EU Regulation 574/1972 Article 95 on the calculation of the grants
between nations to support health care of pensioners.
Refund of benefits in kind provided
under sickness and maternity insurance to pensioners and to members of their
families who are not resident in a
1. The amount of the benefits in kind provided
pursuant to Articles 28(1) and 28a _and Article 29(1)_ of the Regulation shall be refunded
by the competent institutions to the institutions which provided the said
benefits, on the basis of a lump sum which is as close as possible to the
actual expenditure incurred.
2. The lump sum shall be determined by multiplying
the annual average per capita cost by the average annual number of pensioners
and members of their families to be taken into account and by reducing the
resultant amount by 20%.
3. The factors necessary for the calculation of the
said lump sum shall be determined according to the following rules:
(a) the average annual per capita cost shall be
obtained for each Member State, by dividing the annual costs of the total
benefits in kind provided by the institutions of that Member State to all
pensioners whose pensions are payable under the legislation of that Member State,
under the social security schemes to be taken into consideration and to members
of their families, by the average annual number of pensioners and members of
their families; the social security schemes to be taken into consideration for
that purpose are specified in Annex 9;
(b) in dealings between the institutions of two
Member States, the average annual number of pensioners and members of their
families to be taken into account shall be equal to the average annual number of
_pensioners,
and/or members of their family, referred to in Article 28(2) or Artricle 29(1)_ of the Regulation who, whilst
residing in the territory of one of the Member States, are entitled to benefits
in kind chargeable to the institution of the other Member State.
4. The number of pensioners and members of their
families to be taken into account in accordance with paragraph 3(b) shall be
determined by means of a list kept for that purpose by the institution of the
place of residence, based upon documentary evidence supplied by the competent
institution of the rights of the persons concerned. In the event of any
dispute, the observations of the institutions involved shall be submitted to
the Audit Board provided for in Article 101(3) of the implementing Regulation.
5. The Administrative Commission shall lay down the
methods and procedures for determining the calculation factors referred to in
paragraphs 3 and 4.
6. Two or more
NOTE - This was drawn up before the
It
was drawn up before the huge movement of pensioners migrating from the Northern
Countries to the south.
It
has some curious features. Why is a
reduction of 20% mentioned under item 2?
No
independent observer can easily follow the calculation made by
any