Status of the Health Insurance Project for Users Pierre Bonnal Risk & Insurance Manager CERN DG-DI 105th ACCU Meeting 9th September 2014.

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Presentation transcript:

Status of the Health Insurance Project for Users Pierre Bonnal Risk & Insurance Manager CERN DG-DI 105th ACCU Meeting 9th September 2014

Pierre Bonnal105th ACCU Meeting — Status of Health Insurance Project for Users2 Insured persons All MPA’s and members of their families Whatever their age (no medical questionnaire) Whatever their citizenship Whatever their country of residence Whatever their type of association ( USER, COAS …) Whatever their average presence at CERN (5% – 100%) Whatever the length of their association period (from one week to several years, even decades)* Policy holders  the insured, i.e. the MPA’s From ACCU#104

Pierre Bonnal105th ACCU Meeting — Status of Health Insurance Project for Users3 Risks Covered All accidents and all diseases, incl.: Occupational accidents on the CERN Site or during official travels Non-occupational accidents (leisure…) Occurring in the Geneva area (Switzerland + France) Occurring wherever in the world (incl. countries of residence or of citizenship, excl. USA and a few countries at war) Broken prescribed glasses or contact lenses Dental cares From ACCU#104

Pierre Bonnal105th ACCU Meeting — Status of Health Insurance Project for Users4 Benefit Compliance To fulfill the Host States expectations: LAMal-equivalent (not 100% LAMal) Maternity benefits and urgent dental cares included CHIS-equivalent Common ward (and not private ward) Reimbursement level 90% vs. 100% Continuity coverage  still to be clarified

Pierre Bonnal105th ACCU Meeting — Status of Health Insurance Project for Users5 Provisional Table of Benefits

Pierre Bonnal105th ACCU Meeting — Status of Health Insurance Project for Users6 Provisional Table of Benefits

Pierre Bonnal105th ACCU Meeting — Status of Health Insurance Project for Users7 Premiums Whatever the age Whatever the citizenship or country of residence Whatever the type of association ( USER, COAS …) Whatever the average presence at CERN (5% – 100%) Whatever the length of the association period

Pierre Bonnal105th ACCU Meeting — Status of Health Insurance Project for Users8 Processes Dedicated website for registration Web-based registration form On-line premium installment payments by means of a credit card or bank transfer Temporary personalized insurance card(s) sent by Physical personalized insurance card(s) sent by postal mail For medical expenses incurred in Geneva area (+ in EU): Allianz Worldwide Care is likely to be directly invoiced Dedicated website for claims of medical expenses that cannot be directly invoiced to Allianz Worldwide Care On-line assistance in English and French

Pierre Bonnal105th ACCU Meeting — Status of Health Insurance Project for Users9 On-line Registration Form

Pierre Bonnal105th ACCU Meeting — Status of Health Insurance Project for Users10 Where do we stand?

Pierre Bonnal105th ACCU Meeting — Status of Health Insurance Project for Users11 What is still pending + Conclusion CERN’s validation of the General Conditions (and by the way of the ToB, flyer and brochure) Organize information meetings For the administrative assistants (PH and HR Depts.) For users (an AWC-Antaé-Kessler booth in building 61 for one week at lunch time in October) Almost there…

Pierre Bonnal105th ACCU Meeting — Status of Health Insurance Project for Users12 Many many thanks to Doris Chromek-Burckhart Karen Ernst Colleagues from HR

Thank you for your attention