1, ou pour les salariés du secteur agricole des sixième et huitième alinéas de l'article L. 741-10 du code rural du 1° quater de l'article 83 du code général des impôts, du deuxième alinéa du I de l'article 154 bis, du II et du 2° du II bis de l'article L. 862-4 du présent code, dans le cas de garanties destinées au remboursement ou à l'indemnisation des frais occasionnés par une maladie, une maternité ou un accident, est subordonné à la condition que les opérations d'assurance concernées ne couvrent pas la participation forfaitaire et la franchise respectivement mentionnées au II et au III de l'article L. 160-13 du présent code, qu'elles permettent à l'assuré de bénéficier du mécanisme de tiers payant sur les prestations faisant l'objet de ces garanties, au moins à hauteur des tarifs de responsabilité (1), et qu'elles respectent les règles fixées par décret en Conseil d'Etat après avis de l'Union nationale des caisses d'assurance maladie et de l'Union nationale des organismes d'assurance maladie complémentaire. Le bénéfice de ces mêmes dispositions est également subordonné à la condition que la mutuelle ou union relevant du code de la mutualité, l'institution de prévoyance régie par le présent code ou l'entreprise d'assurances régie par le code des assurances communique annuellement aux assurés le montant et la composition des frais de gestion et d'acquisition de l'organisme affectés aux garanties destinées au remboursement et à l'indemnisation des frais occasionnés par une maladie, une maternité ou un accident, en pourcentage des cotisations ou primes afférents à ce risque, selon des modalités précisées par arrêté du ministre chargé de la sécurité sociale.

Elles prévoient, en outre, la prise en charge totale ou partielle de tout ou partie de la participation de l'assuré aux tarifs servant de base au calcul des prestations de l'assurance maladie prévue au I de l'article L. 160-13 pour les prestations couvertes par les régimes obligatoires, y compris les prestations liées à la prévention, et du forfait journalier prévu à l'article L. 174-4.

Elles fixent les conditions dans lesquelles peuvent être pris en charge les dépassements tarifaires sur les consultations et les actes des médecins, en distinguant, le cas échéant, ceux des médecins ayant adhéré aux dispositifs de pratique tarifaire maîtrisée prévus par la convention nationale mentionnée à l'article L. 162-5 de ceux des médecins non adhérents. Elles fixent également les conditions dans lesquelles peuvent être pris en charge les frais exposés, en sus des tarifs de responsabilité, pour les soins dentaires prothétiques ou d'orthopédie dentofaciale et pour certains dispositifs médicaux à usage individuel admis au remboursement, notamment les dispositifs d'optique médicale. Ces conditions peuvent comprendre des plafonds de prise en charge distincts par catégorie de prestations notamment ainsi que, s'agissant des soins dentaires prothétiques ou d'orthopédie dentofaciale et de certains dispositifs médicaux à usage individuel, des niveaux minimaux de prise en charge.

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Le bénéfice des dispositions des sixième et huitième alinéas de l'article L. 242-1, ou pour les salariés du secteur agricole des sixième et huitième alinéas de l'article L. 741-10 du code rural du 1° quater de l'article 83 du code général des impôts, du deuxième alinéa du I de l'article 154 bis, du II et du 2° du II bis de l'article L. 862-4 du présent code, dans le cas de garanties destinées au remboursement ou à l'indemnisation des frais occasionnés par une maladie, une maternité ou un accident, est subordonné à la condition que les opérations d'assurance concernées ne couvrent pas la participation forfaitaire et la franchise respectivement mentionnées au II et au III de l'article L. 160-13 du présent code, qu'elles permettent à l'assuré de bénéficier du mécanisme de tiers payant sur les prestations faisant l'objet de ces garanties, au moins à hauteur des tarifs de responsabilité, et qu'elles respectent les règles fixées par décret en Conseil d'Etat après avis de l'Union nationale des caisses d'assurance maladie et de l'Union nationale des organismes d'assurance maladie complémentaire. Le bénéfice de ces mêmes dispositions est également subordonné à la condition que la mutuelle ou union relevant du code de la mutualité, l'institution de prévoyance régie par le présent code ou l'entreprise d'assurances régie par le code des assurances communique avant la souscription puis annuellement, à chacun de ses adhérents ou souscripteurs, le rapport, exprimé en pourcentage, entre le montant des prestations versées par l'organisme pour le remboursement et l'indemnisation des frais occasionnés par une maladie, une maternité ou un accident et le montant des cotisations ou primes hors taxes afférentes à ces garanties, ainsi que le montant et la composition des frais de gestion de l'organisme affectés à ces mêmes garanties, exprimé en pourcentage des cotisations ou primes hors taxes afférentes, selon des modalités précisées par arrêté du ministre chargé de la sécurité sociale.

Elles prévoient, en outre, la prise en charge totale ou partielle de tout ou partie de la participation de l'assuré aux tarifs servant de base au calcul des prestations de l'assurance maladie prévue au I de l'article L. 160-13 pour les prestations couvertes par les régimes obligatoires, y compris les prestations liées à la prévention, et du forfait journalier prévu à l'article L. 174-4.

Elles fixent les conditions dans lesquelles peuvent être pris en charge les dépassements tarifaires sur les consultations et les actes des médecins, en distinguant, le cas échéant, ceux des médecins ayant adhéré aux dispositifs de pratique tarifaire maîtrisée prévus par la convention nationale mentionnée à l'article L. 162-5 de ceux des médecins non adhérents. Elles fixent également les conditions dans lesquelles peuvent être pris en charge les frais exposés, en sus des tarifs de responsabilité, pour les soins dentaires prothétiques ou d'orthopédie dentofaciale et pour certains dispositifs médicaux à usage individuel admis au remboursement, notamment les dispositifs d'optique médicale. Ces conditions peuvent comprendre des plafonds de prise en charge distincts par catégorie de prestations notamment ainsi que, s'agissant des soins dentaires prothétiques ou d'orthopédie dentofaciale et de certains dispositifs médicaux à usage individuel, des niveaux minimaux de prise en charge.

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Le bénéfice des dispositions de l'article L. 863-1, des sixième et huitième alinéas de l'article L. 242-1, ou pour les salariés du secteur agricole des sixième et huitième alinéas de l'article L. 741-10 du code rural du 1° quater de l'article 83 du code général des impôts, du deuxième alinéa du I de l'article 154 bis, du II et du 2° du II bis de l'article L. 862-4 du présent code, dans le cas de garanties destinées au remboursement ou à l'indemnisation des frais occasionnés par une maladie, une maternité ou un accident, est subordonné à la condition que les opérations d'assurance concernées ne couvrent pas la participation forfaitaire et la franchise respectivement mentionnées au II et au III de l'article L. 160-13 du présent code, qu'elles permettent à l'assuré de bénéficier du mécanisme de tiers payant sur les prestations faisant l'objet de ces garanties, au moins à hauteur des tarifs de responsabilité, et qu'elles respectent les règles fixées par décret en Conseil d'Etat après avis de l'Union nationale des caisses d'assurance maladie et de l'Union nationale des organismes d'assurance maladie complémentaire. Le bénéfice de ces mêmes dispositions est également subordonné à la condition que la mutuelle ou union relevant du code de la mutualité, l'institution de prévoyance régie par le présent code ou l'entreprise d'assurances régie par le code des assurances communique avant la souscription puis annuellement, à chacun de ses adhérents ou souscripteurs, le rapport, exprimé en pourcentage, entre le montant des prestations versées par l'organisme pour le remboursement et l'indemnisation des frais occasionnés par une maladie, une maternité ou un accident et le montant des cotisations ou primes hors taxes afférentes à ces garanties, ainsi que le montant et la composition des frais de gestion de l'organisme affectés à ces mêmes garanties, exprimé en pourcentage des cotisations ou primes hors taxes afférentes, selon des modalités précisées par arrêté du ministre chargé de la sécurité sociale.

Elles prévoient, en outre, la prise en charge totale ou partielle de tout ou partie de la participation de l'assuré aux tarifs servant de base au calcul des prestations de l'assurance maladie prévue au I de l'article L. 160-13 pour les prestations couvertes par les régimes obligatoires, y compris les prestations liées à la prévention, et du forfait journalier prévu à l'article L. 174-4.

Elles fixent les conditions dans lesquelles peuvent être pris en charge les dépassements tarifaires sur les consultations et les actes des médecins, en distinguant, le cas échéant, ceux des médecins ayant adhéré aux dispositifs de pratique tarifaire maîtrisée prévus par la convention nationale mentionnée à l'article L. 162-5 de ceux des médecins non adhérents. Elles fixent également les conditions dans lesquelles peuvent être pris en charge les frais exposés, en sus des tarifs de responsabilité, pour les soins dentaires prothétiques ou d'orthopédie dentofaciale et pour certains dispositifs médicaux à usage individuel admis au remboursement, notamment les dispositifs d'optique médicale. Ces conditions peuvent comprendre des plafonds de prise en charge distincts par catégorie de prestations notamment ainsi que, s'agissant des soins dentaires prothétiques ou d'orthopédie dentofaciale et de certains dispositifs médicaux à usage individuel, des niveaux minimaux de prise en charge.

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Conformément à l'article 51 III B de la loi n° 2018-1203 du 22 décembre 2018, les dispositions prises pour l'application de l'article L. 871-1 dans sa rédaction résultant de la présente loi s'appliquent aux contrats souscrits ou renouvelés à compter du 1er janvier 2020.

Les organisations liées par une convention de branche ou un accord professionnel permettant aux salariés de bénéficier de la couverture minimale prévue à l'article L. 911-7 du code de la sécurité sociale engagent une négociation afin que la convention ou l'accord soient rendus conformes, avant le 1er janvier 2020, aux conditions prévues à l'article L. 871-1 du même code, dans sa rédaction résultant de la présente loi.
\nLes accords d'entreprise et les décisions unilatérales des employeurs permettant de faire bénéficier leurs salariés de cette couverture minimale sont adaptés dans les mêmes conditions, dans le respect, pour les décisions unilatérales, de l'article 11 de la loi n° 89-1009 du 31 décembre 1989 renforçant les garanties offertes aux personnes assurées contre certains risques.

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L242-1 (VD)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000036390517", "@num": "L651-5", "#text": "Code de la sécurité sociale. - art. L651-5 (T)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000039778713", "@num": "L861-12", "#text": "Code de la sécurité sociale. - art. L861-12 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000048702084", "@num": "L861-3", "#text": "Code de la sécurité sociale. - art. L861-3 (VD)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000037950163", "@num": "L862-4", "#text": "Code de la sécurité sociale. - art. L862-4 (VD)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000029354513", "@num": "L863-1", "#text": "Code de la sécurité sociale. - art. L863-1 (VT)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000029354508", "@num": "L863-6", "#text": "Code de la sécurité sociale. - art. L863-6 (VT)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000031666818", "@num": "L864-2", "#text": "Code de la sécurité sociale. - art. L864-2 (VT)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000031686110", "@num": "L911-7", "#text": "Code de la sécurité sociale. - art. L911-7 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000037950320", "@num": "L911-7-1", "#text": "Code de la sécurité sociale. - art. L911-7-1 (VD)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000034588299", "@num": "L932-3", "#text": "Code de la sécurité sociale. - art. L932-3 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000029779013", "@num": "R871-1", "#text": "Code de la sécurité sociale. - art. R871-1 (VD)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000050506958", "@num": "R871-2", "#text": "Code de la sécurité sociale. - art. R871-2 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000042559944", "@num": "R932-1-6-4", "#text": "Code de la sécurité sociale. - art. R932-1-6-4 (VD)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006791920", "@num": "L112-3", "#text": "Code des assurances - art. L112-3 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073984", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000030028579", "@num": "1001", "#text": "Code général des impôts, CGI. - art. 1001 (VD)", "@sens": "cible", "@cidtexte": "LEGITEXT000006069577", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000047288764", "@num": "154 bis", "#text": "Code général des impôts, CGI. - art. 154 bis (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006069577", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000025092537", "@num": "207", "#text": "Code général des impôts, CGI. - art. 207 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006069577", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000049641925", "@num": "83", "#text": "Code général des impôts, CGI. - art. 83 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006069577", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000027795472", "@num": "995", "#text": "Code général des impôts, CGI. - art. 995 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006069577", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" } ] }, "CONTEXTE": { "TEXTE": { "TM": { "TM": { "TM": { "TITRE_TM": [ { "@id": "LEGISCTA000006141729", "@fin": "2999-01-01", "#text": "Titre VII : Contenu des dispositifs d'assurance maladie complémentaire bénéficiant d'une aide.", "@debut": "2005-12-20" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006126917", "@fin": "2019-09-01", "#text": "Livre 8 : Allocations aux personnes âgées - Allocation aux adultes handicapés - Allocation de logement sociale - Aides à l'emploi pour la garde des jeunes enfants - Aides aux collectivités et organismes logeant à titre temporaire des personnes défavorisées ou gérant des aires d'accueil des gens du voyage - Protection complémentaire en matière de santé", "@debut": "2000-07-06" }, { "@id": "LEGISCTA000038834503", "@fin": "2999-01-01", "#text": "Livre VIII : Allocations aux personnes âgées - Allocation aux adultes handicapés - Aides à l'emploi pour la garde des jeunes enfants - Aides aux collectivités et organismes logeant à titre temporaire des personnes défavorisées ou gérant des aires d'accueil des gens du voyage - Protection complémentaire en matière de santé", "@debut": "2019-09-01" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006106050", "@fin": "2999-01-01", "#text": "Partie législative", "@debut": "1985-12-21" } ] }, "@cid": "LEGITEXT000006073189", "@nature": "CODE", "TITRE_TXT": [ { "@fin": "2999-01-01", "#text": "Code de la sécurité sociale", "@debut": "1958-10-16", "@id_txt": "LEGITEXT000006073189", "@c_titre_court": "Code de la sécurité sociale." } ], "@date_publi": "2999-01-01", "@date_signature": "2999-01-01" } }, "VERSIONS": { "VERSION": [ { "@etat": "MODIFIE_MORT_NE", "LIEN_ART": { "@id": "LEGIARTI000006745370", "@fin": "2004-12-31", "@num": "L871-1", "@etat": "MODIFIE_MORT_NE", "@debut": "2006-01-01", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006745371", "@fin": "2005-12-20", "@num": "L871-1", "@etat": "MODIFIE", "@debut": "2004-12-31", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006745372", "@fin": "2006-12-22", "@num": "L871-1", "@etat": "MODIFIE", "@debut": "2005-12-20", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006745373", "@fin": "2007-12-22", "@num": "L871-1", "@etat": "MODIFIE", "@debut": "2006-12-22", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000017845110", "@fin": "2010-05-08", "@num": "L871-1", "@etat": "MODIFIE", "@debut": "2007-12-22", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000022267798", "@fin": "2011-12-23", "@num": "L871-1", "@etat": "MODIFIE", "@debut": "2010-05-08", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000025013197", "@fin": "2012-12-19", "@num": "L871-1", "@etat": "MODIFIE", "@debut": "2011-12-23", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000026799158", "@fin": "2015-01-01", "@num": "L871-1", "@etat": "MODIFIE", "@debut": "2012-12-19", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000028394302", "@fin": "2015-04-01", "@num": "L871-1", "@etat": "MODIFIE", "@debut": "2015-01-01", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000029354533", "@fin": "2016-01-01", "@num": "L871-1", "@etat": "MODIFIE", "@debut": "2015-04-01", "@origine": "LEGI" } }, { "@etat": "MODIFIE_MORT_NE", "LIEN_ART": { "@id": "LEGIARTI000030307753", "@fin": "2015-12-23", "@num": "L871-1", "@etat": "MODIFIE_MORT_NE", "@debut": "2016-01-01", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000031686803", "@fin": "2016-01-28", "@num": "L871-1", "@etat": "MODIFIE", "@debut": "2016-01-01", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000031928862", "@fin": "2016-12-25", "@num": "L871-1", "@etat": "MODIFIE", "@debut": "2016-01-28", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000033714925", "@fin": "2019-07-17", "@num": "L871-1", "@etat": "MODIFIE", "@debut": "2016-12-25", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000038775240", "@fin": "2019-11-01", "@num": "L871-1", "@etat": "MODIFIE", "@debut": "2019-07-17", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000038047365", "@fin": "2020-01-01", "@num": "L871-1", "@etat": "MODIFIE", "@debut": "2019-11-01", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000038775343", "@fin": "2022-01-01", "@num": "L871-1", "@etat": "MODIFIE", "@debut": "2020-01-01", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000042685398", "@fin": "2023-12-28", "@num": "L871-1", "@etat": "MODIFIE", "@debut": "2022-01-01", "@origine": "LEGI" } }, { "@etat": "VIGUEUR", "LIEN_ART": { "@id": "LEGIARTI000048703173", "@fin": "2999-01-01", "@num": "L871-1", "@etat": "VIGUEUR", "@debut": "2023-12-28", "@origine": "LEGI" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "

Elles prévoient, en outre, la prise en charge totale ou partielle de tout ou partie de la participation de l'assuré aux tarifs servant de base au calcul des prestations de l'assurance maladie prévue au I de l'article L. 160-13 pour les prestations couvertes par les régimes obligatoires, y compris les prestations liées à la prévention, et du forfait journalier prévu à l'article L. 174-4.

Elles fixent les conditions dans lesquelles peuvent être pris en charge les dépassements tarifaires sur les consultations et les actes des médecins, en distinguant, le cas échéant, ceux des médecins ayant adhéré aux dispositifs de pratique tarifaire maîtrisée prévus par la convention nationale mentionnée à l'article L. 162-5 de ceux des médecins non adhérents. Elles fixent également les conditions dans lesquelles peuvent être pris en charge les frais exposés, en sus des tarifs de responsabilité, pour les soins dentaires prothétiques ou d'orthopédie dentofaciale et pour certains dispositifs médicaux à usage individuel admis au remboursement, notamment les dispositifs d'optique médicale. Ces conditions peuvent comprendre des plafonds de prise en charge distincts par catégorie de prestations notamment ainsi que, s'agissant des soins dentaires prothétiques ou d'orthopédie dentofaciale et de certains dispositifs médicaux à usage individuel, des niveaux minimaux de prise en charge.

" } }, "LEGIARTI000042559702": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "2", "TYPE": "ENTIEREMENT_MODIF", "DATE_FIN": "2999-01-01", "DATE_DEBUT": "2999-01-01" } }, "META_COMMUN": { "ID": "LEGIARTI000042559702", "URL": "article/LEGI/ARTI/00/00/42/55/97/LEGIARTI000042559702.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "LIENS": { "LIEN": [ { "@id": "LEGIARTI000042563701", "@num": "R932-1-6", "#text": "Code de la sécurité sociale. - art. R932-1-6 (VD)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "MODIFIE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000042559965", "@num": "R932-1-6-2", "#text": "Code de la sécurité sociale. - art. R932-1-6-2 (VD)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CREE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000042559951", "@num": "R932-1-6-3", "#text": "Code de la sécurité sociale. - art. R932-1-6-3 (VD)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CREE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000042559944", "@num": "R932-1-6-4", "#text": "Code de la sécurité sociale. - art. R932-1-6-4 (VD)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CREE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000042563690", "@num": "R932-2-1", "#text": "Code de la sécurité sociale. - art. R932-2-1 (VD)", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "MODIFIE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "#text": "article R. 53-2 du code des postes et télécommunications", "@sens": "source", "@typelien": "CITATION" } ] }, "CONTEXTE": { "TEXTE": { "@cid": "JORFTEXT000042558814", "@nor": "SSAS2022982D", "@num": "2020-1438", "@nature": "DECRET", "TITRE_TXT": [ { "@fin": "2999-01-01", "#text": "Décret n° 2020-1438 du 24 novembre 2020 relatif au droit de résiliation sans frais de contrats de complémentaire santé", "@debut": "2999-01-01", "@id_txt": "JORFTEXT000042558814", "@c_titre_court": "Décret n°2020-1438 du 24 novembre 2020" }, { "@fin": "2999-01-01", "#text": "Décret n° 2020-1438 du 24 novembre 2020 relatif au droit de résiliation sans frais de contrats de complémentaire santé", "@debut": "2020-12-01", "@id_txt": "LEGITEXT000042559693", "@c_titre_court": "Décret n°2020-1438 du 24 novembre 2020" } ], "@ministere": "Ministère des solidarités et de la santé", "@date_publi": "2020-11-25", "@date_signature": "2020-11-24", "@num_parution_jo": "0285" } }, "VERSIONS": { "VERSION": [ { "LIEN_ART": { "@id": "LEGIARTI000042559702", "@fin": "2999-01-01", "@num": "2", "@debut": "2999-01-01", "@origine": "LEGI" } }, { "LIEN_ART": { "@id": "JORFARTI000042558838", "@fin": "2999-01-01", "@num": "2", "@debut": "2999-01-01", "@origine": "JORF" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "
A modifié les dispositions suivantes :

- Code de la sécurité sociale.
\n Art. R932-1-6, Art. R932-2-1\n
\n

\n
\n
A créé les dispositions suivantes :

- Code de la sécurité sociale.
\n Art. R932-1-6-2, Art. R932-1-6-3, Art. R932-1-6-4\n
\n

\n
" } }, "LEGIARTI000042685398": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "L871-1", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2023-12-28", "DATE_DEBUT": "2022-01-01" } }, "META_COMMUN": { "ID": "LEGIARTI000042685398", "URL": "article/LEGI/ARTI/00/00/42/68/53/LEGIARTI000042685398.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "NOTA": { "CONTENU": "

Conformément au I de l'article 65 de la loi n° 2020-1576 du 14 décembre 2020, ces dispositions s'appliquent aux contrats souscrits ou renouvelés à compter du 1er janvier 2022.

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(V)", "@sens": "cible", "@cidtexte": "JORFTEXT000038529223", "@nortexte": "SSAS1911866A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2019-05-24" }, { "@id": "LEGIARTI000038538348", "#text": "Arrêté du 24 mai 2019 - art. (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000038529223", "@nortexte": "SSAS1911866A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2019-05-24" }, { "@id": "LEGIARTI000041960620", "@num": "1", "#text": "Arrêté du 6 mai 2020 - art. 1 (VD)", "@sens": "cible", "@cidtexte": "JORFTEXT000041959083", "@nortexte": "SSAS2011374A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2020-05-06" }, { "@id": "LEGIARTI000041960624", "@num": "3", "#text": "Arrêté du 6 mai 2020 - art. 3 (VD)", "@sens": "cible", "@cidtexte": "JORFTEXT000041959083", "@nortexte": "SSAS2011374A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2020-05-06" }, { "@id": "LEGIARTI000042559700", "@num": "1", "#text": "Décret n°2020-1438 du 24 novembre 2020 - art. 1", "@sens": "cible", "@cidtexte": "JORFTEXT000042558814", "@nortexte": "SSAS2022982D", "@numtexte": "2020-1438", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2020-11-24" }, { "@id": "LEGIARTI000042559704", "@num": "3", "#text": "Décret n°2020-1438 du 24 novembre 2020 - art. 3", "@sens": "cible", "@cidtexte": "JORFTEXT000042558814", "@nortexte": "SSAS2022982D", "@numtexte": "2020-1438", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2020-11-24" }, { "@id": "LEGIARTI000042667250", "@num": "65", "#text": "LOI n°2020-1576 du 14 décembre 2020 - art. 65 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000042665307", "@nortexte": "ECOX2023815L", "@numtexte": "2020-1576", "@typelien": "MODIFIE", "@naturetexte": "LOI", "@datesignatexte": "2020-12-14" }, { "@id": "LEGIARTI000043137301", "#text": "Arrêté du 9 février 2021 - art.", "@sens": "cible", "@cidtexte": "JORFTEXT000043134322", "@nortexte": "SSAS2104662A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2021-02-09" }, { "@id": "LEGIARTI000048840873", "@num": "L827-3", "#text": "Code général de la fonction publique - art. 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L741-10", "@sens": "source", "@cidtexte": "LEGITEXT000006071367", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000048840866", "@num": "L4123-3", "#text": "Code de la défense. - art. L4123-3 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006071307", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000034588166", "@num": "L221-5", "#text": "Code de la mutualité - art. L221-5 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006074067", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000031670012", "@num": "L160-13", "#text": "Code de la sécurité sociale. - art. L160-13", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006740684", "@num": "L162-5", "#text": "Code de la sécurité sociale. - art. 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L862-4 (VD)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000029354513", "@num": "L863-1", "#text": "Code de la sécurité sociale. - art. L863-1 (VT)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000029354508", "@num": "L863-6", "#text": "Code de la sécurité sociale. - art. L863-6 (VT)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000031666818", "@num": "L864-2", "#text": "Code de la sécurité sociale. - art. L864-2 (VT)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000031686110", "@num": "L911-7", "#text": "Code de la sécurité sociale. - art. L911-7 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000037950320", "@num": "L911-7-1", "#text": "Code de la sécurité sociale. - art. L911-7-1 (VD)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000034588299", "@num": "L932-3", "#text": "Code de la sécurité sociale. - art. L932-3 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000029779013", "@num": "R871-1", "#text": "Code de la sécurité sociale. - art. 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art. 995 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006069577", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" } ] }, "CONTEXTE": { "TEXTE": { "TM": { "TM": { "TM": { "TITRE_TM": [ { "@id": "LEGISCTA000006141729", "@fin": "2999-01-01", "#text": "Titre VII : Contenu des dispositifs d'assurance maladie complémentaire bénéficiant d'une aide.", "@debut": "2005-12-20" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006126917", "@fin": "2019-09-01", "#text": "Livre 8 : Allocations aux personnes âgées - Allocation aux adultes handicapés - Allocation de logement sociale - Aides à l'emploi pour la garde des jeunes enfants - Aides aux collectivités et organismes logeant à titre temporaire des personnes défavorisées ou gérant des aires d'accueil des gens du voyage - Protection complémentaire en matière de santé", "@debut": "2000-07-06" }, { "@id": "LEGISCTA000038834503", "@fin": "2999-01-01", "#text": "Livre VIII : Allocations aux personnes âgées - Allocation aux adultes handicapés - 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\n

Le bénéfice des dispositions des sixième et huitième alinéas de l'article L. 242-1, ou pour les salariés du secteur agricole des sixième et huitième alinéas de l'article L. 741-10 du code rural du 1° quater de l'article 83 du code général des impôts, du deuxième alinéa du I de l'article 154 bis, du II et du 2° du II bis de l'article L. 862-4 du présent code, dans le cas de garanties destinées au remboursement ou à l'indemnisation des frais occasionnés par une maladie, une maternité ou un accident, est subordonné à la condition que les opérations d'assurance concernées ne couvrent pas la participation forfaitaire et la franchise respectivement mentionnées au II et au III de l'article L. 160-13 du présent code et qu'elles respectent les règles fixées par décret en Conseil d'Etat après avis de l'Union nationale des caisses d'assurance maladie et de l'Union nationale des organismes d'assurance maladie complémentaire. Le bénéfice de ces mêmes dispositions est également subordonné à la condition que la mutuelle ou union relevant du code de la mutualité, l'institution de prévoyance régie par le présent code ou l'entreprise d'assurances régie par le code des assurances communique avant la souscription puis annuellement, à chacun de ses adhérents ou souscripteurs, le rapport, exprimé en pourcentage, entre le montant des prestations versées par l'organisme pour le remboursement et l'indemnisation des frais occasionnés par une maladie, une maternité ou un accident et le montant des cotisations ou primes hors taxes afférentes à ces garanties, ainsi que le montant et la composition des frais de gestion de l'organisme affectés à ces mêmes garanties, exprimé en pourcentage des cotisations ou primes hors taxes afférentes, selon des modalités précisées par arrêté du ministre chargé de la sécurité sociale.

Elles prévoient, en outre, la prise en charge totale ou partielle de tout ou partie de la participation de l'assuré aux tarifs servant de base au calcul des prestations de l'assurance maladie prévue au I de l'article L. 160-13 pour les prestations couvertes par les régimes obligatoires, y compris les prestations liées à la prévention, et du forfait journalier prévu à l'article L. 174-4.

Elles fixent les conditions dans lesquelles peuvent être pris en charge les dépassements tarifaires sur les consultations et les actes des médecins, en distinguant, le cas échéant, ceux des médecins ayant adhéré aux dispositifs de pratique tarifaire maîtrisée prévus par la convention nationale mentionnée à l'article L. 162-5 de ceux des médecins non adhérents. Elles fixent également les conditions dans lesquelles peuvent être pris en charge les frais exposés, en sus des tarifs de responsabilité, pour les soins dentaires prothétiques ou d'orthopédie dentofaciale et pour certains dispositifs médicaux à usage individuel admis au remboursement, notamment les dispositifs d'optique médicale. Ces conditions peuvent comprendre des plafonds de prise en charge distincts par catégorie de prestations notamment ainsi que, s'agissant des soins dentaires prothétiques ou d'orthopédie dentofaciale et de certains dispositifs médicaux à usage individuel, des niveaux minimaux de prise en charge.

Elles prévoient également le bénéfice du mécanisme de tiers payant sur les prestations faisant l'objet de ces garanties, au moins à hauteur des tarifs de responsabilité et à hauteur des frais exposés par l'assuré en sus des tarifs de responsabilité dans la limite des prix fixés en application de l'article L. 165-3 pour les produits et prestations relevant des classes à prise en charge renforcée définies en application du deuxième alinéa de l'article L. 165-1 ainsi qu'à hauteur des frais de soins dentaires prothétiques exposés par l'assuré en sus des tarifs de responsabilité et dans la limite des honoraires de facturation fixés par la convention prévue à l'article L. 162-9, pour les actes définis par arrêté des ministres chargés de la santé et de la sécurité sociale.

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Le bénéfice des dispositions des sixième et huitième alinéas de l'article L. 242-1, ou pour les salariés du secteur agricole des sixième et huitième alinéas de l'article L. 741-10 du code rural du 1° quater de l'article 83 du code général des impôts, du deuxième alinéa du I de l'article 154 bis, du II et du 2° du II bis de l'article L. 862-4 du présent code, dans le cas de garanties destinées au remboursement ou à l'indemnisation des frais occasionnés par une maladie, une maternité ou un accident, est subordonné à la condition que les opérations d'assurance concernées ne couvrent pas la participation forfaitaire et la franchise respectivement mentionnées au II et au III de l'article L. 160-13 du présent code ni la minoration prévue au deuxième alinéa de l'article L. 322-5 et qu'elles respectent les règles fixées par décret en Conseil d'Etat après avis de l'Union nationale des caisses d'assurance maladie et de l'Union nationale des organismes d'assurance maladie complémentaire. Le bénéfice de ces mêmes dispositions est également subordonné à la condition que la mutuelle ou union relevant du code de la mutualité, l'institution de prévoyance régie par le présent code ou l'entreprise d'assurances régie par le code des assurances communique avant la souscription puis annuellement, à chacun de ses adhérents ou souscripteurs, le rapport, exprimé en pourcentage, entre le montant des prestations versées par l'organisme pour le remboursement et l'indemnisation des frais occasionnés par une maladie, une maternité ou un accident et le montant des cotisations ou primes hors taxes afférentes à ces garanties, ainsi que le montant et la composition des frais de gestion de l'organisme affectés à ces mêmes garanties, exprimé en pourcentage des cotisations ou primes hors taxes afférentes, selon des modalités précisées par arrêté du ministre chargé de la sécurité sociale.

Elles prévoient, en outre, la prise en charge totale ou partielle de tout ou partie de la participation de l'assuré aux tarifs servant de base au calcul des prestations de l'assurance maladie prévue au I de l'article L. 160-13 pour les prestations couvertes par les régimes obligatoires, y compris les prestations liées à la prévention, et du forfait journalier prévu à l'article L. 174-4.

Elles fixent les conditions dans lesquelles peuvent être pris en charge les dépassements tarifaires sur les consultations et les actes des médecins, en distinguant, le cas échéant, ceux des médecins ayant adhéré aux dispositifs de pratique tarifaire maîtrisée prévus par la convention nationale mentionnée à l'article L. 162-5 de ceux des médecins non adhérents. Elles fixent également les conditions dans lesquelles peuvent être pris en charge les frais exposés, en sus des tarifs de responsabilité, pour les soins dentaires prothétiques ou d'orthopédie dentofaciale et pour certains dispositifs médicaux à usage individuel admis au remboursement, notamment les dispositifs d'optique médicale. Ces conditions peuvent comprendre des plafonds de prise en charge distincts par catégorie de prestations notamment ainsi que, s'agissant des soins dentaires prothétiques ou d'orthopédie dentofaciale et de certains dispositifs médicaux à usage individuel, des niveaux minimaux de prise en charge.

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Article R932-1-6-4 AUTONOME VIGUEUR, en vigueur depuis le 01/12/2020 (Code de la sécurité sociale)