A1 and S1 Types: Well being Cowl for Cross-Border Staff, European Council Regulation 1408/71 underpins the appropriate of EEA Nationals to work in one other EEA State consistent with the precept of the free motion of labour enshrined within the Treaty of Rome and subsequent treaties.
The free motion of labour can solely be real looking if social advantages can be transferred, together with well being cowl. Types are used that act as a certificates of entitlement to well being care in one other EEA nation, offered courtesy of the social safety authorities in your house nation.
The earlier ‘E’ Types have been changed by ‘A’ and ‘S’ Types. The types imply that you’ll not have to pay French medical health insurance service contributions at some stage in the interval acknowledged on the shape.
The principle types which are out there to for cross-border staff/self-employed individuals are ‘A1’ and ‘S1’. These allow you to make the most of well being preparations in France while sustaining social safety contributions in your house nation.
Type A1 – Issued to those that are employed or self-employed, engaged on a brief foundation in one other EEA nation for one yr, renewable for an additional yr.
The A1 type certifies which social safety laws applies to the holder of the shape the place you, as an employed or self-employed individual, have a connection via your employment or self-employment with a couple of EU nation.
The A1 is issued by the nation to whose laws you’re topic and confirms that you’re not topic to the laws of some other nation you’re linked with – in different phrases you should have no obligation to pay social safety (together with medical health insurance) contributions within the different nations.
Type S1 – Issued to those that are resident in a single EU nation however work in one other. The shape is used to acquire well being cowl the place your loved ones lives and is delivered per individual, not per household.
The difficulty of such Types is just not computerized, and every case is judged on its deserves. Care should be taken in finishing the applying type. Well being cowl is restricted to that of some other French resident and, due to this fact, solely a proportion of well being prices are lined (sometimes 70%).
The ultimate resolution on which type to make use of (for these from the UK) lies with the HM Income and Customs to whom it’s best to make enquiries.
We will distinguish two completely different circumstances :
1.Quickly Working in Residence Nation and Resident France. For those who and your loved ones live in France, however considered one of you quickly commutes throughout the border to your private home EEA nation to work, then an A1 is often out there for well being cowl in France for a yr, renewable for an additional yr. Accordingly, you’ll proceed to pay your nationwide insurance coverage contributions in your house nation.
You’ll be lined for well being cowl in France via a European Well being Insurance coverage Card (EHIC).
2.Completely Working within the Residence Nation – Household Resident in France. The place one of many spouses completely works and lives in your house nation, while the household is resident in France then the shape usually used is the S1.
The shape must be offered to your native well being authority in France, known as the Caisse Primaire d’Assurance Maladie (CPAM).
The usage of the Type S1 will allow you and your loved ones to acquire persevering with medical cowl in France.
No well being care contributions will probably be payable in France, as you’ll pay social safety contributions in your house nation.
There are additionally particular guidelines for civil servants and mariners, and transport staff, which we don’t contemplate right here.
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