Informations Administratives 02.03.2000	N° 18-2000 INTERINSTITUTIONELLE, TOUS LIEUX D'AFFECTATION + AGENCES, ÉCOLES EUROPÉENNNES, PENSIONES, UNIVERSITÉ DE FLORENCE
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JOINT SICKNESS INSURANCE SCHEME CENTRAL OFFICE Re: Application of Articles 3 and 6 of the Rules on Sickness Insurance for Officials of the European Communities Updating for 2000 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: EUR Germany DEM 54.192 27.707,73 Netherlands NLG 64.919 29.458,78 Denmark DKK 252.124 United Kingdom GBP 26.372 France FRF 200.669 30.591,81 Ireland IEP 22.247 28.248,50 Italy ITL 50.508.453 26.085,44 Greece GRD 7.230.250 Spain ESP 3.954.642 23.767,88 Portugal PTE 4.408.816 21.991,08 Belgium BEF 1.038.780 25.750,68 Luxembourg LUF 1.038.780 25.750,68 United States USD 28.693 Austria ATS 390.479 28.377,25 Sweden SEK 270.336 Finland FIM 180.360 30.334,30 Switzerland CHF 48.978 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 * : (see the list). 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 1999. 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 1999 or, pending the availability of such certificate, the certificate relating to 1998. As from 1 July 2000, 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 1 July 2000 to 30 June 2001. 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 : Personnel et Administration Direction B : Assurance maladie et accidents Editeur : Personnel et Administration Direction C : Ateliers de reproduction Page créée le 24/02/2000 11:29:25, dernière modification le 24/02/2000 11:56:54