Social security coverage

trESS Analytical Study 2011

Social security coverage of non-active persons
       moving to another Member State

                           E. Eichenhofer
                          H. Verschueren
                        F. Van Overmeiren



            trESS Final Conference 2011, Ghent, 08/12/2011
Introductory Remarks

•   From trESS-CASSTM topic (2009) to highest political level (EPSCO
    Council June 2011)

•   Note from the Secretariat: first legal analysis

•   Notes from the Member States: several concerns

•   EC & Member States: need for further analysis

•   trESS Analytical Study, based on Questionnaire to “find facts” in
    the Member States
Content of the overall analysis

•   Overview of the legal framework

•   Mapping of residence based social security systems in the
    Member States

•   Fact-finding analysis (questionnaire)

•   Current state of EU law

•   Possible policy perspectives
Outcome of the fact-finding analysis

•   Uncertainty about the definition of “non-active persons”

•   Benefits involved: SNCB and residence based health care

•   Predominant issues:
    • fear for social tourism;
    • increase in claims from non-active persons;
    • unclear relationship between R-883/2004 and D-2004/38.

•   Lack of elaborated case studies, facts or statistics
Current state of EU law

•   Main priority question:
       “First legality of residence, then coordination (= entitlement to
       SNCB, health care)” or “first coordination rights, then legal
       residence (using coordination rights to establish legal residence)?”

•   Current texts of R-883/2004 and D-2004/38: no direct
    influence THUS separate and full application of both
    instruments

•   EU citizenship case law: Treaty-based equal treatment right
    and the “genuine link” justification
Current state of EU law

•   R-883/2004 notion of residence

    •   Formally accepted: SNCB in MS of residence (balance to
        avoid exportation) + equal treatment for residence based
        health care in competent MS of residence (Art. 3 R-883/2004)

    •   Substantially close to a “genuine link” assessment: a factual
        analysis of relevant individual circumstances (cf. Article 11 R-
        987/2009) pointing to 1 Member State

•   Anyway too much room for different interpretations of
    the relationship: unsatisfactory situation
Social security coverage
Possible future perspectives

 Route 1: “CLARIFICATION”

  •   A safeguarding clause for R-883/2004 in D-2004/38

  •   A definition of social assistance in D-2004/38
Possible future perspectives

 Route 2: “RECONCILIATION”

  •   A flexible waiting period in the residence concept of R-
      883/2004 for the application of the special coordination
      regime for SNCB’s + limited export of SNCB

  •   A cost compensation mechanism between the former
      and the new Member State of residence for residence
      based benefits granted to non-active persons
Possible future perspectives

 Route 3: “FOCUS ON RESIDENCE”

  •   Substantiating residence notion of Article 1(j) R-883/2004

  •   An enhanced focus on the assessment of the establishment
      of residence in the Member States in order to prevent
      confusion and cases of fraud and abuse

  •   The introduction of an “abuse of rights” clause with regard
      to the residence concept in Regulation 883/2004
Social security coverage
Thank you for your attention!

         Questions?

 Filip.VanOvermeiren@UGent.be
1 de 12

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Social security coverage

  • 1. trESS Analytical Study 2011 Social security coverage of non-active persons moving to another Member State E. Eichenhofer H. Verschueren F. Van Overmeiren trESS Final Conference 2011, Ghent, 08/12/2011
  • 2. Introductory Remarks • From trESS-CASSTM topic (2009) to highest political level (EPSCO Council June 2011) • Note from the Secretariat: first legal analysis • Notes from the Member States: several concerns • EC & Member States: need for further analysis • trESS Analytical Study, based on Questionnaire to “find facts” in the Member States
  • 3. Content of the overall analysis • Overview of the legal framework • Mapping of residence based social security systems in the Member States • Fact-finding analysis (questionnaire) • Current state of EU law • Possible policy perspectives
  • 4. Outcome of the fact-finding analysis • Uncertainty about the definition of “non-active persons” • Benefits involved: SNCB and residence based health care • Predominant issues: • fear for social tourism; • increase in claims from non-active persons; • unclear relationship between R-883/2004 and D-2004/38. • Lack of elaborated case studies, facts or statistics
  • 5. Current state of EU law • Main priority question: “First legality of residence, then coordination (= entitlement to SNCB, health care)” or “first coordination rights, then legal residence (using coordination rights to establish legal residence)?” • Current texts of R-883/2004 and D-2004/38: no direct influence THUS separate and full application of both instruments • EU citizenship case law: Treaty-based equal treatment right and the “genuine link” justification
  • 6. Current state of EU law • R-883/2004 notion of residence • Formally accepted: SNCB in MS of residence (balance to avoid exportation) + equal treatment for residence based health care in competent MS of residence (Art. 3 R-883/2004) • Substantially close to a “genuine link” assessment: a factual analysis of relevant individual circumstances (cf. Article 11 R- 987/2009) pointing to 1 Member State • Anyway too much room for different interpretations of the relationship: unsatisfactory situation
  • 8. Possible future perspectives  Route 1: “CLARIFICATION” • A safeguarding clause for R-883/2004 in D-2004/38 • A definition of social assistance in D-2004/38
  • 9. Possible future perspectives  Route 2: “RECONCILIATION” • A flexible waiting period in the residence concept of R- 883/2004 for the application of the special coordination regime for SNCB’s + limited export of SNCB • A cost compensation mechanism between the former and the new Member State of residence for residence based benefits granted to non-active persons
  • 10. Possible future perspectives  Route 3: “FOCUS ON RESIDENCE” • Substantiating residence notion of Article 1(j) R-883/2004 • An enhanced focus on the assessment of the establishment of residence in the Member States in order to prevent confusion and cases of fraud and abuse • The introduction of an “abuse of rights” clause with regard to the residence concept in Regulation 883/2004
  • 12. Thank you for your attention! Questions? Filip.VanOvermeiren@UGent.be