#SSAS1835474AApproval of the Disability-Death Insurance Regulations for Self-Employed Workers
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The arrêté dated December 21, 2018, approves the regulations governing the disability-death insurance scheme for self-employed workers in France. This law outlines the eligibility criteria for receiving disability pensions, the benefits available for incapacity or total and permanent disability, and the associated administrative procedures. It also details financial aspects such as contributions, potential capital benefits upon death, and the implementation of social action from accumulated funds.
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Key Changes
- Revised eligibility criteria for receiving disability pensions based on specific medical and administrative conditions.
- Introduced provisions for the allocation of capital to beneficiaries in the event of death and conditions for orphans.
- Established the process for reviewing and modifying pension amounts based on changes in the recipient's health status.
Obligations
What this law requires
Self-employed workers must maintain a minimum of one year of affiliation to the disability-death insurance scheme before applying for a disability pension, unless they are receiving daily illness benefits at the time of application
Self-employed workers must have contributed to the disability-death insurance scheme for at least three consecutive years of activity prior to the pension effective date, with average annual income of at least 10% of the annual social security ceiling
Insurance funds (caisses) must verify that applicants satisfy all administrative conditions before any medical assessment by the medical advisor
Insurance funds must reject disability pension applications when applicants do not meet administrative conditions or fail to provide required justifications
Insurance funds must ensure cumulative benefits do not exceed 4 times the partial incapacity pension or 2.4 times the total permanent disability pension for beneficiaries receiving multiple insurance benefits