Informations Administratives 02.03.2000 | N° 18-2000 INTERINSTITUTIONELLE, TOUS LIEUX D'AFFECTATION + AGENCES, ÉCOLES EUROPÉENNNES, PENSIONES, UNIVERSITÉ DE FLORENCE |
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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:
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:
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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Direction B : Assurance maladie et accidents Editeur : Personnel et Administration Direction C : Ateliers de reproduction |