Supplementary health and welfare in the territorial civil service

Verified 26 July 2024 - Directorate for Legal and Administrative Information (Prime Minister)

If you work in the territorial public service, there will be incremental measures put in place to improve the payment of medical expenses, when you are sick, injured or on maternity leave (health insurance), and your pay conditions when you are unable to work (welfare). We present the current regulations in force for supplementary health and welfare.

One health complementary, commonly referred to as mutual, is intended to to supplement the social security cover for medical expenses in the event of sickness, accident or maternity.

From 1er january 2026, your employer community will refund part of your contributions to your health supplement (mutual).

The participation of your community shall cover at least the following guarantees:

  • Entire user fee on consultations, documents and benefits reimbursable by the Health Insurance. However, there may be exceptions.
  • Entire daily hospital fee in case of hospitalization
  • Dental expenses (prostheses and orthodontics) up to 125% of the conventional tariff
  • Optics costs on a flat-rate basis per 2-year period (annually for children or in the event of changes in vision) with a minimum of care fixed at €100 for a simple correction, €150 (or €200) for a complex correction.

You can benefit from the participation in the financing of your mutual that you are official or contract.

Your community's participation can consist of a partial assumption of your contributions to a mutual insurance company to which you have individually subscribed.

It may also consist of a collective contract proposed by your community. Membership of the collective agreement may be optional or compulsory.

The amount of the participation shall be at least €15 per month.

Your community can provide a higher level of participation.

One supplementary provident is intended to to supplement the remuneration paid, by the administration, during sick leave or in case of disability. It may also provide for supplementary benefits, to those provided for by law or decree, in the event of the death of a public official for the benefit of his rights holders.

From 1er january 2025, your employer community will refund part of your contributions to a supplementary pension.

The participation of your community shall cover at least the following guarantees:

  • Daily allowances additional to half-salary guaranteeing a net remuneration equivalent to 90% index processing, the new index enhancement (NBI) and 40% your premiums and allowances for sick leave, long-term sick leave, long-term sick leave or serious sick leave
  • Daily allowances in addition to half-salary, guaranteeing a net remuneration equivalent to 90% index processing, the new index enhancement (NBI) and 40% your bonuses and allowances in case of compulsory lay-off or maintenance of half-treatment pending the opinion of the medical council
  • For an official covered by the CNRACL: titleContent : an annuity guaranteeing remuneration equivalent to 90% net salary in the event of retirement for invalidity
  • For a staff member covered by the general social security scheme: an annuity guaranteeing remuneration equivalent to 90% net salary in the event of invalidity of 2e  or 3e  category and to 66% of the net salary in the event of invalidity of 1re category.

Your community's involvement can be a partial assumption of your contributions to a pension plan you have individually subscribed.

It may also consist of a collective contract proposed by your community. Membership of the collective agreement may be optional or compulsory.

The amount of the participation shall be at least €7 per month.

Your community can provide a higher level of participation.