Specific scale applicable to Anesthetists-Resuscitators and Specialist Doctors with a dominant surgical activity

Total functional disability

• Incurable total alienation ________________________
• Total loss of both eyes or vision of both eyes ___
• Uncorrectable total bilateral deafness _______________
• Disarticulation of the shoulder ________________________
• Amputation of the arm, forearm, wrist _______
• Complete paralysis of the brachial plexus _______________ 100%
• Amputation or total functional loss of the hand _____
• Loss of both lower limbs _________________
• Disarticulation of the hip _______________________
• Complete organic hemiplegia ____________________

Total and partial functional disability

Head (with or without skull fracture)

• Incurable total alienation ________________________ 100%
• Epilepsy with very frequent seizures (several per month) depending on the frequency of seizures under well-managed treatment ___________________________________ 30% to 100%
• Psychic disorders and deficits of intellectual functions; objective neurological deficit ________________________ 20% to 100%
• Subjective post-concussion syndrome ______________ 5% to 20%

Eyes and ears

• Total loss of both eyes or vision of both eyes __ 100%
• Total loss of one eye _____________________________ 50%
• Alteration of visual function __________________ 3% to 100%
• Uncorrectable total bilateral deafness ______________ 100%
• Total unilateral deafness __________________________ 30%
• Unilateral hypoacusis ____________________________ 3% to 30%

Laryngeal sequelae

• Amputation of the tongue, depending on the degree of speech, chewing, and swallowing difficulties ________ 10% to 80%

Jaws and teeth

• Loss of the lower jaw _____________________ 80%

Nose

• Total anosmia associated with ageusia ________________ 5% to 15%

Spine (vertebral column)

• Fracture or vertebral dislocation with minor to moderate sequelae __________________________ 5% to 30%
• Fracture or vertebral dislocation with significant sequelae _ 40% to 50%

Respiratory system

• Thoracic wall: depending on pain and deformation after fracture ______________________ 2% to 15%
• Impairment of respiratory function evidenced by functional tests ______________________ 5% to 80%

Pelvis (excluding the hip)

• Depending on the sequelae (static, motor, and urinary disorders) _ 10% to 50%

Upper limbs

Hands

Lower limbs

• Loss of both lower limbs _________________ 100%
• Disarticulation of the hip ______________________ 100%
• Disarticulation of the knee depending on the prosthesis ___ 80%
• Thigh amputation at the middle third ________________ 80%
• Leg amputation at the middle third ________________ 70%
• Foot amputation (Lisfranc) ______________________ 45%
• Amputation of all five toes ________________________ 25%
• Amputation of the big toe _________________________ 20% 12%
• Knee blockage in extension ____________________ 40%
• Ankle blockage __________________________ 30%
• Rupture of the Achilles tendon, depending on the repair ________________________________ 0% to 30%
• Complete paralysis of the external popliteal nerve __________ 30%

Miscellaneous

• Complete organic hemiplegia ____________________ 100%
• Total splenectomy, depending on the blood formula ______________________________________ 10% to 30%
• Nephrectomy (increase in rate depending on azotemia) :
  • without renal failure __________________________ 15% to 20%
  • with renal failure, depending on biology and hemodialysis ______________________________ 50% to 100%

*Dominant - ** Non Dominant

1. Disabilities not listed above are compensated in proportion to their severity compared to those of the listed cases.
2. Total functional disability of a limb is considered equivalent to its total loss.
3. The disability rate resulting from multiple disabilities arising from the same event is obtained by summing the disabilities, without exceeding the rate applicable in the case of total functional disability. Similarly, if multiple injuries affect the same limb, the disability rate cannot exceed the rate provided for the total loss of said limb.

▲ The turnover in k and kc must represent 50% of the total amount of fees.

AGI 0108 Ed 04/2015

CAP-ARC

Insurer of the contract: Contracting Association
Head Office: 12 avenue Pierre Mendès France - CS 10144 - 67312 Schiltigheim Cedex
tel. 03 90 23 90 00
Public limited company for insurance brokerage with a capital of 480,000 €
Subsidiary of AXA France Vie
306 843 731 RCS Strasbourg
Orias 07 029 368

Management center for AGIPI insurance contracts
AXA France Vie S.A. with a capital of 487,725,073.50 €
310 499 959 RCS Nanterre
AXA Assurances Vie Mutuelle
Mutual Life Insurance and Capitalization Company with fixed contributions - Siren 353 457 245
Head offices: 313 Terrasses de l’Arche - 92727 Nanterre Cedex
Companies governed by the Insurance Code
ACPR - Prudential Control and Resolution Authority: 4 place de Budapest - CS 92459 - 75436 Paris Cedex 09 / ORIAS: www.orias.fr

Head Office: 12 avenue Pierre Mendès France - CS 10144 - 67312 Schiltigheim Cedex - tel. 03 90 23 90 00
Paris office: 52 rue de la Victoire - 75009 Paris - tel. 01 40 08 93 00
Register of Associations of the Schiltigheim district court - volume 21 - n° 1049
Siren 307 146 308