Informations Administratives 12.03.1999	Spécial INTERINSTITUTIONS, TOUS LIEUX D'AFFECTATION
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Cover for member' spouse Application of Articles 3 and 6 of the Rules on Sickness Insurance for Officials of the European Communities Updating for 1999 Article 3 of the Rules on Sickness Insurance provides that a member's spouse is to receive primary cover under the member's insurance, provided that the spouse is not gainfully employed. If the spouse is gainfully employed (Even if the work is not full-time or produces little income, for example free-lance work, consultancy work or other self-employed work.) or in receipt of income deriving from previous gainful employment (for example a retirement or invalidity pension or some other allowance), he or she may be entitled to supplementary reimbursement under the Joint Sickness Insurance Scheme, provided that both the following conditions are fulfilled: he or she must already be covered against the same risks as those covered by the scheme, by virtue of some other legal provisions or rules; his or her annual income from such employment before tax (This means gross income minus deductible expenses and social security contributions.) must not exceed the basic annual salary of an official in the first step of Grade C5, subject to the weighting for the country in which he or she receives that income from gainful employment. The relevant amounts for the various countries are set out below: Germany DEM 53.067 EUR 27.132,73 Netherlands NLG 61.641 EUR 27.971,47 Denmark DKK 241.555 United Kingdom GBP 25.594 France FRF 197.283 EUR 30.075,60 Ireland IEP 20.303 EUR 25.779,49 Italy ITL 48.708.186 EUR 25.155,68 Greece GRD 6.987.360 Spain ESP 3.788.582 EUR 22.769,84 Portugal PTE 4.263.623 EUR 21.266,86 Belgium BEF 1.011.468 EUR 25.073,64 Luxembourg LUF 1.011.468 EUR 25.073,64 United States USD 25.156 Austria ATS 383.704 EUR 27.884,86 Sweden SEK 258.625 Finland FIM 173.820 EUR 29.234,43 Switzerland CHF 49.278 In order to enable their records to be updated, all members concerned must send documentary evidence of their spouse's income from present or previous gainful employment to :F ( (relevant office) The relevant documents are: if the spouse is employed, the tax certificate relating to income received during the previous year or, pending the availability of such certificate, a certificate from the employer indicating the details of the income received during 1998. If the spouse took up employment only recently, the most recent monthly pay slip should be produced, indicating the prospective number of monthly payments in the year; in respect of a self-employed spouse, the tax certificate relating to income received during 1998 or, pending the availability of such certificate, the certificate relating to 1997. As from 30 June 1999, reimbursement of medical expenses for spouses currently receiving supplementary cover will be suspended pending receipt of the requisite documentary evidence. Save in cases where the spouse stops working during the course of the year or where there is a significant alteration in the circumstances of his or her employment (e.g. switching from full-time to half-time work and vice versa), the decision providing supplementary cover will be valid from 1st July 1999 to 30 June 2000. Members must notify the relevant office responsible for settling claims of any change in the circumstances of any person covered by their insurance, having regard to Article 6(1) of the Rules and Article 72(4) of the Staff Regulations, which provide that members must declare the benefits which those persons can claim and which are received by them under any other sickness insurance scheme provided for by law or regulation.

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Auteur : Direction générale du personnel et de l'administration Unité "Assurance maladie et accidents" Editeur : Direction générale du personnel et de l'administration Unité ateliers de reproduction Page créée le 14/03/99 13:54:10, dernière modification le 14/03/99 14:12:22