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Key French Social Security Figures 2010

Directorate of Social Security

Key French Social Security Figures 2010

2011 Edition

The French social security system.....................Social security revenue ..................................The health insurance branch of the social security system ................................................The occupational injuries and diseases branch of the social security system ...........................The old-age insurance branch of the social security system ..............................................The family branch of the social security systemFinancial situation .........................................Social security schemes for the self-employed and agricultural sectors .................................Quality and effi ciency programmes ................Social security public service performance ......Social security institutions’ organisation chart .........................................

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CONTENTS

Key French Social Security Figures 2010 5

he French social security system was founded in 1945 in order to “ensure that eve-ryone should have the means required to support themselves and their family in decent conditions, under all circumstances”1. It is based on the principle of solidarity which guarantees financial protection against life’s contingencies for everyone.

It covers health insurance, occupational injuries and diseases, pensions and family benefits. These four main branches of the social security system are completed by the collection of social contribu-tions and cash management.

The French social security system is underpinned by the principles of universality and unity. It is admi-nistered through a number of different schemes: general scheme; agricultural workers’ and farmers’ scheme managed by the CCMSA; and the RSI scheme for the self-employed which covers the craft and trade sectors, the commercial sector and independent professionals. Other, ‘special’ schemes cover specific professions such as civil servants. The general scheme alone accounts for about three quarters of the total expenditure incurred by the social security schemes.

In 2010, total net expenditures reached 316.1 billion euros for the general scheme and amounted to 433.7 billion euros for all schemes combined.

The French social security system is financed by social contributions paid by employers and em-ployees, a general social welfare tax (CSG) and various other contributions and taxes.

While opinion polls show overwhelming public support for the social security system, there tends to be only a limited understanding of how the system functions and the huge flows of money in the system. This document aims to fill the knowledge gap by presenting key figures on the French social security system and providing a better understanding of it has evolved over time and the issues faced today.

THE FRENCH SOCIAL SECURITY SYSTEM

T

1 Explanatory statement from the French decree of 4 October 1945 establishing the social security system

Key French Social Security Figures 2010 / 6


The ACOSS (central agency of social security funds) is in charge of the social security general scheme’s cash operations and manages the URSSAF which are responsible for the collection of social contributions.

• 8 million contributor accounts in 2010.

• 370 billion euros in revenues collected in 2010.

• General scheme consolidated products totalled 292.1 billion euros in 2010.

SOCIAL SECURITY REVENUE


STRUCTURE OF GENERAL SCHEME REVENUE IN 2010

PUBLIC ADMINISTRATIONSHOUSEHOLDS COMPANIES

TRANSFERS TAXES AND DUES CSGCONTRIBUTIONS

PRINCIPAL CONTRIBUTORS TO THE GENERAL SCHEME IN 2010

10 %

45 %

45 %Source:

Financing Quality

and Efficiency

Programme,

2011

Source:

Social Security

Accounts

Commission,

June 2011

3 %6 %

21 %59 %

11 %

OTHER INCOME


78 %

4 %

18 %

STRUCTURE OF GENERAL SCHEME REVENUE BY SOCIAL SECURITY

TRANSFERS

TAXES AND DUES

CSG

CONTRIBUTIONS

Source:

Directorate

of Social

Security

‘Below ceiling’ refers to the contributions paid on that part of the wage which is below the social security capped limit (2,946 euros gross per month as at January 1st 2011) as opposed to ‘above ceiling’ meaning contributions to be paid on the entire wage. Only those contributions collected for the pensions branch are calculated on the capped wage.

CNAM (health) CNAV (old-age)

CNAF (family benefits) CNAM (occupational injuries and diseases)

4. EMPLOYEE AND EMPLOYER SOCIAL SECURITY CONTRIBUTIONS

Source:

Social Security

Accounts

Commission,

June 2011

3 %

11 %

35 %

49 %

2 %

3 %8 %

24 %

65 %

10 %

2 %

66 %22 %

OTHER INCOME

Employer Employee Total

Social security contributions as at 1st January 2011

Health insurance 12,8 % 0,75 % 13,55 %

Old-ageinsurance

Below ceiling 8,3 % 6,65 % 14,95 %

Above ceiling 1,6 % 0,1 % 1,7 %

Family benefi ts 5,4 % - 5,4 %

Occupational injuries (average) 2,38 % - 2,38 %

Social welfare taxes at 1st January 2011

CSG - 7,5 % 7,5 %

CRDS - 0,5 % 0,5 %


EVOLUTION OF EMPLOYER CONTRIBUTION RATES AT MINIMUM WAGE LEVEL (SMIC) (AS A PERCENTAGE OF GROSS EARNINGS, 1980-2011)

GENERAL SCHEME EXPENDITURE IN 2010

Note: Calculations are made based on a Paris-region business with more than 20 employees and having adopted the 35 weekly

hours system in January 2000 (dotted) or having kept the 39-hour system (block colour).

Source:

Social Security

Accounts

Commission,

June 2011

Measures to reduce employer charges on low wages since the mid-90s have led to a signifi cant fall in employer social security contributions at minimum-wage level, which have dropped from 33% to 4.48% of gross earnings in just over two decades. Other employer contributions have seen a 4 point increase over the same period, with the result that social security contributions today account for only 21.6% of total employer social charges at minimum-wage level.

TOTAL SOCIAL SECURITY OTHERS

1980

1981

1982

1983

1984

1985

1986

1987

1988

1989

1990

1991

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

0 %

5 %

10%

15 %

20 %

25 %

30 %

35 %

40 %

45 %

50 %

AF exemption

Aubry II structural aid if RTT

Juppé 1, 2 and 3 exemption

Fillon law to reduce

2011

FAMILY BENEFITS

OLD-AGE INSURANCE

HEALTH

Source: Directorate of

Social Security

OCCUPATIONAL INJURIES AND DISEASES

3 %

16 %

32 %49 %


The national health insurance fund for employees (CNAMTS) is in charge of the health insurance branch of the general scheme and manages the local health insurance funds (CPAM).

• 57 million general scheme benefi ciaries.

• 87% of the population is insured by CNAMTS which covers about 86 % of total health care expenses.

• 142.1 billion euros in benefi ts paid by the CNAMTS in 2010.

• Health care spending as a share of GDP in 2009: 12%.

THE HEALTH INSURANCE BRANCH OF THE SOCIAL SECURITY SYSTEM


In 2010, the national health insurance expenditure target, as set by Parliament, was met for the fi rst time since 1997.

TRENDS IN FINANCING OF HEALTH CARE AND MEDICAL GOODS

ANNUAL GROWTH OF GENERAL SCHEME HEALTH INSURANCE COSTS (ONDAM)* BETWEEN 1997 AND 2010

Source:

National Health

Accounts, 2010

*ONDAM: National health insurance expenditure target

HOUSEHOLDS

UNIVERSAL HEALTH COVERAGE PROGRAMME

SOCIAL SECURITY

SUPPLEMENTARY INSURANCE

1995 2000 2005 2006 2007 2008

12,8 %

1,2 %

9,0 %

77,1 %

13,2 %

1,3 %

8,4 %

77,0 %

13,4 %

1,4 %

8,9 %

76,3 %77,1 %

12,2 %

1,1 %

9,6 %

13,7 %

9,5 %

75,5 %

1,3 %

13,8 %

9,4 %

75,5 %

1,3 %

13,5 %

1,4 %

8,9 %

76,2 %

2009

1997 1998 1999 2000 2001 20052002 2003 2004 2006 2007 2008 2009

1,5 %

4,0 %

2,6 %

5,6 % 5,6 %

7,1 %

6,4 %

4,9 %4,0 % 4,0 %

3,2 % 3,5 %3,5 %

2,7 %

2010

Source:

Social Security

Accounts

Commission,

June 2011


1998 1999 2000 2001 20052002 2003 2004 2006 2007 2008 2009

-2,4 -2,1

-6,1

-8,0

-5,9

-4,6 -4,4

-10,6-11,1-11,6

-0,7-1,6

-11,6

2010

HEALTH CARE EXPENSES COVERED BY THE HEALTH INSURANCE SYSTEM (ONDAM - PROVISIONAL 2010 FIGURES)

4. EVOLUTION OF THE FINANCIAL SITUATION OF THE HEALTH INSURANCE BRANCH (CURRENT BILLIONS OF EUROS)

Source:

Social Security

Accounts

Commission,

June 2011

Source:

Social Security

Accounts

Commission,

June 2011

Outpatient health care expenses include fees charged by health care professionals, cash benefi ts (daily sickness benefi ts) and outpatient medicine and medical equipment expenses, as well as transport.

9 % < 1 %

45 %

46 %NURSING HOMES

OTHER LESS THAN

HOSPITALS

OUTPATIENT HEALTH CARE

9 % < 1 %

45 %

46 %


INTERNATIONAL COMPARISON OF HEALTH EXPENDITURE AS A SHARE OF GDP

Source: OECD Health Data 2011

Health expenditure as a share of GDP is an indicator that puts health spending into perspective, refl ecting as it does the share of a country’s resources devoted to health care. Totalling 223 billion euros in 2009, health expenditure in France accounted for 11.8% of GDP, putting the country well behind the USA (16.0%) but ahead of Germany (11.6%), Sweden (10.0%) and the UK (9.8%). The growth in health care spending as a share of GDP that occurred in 2009 across all of these countries can be attributed chiefl y to the effects of the economic crisis.

1995

2000

2001

2002

2003

2004

2005

2006

2007

2008

6%

8%

10%

12%

14%

16%

18%

USA

UK

France

Germany

Swenden

Japon

2009


The national health insurance fund for employees (CNAMTS) is also in charge of the occupational injuries and diseases branch of the general social security scheme and manages the local old-age and occupational health insurance funds (CARSAT).

• In 2010, some 2.2 million businesses paid industrial injury contributions for more than 18.3 employees (about 70% of the labour force).

• In the same year, 660,000 cases of occupational injury and more than 50,000 cases of occupational diseases resulted in absence from work.

• … and benefi t payments totalled 7.9 billion euros.

THE OCCUPATIONAL INJURIES AND DISEASES BRANCH OF THE SOCIAL SECURITY SYSTEM


- 0,7

1999 2000 2001 20052002 2003 2004 2006 2007 2008 2009

0,2 0,20 0

- 0,5 - 0,5

- 0,7

- 0,2

- 0,4

- 0,1

0,4

- 0,7

2010

OCCUPATIONAL INJURY AND DISEASE EXPENDITURE IN 2010

EVOLUTION OF THE FINANCIAL SITUATION OF THE OCCUPATIONAL INJURIES AND DISEASES BRANCH (IN BILLIONS OF CURRENT EUROS)

Source: Social Security

Accounts Commission, June 2011



PERMANENT INCAPACITY (PENSIONS AND PAYOUTS)

OTHER (43% OF WHICH ARE TRANSFER PAYMENTS)

ASBESTOS VICTIMS’ COMPENSATION

TEMPORARY INCAPACITY (DSB EXCLUDED)

DAILY SICKNESS BENEFITS (DSB)

10 %

34 %

25 %

21 %

10 %


OCCUPATIONAL DISEASES

COMMUTING ACCIDENTS

OCCUPATIONAL INJURIES

ALL

TRENDS IN WORK-RELATED ACCIDENTS, COMMUTING ACCIDENTS AND OCCUPATIONAL DISEASES RESULTING IN SICK LEAVE, 2001 TO 2010

(BASE 100 IN 2001)

DE 2001 À 2010 (BAS

Source:

Occupational Risks Department, CNAMTS

2001

2002

2003

2004

2005

2006

2007

2008

2009

80

100

120

140

160

180

200

2010

(p)

220

Out of around 1,251,000 reported and recognised accidents in 2009, 83% (1,042,000) were occupational injuries, 11% (137,000) commuting accidents and 6% (72,000) cases of occupational illness.


INDUSTRIAL INJURIES BY ACTIVITY BRANCH IN 2010

Source:

CNAMTS (national

annual technological

statistics),

2010

The CNTs (national technical committees) have identifi ed nine activity branches in all. In 2010, around 660,000 occupational injuries resulting in absence from work were recorded by the general scheme, involving some 18.3 million employees.

21 %

10 %

18 %14 %

17 %

2 %4 %

8 %6 %

TRANSPORT, UTILITIES, PUBLISHING AND COMMUNICATION

FOOD SERVICES, TRADE INDUSTRIES

CONSTRUCTION

SERVICE ACTIVITIES II (HEALTH, CLEANING TEMPORARY WORK)

NON-FOOD BUSINESSES

SERVICE ACTIVITIES I (BANK, INSURANCE, ADMINISTRATIONS)

METALLURGY

WOOD, FURNISHINGS, PAPER AND CLOTHING, LEATHER AND PELT QUARRYING AND MANUFACTURE OF MINERAL PRODUCTS

CHEMICALS, RUBBER, PLASTICS INDUSTRIES


The national old-age pension fund for employees (CNAVTS) is in charge of old age insurance within the general scheme and manages the local old-age and health insurance funds (CARSAT).

• 12.9 million general scheme pensioners in 2010.

• 95.3 billion euros in pensions paid by the CNAVTS in 2010.

• Basic and complementary pensions as a share of GDP:13.3% in 2010.

THE OLD-AGEINSURANCE BRANCH OF THE SOCIAL SECURITY SYSTEM


450 000

500 000

550 000

600 000

650 000

700 000

750 000

800 000

2009

2008

2007

2006

2005

2004

2003

2002

2001

2010

19991998 2000 2001 20052002 2003 2004 2006 2007 2008 2009

0,8 0,90,00,3

- 4,6- 5,6

- 7,2

- 1,9 - 1,9

0,51,5 1,7

- 8,9

2010

TRENDS IN RETIREMENT NUMBERS IN THE GENERAL SCHEME

Source: Social Security Accounts Commission, June 2011Scope: Persons drawing a general scheme old-age pension for the first time in Year n

Source:

Social Security

Accounts Commission,

June 2011

The surge of baby boomers reaching retirement age has swelled the ranks of those retiring each year, a trend which was accentuated between 2004 and 2008 by measures to promote early retirement. The dip in 2009 is attributable to the early retirement of people with a large number of years of pensionable service being deferred as a result of new eligibility requirements.

EVOLUTION OF THE FINANCIAL SITUATION OF THE OLD-AGE BRANCH OF THE GENERAL SCHEME (IN BILLIONS OF CURRENT EUROS)


2000

1999

1998

1997

1996

1995

1994

2001

2002

2003

2004

2005

2006

2007

2008

500 000

600 000

700 000

800 000

900 000

1 000 000

1 100 000

1 600

1 800

2 000

2 200

2 600

3 000

3 200

2009

2010

2 400

2 800

2004 2005 2006 2007 2008

1 456

794 807 826 845 866

1 470 1 488 1 502 1 515

69

270

70

271

877

1 524

2009

Source:

DREES,

ANCETRE model,

Annual Pension

Fund Survey

2004 to 2009,

EIR 2004

and 2008

Source: pension solidarity fund. DSS calculations

TRENDS IN PENSIONS PAID, ALL SCHEMES COMBINED

GUARANTEED MINIMUM PENSION BENEFICIARIES AND EXPENDITURE (IN MILLIONS OF EUROS) AS PART OF THE SECOND STAGE

OR THE ASPA* AS AT 31ST DECEMBER

These amounts include basic and complementary old-age pensions (entitlement accrued through employment and payment of the associated contributions) as well as survivors’ pensions and, as of 2008, increases for parents having raised children.

* The ASPA (solidarity allowance for the elderly) replaces the guaranteed minimum pension for persons retiring as of 1st January 2007.

BENEFICIARIES, INCLUDING ASPA (LEFT)

OVERALL EXPENDITURE, INCLUDING ASPA (RIGHT)

WOMEN

MENSURVIVORS’ PENSIONS AND PENSION INCREASES

OLD-AGE PENSIONS (BASIC AND COMPLEMENTARY)


EMPLOYMENT RATES AMONG THE 55-64 AGE GROUP

SPENDING ON PENSIONS AS A SHARE OF GDP

Source: Eurostat

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

20 %

30%

40 %

50 %

60%

70 %

80 %Swenden

Netherlands

UK

Spain

UE (27 countries)

Germany

FranceItaly

2010

BASIC PENSION SURVIVORS’ PENSIONS

OTHER PENSIONS

2000 2001 2002 2003 2004 2005 2006 2007 2008

1,7 %

2,5 %

7,5 %

1,7 %

7,7 %

2,7 %

1,7 %

7,8 %

2,7 %

1,6 %

8,1 %

2,8 %

7,6 %

2,6 %

1,6 %

7,7 %

1,6 %

2,6 %

7,6 %

2,5 %

1,6 %

7,5 %

2,5 %

1,6 %

1,7 %

8,6 %

3 %

2009

1,7 %

7,8 %

2,7 %

Source: DREES, social protection accounts


The national family benefi ts fund (CNAF) is in charge of the family benefi ts branch of the general scheme and manages the local family benefi t offi ces (CAF).

• 11.3 million claimants in 2010.

• 41.9 billion euros in benefi ts paid by the CNAF in 2010.

• Family benefi ts as a share of GDP: 2.2%.

THE FAMILY BRANCH OF THE SOCIAL SECURITY SYSTEM


STRUCTURE OF STATUTORY FAMILY BENEFITS IN 2010

TRENDS IN NUMBERS OF FAMILIES RECEIVING FAMILY BENEFITS



Source: CNAF

HOUSING BENEFITS

DISABILITY BENEFITS

EARLY CHILDHOOD BENEFIT PROGRAMME (PAJE, ETC.)

FAMILY ALLOWANCES(CHILD BENEFIT, ETC.)

OTHER

1 %

49 %

2 %

36 %

12 %20

00

1999

1998

1997

1996

1995

2001

2002

2003

2004

2005

2006

2007

2008

0

500

1 000

1 500

2 000

2 500

3 000

3 500 2 children

2 children

4 or more childrenno children

1 child

2009


INFANT’S SCHOOL

DAY CARE

CHILDMINDERS

NANNY

26,1

1,7

14,5

6,2

3. EVOLUTION OF THE FINANCIAL SITUATION OF THE FAMILY BENEFITS BRANCH (IN BILLIONS OF CURRENT EUROS)

Sources: CNAF (RNDC and FILEAS), DREES (PMI enquiry), DEPP and INSEE



4. HYPOTHETICAL CAPACITY OF «OFFICIAL» CHILDCARE FACILITIES FOR 100 CHILDREN UNDER THE AGE OF 3 (2008)

In 2008 in Metropolitan France, 48.5 places per 100 under-three year olds were available in offi cial childcare facilities. Childminders are the predominant form of childcare, with three out of four under the care of a childminder (26.1% of all under-threes are looked after by a childminder).

19991998 2000 2001 20052002 2003 2004 2006 2007 2008 2009

0,4

- 0,4 - 0,3- 0,2

0,2 0,2

- 1,8- 1,3

- 0,9

1,5 1,71,0

- 2,7

2010


• The social security defi cit continued to rise in 2010, reaching a record -23.9 billion euros.

• Although the wage bill increased in 2010 (+2 % against -1.3 % in 2009), social security revenues did not keep pace with expenditure growth.

• General scheme spending has been contained however: at 3.3% the growth in net expenditure in 2010 was equal to 2009 levels.

• All four branches of the general scheme continued to run a defi cit in 2010.

FINANCIAL SITUATION


COMPARISON OF SOCIAL SECURITY, STATE AND LOCAL AUTHORITY SPENDING AS A PERCENTAGE OF GDP

Sources: national accounts,

base 2000, INSEE

2000

1999

1998

1997

1996

1995

1994

1993

1992

1991

1990

2001

2002

2003

2004

2005

2006

2007

2008

2009

0 %

10 %

20 %

30 %

40 %

50 %

60 %

2010

LA SPENDING

SS SPENDING

CA SPENDING

PA SPENDING

PA: public administrations

CA: central administrations (central government and central government agencies)

SS: social security administrations (including unemployment benefit and compulsory complementary pension schemes)

LA: local authorities


SOCIAL SECURITY DEBT TO BE COVERED BY THE DEBT SINKING FUND CADES AS AT 31ST DECEMBER

2. EVOLUTION OF THE FINANCIAL SITUATION OF THE GENERAL SCHEME (IN BILLIONS OF CURRENT EUROS)

Source:

Social Security

Accounts

Commission,

June 2011

19991998 2000 2001 20052002 2003 2004 2006 2007 2008 2009

- 10,2- 9,5

0,5 0,7

- 20,3

- 11,6- 11,9- 10,2

- 3,5

1,2

- 2,5

- 8,7

- 23,9

2010

20052004 2006 2007 2008 2009

65,772,7 75,6

7380,1

91,8

86,7

143,2

2010 2011(P)

4,3 % 4,2 %3,9 %

4,1 %

4,8 %

4,0 %

4,5 %

7,1 %



IN BILLIONS OF EUROS

IN GDP POINTS


Source: DREES, social protection accounts

1997199619951994199319921991

0 %

100 %

1998 1999 2000 2001 20052002 2003 2004 2006 2007 2008 2009

80 %

60 %

40 %

20 %

PUBLIC CONTRIBUTIONS

EARMARKED TAXES AND DUESSOCIAL CONTRIBUTIONS OTHER

EARMARKED / TRANSFERS

TRENDS IN SOCIAL SECURITY ADMINISTRATION REVENUES

Although social contributions represented 86.8% of total social security revenues in 1991, they now account for only 67.3%. At the same time, the share of earmarked taxes and dues has increased from 4% to 28.6%. This trend can be explained by the increase in the CSG social welfare tax (considered as an earmarked tax) as a substitute for social security contributions.


The fund for the self-employed (RSI) administers health insurance for the self-employed in the trades and crafts, commercial and independent professional sectors, as well as old-age pensions for the two fi rst two categories of workers. It also manages the fund’s regional offi ces.• 2.5 million people pay contributions to the RSI, of

which 41.5 % are in the commercial sector, 35.4% in the trade and craft sector and 23.1 % independent professionals.

The national old-age insurance fund for independent professionals (CNAVPL) administers pensions for independent professionals whilst lawyers are handled by the national fund for french barristers (CNBF).• At 30 June 2010, 606,500 independent professionals were paying contributions to the CNAVPL.

The agricultural workers’ and farmers mutual welfare fund (MSA) administers sickness benefi ts, pensions and industrial injury benefi ts. It also handles family benefi ts although statutory family benefi ts are recorded in the accounts of the national family benefi ts fund (CNAF). It collects contributions from agricultural workers and farmers and manages the fund’s regional offi ces.• 1.2 million people pay contributions to the MSA, of

which 55% are agricultural workers and 45% are farmers.

SOCIAL SECURITY SCHEMES FOR THE SELF-EMPLOYED AND AGRICULTURAL SECTORS


122

70

-1 770

-762-649

22

-5

-1 675

-525-440

-1 818

-1 253

126

-962 -935 -916

-1 847

-21

2007 2008 2009 2010

2010

957

6 833

3 6783 120

2007 2008 2009

774

6 087

3 4022 779

836

6 373

3 5032 909

885

6 622

3 5863 011

RSI – PENSIONS FOR COMMERCIAL SECTOR

NET BENEFITS - RSI PENSIONS FOR COMMERCIAL SECTOR

RSI – PENSIONS FOR CRAFT AND TRADE SECTORS

NET BENEFITS - RSI PENSIONS FOR CRAFT AND TRADE SECTORS

RSI - HEALTH

NET BENEFITS - RSI HEALTH

CNAVPL - PENSIONS

NET BENEFITS - CNAVPL PENSIONS

FINANCIAL SITUATION OF THE HEALTH INSURANCE AND BASIC PENSIONS BRANCHES OF THE RSI AND CNAVPL (IN MILLIONS OF EUROS)

RSI AND CNAVPL SICKNESS AND BASIC PENSION BENEFITS (IN MILLIONS OF EUROS)

Source: Directorate of Social Security


The health and pension branches for the trade and craft sector and commercial sector are supported by a corporate social solidarity contribution (C3S). This contribution is not taken into account in the above fi gures.


- 810 - 687

- 991

- 152 - 136- 284 - 344

- 872- 1 031 - 1 097

- 723 -719

2007 2008 2009

- 991- 810 - 872

- 687

- 991

- 152 - 136- 303

- 872- 886

-639

2006 2007 2010

3. FINANCIAL SITUATION OF THE AGRICULTURAL EMPLOYEES’ SCHEME (IN MILLIONS OF EUROS)

BENEFITS PAID UNDER THE AGRICULTURAL WORKERS’ SCHEME (IN MILLIONS OF EUROS)


The health and pensions branches are incorporated in the general scheme for accounting purposes. These transfer payments are not taken into account in the fi gures above.

HEALTH BRANCH PENSIONS BRANCH ALL BRANCHES COMBINED

NET SICKNESS BENEFITS

PENSIONS

TOTAL BENEFITS

2007 2008 2009

3 855 4 024 4 1185 5225 4375 264

9 535 9 895 10 089

2010

4 1545 587

10 258



7 0328 585

15 866

6 622 6 782 6 9708 7148 682 8 709

15 511 15 68915 852

2007 2008 2009 2010

NET SICKNESS BENEFITS

PENSIONS

TOTAL BENEFITS

FINANCIAL SITUATION OF THE FARMERS’ SCHEME (IN MILLIONS OF EUROS)

BENEFITS PAID UNDER THE FARMER’ SCHEME (IN MILLIONS OF EUROS)

Source:

Directorate of

Social Security

- 874- 1 266

- 1 600

- 671- 1 070 - 1 183

+5

- 2 437 - 2 313

- 1 208- 1 116

2006 2007 2008 2009

- 1 128

- 1 399

- 262

2010

- 1 283


Up until 2008, the health and pension branches for farmers were supported by the fund for the fi nancing of social benefi ts in the agricultural sector (FFIPSA). In 2009, the farmers’ health insurance branch was incorporated into the general scheme. These transfer payments are not taken into account in the fi gures above. For the pensions branch, there is no longer any transfer mechanism.

HEALTH BRANCH PENSIONS BRANCH ALL BRANCHES COMINED


ix Quality and Efficiency Programmes (PQE) have been developed in the main social secu-rity policy areas, namely the four different branches of the social security system (health insurance, work-related accidents and occupational injuries, pensions and family policy), social security financing and coverage of incapacity, disability and loss of autonomy.

• The PQE set out the main social security policy objectives, and assess progress in meeting them.

• The PQE comprise a scoping section and a second section presenting the objectives and expected outcomes of the policies implemented.

• The PQE provide a checklist of health and social policies, based on which four main themes have been identified:- Access to adequate social security benefits and health care- Quality of service- Efficiency in delivering benefits and services- Financial viability

• They include 173 indicators of which 65 are structural and 108 relate to objectives and outcomes.

• An 8-page summary presents main developments in respect of the PQE.

• The PQE comprise Appendix 1 of the Social Security Financing Bill (PLFSS).

• Many of the indicators in this brochure are PQE indicators. They are available online: see LFSS at

securite-sociale.fr.

QUALITY AND EFFICIENCY PROGRAMMES (PQE)

S


Performance objectives for France’s social security institutions are set out in the national agreements on objectives and management (COG) negotiated between the state and the different social security institutions since 1996. Key considerations include processing speed, quality of service and fi nancial performance. The COG identify main strategies for improvement and current management commitments: development of e-administration, respect for the environment and employment for people with disabilities and older workers are just some of the issues addressed under the current agreement.

The main performance indicators are shown below.

SOCIAL SECURITY PUBLIC SERVICE PERFORMANCE


1. QUALITY OF SERVICE

Accueil physique 2007 2008 2009 2010

Health

Percentage of persons received within 20 minutes

93.4 % 91.5 % 90.8 % ND

Annual number of visits (in millions) 32.9 33.5 34.1 33

Family

Percentage of persons received within 20 minutes

92.1 % 92.5 % 83.8 % 86.2 %

Annual number of visits (in millions) 19.2 18.2 21.0 19.1

Pensions Annual number of visits (in millions – outside of CGSS)

2.0 2.6 2.6 2.6

Collection Not relevant

Phone reception 2007 2008 2009 2010

Health

Percentage of calls handled 90 % 87.3 % 86 % 85.6 %

Annual number of calls handled (in millions)

25.2 27.3 28 27.5

Family

Percentage of calls handled 89.6 % 90.6 % 74.1 % 79.4 %


32.3 29.6 35.3 30.7

Pensions

Satisfaction rates regarding telephone contacts

92 % 90.3 % 91.9 % 91.8 %

Percentage of calls answered 81.7 % 76.3 % 83.3 % 82.5 %


ND 4.1 4.3 4.5

Collection Percentage of calls handled 88.2 % 87.2 % 88.1 % 94.5 %


Overall cost of administering benefi ts and contributions

2007 2008 2009 2010

Health 4.37 % 4.30 % 4.20 % 3.98 %

Family 2.76 % 2.77 % 2.66 % 2.56 %

Pensions 1.22 % 1.21 % 1.17 % 1.16 %

Collection 0.34 % 0.32 % 0.34 % 0.33 %

*(total deductions FSE+EDI/ Total service deductions) in 4th quarter

** since 2008

e-administration 2007 2008 2009 2010

Health

Percentage of electronic claims + computerised data exchanges* 82.8 % 84.2 % 86.3 % 88.0 %

Number of electronic claims (in millions - CPAM and CGSS)

738.1 762.1 801.6 825.8

Family Progression rate for e-data collection** - 82.9 % 84 % 83.9 %

Pensions

Percentage of annual social data declarations fi led electronically

83.5 % 88.4 % 95.0 % 97.4 %

Number of annual social data declarations fi led electronically

1 501 057 1 775 906 1 934 571 1 990 928

Collection

Percentage of contribution summary declarations fi led electronically (private-sector businesses)

31.5 % 39.0 % 44.27 % 50.6 %

Percentage of payments made electronically

85.0 % 88.3 % 88.3 % 89.9 %

Processing time 2007 2008 2009 2010

HealthPercentage of electronic claims resulting in reimbursement within 7 days

90.0 % 90.0 % 90.0 % 90.0 %

Family Percentage of claims processed within 2 weeks

90.8 % 91.0 % 79.3 % 83.2 %

PensionsPercentage of old-age pension entitlements settled within one month of due date (for residents in France)

95.2 % 96.6 % 96.6 % 96.6 %

Collection Contributions accounts updated within 10 days

99.1 % 99.2 % 99.0 % 99.0 %


Health 2007 2008 2009 2010

Proportion of benefi ciaries over 16 years of age having chosen their general practitioner

81.5 % 85.4 % 88.3 % 88.9 %

Proportion of consultations under the coordinated medical consultation procedure

86.8 % 88.1 % 90.0 % 90.7 %

Family 2007 2008 2009 2010

Number of PAJE (early childhood benefi t programme) benefi ciaries 2 125 535 2 215 765 2 266 845 2 286 231

Number of RSA (low-income top up) claimants - - 1 697 357 1 797 714

Collections – Outstanding payment ratiosat March 31st of following year

2007 2008 2009 2010

All contributors combined (Uninspected and excluding ISU) 0.68 % 0.71 % 0.93 % 0.77 %

Private-sector employers (Uninspected) 0.61 % 0.73 % 1.00 % 0.80 %

Public-sector employers (Uninspected) 0.02 % 0.03 % 0.03 % 0.04 %

Pensions 2007 2008 2009 2010

Percentage of old-age pension awards (outside of international agreements and not including periods of insurance abroad) without adjustment of individual account in N-1*

- - 84.2 % 79.2 %

*Indicator introduced in 2009

2. IMPLEMENTATION OF SOCIAL SECURITY POLICIES


The general scheme includes 123 CAF, 102 CPAM, 89 URSSAF and 16 CARSAT. Sickness and old-age benefi ts and the collection of contributions in the French Overseas Departments and Territories are administered by 4 CGSS.

The scheme for the self-employed is administered through 30 regional offi ces.

The agricultural scheme is administered through 35 local offi ces.

ORGANISATION CHART AT 1ST JULY 2011


Ministry for Labour, Employment and Health

Ministry for the Budget, Public Accounts and State Reform

Directorate of Social Security

Ministry for Solidarity and Social Cohesion


National fund Local funds Names

ACOSS

URSSAF

CNAF

CAF

CNAVTS

CRAM

CNAMTS

CPAM

CARSAT

CARSAT

CGSS

CGSS

CGSS

Central agency for social security funds

Social security and family benefitscollection agency

General social security fund(overseas territories and departments)

National family fund

Local family benefit offices

National health insurance fund for employees

Local health insurance fund

Regional pension insurance and occupational health fund

General social security fund (overseas territories and departments)

National old-age pension fund for employees

Regional pension insurance and occupational health fund

General social security fund (overseas territories and departments)

ACOSS redistributes revenues earmarked for fi nancing the benefi ts provided by the four branches (health, occupational injuries & diseases, family, pensions) of the social security general scheme.

THE GENERAL SCHEME FOR EMPLOYEES

Collection Pensions Health FamilyOccupational injuries and diseases


* As of 1 January 2008, the RSI became the unique social contact-point for self-employed, artisanal, industrial and commercial professions for all personal benefi ts and social contributions (elderly and illness benefi ts, CSG -general welfare levy, CRDS -social security debt repayment levy, family benefi ts and training contributions. The RSI delegates some of its collection duties to URSSAF. For self-employed professionals, the collection of health contributions continues to be delegated by the RSI to authorised bodies that manage health care benefi ts for artisans, industrialists, shopkeepers and self-employed professions.

** Self-employed workers pay into the CAF of the general scheme.

AGRICULTURAL SCHEME FARMERS AND AGRICULTURAL WORKERS

SOCIAL SECURITY FUND FOR THE SELF-EMPLOYED

National agricultural workers andfarmers mutual welfare fund

Local agricultural workers andfarmers mutual welfare fund

National fund Local fund Names

URSSAF/OC*

Fund for the self-employed

Social security and family benefits collectionagency/Official bodies

Regional fund

Local family benefit offices

National fund Local funds Names

Collection Pensions Health FamilyOccupational injuries and diseases


For more information about the French socialsecurity system, go to

www.securite-sociale.fr

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key french social security figures - securite-sociale.fr · security system and providing a better...

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