Social security: affiliation of a public official with the health insurance
Verified 07 August 2026 - Public Service / (Prime Minister)
Health insurance coverage differs depending on whether you are a public servant (state, territorial or hospital) or a contract employee. We explain the rules to know.
Public servant
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State civil servant
Health benefits are managed by mutual organizations.
For example, if you work at the Ministry of National Education, your health insurance affiliate is the Mutuelle générale de l'Éducation nationale (MGEN).
Territorial civil servant
The rules vary if you live in a department of Alsace-Moselle or elsewhere:
General scenario
Sickness benefits are administered by the general social security system.
Alsace-Moselle
Sickness benefits are administered by the general social security system (and by the local regime if you are at incomplete time, i.e. if you have a contract of less than 28 hours).
Hospital Officer
Sickness benefits are administered by the general social security system.
You are part of the special military regime.
Your contact is the French national military social security fund (CNMSS) regardless of where you live.
Who shall I contact
specific social protection scheme for military personnel and their families.
By phone for insured persons and health professionals
+33 (0)4 94 16 36 00
Open Monday to Friday from 8am to 5pm
By telephone for invalidity pensioners, injured in service, victims of an act of terrorism, claimants or beneficiaries of cash benefits or relapse allowance and health professionals
+ 33 (0)4 94 16 96 20
By courier
Contact forms available on the CNMSS website
By mail for active or retired military policyholders
French national military social security fund
247 Jacques Cartier Avenue
83090 TOULON CEDEX 9
FRANCE
By post for invalidity or injured pensioners in service, for claimants or recipients of cash benefits or a relapse allowance
French national military social security fund
Injured and Pensioner Care and Monitoring Department (DSBP)
247 Jacques Cartier Avenue
83090 TOULON CEDEX 9
FRANCE
By a reception point
Contractual
The rules vary if you live in a department of Alsace-Moselle or elsewhere:
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General scenario
Sickness benefits are administered by the general social security system.
Alsace-Moselle
Sickness benefits are administered by the general social security system and the local regime.
On the same subject
Benefits for public servants (Article L712-3)
Participation of the State and local authorities in the financing of supplementary social protection guarantees (Article 22a)
Participation of local authorities in the financing of supplementary social protection guarantees (Article 88(2))
FAQ
Service Public
Service Public
National Health Insurance Fund (Cnam)
National Health Insurance Fund (Cnam)