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Parts of the Consolidated Report

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General questions. Parts I, XII and XIII

Part II

Part III

Part IV

Part V

Part VII

Part VIII

Part XI

Consolidated Report on the application by Romania of ILO Conventions Nos 24, 102, 168, 183 & the European Code of Social Security, 2018

Consolidated information compiled from the following Government Reports on these instruments:

·         Sickness Insurance (Industry) Convention, 1927 (No. 24)

·         Social Security (Minimum Standards) Convention, 1952 (No.102)

·         Employment Promotion and Protection against Unemployment Convention, 1988 (No.168)

·         Maternity Protection Convention, 2000 (No.183)

·         European Code of Social Security

Additional information compiled from the following sources:

·       Biennial Report for the period from 1st July 2014 to 30th June 2016 made by the Government of Romania in accordance with Article 76 of the European Code on Social Security on the position of national law and practice in regard to the matters dealt with in Parts of the European Code of Social Security which have not been specified in the ratification of the Code or in a subsequent notification

·       Database of the MISSOC

·       The official website of the National Health Insurance House

Ø  Please enter any modifications or new information using TRACK CHANGES function in MICROSOFT WORD.

Ø  Where the text of the corresponding provisions of the ECSS and C102 has the same wording, the wording of C102 is taken as the basis, with eventual changes in the ECSS reproduced in brackets.

Ø  Questions of the Report Form on the European Code of Social Security (ECSS) or on ILO Conventions (e.g. RF/C102) for which information is lacking are reproduced in a box below the respective provisions.

Ø  Replies to pending questions raised by the CEACR may be provided in a box below the CEACR comments.

Summary table

Category

Information available

Information missing / questions raised by the CEACR

Part II. Medical Care

II-1. Regulatory framework

Art.7 C102/ECSS

II-2. Contingencies covered

Art.8 C102/ECSS

II-3. Persons protected

Art.9 C102/ECSS *

II-4. Types of benefits

Art.10(1) C102/ECSS

II-5. Cost-sharing

Art.10(2) C102/ECSS

Art.4,5 C24

II-6. Objectives of Medical Care

Art.10(3) C102/ECSS

II-7. Promotion of the general health service

Art.10(4) C102/ECSS

II-8. Qualifying period

Art.11 C102/ECSS

II-9. Minimum duration of benefit

Art.12 C102/ECSS

II-10. Suspension of benefit

Art.69 C102, Art.68 ECSS

II-11. Right of complaint and appeal

Art.70 C102

Art. 69 ECSS

II-12. Financing and Administration

Art.72 C102, Art.71 ECSS

Art.71 C102, Art.70 ECSS*

Part III. Sickness Benefit

III-1. Regulatory framework

Art.13 C102/ECSS

Art.1 C24

III-2. Contingencies covered

Art.14 C102/ECSS

III-3. Persons protected

Art.15 C102/ECSS*

Art.2(1) C24

III-4. Level and Calculation of benefit

Art.16 C102/ECSS*

III-5. Qualifying period

Art.17 C102/ECSS,

Art.3(2) C24

III-6. Minimum duration of benefit

Art.18 C102/ECSS

Art.3(1,2) C24

III-7. Suspension of benefit

Art.69 C102, Art.68 ECSS

Art.3(3,4) C24

III-8. Right of complaint and appeal

Art.70 C102, Art.69 ECSS

Art.9 C24

III-9. Financing and Administration

     Art.72 C102, Art.71 ECSS

Art.71 C102, Art.70 ECSS*

Art.6,7 C24

Part IV. Unemployment Benefit

IV-1. Regulatory framework

IV-2. Contingency covered

Art.10 C168

IV-3. Persons Protected

Art.11 C168*

IV - 4. Method of protection (explanatory clause)

Art.12,13 C168

IV-5. Level and Calculation of Benefit

Art.14 C168

Art.15,16 C168*

IV-6. Qualifying period

Art.17(1) C168

Art.17(2) C168

IV-7. Waiting period

Art.18 C168

IV-8. Minimum duration of Benefit

Art.19 C168

IV - 9. Provisions of Medical Care to unemployed

Art.23 C168

IV – 10. Acquisition of the right to other benefits

Art.24 C168

IV – 11. Adjustment of scheme to part-time workers

Art.25 C168

IV – 12. Special provisions for new applicants for employment

Art.26 C168

IV - 13. Promotion of productive employment

Art.7,8 C168

IV-14. Suspension of Benefit

Art.21 C168

IV-15. Right of complaint and appeal

Art.27(1) C168

Art.27(2) C168

IV-16. Financing and Administration

Art.28 C168

Art.29,30 C168

Part V. Old-Age Benefit

V-1. Regulatory framework

Art.25 C102/ECSS

V-2. Contingency covered

Art.26 C102/ECSS

V-3. Persons protected

Art.27 C102/ECSS*

V-4. Level and calculation of benefit

Art.28 C102/ECSS*

V-5. Adjustment of benefit

Art.65(10),66(8) C102/ECSS*

V-6. Qualifying period

Art.29 C102/ECSS

V-7. Duration of benefit

Art.30 C102/ECSS

V-8. Suspension of benefit

Art.69 C102, Art.68 ECSS

V-9. Right of complaint and appeal

Art.70 C102, Art.69 ECSS

V-10. Financing and Administration

Art 72 C102, Art. 71 ECSS

Art.71 C102, Art.70 ECSS*

Part VII. Family Benefit

VII-1. Regulatory framework

Art.39 C102/ECSS

VII-2. Contingency covered

Art.40 C102/ECSS

VII-3. Persons protected

Art.41 C102/ECSS*

VII-4. Types of benefits

Art.42  C102/ECSS

VII-5. Qualifying period

Art.43  C102/ECSS

VII-6. Level and Calculation of benefit

Art.44  C102/ECSS*

VII-7. Duration of benefit

Art.45 C102/ECSS

VII-8. Suspension of benefit

Art.69 C102, Art.68 ECSS

VII-9. Right of complaint and appeal

Art.70 C102, Art.69 ECSS

VII-10. Financing and Administration

Art.71,72 C102

Art.70,71 ECSS

Part VIII. Maternity Benefit

VIII - 1. Regulatory framework

Art.46 C102/ECSS

Art.6 (1) C183

VIII - 2. Contingency covered

Art.47 C102/ECSS

VIII - 3. Persons protected

Art.48 C102/ECSS*

Art.6(5) C183

VIII - 4. Medical Care

Art.49 C102/ECSS

Art.6(7) C183

VIII - 5. Level and Calculation of benefit

Art.50 C102/ECSS*

Art.6(2-4,6) C183

VIII - 6. Qualifying period

Art.51 C102/ECSS

VIII - 7. Minimum duration of benefit

Art.52 C102/ECSS

VIII - 8. Suspension of benefit

Art.69 C102

Art.68 ECSS

VIII - 9. Right of complaint and appeal

Art.70 C102, Art.69 ECSS

VIII - 10. Financing and Administration

Art.72 C102, Art.71 ECSS

Art.6(8) C183

Art.71 C102, Art.70 ECSS*

Part XI. Standards to be complied with by periodical payments

Art.65,66 C102/ECSS

Art.14-16 C168

2018 CEACR’s conclusions

Part XII. Equality of treatment of non-national residents

Art.68 C102

Part XIII. Commonm provisions

XIII - 3. Financing and Administration

Art 72 C102, Art. 71 ECSS

Art.71 C102, Art.70 ECSS*

* Please update statistical data, in accordance with the Report form for C102/ECSS/C168.

Part I. General provisions

The Part I “General provisions” comprises the following explanatory and procedural clauses:

§  Articles 1-6 C102

§  Articles 1-6 ECSS

§  Articles 1-6 C168

§  Articles 1-2, 7 C183


Part II. Medical Care

Romania has accepted the obligations resulting from C24, Part II of C102 and Part II of the ECSS.

Category

Information available

Information missing / questions raised by the CEACR

II-1. Regulatory framework

Art.7 C102/ECSS

II-2. Contingencies covered

Art.8 C102/ECSS

II-3. Persons protected

Art.9 C102/ECSS*

II-4. Types of benefits

Art.10(1) C102/ECSS

II-5. Cost-sharing

Art.10(2) C102/ECSS

Art.4,5 C24

II-6. Objectives of Medical Care

Art.10(3) C102/ECSS

II-7. Promotion of the general health service

Art.10(4) C102/ECSS

II-8. Qualifying period

Art.11 C102/ECSS

II-9. Minimum duration of benefit

Art.12 C102/ECSS

II-10. Suspension of benefit

Art.69 C102

Art.68 ECSS

II-11. Right of complaint and appeal

Art.70 C102

       Art. 69 ECSS

II-12. Financing and Administration

Art.72 C102

Art.71 ECSS

Art.71 C102

Art.70 ECSS*

* Please update statistical data, in accordance with the Report form for C102/ECSS.

List of applicable legislation

·         Law No 95/2006 on  healthcare reform, republished, as further completed and amended (the initial form published in the Official Gazette no 372 of 28 April 2006, the republished form published in the Official Gazette no 652 of 28 August 2015) – Title VIII „Health Social Insurance";

·         Government Decision No 161/2016 approving services packages and The Framework Agreement for regulationg the conditions for providing medical asistance, medicines and medical devices in the social health insurance system for 2016 – 2017, as further completed and amended with effect until 31 March 2018 (Part II – Medical care)Joint Order No 196/139/2017  of the Minister of Health and NHIH President approving the Methodological Norms for year 2017 of the Government Decision No 161/2016 approving services packages and The Framework Agreement for regulationg the conditions for providing medical asistance, medicines and medical devices in the social health insurance system for 2016 – 2017, as further completed and amended with effect until 31 March 2018 (Part II – Medical care)

·         Governmental Decision No 140/2018 approving services packages and The Framework Agreement for regulationg the conditions for providing medical asistance, medicines and medical devices in the social health insurance system for 2018 – 2019, as further completed and amended, with effect from 1 April 2018; (Part II – Medical care)

·         Joint Order No. 397/836/2018 of the Minister of Health and NHIH President approving the Methodological Norms for the application in 2018 of the Government Decision no. 140/2018 for the approval of service packages and the framework contract governing the conditions for the provision of medical care, medicines and medical devices within the health insurance system for the years 2018 - 2019, as further completed and amended, applicable from 1 April 2018 (Part II – Medical care)

·         Order of the President of the National Health Insurance House No. 581/2014 on the approval of the methodological regulations related to the establishment of the documents in proof required to acquire the quality of insured person (initial form published in the Official Gazette no. 685, dated September 19th, 2014), with effect until 5 December 2018 applied since September 19th 2014 (Part II – Medical care);

·         Order of the President of the National Health Insurance House No. 1549/2018 on the approval of the methodological Normes for for establishing the supporting documents regarding the acquisition of the quality of insured (initial form published in the Official Gazette no. 1036 dated December 6th 2018), applied since December 6th 2018 (Partea II – Medical care);

·         Governmental Decision no. 720/2008 for the approval of the list including the common international denomination pertaining to the medication the insured persons take advantage of, with or without personal contribution, based on a medical prescription, within the health insurance system, with the subsequent amendments and supplements (initial form published in the Official Gazette no. 523, dated July 10th, 2008, (Part II – Medical care),

·        Order of the President of the National Health Insurance House No 803/2016 on the approval of the methodology to establish the reference prices and lease amounts corresponding to the medical device classes and types intended to the outpatient recovery of organic or functional disabilities,  within the health insurance system, applicable from 30 June 2018 (Part II – Medical care);

·        Order of the President of the National Health Insurance House No. 1081/2018 2016 on the approval of the methodology to establish the reference prices and lease amounts corresponding to the medical device classes and types intended to the outpatient recovery of organic or functional disabilities,  within the health insurance system (initial form published in the Official Gazette no 535 dated June 28th 2018), applied since July 1th 2018 (Partea II – Medical care);

II – 1. Regulatory framework

Article 7. C102 and ECSS

Each Member (Contracting Party) for which this Part of this Convention (Code) is in force shall secure to the persons protected the provision of benefit in respect of a condition requiring medical care of a preventive or curative nature in accordance with the following Articles of this Part.

Database of the MISSOC:

Basic principles.

Compulsory social insurance scheme for all inhabitants financed mainly by contributions. Benefits-in-kind system.

Insured people benefit from a basic package of medical services.

Uninsured people benefit from a minimal package of medical services.

II - 2. Contingencies covered

Article 8. C102 and ECSS

The contingencies covered shall include any morbid condition, whatever its cause, and pregnancy and confinement and their consequences.

II - 3. Persons protected

Article 9. C102 and ECSS

The persons protected shall comprise:

(a) prescribed classes of employees, constituting not less than 50 per cent of all employees, and also their wives and children; or

(b) prescribed classes of the economically active population, constituting not less than 20 per cent of all residents, and also their wives and children; or

(c) prescribed classes of residents, constituting not less than 50 per cent of all residents.

Sub-paragraph c) of Article 9 applies to the health insurance system in Romania.

According to the provisions of the Law no. 95/2006, republished, as further completed and amended (the form in force at the beginning of the reference period), the following persons are insured within the health insurance system in Romania:

                

ART. 222

(1) According to the present law, the insured persons are:

   a) all Romanian citizens domiciled or residing in the country; 

  b) foreign citizens and stateless persons who have applied for and have obtained the right to temporary stay or have their domicile in Romania;

   c) citizens of EU Member States, EEA and Swiss Confederation who do not have insurance in another Member State that has effect in Romania, who have applied for and obtained the right of residence in Romania for a period of more than 3 months; 

  d) persons from EU Member States, EEA and Swiss Confederations fulfilling the conditions of a frontier worker, meaning who are employed or self-employed in Romania and who reside in another Member State in which they return usually daily or at least once a week ; 

  e) pensioners in the public pension system who are no longer domiciled in Romania and who establish their residence in the territory of an EU Member State, of a state belonging to the EEA or of the Swiss Confederation, respectively domiciled in the territory of a state with which Romania applies an agreement bilateral social security with provisions for sickness-maternity insurance.   

(2) In the case of the persons mentioned in par. (1) falling within the category of those who make the incomes provided under art. 155 par. (1) lit. a) of Law no. 227/2015, as subsequently supplemented or amended, the quality of insured in the social health insurance system and the right to the basic package is granted from the date of initiation of the work / service relationship.

(3) The persons referred to in paragraph (1) falling within the category of those who make the incomes provided under art. 155 par. (1) lit. b) - h), as well as for the ones stipulated in art. 180 of Law no. 227/2015, as subsequently supplemented or amended, acquire the quality of insured in the social health insurance system and have the right to the basic package from the date of filing the declaration, stipulated in art. 147 par. (1) or art. 174 par. (3) of the Law no. 227/2015, as subsequently supplemented or amended, as the case may be.

 (4) For the persons mentioned in par. (1) who fall within the category of those who have the status of taxpayers to the social health insurance system, according to the Law no. 227/2015, as subsequently supplemented or amended and which did not pay the contribution to the fund within the time limits provided by the same law, the outstanding amounts are recovered by A.N.A.F. in accordance with the law, including fiscal tax liabilities due for tax receivables.

(5) The insured and the insurance rights cease:  

  a) for the persons referred to in paragraph (1) lit. a) with the loss of the right of domicile or residence in Romania, as well as under the conditions of art. 267 par. (2) - (2 ^ 2), as the case may be;  

  b) for the persons mentioned in par. (1) lit. b) with the loss of the right of residence in Romania, as well as under the conditions of art. 267 par. (2) - (2 ^ 2), as the case may be;     c) for the persons referred to in par. (1) lit. c) with the loss of the right of residence in Romania, for a period of more than 3 months, as well as under the conditions of art. 267 par. (2) - (2 ^ 2), as the case may be; 

   d) for the persons mentioned in par. (1) lit. d), together with the loss of the status of frontier worker, and under the conditions of art. 267 par. (2) and (2 ^ 2) as appropriate. 

   (6) The supporting documents regarding the acquisition of the quality of the insured shall be established by an order of the CNAS president.

Article 267

 (2) For the persons who realize the incomes stipulated in art. 155 par. (1) lit. a) of Law no. 227/2015, as subsequently amended and supplemented, the quality of the insured shall cease within 3 months from the date of termination of the employment / service relationship.  

 (2 ^ 1) For the categories of persons insured without payment of the contribution provided under art. 224 par. (1), the quality of the insured shall cease within 1 month from the date when the persons no longer belong to these categories of insured persons.    (2 ^ 2) For the persons who realize the incomes provided under art. 155 par. (1) lit. b) - h), as well as for the persons referred to in art. 180 par. (1) lit. a) of Law no. 227/2015, with the subsequent amendments and completions, the quality of the insured shall cease on the date when the legal term of filing of the declaration, stipulated in art. 174 par. (3) of the Law no. 227/2015, with subsequent amendments and completions, unless they submit a new declaration for the next period. 

  (2 ^ 3) For the persons referred to in art. 180 par. (1) lit. b) and c) of Law no. 227/2015, as subsequently amended and supplemented, the quality of the insured shall expire at the expiration of 12 months from the date of filing the declaration provided in art. 174 par. (3) of the same law if they do not file a new statement for the next period.    (2 ^ 4) After the expiry of the periods provided for in paragraph (2) - (2 ^ 3), for persons who do not prove the quality of insured, the provisions of art. 232, in the sense that they only benefit from the minimal package of medical services.

  

ART. 224*)

(1) The following categories of persons benefit from the insurance, without payment of the contribution, under the conditions of art. 154 of Law no. 227/2015, as subsequently supplemented or amended:

a) children up to the age of 18, young people from 18 years up to the age of 26, if they are students, including high school graduates, until the beginning of the academic year, but not more than 3 months after the completion of the studies, apprentices or students, doctoral students under the doctoral studies contract, within 4-6 conventional teaching hours per week as well as those who follow the individual training module based on their request to become soldiers or professional graduates; 

b) young people under the age of 26 coming from the child protection system;

(c) the spouse, the spouse and the parents without own income, who are dependent on an insured person;  

d) persons whose rights are established by Decree-Law no. 118/1990 regarding the granting of rights to persons persecuted for political reasons by the dictatorship established from March 6, 1945, as well as to those deported abroad or constituted in prisoners, republished, as subsequently supplemented or amended, by Law no. 51/1993 on the granting of certain rights to magistrates who have been removed from justice for political reasons during the years 1945-1989, as subsequently supplemented or amended, by Government Ordinance no. 105/1999 regarding the granting of certain rights to the persons persecuted by the regimes established in Romania from September 6, 1940 to March 6, 1945 for ethnic reasons, approved with amendments and completions by Law no. 189/2000, as subsequently supplemented or amended, by Law no. 44/1994 on war veterans, as well as some rights of invalids and widowers of war, republished, as subsequently supplemented or amended, by Law no. 309/2002 on the recognition and granting of rights for the persons who performed the military service in the General Department of the Labor Service between 1950 and 1961, as subsequently supplemented or amended, as well as the persons stipulated in art. 3 par. (1) lit. b) point 1 of the Law of Gratitude for the Victory of the Romanian Revolution of December 1989, for the anticommunist workers 'revolt in Braşov in November 1987 and for the anticommunist workers' revolt in the Jiu Valley - Lupeni - August 1977 no. 341/2004, as subsequently supplemented or amended, for the monetary rights granted by these laws;

e) persons with disabilities, for the incomes obtained under Law no. 448/2006 on the protection and promotion of the rights of disabled persons, republished, as subsequently supplemented or amended;  

 f) patients with diseases included in the national health programs established by the Ministry of Health, until the healing of the respective condition;

  g) Pregnant women and women lately confined; 

  h) natural persons who are on sick leave for temporary incapacity for work due to accidents at work or occupational diseases, as well as those who are on medical leave granted according to the Government Emergency Ordinance no. 158/2005 on sickness leave and indemnities, approved with amendments and completions by Law no. 399/2006, as subsequently supplemented or amended;

   i) persons who are on leave, according to the Law no. 273/2004 on adoption procedure, republished, on parental leave according to the Government Emergency Ordinance no. 111/2010 on parental leave and indemnity, approved with amendments by Law no. 132/2011, as subsequently supplemented or amended;  

j) persons who execute a custodial sentence or are under preventive arrest in the penitentiary units, as well as the persons who are in the process of carrying out a measure of education or security deprivation of liberty, namely persons who are in the period of postponement or interruption the execution of the custodial sentence;

    k) persons receiving unemployment benefit or, as the case may be, other social protection rights provided from the unemployment insurance budget, according to the law; 

  l) detained, arrested or detained persons in pre-trial detention and detention centers, aliens in accommodation centers for return or expulsion, and those who are victims of trafficking in human beings who are in the process of establishing identity and are housed in specially arranged centers according to the law; 

  m) natural persons benefiting from social aid according to the Law no. 416/2001 on the minimum guaranteed income, as subsequently supplemented or amended; 

  n) natural persons who have the status of pensioners, pension revenues, and income from intellectual property rights; 

  o) Romanian citizens who are victims of trafficking in human beings for a maximum of 12 months; 

  p) the monastic staff of the recognized denominations, in the records of the State Secretariat for Cults;

   q) volunteers who work under voluntary emergency services under the Voluntary Contract during their participation in emergency interventions or training to participate in them, in accordance with Government Ordinance no. 88/2001 on the establishment, organization and functioning of community public services for emergency situations, approved with amendments and completions by Law no. 363/2002, as subsequently supplemented or amended.

    (1 ^ 1) Persons who have acquired the quality of insured under para. (1) lit. c) and q) can not themselves be co-insured.   

 (2) The categories of persons not provided in par. (1) have the obligation to ensure, according to the present law, and to pay the contribution to health insurance under the conditions of Law no. 227/2015, as subsequently supplemented or amended.

Art. 222 paragraph (1):

all Romanian citizens with the residence in the country, proving the payment of the health insurance contributions to the fund;

foreign and stateless citizens requesting and obtaining the extension of the temporary right of residence, or with a residence in Romania, proving the payment of the health insurance contribution to the fund;

citizens of the Member States within the European Union, the Economic European Area and Swiss Confederation which do not hold and insurance concluded on the territory of another Member State, generating effects on the Romanian territory and which requested and obtained the right of residence in Romania for a period exceeding 3 months and proving the payment of the health insurance contribution to the fund;

persons from the Member States within the European Union, the Economic European Area and Swiss Confederation fulfilling the conditions of a frontier worker, rendering a paid or independent activity in Romania, residing in another Member State to which they come back usually daily or at least once a week and which prove the payment of the health insurance contribution to the fund;

retired persons, registered in the public pensions fund which no longer have the residence in Romania and which establish the residence on the territory of another Member State of the European Union, European Economic Area or Swiss Confederation, namely on the territory of a state which concluded a joint agreement on social security with Romania to provide an illness and maternity insurance and which prove the payment of the health insurance contribution to the fund.

By Government Emergency Ordinance no. 88/2017 of 29 November 2017 for amending and completing the Law no. 95/2006 on Health Reform was amended (point e) as follows (applicable as from 1 January 2018):

e) pensioners in the public pension system who have no residence in Romania and who establish their stay in the territory of an EU Member State, EEA State or Swiss Confederation, respectively residence in the territory of a state with which Romania applies a bilateral agreement on social security with provisions for sickness-maternity insurance.

By Government Emergency Ordinance no. 18/2018 of  15 March 2018 on the adoption of fiscal-budgetary measures and on the modification and completion of some normative acts published in the Official Gazette of Romania no. 260 of 23 March 2018 the categories of insured persons have been changed, as follows:

- art. 222 par. (1)

a) all Romanian citizens with residence or stay  in the country;

  b) foreign citizens and stateless persons who have applied for and have obtained the right of stay or residence in Romania;

c) Citizens of EU Member States, EEA and Swiss Confederation who do not have insurance completed in the territory of another Member State and have effect in Romania who have applied for and obtained the right of residence in Romania for a period of more than 3 months;

d) persons from EU Member States, EEA and Swiss Confederation who meet the conditions of a frontier worker, they are employed or self-employed in Romania and reside in another Member State, where they return usually daily or at least once a week .

(2) In the case of the persons mentioned in par. (1) falling within the category of those who make the incomes provided under art. 155 par. (1) lit. a) of Law no. 227/2015, as subsequently amended and supplemented, the quality of being insured in the social health insurance system and the right to the basic package is granted from the date of beginning of the work / service relationship.

(3) In the case of the persons mentioned in par. (1) falling within the category of those who make the incomes provided under art. 155 par. (1) lit. b) - h), as well as for the ones stipulated in art. 180 of Law no. 227/2015, as subsequently amended and completed, acquire the quality of insured persons in the social health insurance system and have the right to the basic package from the date of submission of the declaration, stipulated in art. 174 par. (3) of the Law no. 227/2015, as amended and supplemented.

(4) For the persons mentioned in par. (1) who fall within the category of those who have the status of taxpayers to the social health insurance system, according to the Law no. 227/2015, as subsequently amended and supplemented and which did not pay the contribution to the fund within the time limits provided by the same law, the outstanding amounts are recovered by A.N.A.F. under the terms of the law, including tax deductions due for tax receivables.

According to Law no. 95/2006, republished, as further completed and amended (the form in force at the beginning of the reference period) the following categories are covered by the insurance:

The persons with the quality of insured person, without payment of the health insurance contribution:

all children up to the age of 18, youngsters aged between 18 and 26, if they are students, including high school graduates, up to the commencement of the university year, but no more than three months, apprentices or students if they do not obtain an income from work;

youngster up to the age of 26, coming from the child protection services, with no income or which are not beneficiaries of a social aid granted according to the Law no. 416/2001 regarding the minimum guaranteed income; husband, wife and parents with no income, dependant on the insured person;

persons whose rights are established by the Law Decree no. 118/1990 on granting rights to individuals oppressed due to political reasons by the dictatorship instated on March 6th, 1945, as well as to incarcerated individuals or deported abroad, republished, by the Law no. 51/1993 on granting rights to magistrates removed from justice due to political consideration during 1945-1989, with the subsequent amendments, by the Government Ordinance no.105/1999 on granting rights to the persons oppressed by the regimes instated in Romania beginning with September 6th, 1940, up to March 6th, 1945 due to ethnic reasons, approved with amendments and supplements by the Law no.  189/200 with the subsequent amendments and completions, by the Law no.  44/1994 regarding war veterans, as well as some rights of the disabled and war widows, republished, with the subsequent amendments and supplements, by the Law no. 309/2002 on the recognition and granting of rights to the persons with fulfilled military services within the General Division of the Labour Service during 1950-1961, with the subsequent amendments and supplements, as well as the persons foreseen under Article  3 paragraph  (1) letter b), point  1 of the Law no. 341/2004 on the appreciation of the martyr heroes and fighters contributing to the victory of the Romanian Revolution in 1989, as well as of the persons who gave their lives or suffered the consequences of the anti-communist riot in Brasov in November 1987,  with the subsequent amendments and supplements, if these persons do not have any other income than the amounts granted according to these law;

disabled persons with no income, pension or other income sources, except for the ones obtained according to the Law no.  448/2006 regarding the protection and promotion of the rights of the disabled persons, republished, with the subsequent amendments and supplements;

ill persons with conditions included in the national health programmes established by the Ministry of Health, up to the cure of such condition, if they have no income, pension or other resources;

pregnant and post-delivery women, with no income or incomes under the minimum gross wage on country level.

Individuals insured for the period in which they classify under the following situations, with the contribution payment from other sources:

persons on leave of absence due to temporary labour incapacity, granted as result of a labour accident or professional illness;

 individuals on maternity leave, receiving an allowance for raising the child up to the age of 2 and in case of a disabled child, up to 3 years or on leave and allowance to raise a disabled child with the age between 3 and 7;

executing an imprisonment sentence or on remand, as well as the individuals executing the measures foreseen under Article 109, 110, 124 and 125 of the Penal Code, namely the persons with an imprisonment sentence subject to delay or suspension, of they have no income; 

 individuals receiving an unemployment allowance;

foreign citizens in accommodation centers for the purpose of repatriation or expulsion, as well as the victims of human trafficking, during the procedures required to establish the identity thereof, accommodated in special centers, according to the law;

persons part of a family entitled to social aid, according to the Law no. 416/2001, with the subsequent amendments and supplements;

individuals with monthly income from pensions;

Romanian citizens, victims of human trafficking, for a period of maximum 12 months, if they don’t have income sources;

monastic personnel of recognized cults, registered in the State Secretary Registry for Cults, if they don’t have income sources from labour, pension or other sources.

By Government Emergency Ordinance no. 88/2017 of November 29, 2017 for amending and completing the Law no. 95/2006 on health reform the above mentioned categories have changed as follows:

The following categories of persons benefit from insurance, without the payment of the contribution, under the conditions of art. 154 of Law no. 227/2015, as amended and supplemented:

a) children up to the age of 18, young people from 18 years up to the age of 26, if they are students, including high school graduates, until the beginning of the academic year but no more than 3 months after the completion of the studies, apprentices or students, as well as those who follow the module of individual training, based on their request, to become professional soldiers or graduates;

b) young people under the age of 26 coming from the child protection system;

c) spouse, wife and parents without their own income, who are dependent on an insured person;

d) persons whose rights are established by Decree-Law no. 118/1990 regarding the granting of certain rights to persons persecuted for political reasons by the dictatorship established from March 6, 1945, as well as those deported abroad or constituted in prisoners, republished, with the subsequent modifications and completions, by Law no. 51/1993 on the granting of certain rights to magistrates who have been removed from justice for political reasons during the period 1945-1989, as subsequently amended, by Government Ordinance no. 105/1999 regarding the granting of certain rights to the persons persecuted by the regimes established in Romania from September 6, 1940 to March 6, 1945 for ethnic reasons, approved with amendments and completions by Law no. 189/2000, as subsequently amended and supplemented, by Law no. 44/1994 on war veterans, as well as some rights of invalids and widowers of war, republished, with the subsequent modifications and completions, by Law no. 309/2002 on the recognition and granting of rights for the persons who performed the military service within the General Department of the Labor Service between 1950 and 1961, with subsequent amendments and completions, as well as the persons stipulated in art. 3 par. (1) lit. b) point 1 of the Law of Gratitude for the Victory of the Romanian Revolution of December 1989, for the anticommunist workers 'revolt in Braşov in November 1987 and for the anticommunist workers' revolt in the Jiu Valley - Lupeni - August 1977 no. 341/2004, as subsequently amended and supplemented, for the monetary rights granted by these laws;

e) persons with disabilities, for the incomes obtained under Law no. 448/2006 on the protection and promotion of the rights of persons with disabilities, republished, as subsequently amended and supplemented;

f) patients with diseases included in the national health programs established by the Ministry of Health, until the disease is healed;

g) pregnant and confinement women;

h) persons on sick leave for temporary incapacity for work, granted following an accident at work or a professional illness;

i) persons who are on leave, according to the Law no. 273/2004 on the adoption procedure, republished, on parental leave according to the Government Emergency Ordinance no. 111/2010 on the monthly leave and indemnity for child rearing, approved with amendments by Law no. 132/2011, as amended and supplemented;

j) persons who execute a custodial sentence or are under preventive arrest in the penitentiary units, as well as the persons who are in the process of executing a measure of education or safety deprivation of liberty, namely persons who are in the period of postponement or interruption the execution of the custodial sentence;

k) persons receiving unemployment benefit or, as the case may be, other social protection rights provided from the unemployment insurance budget, according to the law;

l) detained, arrested or helded persons in pre-trial detention and detention centers, aliens in accommodation centers for return or expulsion, and those who are victims of trafficking in human beings who are in the process of establishing identity and are housed in specially arranged centers according to the law;

m) individuals benefiting from social aid according to the Law no. 416/2001 on the minimum guaranteed income, as subsequently amended and supplemented;

n) individuals with monthly income from pensions;

o) Romanian citizens who are victims of trafficking in human beings, for a maximum of 12 months;

p) the monastic staff of the recognized cults, registered with the State Secretariat for Cults.

By Government Emergency Ordinance no. 18/2018 of 15 March 2018 regarding the adoption of fiscal-budgetary measures and for the modification and completion of some normative acts published in the Official Gazette of Romania no. 260 of March 23, 2018 the following categories were modified as follows:

The following categories of persons benefit from insurance, without the payment of the contribution, under the conditions of art. 154 of Law no. 227/2015, as amended and supplemented:

a) children up to the age of 18, young people from 18 years up to the age of 26, if they are students, including high school graduates, until the beginning of the academic year but no more than 3 months after the completion of the studies, apprentices or students, doctoral students under the doctoral studies contract, within 4-6 conventional teaching hours per week, as well as persons who follow the individual training module based on their request to become soldiers or professional graduates;

b) young people under the age of 26 coming from the child protection system;

c) spouse, wife and parents without own income, who are dependent on an insured person;

d) persons whose rights are established by Decree-Law no. 118/1990 regarding the granting of certain rights to persons persecuted for political reasons by the dictatorship established from March 6, 1945, as well as those deported abroad or constituted in prisoners, republished, with the subsequent modifications and completions, by Law no. 51/1993 on the granting of certain rights to magistrates who have been removed from justice for political reasons during the period 1945-1989, as subsequently amended, by Government Ordinance no. 105/1999 regarding the granting of certain rights to the persons persecuted by the regimes established in Romania from September 6, 1940 to March 6, 1945 for ethnic reasons, approved with amendments and completions by Law no. 189/2000, as subsequently amended and supplemented, by Law no. 44/1994 on war veterans, as well as some rights of invalids and widowers of war, republished, with the subsequent modifications and completions, by Law no. 309/2002 on the recognition and granting of rights for the persons who performed the military service within the General Department of the Labor Service between 1950 and 1961, with subsequent amendments and completions, as well as the persons stipulated in art. 3 par. (1) lit. b) point 1 of the Law of Gratitude for the Victory of the Romanian Revolution of December 1989, for the anticommunist workers 'revolt in Braşov in November 1987 and for the anticommunist workers' revolt in the Jiu Valley - Lupeni - August 1977 no. 341/2004, as subsequently amended and supplemented, for the monetary rights granted by these laws;

e) persons with disabilities, for the incomes obtained under Law no. 448/2006 on the protection and promotion of the rights of persons with disabilities, republished, as subsequently amended and supplemented;

f) patients with diseases included in the national health programs established by the Ministry of Health, until the disease is healed;

g) pregnant and confinement women;

h) individuals who are on sick leave for temporary incapacity for work, due to accidents at work or occupational diseases, as well as those who are on sick leave granted according to the Government Emergency Ordinance no. 158/2005 on sickness leave and indemnities, approved with amendments and completions by Law no. 399/2006, as subsequently amended and supplemented;

i) persons who are on leave, according to the Law no. 273/2004 on the adoption procedure, republished, on parental leave according to the Government Emergency Ordinance no. 111/2010 on the monthly leave and indemnity for child rearing, approved with amendments by Law no. 132/2011, as amended and supplemented;

j) persons who execute a custodial sentence or are under preventive arrest in the penitentiary units, as well as the persons who are in the process of executing a measure of education or safety deprivation of liberty, namely persons who are in the period of postponement or interruption the execution of the custodial sentence;

j) persons who execute a custodial sentence or are under preventive arrest in the penitentiary units, as well as the persons who are in the process of executing a measure of education or safety deprivation of liberty, namely persons who are in the period of postponement or interruption the execution of the custodial sentence;

k) persons receiving unemployment benefit or, as the case may be, other social protection rights provided from the unemployment insurance budget, according to the law;

l) detained, arrested or helded persons in pre-trial detention and detention centers, aliens in accommodation centers for return or expulsion, and those who are victims of trafficking in human beings who are in the process of establishing identity and are housed in specially arranged centers according to the law;

m) individuals benefiting from social aid according to the Law no. 416/2001 on the minimum guaranteed income, as subsequently amended and supplemented;

n) individuals who have the status of pensioners, for pension revenues, as well as for income from intellectual property rights;

o) Romanian citizens who are victims of trafficking in human beings for a maximum of 12 months;

p) the monastic staff of the recognized cults, registered with the State Secretariat for Cults.

The persons which are not classified in the aforementioned categories have the duty to become insured and to pay the contribution to the health insurance services, according to the law.

The persons with no insurance are entitled to a minimum service package including health care, medicines and sanitary materials only in case of medical-surgical emergencies and potentially endemic-epidemic diseases, for the purpose of monitoring the pregnancy and post-partum period, family planning services, prevention services and community healthcare.

       31

Dec.20172018

       31 March 2019

Total number of insured persons registered on the lists of family doctors (taking advantage of the basic medical package)

18.405.356

 16,157,167

( without OPSNAJ’s insured persons)

18.346.276

The total number of uninsured persons, persons registered on family doctors’ lists (taking advantage of the minimum package of medical services)

4.281.523 3,573,551

(without OPSNAJ’s insured persons)

4.296.126

The total number of people taking advantage of medical services packages registered on family doctors’ lists

22.686.87919,730,718

(without OPSNAJ’s insured persons)

22.642.402

The population of Romania (according to the National Statistics Institute[1])

19 40519,630,000

(resident population)

According to the provisions of Law No 95/2006, republished, the following shall take advantage of the medical insurance, without paying the contribution:

- all the children up to the age of 18;

- spouse and parents with no income, dependant on an insured person.

31 Dec. 20182017

31 March 20192018

Number of children up to the age of 18

3.697.2544,003,412

3.694.9383,928,384

Number of insured persons belonging to the category of spouse and parents with no income, depndent on an insured person

763.775714,593

766.972716,719

II - 4. Types of Benefit

§1. Article 10. C102 and ECSS

The benefit shall include at least:

(a) in case of a morbid condition,

(i) general practitioner care, including domiciliary visiting;

(ii) specialist care at hospitals for in patients and out patients, and such specialist care as may be available outside hospitals;

(iii) the essential pharmaceutical supplies as prescribed by medical or other qualified practitioners; and

(iv) hospitalisation where necessary; and

(b) in case of pregnancy and confinement and their consequences,

(i) pre natal, confinement and post natal care either by medical practitioners or by qualified midwives; and

(ii) hospitalisation where necessary.

1.   a)    In Romania, the insured persons take advantage of the services foreseen in the basic service package, in case of illness or accident, starting from the first day of illness or from the accident date and until cured, as provided by the medical services providers contracted by the Health Insurance House (as foreseen by the provisions of Title VIII of Law No 95/2006, republished). The insured persons are entitled to:

-          to take advantage of the reimbursement of all expenses undertaken during hospitalization for the medication, sanitary materials and paraclinical investigations they were entitled to, with no personal contribution, according to the requirements of the framework agreement;

-          to carry out prophylactic check-ups, according to the requirements established in the framework agreement;

-          to take advantage of preventive medical assistance services and health promotion, including for the purpose of early identification of conditions;

-          to take advantage of ambulatory medical care and in the hospitals with a contract concluded with the health insurance houses;

-          to take advantage of emergency medical services;

-          to take advantage of several dental care services;

-          to take advantage of physical therapy and recovery treatment;

-          to take advantage of the medical devices;

-          to take advantage of medical care services at the residence;

-          to take advantage of leaves and health security benefits, according to the law.

The service packages granted on various medical care levels within the health insurance system are foreseen by the Order no 196/139/2017 (applicable fromtill 1 April 2018 until 31 December 2019) and Order no 397/839/2018 (applicable from 1 April 2018) and Government Decision no 140/2018 (applicable from 1 April 2018 until 31 December 2019).  

 For persons not proving the payment of the contribution to the Unique National Health Insurance Fund, medical care related to the minimum medical services package is provided, which contains health care services, medicines and medical supplies only in the case of medical and surgical emergencies and endemic epileptic diseases, monitoring of pregnancy and confinement, family planning services, prevention and community health care services, as:

-          primary medical assistance;

-          clinical specialized outpatient medical assistance;

-          dental outpatient assistance;

-          hospitalized medical assistance.

By Government Emergency Ordinance no. 18/2018 of 15 March 2018 regarding the adoption of fiscal-budgetary measures and for the modification and completion of some normative acts published in the Official Gazette of Romania no. 260 of 23 March 2018 was regulated as for the persons referred to in art. 222  par. (1) who fall within the category of those who have the status of taxpayers to the social health insurance system, according to the Law no. 227/2015, as subsequently amended and supplemented and which did not pay the contribution to the fund within the time limits provided by the same law, the outstanding amounts are recovered by A.N.A.F. under the terms of the law, including tax deductions due for tax receivables.

i) The primary medical care is provided by the family physician as follows: 

o  for individuals not proving the payment of the contribution to the Unique National Social Health Insurance Fund, as medical care related to the minimal medical services package;

o  for insured individuals proving the payment of their contributions to the Unique National Social Health Insurance Fund, as  medical care related to the basic medical services package;

o  for any individuals benefiting of emergency medical care services (regardless of whether they are registered or not on the list of the family physician providing the emergency medical care services).

The basic medical services package contains:

I.              Curative medical services for medical-surgical emergencies, acute, sub-acute conditions, acute exacerbation of chronic illnesses and for chronic illnesses.

 1. A single consult for each individual, for each established emergency case is settled during the entire reporting period.

2. Consults for acute/sub-acute conditions or acute exacerbation of chronic illnesses are settled during the entire reporting period.

3. Consults for chronic illnesses are settled, during the entire reporting period, for:

·      Illness evolution monitoring;

·      Continued therapy;

·      Screening of complications;

·      Training of the insured person on self-care;

4. Active monitoring consults by an integrated management plan  based on scheduling, for chronic illnesses with major impact on the illness burden regarding: high cardiovascular risk (HTA), dislipidemia and type II sugar diabetes, bronchial asthma, chronic obstructive respiratory illness (BPOC), chronic kidney illness, that include:

The initial assessment of the newly identified case after the first quarter of registration;

        -      The patient monitoring.

II.    Preventive and prophylactic medical services

1. Preventive consultations are periodic active consultations for people aged 0-18 on growth and development, nutrition status and nutritional practices, detection and consequent intervention for age / gender specific risks, preventive services for children on age and gender groups,

2. Monitoring the evolution of pregnancy and lice: (see Part VIII, Article 49)

3. Individual risk assessment for the asymptomatic adult - Active family doctor consultations are actively advised to adults in the general population - no signs of disease,

4. Surveillance and detection of diseases with endemic-epidemic potential,

5. Family planning services:

a) women's counseling on family planning;

b) indicating a contraceptive method for people at risk.

III.    House calls – they are granted by the family physician to the insured person registered on his/her own list.

IV.   Additional medical services represent services provided on an optional basis in the medical practices of the family physicians, exclusively to the insured individuals on their lists. These services are:

·          Between June 30st 2017 and March 31st 2018 general ultrasound

·      Between April 1st 2018 and June 30st 2018 – general ultrasound – abdomen and pelvis

·      Between July 1st 2018  and June 30st 2019 - general ultrasound – abdomen and pelvis

           

V.    The support activities are represented by releasing the following documents:  

-       for the period 30 June 2017-31 March 2018: sick leave, referral tickets, medical prescriptions, medical certificates for children in case of illnesses, medical records necessary for children placed in foster care and child protection, medical certificates for enrollment in the college - issued at the annual balance examinations of preschools and pupils and only in the enrollment in each educational cycle and epidemiological permits for (re) entry into the community according to the legal provisions in force, as well as the issuing of the medical certificate of the death, with the exception of suspected cases requiring forensic expertise, as required by law, as a result of the death examination.

- for the period 1 April 2018 - 30 June 2018: sick leave; sending tickets; medical prescriptions; medical certificates for children in case of illness; medical documents necessary for the children for whom a special protection measure has been established, according to the law; medical certificates for enrollment in the college - issued at the annual examination of the preschool and pupils' balance sheet and only on enrollment in each educational cycle and epidemiological opinions for (re) entry into the collectivity, according to the Order of the Minister of Education, Research, Youth and Sport, Minister of Health no. 5298/1668/2011 for the approval of the Methodology for examining the health status of preschoolers and pupils in authorized and accredited state and private education establishments, regarding the provision of free medical care and the promotion of a healthy lifestyle, as subsequently amended and supplemented; medical certificate of death, as a result of the examination for the determination of death, except for suspected cases requiring medical forensic expertise, according to the Order of the Minister of Justice and Minister of Health no. 1134 / C-255/2000 for the approval of the Procedural Norms on the conduct of expert opinions, findings and other forensic work; the synthetic medical record required for children with disabilities for grading and re-evaluation in grade of disability, according to the Order of the Minister of Labor, Family, Social Protection and the Elderly, Minister of Health and Minister of National Education no. 1985/1305/5805/2016 regarding the approval of the methodology for the evaluation and the integrated intervention in order to accommodate disabled children with disabilities, the school and professional orientation of the children with special educational needs, as well as for the empowerment and rehabilitation of children with disabilities and / or special educational requirements; employment certificates for unemployed beneficiaries of the basic package.

- - for the period July 1st 2018  and June 30st 2019: sick leave; sending tickets; medical prescriptions; medical certificates for children in case of illness; medical documents necessary for the children for whom a special protection measure has been established, according to the law; medical certificates for enrollment in the college - issued at the annual examination of the preschool and pupils' balance sheet and only on enrollment in each educational cycle and epidemiological opinions for (re) entry into the collectivity, according to the Order of the Minister of Education, Research, Youth and Sport, Minister of Health no. 5298/1668/2011 for the approval of the Methodology for examining the health status of preschoolers and pupils in authorized and accredited state and private education establishments, regarding the provision of free medical care and the promotion of a healthy lifestyle, as subsequently amended and supplemented; medical certificate of death, as a result of the examination for the determination of death, except for suspected cases requiring medical forensic expertise, according to the Order of the Minister of Justice and Minister of Health no. 1134 / C-255/2000 for the approval of the Procedural Norms on the conduct of expert opinions, findings and other forensic work; the synthetic medical record required for children with disabilities for grading and re-evaluation in grade of disability, according to the Order of the Minister of Labor, Family, Social Protection and the Elderly, Minister of Health and Minister of National Education no. 1985/1305/5805/2016 regarding the approval of the methodology for the evaluation and the integrated intervention in order to accommodate disabled children with disabilities, the school and professional orientation of the children with special educational needs, as well as for the empowerment and rehabilitation of children with disabilities and / or special educational requirements; employment certificates for unemployed beneficiaries of the basic package.

VI.  Services of drug administration:

- for the period 30 June 2017-31 March 2018: - intramuscularly, subcutaneously, intradermally, intravenously, or infusions, as appropriate, given to policyholders on their own family doctor's list during their cabinet work.

- for the period 1 April 2018 to 30 June 2018: -intramuscularly, subcutaneously, intradermally, intravenously or infusions, as appropriate, for medications recommended by family doctors as a result of their own medical treatment, are given to policyholders on their family doctor's list during their cabinet work.

b. administration of the DOT for the confirmed TB patient is given to the insured on the family doctor's list, during the working hours in the cabinet, in compliance with the provisions of the Order of the Minister of Health no. 6/2018 amending and supplementing the Order of the Minister of Health 1171/2015 for the approval of the Methodological Guide for the implementation of the National Program for Tuberculosis Prevention, Supervision and Control.

- - for the period July 1st 2018  and June 30st 2019 - -intramuscularly, subcutaneously, intradermally, intravenously or infusions, as appropriate, for medications recommended by family doctors as a result of their own medical treatment, are given to policyholders on their family doctor's list during their cabinet work.

b. administration of the DOT for the confirmed TB patient is given to the insured on the family doctor's list, during the working hours in the cabinet, in compliance with the provisions of the Order of the Minister of Health no. 6/2018 amending and supplementing the Order of the Minister of Health 1171/2015 for the approval of the Methodological Guide for the implementation of the National Program for Tuberculosis Prevention, Supervision and Control.

        ii)  Specialized medical assistance in ambulatory clinical is provided by specialized physicians with other specialized medical personnel and other personnel categories, as well as with the authorized and certified personnel, as applicable, to provide health care services related to the medical practice and for acupuncture by physicians obtaining competencies / complementary studies certificate for acupuncture.

Starting April 1, 2018, the outpatient palliative care services were introduced into the basic package, which is provided to doctors who have obtained competency / attestation of complementary palliative care studies certified by the Ministry of Health and who work exclusively in this activity, and concludes a contract with the health insurance houses based on the complementary study certificate / certificate.

The basic medical services package includes:

Medical services for medical-surgical emergencies:

1.        Consults for acute / sub-acute illnesses and acute exacerbation of chronic illnesses

2.       Consults for chronic illnesses

3.       Consults for the identification of potentially endemic-epidemic illnesses

Consults for granting the family planning services

4.Diagnostic services (simple diagnostic procedure, complex and complex complexity) and therapeutic services / surgical and medical treatments, psychiatric therapies and genetic counseling,

5. Health services related to the medical act may be the subject of contracts concluded by health insurance houses with specialized doctors; these are provided by psychologists, speech therapists and kinetotherapists.

6. Pregnancy and confinement surveillance services (see Part VIII, Article 49)

7.  Starting April 1, 2018 - Outpatient Palliative Care

8. Starting April 1, 2018 - Medical services with diagnostic – case purpose; these services are day-care services and are given in outpatient clinic specialty.

        11. Acupuncture - treatment consultations and treatment.

Specialized outpatient medical services for clinical medical recovery specialty are provided by medical doctors specialized in medical recovery, together with other medical-sanitary specialized staff and other categories of staff. 

The basic medical services package includes consults and treatment cures.

The consult at the specialized physician in outpatient clinic and specialized outpatient clinic for medical recovery is carried out based on the referral from the family physician or another specialized physician, only if the insured individual had an initial referral released by the family physician where he/she is registered and only if the referring physician has a contract concluded with the health insurance house.

Exempts from the obligation to present the medical sending note are the urgency and illnesses that allow direct presentation to the specialized outpatient clinic for the clinical specialties provided in Annex 13 of the Order no. 196/139/2017 and in Annex 13 to Order no. 397/836/2018, family planning services, as well as medical services for diagnostic- case purposes.

The dental medical assistance is provided by dental doctors and dentists together other medical-sanitary specialized staff and other categories of staff. The basic medical services package includes dental treatment services.  

For providing dental medical services not referral document is required.

The basic ambulatory/outpatient specialist care assistance services package for paraclinical specializations  includes:

1. Paraclinical investigations and laboratory analyses:

§   Hematology;

§   Biochemistry – seric and urinary;

§   Microbiology;

§   Imunology;

§   Testing of the sensitivity to antimicrobial and antifungal substances;

§   Hystopathological and cytological examinations.

                            

2. Radiological paraclinical investigations: medical imagistic, nuclear medical investigations and functional examinations

§   Radiology – Medical imagistic:

§   Ionizing radiation based investigations

§   Non-irradiating based investigations

§   High-performance investigations

§   Functional examinations

§   Nuclear medicine.

- for the period July 1st 2018  and June 30st 2019 –

Radiological paraclinical investigations: medical imagistic, nuclear medical investigations

§   Radiology – Medical imagistic:

·         Ionizing radiation based investigations

·         Non-irradiating based investigations

·         High-performance investigations

§   Nuclear medicine.

 The paraclinical medical investigations are granted only based on referral documents, provided the medical doctor releasing the referral document was under a contracting relationship with the same health insurance house that contracted also the paraclinical medical services provider.

The basic services package for home medical care includes: measuring physiological parameters; medication administration; urinary tract catheterism, urinary tract care; artificial feeding / passive feeding / parenteral nutrition; eviscerating closure; vaginal scrubbing; therapeutic maneuvers; wound / escare / stoma / fistula / drain tube / tracheal cannula care; applying plexus, basin, urinary condom, urine absorption aid; non-invasive ventilation; kinetotherapy.

The basic package of palliative care services at home includes (as of 1 April 2018):

1. Medical services performed by a physician or under the supervision of a physician: holistic evaluation, stage palliative diagnosis, communication, care plan, education and counseling of the patient and family in the care plan, patient and family support in therapeutic and decision making care, diagnostic and therapeutic maneuvers, medication prescription, application and monitoring of pharmacological and non-pharmacological treatment suitable for symptom management, support activities;

2. Care services provided by the nurse: care needs assessment, patient monitoring - vital, vegetative, escape, lymphedema, stomach, excretory tumors, medication, non-pharmacological methods of treatment of symptoms, education of the patient, carers;

3. Physical therapy services provided by balneophobicokinetotherapists, kinetotherapists and medical physical culture teachers;

4. Psychological assistance services provided by the psychologist.

The medical devices intended to the outpatient organic or functional recovery are granted for a determined or undetermined period of time, based on medical prescriptions released by the specialized medical doctor contracted by the health insurance house. The basic medical services package includes ENT prosthesis devices for stomas, urinary incontinency, lower limb, upper limb, orthosis (for the back bone, the upper limb and the lower limb), orthopedic shoes, oxygen therapy and non-invasive ventilation devices, motor devices and devices for saline aerosol therapy, external breast prosthesis.

iii) The persons insured take advantage, under outpatient regime, of medication with or without personal contribution, based on medical prescription released by the medical doctors having contracts concluded with the health insurance houses.

The medication prescription and release method is foreseen in the G.D. no 161/2016 (applied until March 31th 2018) and G.D. no 140/2018   (applied since April 1th 2018 until December 31th 2019) and in their related Methodological Implementation Norms above mentioned.

The list of medication (DCI) the insured persons are entitled to, with or without personal contribution, is drafted by the Ministry of Health and National Health Insurance House, with the consultation of the College of Pharmacists in Romania and approved by Government Decision. The list can only include the medication specified in the products classification. (Article 242 of the Law no. 95/2006, republished).

The medication with or without personal contribution in the ambulatory treatment and some specific sanitary materials granted for the ambulatory treatment of the patients included in national health programmes for curative purpose, are released by pharmacies belonging to medical units through which run those programs, or pharmacies authorized by the Ministry of Health, assessed according to the legal regulations in effect.

The list of the international common denominations included in the Nomenclature of drugs for human use, destined to insured individuals for ambulatory treatment, with or without personal contribution, based on medical prescription is foreseen by the Government Decision no. 720/2008 for the approval of the list including the common international denominations pertaining to the drugs for insured individuals, with or without personal contribution, based on medical prescription, in the social health insurance system, as well as the common international denominations of the drugs granted within the national health programmes with the subsequent supplements and amendments.

iv) The medical care in hospitals is provided in sanitary units with beds, authorized and assessed according to the law.

1.  The hospital medical services are preventive, curative, recovery, medical rehabilitation, palliative type of services and include: specialized medical consults, investigations, diagnosis, medical and/or surgical treatments, care, recovery, medication, monitoring and supervision, accommodation and meals, depending on the type of hospitalization.

 2.     According to the hospital accommodation, the medical care in the hospital is granted as:

                a) continuous hospitalization: includes care provided in the hospital includes acute and chronic care, granted in compliance with the following admittance criteria:

ü   child delivery;

ü   medical-surgical emergencies and situations in which patient’s life is endangered or which might put the patient's life in danger and requiring continuous monitoring;

ü   illnesses with endemic-epidemic potential requiring isolation and treatment;

ü   medically ill included under the articles 109, 110, 124 and 125 from the Law no. 286/2009 regarding the Penal Code, with the subsequent amendments and supplements and, in the cases ordered by order of the District Attorney during the trial or criminal prosecution, requiring isolation or mandatory admission and the treatment of prisoners for which the trial court ordered the sentence to be executed in a prison hospital and the treatment of patients in prisons whose illnesses require supervision and reassessment in the prison hospitals; patients requiring long term hospital care – years;

ü   illnesses for which the diagnosis and/or treatment can not be supervised in ambulatory care or day-time hospitalization.

·    The patients with a hospital admission referral for continuous hospitalization will be scheduled for admission, according to the illness and seriousness of the signs and symptoms and the availability of the services provided by the requested hospital unit.

·    The prevention of continuous hospitalization classified as avoidable will be carried out by early diagnosis, approach, treatment and supervision, namely adequate monitoring in ambulatory care and day-time hospitalization, as applicable.

In Annex 22 to Order no. 196/139/2017 and Annex 22 to Order no. 397/836/2018 (applied since April 1th 2018 until December 31th 2019) provides the list of hospital medical services provided under day-care regime.

                 b) day-time hospitalization: includes acute and chronic care, granted in compliance with the following admittance criteria:

ü medical-surgical emergencies requiring medical supervision up to 12  hours only in the sanitary units with beds which also provide hospital care under continuous hospitalization;

ü the diagnosis can not be established and the treatment can not be applied and/or monitored in ambulatory care.

·      The necessary services for the patient diagnosis, treatment and monitoring carried out during the day-time hospitalization, may have a multiple specialized and /or multidisciplinary nature, can be invasive, followed by adverse reactions or emergency risks during their performance or correlated with the patient's health state, requiring medical monitoring which can not be carried out in ambulatory care.

·      Medical services under continuous and day-care hospitalization are granted on the basis of the internment ticket.

·      Doctors who can issue internment tickets are:

-       family doctor;

-       the specialist doctor in ambulatory health establishments, regardless of the form of organization;

-       doctors in the medical-social care units;

-       physicians from private dialysis centers in contract with health insurance houses / National Health Insurance House, as the case may be;

·    doctors working in TB dispensaries, in mental health laboratories, respectively mental health centers and psychiatric psychiatrists, in dental clinics that are not in a contractual relationship with health insurance companies and which are located in the structure of hospitals as units without legal personality;

·      There are situations where an internment ticket is not required:

- for continuous hospitalization: medical / surgical birth / emergencies / endemoepidemic potential diseases requiring isolation and treatment / illnesses under Art. 109, 110, 124 and 125 of Law no. 286/2009, with the subsequent amendments and completions, and in the cases ordered by the prosecutor's ordinance during trial or prosecution, requiring isolation or compulsory confinement, and the treatment of persons deprived of their liberty for which the court ordered the execution of the sentence in a hospital-penitentiary and the treatment of patients in prisons whose diseases require monitoring and re-evaluation in hospital penitentiaries for patients requiring long-term hospital care - years / cases that have a hospital admission recommendation following a medical letters provided by physicians in the integrated ambulatory of that hospital, in a contractual relationship with health insurance institutions / in-hospital transfer when the type of care / in-hospital transfer / patients who have a medical letter in discharge with rehabilitation indication for hospitalization / patients with haemophilia in the national haemophilia program / from 1 April 2018 and confirmed oncology patients in the National Oncology Program.

in daily hospitalization for: medical / surgical emergency / chemotherapy / radiotherapy / medication corresponding to ICDs marked with (1), (**) 1b and (**) 1Ω, provided for in the Government Decision no. 720/2008, with subsequent modifications and completions / monitoring of HIV / AIDS patients / dynamic evaluation of viroimmunologic response, monitoring and treatment of patients with thalassemia / monitoring of oncological patients / treatment administration for rabies prophylaxis / monitoring of primary genital syphilis and syphilis secondary skin and mucous membranes / solving cases that have a recommendation for hospitalization in a hospital following a medical letter given by the physicians in the integrated ambulatory of the respective hospital, in a contractual relation with the health insurance houses / the patients who have a medical letter at discharge with return indication for admission / patients with haemophilia in the national haemophilia program.

ü   Those insured individuals are provided with those hospital medical services until their full cure.

Medical assistance for medical recovery and physical medicine and rehabilitation in sanatoriums and preventers is provided in sanatoriums / sanatoria sections for adults and children, preventives, with or without legal personality, including providers constituted according to the Companies Law no. 31/1990, republished, with the subsequent modifications and completions, which are approved by the Ministry of Health as sanatoriums or have in the structure approved by the Ministry of Health spas.

The services are provided on the basis of referral tickets for treatment of physical medicine and rehabilitation in balneal sanatoriums, issued by family doctors, outpatient specialists and hospital doctors, in contractual relations with health insurance houses. Criteria for delivery of referral tickets for physical and rehabilitation treatment refer to the specific pathology and associated conditions of the insured with the balneary treatment specificity.

II - 5. Cost-sharing

Article 4. C24

1. The insured person shall be entitled free of charge, as from the commencement of his illness and at least until the period prescribed for the grant of sickness benefit expires, to medical treatment by a fully qualified medical man and to the supply of proper and sufficient medicines and appliances.

2. Nevertheless, the insured person may be required to pay such part of the cost of medical benefit as may be prescribed by national laws or regulations.

3. Medical benefit may be withheld as long as the insured person refuses, without valid reason, to comply with the doctor's orders or the instructions relating to the conduct of insured persons while ill, or neglects to make use of the facilities placed at his disposal by the insurance institution.

Article 5. C24

National laws or regulations may authorise or prescribed the grant of medical benefit to members of an insured person's family living in his household and dependent upon him, and shall determine the conditions under which such benefit shall be administered.

§2. Article 10. C102 and ECSS

The beneficiary or his breadwinner may be required to share in the cost of the medical care the beneficiary receives in respect of a morbid condition; the rules concerning such cost-sharing shall be so designed as to avoid hardship.

The medical services for which co-payment is collected are the medical services provided in the sanitary units with beds by continuous hospitalization and the medical services provided in the specialized ambulatory recovery, physical medicine and balneology; the minimum co-payment level is 5 lei and the maximum level is 10 lei. The value of the co-payment is determined by each health unit based on its own criteria.

According to the provisions of Title VIII of Law no. 95/2006, the following categories of policyholders are exempt from the co-payment:

a) children up to the age of 18, young people aged between 18 and 26, if they are students, high school graduates, until the beginning of the academic year, but no more than 3 months, the apprentices or students, if they do not earn income from the work;

b) patients with diseases included in the national health programs established by the Ministry of Health, for the medical services related to the basic disease of the respective disease, if they do not earn income from work, pension or other resources;

c) individuals with monthly incomes only from pensions, the amount of which is up to the value, rounded by rounding in addition to a lion, of a pension point established for the respective fiscal year.

By Government Emergency Ordinance no. 88/2017 of November 29, 2017 for amending and completing the Law no. 95/2006 on Health Reform was amended as follows:

o c) natural persons with pension and social benefits for pensioners, up to and including 900 lei / month, whether or not they make other income,

     d) all pregnant and confinement women, for medical services related to the evolution of pregnancy, and those who have no income or have income below the minimum basic salary in the country, for all medical services.

The personal contribution is charged for dental medical services, medicines, medical recovery services in hydropathical and medical recovery sanatoriums and in other sanatoriums and preventoria, medical devices in ambulatory, as follows:

-          Dental medical services, which include dental medical treatments, are provided for:

ü  children aged 0 to 18 years, for whom the health insurance house offsets 100% of the maximum medical service rate;

ü  insured individuals aged more than 18 years, for whom the health insurance house offsets percentages of the maximum medical service rate; for emergency services, 100% of the maximum rate is settled.

ü  insured individuals benefiting of special laws (Law No 51/1993, Law no 44/1994, Law No 341/2004), for whom 100% is offset if the services are provided in State-owned civil or military medical units, otherwise, the offsetting percentage being of 60%;

ü  other categories of insured individuals, beneficiaries of special laws, for whom the health insurance houses offset 100% of the medical service prices;

ü  for the services in the minimum package, health insurance houses reimburse 100% of the maximum medical services tariff.

-          Drugs with or without personal contribution, for treatment in ambulatory 

According to G.D. No 720/2008, as further amended and supplemented:

The offsetting percentage of the medication pertaining to the DCIs foreseen on sub-list A is 90% of the reference price, of the ones in sub-list B is 50% of the reference price, of the ones in sections C1 and C3 from the sub-list C is 100% of the reference price and of the ones in sub-list D is 20% of the reference price.

For pensioners with only retirement income of up to 700 lei / month, the amount of compensation for medicinal products corresponding to the international common denominations in sublot B is 90% of the reference price, of which 50% is covered by the budget of the Unique National Insurance Fund social health and 40% of the transfers from the budget of the Ministry of Health to the budget of the National Health Insurance Fund, for the prescriptions whose price for the reference / prescription price is up to 330 lei per month.
           From July 2017 until June 30, 2018, the beneficiaries of the Program for 90% offsetting the reference price of the medicines are pnesioners with pension income and social allowance for pensioners up to and including 900 lei / month, regardless of whether realize or not other income, according to G.D. no 436/2017.

From July 2018, the beneficiaries of the Program for 90% offsetting the reference price of the medicines are pnesioners with pension income and social allowance for pensioners up to and including990 lei/month, regardless of whether realize or not other income, according to G.D. no 537/2018.

The maximum amount born by the health insurance houses from the Fund is that resulting from the application of the offsetting percentage to the reference price of the drugs in question.

Medical prescriptions for medicines without personal contribution is issued in the following situations:  

ü  for children aged up to 18 years, pregnant and confinement women, young people from 18 years up to age 26, if they are pupils, including high school graduates to the beginning of the academic year, but not more than 3 months, apprentices or students;

ü  for chronic diseases related to certain groups of diseases according to the legal provisions in force;

ü  for individuals specified in the special laws, in compliance with prescribing medicines provisions.

-          Sanitary units with beds

Hospitals bear the equivalent value of standard hotel services (standard accommodation and meals at the food allowance level) from the Fund for attendants of ill children aged of up to 3 years, as well as for attendants of severely or accentuated disabled individuals.

The insured individuals bear the equivalent value of the high-level hotel services (accommodation and meals), exceeding the standard level of comfort, they are provided with.  Such equivalent value is established by each sanitary unit providing hospital medical services. For the sanitary units with beds, both private and public, the personal contribution of the insured individuals for such type of services is of maximum 300 Lei/day (till 1 April 2018).

From April 1st  2018  the value of the high level comfort hotel services  is established by each hospital unit providing hospital services, with the obligation to ensure the access of the insured to hospital care provided under standard hotel conditions.

-          Physical and rehabilitation medical services in sanatoriums, including Sanatoriums and Prevenitors

In the balneary sanatoriums/sanatorium wards from hospitals, the personal contribution of the insured individuals represents 35% of the daily hospitalization rate negotiated.

For medical rehabilitation and recovery services provided in sanatoriums other than the balneary ones and preventoria, no contribution is charged to the insured individuals.

-          Medical devices designed to recover obstructive organic or functional deficiencies

-          The maximum amount born by the health insurance houses from the Fund for each medical device or medical device type intended to the organic or functional disability in ambulatory, within the health insurance system, is represented by the reference price or the lease price, as the case may be. The reference price and the lease amount are established according to a methodology approved by the President of the National Health Insurance House. If the retail selling price or the lease amount for the medical device is higher than the reference price or the lease amount established according to a methodology approved by the President of the National Health Insurance House, the difference shall be born by the insured individual through a personal contribution to be paid directly to the relevant supplier.

In the case of pregnancy, birth and consequences, the beneficiary of the medical services or its maintenance does not bear the costs of the medical services, and according to the provisions of Law no. 95/2006, republished, all pregnant women and chil- dren are exempt from pregnancy, medical services related to the evolution of pregnancy, and those who have no income or income below the minimum gross national salary for all medical services.

The value of prescription drugs for pregnant women and chil- dren is borne by the fund at the reference price.

In addition to the above, we make it clear that in the social health insurance system pregnant women benefit from insurance without the payment of the contribution under the conditions of art. 154 of Law no. 227/2015. In case they realize the incomes stipulated in art. 155 of the Law no. 227/20182015, this income is due to the social health insurance contribution according to the regulations specific to each category of income.

II - 6. Objectives of Medical Care

§3. Article 10. C102 and ECSS

The benefit provided in accordance with this Article shall be afforded with a view to maintaining, restoring or improving the health of the person protected and his ability to work and to attend to his personal needs.

According with the Law no. 95/2006, republished, for the purpose of preventing the illness, the early identification of illnesses and preserving the health, the insured individuals, directly or through the service providers with contracts concluded with the insurance houses, will be permanently informed by the insurance houses on the means to preserve their health, to reduce and avoid the causes of illness and on the dangers they expose to in case of drugs, alcohol and tobacco consumption.

The official website of the National Health Insurance House:

The National Health Insurance Fund (NHIF) is a public autonomous institution of national interest with legal personality whose main activity is to provide unitary and coordinated functioning of the system of social health insurance in Romania.

II - 7. Promotion of the general health service

§4. Article 10. C102 and ECSS

The institutions or Government departments administering the benefit shall, by such means as may be deemed appropriate, encourage the persons protected to avail themselves of the general health services placed at their disposal by the public authorities or by other bodies recognised by the public authorities.

II - 8. Qualifying period

Article 11. C102 and ECSS

The benefit specified in Article 10 shall, in a contingency covered, be secured at least to a person protected who has completed, or whose breadwinner has completed, such qualifying period as may be considered necessary to preclude abuse.

§1(f) Article 1. C102, §1(i) Article 1. ECSS

The term qualifying period means a period of contribution, or a period of employment, or a period of residence, or any combination thereof, as may be prescribed.

The legislation regulating the social health insurance system does not regulate a mandatory qualification period for the insured individual and the co-insured person.  The individual is considered to be insured from the moment when the contribution is paid to the Unique National Health Insurance Fund.

II - 9. Minimum duration of Benefit

Article 12. C102 and ECSS

The benefit specified in Article 10 shall be granted throughout the contingency covered, except that, in case of a morbid condition, its duration may be limited to 26 weeks in each case, but benefit shall not be suspended while a sickness benefit continues to be paid, and provision shall be made to enable the limit to be extended for prescribed diseases recognised as entailing prolonged care.

i) Primary care

-  The basic package includes:

I. Medical curative services for medical-surgical emergencies, acute, subacute diseases, accidents of chronic diseases and chronic diseases

1. emergency situation: - a single consultation per person is given for each identified emergency.

2. acute / subacute illness or aggravation of chronic conditions:

- maximum two consultations are given for each disease episode.

3. chronic disease

- for all chronic / insured conditions a monthly consultation is given.

4. active monitoring through an integrated management plan

- Initial assessment of the newly diagnosed case in the first trimester after an outbreak - an episode that may include: 3 family doctor consultations within a maximum of 3 consecutive months.

 - Patient monitoring includes 2 scheduled appointments including disease control assessment, complications screening, patient education, paraclinical investigations and treatment, and a new follow up after 6 consecutive months, calculated over the month of the second consultation previous case management monitoring.

II. Preventive and prophylactic medical services:

1. Preventive consultations are regular, as follows:

a) at discharge from maternity and at one month (at the child's home)

b) at 2, 4, 6, 9, 12, 15, 18, 24, 36 months;

c) Once a year from 4 to 18 years.

2. Monitoring the evolution of pregnancy and confinement: (see Part VIII, Article 49)

3. Preventive consultations for policyholders aged over 18:

- Individual risk assessment for the asymptomatic adult:

- All people aged 18 to 39 - every 3 calendar years. A maximum of 2 consultations / insurances are granted in the year of the individual risk assessment. For people aged 18-39 high risk - maximum 2 consultations / insured per year are given. As of 1 April 2018, the second consultation shall be given within 90 days of the first consultation.

- All persons aged> 40 years - maximum 2 consultations / insured per year. As of 1 April 2018, the second consultation shall be given within 90 days of the first consultation.

4. Surveillance and detection of diseases with endemic-epidemic potential

- one person per consultation is given for each suspected and confirmed endemic-epidemic disease, including the newly discovered TB patient actively diagnosed by the family doctor.

. Family planning services: - maximum of two consultations per calendar year, on the insured person

III. Home consultation - is granted as follows:

- up to 2 consultations for each acute / subacute / chronic illness episode, up to 4 consultations / year for chronic diseases and a consultation for each emergency.

- Consultations at the home of the insured - maximum 42 consultations per month per physician with a list of registered insured persons but no more than three consultations per day.

IV. Additional medical services

- Until 31 March 2018 - The maximum number of general ultrasounds, ECG examinations (performance and interpretation) that can be performed and given in one hour by the family doctor may not exceed 3.

- Starting April 1, 2018 - Maximum number of additional services - general ultrasound - abdomen and pelvis - that can be performed and given in one hour, can not be more than 3.

V. Support activities - limits imposed by the specificity of each document provided in the basic package.           

I. Medicines administration services - at the doctor's recommendation.ii) Clinical outpatient care

- Until March 31, 2018 - The payment of specialized ambulatory medical care services for clinical specialties and acupuncture is done through a medical service quoted in points or in lei.

- Starting April 1, 2018 - Payment of ambulatory medical care services for clinical specialties, acupuncture, family planning and outpatient palliative care is done by medical service quoted in points or medical service - consultation / case in lei.

Health insurance houses reimburse to medical specialists in clinical specialties the amount of medical services settled by the tariff expressed in points provided in the package, if these services are performed in the medical offices where they operate and are interpreted by the respective doctors, the number of points for each medical service and the value set for one point.

- Until 31 March 2018 - The total number of points reported for consultations, medical services provided by clinic specialists, family planning can not exceed the number of points resulting from the work schedule, according to the provisions of Annex 8 of the Order no. 196/139/2017.

- Starting April 1, 2018 - The total number of points reported for consultations, medical services provided by clinic specialists, family planning and outpatient palliative care can not exceed the number of points earned according to the work schedule, according to the provisions of Annex 8 to Order no. 397/836/2018.

The basic package includes:

1. Medical services for medical and surgical emergencies:

- a single consultation per person is given for each identified emergency situation for which first aid has been granted or has been resolved at the level of the medical cabinet, with the exception of children aged 0-18 years for which a maximum of 2 consultations are settled.

2.  Acute and subacute illnesses as well as acute illnesses of chronic diseases

- For the same episode of acute / subacute illness / chronic illness, maximum 3 consultations are given to the insured within a maximum of 60 calendar days from the date of the first consultation required to establish the diagnosis, treatment and progression of the case.

3. Chronic conditions

- For clinical and paraclinical evaluation, treatment prescribing and follow-up of chronic illnesses for one or more chronic diseases treated within the same specialty, a maximum of 4 consultations / quarter / insured, but no more than 2 consultations per month.

4. Detection of diseases with endemic-epidemic potential

- one person per insured person is counted for each suspected and confirmed endemic-epidemic disease.

5. Family planning services:

- 4 consultations per calendar year, for insured.

6. From 1 April 2018 - Palliative Care Services - Palliative Care Medical Consultations:

- for a clinical and paraclinical assessment, the elaboration of the palliative care plan, prescribing the treatment and following the evolution of the insured with need for palliative care, a maximum of 4 consultations / quarter / insured, but no more than 2 consultations per month.

7. Simple and complex diagnostic services and therapeutic services / surgical and medical treatments - the total number of points reported for consultations, medical services provided by clinic specialists, for a doctor / cabinet work schedule of 35 hours / week , cannot exceed the number of points achieved according to the work schedule, according to the above - ii)

        

8. Medical services related to the medical act - The score for health-related health services that can be reported to one or more insured persons regardless of type of related service by the specialist doctor who has requested them can not exceed 90 points in average daily, due to the one / persons providing them, except for the specialist pediatric psychiatrist for whom the score can not exceed 180 points on average per day.

9. Pregnancy and confinement surveillance services (see Part VIII, Article 49)

10. Acupuncture - Insured persons are entitled to a maximum of 2 counseling / cures / year for the insured (one consultation for each treatment cure). A cure represents an average of 10 days of treatment and an average of 4 procedures / day.

11. Starting April 1, 2018: Medical services diagnostic - case: day hospitalization services, are given in outpatient clinic and are settled only if all mandatory services have been performed.

o  o Surveillance of a normal pregnancy (in pregnant women who do not have medical records demonstrating the existence in the pathological personal history of rubella, toxoplasmosis, CMV infection) * 1

o  o Surveillance of a normal pregnancy (in the case of pregnant women who have medical documents proving the existence of a personal history of rubella, toxoplasmosis, CMV infection) * 1)

o  o Prenatal screening (S11 - S19 + 6 days) * 2)

o  o Surveillance of other high-risk pregnancies (gestational edema) * 3)

o  o Surveillance of other high-risk pregnancies (mild pregnancy hystereasis) * 3)

o  o Surveillance of other high risk pregnancies (evaluation of pregnant uterus in 3rd trimester) * 3)

o  o Early detection of precancerous breast lesions * 4)

o  o Early detection of precancerous breast lesions with mammographically identified suspicion * 5)

o    o Early detection and diagnosis of dysplastic cervical lesions * 6)

o  o Early detection and diagnosis of dysplastic cervical lesions with cytology * 7)

o  o Early diagnosis of dysplastic cervical lesions - Performed by doctors of obstetrics and gynecology * 8)

* 1) The services of items 1 and 2 can not be performed and reported simultaneously to a patient for a pregnancy. It contracts only with the obstetrics-gynecology specialty hospitals and with the other sanitary units with beds, which have in the structure of obstetrics-gynecology and neonatology departments or hierarchy compartments at level 3 or 2 according to the provisions of the Order of the Minister of Health no. 1881/2006 on the hierarchy of hospital units, sections and departments of obstetrics-gynecology and neonatology, with subsequent modifications and completions.                                                                                                               A single package of medical services per pregnant woman is settled, as evidenced by the obstetric-gynecology specialist.

Where medical services corresponding to items 1 and 2 are granted during S11 - S19 + 6 days, they may be granted concurrently with the medical services corresponding to item 3.

* 2) Contracts only with the obstetrics-gynecology specialist hospitals and with the other sanitary units with beds, which have in the structure of obstetrics-gynecology and neonatology departments or hierarchy compartments at level 3 according to the provisions of the Order of the Minister of Health no. 1881/2006, as subsequently amended and supplemented.

A single package of medical services per pregnancy is settled between S11 - S19 + 6 days of pregnancy.

* 3) Contracts only with the obstetrics-gynecology specialist hospitals and with the other sanitary units with beds, which have in the structure of obstetrics-gynecology and neonatology departments or hierarchy compartments at level 3 or 2 according to the provisions of the Order of the Minister of Health no. 1881/2006, as subsequently amended and supplemented.

* 4) Eligibility criteria: Asymptomatic women in the 50-69 age group who:

     1. have no confirmed breast cancer diagnosis;

     2. are asymptomatic;

     3. have no suggestive history of breast cancer pathology.

It is performed every two years by presenting to the specialist obstetric-gynecology specialist or general surgery for the early diagnosis of breast dysplasia. In case of a negative result, the investigation is repeated over 2 years.

The services of items 7 and 8 can not be performed and reported concurrently with a patient.

* 5) Eligibility Criteria: Asymptomatic women in the 50-69 age group with positive mammography results who:

     1. have no confirmed breast cancer diagnosis;

     2. are asymptomatic;

     3. have no suggestive history of breast cancer pathology.

It is done once every two years by presenting to the specialist obstetrician gynecology or general surgery, for the early diagnosis of dysplasia of the breast. In case of a negative result, the investigation is repeated over 2 years.

The services of items 7 and 8 can not be performed and reported concurrently to a pacient.

* 6) Eligibility criteria: Asymptomatic women in the 35-64 age group for the early detection of dysplasia of the cervix and for women in the 25-34 age group, asymptomatic, with positive results in the cytological examination and who :

                                    1. Do not have a confirmed diagnosis of cervical cancer;

                                    2. are asymptomatic;

                                    3. have no history of cervical cancer pathology.

                                    It is done by presenting to the specialist obstetric-gynecology specialist.

                                    In the case of a positive result in women aged 35-64, cytological triage is

indicated.

                                    In case of a negative result, it is repeated over 5 years.

                                    Exclusion criteria: Women who:

                                                1. presents the congenital absence of the cervix;

                                                2. show complete hysterectomy for benign conditions;

                                                3. Have established diagnosis of cervical cancer;

            It is done by presenting to the specialist obstetric-gynecology specialist.

     In the case of a positive result in women aged 35-64, cytological triage is indicated.

     In case of a negative result, it is repeated over 5 years.

     Exclusion criteria: Women who:

     1. presents the congenital absence of the cervix;

     2. show complete hysterectomy for benign conditions;

     3. Have established diagnosis of cervical cancer;

    4. have established diagnosis for other forms of genital cancer.

     The services of items 9, 10 and 11 can not be performed and reported concurrently to a patient.

    * 7) It is performed in women with a positive result in HPV testing.

     The services of items 9, 10 and 11 can not be performed and reported concurrently to a patient.

* 8) It is performed in women with a positive result in cytology.

     The services of items 9, 10 and 11 can not be performed and reported concurrently to a patient.

Medical assistance in the specialized ambulatory for the clinical specialty of physical and rehabilitation medicine

The basic medical packageincludes:

1. Specialized medical consultation - initial,

2. The reassessment consultation,

3. The series of specific physician and rehabilitation procedures established by the physician for recovery, physical medicine and balneology, given to an insured person, includes a maximum of 4 procedures / day of treatment.

The period for which the specific physical and rehabilitation procedures are granted is 21 days / year / provided for both children and adults except for children aged 0-18 with a confirmed diagnosis of cerebral palsy, when specific medical procedures are provided for physiotherapy and rehabilitation for a maximum of 42 days per year / insured, these periods may be divided into up to two fractions, depending on the basic condition at the recommendation of the physician in the field of physical medicine and rehabilitation.

For each series of specific procedures, an initial consultation and a reassessment consultation are provided.

 For situations where an insured person is not recommended for a number of specific recovery procedures, physical medicine and balneology, 3 consultations / quarter are given for the same condition.

Dental care

The dental health care package - the services for which it is foreseen the range to be granted are:

- a single consultation is given over a 12-month period for an insured person over the age of 18 and a 6-month consultation for children under the age of 18,

- The arcade mobilizer acrylic is given once every 4 years,

- Prosthesis repair, prosthesis rebasing - is given once a year,

- sealing / tooth - a 2 year settled procedure.                  

Medicines with and without personal outpatient contribution

Periods for which medications can be prescribed are up to 7 days in acute conditions, from 8 to 10 days in underactive conditions and up to 30/31 days - 90/91/92 days for patients with chronic conditions. The period for which prescription drugs may be prescribed for cost-volume / cost-volume-result contracts is up to 30-31 days.

For chronic diseases, physicians may prescribe to an insured person with and without personal contribution, subject to the following conditions:

(a)  for Substrates A, B and D - a prescription / multiple monthly prescriptions not exceeding in cumulative 7 different medications on all one month's prescriptions. The total amount of drugs in Sublist B, calculated at the reference price level, is up to 330 lei per month;

(b)   if, in a month, a medicine of sublist B marked #, with a maximum treatment value per month, calculated at the reference price level, greater than 330 lei, is not prescribed in the month and other medicines in Sub-List B;

(c)   for pensioners with pension incomes and social allowance for pensioners, up to 900 lei / month inclusive, regardless of whether or not they make other income, the provisions of subsection a) and b); they may benefit from a prescription / multiple monthly prescriptions that do not cumulatively exceed 7 medicines in Subparts A, B and D; in this situation, for a maximum of 3 medicines in Sublist B, with a reference price of up to 330 lei per month / prescription, a single separate prescription with 90% offset of the reference price is made;

(d)    for sublot C section C1 - for each disease code, one prescription / maximum two monthly prescriptions, with a maximum of 3 drugs;

(e)    for sub-list C section C3 - a single monthly prescription with up to 4 medicines.

By way of exception, in the case of the medicinal products listed in Table II of the Annex to the Law no. 339/2005 on the legal regime of narcotic, psychotropic, narcotic and psychotropic substances and preparations, as subsequently amended and supplemented, several prescriptions may be issued to the same insured according to the legal regulations in force.

Between April 1st 2018 and June 30th 2019:

Periods of time for which drugs can be prescribed are of maximum 7 days, for acute illnesses, 8 - 10 days, for sub-acute illnesses, and, respectively, up to 30/ 31 days for chronic illnesses.  The period for which prescription drugs can be prescribed for cost-volume / cost-volume-result contracts is up to 30-31 days.

(a) for drugs from sub-lists A, B and D, one/several prescription(s) per month provided it/they does/do not exceed, cumulative, 7 different drugs on all the prescriptions from that month. The total amount of drugs from sub-list B, calculated at the level of reference price, is up to 330 lei per month;   

b) if, during a month, a drug from sub-list B marked with #, with a maximum amount for the monthly treatment exceeding Lei 330, is prescribed, then in the relevant month, should not be prescribed other drugs from the sub-list B;

c) for pensioners with pension incomes and social allowance for pensioners, up to 900 lei / month inclusive, regardless of whether or not they make other income, the provisions of subsection a) and b); they may benefit from a prescription / multiple monthly prescriptions that do not cumulatively exceed 7 drugs in Sub- lists A, B and D; in this situation, for a maximum of 3 drugs in Sublist B, with a reference price of up to 330 lei per month / prescription, a single separate prescription with 90% offset of the reference price is made; 

  d) for drugs from sub-list C section C1 - for each illneass code, one prescription / maximum two monthly prescriptions, with a maximum of 3 drugs;

   e) for drugs from sub-list C section C3 - a single monthly prescription for maximum 4 drugs.

Hospital care services are provided to insured persons until healing.

   

    In the sanatoriums the lengths of hospitalization are:

    Physical and rehabilitation services - 14 - 21 days / year / insured provided in a single episode comprising at least 4 procedures / day, and from 1 April 2018 for at least 5 days / week.

The medical rehabilitation services provided in sanatoriums other than balneary sanatoriums and preventers are services provided in hospitalization for periods and according to a rate established by specialized doctors operating in these units

II - 10. Suspension of Benefit

Article 69. C102, Article 68. ECSS

A benefit to which a person protected would otherwise be entitled in compliance with any of Parts II to X of this Convention may be suspended to such extent as may be prescribed:

(a) as long as the person concerned is absent from the territory of the Member;

(b) as long as the person concerned is maintained at public expense, or at the expense of a social security institution or service, subject to any portion of the benefit in excess of the value of such maintenance being granted to the dependants of the beneficiary;

(c) as long as the person concerned is in receipt of another social security cash benefit, other than a family benefit, and during any period in respect of which he is indemnified for the contingency by a third party, subject to the part of the benefit which is suspended not exceeding the other benefit or the indemnity by a third party;

(d) where the person concerned has made a fraudulent claim;

(e) where the contingency has been caused by a criminal offence committed by the person concerned;

(f) where the contingency has been caused by the wilful misconduct of the person concerned;

(g) in appropriate cases, where the person concerned neglects to make use of the medical or rehabilitation services placed at his disposal or fails to comply with rules prescribed for verifying the occurrence or continuance of the contingency or for the conduct of beneficiaries;

Insured persons are required to pay a monthly health insurance contribution. In case of non-compliance, these persons benefit from medical services within a minimum package of medical services, according to the provisions of Law no.95 / 2006, republished.

According to the provisions of Law no. 95/2006, republished, as subsequently amended and supplemented, the documents certifying the quality of insured are:

• the national health insurance card,

• the insured certificate with a validity of 3 months, for persons who expressly refuse, for religious or conscience reasons, the receipt of the national card,

• the insured certificate issued by the insurance house to which the insured person is registered,

• the documents provided in art. 223 par. (1) of the Law no. 95/2006 republished, as subsequently amended and supplemented (the insured certificate issued by the care of the insurance company to which the insured person is registered or the document resulting from the access by the providers in contractual relations with the health insurance houses of the electronic instrument provided by NHIH).

Insured persons who have not been issued with the national health insurance card may benefit from medical services without presenting it.

According to the provisions of art. 342 and 343 of Law no. 95/2006, republished, as subsequently amended and supplemented, the insured persons over the age of 18 have the obligation to present the national health insurance card, or the documents mentioned above, as the case may be.

By Government Emergency Ordinance no. 88/2017 of November 29, 2017 for amending and completing the Law no. 95/2006 on healthcare reform has been regulated as for situations where national health insurance cards have not been issued and / or for cases where policyholders are not found in the NHIH's electronic database, for persons who execute a custodial sentence or in pre-trial detention in the penitentiary units, as well as for persons who are in the process of carrying out a measure of education or security deprivation of liberty, proof of the quality of the insured is made on the basis of the documents necessary to prove the quality of the insured, the methodological norms for establishing the supporting documents regarding the acquisition of the quality of the insured.

By Government Emergency Ordinance no. 18/2018 of 15 March 2018 regarding the adoption of fiscal-budgetary measures and for the modification and completion of some normative acts published in the Official Gazette of Romania no. 260 of 23 March 2018 was regulated as proof of the quality of the insured to be made on the basis of the documents necessary to prove the quality of the insured, stipulated in the methodological norms for establishing the supporting documents regarding the acquisition of the insured quality and in the case of the persons who started the activity on the basis of the work / service if they request the services included in the basic package until the payers of salary income and salary assimilation of the Statement of Payments on Social Contributions, income tax and nominal bookkeeping of insured persons provided by the Law no. 227/2015, as amended and supplemented.

RF/C102/ECSS: please indicate the provisions, if any, for the suspanesion of the medical benefits reffred to in Article 10, under each scheme or schemes concerned.

-  The persons who are obliged to pay the social health insurance contribution, as well as the way of setting, the deadlines for declaring and paying the contribution are stipulated in the Law no. 227/2015 regarding the Fiscal Code, as subsequently supplemented or amended.

    ART. 222

(1) According to the present law, the insured persons are:

   a) all Romanian citizens domiciled or residing in the country; 

  b) foreign citizens and stateless persons who have applied for and have obtained the right to temporary stay or have their domicile in Romania;

   c) citizens of EU Member States, EEA and Swiss Confederation who do not have insurance in another Member State that has effect in Romania, who have applied for and obtained the right of residence in Romania for a period of more than 3 months; 

  d) persons from EU Member States, EEA and Swiss Confederations fulfilling the conditions of a frontier worker, meaning who are employed or self-employed in Romania and who reside in another Member State in which they return usually daily or at least once a week ; 

  e) pensioners in the public pension system who are no longer domiciled in Romania and who establish their residence in the territory of an EU Member State, of a state belonging to the EEA or of the Swiss Confederation, respectively domiciled in the territory of a state with which Romania applies an agreement bilateral social security with provisions for sickness-maternity insurance.   

(2) In the case of the persons mentioned in par. (1) falling within the category of those who make the incomes provided under art. 155 par. (1) lit. a) of Law no. 227/2015, as subsequently supplemented or amended, the quality of insured in the social health insurance system and the right to the basic package is granted from the date of initiation of the work / service relationship.

(3) The persons referred to in paragraph (1) falling within the category of those who make the incomes provided under art. 155 par. (1) lit. b) - h), as well as for the ones stipulated in art. 180 of Law no. 227/2015, as subsequently supplemented or amended, acquire the quality of insured in the social health insurance system and have the right to the basic package from the date of filing the declaration, stipulated in art. 147 par. (1) or art. 174 par. (3) of the Law no. 227/2015, as subsequently supplemented or amended, as the case may be.  (4) For the persons mentioned in par. (1) who fall within the category of those who have the status of taxpayers to the social health insurance system, according to the Law no. 227/2015, as subsequently supplemented or amended and which did not pay the contribution to the fund within the time limits provided by the same law, the outstanding amounts are recovered by A.N.A.F. in accordance with the law, including fiscal tax liabilities due for tax receivables.

(5) The insured and the insurance rights cease:  

  a) for the persons referred to in paragraph (1) lit. a) with the loss of the right of domicile or residence in Romania, as well as under the conditions of art. 267 par. (2) - (2 ^ 2), as the case may be;  

  b) for the persons mentioned in par. (1) lit. b) with the loss of the right of residence in Romania, as well as under the conditions of art. 267 par. (2) - (2 ^ 2), as the case may be;     c) for the persons referred to in par. (1) lit. c) with the loss of the right of residence in Romania, for a period of more than 3 months, as well as under the conditions of art. 267 par. (2) - (2 ^ 2), as the case may be; 

   d) for the persons mentioned in par. (1) lit. d), together with the loss of the status of frontier worker, and under the conditions of art. 267 par. (2) and (2 ^ 2) as appropriate. 

   (6) The supporting documents regarding the acquisition of the quality of the insured shall be established by an order of the CNAS president.

   ART. 224*)

(1) The following categories of persons benefit from the insurance, without payment of the contribution, under the conditions of art. 154 of Law no. 227/2015, as subsequently supplemented or amended:

    a) children up to the age of 18, young people from 18 years up to the age of 26, if they are students, including high school graduates, until the beginning of the academic year, but not more than 3 months after the completion of the studies, apprentices or students, doctoral students under the doctoral studies contract, within 4-6 conventional teaching hours per week as well as those who follow the individual training module based on their request to become soldiers or professional graduates; 

  b) young people under the age of 26 coming from the child protection system;

   (c) the spouse, the spouse and the parents without own income, who are dependent on an insured person;  

 d) persons whose rights are established by Decree-Law no. 118/1990 regarding the granting of rights to persons persecuted for political reasons by the dictatorship established from March 6, 1945, as well as to those deported abroad or constituted in prisoners, republished, as subsequently supplemented or amended, by Law no. 51/1993 on the granting of certain rights to magistrates who have been removed from justice for political reasons during the years 1945-1989, as subsequently supplemented or amended, by Government Ordinance no. 105/1999 regarding the granting of certain rights to the persons persecuted by the regimes established in Romania from September 6, 1940 to March 6, 1945 for ethnic reasons, approved with amendments and completions by Law no. 189/2000, as subsequently supplemented or amended, by Law no. 44/1994 on war veterans, as well as some rights of invalids and widowers of war, republished, as subsequently supplemented or amended, by Law no. 309/2002 on the recognition and granting of rights for the persons who performed the military service in the General Department of the Labor Service between 1950 and 1961, as subsequently supplemented or amended, as well as the persons stipulated in art. 3 par. (1) lit. b) point 1 of the Law of Gratitude for the Victory of the Romanian Revolution of December 1989, for the anticommunist workers 'revolt in Braşov in November 1987 and for the anticommunist workers' revolt in the Jiu Valley - Lupeni - August 1977 no. 341/2004, as subsequently supplemented or amended, for the monetary rights granted by these laws;

e) persons with disabilities, for the incomes obtained under Law no. 448/2006 on the protection and promotion of the rights of disabled persons, republished, as subsequently supplemented or amended;  

 f) patients with diseases included in the national health programs established by the Ministry of Health, until the healing of the respective condition;

  g) Pregnant women and women lately confined; 

  h) natural persons who are on sick leave for temporary incapacity for work due to accidents at work or occupational diseases, as well as those who are on medical leave granted according to the Government Emergency Ordinance no. 158/2005 on sickness leave and indemnities, approved with amendments and completions by Law no. 399/2006, as subsequently supplemented or amended;

   i) persons who are on leave, according to the Law no. 273/2004 on adoption procedure, republished, on parental leave according to the Government Emergency Ordinance no. 111/2010 on parental leave and indemnity, approved with amendments by Law no. 132/2011, as subsequently supplemented or amended;  

j) persons who execute a custodial sentence or are under preventive arrest in the penitentiary units, as well as the persons who are in the process of carrying out a measure of education or security deprivation of liberty, namely persons who are in the period of postponement or interruption the execution of the custodial sentence;

    k) persons receiving unemployment benefit or, as the case may be, other social protection rights provided from the unemployment insurance budget, according to the law; 

  l) detained, arrested or detained persons in pre-trial detention and detention centers, aliens in accommodation centers for return or expulsion, and those who are victims of trafficking in human beings who are in the process of establishing identity and are housed in specially arranged centers according to the law; 

  m) natural persons benefiting from social aid according to the Law no. 416/2001 on the minimum guaranteed income, as subsequently supplemented or amended; 

  n) natural persons who have the status of pensioners, pension revenues, and income from intellectual property rights; 

  o) Romanian citizens who are victims of trafficking in human beings for a maximum of 12 months; 

  p) the monastic staff of the recognized denominations, in the records of the State Secretariat for Cults;

   q) volunteers who work under voluntary emergency services under the Voluntary Contract during their participation in emergency interventions or training to participate in them, in accordance with Government Ordinance no. 88/2001 on the establishment, organization and functioning of community public services for emergency situations, approved with amendments and completions by Law no. 363/2002, as subsequently supplemented or amended.

    (1 ^ 1) Persons who have acquired the quality of insured under para. (1) lit. c) and q) can not themselves be co-insured.   

 (2) The categories of persons not provided in par. (1) have the obligation to ensure, according to the present law, and to pay the contribution to health insurance under the conditions of Law no. 227/2015, as subsequently supplemented or amended.

Access to basic services packages for all medical care, medicines and medical devices ceases in the situations provided by art. 222 par. (5) of the Law no. 95/2006 on the health reform, republished, as subsequently supplemented or amended and the non-observance of the obligation to pay the contribution to health social insurance under the conditions of Law no. 227/2015, as subsequently supplemented or amended.

Persons who do not prove the quality of insured benefit from medical services within a minimal package of medical services, according to the provisions of Law no. 95/2006, republished, which includes: health care services, medicines and sanitary materials only in the case of medical and surgical emergencies and diseases with endemoepidemic potential, monitoring of pregnancy and lactation, family planning services, prevention and care services of Community health care in the following assistance:- primary care- specialized ambulatory for clinical specialties,- specialized dentistry ambulatory,- hospital care.

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2018 CEACR’s conclusions - Pending

Part II (Medical care), Article 10(1) in conjunction with Article 68 of the Code; Part VIII (Maternity benefits), Article 49 of the Code. Reduction of medical care. The consolidated report states that, according to the provisions of Law No. 95/2006, republished, insured persons are required to pay a monthly health insurance contribution and those who are not in compliance receive only medical services contained in the minimum medical services package. In its previous conclusions, the Committee noted that the entitlement of workers to full medical care will be refused in case an employer fails to fulfil the obligation to transfer the health insurance contributions to the National Health Insurance Fund. The Committee therefore has been pointing out that the Code does not allow the provision of benefits to the persons protected to be conditional on the goodwill of their employers. The Committee recalls that the entitlement of workers to full medical care cannot depend on whether or not their employer fulfils the obligation to transfer the health insurance contributions to the National Health Insurance Fund. Recalling the 2018 Resolution of the Committee of Ministers, the Committee

once again requests the Government to take measures ensuring that the National Health Insurance Fund does not reduce medical care benefit to the minimum package with respect to the persons whose employers have failed to pay the health insurance contributions to the Fund on their behalf. The Committee also requests the Government to indicate what are the sanctions imposed on employers in case of their failure to fulfil the obligation to pay contributions.

Please provide a reply to the Committee’s request.

According to art. 168 of Law no. 227/2015 regarding the Fiscal Code, the natural and legal persons who have the status of employers or are assimilated to them have the obligation to calculate and to retain at source the contribution of health insurance due by the natural persons who obtain income from wages or assimilated to wages.

Failure by the taxpayers to pay the amounts representing taxes and contributions with retain at source or the total withholding and non-payment in full the amounts representing taxes and contributions, by the taxpayers of the tax obligations, constitute contraventions and are sanctioned according to art. 336 of Law no. 207/2015 regarding the Fiscal Procedure Code, with subsequent amendments and completions, as follows:

- with a fine from 4,000 lei to 6,000 lei for legal persons in the category of medium and large taxpayers and with a fine from 1,000 lei to 1,500 lei, for the other legal persons, as well as for the natural persons, if the tax obligations subtracted from the payment are of up to 50,000 lei inclusive;

- with a fine from 12,000 lei to 14,000 lei for the legal persons in the category of medium and large taxpayers and with a fine from 4,000 lei to 6,000 lei, for the other legal persons, as well as for the natural persons, if the tax obligations subtracted from the payment are fulfilled between 50,000 lei and 100,000 lei inclusive;

- with a fine from 25,000 lei to 27,000 lei for legal persons in the category of medium and large taxpayers and with a fine from 6,000 lei to 8,000 lei, for the other legal persons, as well as for natural persons, if the tax obligations subtracted from payment are larger than 100,000 lei;

II - 11. Right of complaint and appeal

Article 70. C102, Article 69. ECSS

1.  Every claimant shall have a right of appeal in case of refusal of the benefit or complaint as to its quality or quantity.

2. Where in the application of this Convention (Code) a government department responsible to a legislature is entrusted with the administration of medical care, the right of appeal provided for in paragraph 1 of this article may be replaced by a right to have a complaint concerning the refusal of medical care or the quality of the care received investigated by the appropriate authority.

3. Where a claim is settled by a special tribunal established to deal with social security questions and on which the persons protected are represented, no right of appeal shall be required.

According to Article 451 of Law No 95/2006, republished, in case of benefit rejection or benefit type or amount contestation, the insured individuals are entitled to lodge a complaint to the College where the relevant physician is member, and if such complaint is rejected, the insured individual may submit a complaint to a court of law.

II - 12. Financing and Administration

Article 71. C102, Article 70. ECSS          

See under Part XIII-3. Common provisions.

Article 72. C102, Article 71. ECSS

1. The Member (Contracting Party) shall accept general responsibility for the proper administration of the institutions and services concerned in the application of the Convention (Code).

2. Where the administration is not entrusted [to an institution regulated by the public authorities or – C102] to a Government department responsible to a legislature, representatives of the persons protected shall participate in the management, or be associated therewith in a consultative capacity, under prescribed conditions; national laws or regulations may likewise decide as to the participation of representatives of employers and of the public authorities.

According to the provisions of Law No 95/2006, republished, the social health insurance system is the main fund financing the population health condition protection that ensures the access of the insured persons to a basic medical services package.

Other forms of health insurances can be effective in special situations. These insurances are not mandatory and can be provided voluntarily by insurance bodies certified according to the law.

The voluntary health insurance does not exclude the duty to pay the contribution for the social health insurance.

Database of the MISSOC:

Decentralisation and autonomy in the administration of the Health Insurance Fund.

There is free competition between providers dealing with contracts with the health insurance houses.

The official website of the National Health Insurance House:

The National Health Insurance Fund (NHIF) is a public autonomous institution of national interest with legal personality whose main activity is to provide unitary and coordinated functioning of the system of social health insurance in Romania.

NHIF 's mission is to provide a system of health insurance modern and efficient, placed permanently in the public interest and the insured, which aims to improve the health of the population.

NHIF operates under its own statute and must:

·         Provide logistics for the unitary and coordinated functioning of the system of social health insurance;

·         pursue the collection and efficient use of the Fund;

·         use appropriate means of media representation, information and support the interests of policyholders they represent;

·         to meet the needs of health services of persons within the limits of available funds.

Part III. Sickness Benefit

Romania has accepted the obligations resulting from C24, Part III of C102 and Part III of the ECSS.

Category

Information available

Information missing / questions raised by the CEACR

III-1. Regulatory framework

Art.13 C102/ECSS

Art.1 C24

III-2. Contingencies covered

Art.14 C102/ECSS

III-3. Persons protected

Art.15 C102/ECSS *

Art.2(1) C24

III-4. Level and Calculation of benefit

Art.16 C102/ECSS*

III-5. Qualifying period

Art.17 C102/ECSS,

Art.3(2) C24

III-6. Minimum duration of benefit

Art.18 C102/ECSS, Art.3(1,2) C24

III-7. Suspension of benefit

Art.69 C102, Art.68 ECSS

Art.3(3,4) C24

III-8. Right of complaint and appeal

Art.70 C102, Art.69 ECSS

Art.9 C24

III-9. Financing and Administration

Art.72 C102

Art.71 ECSS

Art.71 C102, Art.70 ECSS*

Art.6,7 C24

* Please update statistical data, in accordance with the Report form for C102/ECSS.

List of applicable legislation

·         Government Emergency Ordinance No 158/2005 on the medical leaves and health insurance benefits, with the subsequent amendments and supplements (initial form published in the Official Gazette No 1074 of November 29th, 2005), as further completed or amended;

·         Order of the Minister of Health and of the President of the National Health Insurance House no. 60/32, dated January 27th, 2006 for the approval of the application norms of the Government Emergency Order no. 158/2005 on the leaves of absence and health insurance benefits, with the subsequent amendments and supplements (initial form published in the Official Gazette no. 147, dated February 16th, 2006), as further completed or amended;

·         Order of the Minister of Health and of the President of the National Health Insurance House no 15/2018 for the approval of the application Norms of the Government emergency Order no 158/2005 on the leaves of absence and health insurance benefits, published in the Official Gazette no 31 of 12 January 2018

·         Order of the Minister of Health and of the President of the National Health Insurance House no. 233/125/2006 approving the single medical leave certificate model and the instructions for the use and filling-in of the medical leave certificate based on which benefits are granted to the insured people within the health insurance system;

·         Law No 227/2015 on the Fiscal Code, as further completed and amended;

·         Government Decision No 1/2016 approving the Methodological Norms for the implementation of Law No 227/2015 on the Fiscal Code, as further completed and amended.

III - 1. Regulatory framework

Article 1. C24

Each Member of the International Labour Organisation which ratifies this Convention undertakes to set up a system of compulsory sickness insurance which shall be based on provisions at least equivalent to those contained in this Convention.

Article 13. C102 and ECSS

Each Member (Contracting Party) for which this Part of this Convention (Code) is in force shall secure to the persons protected the provision of sickness benefit in accordance with the following Articles of this Part.

 MISSOC Database:

Basic principles.

Compulsory social insurance scheme for employees and self-employed providing an earnings-related benefit.

III - 2. Contingency covered

Article 14. C102 and ECSS

The contingency covered shall include incapacity for work resulting from a morbid condition and involving suspension of earnings, as defined by national laws or regulations.

III - 3. Persons protected

§1. Article 2. C24

The compulsory sickness insurance system shall apply to manual and non-manual workers, including apprentices, employed by industrial undertakings and commercial undertakings, out-workers and domestic servants.

Article 15. C102 and ECSS

The persons protected shall comprise:

(a) prescribed classes of employees, constituting not less than 50 per cent of all employees; or

(b) prescribed classes of the economically active population, constituting not less than 20 per cent of all residents; or

(c) all residents whose means during the contingency do not exceed limits prescribed in such a manner as to comply with the requirements of Article 67.

Within the social insurance system, to the leave allowance and health security benefits is applicable the sub-paragraph b) of Article 15 of C102 and the ECSS.

According to the legal provisions in force until 31.12.2017, the protected persons according to this article are insured persons, Romanian citizens, foreign citizens or stateless ones, which, according to the law, have a residence in Romania, especially:

-            persons with individual labour contracts or based on the service report, as well as any other dependant activities;

-            persons rendering activities in elective functions or appointed within the executive, legislative or court authority, during the mandate;

-            members of handicraft cooperatives organizations;

-the unemployed (receiving monthly financial benefits from the unemployment insurance budget).

The following persons also take advantage of the same rights, although they are not in same situations:

a.            shareholders, limited partners and stakeholders;

a.       members of family businesses;

a.            individuals authorized to carry out independent activities;

a.            persons concluding social insurance contracts for leaves of absence and maternity allowances and leaves of absence and allowances for the care of a sick child, provided they started to pay the contribution up to January 1st, 2006.

b.      wife / spouse of the owner of individual undertaking / authorized person (freelancers) who, without being registered / recorded with the Trade Register and authorized to operate himself / herself as the owner of the individual undertaking / authorized person, or, without being an employee, participates in the usual activities of the individual undertaking / authorized person, performing the same tasks or ancillary tasks.

According to the legal provisions in force since 01.01.2018, the persons protected under this article are insured persons, Romanian citizens, foreign citizens or stateless persons, who, according to the law, reside in Romania, in particular:

- individuals who earn income from an activity based on an individual employment contract, service report, posting or statutory status, as well as other income assimilated to salaries (both private and public employees from the budget environment);

- individuals receiving unemployment benefit, according to the law;

- individuals, other than employees, who can insure themselves in the social health insurance system in order to benefit from holidays and sickness insurance benefits, based on an insurance contract for holidays and social health insurance indemnities.

III - 4. Level and Calculation of Benefit

Article 16. C102 and ECSS

1. Where classes of employees or classes of the economically active population are protected, the benefit shall be a periodical payment calculated in such a manner as to comply either with the requirements of Article 65 or with the requirements of Article 66.

2. Where all residents whose means during the contingency do not exceed prescribed limits are protected, the benefit shall be a periodical payment calculated in such a manner as to comply with the requirements of Article 67; [provided that a prescribed benefit shall be guaranteed, without means test, to the prescribed classes of persons determined in accordance with Article 15. a or b - ECSS].

The Government applies Article 65 of C102/ECSS.

The calculation basis of the indemnity is established as an average monthly income during the past six months of 12 which represents the qualifying period, up to the limit of 12 national minimum wages, used to calculate the contribution for leaves of absence and indemnities.

The gross amount of the monthly indemnity for temporary labour incapacity is established by a 75% application at the mentioned calculation base.

The gross amount of the monthly indemnity for temporary labour incapacity, caused by tuberculosis, AIDS, cancer, malignant illness or infectious diseases from group A and surgical emergency is 100% of the calculation basis.

III - 5. Qualifying period

§2. Article 3. C24

The payment of this benefit may be made conditional on the insured person having first complied with a qualifying period and, on the expiry of the same, with a waiting period of not more than three days.

Article 17. C102 and ECSS

The benefit specified in Article 16 shall, in a contingency covered, be secured at least to a person protected who has completed such qualifying period as may be considered necessary to preclude abuse.

§1(f) Article 1. C102, §1(i) Article 1. ECSS

The term qualifying period means a period of contribution, or a period of employment, or a period of residence, or any combination thereof, as may be prescribed.

The qualifying period in the health insurance system is obtained by summing the periods for which the contribution for medical leave allowance and indemnities is paid by the employer or insured individual, as the case may be, respectively, , or were insured without payment of the contribution under the lawby the Fund in case of work accidents or occupational diseases, or from the unemployment insurance budget.

The minimum qualifying period entitling to rights is 6 months of insurance

one month worked during the last 12 months previous to the month of medical leave.

The insured individuals shall be entitled to medical leave and indemnities for temporary work incapacity without meeting the mandatory qualifying period requirement in case of medical – surgical emergencies, tuberculosis, infectious-contagious diseases of group A, neoplasia and HIV.

III - 6. Minimum duration of Benefit

§1§2. Article 3. C24

1. An insured person who is rendered incapable of work by reason of the abnormal state of his bodily or mental health shall be entitled to a cash benefit for at least the first twenty-six weeks of incapacity from and including the first day for which benefit is payable.

2. The payment of this benefit may be made conditional on the insured person having first complied with a qualifying period and, on the expiry of the same, with a waiting period of not more than three days.

Article 18. C102 and ECSS

The benefit specified in Article 16 shall be granted throughout the contingency, except that the benefit may be limited to 26 weeks in each case of sickness, [in which event it – C102] [and - ECSS] need not be paid for the first three days of suspension of earnings.

The period of the temporary labour incapacity is 90 days from the first day of incapacity, which can be extended with the endorsement of the expert physician of the social securities, up to 183 days in one year, calculated from the first day of the illness. In justified cases, the possibility to recover the labour capacity, the medical leave can be extended beyond the 183 days up to 90 days.

For some cases (special illnesses foreseen by the law) the period of the leave of absence and indemnities is higher (cardiovascular diseases, malignant illness, tuberculosis, cancer, AIDS, etc. – Article 13, paragraph (3) of EGO no. 158/2005, with the subsequent amendments and supplements).

III - 7. Suspension of benefit

§3§4. Article 3. C24

3. Cash benefit may be withheld in the following cases:

(a) where in respect of the same illness the insured person receives compensation from another source to which he is entitled by law; benefit shall only be wholly or partially withheld in so far as such compensation is equal to or less than the amount of the benefit provided by the present Article;

(b) as long as the insured person does not by the fact of his incapacity suffer any loss of the normal product of his labour, or is maintained at the expense of the insurance funds or from public funds; nevertheless, cash benefits shall only partially be withheld when the insured person, although thus personally maintained, has family responsibilities;

(c) as long as the insured person while ill refuses, without valid reason, to comply with the doctor's orders, or the instructions relating to the conduct of insured persons while ill, or voluntarily and without authorisation removes himself from the supervision of the insurance institutions.

4. Cash benefit may be reduced or refused in the case of sickness caused by the insured person's wilful misconduct.

Article 69. C102, Article 68. ECSS

A benefit to which a person protected would otherwise be entitled in compliance with any of Parts II to X of this Convention may be suspended to such extent as may be prescribed--

(a) as long as the person concerned is absent from the territory of the Member;

(b) as long as the person concerned is maintained at public expense, or at the expense of a social security institution or service, subject to any portion of the benefit in excess of the value of such maintenance being granted to the dependants of the beneficiary;

(c) as long as the person concerned is in receipt of another social security cash benefit, other than a family benefit, and during any period in respect of which he is indemnified for the contingency by a third party, subject to the part of the benefit which is suspended not exceeding the other benefit or the indemnity by a third party;

(d) where the person concerned has made a fraudulent claim;

(e) where the contingency has been caused by a criminal offence committed by the person concerned;

(f) where the contingency has been caused by the wilful misconduct of the person concerned;

(g) in appropriate cases, where the person concerned neglects to make use of the medical or rehabilitation services placed at his disposal or fails to comply with rules prescribed for verifying the occurrence or continuance of the contingency or for the conduct of beneficiaries;

Payment of indemnities shall cease on the day next to that on which:

a)     the beneficiary deceased;

b)     the beneficiary does no longer meet the legal requirements for being entitled to indemnities;

c)      the beneficiary established its residence on the territory of another State not having a social  security convention concluded with Romania;

d)     the beneficiary established its residence on the territory of another State having a social  security convention concluded with Romania, which provides for the payment of such indemnities by the other State in question.

III - 8. Right of complaint and appeal

Article 9. C24

A right of appeal shall be granted to the insured person in case of dispute concerning his right to benefit.

Article 70. C102, Article 69. ECSS

1. Every claimant shall have a right of appeal in case of refusal of the benefit or complaint as to its quality or quantity.

2. Where in the application of this Convention (Code) a government department responsible to a legislature is entrusted with the administration of medical care, the right of appeal provided for in paragraph 1 of this article may be replaced by a right to have a complaint concerning the refusal of medical care or the quality of the care received investigated by the appropriate authority.

3. Where a claim is settled by a special tribunal established to deal with social security questions and on which the persons protected are represented, no right of appeal shall be required.

RF/C102/ECSS: please state whether every claimant has a right of appeal in case of refusal of the sickness benefit or campliant as to its quality and quantity. Please summarise the rules which apply in the case of an appleal.

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III - 9. Financing and Administration

Article 6. C24

1. Sickness insurance shall be administered by self-governing institutions, which shall be under the administrative and financial supervision of the competent public authority and shall not be carried on with a view of profit. Institutions founded by private initiative must be specially approved by the competent public authority.

2. The insured persons shall participate in the management of the self-governing insurance institutions on such conditions as may be prescribed by national laws or regulations.

3. The administration of sickness insurance may, nevertheless, be undertaken directly by the State where and as long as its administration is rendered difficult or impossible or inappropriate by reason of national conditions, and particularly by the insufficient development of the employers' and workers' organisations.

The official website of the National Health Insurance House:

The National Health Insurance Fund (NHIF) is a public autonomous institution of national interest with legal personality whose main activity is to provide unitary and coordinated functioning of the system of social health insurance in Romania.

RF/C24:

1. Please indicate the constitution and functions of the self-governing institutions entrusted with the administration of sickness insurance.

2. Please indicate the constitution and functions of the authorities entrusted with the administrative and financial supervision of such self-governing institutions.

3. Please indicate the conditions under which the insured persons are enabled to participate in the management of the self-governing insurance institutions, stating in particular the proportion of seats or of votes assigned to them in the organs of these self-governing institutions.

Article 7. C24

1. The insured persons and their employers shall share in providing the financial resources of the sickness insurance system.

2. It is open to national laws or regulations to decide as to a financial contribution by the competent public authority.

RF/C24:

1. Please indicate the conditions under which the insured persons and their employers must share in providing the financial resources of the sickness insurance system.

2. Please state whether the national legislation provides for a financial contribution by the competent public authority.

Article 3 of GEO no.158 / 2005 

The right to sickness leave and sickness benefits, to which insured persons who earn salary or salary income are entitled, is subject to the payment of the labor insurance contribution intended to cover these allowances, regulated by the Fiscal Code. Persons receiving unemployment benefit, according to the law, are insured in the social health insurance system for holidays and social health insurance indemnities without a contribution.    The entitlement to sickness leave and sickness benefits to which insured persons are entitled under an insurance contract for sickness and maternity leave is subject to the payment of a contribution to leave holidays and allowances of 1%, applied to the chosen monthly income included in the insurance contract, which is made to the budget of the National Social Health Insurance Fund.

Article 71. C102, Article 70. ECSS

1. The cost of the benefits provided in compliance with this Convention (Code) and the cost of the administration of such benefits shall be borne collectively by way of insurance contributions or taxation or both in a manner which avoids hardship to persons of small means and takes into account the economic situation of the Member (Contracting Party) and of the classes of persons protected.

2. The total of the insurance contributions borne by the employees protected shall not exceed 50 per cent of the total of the financial resources allocated to the protection of employees and their wives and children. For the purpose of ascertaining whether this condition is fulfilled, all the benefits provided by the Member (Contracting Party) in compliance with this Convention (Code), except family benefit and, if provided by a special branch, employment injury benefit, may be taken together.

3. The Member (Contracting Party) shall accept general responsibility for the due provision of the benefits provided in compliance with this Convention (Code), and shall take all measures required for this purpose; it shall ensure, where appropriate, that the necessary actuarial studies and calculations concerning financial equilibrium are made periodically and, in any event, prior to any change in benefits, the rate of insurance contributions, or the taxes allocated to covering the contingencies in question.

Article 72. C102, Article 71. ECSS

1. The Member (Contracting Party) shall accept general responsibility for the proper administration of the institutions and services concerned in the application of the Convention (Code).

2. Where the administration is not entrusted [to an institution regulated by the public authorities or – C102] to a Government department responsible to a legislature, representatives of the persons protected shall participate in the management, or be associated therewith in a consultative capacity, under prescribed conditions; national laws or regulations may likewise decide as to the participation of representatives of employers and of the public authorities.

See under Part II-12. Medical Care. Financing and Administration, under Part XIII-3. Common provisions.

Part IV. Unemployment benefit

Romania has accepted the obligations resulting from C168.

Category

Information available

Information missing / questions raised by the CEACR

IV-1. Regulatory framework

IV-2. Contingency covered

Art.10 C168

IV-3. Persons Protected

Art.11 C168*

IV - 4. Method of protection (explanatory clause)

Art.12,13 C168

IV-5. Level and Calculation of Benefit

Art.14 C168

Art.15,16 C168*

IV-6. Qualifying period

Art.17(1) C168

Art.17(2) C168

IV-7. Waiting period

Art.18 C168

IV-8. Minimum duration of Benefit

Art.19 C168

IV - 9. Provisions of Medical Care to unemployed

Art.23 C168

IV – 10. Acquisition of the right to other benefits

Art.24 C168

IV – 11. Adjustment of scheme to part-time workers

Art.25 C168

IV – 12. Special provisions for new applicants for employment

Art.26 C168

IV - 13. Promotion of productive employment

Art.7,8 C168

IV-14. Suspension of Benefit

Art.21 C168

IV-15. Right of complaint and appeal

Art.27(1) C168

Art.27(2) C168

IV-16. Financing and Administration

Art.28 C168

Art.29,30 C168

* Please update statistical data, in accordance with the Report form for C168.

List of applicable legislation

Database of the MISSOC:

Law 76 of 16 January 2002 on Unemployment Insurance System and Employment Stimulation (Legea privind sistemul asigurarilor pentru somaj si stimularea ocuparii fortei de munca)

IV - 1. Regulatory framework

Database of the MISSOC:

Basic principles.

Unemployment insurance scheme: Social insurance scheme, general, compulsory, contributory (employers and employees), providing both cash and in-kind benefits.

IV - 2. Contingencies covered

Article 10. C168

1. The contingencies covered shall include, under prescribed conditions, full unemployment defined as the loss of earnings due to inability to obtain suitable employment with due regard to the provisions of Article 21, paragraph 2, in the case of a person capable of working, available for work and actually seeking work.

2. Each Member shall endeavour to extend the protection of the Convention, under prescribed conditions, to the following contingencies:

(a) loss of earnings due to partial unemployment, defined as a temporary reduction in the normal or statutory hours of work; and

(b) suspension or reduction of earnings due to a temporary suspension of work, without any break in the employment relationship for reasons of, in particular, an economic, technological, structural or similar nature.

3. Each Member shall in addition endeavour to provide the payment of benefits to part-time workers who are actually seeking full-time work. The total of benefits and earnings from their part-time work may be such as to maintain incentives to take up full-time work.

According to Art.5, of Law 76/2002 on the unemployment insurance system and employment stimulation, as subsequently amended and supplemented, defines as the unemployed - the person who fulfils the following conditions:

a) is looking for a job from the age of 16 years old and until the fulfilment of conditions for retirement (i.e. meets both the standard retirement age and the minimum contribution period for retirement);

b) health and physical and mental capabilities render this person suitable for the execution of work;

c) has no job, do not earn an income or the income from activities authorized by law is lower than the social reference indicator of unemployment benefit and boost of employment, in force;

d) is available to start work in the near future, if this person would find a job.

According to art. 17 para. (1), to establish the right to unemployment benefit, the unemployed referred to in art. 16 letter. a) are the persons who are in one of the following situations:

a) they have ceased employment relationship for reasons not attributable to them (i.e. expiration of the fixed-term individual labour contract, termination of the employment relationship at the employer's initiative, withdrawal of the authorization to practice the profession, dissolution of the employer as a judicial person);

b) their relationship ended for reasons not attributable to their service; (i.e. expiration of the term for which a public office has been temporarily exercised, reduction in the number of staff as a result of reorganization of the activity of the authority or institution).

c) the mandate for which they were appointed or elected has ceased, if previously they haven’t been employed or if their return to their previous work is no longer possible due to the cessation of business of the employer;

d)the duration for which soldiers were employed on a contract basis has expired or their contract was terminated for reasons not attributable to them;

e) the employment relationship as a co-operative member ceased, for reasons not attributable to them ;

f) have concluded unemployment insurance contracts and do not earn incomes or the income from activities authorized by law is lower than the social reference indicator of unemployment;

g) stopped their activity as a result of disability retirement and subsequently regained the ability to work and failed to be employed;

h) have ceased employment or service relationship for reasons not attributable to them (see a and b) within the period of suspension, according to the law;

j) reintegration into work, ordered by final court decision is no longer possible to units where they were previously employed, for reasons of definitive cessation of activities or to units which have taken their patrimony;

k) have stopped their activity carried out exclusively on civil convention.

Unemployed persons mentioned at art. 17 ( 1) receive unemployment benefit if they meet all according to article 34 (1) of Law N76/2002 the following conditions together:

a) have a minimum contribution period of 12 months in the last 24 months preceding the filing of application form;

b) do not earn an income or the income from activities authorized by law is lower than the social reference indicator of unemployment benefit in force;

c) do not qualify for retirement, according to law (i.e. do not meet both the standard retirement age and the minimum contribution period for retirement);

d) are registered with employment agencies in whose jurisdiction they reside or where appropriate, residence, if they had their last job or income in that locality.

The unemployed who earn incomes from activities authorized by law, are entitled to receive unemployment benefit, if they prove that those incomes do not exceed the reference indicator of social insurance for unemployment and stimulation of employment, in force, in the month of reference.

The activities authorized by law are the economic activities carried out by authorized individuals, individual enterprises and / or family businesses, according to the law or the exercise of liberal professions according to special legal provisions.

Also, for persons employed with a temporary labour contract, the contribution period is determined depending on the duration of each mission, i.e. how much time people are available to temporary work agent, between missions.

Article 10 paragraphe 2 a)

En vertu des dispositions de l’article 52 alinéas (1) lettre c) de la Loi no. 53/2003 - le Code du travail, republié, le contrat de travail peut être suspendu à l’initiative de l’employeur en cas d’interruption ou de réduction de l’activité pour des raisons économiques, technologiques, structurelles ou similaires, sans que cette suspension puisse entrainer la cessation des relations de travail.

Conformément à l’alinéa (3) de l’article précité, en cas de réduction temporaire, de l’activité pour des raisons économiques, technologiques, structurelles ou similaires, pour les périodes excédant 30 jours ouvriers, l’employeur aura la possibilité de réduire le temps de travail et de passer de 5 jours a 4 jours par semaine, en diminuant proportionnellement les salaires, jusqu’à ce que la situation qui a conduit à la réduction du temps du travail soit corrigée, après une consultation préalable effectuée auprès du syndicat représentatif dans l’entreprise ou, le cas échéant, auprès des représentants des employés.

Comme le prévoit l’article 53 alinéa (1) de la loi précitée, pendant la réduction et/ou l’interruption temporaire de l’activité, les employés impliqués dans les opérations réduites ou interrompues, qui n’exercent plus d’activité, bénéficient d’une indemnisation, prise en charge par le fond du salaire, qui ne peut être inférieure a 75% du salaire de base correspondant à son emploi, hormis les situations visées à l’article 52 alinéa (3) de ladite loi.

En vertu de l’article 53 alinéa (2) de ladite loi, pendant la réduction et/ou l’interruption temporaire visées à l’alinéa (1), les employés sont tenus de rester à la disposition de l’employeur, celui-ci ayant la possibilité de décider la reprise de l’activité.

Article 10 paragraph 3

C168: Direct Request (CEACR) - adopted 2011, published 101st ILC session (2012) - pending

Article 10(3) of the Convention. The Government states that according to section 107(1) of the Labour Code, the employer should take into account, as far as possible, the requests made by part-time workers who wish to work fulltime and is bound to inform them without delay about the available full time positions. However, the legal framework on the protection against unemployment does not foresee the payment of unemployment benefits to persons working part-time and looking for a job with a normal duration.  In this connection, the Committee would like to draw the Government’s attention to the fact that Article 10(3) aims at a fair compensation for the loss of earnings for part-time workers who are seeking full time work so as not to discourage unemployed workers to take up part-time work as a means in assisting them to return to full-time work.

The legal framework governing the protection of individuals against unemployment does  not confer the right to unemployment benefit to persons working part time and looking for a job with a normal duration.

According to the Article 17 (1) of Law 76/2002, for employees with individual part-time employment contract who loose their job, the contribution period required to qualify for unemployment benefit is determined proportionaly with the period worked, by cumulating stages achieved on the basis of individual part-time labour contracts.

The contribution period for an individual part time labour contract is determined as the ratio of working time for which the individual part-time labour contract was concluded and the normal duration of working hours.

Il faut noter que les personnes embauchées en contrat individuel de travail à temps partiel, dont les relations de travail ont cessées pour des raisons qui ne leur sont pas imputables, peuvent bénéficier d’indemnité’ de chômage, dans les conditions prévues par les dispositions légales précitées.

En vertu de l’article 103 de la Loi no. 53/2003 - le Code du travail, republié, le salarié travaillant à temps partiel est un salarié dont le nombre d’heures normales de travail, calculées mensuellement ou à partir de la moyenne mensuelle, est inférieur au nombre d’heures normales de travail d’un salarié travaillant à temps plein qui occupe un emploi similaire.

Comme le prévoit l’article 104 alinéa (1) de la loi précitée, l’employeur peut embaucher des salariés à temps partiel en contrat à durée indéterminée ou à durée déterminée.

Selon les dispositions de l’article 107 alinéa (1) de la loi susmentionnée, l’employeur est tenu, dans la mesure du possible, de tenir compte des demandes faites par les salaries qui souhaitent passer soit d’un emploi à temps plein a un emploi à temps partiel, soit d’un emploi à temps partiel a un emploi à temps plein ou qui souhaitent augmenter le temps de travail, lorsque cette opportunité se présente.

Conformément à l’alinéa (2) de l’article précité, l’employeur est tenu d’informer, sans délai, les employés de tous emplois à temps plein ou à temps partiel nouvellement créés pour faciliter le passage d’un emploi à temps plein a un emploi à temps partiel ou en sens inverse. Cette information est donnée par affichage, au siège de l’employeur.

IV - 3. Persons protected

Article 11. C168

1. The persons protected shall comprise prescribed classes of employees, constituting not less than 85 per cent of all employees, including public employees and apprentices.

2. Notwithstanding the provisions of paragraph 1 above, public employees whose employment up to normal retiring age is guaranteed by national laws or regulations may be excluded from protection.

Under Law 279/2005 on inwork apprenticeship, with the amendments and complements introduced by Law 179/2013, the employer concludes with the apprentice an apprenticeship contract which is a specific fixed-term individual labour contract. Consequently, the apprentices are insured in the unemployment insurance system in Romania.

Article 11, question 1

Selon les dispositions de l’article 18, les alinéas (1) et (2) de la Loi no. 76/2002, (see under Part III) modifiée et complétée ultérieurement, sont assurées par le système d’assurance chômage, dans les conditions de ladite loi, les personnes suivantes :

a) les citoyens roumains occupant un emploi ou percevant des revenus en Roumanie, dans les conditions de la loi, pourvu qu’ils ne soient pas des retraités ;

b) les citoyens roumains travaillant a l’étranger, dans les conditions de la loi ;

c) les citoyens étrangers ou les apatrides qui, ou cours de la période ou ils ont leur domicile ou leur résidence en Roumanie, occupent un emploi ou perçoivent des revenus, dans les conditions de la loi.

Conformément à l’article 19 de la loi précitée, sont assujetties a titre obligatoire au système d’assurance chômage, en vertu de la loi, les catégories de personnes suivantes:

a) les personnes qui exercent des activités sous contrat de travail individuel ou sous contrat de travail temporaire, dans les conditions de la loi, pourvu qu’elles ne soient pas des retraités ;

b) les fonctionnaires publics et autres personnes qui exercent des activités en vertu d’un

arête de nomination ;

c) les personnes qui occupent des fonctions électives ou qui sont nommées pour faire partie de l’autorité exécutive, législative ou judiciaire, pendant 1a durée de leur mandat ;

d) les soldats et les gradés volontaires; (starting with 2006, Romania has discontinued the compulsory military service).

e) les personnes ayant des relations de travail en tant que membres coopérateurs ;

f) autres personnes percevant des revenus issus des activités exercées conformément a la loi et qui ne se trouvent pas dans l’une des situations visées aux lettres a) - e), pourvu que les revenus de ces personnes soient soumis, à titre obligatoire, aux cotisations d’assurance chômage (the persons authorized to carry-out independent activities may insure themselves voluntarily in the Romanian unemployment insurance system. The voluntary soldiers and enlisted personnel are hired by contract).

RF/168 :

Please furnish the following statistical information:

A. Number of employees protected:

(i) under the general scheme……………………...................

(ii) under special schemes:

scheme…………………………………………………………….

scheme……………………………………………………………

(iii)Total………………………………………………………………

B. Total number of employees, including public employees and apprentices (if recourse is had to paragraph 1) ………………………………………………………..

IV - 4. Method of protection (explanatory clause)

Article 12. C168

1. Unless it is otherwise provided in this Convention, each Member may determine the method or methods of protection by which it chooses to put into effect the provisions of the Convention, whether by a contributory or non-contributory system, or by a combination of such systems.

2. Nevertheless, if the legislation of a Member protects all residents whose resources, during the contingency, do not exceed prescribed limits, the protection afforded may be limited, in the light of the resources of the beneficiary and his or her family, in accordance with the provisions of Article 16.

Article 13. C168

Benefits provided in the form of periodical payments to the unemployed may be related to the methods of protection.

IV – 5. Level and Calculation of Benefit

Article 14. C168

In cases of full unemployment, benefits shall be provided in the form of periodical payments calculated in such a way as to provide the beneficiary with partial and transitional wage replacement and, at the same time, to avoid creating disincentives either to work or to employment creation.

Article 15. C168

1. In cases of full unemployment and suspension of earnings due to a temporary suspension of work without any break in the employment relationship, when this contingency is covered, benefits shall be provided in the form of periodical payments, calculated as follows:

(a) where these benefits are based on the contributions of or on behalf of the person protected or on previous earnings, they shall be fixed at not less than 50 per cent of previous earnings, it being permitted to fix a maximum for the amount of the benefit or for the earnings to be taken into account, which may be related, for example, to the wage of a skilled manual employee or to the average wage of workers in the region concerned;

(b) where such benefits are not based on contributions or previous earnings, they shall be fixed at not less than 50 per cent of the statutory minimum wage or of the wage of an ordinary labourer, or at a level which provides the minimum essential for basic living expenses, whichever is the highest;

3. If appropriate, the percentages specified in paragraphs 1 and 2 may be reached by comparing net periodical payments after tax and contributions with net earnings after tax and contributions.

Article 16. C168

Notwithstanding the provisions of Article 15, the benefit provided beyond the initial period specified in Article 19, paragraph 2 (a), as well as benefits paid by a Member in accordance with Article 12, paragraph 2, may be fixed after taking account of other resources, beyond a prescribed limit, available to the beneficiary and his or her family, in accordance with a prescribed scale. In any case, these benefits, in combination with any other benefits to which they may be entitled, shall guarantee them healthy and reasonable living conditions in accordance with national standards.

RF/168: please indicate whether and, if so, the manner in which Article 16 is applied.

According to para.(2) of Article 39 of Law 76/2002, the unemployment indemnity provided in para.(1) is an amount granted monthly that varies as function of the period of contribution, as follows:

a)       75% of the value of the reference social indicator [500 RON/111 Euro] for unemployment insurance and employment stimulation in force, for persons with a period of contribution of at least 1 year;

b)       the amount provided in para.a) to which is added an amount calculated by applying, to the average gross monthly wage over the last 12 months of contribution, a percentage quota differentiated function of the period of contribution.

As provided in para.(3) of the same Article, the percentage quotas differentiated function of the period of contribution, provided in para.(2) b), are as follows:

a)   3% for persons with a period of contribution of at least 3 years;

b)  5% for persons with a period of contribution of at least 5 years;

c)   7% for persons with a period of contribution of at least 10 years;

d)  10% for persons with a period of contribution of at least 20 years.

According to Art.39 (4) of Law No.76/2002, with its subsequent changes and complements, for the persons who had been insured based on an unemployment insurance contract, the monthly income declared in the unemployment insurance contract will be taken into account upon determining the amount calculated by applying a percentage quota differentiated function of the period of contribution, provided in para.(2) b) of the same Article.

According to Art.19 (1) of the Methodological Norms for implementing Law No.76/2002, approved by Decision of the Government No.174/2002, with its subsequent changes and complements, the term gross base monthly salary over the past 12 months of contribution period, provided in Art.39 (2) b) of the law, represents the monthly basis for calculating the individual contribution to the Unemployment Insurance Fund, provided in Title IX «Compulsory social contributions» of Law No.571/2003 on the Fiscal Code, with its subsequent changes and complements, over the last 12 months of the period of contribution.

According to para.(2) of the same Article, for the persons who had been insured based on an unemployment insurance contract, upon determining the amount calculated by applying a percentage quota differentiated function of the period of contribution, provided in Art.39 (2) b) of the law, will be taken into account the monthly income declared in the unemployment insurance contract, under the law, and for which the contributions due to the Unemployment Insurance Fund, provided in Art.28 of the law, have been paid.

According to Art.164 (1) of Law No.53/2003 – the Labour Code, re-published, the minimum guaranteed base gross salary at national level, for normal working hours, is set by Decision of the Government, following consultations with the trade unions and employer organisations. In case the normal working hours are, according to the law, less than 8 hours a day, the hourly minimum base gross salary is calculated as a ratio between the minimum base gross salary at national level and the average monthly working hours, according to the approved legal working hours. (According to DG No.1/2017, the monthly guaranteed nationwide base minimum gross wage is set at 1450 RON).

RF/C168:

1. If recourse is had to subparagraph (a) of paragraph 1 of Article 15, please indicate the amount of the wage of the skilled manual employee or of the average wage of workers.

2. If recourse is had to subparagraph (b) of paragraph 1 of Article 15, please indicate the amount of the statutory minimum wage or of the wage of an ordinary labourer,

or the level which provides the minimum essential for basic living expenses.

3. If appropriate, in order that the percentage specified in paragraphs 1 and 2 of this Article may be reached, please indicate the level of benefits after taxes and contributions and of previous earnings after taxes and contributions.

IV – 6. Qualifying period

Article 17. C168

1. Where the legislation of a Member makes the right to unemployment benefit conditional upon the completion of a qualifying period, this period shall not exceed the length deemed necessary to prevent abuse.

2. Each Member shall endeavour to adapt the qualifying period to the occupational circumstances of seasonal workers.

As regards unemployment benefits. according to Art.5 V of Law No.76/2002, with its subsequent changes and complements, the contribution period is the period for which the unemployment insurance contribution is due both by the insured person and the employer or, as the case may be, only by the insured person, as well as the period for which the persons insured in the unemployment insurance system by concluding an unemployment insurance contract are due and have paid their unemployment insurance contribution.

As clearly stated in Art.34 (1) of the said legal document, the unemployed are provided under Art.17 (1) of the law benefit from unemployment indemnity if they cumulatively meet a number of conditions, including a period of contribution to the unemployment insurance system of at least 12 months in the 24 months prior to the date when their unemployment application is registered.

Il faut préciser que la loi précitée ne prévoit pas que cette durée minimale de cotisation doit être effectuée pendant une période travaillée sans interruption, au cours des 24 derniers mois, mais seulement que ladite durée doit être effectuée au cours des 24 derniers mois précédant la date de l’inscription de la demande d’indemnité’ de chômage.

Il faut noter que pour les personnes assimilées aux chômeurs, visées à l’article (2) de la loi précitée, ne s’impose pas la nécessité d’accomplir la condition visant la durée de cotisation dans le système d’assurance chômage, mais il est nécessaire, conformément à l’article 34 alinéa (3) de la loi précitée, que ces personnes soient inscrites auprès des agences pour l’emploi dans le ressort desquelles elles ont leur domicile, qu’elles ne perçoivent pas de revenus ou qu’elles perçoivent, en exerçant des activités autorisées en conformité avec la loi, des revenus inférieurs au valeur de l’indice social de référence pour l’assurance chômage et l’incitation à l’emploi, en vigueur, et qu’elles ne remplissent pas les conditions de retraite, conformément à la loi.

Selon l’article 37l alinéa (1) de la loi no. 76/2002, pour déterminer la durée minimale de cotisation de 12 mois au cours de 24 mois précédant la date de l’inscription, visée à l’article 34 alinéa (l) lettre a), on ne doit pas prendre en considération les périodes reconnues comme durée de cotisation qui ont été utilisées antérieurement pour l’établissement et l’ouverture du droit a l’indemnisation du chômage.

C168: Direct Request (CEACR) - adopted 2011, published 101st ILC session (2012) - pending

Article 17. Qualifying period. The Committee requests the Government to indicate whether special rules have been adopted for seasonal workers in conformity with Article 17(2) of the Convention, and, if so, what are these rules.

Please provide a reply.

IV - 7. Waiting Period

Article 18. C168

1. If the legislation of a Member provides that the payment of benefit in cases of full unemployment should begin only after the expiry of a waiting period, such period shall not exceed seven days.

2. Where a declaration made in virtue of Article 5 is in force, the length of the waiting period shall not exceed ten days.

3. In the case of seasonal workers the waiting period specified in paragraph 1 above may be adapted to their occupational circumstances.

En vertu de l’article 38 alinéa (1) de la loi no. 76/2002, modifiée et complétée ultérieurement, l’indemnité de chômage est accordée aux personnes visées à l’article 17, sur demande, le cas échéant, dès la date:

a) de cessation des relations de travail;

b) de cessation des relations de service ;

e) de cessation du mandat pour lequel les personnes concernées ont été nommées ou élues ;

d) de fin de contrat ou de rupture de contrat des militaires embauchés sous contrat ;

e) de cessation de la qualité de membre coopérateur ;

f) de cessation du contrat d’assurance chômage ;

g) de cessation du motif qui a justifié la mise à la retraite ;

h) de cessation du motif qui a justifié la suspension des relations de travail ou de service ;

j) à laquelle la décision de justice est définitive ;

k) de cessation de l’activité déployée exclusivement dans le cadre d’une convention civile ;

l) de l’expiration de la période de 60 jours, visée à l’article 17 alinéa (2) lettre a) ;

m) de fin des études, pour les situations visées à l’article 17 alinéa (2) lettre b).

Conformément à l’alinéa (2) de l’article précité, l’indemnité de chômage est versée à partir de la date visée à l’alinéa (1) lorsque la demande est enregistrée à l’agence pour l’emploi, dans un délai de 10 jours à partir de cette date.

Selon les dispositions de l’alinéa (3) dudit article, lorsque la demande est enregistrée après l’expiration du délai de 10 jours, mais pas plus tard que 12 mois après la date visée à l’alinéa (1), l’indemnité de chômage est accordée à partir de la date de l’inscription de la demande.

Le délai de 12 mois maximum Visé à l’alinéa (3) entraine la déchéance des droits, comme le précise l’alinéa (4) de l’article précité.

IV - 8. Minimum duration of Benefit

Article 19. C168

1. The benefits provided in cases of full unemployment and suspension of earnings due to a temporary suspension of work without any break in the employment relationship shall be paid throughout these contingencies.

2. Nevertheless, in the case of full unemployment-

 (a) the initial duration of payment of the benefit provided for in Article 15 may be limited to 26 weeks in each spell of unemployment, or to 39 weeks over any period of 24 months;

(b) in the event of unemployment continuing beyond this initial period of benefit, the duration of payment of benefit, which may be calculated in the light of the resources of the beneficiary and his or her family in accordance with the provisions of Article 16, may be limited to a prescribed period.

3. If the legislation of a Member provides that the initial duration of payment of the benefit provided for in Article 15 shall vary with the length of the qualifying period, the average duration fixed for the payment of benefits shall be at least 26 weeks.

4. Where a declaration made in virtue of Article 5 is in force, the duration of payment of benefit may be limited to 13 weeks over any periods of 12 months or to an average of 13 weeks if the legislation provides that the initial duration of payment shall vary with the length of the qualifying period.

5. In the cases envisaged in paragraph 2 (b) above each Member shall endeavour to grant appropriate additional assistance to the persons concerned with a view to permitting them to find productive and freely chosen employment, having recourse in particular to the measures specified in Part II.

6. The duration of payment of benefit to seasonal workers may be adapted to their occupational circumstances, without prejudice to the provisions of paragraph 2 (b) above.

According to Art.39 (1) of the said law, the unemployment indemnity is granted to the unemployed provided in Art.17 (1) of the law, over different periods, function of their period of contribution, as follows:

a)     6 months, for persons with a period of contribution of at least 1 year;

b)     9 months, for persons with a period of contribution of at least 5 years;

c)      12 months, for persons with a period of contribution of at least 10 years.

IV - 9. Provisions of Medical Care to unemployed

Article 23. C168

1. Each Member whose legislation provides for the right to medical care and makes it directly or indirectly conditional upon occupational activity shall endeavour to ensure, under prescribed conditions, the provision of medical care to persons in receipt of unemployment benefit and to their dependants.

En vertu des dispositions de l’article 48 alinéa (1) de la Loi no. 76/2002, les bénéficiaires d’indemnité de chômage sont assujettis au régime public d’assurance sociale et au régime d’assurance sociale maladie et ils bénéficient de tous les droits prévus par la loi pour les personnes assujetties auxdits régimes.

Selon l’alinéa (2) de l’article précité, les cotisations d’assurance sociale publique et les cotisations d’assurance sociale maladie sont prises en charge par le budget d’assurance chômage et sont versées par les agences pour l’emploi aux caisses d’assurance concernées.

Comme dispose l’alinéa (3) dudit article, les droits à l’assurance sociale publique pour les personnes bénéficiant de l’indemnité de chômage sont pris en charge par le budget d’assurance sociale publique.

IV – 10. Acquisition of the right to other benefits

Article 24 §1. C168

Each Member shall endeavour to guarantee to persons in receipt of unemployment benefit, under prescribed conditions, that the periods during which benefits are paid will be taken into consideration:

(a) for acquisition of the right to and, where appropriate, calculation of disability, old-age and survivors' benefit, and

(b) for acquisition of the right to medical care and sickness, maternity and family benefit after the end of unemployment,

when the legislation of the Member concerned provides for such benefits and makes them directly or indirectly conditional upon occupational activity.

See under Part IV-9.

IV – 11. Adjustment of scheme to part-time workers

Article 25 §1. C168

Each Member shall ensure that statutory social security schemes which are based on occupational activity are adjusted to the occupational circumstances of part-time workers, unless their hours of work or earnings can be considered, under prescribed conditions, as negligible.

Unemployment beenfit scheme

The legal framework governing the protection of individuals against unemployment does  not confer the right to unemployment benefit to persons working part time and looking for a job with a normal duration.

According to the Article 17 (1) of Law 76/2002, for employees with individual part-time employment contract who loose their job, the contribution period required to qualify for unemployment benefit is determined proportionaly with the period worked, by cumulating stages achieved on the basis of individual part-time labour contracts.

The contribution period for an individual part time labour contract is determined as the ratio of working time for which the individual part-time labour contract was concluded and the normal duration of working hours.

IV – 12. Special provisions for new applicants for employment

Article 26. C168

1. Members shall take account of the fact that there are many categories of persons seeking work who have never been, or have ceased to be, recognised as unemployed or have never been, or have ceased to be, covered by schemes for the protection of the unemployed. Consequently, at least three of the following ten categories of persons seeking work shall receive social benefits, in accordance with prescribed terms and conditions:

(a) young persons who have completed their vocational training;

(b) young persons who have completed their studies;

(c) young persons who have completed their compulsory military service;

(d) persons after a period devoted to bringing up a child or caring for someone who is sick, disabled or elderly;

(e) persons whose spouse had died, when they are not entitled to a survivor's benefit;

(f) divorced or separated persons;

(g) released prisoners;

(h) adults, including disabled persons, who have completed a period of training;

(i) migrant workers on return to their home country, except in so far as they have acquired rights under the legislation of the country where they last worked;

(j) previously self-employed persons.

2. Each Member shall specify, in its reports under article 22 of the Constitution of the International Labour Organisation, the categories of persons listed in paragraph 1 above which it undertakes to protect.

3. Each Member shall endeavour to extend protection progressively to a greater number of categories than the number initially protected.

En vertu de l’article 16 de la Loi no. 76/2002, modifiée et complétée ultérieurement, les bénéficiaires des dispositions de ladite loi sont les personnes à la recherche d’un emploi, se trouvant dans l’une des situations suivantes :

a) ils sont devenus des chômeurs aux fins des dispositions de l’article 5 point IV lettre c);

b) ils n’ont pas réussi à accéder à un emploi après avoir terminé leur scolarité dans un établissement d’enseignement ;

c) ils occupent un emploi et, pour diverses raisons, ils souhaitent le changer ;

d) ils ont obtenu le statut de réfugié ou une autre forme de protection internationale, conformément à la loi ;

e) ils sont des citoyens étrangers ou des apatrides qui ont occupé un emploi et qui ont perçu des revenus en Roumanie, conformément à la loi ;

f) ils n’ont pu occuper un emploi après leur rapatriement ou après leur libération de détention.

ll faut préciser que les situations dans lesquelles peuvent se trouver les chômeurs visés à l’article 16 lettre a) de la loi précitée, afin d’établir le droit à l’indemnité de chômage, sont régies par l’article 17 alinéa (1) de ladite loi, mentionne' dans notre réponse à l’article 10, question 1.

ll faut également préciser que, selon les dispositions de l’article 17 alinéa (2) de la Loi no. 76/2002, modifiée et complétée ultérieurement, sont assimilées aux chômeurs les personnes se trouvant dans les situations visées à l’article 16 lettre b), à savoir les personnes qui n’ont pas réussi à accéder à un emploi après avoir achevé leur scolarité, sous réserve qu’elles remplissent les conditions suivantes :

a) ont terminé leurs études dans un établissement d’enseignement, sont âgés de 16 ans révolus et, pendant une durée de 60 jours à partir de la date de la sortie de la scolarité, n’ont pas réussi à trouver un emploi compatible avec leur formation professionnelle;

b) ont terminé leurs études dans une école spéciale pour les personnes handicapées, sont âgés de 16 ans révolus et n’ont pas réussi à trouver un emploi compatible avec leur formation professionnelle.

Selon l’article 34 alinéa (3) de ladite loi, les chômeurs visés à l’article 17 alinéa (2) bénéficient de l’indemnité de chômage sous réserve qu’ils remplissent cumulativement les conditions suivantes :

a) sont inscrits auprès des agences pour l’emploi dans le ressort desquelles ils ont leur domicile ;

b) ne disposent pas de revenus ou perçoivent des revenus inférieurs à l’indice social de référence pour l’assurance chômage et l’incitation à l’emploi, en vigueur, en exerçant des activités autorisées selon la loi ;

c) ne remplissent pas les conditions de retraite, conformément à la loi.

Selon l’article 40 alinéa (1) de la Loi no. 76/2002, modifiée et complétée ultérieurement, l’indemnité de chômage est accordée aux chômeurs visés à l’article 17 alinéa (2) de la loi. L’indemnité de chômage représente un montant forfaitaire, mensuel, dont le taux s’élève à 50% de la valeur de l’indice de référence pour l’assurance chômage et l’incitation à l’emploi, en vigueur à la date à laquelle celle-ci est établie.

Il faut noter que la valeur de l’indice social de référence pour l’assurance chômage et l’incitation à l’emploi, en vigueur, est fixée à 500 lei, conformément aux dispositions de l’article 331 de la loi précitée.

En vertu de l’article 15 alinéa (1) des Normes méthodologiques d’application de la Loi no. 76/2002, approuvées par l’Arrêté du Gouvernement no. 174/2002, modifiées et complétées ultérieurement, les chômeurs visés à l’article 17 de ladite loi, qui disposent des revenus en exerçant des activités autorisées selon la loi, peuvent bénéficier d’indemnité de chômage, dans les conditions de l’article 34 alinéa (1), respectivement de l’alinéa (3) de ladite loi, s’ils peuvent prouver que ces revenus ne dépassent pas la valeur de l’indice social de référence pour l’assurance chômage et l’incitation à l’emploi, en vigueur, au cours du mois pour lequel la preuve a été apportée.

IV - 13. Promotion of productive employment

Article 7.

Each Member shall declare as a priority objective a policy designed to promote full, productive and freely chosen employment by all appropriate means, including social security. Such means should include, inter alia, employment services, vocational training and vocational guidance.

Article 8.

1. Each Member shall endeavour to establish, subject to national law and practice, special programmes to promote additional job opportunities and employment assistance and to encourage freely chosen and productive employment for identified categories of disadvantaged persons having or liable to have difficulties in finding lasting employment such as women, young workers, disabled persons, older workers, the long-term unemployed, migrant workers lawfully resident in the country and workers affected by structural change.

2. Each Member shall specify, in its reports under article 22 of the Constitution of the International Labour Organisation, the categories of persons for whom it undertakes to promote employment programmes.

3. Each Member shall endeavour to extend the promotion of productive employment progressively to a greater number of categories than the number initially covered.

Article 9

The measures envisaged in this Part shall be taken in the light of the Human Resources Development Convention and Recommendation, 1975, and the Employment Policy (supplementary Provisions) Recommendation, 1984.

The National Strategy for Employment 2014-2020 includes four specific objectives and, for each of them, there were identified some specific directions of action:

01. Increasing youth employment and extending the working life of elderly, including the following directions of action:

1.1. Reducing the youth unemployment and the number of NEET young people (not in employment, education or training).

1.2. Increasing labour market participation of elderly.

Taking into account the fact that the number of jobs created by the Romanian remains low, a fact generated by the economic crisis and restructuring, the most affected population categories are the ones situated at the extremes of the market: young people and the elderly workers.

The limited employment opportunities, the transitional period of life that they experience, low level of education or vocational training, are increasing the risk of exclusion from the labour market of young people, thus explaining the employment rate among this category of 22.5% in 2014 and a NEETs rate of 17%. On long-term this induces some social imbalances and loss of human capital, with a negative impact on the economic potential and on competitiveness.

In order to improve the perspectives of young people on the labour market in Romania and to increase the employment rate among this category, The National for Employment 2014-2020 proposes integrated programs targeted to young NEETs, either by providing of quality jobs, either through reintegration into education or by participation in vocational training courses in order to offer them the skills required by the employers.

To facilitate the transition of young people from education to labour market, in addition to strengthening the cooperation between the relevant actors in order to develop the monitoring system, the strategic document aims to implement measures such as apprenticeship at workplace, which, according to new regulations, ensure the quality in CVT and may benefit of additional funding from the ESF, and such as the internships for graduates of the higher education to ensure a quality job, with a decent level of social security.

Given the diversity of this group of beneficiaries, personalized measures are proposed for young people with disabilities, for children and young persons with

2.3. Increasing the participation of persons belonging to vulnerable groups on the labour market by developing measures which combine social support and activation.

IV - 14. Suspension of Benefit

Article 20. C168

The benefit to which a protected person would have been entitled in the cases of full or partial unemployment or suspension of earnings due to a temporary suspension of work without any break in the employment relationship may be refused, withdrawn, suspended or reduced to the extent prescribed-

(a) for as long as the person concerned is absent from the territory of the Member;

(b) when it has been determined by the competent authority that the person concerned had deliberately contributed to his or her own dismissal;

(c) when it has been determined by the competent authority that the person concerned has left employment voluntarily without just cause;

(d) during the period of a labour dispute, when the person concerned has stopped work to take part in a labour dispute or when he or she is prevented from working as a direct result of a stoppage of work due to this labour dispute;

(e) when the person concerned has attempted to obtain or has obtained benefits fraudulently;

(f) when the person concerned has failed without just cause to use the facilities available for placement, vocational guidance, training, retraining or redeployment in suitable work;

(g) as long as the person concerned is in receipt of another income maintenance benefit provided for in the legislation of the Member concerned, except a family benefit, provided that the part of the benefit which is suspended does not exceed that other benefit.

En vertu de l’article 44 de la Loi nr. 76/2002, modifiée et complétée ultérieurement, la cessation du paiement de l’indemnité de chômage versée aux bénéficiaires intervient :

a) à la data de l’embauche, conformément à la loi, pour une embauche supérieure à 12 mois ;

b) à la date à laquelle ils obtiennent des revenus supérieurs à l’indice social de référence pour l’assurance chômage et l’incitation à l’emploi, en vigueur, en exerçant une activité autorisée selon la loi ;

c) à l’issue d’une période de 90 jours à compter de la date à laquelle une autorisation de fonctionnement pour développer des activités indépendantes ou un certificat d’immatriculation a été émis(e), conformément à la loi, lorsque les revenus mensuels obtenus sont supérieurs à l’indice social de référence pour l’assurance chômage et l’incitation à l’emploi, en vigueur;

d)  à la date du refus non justifié d’occuper un emploi correspondant à leur formation ou à leur niveau d’études;

e) à la date du refus non justifié de participer aux dispositifs d’incitation à l’emploi et de formation professionnelle ou à la date à laquelle ils quittent ces dispositifs pour des raisons qui leur sont imputables;

f) lorsque la période de retraite pour invalidité excède 12 mois;

g) à la date à laquelle les conditions pour l’admission à la retraite vieillesse sont remplies, à la date de dépôt d’une demande de pension anticipée ou à la date à laquelle la pension d’invalidité’ n’est plus révisable;

h) à la date du départ pour l’étranger pour une période excédant 3 mois ;

i) à la date du début d’exécution d’une peine privative de liberté d’une durée supérieure à 12 mois;

j) en cas du décès du bénéficiaire ;

k) à l’expiration des délais visés à l’article 45 alinéas (2), (3) et (31) ;

l) à l’expiration des délais visés à l’article 39 alinéa (1), respectivement à l’article 40 alinéa (1);

m) à la date d’admission dans une forme d’enseignement, s’il s’agit des personnes assimilées aux chomeurs, visées à l’article 17 alinéa (2) lettres a) et b).

Under the legislation stimulating employment, the termination of payment for unemployment benefit for beneficiaries takes place as follows (art. 44):

a) the date of employment under the law for more than 12 months;

b) on the date when they earn from activities authorized by law, monthly incomes higher than the social reference indicator in force;

c) 90 days after issuing the operating license for self-employment or certificate of registration according to the law, if they earn from activities authorized by law, monthly incomes higher than the social reference indicator in force;

d) on the date of an unjustified refusal to fit into a job according to training or education level;

e) on the date of unjustified refusal to participate in services stimulating employment and of vocational training or at the date of their withdrawal for reasons attributable to them;

i) if the period of disability retirement exceeds 12 months;

g) on the date of fulfilling the conditions of old age pension, from the date of request of early retirement or on the date when the disability pension becomes unrevisable;

h) on the beneficiary's departure abroad for more than 3 months;

i) on the date of commencement of a period of imprisonment exceeding 12 months;

j) at the beneficiary's death;

k) at the deadlines provided for in art. 45 para. (2) (3) and (3 A 1);

l) at the deadlines provided for in art. 39 para. (1) and Art. 40 para. (1);

m) on the date of admission in a school, for persons assimilated to unemployed persons, under art. article 17. (2). a) and b).

Conformément à l’article 45 alinéa (1) de ladite loi, la suspension du paiement de l’indemnité de chômage versée aux bénéficiaires intervient :

a) à la date à laquelle le bénéficiaire n’a pas rempli l’obligation prévue à l’article 41 alinéa (1) lettre a) ;

b) pendant la période d’accomplissement des obligations militaires ;

c) à la date de l’embauche, conformément à la loi, pour une embauche inférieure à 12 mois ;

d) a la date du départ pour l’étranger pour une période inférieure à 3 mois, à la demande de la personne concédée, ainsi que, le cas échéant, à la date à laquelle l’autorisation permettant de maintenir le droit à l’indemnisation du chômage a été émise, à la demande de la personne qui se déplace à l’intérieur de la Communauté Européenne et de l’Espace Economique Européen pour chercher un emploi et souhaite maintenir le versement de l’indemnité de chômage ;

e) pendant la période de détention préventive ou en cas de condamnation à une peine privative de liberté n’excédant pas 12 mois ;

f) a la date du départ à la retraite d’invalidité ;

g) pendant la période d’indemnisation en cas d’incapacité temporaire de travail, d’indemnisation du congé maternité et d’indemnisation du congé pour élever son enfant jusqu’à l’âge de 2 ans ou jusqu’à l’âgé de 3 ans s’il s’agit d’un enfant handicapé ;

h) pendant l’incapacité temporaire de travail, de plus de 3 jours, résultant d’un accident survenu pendant les stages de qualification, recyclage, perfectionnement ou, le cas échéant, tout autre type de formation, au temps et par suite de la pratique professionnelle ;

i) pendant la durée du versement de l’indemnité de licenciement, selon la loi.

Il faut préciser que, selon les dispositions de l’alinéa (2) de l’article susmentionné, la reprise du paiement, mettant fin à la suspension survenue conformément à l’alinéa (1) lettre a), a lieu de la date du dépôt de la demande de l’intéressé, mais pas plus tard que 60 jours calendriers après la date de la suspension.

L’alinéa (3) du même article prévoit que la reprise du paiement, mettant fin à la suspension survenue conformément à l’alinéa (1) lettres b), c) et e)-i), a lieu des la date du dépôt de la demande de l’intéressé, mais pas plus tard que 30 jours calendriers après la date à laquelle cette situation a cessé d’exister.

Selon les dispositions de l’alinéa (31) de l’article susmentionné, la reprise du paiement, mettant fin à la suspension survenue conformément à l’alinéa (1) lettre d), a lieu de la date du dépôt de la demande de l’intéressé, mais pas plus tard que 3 mois après la date de la suspension, conformément à l’alinéa (1) lettre d).

La période de suspension visée à l’article 45 alinéa (1) lettre a) est assimilée à une période d’indemnisation chômage, ainsi que le dispose l’alinéa (4) dudit article.

En vertu des dispositions de l’article 47 alinéa (1) de la loi no. 76/2002, modifiée et complétée ultérieurement, les montants accordés indument du budget d’assurance chômage, ainsi que tous les autres débits inscrits au budget d’assurance chômage, autres que ceux provenant des contributions, sont récupérés sur décision des agences pour l’emploi ou, le cas échéant, des centres régionaux pour la formation professionnelle des adultes, qui constituent des titres exécutoires.

Conformément à l’alinéa (2) de l’article précité, les montants prévus à l’alinéa (1) sont récupérés auprès des bénéficiaires dans le délai général légal de prescription.

Suspending payment of unemployment benefit provided for in art. 45 para. (1). a) of the law, for failure to set in art. 41 para. (1). a) the law, is revoked if the recipient proves by documents that he didn’t fulfil this obligation for reasons not attributable to him.

Are considered reasons not attributable to, the following situations:

a) the birth of a child;

b) marriage;

c) disease;

d) death of spouse or relatives up to second degree inclusive;

e) force majeure.

The beneficiary must submit documentary evidence listed in par. (1) within 30 days from the date referred to in art. 45 para. (1). a) of the law.

Article 21. C168

1. The benefit to which a protected person would have been entitled in the case of full unemployment may be refused, withdrawn, suspended or reduced, to the extent prescribed, when the person concerned refuses to accept suitable employment.

2. In assessing the suitability of employment, account shall be taken, in particular, under prescribed conditions and to an appropriate extent, of the age of unemployed persons, their length of service in their former occupation, their acquired experience, the length of their period of unemployment, the labour market situation, the impact of the employment in question on their personal and family situation and whether the employment is vacant as a direct result of a stoppage of work due to an on-going labour dispute.

En vertu des dispositions de l’article 42 alinéa (1) de la Loi no. 76/2002, modifiée et complétée ultérieurement, les personnes qui, à la date à laquelle le droit a été sollicité, refusent un emploi correspondant à leur formation ou à leur niveau d’étude ou refusent de participer aux services d’incitation à l’emploi et de formation professionnelle délivrés par l’agence nationale pour l’emploi, ne bénéficient pas d’indemnité de chômage.

Comme le prévoit l’alinéa (2) du même article, les jeunes diplômés qui, à la date à laquelle le droit à l‘indemnisation du chômage est sollicité, poursuivent une forme d’enseignement, ne bénéficient pas d’indemnité de chômage.

Selon l’article 44 lettre d) de la loi précitée, le versement de l’indemnité de chômage cesse a la date du refus non justifie’ d’occuper un emploi correspondant à sa formation ou à son niveau d’études.

The unjustified refusal provided for in art. 44 points. d) and e) of the Law No.76/2002, means a situation where unemployment benefit recipient does not accept solutions for employment or, where appropriate, qualifications or retraining offered as a result of advice or mediation.

Article 22. C168

When protected persons have received directly from their employer or from any other source under national laws or regulations or collective agreements, severance pay, the principal purpose of which is to contribute towards compensating them for the loss of earnings suffered in the event of full unemployment-

(a) the unemployment benefit to which the persons concerned would be entitled may be suspended for a period corresponding to that during which the severance pay compensates for the loss of earnings suffered; or

(b) the severance pay may be reduced by an amount corresponding to the value converted into a lump sum of the unemployment benefit to which the persons concerned are entitled for a period corresponding to that during which the severance pay compensates for the loss of earnings suffered,

as each Member may decide.

En vertu des dispositions de l’article 45 alinéas (l) lettre i) de la Loi no. 76/2002, modifiée et complétée ultérieurement, le versement de l’indemnité de chomage est suspendu pendant la durée du versement de l’indemnité de licenciement.

Par conséquent, les dispositions de l’article 22 lettre a) de la Convention no. 168/ 1988 de sont applicables.

IV – 15. Right of complaint and appeal

Article 27. C168

1. In the event of refusal, withdrawal, suspension or reduction of benefit or dispute as to its amount, claimants shall have the right to present a complaint to the body administering the benefit scheme and to appeal thereafter to an independent body. They shall be informed in writing of the procedures available, which shall be simple and rapid.

2. The appeal procedure shall enable the claimant, in accordance with national law and practice, to be represented or assisted by a qualified person of the claimant's choice or by a delegate of a representative workers' organisation or by a delegate of an organisation representative of protected persons.

The measure of suspension, of revocation of suspension and of termination of unemployment benefit payments is determined by order of the Executive Director of the Employment Agency at local level - county or central - capital Bucharest.

The order of the Executive Director for Employment (county or Bucharest) may be appealed within 30 days from the date of notification, to the competent court, according to the law.

En vertu de l’article 5 point VII de 1a Loi no. 76/2002, modifiée et complétée ultérieurement, conformément aux dispositions de ladite loi, l’indemnité de chômage vise à compenser partialement les revenus de l’assuré qui a perdu son emploi ou les revenus des personnes qui ont terminé leurs études dans un établissement d’enseignement et n’ont pas réussi à trouver un emploi.

Il faut préciser que, conformément à l’article 6 alinéa (1) de la Procédure pour recueillir et traiter les demandes d’emploi ou les demande d’indemnité de chômage, approuvée par l’Ordre du Président de l’Agence Nationale pour l’Emploi no. 85/2002, modifié et complété ultérieurement, a l’agence locale pour l’emploi ou à l’antenne locale on constituera un dossier comprenant toutes les pièces apportes par le client nécessaires pour l’ouverture des droits à l’indemnité de chômage.

Comme le prévoit l’article 7 de la procédure précitée, l’agence locale pour l’emploi ou l’antenne locale Vérifie les pièces et les documents apportés par le client et après le traitement de la demande d’admission, délivre a l’intéresse' une attestation d’ouverture ou de refus des droits à l’indemnité de chômage, conformément au modelé figurant à l’annexe 4 de la procédure.

II faut toutefois préciser que, conformément à l’article 2 de la Disposition relative à l’ouverture ou le refus du droit à l’indemnité de chômage, ladite attestation peut être contestée à l’instance judiciaire compétente, dans un délai de 30 jours à partir de la réception de l’attestation, dans les conditions de la loi.

II faut préciser que, selon l’article 19 de la même procédure, lorsqu’il s’agit de l’une des situations visées aux articles 44 et 45 de la Loi no. 76/2002, modifiée et complétée ultérieurement, une attestation de suppression/suspension/reprise du payement de l’indemnité du chômage, dont le modèle figure en annexe 8 de la procédure sera délivrée.

Conformément à l’article 2 de la Disposition relative à la suppression, à la suspension et à la reprise du payement de l’indemnité de chômage, ladite attestation peut être contestée à l’instance judiciaire compétente, dans un délai de 30 jours à partir de la réception de l’attestation, dans les conditions de la loi.

En vertu des dispositions de l’article 119 alinéa (1) de la Loi no. 76/2002, modifiée et complétée ultérieurement les litiges résultant de l’application des dispositions de ladite loi, sont réglés par les instances judiciaires compétentes, dans les conditions de la loi.

Comme le prévoit l’alinéa (2) de l’article précité, les litiges relatifs à l’ouverture et au payement de l’indemnité de chômage sont soumis à une procédure d’urgence, avec le respect des normes procédurales portant sur les conflits de droits, même si la loi spéciale dit le contraire.

C168: Direct Request (CEACR) - adopted 2011, published 101st ILC session (2012) - pending

Article 27(2). Complaints and appeals procedures. The Committee notes the detailed information on the complaints and appeals procedures. It would be grateful if the Government would indicate whether national law and practice enable claimants to be represented or assisted during appeals procedures by the persons mentioned in Article 27(2) of the Convention.

Please provide a reply.

IV - 16. Financing and Administration

Article 28. C168

Each Member shall assume general responsibility for the sound administration of the institutions and services entrusted with the application of the Convention.

Article 29. C168

1. When the administration is directly entrusted to a government department responsible to Parliament, representatives of the protected persons and of the employers shall be associated in the administration in an advisory capacity, under prescribed conditions.

2. When the administration is not entrusted to a government department responsible to Parliament-

(a) representatives of the protected persons shall participate in the administration or be associated therewith in an advisory capacity under prescribed conditions;

(b) national laws or regulations may also provide for the participation of employers' representatives;

(c) the laws or regulations may further provide for the participation of representatives of the public authorities.

Article 30. C168

In cases where subsidies are granted by the State or the social security system in order to safeguard employment, Members shall take the necessary steps to ensure that the payments are expended only for the intended purpose and to prevent fraud or abuse by those who receive such payments.

RF/168: if the administration of a scheme is directly entrusted to a government department, please indicate whether representatives of the protected persons, and representatives of the employers are associated in the administration in an advisory capacity.


Part V. Old-age Benefit

Romania has accepted the obligations resulting from Part V of C102 and Part V of the ECSS.

Category

Information available

Information missing / questions raised by the CEACR

V-1. Regulatory framework

Art.25 C102/ECSS

V-2. Contingency covered

Art.26 C102/ECSS

V-3. Persons protected

Art.27 C102/ECSS*

V-4. Level and calculation of benefit

Art.28 C102/ECSS*

V-5. Adjustment of benefit

Art.65(10),66(8) C102/ECSS

V-6. Qualifying period

Art.29 C102/ECSS

V-7. Duration of benefit

Art.30 C102/ECSS

V-8. Suspension of benefit

Art.69 C102, Art.68 ECSS

V-9. Right of complaint and appeal

Art.70 C102, Art.69 ECSS

V-10. Financing and Administration

Art.72 C102 , Art.71 ECSS

Art.71 C102, Art.70 ECSS*

* Please update statistical data, in accordance with the Report form for C102/ECSS.

List of applicable legislation on the public pension scheme:

§  Law No. 263 of 16 December 2010 on the Unitary System of Public Pensions, with the subsequent amendments and completions;

§  Government Decision No. 257 of 20 March 2011 for approving the Norms for the enforcement of the provisions of Law no. 263/2010 on the unitary Unitary pension systemSystemof  Public Pension;

§  Law no. 196 of 29 May 2009 for the approval of Government Emergency Ordinance no. 6/2009 on the establishment of the guaranteed minimum social pension;

§   Law No.287 of 28 December 2010 on the state social insurance budget for 2011

§   Law No. 294 of 21 December 2011 on the state social insurance budget for 2012;

§   Law No. 6 of 21 February 2013 on the state social insurance budget for 2013;

§   Law No. 340 of 10 December 2013 on the state social insurance budget for 2014;

§   Law No. 187 of 29 December 2014 on the state social insurance budget for 2015;

§   Law No. 340 of 18 December 2015 on the state social insurance budget for 2016;

§   Law No. 7 of 16 February 2017 on the state social insurance budget for 2017.

§  LAW No.160 of 30 June 2017,

§    Government Emergency Ordinance No.82 of 8 November 2017, ;

§  Government Emergency Ordinance No.114 of 28 December 2018.

§   Law no.177 of 17 July 2018 on the approval of GEO no. 103/2017 for the modification and completion of some normative acts in the field of social security

§  Law no. 221 of 27 July 2018 for amending and completing the Law no. 263/2010 on the unitary pension system

§   Government Emergency Ordinance no. 89 of October 4, 2018 regarding some fiscal-budgetary measures and for the modification and completion of some normative acts approved by the Law no.13 of 8 January 2019

§   LAW No. 217 of 17 November 2017,

§   EMERGENCY ORDINANCE No.103 of 14 December 2017,

§   EMERGENCY ORDINANCE No.116 of 28 December 2017.

List of applicable legislation on special pension schemes:

§  Law no. 223 of 4 July 2007 regarding the status of civil aeronautical professional civil aviation in Romania, with subsequent amendments and completions;

§  Law No. 94 of 8 September 1992, republished, on the organization and functioning of the Court of Auditors, with subsequent amendments and completions;

§  Law No. 216 of  21 July 2015 on pensions granted to the members of Romania's diplomatic and consular corps;

§  Law No. 7 of 11 January 2006 , republished, regarding parliamentary civil servant’s status, with subsequent amendments and completions;

§  Law No. 567 of 9 December 2004 on the status of specialized auxiliary personnel in courts and prosecutors' offices attached to them and the staff that works at the National Institute of Forensic Expertise, as amended and completed;

§  Law No. 303 of 28 June 2004 on the status of judges and prosecutors, republished, with the subsequent amendments and completions;

§  Law No. 47 of May 1992 on the organization and functioning of the Constitutional Court, with the subsequent amendments and completions.

§  Law No. 223 of 24 July 2015 on the state military pensions, with the subsequent amendments and completions.

List of applicable legislation on other regulations on retirement conditions:

·       Law no. 1 of 5 January 2011 – Law of national education, with the subsequent amendments and completions;

§  Law no. 95 of 14 April 2006 on healthcare reform, with the subsequent amendments and completions;

§  Government Emergency Ordinance no. 144 of 28 October 2008 on the exertion of the profession of  nurse, midwife and medical assistant, as well as the organization and functioning of The Order of the Nurses, Midwives and Medical Assistants in Romania, with the subsequent amendments and completions;

§  Law no. 319 of 8 July 2003 on the Statute of Research and Development Staff, with the subsequent amendments and completions..

V - 1. Regulatory framework

Article 25. C102 and ECSS

Each Member (Contracting Party) for which this part of this Convention (Code) is in force shall secure to the persons protected the provision of old‑age benefit in accordance with the following Articles of this Part.

Database of the MISSOC:

Basic principles.

Romania’s pension system is based on a cCompulsory social insurance (PAYG) scheme, with defined-benefits, financed by contributions paid by the employees and the employer/assimilated employer, covering employees and self-employed, and providing earnings-related pensions depending on the length of contribution period and the level of earnings to which the contributions were paid.

V - 2. Contingency covered

Article 26. C102 and ECSS

1. The contingency covered shall be survival beyond a prescribed age.

2. The prescribed age shall be not more than 65 years or such higher age [that the number of residents having attained that age is not less than 10 per cent of the number of residents under that age but over 15 years of age - ECSS] as may be fixed by the competent authority with due regard to the working ability of elderly persons in the country concerned

3. National laws or regulations may provide that the benefit of a person otherwise entitled to it may be suspended if such person is engaged in any prescribed gainful activity or that the benefit, if contributory, may be reduced where the earnings of the beneficiary exceed a prescribed amount and, if non-contributory, may be reduced where the earnings of the beneficiary or his other means or the two taken together exceed a prescribed amount.

According to Law no. 263 of 16 December 2010 on the Unitary System of Public Pensions, as amended and supplemented, old-age pensions shall be granted to the insured individuals who, on the date of their retirement, cumulatively meet the conditions with respect to the standard retirement age and the minimum contribution period achieved in the public pensions system.

The insured also can choose between Early Retirement Pension or Partial Early Retirement Pension provided they exceeded the full contribution period or even achieve it. Starting January 1st 2011, the Partial Early Retirement Pension is granted up to 5 years before the standard retirement age to a person who exceeds the full contribution period by up to 8 years while the Early Retirement Pension is granted up to 5 years before the standard retirement age to a person who exceeds the Full Contribution Period by at least 8 years.

Starting from January 2015 the standard retirement age is 65 years for men and 60 years for women. As provided by the present legislation, the standard retirement age for women is due to increase to 63 years by 2030. The minimum contribution period is 15 years for both men and women.

 
For the reference period year 1 July 2018 -30 June 2019year 2018, the standard retirement ages qualifying a person to draw an old-age pension, are the following:

Men: 65 years

Women:

January - March 2017                                                                                   60 years and 9 months

May - July 2018                                                                                             60 years and 10 months

September - November 2018                                                                   60 years and 11 months

July 2018

60 Years and 10 months

September - November 2018:  

60 years and 11 months

January - May 2019

61 years

June 2019

61 years and 1 month

Special conditions apply to some categories of people such as:

·      people who contributed under special or difficult working condi­tions;

·      people withwho had a handicap prior to obtaining the insured person status;

·      the blind;

·      people persecuted for po­litical rea­sons by the regime in power af­ter 6 March 1945, deported abroad or taken prisoners of war.

In case of meeting these special conditions, the person is entitled to an old-age pension with reduced standard retirement age.

Following the enactment of Law 134/2014, published in the Official Gazette no. 753 of 16 october  2014, old-age pensioners may cumulate, starting 19 October 2014,  their  pension with  earnings from professional activities for which insurance is mandatory irrespective of their amounts (as prior of the law enactment, the cumulation was limited to  the value of the average gross earning).

According to the pension law, the following categories of pensioners may cumulate pension with incomes arising from situations where insurance is compulsory, regardless of the income level:

·         old-age pensioners*;

·         blind people;

·         the 3rd degree disability pensioners, as well as the children classified within the 3rd degree of disability who receive survivor pension,  if they don’t exceed half of the full working time for incomes from dependent activities provided in art. 6 par. (1) point I lit. (a) and (b) or point II of Law No.263/2010(failure to comply with this requirement results in pension suspension);

·         the children  who receive survivor pension, respectively those up to the age of 16 and those who continue their studies in an educational institution organized under the law, until their graduation, but without exceeding the age of 26 years;

·         the surviving spouse may cumulate the survivor pension with earnings from activities provided in art. 6 par. (1) point I lit. (a) and (b) or point II of Law No.263/2010, with subsequent amendments and completionsprofessional activities for which insurance is mandatory, according to the law, if they do not exceed 35% of the average gross wage earning (failure to comply with this requirement results in pension suspension);.

·         local and county counselors.

Following the enactment of Law 134/2014, published in the Official Gazette no. 753 of 16 october  2014,old-age pensioners may cumulate, starting 19 October 2014,  their  pension with  earnings from professional activities for which insurance is mandatory irrespective of their amounts (as prior of the law enactment, the cumulation was limited to  the value of the average gross earning).

In the public pension system, all cathegories af pensioners can cummulate their pension with incomes from independent activities and intellectual property rights, as regulated by the Fiscal Code, regardless of their level.

According to the Law no. 263/2010,  as amended and supplemented, pension payment is suspended from the month following the month in which the beneficiary of an early retirement  pension or a partial early retirement pension engages is in a gainfull activity under an employment contract or as a public servant or a cooperative member of a craft cooperative organization, carries activity in elective positions or is appointed within the executive, legislative or judicial authority. Same rule of suspension applies for Ist and II degree invalidity pension recipients and survivor pensioners classified with Ist and II degree invalidity.is found in one of the situations provided by the law for which insurance within the pensions system is mandatory, except persons who shall act as local or county counsellor.

V - 3. Persons protected

Article 27. C102 and ECSS

The persons protected shall comprise:

(a) prescribed classes of employees, constituting not less than 50 per cent of all employees; or

(b) prescribed classes of the economically active population, constituting not less than 20 per cent of all residents; or

(c) all residents whose means during the contingency do not exceed limits prescribed in such a manner as to comply with the requirements of Article 67.

The sub-paragraph of Article that applies in domestic legislation is (b) because certain categories of self-employed persons are also covered by the scheme.

Persons protected under this Article are the insured that can be: Romanian citizens, foreign citizens or stateless persons as long as they, by law, domicile or have their residence in Romania as follows: 

·      employees,

·      persons assimilated to employees (elected or appointed to executive, legislative or judicial authorities; co-operative members),

·      civil servants,

·      unemployed,

·         persons who earn income from independent activities and / or from intellectual property rightsself-employed, if their monthly average net income exceeds the threshold of the Minimum Gross Wage,  i.e. RON 2,080 in 2019,1,900 lei,,

·       other persons, including the voluntarily insured persons.

Also, can be insured in the public pension system Romanian citizens, citizens of other countries and stateless persons who are not domiciled or resident in Romania, under the terms of international legal instruments to which Romania is a party.

The number of people active at national level, insured in the overall system (public pensions and other social insurance rights) during the reference period was 5.877.319 5.826.340 (employees and other persons insured).

In accordance with Article 76 of Title II of the Report, the purpose of protection is fulfilled as follows:

The number of economically active persons protected: 5,685,426

The total number of residents:                                           19,042,936

Percentage:                                                                            29%

V - 4. Level and Calculation of Benefit

Article 28. C102 and ECSS

The benefit shall be a periodical payment calculated as follows:

(a) where classes of employees or classes of the economically active population are protected, in such a manner as to comply either with the requirements of Article 65 or with the requirements of Article 66;

(b) where all residents whose means during the contingency do not exceed prescribed limits are protected, in such a manner as to comply with the requirements of Article 67.

For the calculation of old age retirement pension Article 65 applies.

In the public system, social security benefits substitute the total or partial loss of insured income as a result of old age, disability or death. Social insurance benefits are provided in the form of pensions, allowances or other benefits.

The old-age pension provided by the public pension system is paid on a monthly basis and calculated  using a point system.

It is determined by the length of contribution period and the level of earnings (all being variables characteristic to each person), as well as the pension point value (which is a constant for all pensioners).

The Old-Age Pension formula is:

OAP = PPV *AAS

Where:  

OAP           =    Old-Age Pension

PPV           =    Pension Point Value

AAS           =    Annual Average Score =  AS/FCP

AS              =    Annual Score =  MS/12

FCP           =    Full Contribution Period

MS             =    Monthly Score = RE/AGE

RE             =    Reference earnings

AGE           =    Average Monthly Gross Earnings (‘realised’ – i.e. the actual outturn - at national level as reported by the National Institute of Statistics)

The monthly score is equal to the person's monthly gross earnings divided by the average gross earnings.

The annual score is equal to the sum of the monthly scores obtained during one year divided by twelve. The person is credited with annual scores for non-contributory periods.

The annual average score is equal to the sum of the annual scores divided by the number of years corresponding to the full contribution period provided by the law at the date of retirement.

The old-age pension with reduced standard retirement age, the early retirement pension, and the partial early retirement pension are calculated in the same way as the old-age pension. Nevertheless, the non contributory periods are not taken into account for early retirement pension and partial early retirement pension calculation purposes. In case of partial early retirement pension, the amount is re­duced in relation to the length of contribution period and the number of months by which the standard retirement age is reduced. The monthly penalty ranges between 0.50% for a person who exceeded the full contribution period by up to 1 year and 0.15% for a person who exceeded the full contribution period by 7 to 8 years.

The insured person, who continues to contribute to the public system of pensions after becoming eligible for receiving an old-age pension, is entitled to an increased score achieved in this period by 0.5% per month. The increase of the monthly score won’t be granted for the periods when the pension is cumulated with wage incomes.

The value of the pension point is increased by 100% of average annual inflation rate, to which it shall be added 50% of the real increase of the of average gross wage earning (art. 102 para. (2) of Law No. 263/2010). Starting with 2013, the indicators used for determining the value of the pension point for the next year, shall be the final ones, known in the current year for the previous calendar year, communicated by the National Institute of Statistics. In the event that one of the indicators has a negative value, when determining the amount of the pension point there shall be used the indicator with positive value.

The National Institute of Statistic reported that the inflation rate for 2015 was negative (-0.6%) and therefore the value of a pension point increased as from 1 January 2017 by 50% of the real growth of the average gross earnings, respectively 5,25%, as follows:

871,7 RON (the value of a pension point in 2016) X 105,25% = 917,5 RON.

According to the provisions of art.2 para. (1) of Government Emergency Ordinance no.2 / 2017 regarding some fiscal-budgetary measures, as well as the amendment and completion of some normative acts, starting with 1 July 2017, by way of derogation from the provisions of art. 102 para. (2) of Law No. 263/2010, with the subsequent amendments and completions, the value of the pension point, established according to art. 12 paragraph (1) of GEO no. 99/2016, was increased by 9% and was 1,000 RON.

Starting with 1 July 2018, a new 10% increase of the pension point value was added so that the new pension point applied starting July 1, 2018 is 1,100 RON [art. I para. (1). of Government Emergency Ordinance No.82 / 2017 on amending and completing some normative acts].

The evolution of the pension point value, starting 2011, is presented below.

2011

January

732,8

2012

January

732,8

2013

January

762,1

2014

January

790,7

2015

January

830,2

2016

January

871,7

2017

1January-30 June

917,5

2017

1 July-31 December

1,000

2018

1January-30 June

1,000

2018

1 July-31 December

1,100

2019

1 January – 31 August

1,100

Also, according to art. 31 of Government Emergency Ordinance no. 114/2018, by way of derogation from the provisions of art. 102 par. (2) of the Law no. 263/2010 on the unitary pension system, with subsequent amendments and completions, starting with 1 September 2019, the pension point value is increased by 15% and is Ron 1,265.

In the national legislation sub-paragraph of paragraph 6 of Art. 65, which can be applied in national law is (c).

Old age pension calculation for the standard beneficiary

Standard beneficiary was chosen as a person whose income equals 125% of average earnings of all persons protected.

According to the article 12 of Government Emergency Ordinance no. 9982/ 20162017, since 1 January July 2017 2018 the pension point value is 917,51.100 RON and according to the article 2 of Government Emergency Ordinance no.2/ 2017, since 1 July 2017 the pension point value is 1.000 RON.

The average gross wage used at the establishment of the state social security budget for the year 2017, according to art. 16 of Law no. 7/2017, is 3.131 RON. The average gross wage used at the establishment of the state social security budget for the year 2018, according to art. 15 of Law no. 3/2018, is 4.162 RON. We consider that the sum of 4.162 lei representing the gross average wage gain used to establishment of the state social security budget for the year 2018 has no relevance in determining the replacement rate, therefore the replacement rate will be calculated using the net average wage gain for 2018 of 2,696 lei.

Applying Article 65, paragraph 6, letter c) of the Code: the reference income of a standard beneficiary is 125% of net average gross salary (= 3,131 in 20172.696 RON in 2018), i.e. 1.25 * 2.696 3,131 = 3.370 3,913.75 RON in 2018.

By applying Article 65, paragraph 6, subparagraph c) of the Code, the reference income of a standard beneficiary is 125% of average gross wage, ie 1.25 *3.131 = 3.913,75 per month in 2017 and 1.25*4.162 = 5.202,5 per month in 2018.

The calculation of the replacement rate for old-age pension after 30 years of insurance (under Title I and III of Article 65 of the report):

1st July 2017 – 30th  June 2018

C. Standard wage of a skilled manual male employee      3.370 RON (3.913,75+5.202,5)/2=4.558,12 RON

D. Amount of old-age pension granted after 30 years of insurance 1.281 RON1.000*1,25 = 1.250 RON

G. Replacement rate D./. C = 1.281 RON/3.370 RON = 38 %27,42 %

The national legislation guarantees a minimum pension amount. Law no.196/2009 approved G.E.O. no.6/2009, establishing the guaranteed minimum social pension. Later on, the phrase "guaranteed minimum social pension" was substituted  by syntagma "social allowance for pensioners".

Since 2010, the social allowance for pensioners is established annually by the state budget law and can be increased only by the laws amending the state budget, based on changes of the macroeconomic indicators and financial resources.

The Government Emergency Ordinance no. 82/2017 sets the social allowance for pensioners at the level of RON 640 RON, starting 1st of July 2018. Starting 1 September 2019 the level of social allowance for pensioners is RON 704 (Art. 32 of GEO No.114/2018).

The beneficiaries of the social allowance for pensioners are the pensioners of the public pension system who reside in Romania, regardless of the date of retirement, whose quantum of pension is below the social allowance for pensioners.

The social allowance is calculated as the difference between the amount of social allowance for pensioners and the pension amount due or paid, combined with any other entitlements paid under special laws.

2018 CEACR’s conclusions - Pending

Part V (Old-age benefit), Article 28 of the Code. Calculation of the pension replacement rate. The Committee notes that, as calculated in the consolidated report under Article 65, paragraph 6(c), of the Code, the replacement rate of the old-age pension which a standard beneficiary is entitled after 30 years of insurance amounts in 2018 to 27.42 per cent of the standard wage of the skilled manual male employee, which equals 125 per cent of average earnings of all persons protected. The Committee therefore concludes that Romania does not comply with Article 28 of the Code and requests the Government to take measures to guarantee the level of old-age benefit required by the Code. In this connection, the Committee notes that Law No. 196/2009 approved the Government Emergency Ordinance No. 6/2009 establishing the guaranteed minimum social pension called “social allowance for pensioners”. The beneficiaries of the social allowance for pensioners are the pensioners of the public pension system, whose pension is below the social allowance for pensioners. The amount of the social allowance for pensioners is determined annually by the state budget law on the basis of macroeconomic indicators and financial resources. The Government Emergency Ordinance No. 82/2017 sets the social allowance for pensioners at the level of 640 Romania leu (RON), starting 1 July 2018. In view of the guaranteed minimum amount of this benefit, the Committee points out that Romania could consider applying Part V of the Code on the basis of the social allowance for pensioners, as provided under Article 67 of the Code. The Committee therefore invites the Government to provide the relevant calculation demonstrating that the social allowances for a married couple of pensioners (man with wife of pensionable age) is sufficient to maintain the family of the beneficiary in health and decency, and is not less than 40 per cent of the standard wage of an ordinary manual male labourer determined under Article 66 of the Code.

Please provide a reply to the Committee’s request.

V - 5. Adjustment of benefits

§10 Article 65, §8 Article 66. C102 and ECSS

The rates of current periodical payments in respect of old age, employment injury (except in case of incapacity for work), invalidity and death of breadwinner, shall be reviewed following substantial changes in the general level of earnings where these result from substantial changes in the cost of living.

     

Since 1 January 2017 the pension point value is 917.5 RON. ( In 2017, the pension point value was adjusted by 50% of the real growth in the average gross earnings of the previous year; Inflations rate was negative).

Pensions are increased annually by way of raising the pension point value which is adjusted by 100% of the average annual inflation rate plus 50% of the real increase in the gross average earnings (art.102 Law 263/2010).

In the situation when one of the mentioned indicators, accomplished in the previous year has a negative value, when calculating the pension point value it is used the indicator with a positive value, and in the situation when both indicators have negative values, it is maintained the last value of the pension point.

Starting with 2021, the value of the pension point will increase annually by 100% of the inflation rate, plus 45% of the real growth of the average gross wage accomplished in the previous year. Starting with 2030, the value of the pension point will increase every year by 100% of the inflation rate in the previous year.

Yet, by Law no. 160/2017 was decided that the annual increases in the pension point value are minimum thresholds and higher values of the pension point can be set by the annual state social insurance budget, with the observance of the Fiscal-Budgetary Responsibility Law no. 69/2010, republished, and in line with the corresponding fiscal-budgetary strategy.

Correction Index

According to art. 170 of Law No. 263/2010 on the unitary public pension system, in conjunction with art. 17 of Law No. 3/2018 on the social insurance budget on 2018, in 2018 the index of correction is 1.15.

According to art. 170 para. (1) of Law no. 263/2010 on the unitary public pension, with subsequent amendments and completions, for persons registered as pensioners starting with 1.01.2011, at the average annual score determined under the conditions of art. 95 of the law applies a correction index calculated as a ratio between 43.3% of the gross average earnings earned and the value of a pension point in force at the date of retirement, updated with the average annual inflation rate for 2011.

According to art. 170 para. (2) of the same law, starting with 2013, the average gross earning is the final one, known in the year preceding the pension entitlement for the previous calendar year, communicated by the National Institute of Statistics. Thus, the average gross wage earned in 2015, namely the final one, known in 2016 – prior to the year in which pension entitlement is opened - 2017, communicated by the National Institute of Statistics, is 2,555 lei.

Thus, the average gross wage earned in 2016, namely the final one, known in 2017 – prior to the year in which pension entitlement is opened - 2018, communicated by the National Institute of Statistics, is 2,809 lei.

Thus, the average gross wage earned in 2017, namely the final one, known in 2018 – prior to the year in which pension entitlement is opened - 2019, communicated by the National Institute of Statistics, is 3,223 lei.

According to Art. 102 of Law no. 263/2010, as further amended and supplemented, in conjunction with art. 12 of the Government Emergency Ordinance no. 99/2016, in 2017 the pension point value was set at 917.5 RON.

According to the provisions of art. 2 par. (1) of GEO no. 2/2017, by way of derogation from the provisions of art. 102 par. (2) of Law no. 263/2010, with the subsequent amendments and completions, the value of the pension point, established according to art. 12 par. (1) of Government Emergency Ordinance no. 99/2016, will increase by 9% and will be of 1,000 lei.

The average annual inflation rate for 2011, with which the value of the retirement point is updated, is 5.8%.

The computation formula for the Correction Index  (CI) is:

ð   Between  01.01.2017 - 30.06.2017:

CI= (2.555 x 43,3%) / (917.5 + 917.5 x 5.8% ) = 1.14

ð   Between 01.07.2017 - 31.12.2017:

CI= (2.555 x 43,3%)  / (1.000 + 1.000 x  5.8%) = 1.05

According to art. 170 of Law no. 263/2010 on the unitary public pension system, in conjunction with art. 18 of Law no. 7/2017, in year 2017 the index of correction is 1.14 until 1 july July 2017 and 1.05 after 1 july July 2017.

In 2018, the correction index established by Law No. 3/2018 on the state social insurance budget is 1,15, while for 2019 the correction index is 1,20 as established by GEO no.114/2018.

2018 CEACR’s conclusions - Pending

Article 65(10) of the Code. Adjustment of long-term benefits to the cost of living. The Committee once again requests the Government to provide the statistical data required by the report form for the Code under Title VI of Article 65 for the period since 2011.

Please provide a reply to the Committee’s request.

RF/C102/ECSS:

1. Please state the methods adopted for giving effect, where necessary, to the provisions of paragraph 10 of Article 65 or of paragraph 8 of Article 66 of C102 and the ECSS.

2. Please give the following information:

Period under review

Cost-of-living index

Index of earnings[2]

A. Beginning of period[3] ………………………..

B. End of period[4]………………………………..

C. Percentage A…………………………………

                           B

….………………………...

…….……………………..

…………………………

………………………..

……………………….

………………………..

3. Please state whether the amount of the periodical payments has been reviewed during the period of reference. If so, please indicate the changes made in the level of benefits and furnish the following information:

Period under review*

Benefit

Average per beneficiary**

I

Benefit for standard beneficiary**

II

Other estimates of benefit levels**

III

A. Beginning of period ………

B. End of period …………………

C. Percentage A…………………

                           B

….………………………...

…….………………………

…………………………….

….………………………...

…….………………………

…………………………….

……………………………

……………………………

……………………………

* This period should, as far as possible, coincide with the period referred to in the table under paragraph 2.

** Please give such data in columns I, II and III as will show the percentage variation of the benefit.

Year

Average monthly pension

Year

Average monthly pension

2011

753

2015

892

2012

773

2016

948

2013

805

2017

1069

2014

846

2018

1172

V-6. Qualifying period

Article 29. C102 and ECSS

1. The benefit specified in Article 28 shall, in a contingency covered, be secured at least:

(a) to a person protected who has completed, prior to the contingency, in accordance with prescribed rules, a qualifying period which may be 30 years of contribution or employment, or 20 years of residence; or

(b) where, in principle, all economically active persons are protected, to a person protected who has completed a prescribed qualifying period of contribution and in respect of whom while he was of working age, the prescribed yearly average number of contributions has been paid.

2. Where the benefit referred to in paragraph 1 of this article is conditional upon a minimum period of contribution or employment, a reduced benefit shall be secured at least:

(a) to a person protected who has completed, prior to the contingency, in accordance with prescribed rules, a qualifying period of 15 years of contribution or employment; or

(b) where, in principle, all economically active persons are protected, to a person protected who has completed a prescribed qualifying period of contribution and in respect of whom, while he was of working age, half the yearly average number of contributions prescribed in accordance with paragraph 1.b of this Article has been paid.

3. The requirements of paragraph 1 of this Article shall be deemed to be satisfied where a benefit calculated in conformity with the requirements of Part XI but at a percentage of ten points lower than shown in the Schedule appended to that Part for the standard beneficiary concerned is secured at least to a person protected who has completed, in accordance with prescribed rules, ten years of contribution or employment, or five years of residence.

4. A proportional reduction of the percentage indicated in the Schedule appended to Part XI may be effected where the qualifying period for the benefit corresponding to the reduced percentage exceeds ten years of contribution or employment but is less than 30 years of contribution or employment; if such qualifying period exceeds 15 years, a reduced benefit shall be payable in conformity with paragraph 2 of this Article.

5. Where the benefit referred to in paragraphs 1, 3 or 4 of this Article is conditional upon a minimum period of contribution or employment, a reduced benefit shall be payable under prescribed conditions to a person protected who, by reason only of his advanced age when the provisions concerned in the application of this Part come into force, has not satisfied the conditions prescribed in accordance with paragraph 2 of this Article, unless a benefit in conformity with the provisions of paragraphs 1, 3 or 4 of this Article is secured to such person at an age higher than the normal age.

§1(f) Article 1. C102, §1(i) Article 1. ECSS

The term qualifying period means a period of contribution, or a period of employment, or a period of residence, or any combination thereof, as may be prescribed.

Starting 1st January 2015, the minimum contribution period both for women and men is 15 years.

When determining the old-age pension, besides the contributory periods, certain non-contributory periods, called “assimilated periods” are taken into consideration, when the insured person:

·      benefited from invalidity pension,

·      pursued full-time university courses, on the condition of graduation with diploma,

·      served military service, were mobilised or were war prisoners,

·      benefited, starting with 1st of January 2005, from leave for temporary working incapacity due to work accidents and occupational diseases,

·      benefited, during 1st April 2001 – 1st January 2006 of social insurance indemnities, provided in the terms set by law,

·      benefited, starting with 1st of January 2006 from leave for child upbringing up to 2 years old, or up to 3 years old in the case of disabled child,

The insured person who attended several higher forms of education benefits from a single period of study assimilated as contribution period, at choice.

V -7. Duration of Benefit

Article 30. C102 and ECSS

The benefits specified in Articles 28 and 29 shall be granted throughout the contingency.

The benefits specified in Articles 28 and 29 shall be granted throughout the contingency.

In the public pension system, social security benefits substitute the total or partial loss of insured income as a result of old age, invalidity or death. When these  insured risks occur (invalidity, old age and death), the institutions of the public system of pensions grant social insurance benefits to the insured, in compliance with the provisions of the law.

V - 8. Suspension of Benefit

Article 69. C102, Article 68. ECSS

A benefit to which a person protected would otherwise be entitled in compliance with any of Parts II to X of this Convention may be suspended to such extent as may be prescribed--

(a) as long as the person concerned is absent from the territory of the Member;

(b) as long as the person concerned is maintained at public expense, or at the expense of a social security institution or service, subject to any portion of the benefit in excess of the value of such maintenance being granted to the dependants of the beneficiary;

(c) as long as the person concerned is in receipt of another social security cash benefit, other than a family benefit, and during any period in respect of which he is indemnified for the contingency by a third party, subject to the part of the benefit which is suspended not exceeding the other benefit or the indemnity by a third party;

(d) where the person concerned has made a fraudulent claim;

(e) where the contingency has been caused by a criminal offence committed by the person concerned;

(f) where the contingency has been caused by the wilful misconduct of the person concerned;

According to Article 114 of Law no. 263/2010, as further amended and supplemented, pension payment is suspended from the month following the month in which:

§  Pensioner shall establish domicile in a country with which Romania has concluded social security agreement, if it stipulates that the pension is paid by the other State;

§  Beneficiary of an early retirement or a partial early retirement pension or the beneficiary of a disability pension classified with 1st or 2nd degree disability, is found in one of the situations provided in art. 6 par. (1) point I lit. (a) and (b) or point II of Law No.263/2010, with subsequent amendments and completions;

§  the disability pensioner, and the survivor pensioners  provided by the law did not attend the compulsory medical re-examination, the convening of the National Institute of Medical Expertise and Recovery of Work Capacity or the regional centres of medical expertise of work capacity, or did not attend the rehabilitation programmes;

§  first or second degree invalidity pensioner, as well as the beneficiaries of survivor pension classified with 1st or 2nd degree disability is found in one of the situations provided in art. 6 par. (1) point I lit. (a) and (b) or point II of Law No.263/2010, with subsequent amendments and completions;, earn monthly income being in one of the situations provided by art. 6 par. (1) point I lit. (a) and (b) or point II of Law No.263/2010, with subsequent amendments and completions;

§  third degree first or second degree invalidity pensioner, as well as the child in the third degree of disability who is the beneficiary of a survivor pension, earn monthly income being in one of the situations provided by art. 6 par. (1) point I lit. (a) and (b) or point II of Law No.263/2010, with subsequent amendments and completions, exceeding half of the normal work schedule for that job;

§  the child who receives survivor pension has reached the age of 16 and does not make proof of continuing education;

§  the surviving spouse, who is beneficiary of a survivor pension, is found in one of the situations provided in art. 6 par. (1) point I lit. (a) and (b) or point II of Law No.263/2010, with subsequent amendments and completions and earns monthly gross incomes for which, according to the law, the insurance is mandatory, if they are above 35% the average gross earnings;

§  the surviving spouse, who is the beneficiary of a survivor pension, has remarried;

§  the surviving spouse, who is the beneficiary of a pension within the public system of pensions, opts for another pension, under the  law, within the same system, or within another social insurance system, not-integrated into the public pension system;.

§  the pensioner no longer fulfil the conditions provided by the law, referring to the adding up the pension and the wage.                                                                                                                                                       

Resumption of the suspended pension payment is made on demand and is granted starting with the next month subsequent to the month in which the suspension cause has ceased, if the application was filed within 30 days since the cause of suspension was terminated or from the month following the application’s date, if the submission was made after the expiry of the period above mentioned.

V - 9. Right of complaint and appeal

See under Part XIII-2

It is the competence of the territorial houses of pensions to decide on accepting or rejecting the retirement requests. The retirement decisions have to be issued within 45 calendar days following application date and include the factual and legal grounds on which each decision has been made.

Acceptance or rejection decisions are to be communicated in writing both to the person entitled and to his/her employer.

Article 149 of Law no.263 of 16 December 2010 on the Unitary System of Public Pensions, as amended and supplemented,provides that appeals against the decisions issued by the territorial houses of pension have to be submitted to the Central Commission for Appeals within 30 days after the notification. The decision issued by the territorial houses of pension, if not appealed in due time, shall remain final. The Central Commission for Appeals operates within the National House of Public Pensions.

The decisions issued by the Central Appeals Committee and the boards of appeals mentioned above are transmitted both to the entitled persons and the concerned house of pensions within 5 days after the issuance date and may be contested at the competent court of law, during 30 days following the notification. Uncontested decisions become definitive.

V - 10. Financing and Administration

Article 71. C102, Article 70. ECSS          

See under Part XIII-3. Common provisions.

The public pension system in Romania is managed and guaranteed by the State and it has a compulsory character. The public system of pensions, based on intergenerational solidarity is organised and operates based on the principle of contributiveness, according to which the social insurance funds are set up on the contributions owed by the natural and legal persons, participants in the public pension system, while the social insurance rights are rendered under the social insurance contributions paid.

The public pension system is based on the "pay‑as‑you‑go" principle, with the social insurance contributions paid by employers and employees representing the main source of revenue to the system. Social insurance contributions rates depend on the working conditions set for the employees and are established by the Fiscal Code.

As provided by law, the employer or the assimilated employers must calculate and pay, on monthly basis, the social security contributions owed to the state social insurance budget, together with the individual contributions retained from the insured.

For the year 20172018 and 2019, social insurance contribution rates were established as follows: 

Contribution for 2018 and 2019

Employees:

· Calculation base: gross earnings; no ceiling.

· Rate: 25% (including 3.75% for Pillar 2 (i.e. the supplementary compulsory funded social insurance scheme as conventionally defined)).

· Exemption between January 2019 and December 2028: 21.25% for construction sector employees (no contribution to Pillar 2).

Employer:

· Calculation base: total gross earnings; no ceiling.

· Rate: the contribution rate varies with the working conditions:

Working                       Rate

conditions                     (%)

Normal                                0

Difficult                              4

Special                                 8


Part VI. Employment Injury Benefit

Not accepted by Romania

Biennial Report for the period from 1st July 2014 to 30th June 2016 made by the Government of Romania in accordance with Article 76 of the European Code on Social Security on the position of national law and practice in regard to the matters dealt with in Parts of the European Code of Social Security which have not been specified in the ratification of the Code or in a subsequent notification.

List of applicable legislation

§  Law no. 346 on 5th of June  2002,  republished, on the insurance for employment injuries and professional diseases, published in the Official Journal of  Romania,  Part I no. 722 on the 12th of November 2009, with its subsequent amendments and complements;

§  Law no. 319 on the 14th of July 2006, Law on security and safety at work, published in the Official Journal of Romania, Part I no. 646 on 26th of July 2006, with its subsequent amendments and complements;

§  Law no. 263 on 16th of December 2010 on the unitary system of public pensions published in the Official Journal Part I no. 852 on the 20th of December 2010, with its subsequent amendments and complements;

§  The Decision of Government no. 257 on the 20th march 2011 for the approval of norms of application of provisions of Law no. 263/2012 on the unitary system of public pensions, published in the Official Journal Part I no. 214 on 28th of March 2011;

§  Order no. 450/825 on the 6th of June 2006 for the approval of methodological norms for the application of Law no. 346/2002 on the insurance for employment injuries and professional diseases, published in the Official Journal Part I no. 708 on 17th of August 2006, amended by Order no. 213 on the 18th  of  February 2009, published in the Official Journal  Part I no. 257 on the 7th  April 2009;

§  Order no. 1378 on the 23rd of September 2011 for the approval of procedure for investigation and diagnosis of professional diseases, as well as of the list of benefits of related medical benefits, published in the Official Journal Part I no. 748 on the 25th  October 2011;

§  The Emergency Romanian Government Ordinance no. 117 in 2010 upon amending and completion of Law no. 571/2003 on the Fiscal Code and the Regulation of some financial – fiscal measures, published in the Official Journal Part I no. 891 on the 30th of December 2010.

VI - 1. Regulatory framework

Article 31. C102 and ECSS

Each Member (Contracting Party) for which this part of this Convention (Code) is in force shall secure to the persons protected the provision of employment injury benefit in accordance with the following articles of this Part.

In Romania benefits in case of accidents at work and professional diseases are regulated by law and by methodological norms for the application thereof. According to law provisions, the protection is provided both on grounds of a mandatory scheme, as well as of a voluntary scheme, differentiated on more categories of covered persons. 

The system of insurance for the accidents at work and professional diseases covers all the employees and assimilated, public servants, i.e. most of the active population, residents included, according to provisions of art. 5 and Art. 7 of Law no. 346/2002. Self employed are covered on voluntary basis.

The incomes for the insurance against accidents at work and occupational diseases shall be formed of:

a)     the contributions for insurance against accidents at work and occupational diseases payable by the legal persons, as well as by the natural persons that take out insurance;

b)     delay interests and penalties;

c)      other incomes, according to the law.

The incomes from the insurance contributions for accidents at work and occupational diseases payable by the natural and legal persons, under the terms of this law, shall be provided distinctly at the part of incomes of the state social insurance budget.

The incomes for accidents at work and occupational diseases shall be intended exclusively for the financing of the insurance benefits and services for accidents at work and occupational diseases provided by this law, as well as for financing the organisation and functioning of the insurance system regulated by the Law no.346/2002, republished.

The expenses for the insurance benefits and services for accidents at work and occupational diseases and the expenses for the organisation and functioning of this system shall be provided distinctly at the part of expenses of the state social insurance budget.

The expenses for insurance benefits and services for accidents at work and occupational diseases shall be carried out for:

a)     the medical rehabilitation and recovery of capacity of work;

b)     the professional rehabilitation and recovery;

c)      the allowance for temporary incapacity of work;

d)     the allowance for temporary transfer to another workplace and the allowance for shortening the work time;

e)     the compensations for prejudice to integrity;

f)       the damages for death;

g)     the refunds of expenses;

h)     the activity of prevention of accidents at work and occupational diseases;

i)       medical services granted in sanitary units with legal personality and occupational disease sections or within the out-patient department through the labour medicine office located in the hospitals, including at the Occupational Disease Sanatorium from Avrig, Sibiu county, to the persons suffering from occupational diseases.

The expenses for the organization and functioning of the system of insurance against accidents at work and occupational diseases shall be ensured within the limits of the amounts approved with this destination in the state social insurance budget.

The list of medical services granted in sanitary units with legal personality and occupational diseases sections or within the out-patient department through the labour medicine office located in the hospitals, including at the Occupational Disease Sanatorium from Avrig, shall be established by methodological norms approved by the joint order of the minister of health and of the minister of labour, social solidarity and family.

The annual surpluses resulted in case the incomes exceed the expenses of the system of insurance against accidents at work and occupational diseases shall be carried forward to the next year, being used to finance the expenses provided in Article 92 (2) of the Law no.346/2002, republished.

The possible deficits registered throughout the execution and the annual deficit resulted in case the incomes are exceeded by the expenses of the system of insurance against accidents at work and occupational diseases shall be covered from the liquidities registered by the system during the previous year.

The cash execution of the funds related to the system of insurance against accidents at work and occupational diseases shall be carried out through the State Treasury.

The liquidities of the system of insurance against accidents at work and occupational diseases shall be kept in the State Treasury and shall be interest bearing.

The liquidities of the original fund for the operation of the insurance system registered on 31 December 2003, as they were established according to the Law on the state social insurance budget for the year 2003 No. 632/2002, as subsequently amended, shall be taken over by NFPOSIB to be administered.

VI - 2. Contingency covered

Article 32. C102 and ECSS

The contingencies covered shall include the following where [the state of affairs described is – ECSS] due to accident or a prescribed disease resulting from employment:

а) a morbid condition;

b) incapacity for work resulting from such a condition and involving suspension of earnings, as defined by national laws or regulations;

c) total loss of earning capacity or partial loss thereof in excess of a prescribed degree, likely to be permanent, or corresponding loss of faculty; and

d) the loss of support suffered by the widow or child as the result of the death of the breadwinner; in the case of a widow, the right to benefit may be made conditional on her being presumed, in accordance with national laws or regulations, to be incapable of self‑support.

Definition of risk

The insurance system for hazardous injuries and occupational diseases covers all the employees and assimilated, public servants, i.e. most of the active population, residents included, according to provisions of art. 5 and Art. 7 of Law no. 346/2002. Self-employed are covered on voluntary basis.

The risks covered are the accidents at work described by the provisions of Law no. 346/2002 are and occupational diseases, as they are defined by art. 5 letters g) and h) of Law no. 319/2006.

Art. 5 of Law no. 319/2006 provides for the following:

“In the sense of this law, the terms and expressions below have then following meaning:

g) accident at work– the violent injury of body, as well as the serious professional intoxication, occurred during work process of while accomplishing the professional duties and which result in a temporary incapacity of work of at least 3 calendar days, disability or death;

 h) professional disease – the injury produced as a consequence of making a certain profession or occupation, caused by noxious physical, chemical or biological substances, characteristic to a certain job, as well as by the overburdening of various organs or systems of the body, during the professional activity; ”

The qualification period – not necessary.

The awaiting period – not necessary.

For the benefits awarded in case of sickness, according to art. Art. 32 letter a) of the European Social Security Code, the medical care is provided until the stabilization and improvement health condition of insured person, without a duration set a priori.

For the work incapacity caused by a sickness, according to Art. 32 letter. b) from the European Social Security  Code, the maximum duration is provided under Art. 35 and Art. 36 par. (1) and (3) from Law no. 346/2002.

“Art. 35. The duration of temporary work incapacity allowance is 180 days during one year, counted from the first day of medical leave.

Art. 36. (1) In situations strongly motivated by the possibility of rehabilitation and return to work of the insured person, the physician may recommend extended medical leave over 180 days.

(3) The prolongation of medical leave, for more than 180 days, is possible for maximum other 90 days, according to the procedures set by the National House of Public Pensions, according to the evolution of case and the results of rehabilitation measures.”

The risks insured under the terms of the Law no.346/2002, republished, shall be the accidents of work and the occupational diseases defined in compliance with the provisions of the Law on health and safety no.319/2006, with subsequent modifications.

For the purposes of the Law on health and safety no.319/2006, with subsequent modifications, the terms “labour accident “ and “occupational disease” shall have the following meanings:

-    labour accident - violent bodily harm and the acute professional intoxication, occurred during the labour process or while carrying out the job duties and which cause temporary labour incapacity of at least 3 calendar days, invalidity or death;

-    occupational disease - the disease caused by the performance of a trade or profession, triggered by noxious physical, chemical or biological agents characteristic to the work place, and by the overtaxing of different organs and systems of the body in the labour process.

An accident at work shall also be:

the accident suffered by person visiting the undertaking and/or establishments, with the employer's permission;

the accident suffered by those carrying out state or public interest duties, including while performing cultural, sports activities, during and owing to the carrying out of these duties;

the accident suffered within organised cultural-sports activities, during and owing to the pursuit of these activities;

the accident suffered by any person as a consequence of an action undertaken at his/her own initiative, for salvage of human lives;

the accident suffered by any person as a consequence of an action undertaken at his/her own initiative, for the prevention or removal of a danger that is a threat to the public and private wealth;

the accident caused by activities not related to the work process, if it occurs at the head office of the legal person or at the address of the natural person, as employer, or at any other workplace organised by these, during the work schedule and the injured person is not exclusively to blame;

the accident on the route, during and on the normal route while the worker is travelling from the workplace to the domicile and the other way round;

the accident occurred while travelling from the head office of the legal person or from the address of the natural person to the work place or from a workplace to another, for the carrying out of a job duty;

a)     the accident occurred while travelling from the head office of the legal person or from the address of the natural person where the victim is registered, or from any other workplace organised by such persons, to another legal or natural person, for the carrying out of a job duty, during the normal travelling schedule;

b)     the accident suffered before or after stopping work, if the victim was taking over or handing over work tools, the workplace, the machine or or materials, if it was getting dressed with or undressed of his private clothes, the individual protection outfit or any other equipment made available by the employer, if he was in the bathroom or the lavatory or if he was coming from the work place towards the exit of the undertaking or establishment or other way round;

c)      the accident occurred during the regular breaks, if it took place in places organised by the employer, as well as during and on the normal route towards or coming from such places;

d)     the accident suffered by workers of Romanian employers or by Romanian natural persons, delegated to carry out their job duties outside the borders, for the duration and route provided in the travel document;

e)     the accident suffered by the Romanian personnel that undergoes works or services on the territory of other countries, based on contracts, conventions or in any other conditions provided by the law, concluded by Romanian legal persons with foreign partners, during and owing to the carrying out of these duties;

f)       the accident suffered by those that attend courses for qualification, re-qualification and improvement of professional training, during and owing to the activities related to their probation;

g)     the accident determined by natural phenomena and disasters, such as storm, snowstorms, earthquakes, floods, landslides, thunderbolt (electrocution), if the victim is performing work or is carrying out its job duties;

h)     a missing person, provided that there is an accident at work and under circumstances that enable a death supposition;

i)       the accident suffered by a person while carrying out its job duties, as a result of an aggression.

In the cases mentioned in the above paragraph g), h), i) and l), the travel must take place without unjustified departures from the regular route, and, likewise, the transport must be made under the terms provided by the regulations concerning the security and health at work or the traffic regulations in force.

The accidents at work shall be classified, in ratio to the consequences and to the number of injured persons, into:

a)     accidents that lead to temporary work incapacity that lasts at least 3 days;

b)     accidents that lead to invalidity;

c)      fatal accidents;

d)     collective accident, when at least three persons are injured at the same time and for the same reasons.

Occupational diseases shall also be the diseases suffered by pupils and students during the professional practice.

VI - 3. Persons protected

Article 33. C102 and ECSS

The persons protected shall comprise prescribed classes of employees, constituting not less than 50 per cent of all employees, and, for benefit in respect of death of the breadwinner, also their wives and children.

The conditions for being entitled to benefits are as following:

-        to have the status of person insured;

-        to have been the victim of a labour injury of professional disease, recorded and declared according to legal provisions.

In conformity with the provisions of Article 1 of Law no. 346/2002, republished, „the insurance against accidents at work and occupational diseases is the insurance for individuals, a part of the social insurance system and is state-guaranteed” and includes the specific relationships whereby it is ensured the social protection of the employees against the decrease or loss of working capacity and their death as a result of accidents at work and occupational diseases.”

I. The following shall be mandatorily insured by the effect of the Law no.346/2002, republished:

a)     the persons carrying out activities based on an individual labour contract, irrespective of its duration, as well as the public officers;

b)     the persons carrying out activities in elective positions or that are appointed within the executive, legislative or judicial authority, for the period of their term of office, as well as the cooperative members of a craftsmen cooperative, whose rights and obligations are assimilated, under the terms of this law, with those of the persons provided in letter a);

c)      the unemployed, for the duration of the professional practice within the courses organised according to the law;

d)     apprentices, pupils and students, for the duration of the professional practice.

The provisions of the Law no.346/2002, republished, shall not apply to the military and civil staff hired based on a contract and the staff insured within the own system of the Ministry of the National Defence, Ministry of Administration and Interior, the Romanian Intelligence Service, the Foreign Intelligence Service, the Security Service, the Special Telecommunication Service, as well as in that of the Ministry of Justice - the National Administration of Penitentiaries and the General Directorate of Protection and Anti-corruption.

II. The persons who are in one or more of the following circumstances may become also insured, under the law, based on an individual insurance contract:

a)     the sole associate, associates, sleeping partners or shareholders;

b)     active partners, administrators or managers;

c)      members of family association;

d)     persons authorised to pursue independent activities;

e)     persons employed in international institutions;

f)       owners of goods and/or tenants of agricultural and forestry land surfaces;

g)     persons that pursue agricultural activities within individual households or private activities in the forestry field;

h)     members of the agricultural activities or of other forms of agricultural associations;

i)       other persons concerned, that pursue their main activity based on other legal relations than the above mentioned one.

The contents of the individual insurance contract shall be established in the methodological norms of application of the Law no.346/2002, republished.

III. Are also insured the Romanian employers that perform work abroad at the order of the Romanian employers, under the law. The foreign citizens or stateless persons that perform work for Romanian employers shall also hold the capacity of policy holders, during the period when they have their domicile or residence in Romania, according to the law.

VI - 4. Medical Care

Article 34. C102 and ECSS

1. In respect of a morbid condition, the benefit shall be medical care as specified in para­graphs 2 and 3 of this article.

2. The medical care shall comprise:

a)  general practitioner and specialist in‑patient care and out‑patient care, including domiciliary visiting;

b)  dental care;

c)   nursing care at home or in hospital or other medical institutions;

d)  maintenance in hospitals, convalescent homes, sanatoria or other medical institutions;

e)   dental, pharmaceutical and other medical or surgical supplies, including prosthetic appliances, kept in repair, and eyeglasses; and

f)   the care furnished by members of such other professions as may at any time be legally recognised as allied to the medical profession, under the supervision of a medical or dental practitioner.

3 [4 – C102]. The medical care provided in accordance with the preceding paragraphs shall be afforded with a view to maintaining, restoring or improving the health of the person protected and his ability to work and to attend to his personal needs.

The cost of benefits is funded by the contributions for hazardous accidents and occupational diseases, as provided Art. 91 of Law no. 346/2002.

The National House of Public Pensions is the authority responsible for the supervision and implementation if legal provisions and regulations in the matter of insurance for accidents at work and professional diseases. As regards the declaration and registration of hazardous accidents, the competent authority is the Labour Inspection. 

As regards the declaration of occupational diseases, the competent authorities are the Departments for Public Health.

According to the provisions of the Chart on organisation and functioning of National House of Public Pensions, within the mentioned organization is working an Administration Board and a Tripartite Council, both made up by representatives of employers' and trade unions' organizations.

The insurers of the system of insurance against accidents at work and occupational diseases shall be entitled to the following benefits and services:

a)     medical rehabilitation and recovery of capacity of work;

b)     rehabilitation and professional reconversion;

c)      allowance for temporary incapacity of work;

d)     allowance for temporary transfer to another work place and allowance for shortening the working time;

e)     compensations for prejudice to integrity;

f)       damage in case of death;

g)     reimbursement of expenses.

Regarding compensation for prejudice to integrity and compensation in case of death, the amount depends on the gross average salary, announced by the National Statistics Institute.

The policy holders shall be entitled to medical benefits for investigation, diagnosis, rehabilitation of their health condition and recovery of their capacity of work, in compliance with the legal provisions in force.

The insurer shall be bound to pay the equivalent value of the medical services granted until the following are achieved:

a)      recovery of the medical condition or improvement of the health deficiencies occurred as a result of an insured risk;

b)     prevention of the decrease or loss of the capacity of work and of the need of permanent care.

The equivalent value of the tickets for spa treatment prescribed by the physician of the insurer of those who are in temporary incapacity of work, as a result of an exclusive of an accident at work or of an occupational disease, shall be fully covered from the contributions of insurance against accidents at work and occupational diseases.

The policy holder shall be entitled to a proper medical treatment for the injuries and diseases caused by accidents at work or occupational diseases, as follows:

a)     the emergency medical assistance at the place of the accident, in the specialised transport means and in the hospital units;

b)     the out-patients' medical treatment, medical tests and medicines prescribed by the doctor;

c)      medical services in hospitals or in sanitary units with legal personality specialised in occupational diseases;

d)     treatment for the recovery of the capacity of work in specialised units;

e)     reconstruction surgery services;

f)       balneo - climacteric cures;

g)     specialized investigations and laboratory tests, necessary to establish the character of professionalism disease.

For the occupational diseases confirmed before the date of 1 January 2005 and for which it is continued the medical rehabilitation after this date as an exclusive consequence of the occupational cause, the following benefits and services shall be discounted:

a)     the out-patients' medical treatment, medical tests and medicines;

b)     medical services in hospitals or in sanitary units with legal personality specialised in occupational diseases;

c)      treatment for the recovery of the capacity of work in specialised units;

d)     reconstruction surgery services;

e)     balneo - climacteric cures;

f)       medical devices in view of correcting and recovery of organic, functional or physical deficiencies.

The funds necessary for the settlement of the benefits and services shall be covered from the state budget by the Ministry of Labour, Family, Social Protection and Elderly.

In view of correcting and recovery of organic, functional or physical deficiencies caused by accidents at work and occupational diseases, the policy holders shall be entitled to medical devices, that are established by methodological norms of application of this law.

For the cases of accidents at work confirmed before the date of 1 January 2005 and that need medical devices in view of correcting and recovery of organic, functional or physical deficiencies caused by accidents at work and occupational diseases, the costs shall be covered from the funds of the state budget by the Ministry of Labour, Family, Social Protection and Elderly.

For the medical rehabilitation and recovery of capacity of work the policy holders shall benefit by individual recovery programmes, established by the specialised physician of the insurer, depending on the nature and the disease diagnosis. The individual recovery programme may include balneary spa treatment, depending on the type of disease. The balneary spa treatment shall last 15 - 21 days and its duration shall be established by the physician of the insurer, depending on the type of disease and on the nature of the treatment.

The criteria underlying the grant of tickets for the balneary spa treatment shall be approved by CNPP on an annual basis.

The policy holder shall be under the obligation to follow and comply with the individual recovery programmes established by the specialised physician of the insurer.

The right to benefits and services for medical rehabilitation and recovery of capacity of work shall be suspended in case the policy holder does not follow or comply with the individual recovery programme.

The medical treatment during the individual recovery programme, as well as the accommodation and meal in the medical units shall be paid by the insurer in compliance with the tariffs and criteria established in the framework-agreement concerning the conditions for granting medical care within the health social insurance system, annually approved by a Government Decision, and by the methodological norms of application of this contract.

The units offering medical benefits and services shall be established by the insurer in view of medical rehabilitation and recovery of the capacity of work of the policy holder who have undergone accidents at work and occupational diseases.

The tariffs for the medical benefits and services related to medical rehabilitation and recovery of the capacity of work shall be established based on the provisions existing in the framework-agreement of the health social insurance system.

VI - 5. Vocational rehabilitation

Article 35. C102 and ECSS

1. The institutions or government departments administering the medical care shall co‑operate, wherever appropriate, with the general vocational rehabilitation services, with a view to the re‑establishment of handicapped persons in suitable work.

2. National laws or regulations may authorise such institutions or departments to ensure provision for the vocational rehabilitation of handicapped persons.

The National House of Public Pension, hereinafter called CNPP, shall have the capacity of insurer, under this law. The specific attributions of insurance against accidents at work and occupational diseases shall be exercised by the territorial pension funds. The specific attributions of insurance against accidents at work and occupational diseases, as service providers, may be achieved, under the law, also by professional insurance associations, established for this purpose per sectors of activity of the national economy. The professional insurance associations shall function based on its own by-law, in compliance with the provisions of this law and of the Government Ordinance No. 26/2000 with regard to associations and foundations, as subsequently amended and supplemented.

The insurance relations, resulted pursuant to this law and from the insurance contracts, shall be established among:

a)     employers and insurer, for the insured persons provided at Art. 33, points I and III (see above);

b)     insured and insurer, for the insured persons provided at Art. 33, point II (see above).

The quality of insured shall be acquired, and the insurance relations shall be established on the date of: concluding the individual labour contract, establishing the job relations in case of public officers, validation of the term of office for the persons that carry on their activities in elective positions, appointment within the executive, legislative or judicial authority, submission of the adhesion in case of cooperative members, beginning the professional practice for unemployed, apprentices, pupils and students or of concluding of the individual labour contract, as applicable.

In view of taking out the insurance against accidents at work and occupational diseases and of establishing the quota of the payable contribution, the employer shall be bound to communicate to the insurer, by a declaration on one's own responsibility, the field of activity according to the Classification of Activities of the National Economy - CAEN, the number of employees, the wage fund, as well as any other information requested for this purpose.

The declaration shall be submitted with the head office of the insurer, within 30 days as of the date of acquiring the legal personality or of beginning of the legal or job relations among parties, as applicable. In case of changing one or more information from the declaration mentioned prior, the employer shall be bound to notify the insurer within 15 days.

The person ensured, at the same time with the conclusion of the individual labour contract, shall be bound to submit income statement and to communicate to the insurer any change occurred in his condition or status, within 15 days.

The right to the benefits and services of insurance against accidents at work and occupational diseases shall rise as of the date when the insurance relations are established and shall cease at the same time with these relations.

In case the contribution to the insurance against accidents at work and occupational diseases based on an individual insurance contract was not paid from the fault of the employer or of the policy holder, the cost of the insurance benefits and services provided by the law and supplied by the insurer shall be recovered from the employer or from the insured person based on an individual insurance contract.

The provisions mentioned above shall not apply:

- For the occupational diseases confirmed before the date of 1 January 2005 and for which it is continued the medical rehabilitation after this date as an exclusive consequence of the occupational cause, the following benefits and services shall be discounted:

a)     the out-patients' medical treatment, medical tests and medicines;

b)     medical services in hospitals or in sanitary units with legal personality specialised in occupational diseases;

c)      treatment for the recovery of the capacity of work in specialised units;

d)     reconstruction surgery services;

e)     balneo - climacteric cures;

f)       medical devices in view of correcting and recovery of organic, functional or physical deficiencies.

 And

- For the cases of accidents at work confirmed before the date of 1 January 2005 and that need medical devices in view of correcting and recovery of organic, functional or physical deficiencies caused by accidents at work and occupational diseases, the costs shall be covered from the funds of the state budget by the Ministry of Labour, Family, Social Protection and Elderly,

but they shall apply in cases confirmed after 1 January 2003.

In case of occupational diseases, declared under the law, during the professional activity, the right to the insurance benefits and services shall also be maintained after the labour/job relations and of the insurance individual contracts are terminated.

In case of occupational diseases, declared under the law, subsequently to the termination of the labour relations and of the insurance contracts, the right to the insurance benefits and services shall be granted if the former employee makes proof, with medical certificates issued according to the law, that the disease was caused by professional factors specific to the work place.

The risks insured under the terms of this law shall be the accidents of work and the occupational diseases defined in compliance with the provisions of the Law 319/2006 on the safety and health at work, with subsequent modifications.

In view of carrying out the activity of insurance against accidents at work and occupational diseases, CNPP shall have, mainly, the following attributions:

a)     to coordinate and control the activity in this field, carried on by the territorial pension funds;

b)     it may co-finance programmes in projects of prevention of accidents at work and occupational diseases;

c)      to apply measures for the improvement of services and benefits of insurance against accidents at work and occupational diseases;

d)     to elaborate the criteria and methodology underlying the calculation of the contribution to the insurance against accidents at work and occupational diseases;

e)     to guide and control the activity of prevention of accidents at work and occupational diseases;

f)       to control the manner to grant the benefits and services of insurance against accidents at work and occupational diseases, provided by this law;

g)     to control the manner of granting the increments or cut-downs of the contribution for stimulating the prevention activity;

h)     it may organise at national level, at the proposal of the territorial pension funds, the activity of functional recovery, prosthesis fixing, reorientation and reconversion, in view of professional reintegration for the persons who suffered accidents at work and occupational diseases;

i)       to organise the records of the insurance cases, as well as of the insurance costs at national level;

j)       to issue and withdraw the operation licence of the professional insurance associations;

k)     it may finance at national level applicative research studies in view of finding solutions, devices and methods for preventing the accidents at work and occupational diseases;

l)       it may organise the instruction, training and improvement of training of the staff within the field of insurance against accidents at work and occupational diseases;

m)   to make proposals regarding the expenses financed from the incomes derived from the contributions for insurance against accidents at work and occupational diseases;

n)     to supervise the execution of incomes and expenses of the activity of insurance against accidents at work and occupational diseases and to submit to the minister of labour, social solidarity and family quarterly and yearly reports on the budgetary execution;

o)     to coordinate the activity of management of safety and health at work;

p)     to check the modality of carrying out of the investigation of the accidents at work followed by temporary incapacity of work, by the direct participation to the investigation or by the analysis of the documents in proof, as applicable;

q)     to establish the occupational nature of the accident with temporary incapacity of work.

VI - 6. Benefits in cash

Article 36. C102 and ECSS

1. In respect of incapacity for work, total loss of earning capacity likely to be permanent, or corresponding loss of faculty, or the death of the breadwinner, the benefit shall be a periodical payment calculated in such a manner as to comply either with the requirements of Article 65 or with the requirements of Article 66.

2. In case of partial loss of earning capacity likely to be permanent, or corresponding loss of faculty, the benefit, where payable, shall be a periodical payment representing a suitable proportion of that specified for total loss of earning capacity or corresponding loss of faculty.

3. The periodical payment may be commuted for a lump sum:

a)  where the degree of incapacity is slight; or

b)  where the competent authority is satisfied that the lump sum will be properly utilised.

The benefits paid on a periodic base in case of work accidents and occupational diseases are the disability pension and the survivor pensions caused by work accidents work and occupational disease. These benefits are described in Part IX – Disability Pensions and Part X – Survivor benefits from the Report, with no difference according to the cause of the event.

The revision of periodic payments is made according to the rules described at Part IX- Disability benefits and  Part a X-a – Survivor benefits from the Report.

Benefits and services

Level of benefits

allowances for temporary incapacity of work, for shortening the working time or for the temporary transfer to another workplace

The basis for calculation of allowances for temporary incapacity of work, for shortening the working time or for the temporary transfer to another workplace shall be calculated as average monthly-earned gross incomes of the employee during the last 6 months prior to the time when the risk emerged, or of the incomes stipulated in the individual insurance contracts, respectively, based on which the contribution to the insurance against accidents at work and occupational diseases was established.

In case the contribution period is shorter than 6 months, the basic amount of calculation of the allowances for temporary incapacity of work, for shortening the working time or for the temporary transfer to another workplace shall be represented by the average of the monthly-earned gross incomes, or of the incomes stipulated in the individual insurance contracts, respectively, based on which the contribution to the insurance against accidents at work and occupational diseases was established.

In case the contribution period is shorter than one month, the basic amount of calculation of the allowances shall be represented by the monthly gross income of the first month of activity for which the contribution was established to be paid.

For the calculation of the allowances for temporary incapacity of work, for shortening the working time or for the temporary transfer to another workplace the number of working days during the month when the medical leave is taken or, as applicable, other social insurance benefits are requested, shall be used.

When establishing the number of working days during the month when the benefit for accidents at work and occupational diseases is granted, the legal provisions concerning the non-working legal holidays shall be had in view.

benefits and services for rehabilitation and professional reconversion

The benefits and services for rehabilitation and professional reconversion shall be granted by the insurer at the request of the policy holder who, although they did not completely loose their capacity of work, can no longer perform the activity for which they were qualified, as a result of an accident at work or of an occupational disease. The insurer shall take over as its duty the expense for the following benefits and services of rehabilitation and professional reconversion:

    a) the expenses for the medical and psychological services for evaluating the physical, medical condition and skills in view of professional reconversion;

    b) the cost of qualification or reconversion courses;

    c) the payment of allowances for the duration of the qualification and reconversion courses.

The allowance for the duration of the qualification and reconversion courses shall be granted monthly and shall represent 70% of the gross basic wage of the insured person, had at the time when the accident at work or occupational disease occurred.

The allowance shall only be granted if the insured person does not benefit, for the duration of the qualification and reconversion courses, by an allowance for temporary incapacity of work or by the 3rd degree invalidity pension, granted according to the law.

The allowance for the duration of the qualification and reconversion courses shall only be granted only if the insured person complies with the provisions of the insurer regarding the following:

    a) the institution where the course is going to be held;

    b) the training programme;

    c) the graduation modality.

allowance for temporary incapacity of work

The amount of the allowance for the temporary incapacity of work represents 80% of the average gross wage incomes earned over the last 6 months prior to the time when the risk occurred.

In case of insured mentioned Art. 33 point II (above), the amount of the allowance for temporary incapacity of work shall be 80% of the average gross wage incomes earned over the last 6 months prior to the time when the risk occurred.

The amount of the allowance for temporary incapacity of work in case of medical and surgery emergency shall be of 100% of the average gross wage incomes earned over the last 6 months prior to the time when the risk occurred.

The allowance for temporary incapacity of work in case of accident at work or professional disease shall be covered during the first 3 days of incapacity by the employer, and starting with the 4th day of incapacity, from the contribution to the insurance against accidents at work and occupational diseases.

The period of granting of the allowance for the temporary incapacity of work shall be of 180 days over one year, calculated from the first day of the medical leave.

In circumstances well-justified by the possibility of medical and professional recovery of the policy holder the general practitioner may propose to extend the medical leave over 180 days.

The physician of the insurer may decide, as applicable, to extend the medical leave for purposes of continuing the recovery programme, that the activity be resumed in the same workplace or in another workplace or he may propose an invalidity retirement.

The extension of the medical leave over 180 days shall be allowed for 90 days at the most, depending on the progression of the disease and on the results of the recovery actions, according to the procedures established by CNPP.

The allowance for temporary incapacity of work owed to the accidents at work and occupational diseases shall be granted based on the medical certificate according to the legal provisions.

In case the expert physician of the social insurance within the public pension system shall decide on the classification into a certain invalidity rank, the allowance shall be granted by the end of the month following the one when the retirement approval was granted, without exceeding the maximum duration of the medical leave, respective 90 days over 180 days maximum admissible.

allowance for the temporary transfer to another workplace and allowance for shortening the working time

The policy holder who, owing to an occupational disease or an accident at work, can no longer carry out their activity at the workplace held before the insured risk emerged may be temporarily transferred to another work place.

The allowance for the temporary transfer to another workplace shall be granted provided the monthly gross wage income earned by the policy holder at the new workplace is less than his average monthly incomes over the last 6 months, calculated as of the time when the disease was discovered.

The allowance for shortening the working time by one fourth of the normal duration, as a result of certain diseases caused by accidents at work or occupational diseases, shall be granted to the policy holder who, under these conditions, can no longer keep up with the normal working time.

The allowances provided in paragraph 2 and 3 mentioned above shall be granted at the proposal of the general practitioner and with the approval of the physician of the insurer for 90 days at the most in a calendar year, over one or more stages. The monthly amount of the allowances shall equal the difference between the average gross wage incomes earned over the last 6 months and the gross wage income earned by the policy holder at the new workplace or by shortening the normal time of work, without exceeding 25% of the basic amount of calculation.

compensations for prejudice to integrity

The policy holders who, as a consequence of the accidents at work or of occupational diseases, have permanent injuries that cause deficiencies and reduce the capacity of work with 20 - 50% shall be entitled to a compensation for prejudice to integrity.

The compensation shall be granted at the request of the rightful applicant, based on the decision of the physician of the insurer, in compliance with the conditions above mentioned.

The compensation for prejudice to integrity shall be a fixed amount in cash and shall be fully granted once without affecting the other rights or allowances to which the policy holder is entitled, and shall not be considered at the calculation amount for determining these rights.

The amount of the compensation for prejudice to integrity shall be established depending on the seriousness of the injury, within the limits of a maximum threshold of 12 gross average wages, communicated by the National Statistics Institute.

The criteria and scales based on which it is granted the compensation for prejudice to integrity shall be established by a decision of the president of NFPOSIB.

damages in case of death

In case of death of the policy holder, as a result of an accident at work or of an occupational disease, only one person shall benefit by damages in case of death, and this person may be, as applicable: the survivor spouse, child, parent, guardian, trustee, heir, under the terms of the common law, or, in its absence, the person that proves that the covered the funeral costs.

The amount of the damages in case of death shall be of 4 gross average wages, communicated by the National Statistics Institute. 

The request for obtaining the damages in case of death shall be submitted at the head office of the insurer, accompanied by the acts attesting the right of the applicant, according to the Law no.346/2002, republished.

The admission or rejection of the request shall be expressed in a decision issued by insurer within 20 days as of the date of submission of application.

The decision shall be communicated in a written notification to the applicant within 5 days as of the date of its being issued.

The payment of the damages in case of death shall be carried out within 15 days as of the date of communicating the decision.

refund of expenses

The insurer shall grant refunds of expenses in the following circumstances:

    a) the emergency transport, in well-justified cases, when the salvage of the victim imposes the use of other means than the usual ones;

    b) the manufacturing of glasses, of the acoustic devices, of the eye prosthesis, in case they have been deteriorated as a result of an accident at work that caused body injuries;

    c) in case of applying of medical devices that can be implanted by surgery in view of recovery of the organic, functional or physical caused by accidents at accidents at work and occupational diseases.

The costs covered by the insurer shall be destined to insure the recovery of the functionality of the body of the policy holder, and their quantum shall be established on an annual basis by a decision of the NFPOSIB.

VI – 7. Right of complaint and appeal

§1§3. Article 70. C102, Article 69. ECSS

1. Every claimant shall have a right of appeal in case of refusal of the benefit or complaint as to its quality or quantity.

3. Where a claim is settled by a special tribunal established to deal with social security questions and on which the persons protected are represented, no right of appeal shall be required.

The jurisdiction of the insurance against accidents at work and occupational diseases shall be carried out through the social insurance sections or, as applicable, by the specialised social insurance panels, established at the level of tribunals and court of appeal, in compliance with the terms provided by the Law No. 92/1992 for judicial organisation, republished, as subsequently amended and supplemented.

In first instance the tribunals shall settle disputes regarding:

a)     the manner of calculation of the contribution to the insurance against accidents at work and occupational diseases, as well as the increase or decrease of the contribution quota;

b)     the registration and records of the contribution for accidents at work and occupational diseases;

c)      the classification of the employer into a risk class;

d)     the unjustified refusal to settle an application concerning the rights to insurance against accidents at work and occupational diseases;

e)     the manner of establishing and payment of the benefits and services due to the beneficial owners of insurance against accidents at work and occupational diseases;

f)       the complaints against the official reports finding the contraventions drawn up according to the Law no.346/2002, republished;

g)     any other decisions of the insurer, in compliance with the provisions of the Law no.346/2002, republished.

The territorial tribunals in the jurisdiction of which the respondent has his domicile shall be the competent tribunals. In case that, by way of exception, the object of the dispute is a contestation against CNPP or against the territorial pension fund, the territorial competence shall devolve on the tribunals in the jurisdiction of which the respondent has his domicile or its office.

An appeal against the tribunal's ruling may be filed with competent court of appeal.

The provisions of the Law no.346/2002 referring to the jurisdiction of the insurance against accidents at work and occupational diseases shall be supplemented with the provisions of the Civil Procedure Code, of the Law No. 92/1992, republished, as subsequently amended and supplemented, as well as with any other provisions on this matter. The actions at law and all procedural acts relative to the disputes having as object rights and obligations of insurance against accidents at work and occupational diseases shall be exempted from the judicial stamp duty.

The undue amounts cashed as benefits and services for accidents at work and occupational diseases shall be recovered from the beneficial owners within the 3-year general status of limitation. The amounts shall be recovered from the beneficial owners based on the decision of the competent body, that represents a writ of execution. The unrecovered amounts left from the deceased beneficial owners shall no longer be pursued.


Part VII. Family Benefit

Romania has accepted the obligations resulting from Part VII of C102 and Part VII of the ECSS.

Category

Information available

Information missing / questions raised by the CEACR

VII-1. Regulatory framework

Art.39 C102/ECSS

VII-2. Contingency covered

Art.40 C102/ECSS

VII-3. Persons protected

Art.41 C102/ECSS*

VII-4. Types of benefits

Art.42  C102/ECSS

VII-5. Qualifying period

Art.43  C102/ECSS

VII-6. Level and Calculation of benefit

Art.44  C102/ECSS*

VII-7. Duration of benefit

Art.45 C102/ECSS

VII-8. Suspension of benefit

Art.69 C102, Art.68 ECSS

VII-9. Right of complaint and appeal

Art.70 C102, Art.69 ECSS

VII-10. Financing and Administration

Art.71,72 C102

Art.70,71 ECSS

* Please update statistical data, in accordance with the Report form for C102/ECSS.

List of applicable legislation

§  Law No. 292/2011 on social assistance, published in the Official Gazette of Romania, Part I, no.905 of December 20, 2011;

§  Law no. 61/1993 on child state allowance, republished in the Official Gazette of Romania, Part I, no. 767 of November 11, 2012;

§  Government Emergency Ordinance no. 111/2010 on parental leave and monthly indemnity for raising the children published in the Official Gazette of Romania, Part I, no.830 of December 10, 2010, as amended and supplemented;

§  Law no. 448/2006 on the protection and promotion of the rights of the persons with disabilities, republished in the Official Gazette of Romania, Part I, no. 1 of January 3, 2008, as amended and supplemented;

§  Law no. 272/2004 on the protection and promotion of child rights, republished in the Official Gazette of Romania, Part I, no. 159 of March 5, 2014;

§  Law no 277/2010 concerning the allowance for family support, published in the Official Gazette of Romania, Part I, no.889 of December 30, 2010.

§  Law 263/2007 regarding the establishment and organization of nurseries, published in the Official Gazette of Romania, Part I, no.507 of July 30, 2007, as amended and supplemented;

§  Law 193/2006 regarding the grant of nursery vouchers, published in the Official Gazette of Romania, Part I, no.446 of May 23, 2006, as amended and supplemented;

§  Law no. 416/2001 on minimum guaranteed income, published in the Official Gazette of Romania, Part I, no. 401 of July 20, 2001, as amended and supplemented.

§  Emergency Ordinance no. 70/2010regarding the protection measures in cold season, published in the Official Gazette of Romania, Part I, no.629 of September 2, 2011, as amended and supplemented.

VII - 1. Regulatory framework

Article 39. C102 and ECSS

Each Member (Contracting Party) for which this Part of this Convention (Code) is in force shall secure to the persons protected the provision of family benefit in accordance with the following Articles of this Part.

The social assistance system in Romania was reformed in 2011 and in the same time all the programs targeted to families with children/vulnerable persons were revised. The new Law of social assistance no. 292/2011 establishes the new principles of organising, functioning and financing of the social assistance system in Romania. The purpose of this reform was to improve the social assistance system and to increase the efficiency of all the measures in this field, by targeting all vulnerable persons.

According to Law of social assistance no. 292/2011, the national social assistance system is a set of institutions, measures and actions, through which the state, represented by central and local government authorities and civil society intervene to prevent, limit or remove the effects of temporary or permanent situations that can lead to marginalization and social exclusion of the person, family, groups or communities. The national system of social assistance intervenes subsidiary or, where appropriate, complementary to social security systems and consists of social benefits system and social services system.

Social assistance, through specific measures and actions, aims to develop individual, group or collective capacities to provide social needs, increase the quality of life and promote cohesion principles and social inclusion.

  

According to Law of social assistance no. 292/2011, social assistance benefits, depending on their purpose, are classified as follows:

    a) social benefits for the prevention and combating poverty and social exclusion risk;

    b) social assistance benefits for child and family support;

    c) social assistance benefits to assist people with special needs;
    d) social assistance benefits for special situations.

This information can be found at page 96 (Comment made by Andrada Trusca)

The Minimum Inclusion Income (MII) will represent the main supporting instrument/program for preventing and combating poverty and the risk of social exclusion, being granted from the state budget, as a difference between the level of benefits regulated by the law and the net income of the family or single person, earned during a certain period of time. The purpose of the program is to guarantee a minimum level of income to every person in Romania. The MII project regulates the categories of financial support, which are the components of the minimum inclusion income: inclusion aid, allowance for families with children, dwelling supplement. The inclusion aid covers the food poverty of the family, a component which is currently regulated by the guaranteed minimum income (GMI), the allowance for families with children covers the additional needs of a family with childcare responsibilities, a component which is currently regulated by the family support allowance (FSA), the dwelling supplement covers fuel poverty, a component which is currently regulated by the heating benefits (HB). The income of the family is calculated according to the dimension of the family by using equivalence coefficients reflecting the distribution of consumption (1 for the first adult in the family and 0,5 for each of the other members of the family = equivalent adult). The new program establishes a single minimum threshold of 260 lei per equivalent adult, this amount targeting the poorest 10% of the population. Also, the amount of the inclusion aid for the single person will be increased by 83% compared to the current situation and the pro-work component of the new program will be strengthened, by introducing financial incentives in all components of the MII and exempting part of the earnings from work, in such a way that the social action changes its outcome from a reactive intervention to a proactive one.

Fight against poverty and social exclusion continues to be a national priority and the reform of the minimum income program is planned to be finalized in April 20192021. In October 2016 the Romanian Parliament adopted the Minimum Inclusion Income Law no. 196/2016 which will enter into force starting from April 2019. According to the Government Emergency Ordinance no. 82/2017 was approved the prorogation of the implementation of the minimum inclusion income law until April 2019 in order to ensure that all the administrative measures for the implementation of this law will be ready.

The implementation of the Law no. 196/2016 depends on the elaboration of the National Information System for Social Assistance and also, on the capacity of the local public administration authorities to ensure data processing of the beneficiaries and to verify the eligibility criteria. All the applications forms and all the justifying documents which will be submitted by the beneficiaries in order to receive the minimum inclusion aid, has to be electronically processed by the Local Council staff using the National Information System for Social Assistance.

In November 2018, the Government approved the prorogation of Minimum Inclusion Income law, until 2021, according to the Government Emergency Ordinance no. 96/2018. The decision was to maintain the application of the actual Law no. 416/2001 on Minimum Guaranteed Income, with subsequent amendments and completions, for a period of at least 2 years, in order to have time to develop and test the IT system, to be sure that it will take over all the actual payments, without affecting the actual rights of the beneficiaries.

VII - 2. Contingency covered

Article 40. C102 and ECSS

The contingency covered shall be responsibility for the maintenance of children as prescribed.

§1(e) Article 1. C102, §1(h) Article 1. ECSS

The term “child” means a child under school leaving age or under 15 years of age, as may be prescribed.

Family benefits are granted to the family and take into account childbirth, education and childcare. The types of family benefits granted during 1 July 2011 to 30 June, 20182019:

State allowance for children is a universal right, granted by the State for all children up to age 18, without discrimination. Young people, after age 18, attending high school or professional school, are entitled to state allowance for children up to the completion of these studies. Also children of residing foreign citizens and stateless persons enjoy this right under the law in Romania. State allowance is given in different amounts, as  follows (amounts for 20182019, starting with 1st of April):

o         84 150 lei for children with the age between 2 years and 18 years old, and also for young people after the age of 18 until they finish the educational courses or vocational educational courses.

o         200 300 lei for children with the age up to 2 years old or up to 18 years old, in the case of children with disability.

Type of benefit

Age of the children

July 2011 - 2014

(lei)

2015

(lei)

2016 - March 20172019

(lei)

Sem. I April 20182019

(lei)

State allowance for children (amounts incresead starting from  June 2015)


children >  2 years

42

42/ 84 (June 2015)

84

84150

Child with disability> 3 years

42

84/200 (June 2015)

200

200300

children < 2 years

200

200

200

200300

Child with disability < 3 years

Placement monthly allowance, is given in support of the person or legal representative of the family who took in placement one or more children. Allowance is granted from the state budget for each child or young person who benefits from the measure of placement to a person, family, guardian, foster parent or to residential care organized by an authorized private body.

Monthly amounts of placement allowance for 2016 - 2018 2019 is 600 lei and for children with disabilities this amount is increased by 50%, reaching 900 lei. This allowance is paid until the age of 18 years old of the child and after 18, if the measure of placement is continued after this age, according to Law no. 272/2004.  On request of the young person, expressed after the age of 18, if he/she continues studying on daily courses, the placement measure is granted for the whole period of studies, up to the age of 26.

Type of benefit

July 2011 - 2013

(lei)

2014

(lei)

2015 - 20172018

(lei)

Sem. I

20182019

(lei)

Placement monthly allowance (amounts increased starting from December 2014)

97/145 (for child with disability)

97/145 (for child with disability) amounts increased starting from December 2014

600/900 (for child with disability)

600/900 (for child with disability)

600/

900

(for child with disability)

The allowance for family support replacethe former allowance for family support starting with 2011 and is given differently depending on family structure and revenues. The allowance is granted to families consisting of husband, wife and dependent children aged up to 18 years who live together. Families whose members are Romanian citizens residing in Romania benefit from this allowance, as well as foreign citizens or stateless persons resident or, if applicable, residing in Romania. Adopted children, children in foster care or custody or guardianship for which tutorship was established,  are considered as part of the family.

These allowances are granted to families with children who have net monthly income per family member up to 530 RON. The amounts of these benefits varied by type of family and number of children as follows:

·             Allowance for two parents families with incomes between 0-200 RON/person:
     a) 82 RON for families with one child;

     b) 164 RON for family with 2 children;

     c) 246 RON for family with 3 children;

     d) 328 RON for family of 4 or more children.

·             Allowance for two parent families with incomes between 201-530 RON/person:
     a) 75 RON for families with one child;

     b) 150 RON for family with 2 children;

     c) 225 RON for family with 3 children;

     d) 300 RON for family of 4 or more children.

·             Allowance for single parent with incomes between 0-200 RON/person:
     a) 107 RON for families with one child;

     b) 214 RON for family with 2 children;

     c) 321 RON for the family with 3 children;

     d) 428 RON for family of 4 or more children.

·             Allowance for single parent with incomes between 201-530 RON/person:
     a) 102 RON for families with one child;

     b) 204 RON for family with 2 children;

     c) 306 RON for the family with 3 children;

     d) 408 RON for family of 4 or more children.

Families who have dependent children of school age receive family support allowance, given that children are in organized education. Therefore, the program increases the children's education by introducing the school attendance conditionality for school children from beneficiary families; the amount of the allowance can be adjusted or diminished based on their school absences.

Type of benefit

Type of family, level of income and number of children

July 2011 - 2012

(lei)

2013

(lei)

2014

(lei)

2015 - 2017 2018 (lei)

Sem. I 20182019

(lei)

                        The allowance for family support

Two parent families  (incomes >200 lei)

starting from July  2013 increased with 30% compared to 2012

Starting from November 2014 Increased  with 105%  compared to 2013

 - families with  1 child

30

40

82

82

82

--families with 2 children

60

80

164

164

164

 -families with 3 children

90

120

246

246

246

 -famillies with 4 and more children

120

160

328

328

328

 Two parent families  (incomes between 201 - 370 lei) starting from July 2013 (incomes between 201 - 530 lei)

starting from July  2013 increased with 30% compared to 2012

Starting from November 2014 Increased  with 127%  compared to 2013

Increased  with 127%  compared to 2013

 - families with  1 child

25

33

75

75

75

-families with 2 children

50

66

150

150

150

 -families with 3 children

75

99

225

225

225

 -famillies with 4 and more children

100

132

300

300

300

 Single parent families  (incomes >200 lei)

starting from July  2013 increased with 30% compared to 2012

Starting from November 2014 Increased  with 65%  compared to 2013

Increased  with 65%  compared to 2013

 - families with  1 child

50

65

107

107

107

-families with 2 children

100

130

214

214

214

 -families with 3 children

150

195

321

321

321

 -famillies with 4 and more children

200

260

428

428

428

 Single parent families  (incomes between 201 - 370 lei) starting from July 2013 (incomes between 201 - 530 lei)

starting from July  2013 increased with 30% compared to 2012

Starting from November 2014 Increased  with 70%  compared to 2013

Increased  with 70%  compared to 2013

 - families with  1 child

45

60

102

102

102

-families with 2 children

90

120

204

204

204

 -families with 3 children

135

180

306

306

306

 -famillies with 4 and more children

180

240

408

408

408

Parental leave and child raising indemnity (GEO no. 111/2010) is a categorical program, and was changed by Law no. 66/2016 which established new eligibility criteria for parental leave and child raising indemnity and for monthly insertion incentive. Starting from July 2016 the child raising indemnity and the insertion incentive are granted to the persons who, during the last two years prior to childbirth, earned for 12 months incomes subject to taxation according to the Fiscal Code (incomes from wages, self-employed activities and agriculture activities, , including from similar periods, according to the law). Currently there is only one type of parental leave and the child raising indemnity is a compensation, paid from the state budget, for the parents who interrupt their professional careers and take parental leave to raise children under the age of 2 years or, if a disabled child, up to 3 years.

The amount of the child raising indemnity has been established to 85% of the average professional net income earned by the parent during the last 12 months from the last two years prior to the childbirth. During the reference period (2016-20182019), the minimum amount of child raising indemnity has been increased from 1.063 lei to 1.250 lei starting from January 2018. The maximum amount of the indemnity has been established to 8.500 lei starting from September 2017.

People who are entitled to receive child raising indemnity, but still work, earning professional incomes subject to income taxation, will receive a monthly incentive insertion. The monthly insertion incentive is granted until the age of 3 years old in a monthly amount of 650 lei (starting from 1st of April 2017), if the parent decides to come back to work 60 days before the child fulfils the age of 2 years old. This incentive is in fact a measure of stimulating the parents returning to work before the child reaches the age of 2 or 3 years, if disabled child.

Has the right to the child raise indemnity and to the insertion incentive, optionally, any of the parents and also one of the persons who adopted the child, who has a child entrusted for adoption, who has a child in placement or in emergency placement, excepting the foster care person, and also the guardian person. The two benefits are granted for each birth or, as the case may be, for any of the situations aforementioned. 

Benefits and aids for raising the children with disability (articles 31 and 32 from Government Emergency Ordinance no.111/2010 on parental leave and child raising benefits, with subsequent amendments). Granted to persons with children with disabilities, up to the age of 7 years old or granted to the persons with disability who became a parent. During the reference period 2016-20182019, the amount of the child raising indemnity, for parents who take care of a child with disability, aged between 3 and 7years old, who are entitled to parental leave, has been increased from 450 lei to 1.250 lei, starting from January 2018. Also, the amounts of benefits and aids granted to persons/parents who take care of children with disabilities and also those granted to persons with disabilities who take care of children, have been increased. Amounts between 188 lei and 563 lei.

-     monthly benefit for raising the child with disability, in amount of1.250 lei, granted to the persons who take care of children with disabilities, aged between 3 and 7 years old, who benefited from the rights established by GEO no. 111/2010 and who choose to continue with the parental leave until the age of 7 years old of the child.

-     monthly aid  for raising the child with disability, in amount of563 lei (45% from the minimum amount of child raising indemnity), granted to persons with high/pronounced disabilities, who take care of children with disabilities, aged between 0 and 3 years old, who don’t earn any income besides the social assistance benefits for disabled persons.

-     monthly aid  for raising the child with disability, in amount of438 lei (35% from the minimum amount of child raising indemnity), granted to persons with high/pronounced disabilities, who take care of children with disabilities, aged between 3 and 7 years old, who don’t earn any income besides the social assistance benefits for disabled persons.

-     monthly aid for raising the child with disability, in amount of 438 lei (35% from the minimum amount of child raising indemnity), granted to persons who take care of children with disabilities, aged between 0 and 3 years old, who do not fulfil the conditions established by GEO no. 111/2010 for parental leave and child raising indemnity.

-     monthly aid for raising the child with disability, in amount of 188lei (15% from the minimum amount of child raising indemnity), granted to persons who take care of children with disabilities, aged between 3 and 7 years old, who do not fulfil the conditions established by GEO no. 111/2010 for parental leave and child raising indemnity.

-     monthly aid for raising the child, in amount of 563 lei (45% from the minimum amount of child raising indemnity), granted to persons with high/pronounced disabilities, who take care of children aged between 0 and 2 years old, who do not fulfil the conditions established by GEO no.  111/2010 for parental leave and child raising indemnity.

-     monthly aid for raising the child, in amount of 188 lei (15% from the minimum amount of child raise benefit), granted to persons with high/pronounced disabilities, who take care of children aged between 2 and 7 years old, who do not fulfil the conditions established by GEO no.  111/2010 for parental leave and child raise benefit.

The new legal provision has been also setting up a new type of benefit for parents who take care of a child with disability and who are active on the labour market, having a part time contract.  The new benefit will be 50% from the minimum child raising indemnity (625 lei) and can be cumulated with the salary.

Type of benefit

July

2011 - 2012

(lei)

2013 - 2015

(lei)

2016

(lei)

2017

(lei)

2018 -

Sem. I 20182019

(lei)

Child raising  benefit

75% from the average of the  professional net incomes earned in the last 12 months before the child birth date, which cannot be less than 600 lei and more than 1.200 lei or 3.400 lei. (from October 2012 85% according to  Law no..166/2012)

85% from the average of the  professional net incomes earned in the last 12 months before the child birth date, which cannot be less than 600 lei and more than 1.200 lei or 3.400 lei.

85% from the average of the  net incomes earned in the last 12 months from the the last two years prior to  child birth date, which cannot be less than 85% of the minimum gross wage(1.063 lei until 30 January 2017)

85% from the average of the  net incomes earned in the last 12 months from the the last two years prior to  child birth date, which cannot be less than 85% of the minimum gross wage (minimum amount 1.233 lei from 1st February 2017)

maximum amount 8.500 lei from September 2017)

85% from the average of the  net incomes earned in the last 12 months from the the last two years prior to  child birth date, which cannot be less than 1.250 lei minimum amount from January 2018)

maximum amount 8.500 lei from September 2017)

Benefits and aids for raising the children with disabilities (granted to persons who take care of children with disabilities or for persons with disabilities who take care of children )

150/300/

450

150/300/

450

159/372/

478/531

185/432/

555/616

188/438/563/625

Insertion incentive

500

500

532

616/650 from 1st April 2017)

650

Gift vouchers and nursery vouchers are value vouchers given by employers to employees who do not take parental leave and do not benefit from parental indemnity to raise children, but receive services in nurseries. The monthly amount given in the form of nursery vouchers, as of January 2019May 2018 is 450 RON (according to the Law no. 165/2018 regarding vouchers ticketsOrder of the Minister of Labour and Social Justice no. 1619/2018). These sums are paid by the employer, within the limits approved for staff salaries.

Type of benefit

July 2011

(lei)

2012

(lei)

2013

(lei)

2014

(lei)

2015 - April 20172018

(lei)

May 2018 - Sem. I 20182019

(lei)

Nursery vouchers

Starting from February  370/ Starting from October 370

Starting from May 400/ Starting from November 400

Starting from May 420/ Starting from November 430

Starting from May 430/ Starting from November 440

Starting from May 440/

 Starting from November 440

Starting from May 450

Special benefits for disabled children (art. 58 praragraph (5) from Law no.448/2006):

The parent, the legal representative of a child or the person who is taking care of the child with disability based on a special protection measure, has the right to social benefits for disabled children, during the period in which the child is in his care or supervision. The amounts (20182019) are differentiated by the degree of disability of the child as follows:

a)   5060% of ISR (250 300 lei) in caseof the child with severe disability;

b)  3035% of ISR (150 175 lei) in caseof the child with pronounced disability;

c)   1012% of ISR (50 60 lei) in caseof the child with medium disability.

Type of benefit

July 2011 - 2014

(lei)

2015 - 2017

(lei)

 June 20162018

(lei)

July 2018

-Sem. I 2019

Social benefits for persons who take care of disabled children  (the amounts are increased starting from January July 2018)

91/68/35,5

106/79/39

250/150/50

         300/175/60

VII - 3. Persons protected

Article 41. C 102 and ECSS

The persons protected shall comprise, [as regards the periodical payments specified in Article 42 - ECSS]:

(a) prescribed classes of employees, constituting not less than 50 per cent of all employees; or

(b) prescribed classes of the economically active population, constituting not less than 20 per cent of all residents.

[(c) all residents whose means during the contingency do not exceed prescribed limits – C102].

The resident population in January 2016, according to TEMPO Online, was 19.760.314 persons. Based on TEMPO Online, economically active populationin 2016 was 8.978.646 persons.

In Romania, in 2016, economically active population represents 45% of all resident population.

The resident population in January 2017, according to TEMPO Online, was 19.644.350 persons. Based on TEMPO Online, economically active populationin the first quarter of 2017 was 8.804.253 persons.

The resident population in January 2018, according to TEMPO Online, was 19.530.631 persons. Based on TEMPO Online, economically active populationin the first quarter of 2018 was 8.890.838 persons.

In Romania, in the first quarter of 2017, economically active population represents about 44% of all resident population.

In Romania, in the first quarter of 2018, economically active population represents about 45% of all resident population.

In accordance with Law no. 292/2011 on social assistance all Romanian citizens who are on the Romanian territory, domicile or residence in Romania, citizens of EU Member States, of the European Economic Area and Swiss Confederation, foreigners and stateless persons domiciling or residing in Romania are entitled to social assistance under the Romanian law and the EU regulations as well as the agreements and treaties to which Romania is a party, without any discrimination. The aforementioned persons have the right to be informed on the content and modalities for granting social assistance measures and actions. The right to social assistance is granted on request or ex officio, as the case may be, in accordance with the law.

The social assistance system, according to the Romanian legislation, is a component of the social protection system, and includes social services and social assistance benefits, based on the non-contributory principle.

With the entry into force of Law no. 292/2011, the syntagm "social benefits" was replaced by that of "social assistance benefits", in line with the terminology currently used in the field at European level.

Based on all these provisions, one may conclude that the reporting regarding the ECSS’ chapter on family benefits is done under subparagraph b) of Article 41.

FAMILY BENEFITS

Monthly average   number of beneficiaries Sem. II 2011

Monthly average   number of beneficiaries

2012

Monthly average   number of beneficiaries 2013

Monthly average   number of beneficiaries 2014

Monthly average   number of beneficiaries 2015

Monthly average   number of beneficiaries

2016

Monthly average   number of beneficiaries

2017

Monthly average   number of beneficiaries

Sem. I 2018

1.

State allowance for children

Total

3.806.457

3.825.080

3.779.894

3.727.859

3.691.195

3.662.793[5]

3.635.792

3.644.199

2.

Allowance for family support

368.901

301.586

260.416

247.620

277.624

273.337

257.538

237.236

3.

Placement allowance

44.007

40.810

40.352

39.165

40.033

40.735

41.039

41.071

4.

Child raising indemnity

185.865

160.028

142.170

139.572

138.350

141.151

159.369

173.677

5.

Insertion incentive

10.864

18.885

30.780

33.659

37.384

41.334

74.593

90.224

6.

Special allowances to raise a disabled child

Total, of which:

6.805

6.995

7.873

8.497

8.566

8.644

8.999

9.276

Allowance to raise a disabled child, for children with disabilities aged 3 to 7 years;

3.555

3.680

4.063

4.291

4.059

3858

4.087

4.502

Monthly allowance given to a person with severe disabilities who do not make any income, until the child reaches the age of 3 years;

26

28

28

38

46

71

104

92

Monthly allowance given to a person with severe disabilities who do not make any income, for children aged 3 to 7 years;

100

98

92

99

102

153

122

110

Monthly allowance paid to the person that does not qualify for the parental leave and monthly allowance to raise a child, until the child reaches the age of 3 years;

90

139

157

211

269

186

158

118

Monthly support paid to the person that does not qualify for the parental leave and monthly allowance to raise a child, for children aged 3 to 7 years.

608

523

569

575

591

547

737

663

Monthly allowance paid to a person with severe disabilities that does not qualify for the parental leave and monthly allowance to raise a child, until the age of 2 years

915

902

1.030

1.192

1.237

1.132

919

810

Monthly allowance paid to a person with severe disabilities that does not qualify for the parental leave and monthly allowance to raise a child, for children aged 2 to 7 years

1.511

1.625

1.934

2.091

2.262

2.573

2.774

2.814

7.

Monthly complementary budget for children

59.354

59.946

60.156

59.068

60.276

61.361

61.362

64.570

Total, of which:

Children with severe disability

29.685

30.624

31.740

31.970

32.760

33.476

37.163

39.772

Children with pronounced disability

12.468

12.178

11.922

12.176

12.793

13.146

9.701

10.072

Children with pronounced disability

17.201

17.144

16.494

14.922

14.723

14.739

14.462

14.726

TOTAL number of  family benefits granted at national level

4.482.253

4.413.330

4.321.641

4.225.440

4.253.428

4.229.355

4.238.692

4.260.253.

FAMILY BENEFITS

Monthly average   number of beneficiaries 2018

Monthly average   number of beneficiaries Sem. I 2019

1.

State allowance for children

3.610.503

3.640.336

2.

Allowance for family support

224.437

197.512

3.

Placement allowance

40.083

39.826

4.

Child raising indemnity

174.328

179.842

5.

Insertion incentive

90.427

91.836

6.

Special allowances to raise a disabled child

Total, of which:

9.389

9.941

Allowance to raise a disabled child, for children with disabilities aged 3 to 7 years;

4.653

5.243

Monthly allowance given to a person with severe disabilities who do not make any income, until the child reaches the age of 3 years;

89

75

Monthly allowance given to a person with severe disabilities who do not make any income, for children aged 3 to 7 years;

143

121

Monthly allowance paid to the person that does not qualify for the parental leave and monthly allowance to raise a child, until the child reaches the age of 3 years;

121

96

Monthly support paid to the person that does not qualify for the parental leave and monthly allowance to raise a child, for children aged 3 to 7 years.

623

595

Monthly allowance paid to a person with severe disabilities that does not qualify for the parental leave and monthly allowance to raise a child, until the age of 2 years

828

693

Monthly allowance paid to a person with severe disabilities that does not qualify for the parental leave and monthly allowance to raise a child, for children aged 2 to 7 years

2.748

2.890

Monthly benefit for parents who are active on the labour market, with a part time contract and who take care of a child with disability

184

228

7.

Monthly complementary budget for children

62.221

63.706

Total, of which:

Children with severe disability

37.604

39.424

Children with pronounced disability

10.092

9.476

Children with pronounced disability

14.525

14.808

TOTAL number of  family benefits granted at national level

4.211.388

4.222.999

According to the data provided by INS, TEMPO -online-, the resident population  at 1st of January 2016 on age groups, the total number of all resident children aged 0-18 years was 3.937.035 in January 2016. According to the data provided by INS, TEMPO -online-, the resident population  at 1st of January 2017 on age groups, the total number of all resident children aged 0-18 years was 3.918.293 in January 2017.

According to the data provided by INS, TEMPO -online-, the resident population at 1st of January 2018 on age groups, the total number of all resident children aged 0-18 years was 3.893.734 in January 2018.

VII - 4. Types of Benefit

Article 42. C102 and ECSS

The benefit shall be:

(a) a periodical payment granted to any person protected having completed the prescribed qualifying period; or

(b) the provision to or in respect of children of food, clothing, housing, holidays or domestic help; or

(c) a combination of (a) and (b).

The specific legislation regulating the system of family allowances provides for the amount of money allocated from the state budget.

year 20189, 1st semester

FAMILY BENEFITS

Amounts

 (lei)

Periodicity

1.

State allowance for children:

Up to 2 years or 3 years for children with disabilities

After 3 years (children with disabilities)

After 2 years

200300

200300

84150

Monthly

2.

Allowance for family support

Monthly

2.1.

Allowance for two parents families with incomes between 0-200 RON/person:

·       families with one child

·       families with two children

·       families with three children

·       families with four or more children

82

164

246

328

Monthly

2.2.

Allowance for two parents families with incomes between 201-530 RON/person:

·      families with one child

·      families with two children

·      families with three children

·      families with four or more children

75

150

225

300

Monthly

2.3.

Allowance for single-parent family with incomes between 0-200 RON/person:

·      families with one child

·      families with two children

·      families with three children

·      families with four or more children

107

214

321

428

Monthly

2.4.

Allowance for single-parent family with incomes between 201-530 RON/person:

·       families with one child

·       families with two children

·       families with three children

·       families with four or more children

102

204

306

408

Monthly

2.5.

Placement allowance

- for disabled children

600

900

Monthly

8.

§  Child raise indemnity

INFORMATII SUPLIMENTARE

Minimum 1.250

Maxiumum 8.500

the amounts have increased  from 1st January 2018, please see pages 97-99

Monthly

9.

§  Insertion incentive

INFORMATII SUPLIMENTARE

650

Monthly

10.

Special benefitd/aids for raising the disabled child

Allowance to raise a disabled child, for children with disabilities aged 3 to 7 years;

Monthly allowance given to a person with severe disability who do not make any income until the child reaches the age of 3 years;

Monthly allowance given to a person with severe disability who do not realize incomes, for children aged 3 to 7 years;

Monthly allowance paid to the person that does not qualify for the parental leave and monthly allowance to raise a child, until the child reaches the age of 3 years;

Monthly allowance paid to the person that does not qualify for the parental leave and monthly allowance to raise a child, for children aged 3 to 7 years

Monthly allowance paid to a person with severe disability  that does not qualify for the parental leave and monthly allowance to raise a child, until the age of 2 years

Monthly allowance paid to a person with severe disability  that does not qualify for the parental leave and monthly allowance to raise a child, for children aged 2 to 7 years.

the amounts have increased  from 1st January 2018, please see pages 97-99

1.250

563

438

438

 

188

563

188

the amounts have increased  from 1st January 2018, please see pages 97-99

Monthly

11.

Social benefits for persons who take care of disabled children  (the amounts are increased starting from January 2018)

250 300 for severe disability

150 175 for pronounced disability

50 60 for medium disability

      Monthly

Starting from June 2015 entered into force the G.E.O no. 65/2014 amending and supplementing certain legal acts. According to these provisions were increased the amounts of certain family benefits such as:

-       Allowance for family support, (Law no. 277/2010 on family support allowance, republished); the amounthas been increased starting from November 2014, (for two parents family the minimum amount is 82 lei and the maximum amount is 328 lei). (for single parent family minimum amount is 107 lei and the maximum amount is 428 lei).

-       Placement allowance, (Law no. 272/2004 on the protection and promotion of children's rights, republished); the amount has been increased starting from 1st  December 2014, from 97 lei to the value of 600 lei, and for children with disabilities, HIV or AIDS, the sum of the amounts required for granting rights increased from 146 lei to 900 lei; procedure for determining and paying the monthly placement allowance was established by Order no. 1733/2015 of M.M.F.P.S.P.V;

-       Also, the single Article, point 1 of Law no. 125/2015 changed the amount of the state allowance for children provided by Law no. 61/1993 on state allowance for children. The amount was increased  since June 2015, as follows :

·           84 leifor children with the age between 2 years and 18 years old, and also for young people after the age of 18 until they finish the educational courses or vocational educational courses.

·           200 leifor children with the age up to 2 years old or up to 18 years old, in the case of children with disability.

During the reference period (2016-2018), the minimum amount of child raising indemnity has been increased from 1.063 lei to 1.250 lei starting from January 2018. The maximum amount of the indemnity has been established to 8.500 lei starting from September 2017.

During the reference period 2016-2018, the amount of the child raising indemnity, for parents who take care of a child with disability, aged between 3 and 7years old, who are entitled to parental leave, has been increased from 450 lei to 1.250 lei, starting from January 2018.Also, the amounts of benefits and aids granted to persons/parents who take care of children with disabilities and also those granted to persons with disabilities who take care of children, have been increased. Amounts between 188 lei and 563 lei.

During the reference period (July 2018 - June 2019), the amounts of certain family benefits were increased, such as:

-       Child state allowance: the amount increased starting with 1st of April 2019, according to Government Emergency Ordinance no. 9/2009:

o    150 lei for children with the age between 2 years and 18 years old, and also for young people after the age of 18 until they finish the educational courses or vocational educational courses.

o    300 lei for children with the age up to 2 years old or up to 18 years old, in the case of children with disability.

-       Social benefits for persons who take care of disabled children: the amounts have increased  starting with 1st July 2018, such us:

o  300 lei for severe disability

o  175 lei for pronounced disability

o  60 lei  for medium disability

VII - 5. Qualifying period

Article 43. ECSS.

The benefit specified in Article 42 shall be secured at least to a person protected who, within a prescribed period, has completed a qualifying period which may be one month of contribution or employment, or six months of residence, as may be prescribed.

Article 43. C102

The benefit specified in Article 42 shall be secured at least to a person protected who, within a prescribed period, has completed a qualifying period which may be three months of contribution or employment, or one year of residence, as may be prescribed.

§1(f) Article 1. C102, §1(i) Article 1. ECSS

The term qualifying period means a period of contribution, or a period of employment, or a period of residence, or any combination thereof, as may be prescribed.

Allocation of family benefits covers all persons living in Romania without requiring a period of residence. The only condition of eligibility is to have the residence in Romania, no matter the period of residence. Only for the child raising benefit and for the monthly insertion incentive another condition of eligibility is to earn for 12 months incomes subject to taxation according to Fiscal Code. We should mention that the system of social assistance, family allowances as part of it, is a non-contributory system and all the family benefits are paid from the state budget, including the child raising indemnities and the insertion incentive.

VII - 6. Level and Calculation of Benefit

Article 44. C102 and ECSS

The total value of the benefits granted in accordance with Article 42 to the persons protected shall be such as to represent:

[(a) 3 per cent. of the wage of an ordinary adult male labourer, as determined in accordance with the rules laid down in Article 66, multiplied by the total number of children of persons protected; - C102 ] or

(b) 1.5 per cent. of the said wage, multiplied by the total number of children of all residents.

The reports for the period July 2011 - June 2016 2019 is are taking into account the average monthly gross incomes in manufacturing economic activity, data source: INS, Annex to this Report.

Acoording to the data provided by INS (National Institute for Statistics), Statistical survey on salaries in month October for the period 2011-2012, the average monthly gross earnings in October of an ordinary adult male labourer in 2011 was 1.177 lei and in 2012 was 1.246 lei. Based on administrative dataprovided by INS the average monthly gross income in October of an ordinary adult male labourer obtained in 2013 was 1223 lei. Average monthly gross earnings in month October, 2014 are 1.405 lei.

Based on the data provided by INS (National Institute for Statistics), Statistical survey on salaries in month October2015 the average monthly gross income obtained in October was1.611 lei/men employee in elementary occupations.

Based on the data provided by INS (National Institute for Statistics), Statistical survey on salaries in month October 2016,the average monthly gross income obtained in October was 1.964 lei/men employee in elementary occupations.

Based on the data provided by INS (National Institute for Statistics), Statistical survey on salaries in month October 2017,the average monthly gross income obtained in October was 2.267 lei/men employee in elementary occupations.

The total number of all resident children aged 0-18 years, the resident population  at 1st of January on age groups, data source TEMPO, INS:

2011

2012

2013

2014

2015

2016

2017

2018

 Age groups

 No. of children 

 No. of children 

 No. of children 

 No. of children 

 No. of children 

No. of children 

No. of children 

No. of children 

 0- 4 years

1.049.838

1.036.065

1.000.902

963.275

957.202

953.912

971.186

991.367

 5- 9 years

1.055.182

1.056.380

1.059.569

1.064.818

1.069.067

1.061.963

1.035.636

1.007.808

 10-14 years

1.092.499

1.091.804

1.079.138

1.066.516

1.054.815

1.049.118

1.050.202

1.053.304

 15-18 years

886.498

878.432

872.230

863.594

865.371

872.042

861.269

841.255

 Total

4.084.017

4.062.681

4.011.839

3.958.203

3.946.455

3.937.035

3.918.293

3.893.734

Year 2011: 1,5% X 1.177 lei X 4,084,017 = 72,103,320.13lei

Year 2012: 1,5% X 1.246 lei X 4,062,681 = 75,931,507.89 lei

Year 2013: 1,5% X 1.223 lei X 4,011,839 = 73,597,186.45 lei

Year 2014: 1,5% X 1.405 lei X 3,958,203 = 83,419,128.22 lei

Year 2015:  1,5% X 1.611 lei X 3,946,455 = 95,366,085.07 lei

Year 2016:  1,5% X 1.964 lei X 3,937,035 = 115,985,051.10 lei

Year 2017:  1,5% X 2.2671.964 lei* X 3,918,293 = 133,241,553.46115,432,911.78 lei

Year 2018: 1,5% X 2.267 lei* X 3,893,734 = 132,406,424.67 lei

·                     * for the yaer 2018, Wwe have used the same income reported for the year 2016 2017 because NIS didn’t publish yet the average monthly gross income in month October for 20172018.

Amounts paid

-lei-

Family benefits

Sem. II 2011

2012

2013

2014

2015

2016

1. State allowance for children

1.397.650.944

2.762.798.774

2.718.491.547

2.684.862.102

3.541.590.789

4.415.501.616

2. Allowance for family support

132.625.738

216.861.399

215.061.950

260.682.745

535.518.000

525.919.920

3. Placement Allowance

26.219.657

53.002.893

51.833.331

71.387.819

317.207.573

324.894.200

4. Child raise indemnity

1.051.847.883

1.760.287.099

1.534.501.939

1.552.480.562

1.578.924.746

2.060.258.501

5. Monthly insertion incentive

13.949.487

98.023.210

189.548.710

207.880.985

230.358.988

263.932.900

6 .Special benefits/aids for raising a disabled child

15.431.973

31.760.431

34.900.103

37.356.001

36.238.816

48.060.642

7. Complementary monthly budget children

24.752.355

50.270.544

51.019.020

50.845.500

59.975.749

61.941.732

TOTAL

2.662.478.037

4.973.004.350

4.795.356.600

4.865.495.714

6.299.814.661

7.700.509.511

 

Amounts paid

-lei-

Family benefits

2017

Sem.I 2018

Sem.I 2019

1. State allowance for children

4.396.915.235

2.204.787.802

2.705.750.879

2. Allowance for family support

501.271.395

231.911.867

194.969.893

3. Placement Allowance

328.099.871

161.653.309

157.335.028

4. Child raise indemnity

3.409.448.738

1.970.144.700

2.212.699.566

5. Monthly insertion incentive

575.599.491

352.877.398

357.119.116

6 .Special benefits/aids for raising a disabled child

77.321.616

42.898.832

48.107.069

7. Complementary monthly budget children

63.236.100

66.831.018

86.241.375

TOTAL

9.351.892.446

5.031.104.926

5.762.222.926

VII – 7. Duration of Benefit

Article 45. C102 and ECSS

Where the benefit consists of a periodical payment, it shall be granted throughout the contingency.

State allowance for children is a universal right, granted by the State for all children up to age 18, without discrimination. Young people, after age 18, attending high school or professional school, are entitled to state allowance for children up to the completion of these studies.

VII - 8. Suspension of Benefit

Article 69. C102, Article 68. ECSS

A benefit to which a person protected would otherwise be entitled in compliance with any of Parts II to X of this Convention may be suspended to such extent as may be prescribed--

(a) as long as the person concerned is absent from the territory of the Member;

(b) as long as the person concerned is maintained at public expense, or at the expense of a social security institution or service, subject to any portion of the benefit in excess of the value of such maintenance being granted to the dependants of the beneficiary;

(c) as long as the person concerned is in receipt of another social security cash benefit, other than a family benefit, and during any period in respect of which he is indemnified for the contingency by a third party, subject to the part of the benefit which is suspended not exceeding the other benefit or the indemnity by a third party;

(d) where the person concerned has made a fraudulent claim;

(e) where the contingency has been caused by a criminal offence committed by the person concerned;

(f) where the contingency has been caused by the wilful misconduct of the person concerned;

The procedure for suspension of payments for family benefits is provided in special legislation regulating the system.

Payment of state child allowance is suspended when within 3 months the child's legal representative has not cashed the due rights. Resumption of payment, including payment of arrears is made on request in writing by the child's legal representative. In the event that the child's legal representative changes, state child allowance payments shall be suspended until the establishment of the new legal representative, the payment will be made, including the period of suspension.

Payment of allowance for family support shall be suspended in the month following the one when it is ascertained  one of the situations bellow:

·      during the placement or emergency placement of the child in a residential care service.

In the last semester of the year 2016 we have registered 15.750 cases of suspension of benefits for this reason. But this measure is not more applicable from January 2017.

According to Government Emergency Ordinance no. 93/2016 for establishing some measures of administrative simplification in the process of granting social assistance benefits and for establishment of some budgetary measures for these in 2016, it was proposed a flexible way of granting family support allowance, meaning that if in a family with several children of school age, one of the child accumulate unexcused absences in a semester more than 20, the right to the family support allowance will not be suspended for the rest of the family members, will be only diminished because this child will not be taken into account in determining the amount of the family support allowance. By this measure is ensured the right to family support allowance for the other children of that family who will benefit from a financial support if they attend further educational courses;

According to GEO no. 93/2016 it was eliminated also this conditionality/ obligation of the person to submit every 3 months a declaration and supporting documents attesting that conditions for granting the benefit  are  maintained, the beneficiary having the obligation to notify any change on family composition and the income of its members;

·      in case the paying institution (county agency for payments and social inspection) finds out that the right to family support allowance was established  based on inaccurate data on income or family composition or changes have occurred during their grant;

·      for a period of 3 consecutive months there were registered money orders returned for the holder of the family support allowance.

·      following the control of the social inspectors or of the representatives of the Court of Accounts have been found erroneous data on family composition or incomes of the beneficiaries.

Payment of the child raising indemnity and of the monthly insertion incentive can be suspended from the month following the one when it is ascertained one of the situations bellow:

a)       the recipient is deprived of parental rights;

b)       the recipient is removed by law from exercising guardianship;

c)        the recipient no longer meets the conditions prescribed by law for custody of the child for adoption;

d)       the recipient no longer meets the conditions prescribed by law to maintain the measure of placement;

e)       the recipient is executing a sentence of imprisonment or detention in custody for more than 30 days;

f)         the child is abandoned or is placed in a public or private care institution;

g)       the beneficiary has deceased; according to Law, only the parents are considered beneficiaries of these benefits;

h)       it is found that for 3 consecutive months money orders sent by post are returned.

i) beneficiary earns incomes subject to income tax by  pursuing a professional activity during the parental leave and during a calendar year the level of these incomes exceeds three times the minimum amount of child raise indemnity (for 2018 3*1.250 lei=3.750 lei)

Payment of rights representing child raising indemnity and monthly insertion incentive can be suspended also when the person/beneficiary no longer meets the conditions stipulated at article 12 from GEO no. 111/2010, namely:

a)          is a Romanian citizen, foreign person or stateless person (the foreigners, who are not Romanian citizen and also all stateless persons, who are not considered as a national by any state);

b)          has, by law, the domicile or the residence in Romania;

c)           lives in Romania with the child / children for whom is requesting the rights and is in charge with his / their growth and care.

Payment of the monthly insertion incentive is also suspended from the day after the beneficiary request the right to the parental leave and no longer gets professional income subject to income tax.

Payment of the special indemnities/aids for raising a disabled child can be suspended from the month/day following the one when it is ascertained one of the situations bellow:

a) the recipient is deprived of parental rights;

b) the recipient is removed by law from exercising the guardianship;

c) the recipient no longer meets the conditions prescribed by law for custody of the child for adoption;

d) the recipient no longer meets the conditions prescribed by law to maintain the measure of placement;

e) the recipient is executing a sentence of imprisonment or detention in custody for more than 30 days;

f) the child is abandoned or is placed in a public or private care institution;

g)       the beneficiary has deceased;

h) the child doesn’t have a degree of disability or, the entitled persons is assigned to another degree of disability;

i)     it is found that for 3 consecutive months money orders sent by post are returned.

  

Payment of placement allowance can be suspended from the month following the one when it is ascertained one of the situations bellow:

a)   the young person who accomplished 18 years old didn’t present the evidence of continuing the studies, day courses form, from 6 to 6 months. 

b)  the young person for whom a placement measure was established has accomplished 18 years old and didn’t present the evidence of continuing the measure of placement, acoording to law.

c)   is found that for 3 consecutive months money orders sent by post are returned.

Payment of allowance is suspended from the day after the recipient gets professional income subject to income tax and incentive pay is suspended from the day after the recipient no longer gets professional income subject to income tax.

·         Payment of family benefits,: they are given as long as people meet the eligibility requirements under national law and EU regulations in the field of family benefits.

VII – 9. Right of complaint and appeal

See under Part XIII-2

The new Law of social assistance no. 292/2011 established new principles in the field of social assistance and the Social Mediation Commission is not functioning any more.

Every person who consider injured/harmed in his legitimate right or in a legitimate interest by a public authority, by an administrative act or by unsolving in legal term his claim may address to the competent administrative court to cancel the act, to recognize the right to claim or his legitimate interest and to repair the damage was caused.

The procedure for solving the requests/claims in contentious-administrative is stipulated in Law of the contentious-administrative proceedings no. 554/2004.

Before to address to the competent court of administrative contencious, the person who is considering himself/herself to be harmed in one of his/her right or in a legitimate interest through an individual administrative act has to request to the public authority or to the superior authority, if there is one, in a period of up to 30 days from the date of communication of the act, the ademption, in whole or in part, of this. In case of normative administrative act, the complain can be formulated anytime.

In the same time, the persons can address to National Agency for Payments and Social Inspection, which has the main goal to control the implementation of the legislation in the field, as well as to inspect the activity of the public and private institutions, which are responsible with the granting of the benefits and social services. To fulfill its role, this institution has the role to control, through which it is verifying the provisions of normative acts which are in force in the social assistance field.  

As social assistance benefits are concerned, in case that the solicitant or, where applicable, the beneficiary of social rights consider themselves wronged by the decision issued by a public institution with regard to his/her right, he/she may address a complaint in the attention of the following institutions: the President of Romania, the Romanian Government, the Ministry of Labour and Social Justice (the Directorate General for Social Assistance), the National Agency for Payments and Social Inspection, the county agencies for payments and social inspection, the local public authorities (city halls, county councils, prefectures).

VII - 10. Financing and Administration

See under Part XIII-3

Social assistance is financed by funds from the state budget, local budgets, donations, sponsorships and other contributions from individuals or domestic and foreign legal entities, recipients of contributions and other sources in compliance with relevant legislation and within the available financial resources. Social assistance benefits are financed by funding from the state budget and / or local budgets.

The National Agency for Payments and Social Inspection (ANPIS) is established as a specialized body with legal personality, subordinated to the Ministry of Labour and Social Justice (MoLSJ). The Agency operates with this denomination, with the respective prerogatives, since December 2011. In ANPIS’ subordination work the territorial agencies for payments and social inspection, as decentralized public services with legal personality, which aim to manage the system of social assistance benefits at the local level.

ANPIS’ aim is to provide a unified system for managing the process of granting social assistance benefits. The objectives of the Agency in the context of welfare reform are: increasing the coverage in the poorest categories of the population, reducing errors and fraud in the system, increasing the system’s efficiency by reducing beneficiaries’ administrative and private costs.

Through ANPIS’ organization and functioning, MoLSJ created a uniform system for paying and administration of social assistance benefits, in order to effectively manage the funds allocated. Regarding the Agency’s impact on beneficiaries, ANPIS contributed to increasing the quality of life, inter alia, by simplifying procedures for establishing entitlement to social benefits and the actual payment. ANPIS ensures equal treatment and equal opportunities for every citizen.


From the perspective of the
MoLSJ, ANPIS creates the conditions to assess accurately the number of beneficiaries and the amounts spent from the state budget. At the same time, the unified information system of ANPIS, currently in the process of improving its databases of beneficiaries in cooperation with the National House of Public Pensions (CNPP), National Agency for Employment (NAE), the Civil Registry and the National Agency for Fiscal Administration (ANAF), will allow the detection of possible abuses of the beneficiaries regarding the request for social assistance benefits.

 


Part VIII. Maternity benefit

Romania has accepted the obligations resulting from Part VIII of C102, C183 and Part VIII of the ECSS.

Category

Information available

Information missing / questions raised by the CEACR

VIII - 1. Regulatory framework

Art.46 C102/ECSS

Art.6 (1) C183

VIII - 2. Contingency covered

Art.47 C102/ECSS

VIII - 3. Persons protected

Art.48 C102/ECSS*

Art.6(5) C183

VIII - 4. Medical Care

Art.49 C102/ECSS

Art.6(7) C183

VIII - 5. Level and Calculation of benefit

Art.50 C102/ECSS*

Art.6(2-4,6) C183

VIII - 6. Qualifying period

Art.51 C102/ECSS

VIII - 7. Minimum duration of benefit

Art.52 C102/ECSS

VIII - 8. Suspension of benefit

Art.69 C102

Art.68 ECSS

VIII - 9. Right of complaint and appeal

Art.70 C102, Art.69 ECSS

VIII - 10. Financing and Administration

Art.72 C102, Art.71 ECSS

Art.6(8) C183

Art.71 C102, Art.70 ECSS*

* Please update statistical data, in accordance with the Report form for C102/ECSS.

List of applicable legislation

·         Emergency Ordinance no. 158 dated November 17th, 2005 on the leaves of absence and health insurance benefits, with the subsequent amendments and supplements (initial formpublished in the Official Gazette no. 1074, dated November 29th, 2005), as further amended and completed; 

·         Order of the Minister of Health and of the President of the National Health Insurance House no. 60/32, dated January 27th, 2006 for the approval of the application norms of the Government Emergency Ordinance no. 158/2005 on the leaves of absence and health insurance benefits, with the subsequent amendments and supplements (initial form published in the Official Gazette no. 147, dated February 16th, 2006), as further amended and completed;

·         Order of the Minister of Health and of the President of the National Health Insurance House no 15/2018 for the approval of the application norms of the Government Emergency Ordinance no 158/2005 on the leaves of absence and health insurance benefits, published in the Official Gazette no 31. Dated 12 January 2018;

·         Order of the Minister of Health and of the President of the National Health Insurance House no. 233/125/2006 approving the single medical leave certificate model and the instructions for the use and filling-in of the medical leave certificate based on which benefits are granted to the insured people within the health insurance system;

·         Law No 227/2015 on the Fiscal Code, as further completed and amended;

·         Government Decision No 1/2016 approving the Methodological Norms for the implementation of Law No 227/2015 on the Fiscal Code, as further completed and amended.

VIII - 1. Regulatory framework

Article 46. C102 and ECSS

Each Member (Contracting Party) for which this Part of this Convention (Code) is in force shall secure to the persons protected the provision of maternity benefit in accordance with the following Articles of this Part.

§8. Article 6. C183

In order to protect the situation of women in the labour market, benefits in respect of the leave referred to in Articles 4 and 5 shall be provided through compulsory social insurance or public funds, or in a manner determined by national law and practice. An employer shall not be individually liable for the direct cost of any such monetary benefit to a woman employed by him or her without that employer's specific agreement except where:

(a) such is provided for in national law or practice in a member State prior to the date of adoption of this Convention by the International Labour Conference; or

(b) it is subsequently agreed at the national level by the government and the representative organizations of employers and workers.

Article 1. C183

For the purposes of this Convention, the term woman applies to any female person without discrimination whatsoever and the term child applies to any child without discrimination whatsoever.

Database of the MISSOC:

Basic principles.

Benefits in kind:

Compulsory social insurance scheme for all inhabitants financed mainly by contributions.

Cash benefits:

Compulsory social insurance scheme financed by contributions for employees and self-employed, providing an earnings-related benefit.

VIII - 2. Contingency covered

Article 47. C102 and ECSS

The contingencies covered shall include pregnancy and confinement and their consequences, and suspension of earnings, as defined by national laws or regulations resulting therefrom.

§1 Article 6. C183

Cash benefits shall be provided, in accordance with national laws and regulations, or in any other manner consistent with national practice, to women who are absent from work on leave referred to in Articles 4 or 5.

VIII - 3. Persons protected

Article 48. C102 and ECSS

The persons protected shall comprise:

(a) all women in prescribed classes of employees, which classes constitute not less than 50 per cent of all employees, and, for maternity medical benefit, also the wives of men in these classes; or

(b) all women in prescribed classes of the economically active population, which classes constitute not less than 20 per cent of all residents,  and, for maternity medical benefit, also the wives of men in these classes.

For the medical benefits granted in case of maternity, the sub-paragraph (b) of Article 48 is applied.

Regarding the medical benefits, according to the provisions of Law no. 95/2006,

- Pregnant women are insured persons like any other Romanian citizen residing in Romania and proving the payment of health insurance contributions to the Fund.

Pregnant women benefit from insurance without the contribution, under the conditions of Art. 154 of Law no. 227/2015. In case they realize the incomes stipulated in art. 155 of the Law no. 227/2018, this income is due to the social health insurance contribution according to the regulations specific to each category of income.

 

Regarding the maternity indemnity related to the maternity and post-delivery leave of absence, the sub-paragraph (b) of Article 48 is applied.

Regarding the cash benefits for maternity, according to the provisions of Law No 95/2006, republished, the protected individuals are:

-          pregnant women insured as any other Romanian citizen, with the residence in Romania and proving the payment of the contribution to the National Unique Health Insurance Fund;

-          pregnant women and childwives, having no income or having earnings lower than the national minimum gross basic wage, without paying any contribution to the National Unique Health Insurance Fund.

Regarding the maternity leaves and benefits within the health insurance system, the persons protected during their period of domicile or residence in Romania according to the legal provisions in force until 31.12.2018, are the following:

-          persons with individual employment contracts or job mandates or carrying out any other independent professions; 

-          persons carrying out activities in elective functions or appointed within executive, legislative or court authorities, during their mandate;

-          members of handicraft cooperative organizations;

-          unemployed persons (receiving monthly earnings from the Unemployment Insurance Fund).

Same rights have also the individuals not pertaining to any of the above classes, who are: 

    -  associates, limited partners or stakeholders;

    -  members of family businesses;

    -  persons authorized to carry out independent activities;

    -  persons concluding a social security contract for maternity or ill child care leave and indemnity, if their qualifying period has started until January 1st 2006;

    - spouse of the individual enterprise holder/certified natural person who, without being registered with the Trade Registry or authorized to operate as individual enterprise holder/certified natural person, or not being employee thereof, usually participates in the activity of the individual enterprise/certified natural person, fulfilling either same tasks as the relevant individual enterprise holder/certified natural person or complementary tasks.

According to the legal provisions in force since 01.01.2018, the persons protected in respect of maternity leave and benefits are insured persons, Romanian citizens, foreign citizens or stateless persons, who, according to the law, reside in Romania, in particular:

-          individuals who earn income from an activity based on an individual employment contract, service report, posting or statutory status, as well as other income assimilated to salaries (both private and public employees from the budget environment);

-          individuals receiving unemployment benefit, according to the law;

-          individuals, other than employees, who can insure themselves in the social health insurance system in order to benefit from holidays and sickness insurance benefits, based on an insurance contract for holidays and social health insurance indemnities.

Individuals who are insured on the basis of an insurance contract choose the insured income and pay the contribution to this income that is taken into account when determining the basis of calculation of the indemnity.

There are no data concerning the number of insured individuals benefiting of maternity medical leaves and indemnities.

According to the provisions of Law No 95/2006, the wife without own earnings and being under the care of an insured individual, benefits of health insurance without paying any contribution to the Unique Health Insurance Fund.  

According to the provisions art. 224 of the Law No. 95/2006, republished, as further completed and amended, pregnant women and postpartum women benefit from insurance without payment of the contribution under the conditions of art. 154 of Law no. 227/2015, as amended and supplemented.

RF/183: please indicate the number of employed women, including those in atypical forms of dependent work, to which the qualifying conditions apply, as well as the total number of women who have been receiving cash benefits.

No data available.

VIII - 4. Medical Care

Article 49. C102 and ECSS

1. In respect of pregnancy and confinement and their consequences, the maternity medical benefit shall be medical care as specified in paragraphs 2 and 3 of this Article.

2. The medical care shall include at least:

(a) pre-natal, confinement and post-natal care either by medical practitioners or by qualified midwives; and

(b) hospitalisation where necessary.

3. The medical care specified in paragraph 2 of this Article shall be afforded with a view to maintaining, restoring or improving the health of the woman protected and her ability to work and to attend to her personal needs.

4. The institutions or Government departments administering the maternity medical benefit shall, by such means as may be deemed appropriate, encourage the women protected to avail themselves of the general health services placed at their disposal by the public authorities or by other bodies recognised by the public authorities.

In accordance with the provisions of Law no. 95/2006,

All pregnant women and boys are exempt from pregnancy, medical services related to pregnancy, and those who have no income or income below the minimum gross national salary for all medical services.

a) The medical services settled by the National Health Insurance Fund include:

Monitoring the evolution of pregnancy and lactation in primary care:

a) recording in the first quarter; a consultation is given;

b) Monthly surveillance from the 3rd to the 7th month is granted a consultation / month.

c) surveillance, twice a month, from the 7th month to the 9th month inclusive; two consultations / month are granted;

d) follow-up of lechosis at discharge from maternity - at home; a consultation is given;

 e) follow up of the confinement at 4 weeks after birth; a consultation is given.

In the framework of the pregnancy monitoring, the promotion of exclusive breastfeeding of the child up to the age of 6 months and its continuation up to a minimum of 12 months, testing for HIV, hepatitis of viral etiology with B and C virus, as well as pre- and post-test counseling HIV and lue of the pregnant woman, as well as other necessary paraclinical investigations, from those provided in the basic package.

Suppliers of primary health care services who have contracted with health insurance houses are required to register pregnant women who are not listed on another family doctor's list on their own.

For the period July 1st 2018  -June 30st 2019

 In the framework of the pregnancy monitoring, the promotion of exclusive breastfeeding of the child up to the age of 6 months and its continuation up to a minimum of 12 months, testing for HIV, hepatitis of viral etiology with B and C virus, lue of the pregnant woman, as well as other necessary paraclinical investigations, from those provided in the basic package.

Surveillance of pregnancy and lactation - in the specialty ambulatory for clinical specialties - a consultation is provided for each trimester of pregnancy and a consultation in the first trimester of birth.

For pregnancy and lactation prognosis consultations it is allowed to be presented directly to the obstetric-gynecology specialist in the outpatient clinic without the need to submit a referral note.

o In order to support pregnant women, at the level of specialized ambulatory care for clinical specialties, in addition to the services provided for this health care segment by March 31, 2018, the following medical services were introduced from 1 April 2018: purpose  diagnostic - case. These medical services for diagnosis - case are day hospitalization services that are given in the clinical specialty ambulatory, pregnant being able to present without sending note, according to the schedule, to the specialist physician in ambulatory obstetrics-gynecology who offer such services of the insured:

1. Supervision of a normal pregnancy (in the case of pregnant women who do not have medical records demonstrating the existence in the pathological personal history of rubella, toxoplasmosis, CMV infection) * 1)

Mandatory services: Obstetrics and gynecology specialty consultations, Complete blood count, ABO blood grouping, Rh blood count, Serum uric acid, Serum uric acid, Serum creatinine, Glycemia, TGP, TGO, TSH urine (sumar + sediment), VDRL or RPR, HIV testing in pregnant women, Pregnant pregnancy assessment for pregnancy-related infections (for rubella, toxoplasmosis, CMV infection, hepatitis B and C), vaginal secretion, Babeș-Papanicolau cervical and vaginal cytology (S24 - S28 + 6 days) or Fetal Biometry (S29-S33 + 6 days) or Group B Streptococcus Detection (S34 - S37) or Glucose tolerance test per os +/- Glycotic hemoglobin +6 days), confirmation ultrasound, viability and pregnancy dating

2. Prenatal screening (S11 - S19 + 6 days) * 2)

Mandatory services: obstetrics-gynecology specialization (integrative interpretation of results), Double test / triple test, Ultrasound for the detection of fetal abnormalities (S11 - S19 + 6 days)

3. Supervision of other high risk pregnancies (gestational edema)

Obligatory services: Obstetrics and gynecology specialty consultation, Complete blood count, Serum uric acid, TGP, TGO, Complete urinalysis (sumar + sediment), Urinary protein dosing, Total serum protein, Obstetrical and gynecological ultrasound

4. Supervision of other high risk pregnancies (mild pregnancy hysteresis)

Obligatory services:Obstetrics and gynecology specialty consultation, Complete blood count, Serum sodium, Serum potassium, Complete urine test (summary and sediment), Serum uric acid, Serum uric acid, Serum creatinine, Obstetrical and gynecological ultrasound

5. Supervision of other high-risk pregnancies (evaluation of pregnant uterus in third trimester)

Required services:obstetrics-gynecology specialization, cardiotocography, obstetrical and gynecological ultrasound

*1) A single package of medical services per pregnant woman is settled, when the obstetric-gynecologist specialty is counted.

The obstetrics-gynecology medical consultation includes:

- history;

- general clinical examination;

- complete gynecological and obstetrical examination;

- recommending performing paraclinical investigations and integrating their results;

- evaluation of medical and / or obstetrical risk factors and case hierarchy;

- recommendations on pregnancy monitoring;

- recommendations on hygienic-dietary and prophylactic measures and, where appropriate, therapeutics in case of identification of a pregnancy-related pathology.

Where medical services corresponding to items 1 and 2 are granted during S11 - S19 + 6 days, they may be granted concurrently with the medical services corresponding to item 3.

*2) A single package of medical services per pregnancy is settled during S11 - S19 + 6 days of pregnancy.

The basic medical services package in specialized ambulatory care for paraclinical specialties: In addition to the investigations to which insured persons are entitled, pregnant women may carry out the following laboratory tests, settled from the Unique National Health Insurance Fund:

- Determination in pregnancy of the ABO blood group - may be recommended by both the family doctor and the clinician in the specialized ambulatory,

- Determination in pregnancy of the Rh blood group - can be recommended by both the family doctor and the specialist physician in the clinic ambulatory,

- Anti-Rh antibodies specific to pregnant women - Recommendation can be made by the specialist physician in the clinic's specialty ambulatory,

- Anti-HAV IgM - The recommendation can be made by the specialist physician in the clinical specialty ambulatory and by the family doctor only for pregnant women and contact cases diagnosed by specialized doctors,

- HIV testing in pregnant women - may be recommended by both the family doctor and the clinician in the clinic.

 We mention that paraclinical investigations: Babes-Papanicolau cervico-vaginal examination, Exams from vaginal secretions - native and colorful microscopic examination, culture and bacterial identification, respectively native and colorful microscopic examination, culture and fungal identification (investigations that can be recommended including family doctor), antibiogram, antifungigram are part of the basic medical services package in special ambulatory medical care for paraclinic specialties and can be recommended for pregnant women as well as for any other insured person.

The list of paraclinical investigations of radiology - medical imaging and nuclear medicine that can be performed in the paraclinical specialty ambulatory includes also the following non-specific pregnancy-specific investigations, investigations carried out by doctors in obstetrics and gynecology with over-specialization in maternal-fetal medicine:

Obstetrical ultrasound ultrasound 2nd trimester - the recommendation can be made by the specialist physician in the clinical specialty ambulatory, and

Obstetrical ultrasound abnormal first trimester with TN - recommendation can be made by the specialist physician in the clinical specialty ambulatory.

b) The basic medical care package in hospital care includes pre-natal, intra-natal and postnatal care, where necessary.

The six types of medical services for diagnosis - the case is also found in the basic package for hospital care in the list B.4.2 - List of standardized medical services provided under day hospitalization that are also contacted in the clinic ambulatory and reimburses only if all mandatory services have been performed (new list introduced since 1 April 2018).

The list of medical cases (medical diagnosis) physically resolved in day hospitalization (list B.1 of Annex 22 to Order No.196 / 139/2017, as subsequently amended and supplemented, respectively in list B1 of Annex 22 to Order 397/836/2019 applicable from 1 April 2018) includes gestational edema, mild pregnancy mild pregnancy, bladder infections in pregnancy, maternal care for uterine scarring due to previous surgery, while the List of Day Care Hospitals (List B.3.2 of Annex 22 to Order No.196 / 139/2017, as amended and supplemented, respectively in list B1 of Annex 22 to Order 397/836/2019 applicable from 1 April 2018) (eg, rubella, toxoplasmosis, CMV, hepatitis B and C) and cordonocentesis (new service starting with April 1, 2018), including amniocentesis, corial villous biopsy, pregnancy assessment for pregnancy risk infections.

The biopsy of corial villities is settled in pregnant women in the first trimester of pregnancy, and amniocentesis in pregnant women in the second trimester of pregnancy, performed only by obstetricians and gynecologists with over-specialization in maternal-fetal medicine, for cases with major abnormalities procedure or family genetic pathology with risk of transmission to descendants - recommended by a geneticist or risk of aneuploidy greater than 1/250 after prenatal genetic screening: combined test (echographic markers and double test or triple test) ; in their respective tariffs is included the genetic testing of the samples taken.

Cordonocentesis is reimbursed to pregnant women in the second trimester of pregnancy, performed only by obstetricians and gynecologists with over-specialization in maternal-fetal medicine, for diagnosed or therapeutic indications; in their respective tariffs is included the genetic testing of the samples taken.

Genetic testing of samples taken by coronary villous biopsy, amniocentesis or cordonocentesis is performed by one of the following techniques: cytogenetics, FISH, MLPA, QF-PCR.

In List B.4.1 - List of standardized medical services provided under day-stay care that is settled only if all mandatory services have been performed (new list introduced since April 1, 2018), there is the Monitoring of pregnant pregnancy with high risk in pregnancy with hereditary and acquired clotting disorders / thrombophilia, service comprising:

- Obstetrics and gynecology specialist counseling, Antithrombin III, Protein C, Protein S, Serum hemocysteine dosing, Serum hemocysteine control, Leyden Factor V, Anticoagulant lupus screening, Confirmation of lupus anticoagulant, Obstetrical and gynecological ultrasound

This service is provided only in obstetrics-gynecology specialties hospitals and in other sanitary units with beds, which have hierarchical units or compartments of obstetrics-gynecology and neonatology in level 3 according to HMO no. 1881/2006, as subsequently amended and supplemented.

The service is given in the first or second trimester of pregnancy with at least one of the following vascular and obstetric risk factors:

• personal history of thromboembolic disease;

• family history (relatives of grade I with thromboembolic disease or positive heredocolateral positive history of thrombophilia);

• recurrent first-trimester abortions, unknown cause;

• tasks in progress;

• premature birth;

• pregnancy-induced hypertension;

• normal insertion of placenta;

• placental insufficiency.

We would like to point out that the medical services provided to day carers can also be provided under continuous hospitalization if the patient has complications or co-morbidities at risk for the patient, major bleeding that causes the problem of volumetric replenishment, anesthetic risk difficult to manage in day hospitalization, and post-procedural pain difficult to control, major associated invasive procedures.

For the medical services provided under the hospitalization, the pregnant can be addressed for the purpose of programming any provider of hospital medical services on the territory of Romania who is in a contractual relation with a health insurance house for the types of services that the pregnant woman needs.

Hospital medical services in case of childbirth are granted without an admission ticket, regardless of the patient's insurance status and are covered by the Unique National Health Insurance Fund.

Insured persons are required to pay a monthly health insurance contribution. In case of breach of the obligation, these persons benefit from medical services within a minimum package of medical services, according to the provisions of Law no. 95/2006, republished, which includes family planning services in primary care, monitoring the evolution of pregnancy and labor in the assistance primary medical and ambulatory specialty for clinical specialties, birth.

Costs incurred in presenting pregnant women to healthcare providers who have no contract with a health insurance house are borne by the beneficiary.

In the case of pregnancy, birth and consequences, the beneficiary of the medical services or its maintenance does not bear the costs of the medical services, and according to the provisions of Law no. 95/2006, republished, all pregnant women and chil-dren are exempt from pregnancy, medical services related to the evolution of pregnancy, and those who have no income or income below the minimum gross national salary for all medical services.

The value of prescription drugs for pregnant women and chil- dren is borne by the fund at the reference price.

In accordance with the provisions of Law no. 95/2006, republished, for the prevention of illnesses, early detection of illness and health protection, policyholders, either directly or through the service providers with which the insurance houses are in contractual relations, will be permanently informed by the insurance houses on the means of preserving health, reducing and avoiding the causes of illness and the dangers to which they are exposed in the case of drug, alcohol and tobacco use.

a)      The basic medical services package for medical assistance under hospitalization includes the pre-, intra- and post-partum medical care services, as the case may be, consisting of amniocentesis, biopsy of chorionic villus and (between June 1st 2014 and May 31st 2016), pregnant woman assessment to identify infections risky for the pregnancy (measles, toxoplasmosis, CMV infection, B and C type hepatitis), which are provided under one-day hospitalization regime. The chorionic villus biopsy is settled for the pregnant women in the first pregnancy quarter and the amniocentesis is settled for pregnant women in the second pregnancy quarter only if carried out by physicians specialized in obstetrics/gynecology, with supra-specialization in maternal – foetal medicine.

The hospitalized medical services in case of child delivery are provided without any admission referral and are settled from the National Unique Health Insurance Fund regardless of the patient statute of insured individual.

The individuals not proving the payment of the contribution to the National Unique Health Insurance Fund shall benefit of medical services contained in the minimum medical services package that includes family planning services under primary medical assistance, monitoring of pregnancy and post-partum condition under primary medical assistance and specialized ambulatory regime and child delivery-related hospital care services.

See 2018 CEACR’s conclusions under Part II-10.

In case of pregnancy and child birth and consequences thereof, the beneficiary of the relevant medical services or her wage earner does not bear the costs of the relevant services, and, according to the provisions of Law No 95/2006, republished, all pregnant women and childwives are exempted of the co-payment for the medical services related to the monitoring of the pregnancy and post-natal condition, while those who have no income or have earnings lower than the national minimum gross basic wage, are exempted of co-payment for all the required medical services.

The value of the drugs prescribed to pregnant women and childwives are settled from the Unique National Health Insurance Fund at the level of their reference prices.

According to the provisions of Law No 95/2006, republished, in order to prevent the sicknesses, to early identify the illness and to keep their health,  the insured individuals shall be permanently advised, directly or through their medical services providers contracted by the health insurance houses, by the health insurance houses on the means intended to keep the health condition, to reduce or eliminate the sickness causes and the risks to which they are exposed if they are drug/alcohol or tobacco addicted.

VIII - 5. Level and Calculation of Benefit

Article 50. C102 and ECSS

In respect of suspension of earnings resulting from pregnancy and from confinement and their consequences, the benefit shall be a periodical payment calculated in such a manner as to comply either with the requirements of Article 65 or with the requirements of Article 66. The amount of the periodical payment may vary in the course of the contingency, subject to the average rate thereof complying with these requirements.

To calculate the maternity indemnity, the provisions or Article 65 are applied.

The calculation basis of the indemnity is established as an average monthly income during the past six months of 12 which represents the qualifying period, up to the limit of 12 national minimum wages, used to calculate the contribution for leaves of absence and indemnities.

The amount of the maternity indemnity is established by applying the 85% at the calculation basis established by the law.

The qualifying period in the health insurance system is obtained by summing the periods for which the contribution for medical leave allowance and indemnities is paid by the employer or insured individual, as the case may be, respectively, or were insured without payment of the contribution under the lawby the Fund in case of work accidents or occupational diseases, or from the unemployment insurance budget.

Women no longer insured individuals, due to reasons not attributable to them, shall take advantage of same rights if they deliver within 9 months as of the date of loosing their health insurance. Losing the health insurance due to causes not attributable to the pregnant woman shall be proved by official acts issued by her employers or other similar officers, and the indemnity shall be settled, from the National Unique Health Insurance Fund, by the health insurance houses having contracts with the relevant family physician.

VIII - 6. Qualifying period

Article 51. C102 and ECSS

The benefit specified in Articles 49 and 50 shall, in a contingency covered, be secured at least to a woman in the classes protected who has completed such qualifying period as may be considered necessary to preclude abuse, and the benefit specified in Article 49 shall also be secured to the wife of a man in the classes protected where the latter has completed such qualifying period.

The insured women are entitled to maternity indemnity if they previously contributed to the unforeseen event for at least 6 months during the past 12 months representing the qualifying period, up to the limit of 12 national minimum wages, used to calculate the contribution for leaves of absence and indemnities.

The minimum qualifying period entitling to maternity indemnity is 6 monthsone month (22 business days) worked during the last 12 months previous to the month of the unforeseen event.

VIII - 7. Minimum duration of Benefit

Article 52. C102 and ECSS

The benefit specified in Articles 49 and 50 shall be granted throughout the contingency, except that the periodical payment may be limited to 12 weeks, unless a longer period of abstention from work is required or authorised by national laws or regulations, in which event it may not be limited to a period less than such longer period.

The maternity indemnity is granted on the entire period in which the insured women take advantage of leave of absence for pregnancy and post-delivery, more precisely a period of 126 calendar days, for example, 63 days before birth and 63 days post delivery, with the possibility to compensate those periods, depending on the doctor recommendation and the individual option, so that the minimum duration of confinement leave as mandatory, to be 42 calendar days.

VIII - 8. Suspension of Benefit

Article 69. C102, Article 68. ECSS

A benefit to which a person protected would otherwise be entitled in compliance with any of Parts II to X of this Convention may be suspended to such extent as may be prescribed--

(a) as long as the person concerned is absent from the territory of the Member;

(b) as long as the person concerned is maintained at public expense, or at the expense of a social security institution or service, subject to any portion of the benefit in excess of the value of such maintenance being granted to the dependants of the beneficiary;

(c) as long as the person concerned is in receipt of another social security cash benefit, other than a family benefit, and during any period in respect of which he is indemnified for the contingency by a third party, subject to the part of the benefit which is suspended not exceeding the other benefit or the indemnity by a third party;

(d) where the person concerned has made a fraudulent claim;

(e) where the contingency has been caused by a criminal offence committed by the person concerned;

(f) where the contingency has been caused by the wilful misconduct of the person concerned;

The payment of indemnities shall cease starting with the date next to the day on which:

    a)  the beneficiary has deceased;

    b)  the beneficiary does no longer meet the legal requirements for granting the indemnities;

    c) the beneficiary has established the domicile on the territory of a State other than Romania not having any social security convention concluded with Romania;

    d) the beneficiary has established the domicile on the territory of a State other than Romania having any social security convention concluded with Romania, when such convention provided for the payment of indemnities by the other relevant State.

VIII - 9. Right of complain and appeal

See under Part XIII-2

RF/C102/ECSS: please state whether every claimant has a right of appeal in case of refusal of the sickness benefit or campliant as to its quality and quantity. Please summarise the rules which apply in the case of an appleal.

VIII - 10. Financing and Administration

See under Part XIII-3. Common provisions.


Part IX. Invalidity benefit

                                                  

Not accepted by Romania

Biennial Report for the period from 1st July 2014 to 30th June 2016 made by the Government of Romania in accordance with Article 76 of the European Code on Social Security on the position of national law and practice in regard to the matters dealt with in Parts of the European Code of Social Security which have not been specified in the ratification of the Code or in a subsequent notification.

List of applicable legislation

IX - 1. Regulatory framework

Article 53. C102 and ECSS

Each Member (Contracting Party) for which this Part of this Convention (Code) is in force shall secure to the persons protected the provision of invalidity benefit in accordance with the following Articles of this Part.

IX - 2. Contingency covered

Article 54. C102 and ECSS

The contingency covered shall include inability to engage in any gainful activity, to an extent prescribed, which inability is likely to be permanent or persists after the exhaustion of sickness benefit.

The invalidity pension is awarded to the persons who have lost their work capacity either fully or partially, as a consequence of:

    a) Hazardous injuries and professional diseases, according to law provisions;

    b) Neoplasia, schizophrenia and AIDS;

    c) Common diseases and accidents unrelated to work.

The disability pension is the benefit (category of pension) awarded by the public system of pensions when the risk of losing the entire or at least half of the working capacity occurs to a person who is/was insured to the system.

The entitlement to the disability pension, as a social insurance right, is exerted under the terms of Law no. 263 from 16th of December 2010 on the unitary system of public pensions, with its subsequent amendments and complements. 

One of the basic principles of the organization and functioning of public system of pensions is the principle of compulsory contribution, according to which the legal and natural persons have the legal obligation to contribute in the public system of pensions, the social insurance rights being granted in terms of exercising the correlative obligations.  

IX - 3. Persons protected

Article 55. C102 and ECSS

The persons protected shall comprise:

(a) prescribed classes of employees, constituting not less than 50 per cent of all employees; or

(b) prescribed classes of the economically active population, constituting not less than 20 per cent of all residents; or

(c) all residents whose means during the contingency do not exceed limits prescribed in such a way as to comply with the requirements of Article 67.

They are also entitled to receive a disability pension,  pupils, students and apprentices who lost either entire or at least half of their working capacity as a consequence of  hazardous injuries or occupational diseases, during and due to practical vocational training.

Persons who have lost the entire or at least half of their working capacity, as a result of participation  at the Revolution on of December 1989 or in connection with the revolutionary events of 1989, are entitled to receive the disability pension under the same conditions as the persons who have suffered work accidents if they were covered by the social insurance system prior to disability occurrence.

The disability pension is a replacement income awarded as of the date when the covered risk produces.

Thus, one of the basic conditions for awarding the disability pension is the lost of the entire or at least half of a person's working capacity. 

In relation to the degree of reduction of the working capacity, the disability is of:

a)   First degree, characterized by total loss of the working capacity and of the self-sufficient capacity;

b)   Second degree, characterized by total loss of the working capacity, and preservation of the self-sufficient capacity;

c)    Third degree, characterized by loss of at least half of the working capacity, the

person still being able to perform a professional activity for at most half of the full working time.

IX - 4. Level and Calculation of Benefit

Article 56. C 102 and ECSS

The benefit shall be a periodical payment calculated as follows:

(a) where classes of employees or classes of the economically active population are protected, in such a manner as to comply either with the requirements of Article 65 or with the requirements of Article 66;

(b) where all residents whose means during the contingency do not exceed prescribed limits are protected, in such a manner as to comply with the requirements of Article 67.

The disability pension is paid on a monthly basis. The amount of this pension is calculated by multiplying the average number of pension points of an insured person by the value of a pension point.

The average number of pension point of an insure is calculated as a ratio between the number of pension points resulted as a sum of annual pension points of the insured person and the number of insurance years equal with the full contribution period, in legal terms. 

The annual number of pension points of an insured person is calculated by dividing to 12 of the sum of monthly number of points accomplished in the concerned calendar year.

The monthly number of pension points is calculated as a ratio between the gross wage or, according to circumstances the insured monthly income accounted as calculation basis for the social insurance contribution and the average gross wage for the concerned month, as communicated by the National institute for Statistics.

For the credited insurance periods, the law provides the amounts taken into account for calculating the monthly number of pension points of an insured person.

For the credited contribution awarded to eligible persons, the monthly number of pension points is:

    a) 0.70 points for the first disability degree;

    b) 0.55 points for the 2nd  disability degree;

    c) 0.35 points for the 3rd disability degree.

In accordance with the provisions of the Emergency Ordinance of Romanian Government no. 6/2009, since April 2009 was introduced the guaranteed minimum social pension. Law no.196/2009 approved G.E.O. No.6/2009, establishing the guaranteed minimum social pension. Law no. 118/2010 replaced the phrase "guaranteed minimum social pension" by the phrase "social indemnity for pensioners".

The minimum social indemnity for pensioners is awarded to the pensioners in the Romanian public system, resident in Romania, regardless of the date of their retirement date, if the amount of their pension is lower than the amount of the social indemnity for pensioners.

Law no. 339/215 on the state budget for 2016 set the social indemnity for pensioners in 2016 at the level of RON 400.

Thus, in case the amount of disability pension calculated according to the formula set by the Law no. 263/2010, as amended, is lower than the level of social indemnity for pensioners, the beneficiaries shall receive a supplementary amount paid from the state budget so as to reach this level, i.e. the total amount of 400 lei.

Since the 1st of  May 2016, the minimum national gross wage guaranteed for pay was set at 1,250 RON/month, according to provision of  Government Decision  no. 1017/2015 upon the setting of minimum gross national wage guaranteed for pay in 2016.

June 2016

-       The invalidity pension amount  400 lei;

-       The net wage gained before the risk 785 lei;

-       The replacement share: 350/530=0,511

 b) The invalidity pension amount is adjusted with the increase of the pension point value.

The pension point value is adjusted annually by 100% of the inflation rate plus 50% of the real growth in the average gross earnings of the previous year. Since 1 January 2016 the pension point value is 871.70 RON.

In the situation when one of the mentioned indicators, accomplished in the previous year, has a negative value, when calculating the pension point value it is used the indicator with a positive value, and in the situation when both indicators have negative values, it is maintained the last value of the pension point.

Starting with 2021, the value of the pension point will increase annually by 100% of the inflation rate, plus 45% of the real growth of the average gross wage accomplished in the previous year. Starting with 2030, the value of the pension point will increase every year by 100% of the inflation rate in the previous year.

IX - 5. Qualifying period

§1(f) Article 1 C102, §1(i) Article 1 ECSS

The term qualifying period means a period of contribution, or a period of employment, or a period of residence, or any combination thereof, as may be prescribed.

Article 57. C102 and ECSS

1. The benefit specified in Article 56 shall, in a contingency covered, be secured at least:

(a) to a person protected who has completed, prior to the contingency, in accordance with prescribed rules, a qualifying period which may be 15 years of contribution or employment, or 10 years of residence; or

(b) where, in principle, all economically active persons are protected, to a person protected who has completed a qualifying period of three years of contribution and in respect of whom, while he was of working age, the prescribed yearly average number of contributions has been paid.

2. Where the benefit referred to in paragraph 1 is conditional upon a minimum period of contribution or employment, a reduced benefit shall be secured at least:

(a) to a person protected who has completed, prior to the contingency, in accordance with prescribed rules, a qualifying period of five years of contribution or employment; or

(b) where, in principle, all economically active persons are protected, to a person protected who has completed a qualifying period of three years of contribution and in respect of whom, while he was of working age, half the yearly average number of contributions prescribed in accordance with subparagraph (b) of paragraph 1 of this Article has been paid.

3. The requirements of paragraph 1 of this Article shall be deemed to be satisfied where a benefit calculated in conformity with the requirements of Part XI but at a percentage of ten points lower than shown in the Schedule appended to that Part for the standard beneficiary concerned is secured at least to a person protected who has completed, in accordance with prescribed rules, five years of contribution, employment or residence.

4. A proportional reduction of the percentage indicated in the Schedule appended to Part XI may be effected where the qualifying period for the pension corresponding to the reduced percentage exceeds five years of contribution or employment but is less than 15 years of contribution or employment; a reduced benefit shall be payable in conformity with paragraph 2 of this Article.

The contribution history results from summing up the periods for which were due social insurance contributions to the public pension system, as well as from the periods when the persons insured based on insurance statement or social insurance contract have owed and paid social insurance contributions to the public pension system.

Thus, until the 9th August 2012, according to art. art. 73 of Law no. 263/2010 on the unitary system of public pensions, the persons who had lost their working capacity as a consequence of some regular diseases or of some accidents un-related to work were eligible for the disability pension if they have had accomplished the contribution period necessary in relation to age, according to table no. 3 from Law.

   

 Table no. 3*

The person’s age at the date of issuing the medical decision upon working capacity

Required contribution period (years)

Up to 20 years

1

From 20 - 23 years

2

23 - 25 years

3

25 - 29 years

6

29 - 33 years

9

33 - 37 years

11

37-41 years

14

41 - 45 years

17

45 - 49 years

20

49    53 years

23

53 - 57 years

25

57- 60 years

26

Over  60 years

27

They were also eligible for disability pension the blind people and the persons who have had a handicap prior to obtaining the insured person status under the condition of achieving at least half of the contribution period required  in table no. 3.

By the Decision of Constitutional Court no. 680 on 26th  June 2012, published in the Official Journal no. 566 on the 9th of August 2012, it was admitted the exception of non- constitutionality of provisions under art. 73 par. (1) of Law no. 263/2010 on the unitary system of public pensions, being noticed the fact that the expression "in relation with their age, according to table no. 3" is non-constitutional.

As a consequence, starting with the 9th August 2012, the legal provisions mentioned above have been suspended and their legal effects ceased as of the 24the September 2012, if the legislator does not intervene for the amendment of appealed provisions.

Are also eligible for the disability pension , regardless of the accomplished contribution period:

-        the persons who lost totally or at least half from their work capacity, as a consequence of:

a)     the occupational injuries and professional diseases, in law;

b)     Neoplasia,schizophrenia andSTDA;

-        the person who lost totally or at least half of their work capacity as a result of occupational injuries or of professional diseases, in law conditions, the pupils, apprentices and students who lost totally of at least half of their work capacity as a consequence of occupational injuries or professional diseases produced during and as an affect of the professional;

-        the persons who lost totally or at least half of their work capacity and the greatly mutilated persons as an effect of their participation to the Revolution in December 1989 or in relation with the revolutionary events in December 1989, who were enrolled in a social insurance system prior to their disability occurrence due to this events, are eligible for disability pension in the same conditions like this pension is awarded to the persons who suffered occupational injuries.

When calculating the disability pension of first and second degree, a credited insurance period is awarded, calculated as the difference between the full contribution period stipulated by law and the real contribution period accomplished up to the date of awarding the disability pension. The resulting credited period cannot exceed the contribution period which the person might have accomplished between the date of awarding the disability pension and the date of reaching retirement age, i.e. the date of meeting the eligibility criteria for the old age pension.

IX - 6. Duration of Benefit

Article 58. C102 and ECSS

The benefit specified in Articles 56 and 57 shall be granted throughout the contingency or until an old age benefit becomes payable.

The disability pension may cease once the working capacity is recovered or may suffer modifications as an effect of the qualification for a disability pension of another degree, following the periodic medical re-examinations.

At standard retirement age, or reduced standard retirement age for certain legally defined categories of persons, the disability pension is changed ex officio into an old-age pension and the disability pensioner is awarded the most advantageous amount.

IX- 7. Suspension of Benefit

Article 69. C102, Article 68. ECSS

A benefit to which a person protected would otherwise be entitled in compliance with any of Parts II to X of this Convention may be suspended to such extent as may be prescribed:

(a) as long as the person concerned is absent from the territory of the Member;

(b) as long as the person concerned is maintained at public expense, or at the expense of a social security institution or service, subject to any portion of the benefit in excess of the value of such maintenance being granted to the dependants of the beneficiary;

(c) as long as the person concerned is in receipt of another social security cash benefit, other than a family benefit, and during any period in respect of which he is indemnified for the contingency by a third party, subject to the part of the benefit which is suspended not exceeding the other benefit or the indemnity by a third party;

(d) where the person concerned has made a fraudulent claim;

(e) where the contingency has been caused by a criminal offence committed by the person concerned;

(f) where the contingency has been caused by the wilful misconduct of the person concerned;

(g) in appropriate cases, where the person concerned neglects to make use of the medical or rehabilitation services placed at his disposal or fails to comply with rules prescribed for verifying the occurrence or continuance of the contingency or for the conduct of beneficiaries;

According to Article 114 of Law no. 263/2010, pension payment is suspended from the month following the month in which:

c) Invalidity pensioner or the invalid survivor pensioner does not participate at the periodical mandatory medical review;

d) Invalidity pensioner does not attend individual recovery program set by social security expert doctor for him/her;

e) Pensioner with category I or II invalidity pension accumulate pension with income from work, except as a local or county counsellor;

f) Pensioner with category III invalidity pension accumulate pension with income from work, exceeding half the normal working time;                                                                                                                                 

Resumption of the suspended pension payment is made on demand and is granted starting with the next month subsequent to the month in which the suspension cause has ceased, if the application was filed within 30 days since the cause of suspension was terminated or from the month following the application’s date, if the submission was made after the expiry of the period above mentioned.

IX - 8. Right of complaint and appeal

§1§3. Article 70. C102, Article 69. ECSS

1. Every claimant shall have a right of appeal in case of refusal of the benefit or complaint as to its quality or quantity.

3. Where a claim is settled by a special tribunal established to deal with social security questions and on which the persons protected are represented, no right of appeal shall be required.

The social insurance expert doctors assess the level of incapacity for work and issue the decisions framing invalidity degree.  

The medical decision on the working capacity may be appealed within 30 days following of the notification and the appeals have to be solved within 45 days after registration.

The resolutions issued for the settlement of the appeals shall be notified within 5 days after the settlement.

The resolutions to the appeals of the medical decisions on working capacity may be contested to the competent court within 30 days after notification.

The undisputed medical decisions regarding the loss of working capacity are definitive.

The pension decisions issued by the territorial houses of pensions can be appealed in 30 days, at the Central Appealing Commission.

The procedure of analyzing the appealed decision represents the prior administrative procedure, compulsory, with no jurisdictional feature. 

The pension decisions which were not appealed before the deadline set by the law are final.

When the appeals are processed, the Central Appealing Commission is adopting decisions.

The decisions of the Central Appealing Commission are transmitted both to the persons concerned and the territorial houses of pensions within 5 days from the issuing date and can be contested at the competent court of law, within 30 days from the date of receipt.

The decisions of the Central Appealing Commission which are not contested at the competent courts of law before the deadline set by law remain final.

The social security jurisdiction is exerted by courts of first instance and courts of appeal.

IX - 9. Financing and Administration

See under Part XIII-3

The state social insurance budget concerns both the incomes and the expenditures of the public pension system.

The incomes of the state social insurance budget come from:

a) social insurance contributions, interests and late payment penalties and other incomes according to the law,

b) amounts from the state budged for balancing the state social insurance budget, which is approved by budgetary laws yearly.

The expenditures of the state social insurance budget are intended to cover the social insurance benefits paid by the public system of pensions, as well the organizational and operational costs and other expenditures stipulated by the law. 

Thus, the disability pensions are paid mainly from the social insurances state budget.

The share of the pension amount corresponding to the annual average obtained by capitalizing, after the 1st of April 2001, of each year accomplished within the former agricultural units, of each contributory year accomplished by the farmers owing an individual household in an non farming area, up to the entering into force of the Law no. 80/1992, republished, with the subsequent amendments and completions and also with the accomplished contributory periods, according to this Law, after the 29th of July 1992 and until the 1st of April 2001 is paid from the state budget.

The invalidity pension amount is established according to the law; the invalidity occurred due to a work accident or a professional disease is paid from the insurance for work accidents and professional diseases funds within the social insurance state budget.


Part X. Survivors’ Benefit

Not accepted by Romania

Biennial Report for the period from 1st July 2014 to 30th June 2016 made by the Government of Romania in accordance with Article 76 of the European Code on Social Security on the position of national law and practice in regard to the matters dealt with in Parts of the European Code of Social Security which have not been specified in the ratification of the Code or in a subsequent notification.

List of applicable legislation

§  LAW no. 263 from the16th of December 2010 on the unitary system of public pensions system published in the OFFICIAL JOURNAL of Romania Part I, no.  852  from the 20th of December  2010;; Law no. 283 from 14th of December 2011; Decision no. 680 from the 27th of March 2012; Law no. 76 from the 24th of May 2012 EMERGENCY ORDINANCE No. 29 of 20 June 2012, CONSTITUTIONAL COURT DECISION No. 680 of 26 June 2012, EMERGENCY ORDINANCE No. 44 of 23  August 2012, EMERGENCY ORDINANCE No. 15 of 23 August 2012, LAW No.187 of 24 October 2012, CONSTITUTIONAL COURT DECISION No. 956 of 13 November 2012, EMERGENCY ORDINANCE No. 1 of 22 January 2013, ORDINANCE No. 8 of 23 January 2012, EMERGENCY ORDINANCE No. 4 of 30 January 2013, LAW No.6 of 21 February 2013, LAW No.37of 8 March 2013, LAW No.168 of 29 May 2013, LAW No.241 of 17 July 2013, ORDINANCE No.16 of 30 July 2013, EMERGENCY ORDINANCE No.88 of 18 September 2013, CONSTITUTIONAL COURT DECISION No. 437 of 29 October 2013, LAW No.340 of 10 December 2013, EMERGENCY ORDINANCE No.113 of 18 December 2013, LAW No.380 of 24 December 2013, LAW No. 187 of 24 October 2012; CONSTITUTIONAL COURT DECISION No. 463 of 17 September 2014, EMERGENCY ORDINANCE No.68 of 21 October 2014, EMERGENCY ORDINANCE No.80 of 10 December 2014, EMERGENCY ORDINANCE No.83 of 12 December 2014, LAW No. 187 of 29 December 2014, LAW No.155 of 18 June 2015, LAW No.192 of 07 July 2015, LAW No.218 of 23 July 2015, LAW No.223 of 24 July 2015, EMERGENCY ORDINANCE No.57 of 9 December 2015, LAW No.325 of 16 December 2015, LAW No.340 of 18 December 2015, EMERGENCY ORDINANCE No.65 of 30 December 2015.

§  The Government Decision no. 57/2011 concerning the approval of application regulations of the Law no. 263/2010 provisions on the unitary system of public pensions, published in the OFFOCIAL JOURNAL of Romania Part I no. 214 from the 28th of March 2011.

X - 1. Regulatory framework

Article 59. C102 and ECSS

Each Member (Contracting Party) for which this Part of this Convention (Code) is in force shall secure to the persons protected the provision of survivors' benefit in accordance with the following Articles of this Part.

The survivor’s pension is a replacement income covering the risk of death, granted by the public pensions system to the children and to the survivor spouse of an insured person or a pensioner.                                

The entitlement to the survivor’s pension, as a social insurance right, is granted according to Law no. 263 from the 16th of December 2010 on the unitary system of public pensions, with the subsequent amendments and completions.

One of the basic principles for the functioning and organization of the public system of pensions is the principle of compulsory contribution, according to which the legal and the natural persons have, the obligation to pay  social insurance contributions, the social insurance rights being granted in terms of exercising the correlative obligations.

X - 2. Contingency covered

Article 60. C102 and ECSS

1. The contingency covered shall include the loss of support suffered by the widow or child as the result of the death of the breadwinner; in the case of a widow, the right to benefit may be made conditional on her being presumed, in accordance with national laws or regulations, to be incapable of self-support.

2. National laws or regulations may provide that the benefit of a person otherwise entitled to it may be suspended if such person is engaged in any prescribed gainful activity or that the benefit, if contributory, may be reduced where the earnings of the beneficiary exceed a prescribed amount, and, if non contributory, may be reduced where the earnings of the beneficiary or his other means or the two taken together exceed a prescribed amount.

The survivor’s pension is awarded to the children and the surviving spouse if the deceased was a pensioner or was entitled to receive a pension from the public system of pensions at the time of death.                                        

The main eligibility condition for granting this benefit is that the deceased breadwinner was a pensioner at the time of his death or eligible to receive any type of pension from the public system of pensions.

 The children are entitled to a survivor’s pension:

a)     unconditioned, up to the age of 16;

b)     between 16 and 26 years of age, if attend some form of higher education organized according to the law, on condition of their graduation;

c)      in case of disability of any degree, if the disability occurred within the age limits  mentioned at letter a) or b).

The surviving spouse is entitled to a survivor’s pension:

a)     permanent, after reaching the standard retirement age, if the period of marriage was at least of 15 years. 

b)     disregarding the age, during first or second degree invalidity, if the period of marriage was at least of 1 year.

c)      disregarding the age and the duration of marriage, if both conditions are met: the breadwinner spouse’s death occurred as a cause of an accident at work or a professional disease and the survivor spouse is not gaining monthly incomes from a professional activity which assumes a mandatory insurance, or if the incomes are lower than 35% of the average gross earnings as projected for the annual state social insurance budget, i.e.  938 RON since 1 January 2016.  

The surviving spouse who does not meet the conditions stipulated at letter a) and b) is entitled to receive the survivor’s pension for a 6 month period following the supporter’s death, if during this period has no income gained from a professional activity for which the insurance is mandatory or if the income is lower than 35% of the average gross earnings as projected for the annual state social insurance, i.e.  938 RON since 1 January 2016.  

In case that, at the time of the death of the breadwinner, the surviving spouse has in his/her care children under 7 years of age, the survivor pension will be granted until the youngest child reaches the age of 7, but only during the periods with no income gained from any professional activity for which the insurance is mandatory and periods with a level of income lower than 35% of the average gross earnings as projected for the annual state social insurance, i.e. RON 938 since 1 January 2016.

X - 3. Persons protected

Article 61. C102 and ECSS

The persons protected shall comprise:

(a) the wives and the children of breadwinners in prescribed classes of employees, which classes constitute not less than 50 per cent of all employees; or

(b) the wives and the children of breadwinners in prescribed classes of the economically active population, which classes constitute not less than 20 per cent of all residents; or

(c) all resident widows and resident children who have lost their breadwinner and whose means during the contingency do not exceed limits prescribed in such a manner as to comply with the requirements of Article 67.

X - 4. Level and Calculation of Benefit

Article 62. C102 and ECSS

The benefit shall be a periodical payment calculated as follows:

(a) where the wives and children of breadwinners in classes of employees or classes of the economically active population are protected, in such manner as to comply either with the requirements of Article 65 or with the requirements of Article 66;

 (b) where all resident widows and resident children whose means during the contingency do not exceed prescribed limits are protected, in such a manner as to comply with the requirements of Article 67.

Survivor's pension is paid monthly. Survivor's pension is established, as appropriate, from:

1)     The old-age pension, which was being paid or to which the deceased was entitled, under the law;

2)     The first degree of disability pension, if the supporting person’s death occurred before meeting  the eligibility conditions for an old-age pension but is eligible for any other type of pension.

The survivor's pension is determined as a percentage from the average annual score of the breadwinner deceased person, related either to the old age pension or to the 1st degree invalidity pension, previously mentioned, depending on the number of entitled descendants, as follows:

a)     50% - for one survivor;

b)     75% - for two survivors;

c)      100% - for three or more survivors.

For orphans having lost both parents, the survivor’s pension is calculated for each parent and then summed up.

For the surviving spouse who reached the standard retirement age and who’s marriage lasted between 10 and 15 years, the survivor’s pension amount is diminished by 0,5% for each month, respectively by 6% for each year of marriage shorter.

National legislation guarantees a minimum pension amount. Law no.196/2009 approved GEO No.6/2009, establishing guaranteed minimum social pension. Law no. 118/2010 replaced the phrase "guaranteed minimum social pension" by the phrase "social indemnity for pensioners".

Since 2010, the guaranteed minimum social pension is established annually by the state budget law and can be increased only by the laws amending the state budget, based on changes of the macroeconomic indicators and financial resources.

Law no. 339/2015 on the state budget for 2016 set the social indemnity for pensioners in 2016 at the level of 400 RON.

Pensioners residing in Romania who receive their pension from the public system of pensions are granted the social indemnity for pensioners if the amount of their pension (due or under payment), is below the level set for social indemnity for pensioners.

Thus, if the survivor pension calculated according to Law no. 263/2010, with the subsequent amendments and completions, results in an amount below the level of the social indemnity for pensioners, the beneficiary shall receive the rest of the amount up to this level (paid from the state budget). The social indemnity for pensioners is granted to each survivor in case multiple beneficiaries.

Since the 1st of May 2016, the guaranteed minimum gross wage at national level was set at 1,250 RON  per month, according to the Government Decision no. 1017/2015 upon setting the guaranteed minimum gross wage at national level for 2016.

June 2016

-        The disability pension amount 400 Lei;

-        The net wage accomplished by the surviving spouse before the risk occurred 801 lei (1 person taking care);

-        The replacement rate: 350/546=0,499

The survivor’s pension amount changes with the increase of the pension point value.

The pension point value is adjusted annually by 100% of the inflation rate plus 50% of the real growth in the average gross earnings of the previous year. Since 1 January 2016 the pension point value is 871.70 RON.

In the event that one of the indicators mentioned above, accomplished in the previous year, has a negative value, in determining the pension point value shall be used the positive indicator or in the situation when both indicators accomplished in the previous year, have negative values, shall be taken into account the last value of the pension point.

Starting with 2021, the pension point value will increase annually by 100% of the inflation rate plus 45% of the real growth of the average gross wage, accomplished in the previous year.

Starting with 2030, the pension point value will increase annually by 100% of the inflation rate in the previous year.

IX- 5. Suspension of Benefit

Article 69. C102, Article 68. ECSS

A benefit to which a person protected would otherwise be entitled in compliance with any of Parts II to X of this Convention may be suspended to such extent as may be prescribed:

(a) as long as the person concerned is absent from the territory of the Member;

(b) as long as the person concerned is maintained at public expense, or at the expense of a social security institution or service, subject to any portion of the benefit in excess of the value of such maintenance being granted to the dependants of the beneficiary;

(c) as long as the person concerned is in receipt of another social security cash benefit, other than a family benefit, and during any period in respect of which he is indemnified for the contingency by a third party, subject to the part of the benefit which is suspended not exceeding the other benefit or the indemnity by a third party;

(d) where the person concerned has made a fraudulent claim;

(e) where the contingency has been caused by a criminal offence committed by the person concerned;

(f) where the contingency has been caused by the wilful misconduct of the person concerned;

(j) in the case of survivors' benefit, as long as the widow is living with a man as his wife.

According to Article 114 of Law no. 263/2010, pension payment is suspended from the month following the month in which:

g) Survivor pensioner has attained the age of 16 and does not prove continuing education,

h) The surviving spouse beneficiary of a survivor's pension earns a monthly gross income exceeding 35% of average gross earnings as projected for the annual state social insurance budget, i.e. RON 928;

i) The surviving spouse beneficiary of a survivor's pension remarries;

j) The surviving spouse beneficiary of a pension from the public pension system, chooses a pension granted from another pension system;

Resumption of the suspended pension payment is made on demand and is granted starting with the next month subsequent to the month in which the suspension cause has ceased, if the application was filed within 30 days since the cause of suspension was terminated or from the month following the application’s date, if the submission was made after the expiry of the period above mentioned.

X - 6. Right of complaint and appeal

See under Part XIII-2, Part IX-8

The pension decisions issued by the territorial houses of pensions can be appealed within 30 days, at the Central Appealing Commission.

The procedure of analyzing the appealed decision represents the prior administrative procedure, compulsory, with no jurisdictional features.

The pension decisions which were not appealed before the deadline set by the law remain final.

When the appeals are processed, the Central Appealing Commission are taking decisions.

The decisions of the Central Appealing Commission are transmitted both to the persons concerned and the territorial houses of pensions within 5 days from the issuing date and can be contested at the competent court of law, within 30 days from the date of receipt.

The decisions of the Central Appealing Commission, which are not contested at the competent courts before the deadline set by law remain final.

The jurisdiction of the social security is exerted by courts of first instance and courts of appeal.

X - 7. Financing and Administration

See under Part XIII-3

The state social insurance budget expenditures are intended to cover the social insurance benefits paid by the public system of pensions, as well as the organizational and operational costs and other expenditures stipulated by the law. 

The share of the pension amount corresponding to the annual average obtained by capitalizing, after the 1st of April 2001, of each year accomplished within the former agricultural units, of each contributory year accomplished by the farmers owning an individual household in a non farming area, up to the entering into force of the Law no. 80/1992, republished, with the subsequent amendments and completions and also with the accomplished contributory periods, according to this Law, after the 29th of July 1992 and until the 1st of April 2001 is paid from the state budget.

The survivor pension amount is established according to the law and is paid from the social insurance state budget.


Part XI. Standards to be complied with by periodical payments

Part

Contingency

Standard Beneficiary

C102/ECSS

Percentage

III

Sickness

Man with wife and two children

45

IV

Unemployment

Man with wife and two children

45

V

Old age

Man with wife of pensionable age

40

VI

Employment injury:

Incapacity of work

Man with wife and two children

50

Invalidity

Man with wife and two children

50

Survivors

Widow with two children

40

VIII

Maternity

Woman

45

IX

Invalidity

Man with wife and two children

40

X

Survivors

Widow with two children

40

Determination of the standards wage of the skilled manual male employee

Article 65. C102 and ECSS

1. In the case of a periodical payment to which this Article applies, the rate of the benefit, increased by the amount of any family allowances payable during the contingency, shall be such as to attain, in respect of the contingency in question, for the standard beneficiary indicated in the Schedule appended to this Part, at least the percentage indicated therein of the total of the previous earnings of the beneficiary or his breadwinner and of the amount of any family allowances payable to a person protected with the same family responsibilities as the standard beneficiary.

2. The previous earnings of the beneficiary or his breadwinner shall be calculated according to prescribed rules, and, where the persons protected or their breadwinners are arranged in classes according to their earnings, their previous earnings may be calculated from the basic earnings of the classes to which they belonged.

3. A maximum limit may be prescribed for the rate of the benefit or for the earnings taken into account for the calculation of the benefit, provided that the maximum limit is fixed in such a way that the provisions of paragraph 1 of this Article are complied with where the previous earnings of the beneficiary or his breadwinner are equal to or lower than the wage of a skilled manual male employee.

4. The previous earnings of the beneficiary or his breadwinner, the wage of the skilled manual male employee, the benefit and any family allowances shall be calculated on the same time basis.

5. For the other beneficiaries, the benefit shall bear a reasonable relation to the benefit for the standard beneficiary.

6. For the purpose of this Article, a skilled manual male employee shall be:

(a) a fitter or turner in the manufacture of machinery other than electrical machinery; or

(b) a person deemed typical of skilled labour selected in accordance with the provisions of the following paragraph; or

(c) a person whose earnings are such as to be equal to or greater than the earnings of 75 per cent. of all the persons protected, such earnings to be determined on the basis of annual or shorter periods as may be prescribed; or

(d) a person whose earnings are equal to 125 per cent. of the average earnings of all the persons protected.

7. The person deemed typical of skilled labour for the purposes of subparagraph (b) of the preceding paragraph shall be a person employed in the major group of economic activities with the largest number of economically active male persons protected in the contingency in question, or of the breadwinners of the persons protected, as the case may be, in the division comprising the largest number of such persons or breadwinners; for this purpose, the international standard industrial classification of all economic activities, adopted by the Economic and Social Council of the United Nations at its Seventh Session on 27 August 1948, and reproduced in the Annex to this Convention, or such classification as at any time amended, shall be used.

8. Where the rate of benefit varies by region, the skilled manual male employee may be determined for each region in accordance with paragraphs 6 and 7 of this Article.

9. The wage of the skilled manual male employee shall be determined on the basis of the rates of wages for normal hours of work fixed by collective agreements, by or in pursuance of national laws or regulations, where applicable, or by custom, including cost-of-living allowances if any; where such rates differ by region but paragraph 8 of this Article is not applied, the median rate shall be taken.

10. The rates of current periodical payments in respect of old age, employment injury (except in case of incapacity for work), invalidity and death of breadwinner, shall be reviewed following substantial changes in the general level of earnings where these result from substantial changes in the cost of living.

Determination of the standards wage of the ordinary adult male labourer

Article 66. C102 and ECSS

1. In the case of a periodical payment to which this Article applies, the rate of the benefit, increased by the amount of any family allowances payable during the contingency, shall be such as to attain, in respect of the contingency in question, for the standard beneficiary indicated in the Schedule appended to this Part, at least the percentage indicated therein of the total of the wage of an ordinary adult male labourer and of the amount of any family allowances payable to a person protected with the same family responsibilities as the standard beneficiary.

2. The wage of the ordinary adult male labourer, the benefit and any family allowances shall be calculated on the same time basis.

3. For the other beneficiaries, the benefit shall bear a reasonable relation to the benefit for the standard beneficiary.

4. For the purpose of this Article, the ordinary adult male labourer shall be:

(a) a person deemed typical of unskilled labour in the manufacture of machinery other than electrical machinery; or

(b) a person deemed typical of unskilled labour selected in accordance with the provisions of the following paragraph.

5. The person deemed typical of unskilled labour for the purpose of subparagraph (b) of the preceding paragraph shall be a person employed in the major group of economic activities with the largest number of economically active male persons protected in the contingency in question, or of the breadwinners of the persons protected, as the case may be, in the division comprising the largest number of such persons or breadwinners; for this purpose, the international standard industrial classification of all economic activities, adopted by the Economic and Social Council of the United Nations at its Seventh Session on 27 August 1948, and reproduced in the Annex to this Convention, or such classification as at any time amended, shall be used.

6. Where the rate of benefit varies by region, the ordinary adult male labourer may be determined for each region in accordance with paragraphs 4 and 5 of this Article.

7. The wage of the ordinary adult male labourer shall be determined on the basis of the rates of wages for normal hours of work fixed by collective agreements, by or in pursuance of national laws or regulations, where applicable, or by custom, including cost-of-living allowances if any; where such rates differ by region but paragraph 6 of this Article is not applied, the median rate shall be taken.

8. The rates of current periodical payments in respect of old age, employment injury (except in case of incapacity for work), invalidity and death of breadwinner, shall be reviewed following substantial changes in the general level of earnings where these result from substantial changes in the cost of living.

Article 20. C121

1. In the case of a periodical payment to which this Article applies, the rate of the benefit, increased by the amount of any family allowances payable during the contingency, shall be such as to attain, in respect of the contingency in question, for the standard beneficiary indicated in Schedule II to this Convention, at least the percentage indicated therein of the total of the wage of an ordinary adult male labourer and of the amount of any family allowances payable to a person protected with the same family responsibilities as the standard beneficiary.

2. The wage of the ordinary adult male labourer, the benefit and any family allowances shall be calculated on the same time basis.

3. For the other beneficiaries, the benefit shall bear a reasonable relation to the benefit for the standard beneficiary.

4. For the purpose of this Article, the ordinary adult male labourer shall be:

(a) a person deemed typical of unskilled labour in the manufacture of machinery other than electrical machinery; or

(b) a person deemed typical of unskilled labour selected in accordance with the provisions of the following paragraph.

5. The person deemed typical of unskilled labour for the purpose of clause (b) of the preceding paragraph shall be a person employed in the major group of economic activities with the largest number of economically active male persons protected in the contingency in question, or of the breadwinners of the persons protected, as the case may be, in the division comprising the largest number of such persons or breadwinners; for this purpose the international standard industrial classification of all economic activities, adopted by the Economic and Social Council of the United Nations at its Seventh Session on 27 August 1948, as amended and reproduced in the Annex to this Convention, or such classification as at any time further amended, shall be used.

6. Where the rate of benefit varies by region, the ordinary adult male labourer may be determined for each region in accordance with paragraphs 4 and 5 of this Article.

7. The wage of the ordinary adult male labourer shall be determined on the basis of the rates of wages for normal hours of work fixed by collective agreements, by or in pursuance of national laws or regulations, where applicable, or by custom, including cost-of-living allowances if any; where such rates differ by region but paragraph 6 of this Article is not applied, the median rate shall be taken.

8. No periodical payment shall be less than a prescribed minimum amount.

Means-tested social assistance

Article 67. C102 and ECSS

In the case of a periodical payment to which this Article applies:

(a) the rate of the benefit shall be determined according to a prescribed scale or a scale fixed by the competent public authority in conformity with prescribed rules;

(b) such rate may be reduced only to the extent by which the other means of the family of the beneficiary exceed prescribed substantial amounts or substantial amounts fixed by the competent public authority in conformity with prescribed rules;

(c) the total of the benefit and any other means, after deduction of the substantial amounts referred to in subparagraph (b), shall be sufficient to maintain the family of the beneficiary in health and decency, and shall be not less than the corresponding benefit calculated in accordance with the requirements of Article 66;

(d) the provisions of subparagraph (c) shall be deemed to be satisfied if the total amount of benefits paid under the Part concerned exceeds by at least 30 per cent. the total amount of benefits which would be obtained by applying the provisions of Article 66 and the provisions of:

(i) Article 15 (b) for Part III;

(ii) Article 27 (b) for Part V;

(iii) Article 55 (b) for Part IX;

(iv) Article 61 (b) for Part X.

2017

Average monthly gross income obtained in month October 

Economic activity (NACE rev. 2 Section level)

Reference period

Major occupational group (ISCO-08 1 digit level)

Average monthly gross income obtained in October (lei/employee)

Total employees

of which: men

Manufacturing

October 2017

MG7 (Craft and related trades workers)

2757

2952

MG9  (Elementary occupations)

2179

2267

Data source: Statistical survey on salaries in month October – based on administrative data (the statement on compulsory payments of social contributions, taxes on income and the nominal records of insured persons (D112), managed by the National Tax Administration Agency and the General register of employees (REGES) managed by Labour Inspection).

Methodological notes:

The survey on salaries in October 2017 was exclusively carried out through the exploitation of administrative data sources and is aiming at determining the number of employees by gross basic salary group and gross achieved income group, the average gross basic salary and the gross achieved average income, by gender, age groups, activities of national economy, occupation groups and occupations, in October 2017.

Taking into account the changes in data sources and coverage, starting with the reference year 2013, the results of the Statistical survey on salaries in October are not comparable with the results achieved during previous years.

Coverage:

All the active enterprises with legal status, whose main activity comply with the CANE Rev. 2 divisions, codes 01-96, excluding the activity “Public administration and defence; social insurance from the public system" (division 84). The persons with labour agreement for the categories of employee whose status is civil servant, magistrate (judge, prosecutor) and assimilated, high officials and assimilated are not included.

The estimation of results was drawn up for October 2017, for the employees with employment contract declared in the "General register of employees" (REGES), who have achieved income on salary basis and for whom the employers have filled in the "Statement on compulsory payments of social contributions, taxes on income and the nominal records of insured persons" (D112).

Definitions:

Number of employees comprises thepersons with employment contract identified in the two administrative data sources (REGES and D112), with full time, paid for the whole month (22 days) in October 2017, even if they were absent from work due to medical leave days paid from the salary funds. Apprentices and part-time workers are not included.

Average monthly gross achieved income according to administrativedata sources (D112) comprises the gross amounts achieved on salary basis and reported by employers for the employees, for the calculation of social insurance contributions. The gross achieved income includes the following components:

-     gross basis salary established in the individual employment contract;

-     bonuses, allowances and amounts granted as percentage of gross basic salary or as fixed amount, either permanent or not;

-     other salary bonuses, stipulated by law or in the individual or collective employment contracts (bonuses, incentives, compensations, allowance for the annual holiday leave not-taken, the 13th salary, holiday bonuses, as well as other amounts representing current income or related to previous periods);

-     gross amounts resulting from payment “on hourly basis”, for emergency duties and clinical benefits;

-     gross amounts granted for retirement;

-     salary incomes, payments in kind and cash benefits that are not covered by the social security contributions (nominal value of meal vouchers, holiday vouchers, gift vouchers, transport tickets).

     The following items are not included:

-     gross amounts paid from the National Funds for Health Insurance (NFHI) in form of indemnities for temporary work incapacity caused illness or accidents outside the workplace, occupational diseases and work related accidents, indemnities to prevent illness and work capacity recovery, indemnities for maternity leave and other aids granted according to the E.O. no. 158/2005 regulating the holidays and health insurance benefits, with its subsequent modifications;

-     gross sums paid from insurances against accidents at the workplace and occupational diseases as allowances for temporary work incapacity caused by occupational diseases and work related accidents, allowance for work time reduction or temporary having to do another job and other aids granted according to the law no. 346/2002 (republished) on insurance against work related accidents and occupational diseases, with its subsequent modifications;

-     the amounts paid in 2017, but related previous years, including backdated paid arrears as consequence of wining the lawsuits involving the money rights related to previous years.

2016

Average monthly gross income obtained in month October 

Economic activity (NACE rev. 2 Section level)

Reference period

Major occupational group (ISCO-08 1 digit level)

Average monthly gross income obtained in October (lei/employee)

Total employees

of which: men

Manufacturing

October 2016

MG7 (Craft and related trades workers)

2417

2574

MG9  (Elementary occupations)

1895

1964

Data source:Statistical survey on salaries in month October – based on administrative data (the statement on compulsory payments of social contributions, taxes on income and the nominal records of insured persons (D112), managed by the National Tax Administration Agency and the General register of employees (REGES) managed by Labour Inspection).

Methodological notes:

The survey on salaries in October 2016 was exclusively carried out through the exploitation of administrative data sources and is aiming at determining the number of employees by gross basic salary group and gross achieved income group, the average gross basic salary and the gross achieved average income, by gender, age group, activity of national economy, occupation group and occupation, in October 2016.

Taking into account the changes in data sources and coverage, starting with the reference year 2013, the results of the Statistical survey on salaries in October are not comparable with the results achieved during previous years.

Coverage:

All the active enterprises with legal status, whose main activity comply with the CANE Rev. 2 divisions, codes 01-96, excluding the activity “Public administration and defence; social insurance from the public system" (division 84). The persons with labour agreement for the categories of employee whose status is civil servant, magistrate (judge, prosecutor) and assimilated, high officials and assimilated are not included.

The estimation of results was drawn up for October 2016, for the employees with employment contract declared in the "General register of employees" (REGES), who have achieved income on salary basis and for whom the employers have filled in the "Statement on compulsory payments of social contributions, taxes on income and the nominal records of insured persons" (D112).

Definitions:

Number of employees comprises thepersons with employment contract identified in the two administrative data sources (REGES and D112), with full time, paid for the whole month (21 days) in October 2016, even if they were absent from work due to medical leave days paid from the salary funds. Apprentices and part-time workers are not included.

Average monthly gross achieved income according to administrativedata sources (D112) comprises the gross amounts achieved on salary basis and reported by employers for the employees, for the calculation of social insurance contributions. The gross achieved income includes the following components:

-       gross basis salary established in the individual employment contract;

-       bonuses, allowances and amounts granted as percentage of gross basic salary or as fixed amount, either permanent or not;

-       other salary bonuses, stipulated by law or in the individual or collective employment contracts (bonuses, incentives, compensations, allowance for the annual holiday leave not-taken, the 13th salary, holiday bonuses, as well as other amounts representing current income or related to previous periods);

-       gross amounts resulting from payment “on hourly basis”, for emergency duties and clinical benefits;

-       gross amounts granted for retirement;

-       salary incomes, payments in kind and cash benefits that are not covered by the social security contributions (nominal value of meal vouchers, holiday vouchers, gift vouchers, transport tickets).

     The following items are not included:

-       gross amounts paid from the National Funds for Health Insurance (NFHI) in form of indemnities for temporary work incapacity caused illness or accidents outside the workplace, occupational diseases and work related accidents, indemnities to prevent illness and work capacity recovery, indemnities for maternity leave and other aids granted according to the E.O. no. 158/2005 regulating the holidays and health insurance benefits, with its subsequent modifications;

-       gross sums paid from insurances against accidents at the workplace and occupational diseases as allowances for temporary work incapacity caused by occupational diseases and work related accidents, allowance for work time reduction or temporary having to do another job and other aids granted according to the law no. 346/2002 (republished) on insurance against work related accidents and occupational diseases, with its subsequent modifications;

-       the amounts paid in 2016, but related previous years, including backdated paid arrears as consequence of wining the lawsuits involving the money rights related to previous years.

2011 – 2012

Average monthly gross earnings in month October

Economic activity (NACE rev. 2 Section)

Reference period

Major occupational group (ISCO-08)

Average monthly gross earnings in October (lei/employee)

Total employees

of which: men

Manufacturing

October 2011

MG7

1684

1828

MG9

1126

1177

October 2012

MG7

1776

1914

MG9

1194

1246

Data source: Statistical survey on salaries in month October

Methodological notes:

The statistical survey on salaries in month October was performed annually as a sample survey in enterprises (since 1994 until 2012), having October as reference period. Data are aggregated by the main economic activity of the units.

Coverage:

All the active enterprises with legal status, whose main activity comply with the CANE Rev. 2 divisions codes 01-96,were covered.

The units in the budgetary sector (public administration, education, health and social assistance) were been exhaustively surveyed, regardless of the size class (excepting the units of local public administration for which data at the level of local communal councils are collected based on representative sample at county level).Were not included the armed forces and similar.

For the economic sector, the units with 4 employees and over have been included in the survey.

Definitions:

Number of employeesrepresents the total number of employees hired based on a working contract/job agreement for a definite or indefinite period of time (the employees with the working contract/job agreement suspended included) existent on October 31. The number of employees includes the persons who worked full-time at least 23 days in October and who were fully paid or were going to be fully paid for their activity. Apprentices in practice in enterprises, persons with working contract at home, persons working less than full-time, persons employed on trial and debutants (interns) are not included. The category of full-time employees (who worked at least 23 days) does not include employees who benefited of an allowance of 75% of the basic salary corresponding to the position held. The working days category also includes the holidays, as well as the other non-working days for which the salary rights have been fully paid from the salary fund (the sick leave excluded).

Average monthly gross earningsin month October represent the gross amounts from the salary fund, the net profit and from other funds of the unit paid to an employee who worked full-time, the whole month. The amounts paid from the social security fund are excluded.

2013

Average monthly gross income obtained in month October 

Economic activity (NACE rev. 2 Section)

Reference period

Major occupational group (ISCO-08)

Average monthly gross income obtained in October (lei/employee)

Total employees

of which: men

Manufacturing

October 2013

MG7

1770

1917

MG9

1179

1223

Data source: Statistical survey on salaries in month October – based on administrative data (the statement on compulsory payments of social contributions, taxes on income and the nominal records of insured persons (D112), managed by the National Tax Administration Agency and the General register of employees (REGES) managed by Labour Inspection)

Methodological notes:

The survey on salaries in October 2013 was exclusively carried out through the exploitation of administrative data sources and is aiming at determining the number of employees by gross basic salary group and gross achieved income group, the average gross basic salary and the gross achieved average income, by gender, age group, activity of national economy, occupation group and occupation, in October 2013.

Taking into account the changes in data sources and coverage, the results of the Statistical survey on salaries in October 2013 are not comparable with the results achieved during previous years.

Coverage:

All the active enterprises with legal status, whose main activity comply with the CANE Rev. 2 divisions, codes 01-96, excluding the activity “Public administration and defence; social insurance from the public system" (division 84). The persons with labour agreement for the categories of employee whose status is civil servant, magistrate (judge, prosecutor) and assimilated, high officials and assimilated are not included.

The estimation of results was drawn up for October 2013, for the employees with employment contract declared in the "General register of employees" (REGES), who have achieved income on salary basis and for whom the employers have filled in the "Statement on compulsory payments of social contributions, taxes on income and the nominal records of insured persons" (D112).

Definitions:

Number of employees comprises thepersons with employment contract identified in the two administrative data sources (REGES and D112), with full time, paid for 23 days in October 2013, even if they were absent from work due to medical leave days paid from the salary funds. Apprentices and part-time workers are not included.

Average monthly gross achieved income according to administrativedata sources (D112) comprises the gross amounts achieved on salary basis and reported by employers for the employees, for the calculation of social insurance contributions. The gross achieved income includes the following components:

-       gross basis salary established in the individual employment contract;

-       bonuses, allowances and amounts granted as percentage of gross basic salary or as fixed amount, either permanent or not;

other salary bonuses, stipulated by law or in the individual or collective employment contracts (bonuses, incentives, compensations, allowance for the annual holiday leave not-taken, the 13th salary, holiday bonuses, as well as other amounts representing current income or related to previous periods);

-       amounts resulting from payment “on hourly basis”, for emergency duties and clinical benefits;

-       amounts granted for retirement.

     The following are not included:

-       income on salary basis, in kind and money aids for which no social insurance contributions are retained (nominal value of meal tickets, holiday tickets, gift tokens, transport season tickets);

-       gross amounts paid from the National Funds for Health Insurance (NFHI).

2014

Average monthly gross earnings in month October[6]

Economic activity (NACE rev. 2 Section)

Reference period

Major occupational group (ISCO-08)

Average monthly gross earnings in October1

(lei/employee)

Total employees

of which: men

Manufacturing

October 2014

MG7

1924

2069

MG9

1368

1405

Average annual gross earnings1 

Economic activity (NACE rev. 2 Section)

Reference period

Major occupational group (ISCO-08)

Average annual gross earnings 1

(lei/employee/month)

Total employees

of which: men

Manufacturing

Year 2014

MG7

1896

2047

MG9

1327

1357

Data source: Structure of earnings survey (SES)

Methodological notes:

Structure of earnings survey(SES) is carried out every four years, as a business statistical survey, having as reference periods month October 2014 and year 2014. The SES was implemented and carried out for the first time in 2002.

The main objective of the survey was to provide information on the number of employees, average hourly, monthly and annual earnings, working time. Indicators derived from the survey are available in different forms of aggregation, by demo-economic characteristics: gender, age, economic activity, size class of enterprises, ownership, legal status, groups of occupations, level of education, length of enterprise, duration and type of working program.

The survey tools design was done in accordance with the recommendations and standards of the European Union under the European Parliament and Council Regulation no 530/1999 concerning structural statistics on earnings and labour costs and Commission Regulation no 1738/2005 amending Commission Regulation no 1916/2000 as regards the definitions and transmission of information on the structure of earnings.

Coverage:

The survey was carried out in enterprises with 10 or more employees, those with 250 employees and over being exhaustively covered. Budgetary units are exhaustively surveyed, except for the units of local public administration for which data at level of local communal councils are collected based on a sample representative at county level. The selected sample provided data representativeness both on the national economy and in each economic activity at division level (2 digits), according to CANE Rev.2. Are not included the armed forces and similar.

Definitions:

Average number of employeesis the total number of employees working in full-time or part-time, in enterprises with 10 employees and over that worked and was paid in month October 2014. Are not included employees whose labour contract/agreement was suspended across the reference month (October 2014).

Average monthly gross earnings (according to Eurostat definition) were calculated by dividing the gross amounts paid from the salary fund (excluding occasional bonuses and payments in kind) and the other funds (excluding gross amounts paid from net profit) for the month of October, by the average number of employees in October.

Average annual gross earnings in 2014were calculated by dividing the gross amounts paid from the salary fund (including bonuses and salaries in kind), the gross amounts paid from net profit and other funds for the year 2014, by the average number employees.

At the same time, we here below present a table containing the average wage used at the substantiation of the state budget for social security.

Year

Act

Average wage

- in RON -

2011

287/2010

2,022

2012

294/2011

2,117

2013

6/2013

2,223

2014

340/2013

2,298

2015

187/2014

2,415

2016

340/2015

2,681

2018 CEACR’s conclusions - Pending

The Committee notes that in October 2016 the Romanian Parliament adopted the Minimum Inclusion Income Law No. 196/2016 which will enter into force starting from April 2019. The Committee also notes that the Minimum Inclusion Income (MII) represents the main supporting instrument/programme for preventing and combating poverty and the risk of social exclusion. The Government however states that the implementation of Law No. 196/2016 depends on the elaboration of the National Information System for Social Assistance and also, on the capacity of the local public administration authorities to ensure data processing of the beneficiaries and to verify the eligibility criteria. The Committee requests the Government to continue providing information on the implementation of the Minimum Inclusion Income and other social security benefits to maintain the persons protected above the poverty threshold established in Romania.

Please provide a reply to the Committee’s request.

-

- - In 2017, according to the Government Emergency Ordinance no. 82/2017 was approved the prorogation of the implementation of the minimum inclusion income law (MII), until April 2019, in order to ensure that all the administrative measures for the implementation of this law will be ready. The implementation of the Law no. 196/2016 Minimum Inclusion Income depends on the elaboration of the National Information System for Social Assistance (NISSA) which is not finalized yet and also, on the capacity of the local public administration authorities to ensure data processing of the beneficiaries and to verify the eligibility criteria. All the applications forms and all the justifying documents which have be submitted by the beneficiaries in order to be included in the program, has to be electronically processed by the Local Council staff using the NISSA.

The development of this system will be made through a project of the Ministry of Labour and Social Justice, with the support of the Ministry of Communications and Information Society, which is part of Romania's digital agenda, a measure stipulated by the Government Program "Development and interoperability of all the social assistance databases and the elaboration of the "e-social assistance" system.

Only after this project will be completed, the implementation of the Law 196/2016 will be possible. This project will meet the legal requirements laid down in Law No.196/ 2016 regarding the registration of requests, data processing, eligibility check and establishment of the right to the minimum inclusion income. For the moment, the project is in the initial phase and is estimated to be finalized in one year or maximum two years (2021).

In this context, in November 2018, the Government approved the prorogation of MII law, until 2021, according to the Government Emergency Ordinance no. 96/2018 and also decided to maintain the application of the actual Law no. 416/2001 on Minimum Guaranteed Income, with subsequent amendments and completions, for a period of at least 2 years, in order to have time to develop and test the IT system, to be sure that it will take over all the actual payments, without affecting the actual rights.

The intention of the Romanian Government is to continue the reform of the social assistance benefits system and to increase the efficiency of all the programs in this field, especially the reform of the means–tested benefits: minimum income guaranteed, family support allowance and house heating benefits.

Therefore, a lot of actions have been taken during July 2018 – Juny 2019, in order to improve the actual legislation in force, namely Law no. 416/2001 on minimum income guaranteed and Government Emergency Ordinance no. 70/2011 on the social protection measures during the cold season, with subsequently amendments and completions:

a)     Recently adopted activation measures: strengthening the link with the employment policies - the Parliament approved the Law no. 192/2018 for amending and completion of the Law no. 416/2001 regarding minimum income guaranteed, with the aim to encourage the members of families receiving social aid to be active on the labour market. The most important provision of the law refers to the entitlement to social aid in the case of those beneficiaries who refuse a job offer or the participation in a vocational training course for employment, qualification/retraining courses etc. Also, the new provisions want to encourage the persons able to work who are entitled to social aid to be involved in seasonal activities. The incomes from occasional work/seasonal activities are not taken into account when establishing the right to social aid/can be cumulated to the social aid.

b)     Recently changes of the other programs, complementary to social aid, namely house heating aids, granted according to the provisions of Government Emergency Ordinance no. 70/2011 on the social protection measures during the cold season, with subsequently amendments and completions. According to GEO no.114/2018 regarding the establishment of measures in the field of public investments and fiscal-budgetary measures, the modification and completion of some normative acts and the prorogation of some deadlines, the level of the income up to which the entitlement of house heating aid is granted to beneficiaries has been increased. These measure was required in order to ensure adequate social protection for these families, especially for the elderly, due to the increase of the population incomes during 2018 (such as the amount of the old age pension and the social allowance for pensioners).

Analyzing and identifying methods/mechanisms for indexation of all the social assistance benefits in order to get a better targeting of the social benefits to those who are in the highest risk of poverty and social exclusion: establishing a mechanism of indexation which will determine the revisions of the social assistance benefits in a predictable manner. This indexation mechanism will help to preserve the adequacy of the social assistance benefits over time. Indexation procedures are an important component for the adequacy of the social assistance benefits as they have to guarantee that benefits level do not fall behind a certain threshold established at national level. For developing this mechanism of indexation, the Ministry of labor and Social Justice has made a request for supportStructural Reform Support Program and the project fiche was approved at the beginning of this year. The implementation of this project financed by the European Commission will start during 2019. The subject/matter of project: Support for developing an indexation mechanism and piloting a new payment method for social assistance benefits in Romania.


Part XII. Equality of treatment of non-national residents

§b Article 1. C102, §e) Article 1. ECSS

the term “residence” means ordinary residence in the territory of the Contracting Party concerned and the term “resident” means a person ordinarily resident in the territory of the Contracting Party concerned;

Article 68. C102

1. Non-national residents shall have the same rights as national residents: Provided that special rules concerning non-nationals and nationals born outside the territory of the Member may be prescribed in respect of benefits or portions of benefits which are payable wholly or mainly out of public funds and in respect of transitional schemes.

2. Under contributory social security schemes which protect employees, the persons protected who are nationals of another Member which has accepted the obligations of the relevant Part of the Convention shall have, under that Part, the same rights as nationals of the Member concerned: Provided that the application of this paragraph may be made subject to the existence of a bilateral or multilateral agreement providing for reciprocity.

In accordance with the provisions of Law no. 95/2006, republished, as subsequently amended and supplemented, within the framework of the Romanian social security system are insured (the form in force at the beginning of the reference period):

- art. 222 par. (1)

a) all Romanian citizens with residence  in the country and who prove the payment of the contribution to the Fund under the present law;

b) foreign citizens and stateless persons who have applied for and obtained the extension of the right of temporary stay or residence in Romania and who prove the payment of the contribution to the Fund under the present law;

c) Citizens of EU Member States, EEA and Swiss Confederation who do not have insurance completed in the territory of another Member State that has effect in Romania who have applied for and obtained the right of residence in Romania for a period of more than 3 months, and who prove the payment of the contribution to the Fund under the present law;

d) persons from EU Member States, EEA and Swiss Confederations who meet the conditions of a frontier worker, ie they are employed or self-employed in Romania and reside in another Member State, where they return usually daily or at least once a week and who prove the payment of the contribution to the fund under the present law;

e) pensioners in the public pension system who are no longer domiciled in Romania and who establish their residence in the territory of an EU Member State, of a state belonging to the EEA or of the Swiss Confederation, respectively the domicile on the territory of a state with which Romania applies an agreement bilateral social security with provisions for sickness-maternity insurance and proof of payment of the contribution to the fund, under the present law.

By Government Emergency Ordinance no. 88/2017 of November 29, 2017 for amending and completing the Law no. 95/2006 on Health Reform was amended as follows (point e) (applicable as from 1 January 2018):

e) pensioners in the public pension system who are no longer domiciled in Romania and who establish their residence in the territory of an EU Member State, of a state belonging to the EEA or of the Swiss Confederation, respectively the domicile on the territory of a state with which Romania applies an agreement bilateral social security with provisions for sickness-maternity insurance.

By Government Emergency Ordinance no. 18/2018 of 15 March 2018 regarding the adoption of fiscal-budgetary measures and for the modification and completion of some normative acts published in the Official Gazette of Romania no. 260 of 23 March 2018 the following categories of persons have been changed:

- art. 222 par. (1)

a) all Romanian citizens with residence or stay in the country;

 b) foreign citizens and stateless persons who have applied for and have obtained the right of temporary stay or residence  in Romania;

c) Citizens of EU Member States, EEA and Swiss Confederation who do not have insurance completed in the territory of another Member State and have effect in Romania who have applied for and obtained the right of residence in Romania for a period of more than 3 months;

d) persons from EU Member States, EEA and Swiss Confederations who meet the conditions of a frontier worker, ie they are employed or self-employed in Romania and reside in another Member State, where they return usually daily or at least once a week .

    (2) In the case of the persons mentioned in par. (1) falling within the category of those who make the incomes provided under art. 155 par. (1) lit. a) of Law no. 227/2015, as subsequently amended and supplemented, the quality of insured in the social health insurance system and the right to the basic package is granted from the date of commencement of the work / service relationship.

(3) In the case of the persons mentioned in par. (1) falling within the category of those who make the incomes provided under art. 155 par. (1) lit. b) - h), as well as for the ones stipulated in art. 180 of Law no. 227/2015, as subsequently amended and completed, acquire the quality of insured in the social health insurance system and have the right to the basic package from the date of submission of the declaration, stipulated in art. 174 par. (3) of the Law no. 227/2015, as amended and supplemented.

(4) For the persons mentioned in par. (1) who fall within the category of those who have the status of taxpayers to the social health insurance system, according to the Law no. 227/2015, as subsequently amended and supplemented and which did not pay the contribution to the fund within the time limits provided by the same law, the outstanding amounts are recovered by A.N.A.F. under the terms of the law, including tax deductions due for tax receivables.

According to article 4 of the Law no. 292/2011 on social assistance all Romanian citizens who are on the Romanian territory and have the domicile or residence in Romania, citizens of EU Member States, of the European Economic Area and Swiss Confederation, and also foreigners and stateless persons domiciling or residing in Romania are entitled to social assistance under the Romanian law and the EU regulations as well as the agreements and treaties to which Romania is a part, without any discrimination. The vulnerable persons are benefiting from measures and social protection actions whitout any restriction or preference of race, nationality, ethnic origin, language, religion, social status, opinion, sex or sexual orientation, age, political affiliation, disability, chronic illness or belonging to a disadvantaged category. The aforementioned persons have the right to be informed on the content and modalities for granting social assistance measures and actions. The right to social assistance is granted on request or ex officio, as appropriate, in accordance with the law.

Therefore, all the foreign citizen can be entitled to social assistance in Romania, and the Romanian legislation doesn’t stipulate any requirement of a period of residence in order to be entitled to the social assistance benefits.

Law no. 122/2006 on asylum in Romania, with subsequent modifications and completions, establishes the legal status of foreigners who are requesting a form of protection in Romania, the legal status of foreigners who are beneficiaries of a form of protection in Romania.  According to the provisions of article 20 from Law no. 122/2006 on asylum in Romania, acknowledging refugee status or granting subsidiary protection offers the beneficiary the right to benefit from social assistance measures under the conditions stipulated by law for Romanian citizens and also the right to receive on request, within the limits of the disposable finances of the state, a reimbursable aid for a period of maximum 9 months if, due to objective reasons, one does not have the necessary financial means of existence. This aid can be extended for another period of maximum 3 months. The amount of such aid is set to 540 lei (122 euro);

The funds necessary to grant the reimbursable aid are ensured from the budget of the Ministry of Labour and Social Justice, through the National Agency for Payments and Social Inspection and the county payments and social inspection agencies.

Part XIII. Common provisions

XIII – 1. Suspension of benefit

Article 69. C102, Article 68. ECSS

See under relevant Part of the Consolidated Report.

XIII – 2. Right of complaint and appeal

Article 70. C102, Article 69. ECSS

1. Every claimant shall have a right of appeal in case of refusal of the benefit or complaint as to its quality or quantity.

2. Where in the application of this Convention (Code) a government department responsible to a legislature is entrusted with the administration of medical care, the right of appeal provided for in paragraph 1 of this article may be replaced by a right to have a complaint concerning the refusal of medical care or the quality of the care received investigated by the appropriate authority.

3. Where a claim is settled by a special tribunal established to deal with social security questions and on which the persons protected are represented, no right of appeal shall be required.

XIII – 3. Financing and Administration

§  Article 71. C102, Article 70. ECSS

1. The cost of the benefits provided in compliance with this Convention (Code) and the cost of the administration of such benefits shall be borne collectively by way of insurance contributions or taxation or both in a manner which avoids hardship to persons of small means and takes into account the economic situation of the Member (Contracting Party) and of the classes of persons protected.

2. The total of the insurance contributions borne by the employees protected shall not exceed 50 per cent of the total of the financial resources allocated to the protection of employees and their wives and children. For the purpose of ascertaining whether this condition is fulfilled, all the benefits provided by the Member (Contracting Party) in compliance with this Convention (Code), except family benefit and, if provided by a special branch, employment injury benefit, may be taken together.

3. The Member (Contracting Party) shall accept general responsibility for the due provision of the benefits provided in compliance with this Convention (Code), and shall take all measures required for this purpose; it shall ensure, where appropriate, that the necessary actuarial studies and calculations concerning financial equilibrium are made periodically and, in any event, prior to any change in benefits, the rate of insurance contributions, or the taxes allocated to covering the contingencies in question.

Article 72. C102, Article 71. ECSS

1. The Member (Contracting Party) shall accept general responsibility for the proper administration of the institutions and services concerned in the application of the Convention (Code).

2. Where the administration is not entrusted [to an institution regulated by the public authorities or – C102] to a Government department responsible to a legislature, representatives of the persons protected shall participate in the management, or be associated therewith in a consultative capacity, under prescribed conditions; national laws or regulations may likewise decide as to the participation of representatives of employers and of the public authorities.

2018 CEACR’s conclusions - Pending

Part XII (Common provisions), Article 70(2) of the Code. Collective financing of benefits. The Government states that the social insurance contributions paid by employers and employees represent the main source of revenue to the public pension system. However, the Committee notes that according to section 42 of Government Emergency Ordinance No. 79/2017 of 8 November 2017 for amending and completing the Law No. 227/2015 regarding the fiscal code, starting with 1 January 2018, the contribution rate for employees accounts for 25 per cent of their gross salary, whereas employers have to pay social insurance contributions only in case of difficult or special working conditions which correspond to 4 per cent and 8 per cent of the payroll, respectively. With regard to the health insurance, section 69 of the Government Emergency Ordinance states that “the share of the social health insurance contribution is 10 per cent and is due by the natural persons who are employed or for whom there is the obligation to pay the social health insurance contribution, according to the present law”. The Committee therefore notes that, as of 1 January 2018, Romania became the only contracting party to the Code where social security contributions to the pension and health systems are paid in full by employees. The Committee observes that these changes undermine the principles of collective financing and social solidarity on which the Code is based and once again requests the Government to demonstrate statistically that the total of the insurance contributions borne by the employees protected does not exceed 50 per cent of the total of the financial resources allocated to the protection of employees and their wives and children under the Code.

Please provide a reply to the Committee’s request.

- Annex 1 - Survey on preserving the ratio between social contributions and benefits provided done by the National Commission for Strategy and Prognosis.

-

Please provide a reply to the Committee’s request.

RF/C102/ECSS:

1. Please state, the resources of each scheme concerned, and more particularly, the rate or the amount of the contributions raised on earnings for the purposes of financing the scheme, either by way of insurance contributions or of taxes.

2. Please furnish the following statistical information for the specific Parts.

Part N

Resources allocated to the protection of employees, their wives and their children (A)

Insurance contributions borne by the employees protected (B)

Part II

Part III

Part V

Part VIII

Total

3. Total in column B per cent of total in column A, above.

4. Please state to which extent responsibility has been assumed by the Member for the provision of benefits.

5. Please indicate the principal changes that have been made during the period covered by the reports as regards:

i. benefit;

ii. rates of contribution;

iii. other resources.

6. Please state whether the necessary actuarial studies and calculations concerning the financial equilibrium are made periodically. Where this has not already been done, please forward the results of any such studies and calculations.


Annex 1. Maximum number of consults by type of Medical Care.

i) Primary medical assistance

          

The basic package includes:

I.              Curative medical services for medical – surgical emergencies, acute, sub-acute conditions, acute exacerbation of chronic illnesses and for chronic illnesses.

1. Emergency case:  Between June 1st 2011 and May 31st 2016, asingle consult is settled for each person, for each established emergency case.

2. Acute/sub-acute illness episode or after acute exacerbation of chronic illnesses:

- Between June 1st 2011 and May 31st 2016,for each acute/sub-acute illness episode or after the acute exacerbation of chronic illnesses are settled maximum three consults  per insured individual, required to establish the diagnosis, treatment and case progress, cumulated at the level of family physician and specialized physician in the clinical ambulatory;

- Between January 1st 2012 and May 31st 2014, for each acute/sub-acute illness episode or after the acute exacerbation of chronic illnesses were settled maximum four consults per insured individual, required to establish the diagnosis, treatment and case progress, cumulated at the level of family physician and specialized physician in the clinical ambulatory,

- Between June 1st 2014 and May 31st 2016 for each acute/sub-acute illness episode or after the acute exacerbation of chronic illnesses are settled maximum two consults.

- - Between June 1th2016 and June 30th 2019 for each acute/sub-acute illness episode or after the acute exacerbation of chronic illnesses are settled maximum two consults.

3. Chronic illnesses

- Between June 1st 2011 and May 31st 2013, for the clinical and laboratory assessment, treatment prescription and evolution monitoring of the ill individuals suffering of one or several chronic illnesses are settled one monthly consult.

- Between June 1st 2014 and May 31st 2016, for all chronic illnesses is settled one consult per month per insured individual.

- - Between June 1th2016 and June 30th 2019 for all chronic illnesses is settled one consult per month per insured individual.

 

4.    Active monitoring by an integrated management plan

The initial assessment of the newly identified case after the first registration quarter, which might include: 4 consults with the family physician (between June 1st 2014 and March 31st 2015)/ 3 consultations may be granted by the family physician within a maximum of 3 consecutive months (between April 1st 2015 and May 31st 2016).

 - The patient monitoring is carried out:

o        on a quarterly base and includes 1 to 3 scheduled consults including the assessment of disease control, screening for complications, patient education, paraclinical investigations and treatment, between June 1st 2014 and March 31st 2015.

o      two programmed consultations including the assessment of disease control, screening for complications, patient education, laboratory investigations and treatment and a new monitoring, all, are done after 6 consecutive months, calculated to the month in which it was conducted the second appointment in the previous monitoring of the case management, between April 1st 2015 and May 31st 2016. 

Between June 1th2016 and June 30th 2019:

o  The initial assessment of the newly identified case after the first registration quarter, which might include: 3 consultations may be granted by the family physician within a maximum of 3 consecutive months

o  The patient monitoring is carried out two programmed consultations including the assessment of disease control, screening for complications, patient education, laboratory investigations and treatment and a new monitoring, all, are done after 6 consecutive months, calculated to the month in which it was conducted the second appointment in the previous monitoring of the case management 

II.    Preventive and prophylactic medical services:

1. Between June 1st 2011 and May 31st 2016, the preventive consults are active periodical consults provided:

a)         upon discharge from the maternity ward and at 1 month (at the child’s residence);

a)         on 2, 4, 6, 9, 12,15,18, 24, 36 months;

a)         once a year between 4 and 18 years old. 

Between June 1th2016 and June 30th 2019: the frequency of consultations was as follows:

a) upon discharge from the maternity ward and at 1 month (at the child’s residence);

b) on 2, 4, 6, 9, 12,15,18, 24, 36 months;

c)  once a year between 4 and 18 years old.

2. Monitoring the pregnancy and post-delivery evolution: (see Article 49 of Part VIII)

3. Consults for the purpose of immunization (consult and inoculation) were grantedbetween June 1st 2011 and March 31st 2013, as follows:

    -  according to the national immunization program;

- tetanus recall vaccine to pregnant women as prophylactic prevention of    tetanus to new born;

4.  Preventive consults for the assessment of insured individuals aged of more than 18 years:

- between June 1st 2011 and May 31st 2014,  upon the insured individual’s or family physician’s request, it is settled an annual consult as regular medical consult intended to prevent illnesses with major effects over morbidity and mortality to insured individuals aged of more than 18 years;

- between June 1st 2014 and May 31st  2016, preventive consults for the assessment of the individual risks of the asymptomatic adult are settled as follows:

§     for all asymptomatic individuals between 18 and 39 years old, once every 3 calendar years. Maximum 2 consults/ insured person is settled in the year in which the individual risk is assessed. For asymptomatic persons aged between 18 and 39 detected with high risk, the preventive assessment consults are granted once a year and maximum 2 consults/insured person are settled on an annual basis.

§    for all asymptomatic persons over 40 years, maximum 2 consults / insured person are settled on an annual basis.

Between June 1th2016 and June 30th 2019

·       for all asymptomatic individuals between 18 and 39 years old, once every 3 calendar years. Maximum 2 consults/ insured person is settled in the year in which the individual risk is assessed. For asymptomatic persons aged between 18 and 39 detected with high risk, the preventive assessment consults are granted once a year and maximum 2 consults/insured person are settled on an annual basis.

·       for all asymptomatic persons over 40 years, maximum 2 consults / insured person are settled on an annual basis.

5. Supervision and identification of endemic-epidemic potential illnesses

Between June 1st 2011 and May 31st 2016, one consult is settled per individual for each illness with suspected and confirmed endemic-epidemic potential. Between June 1th2016 and June 30th 2019 - one consult is settled per individual for each illness with suspected and confirmed endemic-epidemic potential.

6. Family planning services:between June 1st 2011 and May 31st 2016, maximum two consults per year are settled for each insured individual.

Between June 1th2016 and June 30th 2019 - 2 consults per yaer are settled for each insured individual

III. House calls are granted as follows: 

-          between June 1st 2011 and December 31st 2011, maximum 5 consults per  week per physician; 

-        between January 1st 2012 and May 31st 2014, maximum 20 consults per month per physician with own list of insured individuals but not more than 3 consults per day;

-     between June 1st 2014 and May 31st  2016, maximum 2 consults per each acute/sub-acute/exacerbation of chronic illness episode, maximum 4 consults per year for chronic.Between June 1th2016 and June 30th 2019 – maximum 2 consults per each acute/sub-acute/exacerbation of chronic illness episode, maximum 4 consults per year for chronic and one consult for each emergency situation

IV.   Additional medical services: the maximum number of general ultrasound scans, EKG examinations carrying out and interpretation which might be provided and performed by the family physician during one hour can not be higher than 3.

          Between July 1th 2016 and March 31th 2018, the maximum number of general ultrasound scans, EKG examinations carrying out and interpretation which might be provided and performed by the family physician during one hour can not be higher than 3.

Between April 1th 2018 and June 30th 2018, the maximum number of general ultrasound scans, which might be provided and performed by the family physician during one hour can not be higher than 3.

V.      Support activities: the limits imposed by the specific nature of each document provided for in the basic package.

VI.     Services of drug administration: upon physician’s prescription.

ii)Specialized medical assistance in clinical ambulatory

Payment for specialized medical assistance services in clinical ambulatory units and for acupuncture services shall be made based on the rate per medical service quantified in points or Lei.

The health insurance houses settle the equivalent value of the medical services based on rate expressed in points provided for in the basic services package to the specialized physicians, if those services are provided in their medical practices and their results are interpreted by the relevant physicians, by taking into account the number of points corresponding to each medical service and the value established for one point.

The total number of points reported for consults, medical services provided by specialized physicians and family planning services can not exceed the number of points resulted, according to the work schedule, according to the provisions of Annex 8 to the:

- Order No 864/538/2011, for the period between June 1st 2011 and December 31st 2011; 

- Order No 1723/950/2011, for the period between January 1st 2012 and March 31st 2013;

- Order No 423/191/2013, for the period between April 1st 2013 and May 31st 2014;

- Order No 619/360/2014, for the period between June 1st 2014 and March 31st 2015;

- Order No 388/186/2015, for the period between April 1st 2015 and May 31st 2016;

- Order No 763/377/2016 for the period between June 1st 2016 and March 31st 2017;

- Order No 196/139/2017 for the period between April 1st 2017 and March 31st 2018;

- Order No 397/836/2018 for the period between April 1st 2018 and June 30st 2019.

.

The basic medical services package includes:

1.   Medical services for medical – surgical emergencies:

-          Between June 1st 2011 and May 31st 2016, asingle consult is settled for each person, for each established emergency case, for which the first aid was provided or which was resolved within the medical practice / at the residence, except for children aged from 0 to 18 years, for whom maximum 2 consults are settled.

-          - Between June 1th2016 and June 30th 2019, a single consult is settled for each person, for each established emergency case, for which the first aid was provided or which was resolved within the medical practice, except for children aged from 0 to 18 years, for whom maximum 2 consults are settled.   

2.   Acute/sub-acute illness episode and acute exacerbation of chronic illnesses

-            Between June 1st 2011 and December 31st 2011, maximum 3 consults per insured individual were settled for the same acute/sub-acute illness episode, as required to establish the diagnosis, the treatment and the evolution of the case, cumulated at the level of the family physician and specialized physician(s) in the ambulatory specialized in clinical specializations.   

-            Between January 1st 2012 and May 31st 2014, maximum consults per insured individual were settled for the same acute/sub-acute illness episode, as required to establish the diagnosis, the treatment and the evolution of the case, cumulated at the level of the family physician and specialized physician(s) in the ambulatory specialized in clinical specializations.

-          Between June 1st 2014 and May 31st 2016, maximum 3 consults per insured individual are settled for the same acute/sub-acute illness episode / exacerbation of chronic illnesses, within maximum 60 calendar days as of the date of the first consult, as required to establish the diagnosis, the treatment and the evolution of the case.

-          Between June 1th2016 and June 30th 2019, maximum 3 consults per insured individual are settled, within maximum 60 calendar days as of the date of the first consult, as required to establish the diagnosis, the treatment and the evolution of the case.

3.   Chronic illnesses

-            Between June 1st 2011 and May 31st 2014, one consult per month or quarter was settled for an individual suffering of chronic illnesses in order to carry out the clinical and paraclinical assessment, to prescribe the treatment and to monitor the health condition of the relevant individual. 

-          Between June 1st 2014 and May 31st 2016, maximum 4 consults per quarter for an insured individual are settled in order to carry out the clinical and paraclinical assessment, to prescribe the treatment and to monitor the health condition of the relevant individual, related to one or several illnesses treated within the same specialty, but not more than 2 consults per month.

-          Between June 1th2016 and June 30th 2019, maximum 4 consults per quarter for an insured individual are settled in order to carry out the clinical and paraclinical assessment, to prescribe the treatment and to monitor the health condition of the relevant individual, related to one or several illnesses treated within the same specialty, but not more than 2 consults per month

4.   Identification of illnesses with endemic-epidemic potential:

-          Between June 1st, 2011 and May 31st, 2016, asingle consult per insured individual for each illness suspected and confirmed as having endemic-epidemic potential is settled.  

-          Between June 1st, 2016 and June 30st, 2019, a single consult per insured individual for each illness suspected and confirmed as having endemic-epidemic potential is settled.

5.   Family planning services:

-            Between January 1st 2012 and March 31st 2015, 2 consults for each case/diagnosis per calendar year was settled;  

-          Between April 1st 2015 and May 31st 2016, 4 consults per calendar year are settled for each insured individual.

-          Between June 1st 2016 and June 30st 2019, 4 consults per calendar year are settled for each insured individual.   

6.   Between June 1st 2011 and May 31st 2014, for phytotherapy and homeopathy, maximum 2 consults were settled for each case/diagnosis per calendar year.  

7.     Simple and complex diagnosis services and therapeutical/medical – surgical treatment services: thetotal number of points reported for consults and medical services provided by the physicians specialized in clinical specializations during a work schedule of 35 hours/week per physician/practice can not exceed the number of points resulted under the work schedule, according to the aforementioned (sub-paragraph (ii))

        

8.     Healthcare services related to the medical act: the scoring for the healthcare services related to the medical act, which can be reported for one or several insured individuals, regardless of the type of related service, by the specialized physician who requested them, can not exceed:

- between June 1st 2011 and May 2014: an average of 40 points per day,

- between June 1st 2014 and May 31st 2016:an average of 90 points per day

 owed to that/those who provide such services, except for the pediatric psychiatrist, whose scoring can exceed an average of 150 points per day,  starting with April 1st  2015.

-          between June 1st 2016 and June 30th 2019: an average of 90 points per day owed to that/those who provide such services, except for the pediatric psychiatrist, whose scoring can exceed an average of 180 points per day

9.   Pregnancy and post-partum condition monitoring services (see Article 49 of Part VIII)

10.  Acupuncture services: the insured individuals are entitled to maximum 2 consults / cure/ calendar year per insured individual settled by the Unique National Health Insurance Fund (one consult for each treatment cure).  One cure is represented in average by 10 days of treatment and 4 procedures per day. 

Medical assistance in the specialized ambulatory for the clinical medical rehabilitation specialization

The basic medical services package includes:

-            between June 1st 2011 and May 31st 2014: maximum 2 consults were settled, where each treatment cure prescribed should be preceded by a consult and the cure should start within maximum 30 calendar days as of the consult date. The health insurance houses could settle a second consult during a cure or at the end of each cure, within maximum 10 calendar days as of the date of the relevant cure end. In case no treatment cure was prescribed to the insured individual, the health insurance house could settle 2 consults. A cure is represented in average by 10 days of treatment and 4 procedures per day;

-          between April 1st 2013 and May 31st 2014: in addition to the aforementioned, 4 cures per calendar year were settled for children from 0 to 16 years old;

-          between June 1st 2014 and May 31st 2016 are settled the following:

1.                        The initial specialized medical consult;

1.                        The reassessment consult;

1.                  The series of specific medical rehabilitation procedures established by the physician specialized in medical rehabilitation settled for an insured individual include maximum 4 procedures/ treatment day. The period of time for which such specific medical rehabilitation procedures are granted is of maximum 21 days/year/insured individual, both for children and adults, except for children from 0 to 18 years old with cerebral paralysis diagnosis confirmed, in such cases being settled specific medical rehabilitation procedures for a period of maximum 42 days per year/ insured individual. For each series of specific procedures, one initial consult and one reassessment consult are settled. If no series of specific medical rehabilitation procedures are prescribed to an insured individual, he/she can take advantage of 3 consults settled, per quarter, for same illness.

-          - between June 1st 2016 and June 30st 2019 are settled the following:

o   The initial specialized medical consult;

o   The reassessment consult - is granted before the start of a series of specific physical and rehabilitation procedures, during the series of procedures or at the end of each series of procedures at a time which may not exceed 10 calendar days from the completion of the procedure.

o   Specific physician and rehabilitation procedures, that can be given in a series of procedures

Procedures are granted for periods and at a rate set by the physician specialized in medical rehabilitation.

-          The period for which specific physician and rehabilitation procedures are settled is up to 21 days per year for both children and adults except for children aged 0-18 with a confirmed diagnosis of cerebral palsy when specific medical procedures of physical and rehabilitation for a period of maximum 42 days per year / insured, these periods may be divided into up to two fractions, depending on the basic condition, at the recommendation of the physician specialized in medical rehabilitation.

-          In the case of split treatment periods at the physician*s specialized in medical rehabilitation  recommendation for each treatment period, an initial consultation and re-evaluation consultation is arranged, but no more than two initial consultations and two re-evaluation visits per year .

-          The series of specific physician and rehabilitation procedures established by the physician specialized in medical rehabilitation for an insured person includes up to 4 procedures / day of treatment. For a series of specific physical and rehabilitation procedures that take place in treatment centers in spa resorts, a maximum of 4 procedures / day are settled, of which 2 specific physician and rehabilitation procedures with natural therapeutical factors.  

-           For situations where an insured person is not recommended for a number of specific physician and rehabilitation procedures, three consults per quarter for same illness are settled.

Dental medical assistance

The basic dental treatment and dental preventive services (between June 1st 2011 and May 31st 2016) included the following:

- one consult every 12 months settled for one insured individual;

- one acrylic removable dental prosthesis settled once every 5 years;

- sealing/tooth, procedure settled every 2 years.

 For children from 0 to 18 years old, the preventive dental medical services are settled quarterly and for young people from 18 to 26 years old, if they are pupils or students without any personal earnings, such services are settled twice a year.Between June 1st 2016 and June 30 th 2019:

-          one consult every 12 months settled for one insured individual and one consult every 6 months for children from 0 to 18 years old

-          one acrylic removable dental prosthesis settled once every 4 years;

-          - sealing/tooth, procedure settled every 2 years.

Drugs with or without personal contribution prescribed in ambulatory

Periods of time for which drugs can be prescribed are of maximum 7 days, for acute illnesses, 8 - 10 days, for sub-acute illnesses, and, respectively, up to 30/ 31 to 90/92 days, for chronic illnesses.  For chronic illnesses, physicians can prescribe drugs, with or without personal contribution, by complying with the following requirements:

-            between June 1st 2011 and May 31st 2014:

a) for sub-lists A and B: a single monthly prescription for maximum 7 drugs is settled, provided that the total amount of the drugs from sub-list B calculated at the level of the reference prices, is up to Lei 330 per month;

      b)  if, during a month, a drug from sub-list B marked with #, with a maximum amount for the monthly treatment exceeding Lei 330, is prescribed, then in the relevant month, should not be prescribed other drugs from the sub-list B;

    c) for retired insured individuals with earnings from pension of up to 700 Lei/month, a single prescription for drugs from sub-list B, with an amount of up to Lei 330 and maximum 3 such drugs is allowed, if the relevant retired insured individuals are not entitled to drugs from sub-list B under a compensation of 90% of their reference price, according to the requirements provided for in sub-paragraphs a) and b). If they are entitled to such compensation, the physician can prescribe them maximum 7 drugs from sub-lists A and B;

    d) for drugs from sub-list C, section C1: a single monthly prescription for maximum 3 drugs is allowed per each illness code;

               e) for drugs from sub-list C, section C3: a single monthly prescription for maximum 4 drugs is allowed per each illness code.

-            between June 1st 2014 and May 31st 2016: 

              a)  for drugs from sub-lists A, B and D: one/several prescription(s) per month, provided it/they does/do not exceed, cumulative, 7 different drugs on all the prescriptions from that month. The total amount of drugs from sub-list B, calculated at the level of reference prices, should be up to 330 Lei per month;

              b)  if, during a month, a drug from sub-list B marked with #, with a maximum amount for the monthly treatment exceeding Lei 330, is prescribed, then in the relevant month, should not be prescribed other drugs from the sub-list B;

              c)  for retired insured individuals with earnings from pension of up to 700 Lei/month, a single prescription for drugs from sub-list B, with an amount of up to Lei 330 and maximum 3 such drugs is allowed, if the relevant retired insured individuals are not entitled to drugs from sub-list B under a compensation of 90% of their reference price, according to the requirements provided for in sub-paragraphs a) and b). If they are entitled to such compensation, the physician can prescribe them maximum 7 drugs from sub-lists A and B;

            d) for drugs from sub-list C, section C1: a single monthly prescription or maximum two monthly prescriptions, for maximum 3 drugs is allowed per each illness;

            e) for drugs from sub-list C, section C3: a single monthly prescription for maximum 4 drugs is allowed per each illness code.

       

  By exception, in case of drugs provided for in Table II from the Annex to the Law No 339/2005 on the legal regime of plants, substances and preparations with narcotic and psychotropic content, as further amended and supplemented, physicians are allowed to release several prescriptions for those drugs to the same insured individual, according to the legal provisions in force.

Between April 1st 2018 and June 30 th 2019:

Periods of time for which drugs can be prescribed are of maximum 7 days, for acute illnesses, 8 - 10 days, for sub-acute illnesses, and, respectively, up to 30/ 31 days for chronic illnesses.  The period for which prescription drugs can be prescribed for cost-volume / cost-volume-result contracts is up to 30-31 days.

(a) for drugs from sub-lists A, B and D, one/several prescription(s) per month provided it/they does/do not exceed, cumulative, 7 different drugs on all the prescriptions from that month. The total amount of drugs from sub-list B, calculated at the level of reference price, is up to 330 lei per month;   

b) if, during a month, a drug from sub-list B marked with #, with a maximum amount for the monthly treatment exceeding Lei 330, is prescribed, then in the relevant month, should not be prescribed other drugs from the sub-list B;

c) for pensioners with pension incomes and social allowance for pensioners, up to 900 lei / month inclusive, regardless of whether or not they make other income, the provisions of subsection a) and b); they may benefit from a prescription / multiple monthly prescriptions that do not cumulatively exceed 7 drugs in Sub- lists A, B and D; in this situation, for a maximum of 3 drugs in Sublist B, with a reference price of up to 330 lei per month / prescription, a single separate prescription with 90% offset of the reference price is made; 

  d) for drugs from sub-list C section C1 - for each illneass code, one prescription / maximum two monthly prescriptions, with a maximum of 3 drugs;

   e) for drugs from sub-list C section C3 - a single monthly prescription for maximum 4 drugs.

In the balnearyhydropathical sanatoriums, the hospitalization periods settled are: 

            -   between June 1st 2011 and December 31st 2011:therapeutic hydropathical assistance: 18 to 21 days and medical recovery hydropathical assistance: 21 to 30 days;

            -   between January 1st 2012 and May 31st 2014: therapeutic hydropathicalassistance: 10 to 14  days and medical recovery hydropathicalassistance: 14 to 21 days

           -   between June 1st 2014 and May 31st 2016: medical rehabilitation services: 14 to 21 days per year per insured individual granted in a single episode containing minimum 4 procedures per day.

- between June 1st 2016 and June 30st 2019: medical rehabilitation services: 14 to 21 days per year per insured individual granted in a single episode containing minimum 4 procedures per day.



[2] The index of earnings should correspond to the classes of employees or economically active persons shown under the Article dealing with persons protected (Article 27, 33 or 61). If no index of earnings is available, the index of money wages may be substituted.

[3] The indices at the beginning and end of each period should refer to the same base.

[4] The indices at the beginning and end of each period should refer to the same base.

[5] Please calculate as a percentage of all residents. The resident population in January 2016, according to TEMPO Online, was 19.760.314 persons. The average number of beneficiaries of child state allowance in 2016 was 3.704.984 which represents  18,5% of  all resident population. The resident populationin January 2017, according to TEMPO Online, was 19.644.350 persons. The average number of beneficiaries of child state allowance in 2017 was 3.635.792 which represents  18,5 % of  all resident population.The resident populationin January 2018, according to TEMPO Online, was 19.530.631 persons. The average number of beneficiaries of child state allowance in 2018 was 3.610.503 which represents  about 18,5 % of  all resident population.

[6] Provisional data