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		<title>Determine your entitlement to unemployment insurance with the France Travail questionnaire</title>
		<link>https://www.frenchbusinessadvice.com/unemployment-insurance-france-travail/</link>
		
		<dc:creator><![CDATA[Claire Molina]]></dc:creator>
		<pubDate>Wed, 15 Jan 2025 09:13:26 +0000</pubDate>
				<category><![CDATA[Insurance]]></category>
		<category><![CDATA[Staff & Social field]]></category>
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					<description><![CDATA[<p>Unemployment insurance is essential protection for workers in the event of job loss. To find out if you are eligible for this coverage, France Travail offers a specific questionnaire. Here&#8217;s what you need to know about the process. What&#8217;s the point of a questionnaire? The France Travail questionnaire is used to check whether you meet<a href="https://www.frenchbusinessadvice.com/unemployment-insurance-france-travail/" rel="bookmark">Read More &#187;<span class="screen-reader-text">Determine your entitlement to unemployment insurance with the France Travail questionnaire</span></a></p>
<p>L’article <a href="https://www.frenchbusinessadvice.com/unemployment-insurance-france-travail/">Determine your entitlement to unemployment insurance with the France Travail questionnaire</a> est apparu en premier sur <a href="https://www.frenchbusinessadvice.com">FBA - French Business Advice</a>.</p>
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									<p>Unemployment insurance is essential protection for workers in the event of job loss. To find out if you are eligible for this coverage, France Travail offers a specific questionnaire. Here&#8217;s what you need to know about the process.</p><h4><span style="color: #2b7091;">What&#8217;s the point of a questionnaire?</span></h4><p>The France Travail questionnaire is used to check whether you meet the necessary conditions to benefit from unemployment insurance. It is mainly aimed at company directors, corporate officers and partners, who must have an employment contract in addition to their duties in order to be covered.</p><h4><span style="color: #2b7091;">Eligibility requirements</span></h4><p>To be entitled to unemployment insurance, a number of conditions must be met:</p><ul><li>You must carry out<span style="color: #ff6600;"> technical tasks</span> separate from your duties as a manager or partner. This means that you must have specific operational tasks in addition to your management duties.</li><li><span style="color: #ff6600;">Remuneration:</span> You must receive remuneration for your salaried functions. This remuneration must be separate from dividends or other forms of income linked to your status as a director or partner.</li><li><span style="color: #ff6600;">Relationship of subordination:</span> There must be a legal relationship of subordination enabling the employer to direct and control your work. This relationship of subordination is essential to prove that you are an employee of the company and not simply a director or partner.</li></ul><h4><span style="color: #2b7091;">Prior request process to France Travail</span></h4><p>France Travail allows you to check your situation directly on the simplified procedures site.</p><ul><li>If you are still in employment and would like to carry out a study prior to your departure, click on this link to access the website <span style="color: #60bae3;"><em><a style="color: #60bae3;" href="https://www.demarches-simplifiees.fr/commencer/demande-de-rescrit-relatif-a-la-participation-a-l-assurance-chomage" target="_blank" rel="noopener">DEMANDE DE RESCRIT RELATIF A LA PARTICIPATION A L&#8217;ASSURANCE CHOMAGE · demarches-simplifiees.fr</a></em></span></li><li>If you are already registered as a jobseeker and have applied for unemployment benefit, click on this link to access the website <span style="color: #60bae3;"><em><a style="color: #60bae3;" href="https://www.demarches-simplifiees.fr/commencer/demande-relative-a-la-participation-a-l-assurance-chomage-etude-mandataire-social-demandeur-d-emploi" target="_blank" rel="noopener">Demande relative à la participation à l&#8217;assurance chômage &#8211; Etude mandataire social &#8211; Demandeur d&#8217;emploi · demarches-simplifiees.fr</a></em></span></li></ul><p>You will need to create a personal account to access:</p><ul><li>the online application form;</li><li>a single access point for submitting your supporting documents;</li><li>to track your application in real time;</li><li>an online messaging system to communicate with the unemployment officer.</li></ul><h4><span style="color: #2b7091;">How do I complete the questionnaire?</span></h4><p>The questionnaire is made up of different sections:</p><ul><li><span style="color: #ff6600;">Information about the company:</span> General information about the company, such as name, address and sector of activity. This information provides a clear context for your request.</li><li><span style="color: #ff6600;">Person concerned by the study:</span> Information on the person for whom eligibility for unemployment insurance is being studied, including details of the employment contract and duties performed. It is important to provide accurate and complete information to avoid any delay in processing your application.</li></ul><p>France Travail will ask you to provide a number of documents, such as the company&#8217;s articles of incorporation, a copy of the employment contract, an organisation chart, or a bank certificate of delegation of signature in order to prove a subordinate relationship.</p><h4><span style="color: #2b7091;">Submission procedure</span></h4><p>Once the questionnaire has been completed, it must be submitted to France Travail for assessment. The experts at France Travail will examine the information provided to determine whether you are subject to unemployment insurance and whether you are eligible for benefits in the event of job loss.</p><p>In the best of cases, the processing time is 6 days. For files requiring a few exchanges, the processing time is approximately one month.</p><p>If your application is incomplete or requires a great deal of discussion with the authorities, the processing time is approximately 2 months.</p><p>We recommend that you keep a copy of your questionnaire and all documents submitted for your personal files.</p><h4><span style="color: #2b7091;">What should I do if I am declared ineligible?</span></h4><p>If your application is rejected, you can contest the decision. You can make an informal appeal to the person who made the decision, and then, if necessary, make a hierarchical appeal to the higher authority. As a last resort, you can appeal to the administrative court. It is recommended that you consult a lawyer specialising in administrative law to assist you with these procedures.</p><h4><span style="color: #2b7091;">The impact on contributions of ineligibility decisions</span></h4><p>If the company representative is not considered as an employee by France Travail, the Company does not have to pay unemployment insurance contributions and AGS contributions in respect of his remuneration.</p><p>The company can also obtain reimbursement of the unemployment insurance and AGS contributions paid over the last 3 years. To do this, it must send a letter requesting reimbursement together with the unfavourable opinion issued by France Travail.</p><p>As a result, the employer will also no longer be able to benefit from a reduction in contributions on the company representative&#8217;s remuneration, applicable to the following employers&#8217; contributions:</p><ul><li>social insurance (sickness, maternity, invalidity, death, retirement);</li><li>family benefits;</li><li>occupational accidents and diseases (AT/MP);</li><li>compulsory supplementary pension (Agirc-Arrco);</li><li>national housing assistance fund (Fnal);</li><li>solidarity for autonomy (CSA);</li><li>unemployment insurance.</li></ul><h4><strong><span style="color: #ff6600;">Conclusion</span></strong></h4><p>The France Travail questionnaire is a valuable tool for checking your eligibility for unemployment insurance. By completing this questionnaire carefully, you can ensure that you have the necessary protection in the event of job loss. You can also check whether the company is eligible for a reduction in contributions on the salaries of the company representative concerned, and so avoid a recovery of URSSAF contributions in case of inspection.</p><p>As usual, all the team of French Business Advice is at your disposal to give you the support you need: do not hesitate to<span style="color: #60bae3;"> <em><strong><a style="color: #60bae3;" href="https://www.frenchbusinessadvice.com/contact/" target="_blank" rel="noopener">contact us</a></strong></em>!</span></p>								</div>
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		<p>L’article <a href="https://www.frenchbusinessadvice.com/unemployment-insurance-france-travail/">Determine your entitlement to unemployment insurance with the France Travail questionnaire</a> est apparu en premier sur <a href="https://www.frenchbusinessadvice.com">FBA - French Business Advice</a>.</p>
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		<post-id xmlns="com-wordpress:feed-additions:1">10399</post-id>	</item>
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		<title>Professional insurances of a company</title>
		<link>https://www.frenchbusinessadvice.com/professional-insurances-of-a-company/</link>
		
		<dc:creator><![CDATA[FBA team]]></dc:creator>
		<pubDate>Fri, 30 Aug 2024 14:17:29 +0000</pubDate>
				<category><![CDATA[Company life]]></category>
		<category><![CDATA[Insurance]]></category>
		<guid isPermaLink="false">https://www.frenchbusinessadvice.com/?p=10114</guid>

					<description><![CDATA[<p>Assurez-vous d’être bien assuré pour maintenir la pérennité de votre entreprise ! L’assurance est un outil essentiel pour protéger les entreprises contre les différents risques auxquels elles peuvent être confrontées dans leur activité. Certaines assurances sont légalement obligatoires, d’autres, bien que facultatives, sont fortement recommandées pour sécuriser l’activité de l’entreprise contre les imprévus. En souscrivant à<a href="https://www.frenchbusinessadvice.com/professional-insurances-of-a-company/" rel="bookmark">Read More &#187;<span class="screen-reader-text">Professional insurances of a company</span></a></p>
<p>L’article <a href="https://www.frenchbusinessadvice.com/professional-insurances-of-a-company/">Professional insurances of a company</a> est apparu en premier sur <a href="https://www.frenchbusinessadvice.com">FBA - French Business Advice</a>.</p>
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									<h4 style="text-align: center;"><span style="color: #60bae3;">Assurez-vous d’être bien assuré pour maintenir la pérennité de votre entreprise !</span></h4><p>L’assurance est un outil essentiel pour protéger les entreprises contre les différents risques auxquels elles peuvent être confrontées dans leur activité. Certaines assurances sont légalement obligatoires, d’autres, bien que facultatives, sont fortement recommandées pour sécuriser l’activité de l’entreprise contre les imprévus.</p><p>En souscrivant à ces assurances, l’entreprise se protège contre les risques financiers qui pourraient menacer sa pérennité. Il est crucial pour chaque entreprise de bien évaluer ses besoins en fonction de son secteur et de ses activités spécifiques.</p><p>Il existe principalement trois catégories d’assurances :</p><ul><li>assurance personnelle ;</li><li>l’assurance des biens ;</li><li>assurance commerciale.</li></ul><p>Chaque catégorie comprend des assurances obligatoires et facultatives. C’est au sein de ces dernières que l’entrepreneur doit sélectionner celles qui sont importantes (voire essentielles) pour garantir la sécurité à long terme de l’entreprise. Il existe un très grand nombre d’assurances facultatives, nous vous en proposons quelques exemples ci-dessous mais la liste n’est évidemment pas exhaustive.</p><h3><strong><u><br /></u></strong><span style="color: #2b7091;">I &#8211; Assurance de personnes</span></h3><h4 style="padding-left: 40px;"><span style="color: #60bae3;">1 &#8211; Les assurances obligatoires</span></h4><p>Dès qu’une entreprise a des salariés, il est obligatoire de souscrire une assurance appelée protection sociale complémentaire des salariés pour leur permettre de bénéficier d’une mutuelle.</p><p>En effet, la loi française impose aux employeurs du secteur privé de proposer une couverture santé complémentaire à leurs salariés. La mutuelle collective complète la couverture du régime obligatoire de Sécurité Sociale et permet aux salariés de bénéficier de garanties santé complémentaires.</p><p>L’entreprise a la possibilité d’étendre le bénéfice de cette protection sociale aux enfants et conjoints de ses salariés, elle doit participer au moins 50% au financement de cette mutuelle.</p><p>L’employeur peut choisir l’assureur mais doit respecter un panier de soins minimum défini par la loi.</p><h4 style="padding-left: 40px;"><span style="color: #60bae3;">2 &#8211; Optional insurances</span></h4><h5 style="padding-left: 40px;"><span style="color: #ff6600;"><strong>&gt; Concerning micro-enterprises</strong></span></h5><p>The micro-entrepreneur can take out health insurance which allows him to select reimbursement levels for the types of care of his choice (medical care, dental and optical equipment and hospitalization).</p><p>It should be noted that there is a &#8220;micro-insurance&#8221; system for very small businesses that provides access to reduced-cost insurance contracts.</p><p>To benefit from it, certain conditions must be met:</p><ul><li>Be at the start of the activity;</li><li>Not need to build up large stocks;</li><li>Be supported by a business creation assistance network with financing.</li></ul><p><em><span style="color: #ff9900;"><strong>Note:</strong> </span></em>This &#8220;micro-insurance&#8221; system concerns supplementary health insurance but also other categories of insurances that we will see below.</p><h5 style="padding-left: 40px;"><span style="color: #ff6600;">&gt; Concerning companies</span></h5><p>The company may take out director liability insurance to protect the director from the consequences of decisions taken on behalf of the company. This insurance may cover the director&#8217;s procedural costs during a civil, criminal or administrative trial when his liability is incurred.</p><p>The company can also take out insurance called &#8220;homme clé (key man)&#8221; which protects the company when a key person is unable to perform his work. This insurance makes it possible to compensate for operating losses which may result from the inability to work of this person.</p><p>It should also be noted that very small companies have access to micro-insurance which allows them to obtain insurance contracts at a reduced cost. The access conditions are the same as those described in the previous paragraph.</p><h3><span style="color: #2b7091;">II &#8211; Property insurance</span></h3><h4 style="padding-left: 40px;"><span style="color: #60bae3;">1 &#8211; Mandatory insurances</span></h4><h5 style="padding-left: 40px;"><span style="color: #ff6600;"><strong>&gt; Vehicles</strong></span></h5><p>If the company uses one or more vehicles, it must insure all of them. It is important to take out vehicle insurance that is appropriate for the professional activity carried out.</p><p>There are different types of professional car insurance, ranging from basic civil liability to more extensive coverage that also includes material damage caused to your own vehicles. It can also provide cover against theft, fire or glass breakage<strong>.</strong></p><h5 style="padding-left: 40px;"><span style="color: #ff6600;"><strong>&gt; Professional premises</strong></span></h5><p>If the company has business premises, it must take out insurance to cover it if one of the following events occurs:</p><ul><li>Fire</li><li>Explosion</li><li>Water damage</li><li>Natural disaster</li></ul><p>We advise you to take out a contract that also covers theft, offences, equipment, stocks, etc.</p><p>The cost of the insurance varies depending on the surface area of the premises, the value of the stock and the municipality in which they are located.</p><h4 style="padding-left: 40px;"><span style="color: #60bae3;">2 &#8211; Optional insurances</span></h4><h5 style="padding-left: 40px;"><span style="color: #ff6600;"><strong>&gt; Business interruption insurance</strong></span></h5><p>Although optional, this insurance is essential to guarantee the financial health of the company. In the event of a serious incident damaging the establishment and leading to a partial or permanent interruption of the activity, it covers in particular the loss of gross margin.</p><h5 style="padding-left: 40px;"><span style="color: #ff6600;"><strong>&gt; Professional legal protection</strong></span></h5><p>In the event of a dispute between the company and a client, an employee or a service provider that could lead to significant financial consequences, it allows the insured company to be assisted.</p><h3><strong><u><br /></u><span style="color: #2b7091;">III &#8211; Business insurance</span></strong></h3><p>The insurance that covers the activity is called <em>&#8220;Responsabilité Civile Professionnelle (RCP)”</em> (professional liability insurance).</p><p>This insurance covers all damages that may be caused to a third party, such as a customer, supplier or other person in the context of a professional sales, service or manufacturing activity. This may involve damages:</p><ul><li>Bodily injury;</li><li>Material damages (damage to an entrusted good or to a good on which a service is performed);</li><li>Or immaterial damages (damage resulting in a loss of turnover for the customer).</li></ul><p>Although this insurance is not mandatory for all activities, it is important for the company to take out one that is adapted to the sector of activity. The guarantees may vary depending on specific needs.</p><p><span style="color: #ff9900;"><strong>However, certain professional categories are required to have professional liability insurance.</strong></span></p><p>These are the following professions:</p><h5 style="padding-left: 40px;"><span style="color: #ff6600;"><strong>&gt; Legal professionals</strong></span></h5><p>Given the great responsibilities incumbent on legal professionals,they are required to be insured for their civil liability.</p><p>Indeed, the risks are numerous and can especially generate significant expenses in the event of compensation. For example, we can cite a lack of information, a legal error or negligence in the file.</p><p>This obligation of RCP insurance targets all legal professions (lawyer, notary, bailiff, accountants, etc.) and insurance companies offer contracts adapted to each profession.</p><h5 style="padding-left: 40px;"><span style="color: #ff6600;"><strong>&gt; Health professionals</strong></span></h5><p>Compulsory medical liability insurance concerns self-employed health professionals, companies that carry out prevention, diagnosis and/or care activities as well as producers, operators and suppliers of health products.</p><p>These professionals must take out insurance to protect themselves in the event of damage suffered by a third party during the exercise of their professional activity (for example: error or delay in diagnosis, choice of treatment not adapted to the patient&#8217;s state of health).</p><p>It also covers employees when they act within the scope of their duties.</p><h5 style="padding-left: 40px;"><span style="color: #ff6600;"><strong>&gt; Construction professionals</strong> </span></h5><p>Mandatory professional liability insurance (RCP) covers the financial consequences of damage caused to third parties during the exercise of the activity.</p><p>The insurance will cover the following costs:</p><ul><li>defense costs in the event of legal proceedings (expert and lawyer fees);</li><li>compensation for material damage (damaged or destroyed property); compensation for immaterial damage (financial loss following a delay in execution);</li><li>compensation for bodily injury (injury, death, etc.).</li></ul><p>In addition, when a company carries out the activity of building construction, <span style="color: #ff9900;"><strong>it must be covered by ten-year liability insurance</strong>.</span> Indeed, it is responsible for 10 years for damage related to the solidity of the work or equipment elements that cannot be dissociated from the work. This is called a ten-year guarantee.</p><p>Before each construction site opening, the professional must provide a ten-year civil liability insurance certificate to his client.</p><h5 style="padding-left: 40px;"><span style="color: #ff6600;"><strong>&gt; Real estate agents</strong></span></h5><p>This profession must also be covered by two categories of professional insurance:</p><ul><li><span style="color: #2b7091;"><strong><em>Professional liability insurance =&gt;</em></strong></span> Allowing the company to cover the financial consequences of damage caused to third parties during the exercise of its activity.<p>The insurance will cover the following expenses:</p></li></ul><ul><li style="list-style-type: none;"><ul><li>defense costs in the event of legal proceedings (expert and lawyer fees);</li><li>compensation for material damage;</li><li>compensation for immaterial damage (for example, financial loss following a lack of advice);</li><li>compensation for personal injury.</li></ul></li><li><span style="color: #2b7091;"><strong><em>Financial guarantee =&gt;</em></strong></span> When the company holds funds, shares or real estate securities that belong to its clients (for example, a security deposit), <span style="color: #ff9900;"><strong>it must take out a financial guarantee</strong></span>. This guarantee must be of an amount greater than or equal to the financial resources it holds.</li></ul><p>Let us add that civil liability insurance is also compulsory for tourism professionals as well as transporters of goods or people (road transport, taxis, VTC drivers, etc.).</p><p><span style="color: #ff6600;"><strong>And to conclude,</strong></span> we will tell you about the three channels available to a company to take out an insurance contract:</p><ul><li>Contact an insurance company that can advise you and offer you insurance adapted to your activity;</li><li>use an insurance broker who will act as an intermediary between you and the insurance companies;</li><li>contact the central pricing office (BCT: phone: +33 (0)1 53 21 50 40; mail: <a href="mailto:bct@agira.asso.fr">bct@agira.asso.fr</a>) which can help you find an insurer, especially when an insurance company refuses to insure your company for a risk that must be guaranteed.</li></ul><p>And don&#8217;t forget that companies employing fewer than 10 employees and whose annual turnover or total balance sheet is less than €2 million have access to micro-insurance. This allows access to insurance contracts adapted to VSEs and at a reduced cost.</p><p>Are you still unclear about some aspects of this article? Do you need further explanation or support?<em><strong><a href="https://www.frenchbusinessadvice.com/contact/" target="_blank" rel="noopener"> Contact us!</a></strong></em></p>								</div>
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		<p>L’article <a href="https://www.frenchbusinessadvice.com/professional-insurances-of-a-company/">Professional insurances of a company</a> est apparu en premier sur <a href="https://www.frenchbusinessadvice.com">FBA - French Business Advice</a>.</p>
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		<title>Sick leave and Accidental death and dismemberment insurance “Prévoyance” &#038; Complementary health insurance &#8220;Mutuelle&#8221; in companies</title>
		<link>https://www.frenchbusinessadvice.com/business-obligations-for-death-insurance-and-complementary-health-insurance/</link>
		
		<dc:creator><![CDATA[FBA team]]></dc:creator>
		<pubDate>Fri, 29 Jul 2022 12:38:57 +0000</pubDate>
				<category><![CDATA[Insurance]]></category>
		<category><![CDATA[Staff & Social field]]></category>
		<guid isPermaLink="false">http://s824070115.onlinehome.fr/?p=2299</guid>

					<description><![CDATA[<p>Sick leave and accidental death and dismemberment insurance, which we will call by its French name &#8220;Prévoyance&#8221; throughout this article, can be defined as insurance that supplements the income of the employee who can no longer work in the event of illness or accident, for example, or which pays a sum of money to the<a href="https://www.frenchbusinessadvice.com/business-obligations-for-death-insurance-and-complementary-health-insurance/" rel="bookmark">Read More &#187;<span class="screen-reader-text">Sick leave and Accidental death and dismemberment insurance “Prévoyance” &#038; Complementary health insurance &#8220;Mutuelle&#8221; in companies</span></a></p>
<p>L’article <a href="https://www.frenchbusinessadvice.com/business-obligations-for-death-insurance-and-complementary-health-insurance/">Sick leave and Accidental death and dismemberment insurance “Prévoyance” &#038; Complementary health insurance &#8220;Mutuelle&#8221; in companies</a> est apparu en premier sur <a href="https://www.frenchbusinessadvice.com">FBA - French Business Advice</a>.</p>
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						<section class="elementor-section elementor-top-section elementor-element elementor-element-5742812 elementor-section-boxed elementor-section-height-default elementor-section-height-default" data-id="5742812" data-element_type="section">
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									<p>Sick leave and accidental death and dismemberment insurance, which we will call by its French name &#8220;Prévoyance&#8221; throughout this article, can be defined as insurance that supplements the income of the employee who can no longer work in the event of illness or accident, for example, or which pays a sum of money to the family in the event of the employee&#8217;s death.</p><p>Complementary health insurance company (commonly called “Mutuelle”) pays the employee reimbursements of medical expenses in addition to the basic guarantees of Social Security.</p><p>We will first explain the main differences between a &#8220;prévoyance&#8221; and a “mutuelle” in order to avoid the reader any confusion between these two very different contracts.</p><p>We will then explain the main operating rules of each of these contracts.</p><h3><span style="color: #2b7091;"><strong>I &#8211; The difference between “mutuelle” insurance and “prévoyance” insurance</strong></span></h3><p>We often confuse the “mutuelle” and the “prévoyance” because they both have points in common. These are two social protection mechanisms which operate in addition to Social Security reimbursements. In addition, they can both be taken out in a collective (company) or individual framework.</p><ol><li style="list-style-type: none;"><ol><li><h4><span style="color: #60bae3;"><strong><em>Usefulness of  the &#8220;prévoyance&#8221;</em></strong></span></h4></li></ol></li></ol><p>It pays an additional income to the insured in the event of difficulties. It also provides financial support to his family in the event of his death. It covers 3 main types of risk:</p><ul><li>temporary incapacity,</li><li>invalidity,</li><li>death.</li></ul><p>When an employee can no longer work, he receives state aid. For example, in the event of a sick leave, Social Security pays him a daily allowance, and the employer must sometimes maintain his salary. But these aids are often insufficient, and they are limited in time. “Prévoyance” funds cover day-to-day costs and expenses.</p><ol><li style="list-style-type: none;"><ol start="2"><li><h4><span style="color: #60bae3;"><strong><em>Usefulness of the “mutuelle”</em></strong></span></h4></li></ol></li></ol><p>It reimburses current health expenses (medical consultations, purchase of medication, etc.).</p><p>When an employee sees a doctor, Social Security reimburses part of the consultation in charge. The remaining part, called &#8220;moderator ticket&#8221;, is paid by the insured. Thus, the “mutuelle” health insurance completes the reimbursement of the health insurance and covers the moderating ticket.</p><p>The “mutuelle” insurance company can also reimburse care that Social Security does not reimburse, for example osteopathy sessions, excess fees, etc.</p><h3><span style="color: #2b7091;"><strong>II &#8211; “Prévoyance” insurance</strong></span></h3><ol><li style="list-style-type: none;"><ol><li><h4><span style="color: #60bae3;"><strong><em>The obligation (or not) to subscribe to a collective &#8220;prévoyance&#8221; contract</em></strong></span></h4></li></ol></li></ol><p>The law does not require companies to take out “prévoyance”. On the other hand, a large number of collective agreements or a branch agreement provide for compulsory insurance.</p><p>However, since the collective agreement for executives of 1947, all companies must take out death cover for employees with executive status.</p><p>Concerning non-executives, as written above, a collective agreement or a branch agreement may impose “prévoyance” insurance for all employees of a sector of activity or a professional branch.</p><p>Apart from these situations, the “prévoyance” is optional and the employer can establish it by unilateral decision or by referendum.</p><ol><li style="list-style-type: none;"><ol start="2"><li><h4><span style="color: #60bae3;"><strong><em>The different types of contracts</em></strong></span></h4></li></ol></li></ol><ul><li><p><span style="color: #ff9900;"><strong>Collective contract</strong></span></p></li></ul><p>A company takes out collective “prévoyance” insurance to protect its employees. The contract is signed between the “prévoyance” organization and the company, which then enrolls its workforce.</p><p>Even apart from cases where “prévoyance” insurance is compulsory (i.e. when a collective agreement imposes it or when employees with executive status are employed &#8211; for the death part), an employer can establish “prévoyance”.</p><p>The company covers the insurance fund up to a minimum of 50% (employer&#8217;s share). The employer&#8217;s share is deductible from the tax result. It is also exempt from social charges.</p><ul><li><span style="color: #ff9900;"><strong>Individual contract</strong></span></li></ul><p>All people who have a professional activity can subscribe to an individual “prévoyance” insurance but it is not compulsory.</p><p>Self-employed workers (liberals, traders, craftsmen) have a particular interest in taking out an individual contract, because Social Security benefits are low for them in the event of incapacity, invalidity or death. Some employees already benefiting from a collective “prévoyance” insurance contract join when they want to benefit from more complete protection.</p><p>In the case of an individual contract, the insured assumes sole responsibility for the payment of his “prévoyance” cover. Contributions are deductible from the taxable income of self-employed workers when the contract is taken out within a certain framework (known as the Madelin law).</p><ol><li style="list-style-type: none;"><ol start="3"><li><h4><span style="color: #60bae3;"><strong><em>The main risks covered by “prévoyance” insurance contracts</em></strong></span></h4></li></ol></li></ol><ul><li><span style="color: #ff9900;"><strong>Incapacity insurance</strong></span></li></ul><p>The incapacity guarantee compensates the insured placed on sick leave, prescribed by a doctor following an accident or illness. The person on sick leave suffers a significant loss of income.</p><p>The employer can (or must), in certain cases, maintain his salary for a limited period. The payment of this supplement is financed by the “prévoyance” organization.</p><p>If the sick leave is prolonged, an incapacity guarantee completes the basic compensation by the payment of a lump sum or an incapacity pension.</p><p>The amount of the incapacity guarantee is calculated on the basis of a percentage of the reference salary. The reference salary corresponds to the gross earnings of the last 12 months.</p><ul><li><span style="color: #ff9900;"><strong>Disability</strong></span></li></ul><p>The organization pays an annuity or capital to the insured who finds himself in a situation of disability due to an illness or an accident of non-occupational origin. There are 3 categories of disability:</p><ul><li style="list-style-type: none;"><ul><li><span style="color: #2b7091;"><strong>* </strong></span>Partial disability: the degree of disability is greater than 33%, the person can still work part-time;</li><li><strong><span style="color: #2b7091;">*</span></strong> Total disability: the degree of disability is greater than 66%, the person can no longer work;</li><li><span style="color: #2b7091;"><strong>*</strong></span> Total disability and dependence: the disability rate is greater than 66%, the person can no longer work and needs assistance to carry out daily activities.</li></ul></li></ul><p>Social Security assesses the amount of the disability pension according to these categories. The disability insurance supplements this pension by paying a sum of money (annuity or capital). The amount depends on the category of disability. It is calculated on a percentage of the reference salary.</p><ul><li><span style="color: #ff9900;"><strong>Death</strong></span></li></ul><p>In the event of death, insurance pays capital or an annuity to the beneficiaries designated in the contract (relatives, family, children, spouse).</p><p>Most accidental death and dismemberment insurance contracts include options such as:</p><ul><li style="list-style-type: none;"><ul><li><span style="color: #2b7091;"><strong>* </strong></span>The education pension: it covers part of the school fees of the children of the deceased insured person;</li><li><span style="color: #2b7091;"><strong>* </strong></span>The surviving spouse&#8217;s pension: it compensates the spouse of the deceased insured;</li><li><span style="color: #2b7091;"><strong>* </strong></span>Funeral insurance: it finances funeral expenses.</li></ul></li></ul><h3> </h3><h3><span style="color: #2b7091;"><strong>III &#8211; Complementary health insurance (mutuelle)</strong></span></h3><h4 style="padding-left: 40px;"><span style="color: #60bae3;"><strong><em>1. The obligation to join a “mutuelle” health insurance</em></strong></span></h4><ul><li><span style="color: #ff9900;"><strong>Obligation concerning the company</strong></span></li></ul><p>Since January 1<sup>st</sup> 2016, private sector employers, companies or associations (excluding individual employers), must offer supplementary collective health cover to all of their employees who do not already have it. This obligation applies regardless of the seniority of the employee in the company.</p><p>In addition, the coverage of the dependents (children or spouse) of the employee is possible but not compulsory. It must have been decided by the employer or by a collective agreement.</p><ul><li><span style="color: #ff9900;"><strong>Obligation concerning the employees</strong></span></li></ul><p>Employees may refuse to join their employer&#8217;s complementary health insurance (and eventually “prévoyance”) system only in the following cases:</p><ul><li style="list-style-type: none;"><ul><li><span style="color: #2b7091;"><strong>* </strong></span>Already covered, as a spouse or PACS, by a “mutuelle” insurance company;</li><li><span style="color: #2b7091;"><strong>* </strong></span>Already covered by an individual “mutuelle” (the exemption from membership only applies until the expiry of the individual contract);</li><li><span style="color: #2b7091;"><strong>* </strong></span>Already employed in the company at the time of the implementation of the device: the employee can choose not to join if the device (“prévoyance” or complementary health insurance) was set up by unilateral decision of the employer with financial participation of the employee;</li><li><span style="color: #2b7091;"><strong>* </strong></span>Benefiting from “Complémentaire Santé Solidaire” (CSS);</li><li><span style="color: #2b7091;"><strong>* </strong></span>Part-time employee (in certain cases only), for more information <a href="https://www.service-public.fr/particuliers/vosdroits/F20740" target="_blank" rel="noopener"><span style="color: #2b7091;"><em><strong>click here</strong></em></span></a>;</li><li><span style="color: #2b7091;"><strong>* </strong></span>Employee under a fixed-term contract or an assignment contract (in certain cases only), for more information <a href="https://www.service-public.fr/particuliers/vosdroits/F20740" target="_blank" rel="noopener"><strong><em><span style="color: #2b7091;">click here</span></em></strong></a>;</li></ul></li></ul><h4 style="padding-left: 40px;"><span style="color: #60bae3;"><strong><em>2. The minimum guarantees that must be covered by the insurance company</em></strong></span></h4><p>Complementary health insurance must cover at least the following guarantees (basket of care):</p><ul><li style="list-style-type: none;"><ul><li><span style="color: #2b7091;"><strong>* </strong></span>Full co-payment for consultations, acts and services reimbursable by health insurance, subject to certain exceptions;</li><li><span style="color: #2b7091;"><strong>* </strong></span>Total daily hospital charge in the event of hospitalization;</li><li><span style="color: #2b7091;"><strong>* </strong></span>Dental costs up to 125% of the conventional rate: rate on the basis of which the calculation is made for the reimbursement of a medical act by the Health Insurance;</li><li><span style="color: #2b7091;"><strong>* </strong></span>Optical costs on a flat-rate basis per period of 2 years (annually for children or in the event of changes in sight) with a minimum coverage set at €100 for a simple correction, €150 (or even €200) for a complex correction.</li></ul></li></ul><p>In addition, the complementary health insurance can offer additional services such as:</p><ul><li style="list-style-type: none;"><ul><li><span style="color: #2b7091;"><strong>* </strong></span>Third-party payment (allows the employee not to advance medical expenses);</li><li><span style="color: #2b7091;"><strong>* </strong></span>Assistance service (domestic help, childcare, etc.)</li><li><span style="color: #2b7091;"><strong>* </strong></span>Prevention and support (screening support, for example).</li></ul></li></ul><h4 style="padding-left: 40px;"><span style="color: #60bae3;"><strong><em>3. Establishment of mutual health insurance in the company</em></strong></span></h4><p>The company must first refer to the collective agreement or the branch agreement on which it depends because, in general, a complementary health plan is imposed on the company.</p><p>In the absence of a branch agreement, the agreement can be reached via a collective deal negotiated between the employer and the staff representatives.</p><p class="text-align-justify"><span lang="EN-US" xml:lang="EN-US">Do not hesitate <a href="https://www.frenchbusinessadvice.com/contact/" target="_blank" rel="noopener"><em><strong>to contact us</strong></em></a> for any clarification on these subjects!</span></p>								</div>
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		<p>L’article <a href="https://www.frenchbusinessadvice.com/business-obligations-for-death-insurance-and-complementary-health-insurance/">Sick leave and Accidental death and dismemberment insurance “Prévoyance” &#038; Complementary health insurance &#8220;Mutuelle&#8221; in companies</a> est apparu en premier sur <a href="https://www.frenchbusinessadvice.com">FBA - French Business Advice</a>.</p>
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