Directorate of Social Security. Key French Social Security Figures 2011

Transcription

1 Directorate of Social Security Key French Social Security Figures

2 KEY FRENCH SOCIAL SECURITY FIGURES, 2012 Edition

3 CONTENTS THE FRENCH SOCIAL SECURITY SYSTEM T The French social security system was founded in 1945 in order to ensure that everyone should have the means required to support themselves and their family in decent conditions, under all circumstances 1. It is based on the principle of solidarity which guarantees financial protection against life s contingencies for everyone. The French social security system... Social security revenue... The health insurance branch of the general scheme... The occupational injuries and illnesses branch of the general scheme... The old-age insurance branch of the general scheme... The family branch... Financial situation Social security schemes for the selfemployed and agricultural sectors... Quality and effi ciency programs... Social security public service performance Social security institutions organization chart It covers health insurance, compensation for occupational injuries and illnesses, pensions and family benefits. These four main branches of the social security system are completed by the collection of social contributions and cash management. The French social security system is underpinned by the principles of universality and unity. It is administered through a number of different basic schemes: the general scheme for employees and the unemployed; agricultural workers' and farmers' scheme managed by the CCMSA; and the RSI scheme for the self-employed which covers the craft, trade and commercial sectors, and independent professionals for health insurance. Other, 'special' schemes cover specific professions such as civil servants and railroad and utility employees. The general scheme alone accounts for about three quarters of the total expenditure incurred by the basic social security schemes. In, total net expenditures amounted to billion euros for the general scheme and are estimated at billion euros for all schemes combined in the most recent amending Social Security financing bill. The French social security system is financed by social contributions paid by employers and employees, a general social welfare contribution (CSG) and various other contributions and taxes. While opinion polls show overwhelming public support for the social security system, there tends to be only a limited understanding of how the system functions and the huge flows of money in the system. This document aims to fill the knowledge gap by presenting key figures on the French social security system and providing a better understanding of it has evolved over time and the issues faced today. 1 Explanatory statement from the French decree of 4 October 1945 establishing the social security system Key French Social Security Figures / 5

4 SOCIAL SECURITY REVENUE The ACOSS (central agency of social security funds) is in charge of the social security general scheme s cash operations and manages the URSSAF which are responsible for the collection of social contributions. 9,5 million contributor accounts managed in. 418 billion euros in revenues collected in.. General scheme consolidated products totalled billion euros in. Key French Social Security Figures / 6 Key French Social Security Figures / 7

5 BREAKDOWN OF THE PRINCIPAL CONTRIBUTORS IN STRUCTURE OF REVENUE BY BRANCH IN 9,0 % CNAM (HEALTH) 2,3 % 1,4 % 12,7 % 25 % CNAV (OLD AGE) 45,3 % HOUSEHOLDS COMPANIES 45,7 % PUBLIC ADMINISTRATIONS Financing Quality and Efficiency Program, 2012 Social Security Accounts Commission, July 2012 CONTRIBUTIONS CSG 35,6 % CNAF (FAMILY BENEFITS) 17,8 % 48,0 % 10,4 % 1,2 % 63,4 % CNAM (OCCUPATIONAL INJURIES AND ILLNESSES) 2,8 % 2,6 % TAXES AND DUES 65,3 % STRUCTURE OF REVENUE IN TRANSFERS OTHER INCOME 14,9 % 2,1 % 94,6 % EMPLOYEE AND EMPLOYER SOCIAL SECURITY CONTRIBUTIONS 12,3 % 20,5 % 2,0 % 6,0 % 59,2% Social Security Accounts Commission, July 2012 Directorate of Social Security As of 1st January 2012 As a percentage of gross salary Employer Employee Total Social security contributions Health insurance 12,8 % 0,75 % 13,55 % Old-age insurance Below ceiling 8,3 % 6,65 % 14,95 % Above ceiling 1,6 % 0,1 % 1,7 % Family benefits 5,4 % - 5,4 % Occupational injuries (average) 2,38 % - 2,38 % Other contributions CSG - 7,5 %* 7,5 % CRDS - 0,5 %* 0,5 % *Since 1st January 2012, these rates are applied to 98.25% of gross salary rather than 97% CONTRIBUTIONS CSG TAXES AND DUES TRANSFERS OTHER INCOME Below ceiling refers to the contributions paid on that part of the wage which is below the social security capped limit (3,031 euros gross per month as of January 1st 2012) as opposed to above ceiling meaning contributions to be paid on the entire wage. Only those contributions collected for the pensions branch are calculated on the capped wage. Key French Social Security Figures / 8 Key French Social Security Figures / 9

6 TRENDS OF ACTUAL EMPLOYER CONTRIBUTION RATES AT MINIMUM WAGE LEVEL (SMIC) (AS A PERCENTAGE OF GROSS SALARY, ) Directorate of Social Security 50 % 45 % Note on the graph: Calculations are made based on a Parisregion business with more than 20 employees having adopted the 35 weekly hours system in January 2000 (dotted) or having kept the 39-hour system (block color). THE HEALTH INSURANCE BRANCH OF THE GENERAL SCHEME 40 % 35 % Single reduction (Fillon) 30 % 25 % 20 % 15 % 10% 5 % AF exemption Juppé exemption 1, 2 and 3 Aubry II structural aid in case of 35-hour work week Total Others contributions Social security 0 % TOTAL SOCIAL SECURITY OTHER CONTRIBUTIONS Since the late 1980s, actual employer charges on minimum wage salaries have dropped sharply. Indeed, while other employment contributions have seen nearly a 4-point increase over the past two decades, employer social security contributions have decreased from over 33% to 4.48% of gross salary. This decrease is mainly due to the measures to reduce employer charges on low wages that have been implemented beginning in the mid-1990s. Today, social security contributions account for only 21.6% of total employer social charges at minimum-wage level. BRANCH-BY-BRANCH GENERAL SCHEME EXPENDITURE IN 32 % 17 % 4 % 47 % HEALTH OCCUPATIONAL INJURIES AND ILLNESSES OLD-AGE INSURANCE FAMILY BENEFITS Source : Social Security Accounts Commission, July 2012 The National Health Insurance Fund for Employees (CNAMTS) is in charge of the health insurance branch of the Social Security system s general scheme and manages the network of local health insurance funds (CPAM). 57 million general scheme benefi ciaries. 88% of the population is insured by CNAMTS which covers 86 % of total health care expenses billion euros net in benefi ts paid by the CNAMTS in. Health care spending came to 12.1% of the GDP in. Key French Social Security Figures / 10 Key French Social Security Figures / 11

7 TRENDS IN FINANCING OF HEALTH CARE AND MEDICAL GOODS CONSUMPTION IN PERCENTAGES HEALTH CARE EXPENSES COVERED BY THE HEALTH INSURANCE SYSTEM (ONDAM - PROVISIONAL FIGURES) 10 % 12 % 1 % 9 % 13 % 1 % 8 % 13 % 1 % 9 % 13 % 1 % 9 % 13 % 1 % 10 % 13 % 1 % 10 % 13 % 1 % 9 % 14 % 1 % National Health Accounts, Social Security Accounts Commission, July % < 1 % OUTPATIENT HEALTH CARE 44 % 46 % 77 % 77 % 77 % 76 % 76 % 76 % 76 % 76 % COMPULSORY HEALTH INSURANCE SCHEMES STATE, UNIVERSAL HEALTH COVER FUND, LOCAL AUTHORITIES HOSPITALS CARE AND NURSING HOMES OTHER LESS THAN 1% COMPLEMENTARY HEALTH INSURANCE PROVIDERS HOUSEHOLDS Outpatient health care expenses include fees charged by health care professionals, cash benefi ts (daily sickness benefi ts) and outpatient medicine and medical equipment expenses, as well as transport. ANNUAL GROWTH OF GENERAL SCHEME HEALTH INSURANCE COSTS (ONDAM)* BETWEEN 1997 AND EVOLUTION OF THE FINANCIAL SITUATION OF THE HEALTH INSURANCE BRANCH (CURRENT BILLIONS OF EUROS) As in, the ONDAM voted on by Parliament was met. 7,1 % Social Security Accounts Commission, July ,7-1,6-2,4-2,1-6,1-5,9-4,6-4,4 6,4 % -8,0-8,6 5,6 % 5,6 % 1,5 % 4,0 % 2,6 % 4,9 % 4,0 % 4,0 % 3,2 % 3,5 % 3,5 % 2,6 % 2,9 % -11,1-11,6-10,6-11, (p) Social Security Accounts Commission, July 2012 *ONDAM: National health insurance expenditure target Key French Social Security Figures / 12 Key French Social Security Figures / 13

8 INTERNATIONAL COMPARISON OF HEALTH EXPENDITURE AS A SHARE OF GDP 18% 16% 14% United States Source : OECD Health Data 2012 THE OCCUPATIONAL INJURIES AND ILLNESSES BRANCH OF THE GENERAL SCHEME 12% France 10% Germany 8% Switzerland Japon United Kingdom 6% Health expenditure as a share of GDP is an indicator that puts health spending into perspective, reflecting as it does the share of a country's resources devoted to health care. Totaling billion euros in, health expenditure in France accounted for 11.6% of GDP, putting the country well behind the USA (17.4%) but at the same level as and ahead of Sweden and the United Kingdom (9.6%). The growth in health care spending as a share of GDP that occurred in 2009 across all of these countries can be attributed chiefly to the effects of the economic crisis. shows the beginning of a return to earlier values. The national health insurance fund for employees (CNAMTS) is also in charge of the occupational injury and illness compensation branch of the general social security scheme and manages the network local old-age and occupational health insurance funds (CARSAT). In, some 2.3 million businesses paid industrial injury contributions for more than 18.5 employees (about 70% of the labour force). In the same year, 680,000 cases of occupational injury and more than 55,000 cases of occupational illnesses resulted in sick leave. Net benefit payments totalled 8.1 billion euros in. Key French Social Security Figures / 14 Key French Social Security Figures / 15

9 OCCUPATIONAL INJURY AND DISEASE EXPENDITURE IN 9 % 10 % Social Security Accounts Commission, June TRENDS IN WORK-RELATED ACCIDENTS, COMMUTING ACCIDENTS AND OCCU- PATIONAL ILLNESSES RESULTING IN SICK LEAVE, 2001 TO (BASE 100 IN 2001) Occupational Risks Department, CNAMTS % 27 % 33 % PERMANENT INCAPACITY (PENSIONS AND PAYOUTS) OTHER (43% OF WHICH ARE TRANSFER PAYMENTS) DAILY SICKNESS BENEFITS (DSB) ASBESTOS VICTIMS COMPENSATION TEMPORARY INCAPACITY (DSB EXCLUDED) EVOLUTION OF THE FINANCIAL SITUATION OF THE OCCUPATIONAL INJURIES AND ILLNESSES BRANCH (IN BILLIONS OF CURRENT EUROS) OCCUPATIONAL ILLNESSES COMMUTING ACCIDENTS OCCUPATIONAL ACCIDENTS ALL Social Security Accounts Commission, July 2012 Out of around 1,214,000 reported and recognized accidents in, 82% (1,001,000) were occupational injuries, 11% (133,000) commuting accidents and 7% (80,000) cases of occupational illness. 0,4 0,2 0, ,2-0,1-0,2-0,4-0,5-0,5-0,7-0,7 Key French Social Security Figures / 16 Key French Social Security Figures / 17

10 INDUSTRIAL INJURIES WITH SICK LEAVE BY ACTIVITY BRANCH IN THE OLD-AGE 6 % 8 % 4 % 2 % 23 % CNAMTS (national annual technological statistics), INSURANCE BRANCH OF THE GENERAL SCHEME 17 % 9 % 14 % 17 % SERVICE ACTIVITIES 2 (HEALTH, CLEANING, TEMPORARY WORK) FOOD SERVICES, TRADE AND INDUSTRIES NON-FOOD BUSINESSES METALLURGY CHEMICALS, RUBBER, PLAS- TICS INDUSTRIES SERVICE ACTIVITIES 1 (BANKS, INSURANCE, ADMINISTRATION) CONSTRUCTION TRANSPORT, UTILITIES, PUBLISHING AND COMMUNICATION WOOD, FURNISHINGS, PAPER AND CARDBOARD, TEXTILE, CLOTHING, LEATHER The CNTs (national technical committees) have grouped France s industries into nine major branches of activity. In, just under 680,000 occupational injuries resulting in sick leave were reported by the general scheme, involving some 18.5 million employees. The national old-age insurance fund (CNAV) is in charge of pensions within the general scheme and manages the network of local pension and health insurance funds (CARSAT) million general scheme pensioners in all of France in billion euros in net benefi ts paid by the CNAV in. Basic and complementary pensions as a share of GDP: 13.3% in. Key French Social Security Figures / 18 Key French Social Security Figures / 19

11 TRENDS IN RETIREMENT NUMBERS TRENDS IN PENSIONS PAID TO MEN AND WOMEN, ALL SCHEMES COM- BINED (AMOUNTS IN EUROS PER MONTH) Social Security Accounts Commission, July 2012 Scope: Persons drawing a general scheme old-age pension for the first time in Year n DREES, ANCETRE model, Annual Pension Fund Survey 2004 to, EIR 2004 and MEN WOMEN SURVIVORS PENSIONS AND PENSION INCREASE OLD-AGE PENSIONS (BASIC AND COMPLEMENTARY) The surge of baby boomers reaching retirement age has swelled the ranks of those retiring each year, a trend which was accentuated between 2004 and 2008 by measures to promote early retirement. The dip in 2009 is attributable to the early retirement of people with a large number of years of pensionable service being deferred as a result of new eligibility requirements. EVOLUTION OF THE FINANCIAL SITUATION OF THE OLD-AGE BRANCH OF THE GENERAL SCHEME (IN BILLIONS OF CURRENT EUROS) These amounts include basic and complementary old-age pensions (entitlement accrued through employment and payment of the associated contributions) as well as survivors pensions and, as of 2008, increases for parents having raised children. GUARANTEED MINIMUM PENSION BENEFICIARIES AND EXPENDITURE AS PART OF THE SECOND STAGE OR THE ASPA* AS OF 31ST DECEMBER pension solidarity fund. DSS calculations 0,0 1,5 1,7 0,8 0,5 0,9 0,3 Social Security Accounts Commission, July ,9-1, ,6-5,6-7,2-8,9-6, (p) BENEFICIARIES, INCLUDING ASPA (LEFT) OVERALL EXPENDITURE, INCLUDING ASPA (RIGHT) *The ASPA (solidarity allowance for the elderly) replaces the guaranteed minimum pension for persons retiring as of 1st January Key French Social Security Figures / 20 Key French Social Security Figures / 21

12 EMPLOYMENT RATES AMONG THE AGE GROUP 75% 65% Source : Eurostat Sweden THE FAMILY BRANCH OF THE SOCIAL SECURITY SYSTEM United Kingdom 55% Germany 45% France UE (27 countries) Spain The Netherlands 35% Italy 25 % SPENDING ON PENSIONS AS A SHARE OF GDP DREES, social protection accounts 11,7 % 11,7 % 11,7 % 11,8 % 11,9 % 1,7 % 1,6 % 1,6 % 1,6 % 1,6 % 12,0 % 1,7 % * 12,1 % 12,2 % 12,5 % 1,6 % 1,5 % 1,5 % 13,4 % 13,5 % 1,6 % 1,6 % The national family benefits fund (CNAF) is in charge of the family benefits branch of the general scheme and manages the network local family benefit offices (CAF). 2,5 % 7,5 % 2,5 % 7,5 % 2,5 % 7,6 % 2,6 % 7,6 % 2,6 % 7,7 % 2,7 % 7,7 % 7,6 % 2,9 % 7,7 % 3 % 7,9 % 3,1 % 8,5 % 3,3 % 8,6 % 3,4 % 11.4 million claimants in billion euros in benefi ts paid by the CNAF in. Family benefi ts as a share of GDP: approximately 2% BASIC PENSIONS OTHER OLD-AGE PENSIONS SURVIVORS PENSIONS *break in series due to a change in the basis of the national accounts Key French Social Security Figures / 22 Key French Social Security Figures / 23

13 STRUCTURE OF STATUTORY FAMILY BENEFITS IN EVOLUTION OF THE FINANCIAL SITUATION OF THE FAMILY BENEFITS BRANCH (IN BILLIONS OF CURRENT EUROS) Social Security Accounts Commission, July % 2 % 1 % FAMILY ALLOWANCES (CHILD BENEFITS, ETC.) 1,5 1,7 0,2 1,0 0,2 0,4 37 % 48 % EARLY CHILDHOOD BENEFIT PROGRAM (PAJE, ETC). HOUSING BENEFITS DISABLED CHILD BENEFITS ,2-0,4-0,3-0,9-1,3-1,8 OTHER French Social Security Accounts Commission, July ,7-2,6 TRENDS IN NUMBERS OF FAMILIES RECEIVING FAMILY BENEFITS HYPOTHETICAL CAPACITY OF OFFICIAL CHILDCARE FACILITIES FOR 100 CHILDREN UNDER THE AGE OF 3 (2009) children Source : CNAF Sources: CNAF (RNDC and FILEAS), DREES (PMI enquiry), DEPP and INSEE 5,1 1, child 3 children 4 or more children no children 14,7 27 CHILDMINDERS DAY CARE (PROFES- SIONAL, FAMILY AND PARENTS) INFANT S SCHOOL NANNY In 2009 in Metropolitan France, 48.7 places per 100 under-three year olds were available in offi cial childcare facilities. Childminders are the predominant form of childcare, with three out of four under the care of a childminder (27% of all under-threes are looked after by a childminder). Key French Social Security Figures / 24 Key French Social Security Figures / 25

14 FINANCIAL SITUATION The social security general scheme defi cit decreased in, falling to 17.4 billion euros from 23.9 billion euros in. Social Security revenues rose more quickly than expenditure (5.3% and 2.8% respectively) as a result of an increase in the wage bill (+3.6%) and the measures implemented through the Social Security fi nancing law. General scheme spending rose at a very moderate rate (+2.8%), reflecting a continued containment of health insurance expenditure and a slowdown in pension expenditure. While all four branches of the general scheme continued to run a defi cit in, the occupational illnesses and injuries branch was very close to a balanced budget. Key French Social Security Figures / 26 Key French Social Security Figures / 27

15 COMPARED AMOUNTS AND TRENDS OF SOCIAL SECURITY, STATE AND LOCAL AUTHORITY SPENDING AS A PERCENTAGE OF GDP EVOLUTION OF THE FINANCIAL SITUATION OF THE GENERAL SCHEME (IN BILLIONS OF CURRENT EUROS) Sources: national accounts, base 2000, INSEE 0,5 0,7 1,2 60 % % - 2,5-3,5 40 % - 10,2-11,9-11,6-8,7-9,5-10,2 30 % 20 % - 20,3 10 % - 17,43 0 % ,9 PA SPENDING LA SPENDING SS SPENDING CA SPENDING Social Security Accounts Commission, June PA : public administrations CA : central administrations (central government and central government agencies) SS : social security administrations (including unemployment benefit and compulsory complementary pension schemes) LA : local authorities SOCIAL SECURITY DEBT TO BE COVERED BY THE DEBT SINKING FUND CADES AS AT 31ST DECEMBER Source : Social Security Accounts Commission, July ,1 % ,3 % 4,0 % 4,2 % 3,9 % 72,7 75,6 73,0 65,7 1,6 % 1,7 % 1,8 % 1,8 % 26,6 29,3 32,1 34,7 80,1 37,5 4,1 % 1,9 % 4,8 % 91,8 2,2 % 42,8 4,5 % 86,7 2,5 % 47,9 142,8 3,0 % 59, DEBT REMAINING IN BILLIONS OF EUROS DEBT REIMBURSED IN BILLIONS OF EUROS DEBT REMAINING IN GDP POINTS DEBT REIMBURSED IN GDP POINTS Key French Social Security Figures / 28 Key French Social Security Figures / 29

16 TRENDS IN THE BREAKDOWN OF SOCIAL SECURITY ADMINISTRATION REVENUES DREES, social protection accounts 100 % 80 % 60 % 1% 2 % 25 % 3 % * Break in series due to a change in the basies of the national accounts 2% 0 % 29 % 3 % SOCIAL SECURITY SCHEMES FOR THE SELF-EMPLOYED AND AGRICULTURAL SECTORS 40 % 69 % 67 % 20 % 0 % SOCIAL CONTRIBUTIONS PUBLIC CONTRIBUTIONS EARMARKED TAXES AND DUES TRANSFERS OTHER Although social contributions represented 86.8% of total social security revenues in 1991, they now account for only 66.6% in. At the same time, the share of earmarked taxes and dues has increased from 4.9% to 29.0%. These two opposing trends can be partially explained by the increase in the CSG social welfare tax (considered as an earmarked tax) as a substitute for social security contributions. The Fund for the Self-employed (RSI) administers health insurance for the self-employed in the trades and crafts, commercial and independent professional sectors, as well as old-age pensions for the two first two categories of workers. It also manages the fund's regional offices. 2.5 million people pay contributions to the RSI, of which 42.4 % are in the commercial sector, 36.2% in the trade and craft sector and 21.4% independent professionals. The National Old-age Insurance Fund for Independent Professionals (CNAVPL) administers pensions for independent professionals whilst lawyers are handled by the national fund for French barristers (CNBF). At 31 December, 615,200 independent professionals were paying contributions to the CNAVPL. The agricultural workers' and farmers mutual welfare fund (MSA) administers sickness benefits, pensions and industrial injury benefits. It also handles family benefits although statutory family benefits are recorded in the accounts of the National Family Benefits Fund (CNAF). It collects contributions from agricultural workers and farmers and manages the Fund s regional offices. 1.2 million people pay contributions to the MSA, of which 55% are agricultural workers and 45% are farmers Key French Social Security Figures / 30 Key French Social Security Figures / 31

17 FINANCIAL SITUATION OF THE HEALTH INSURANCE AND BASIC PENSIONS BRANCHES OF THE RSI AND CNAVPL (IN MILLIONS OF EUROS) FINANCIAL SITUATION OF THE AGRICULTURAL EMPLOYEES' SCHEME (IN MILLIONS OF EUROS) Directorate of Social Security Directorate of Social Security RSI - HEALTH RSI - PENSIONS FOR CRAFT AND TRADE SECTORS RSI - PENSIONS FOR COMMERCIAL SECTOR CNAVPL -PENSIONS HEALTH BRANCH PENSIONS BRANCH ALL BRANCHES COMBINED The health and pension branches for the trade and craft sector and commercial sector are supported by a corporate social solidarity contribution (C3S). This contribution is not taken into account in the above figures. RSI AND CNAVPL SICKNESS AND BASIC PENSION BENEFITS (IN MILLIONS OF EUROS) The health and pensions branches are incorporated in the general scheme for accounting purposes. These transfer payments are not taken into account in the fi gures above. BENEFITS PAID UNDER THE AGRICULTURAL WORKERS SCHEME (IN MILLIONS OF EUROS) Directorate of Social Security Directorate of Social Security NET BENEFITS RSI HEALTH NET BENEFITS RSI PENSIONS FOR CRAFT AND TRADE SECTOR NET BENEFITS RSI PENSIONS FOR COMMERCIAL SECTOR NET BENEFITS CNAVPL PENSIONS NET SICKNESS BENEFITS (AGRICULTURAL WORKERS) OLD-AGE BENEFITS (AGRICULTURAL WORKERS) TOTAL BENEFITS (AGRICULTURAL WORKERS) Key French Social Security Figures / 32 Key French Social Security Figures / 33

18 FINANCIAL SITUATION OF THE FARMERS' SCHEME (IN MILLIONS OF EUROS) QUALITY Directorate of Social Security AND EFFICIENCY PROGRAMMES (QEP) HEALTH BRANCH PENSIONS BRANCH ALL BRANCHES COMBINED Up until 2008, the health and pension branches for farmers were supported by the fund for the financing of social benefits in the agricultural sector (FFIPSA). In 2009, the farmers' health insurance branch was incorporated into the general scheme. These transfer payments are not taken into account in the figures above. However, there is no longer any transfer mechanism for the pensions branch. BENEFITS PAID UNDER THE FARMERS' SCHEME (IN MILLIONS OF EUROS) S ix Quality and Efficiency Programs (QEP) have been developed in the main social security policy areas, namely the four different branches of the social security system (health insurance, occupational accidents and injuries, pensions and family policy), social security financing and coverage of incapacity, disability and elderly dependency. The QEP set out the main social security policy objectives, and assess progress in meeting them. Directorate of Social Security The QEP comprise a scoping section and a second section presenting the objectives and expected outcomes of the policies implemented through the network of Social Security institutions. The QEP provide a checklist of health and social policies, based on which four main themes have been identified:- l accès à des prestations sociales et à des soins adéquats ; - Access to adequate social security benefits and health care - Quality of service - Efficiency in delivering benefits and services - Financial viability They include 176 indicators of which 66 are structural and 110 relate to objectives and outcomes. An 8-page summary presents main developments in respect of the QEP. NET SICKNESS BENEFITS (AGRICULTURAL WORKERS) PENSIONS (AGRICULTURAL WORKERS) TOTAL BENEFITS (AGRICULTURAL WORKERS) The QEP comprise Appendix 1 of the Social Security Financing Bill ((PLFSS). Many of the indicators in this brochure are QEP indicators. They are available online: see the LFSS section of the portal securite-sociale.fr. Key French Social Security Figures / 34 Key French Social Security Figures / 35

19 QUALITY OF SERVICE SOCIAL SECURITY PUBLIC SERVICE PERFORMANCE Drop-in services Health Percentage of persons received within 20 minutes 91,5 % 90,8 % 91,8 % 87,7 % Annual number of visits (in millions) 33,5 34, ,9 Family Percentage of persons received within 20 minutes 92,5 % 83,8 % 86,2 % 87,9% Annual number of visits (in millions) 18,2 21,0 19,1 18,9 Pensions Annual number of visits (in millions outside of CGSS) 2,6 2,6 2,7 2,6 Collection Not relevant to this branch Performance objectives for France's social security institutions are set out in the national agreements on objectives and management (COG) negotiated between the government and each social security institution since Key considerations include processing speed, quality of service and fi nancial performance. The COG identify main strategies for improvement and current management commitments: development of e-administration, respect for the environment and employment for people with disabilities and older workers are just some of the issues addressed under the current agreement. Phone reception Health Familly Percentage of calls handled 87,3 % 86 % 85,6 % 85% Annual number of calls handled (in millions) 27, ,5 27 Percentage of calls handled 90,6 % 74,1% 79,4 % 86,1% Annual number of calls handled (in millions) 29,6 35,3 30,7 27,0 The main performance indicators are shown below. Satisfaction rates regarding telephone contacts 90,3 % 91,9 % 91,8 % 90,8 % Pensions Percentage of calls answered 76,3 % 83,3% 82,5% 90,3 % Annual number of calls handled (in millions) 4,1 4,3 4,5 4,7 Collection Percentage of calls handled 87,2 % 88,1% 95,3 % 96,9% Key French Social Security Figures / 36 Key French Social Security Figures / 37

20 Processing time IMPLEMENTATION OF SOCIAL SECURITY POLICIES Health Family Pension Percentage of electronic claims resulting in reimbursement within 7 days Percentage of claims processed within 2 weeks Percentage of old-age pension entitlements settled within one month of due date (for residents in France) 90,0 % 90,0 % 90,0 % 90,0 % 91,0 % 79,3 % 83,2 % 80,0 % 96,6 % 96,6 % 96,5 % 96,2 % Health Proportion of beneficiaries over 16 years of age having chosen their general practitioner Proportion of consultations under the coordinated medical consultation procedure 85,4 % 88,3 % 88,9 % 89,8 % 88,1 % 90,0 % 90,7 % 91,29 % Collection Contributions accounts updated within 10 days 99,2 % 99,0 % 99,4 % 99,4 % Overall cost* of administering benefits or contributions** Health/ Occupational accidents and injuries ,04 % 4,02 % 3,86 % 3,75% Family 2,39 % 2,49 % 2,44 % 2,36% Pension 1,15 % 1,13 % 1,10% 1,08% Collection 0,32 % 0,34 % 0,33 % 0,30% Family Number of PAJE (early childhood benefit program) beneficiaries Number of RSA (low-income top up) claimants* * This indicator only applied to Metropolitan France until (1,834,770 in ). RSA benefits were extended to France s Overseas Departments (DOM) beginning in January,, where it replaced the RMI and API benefits. *Gross expenditure excluding investment **Social security benefits provided Pension e-administration Health Percentage of electronic claims + computerized data exchanges* Number of electronic claims (in millions - CPAM and CGSS) 84,2 % 86,3 % 88,0 % 90,3 % 762,1 801,6 825,8 871,8 Percentage of old-age pension awards** (outside of international agreements and not including periods of insurance abroad) without adjustment of individual account in N-1 ** Indicator introduced in ,2% 79,2 % 78,2 % Family Progression rate for e-data collection ** 82,9 84 % 83,9 % 84,0 % Pension Percentage of annual social data declarations filed electronically Number of annual social data declarations filed electronically 88,4 % 95,0 % 97,4 % 98,8 % Collections Outstanding payment ratios at March 31st of following year All contributors combined (Uninspected and excluding ISU) ,71 % 0,93 % 0,77 % 0,70 % Private-sector employers (Uninspected) 0,73 % 1,00 % 0,80 % 0,74 % Collection Percentage of contribution summary declarations filed electronically (private-sector businesses) 39,0 % 44,27 % 50,6 % 68,55 % Public-sector employers (Uninspected) 0,03 % 0,03 % 0,03 % 0,03 % Percentage of payments made electronically 88,3 % 88,3 % 89,9 % 91,6 % *(total deductions FSE+EDI/ Total service deductions) in 4th quarter ** Indicator reported since 2008 Key French Social Security Figures / 38 Key French Social Security Figures / 39

21 ORGANISATION CHART AT 1ST JULY 2012 Ministry for Social Affairs and Health Ministry of the Economy and Finances The general scheme includes 102 CAF*, 101 CPAM*, 74 URSSAF and 17 CARSAT (old-age and occupational health insurance funds). Sickness and old-age benefits and the collection of contributions in the French Overseas Departments are administered by 4 CGSS. The scheme for the self-employed is administered through 30 regional offices. Directorate of Social Security The agricultural schemes are administered through 35 local offices. *Including the Caisse commune de sécurité sociale de Lozère Key French Social Security Figures / 40 Key French Social Security Figures / 41

22 THE GENERAL SCHEME FOR EMPLOYEES THE AGRICULTURAL SCHEMES FOR AGRICULTURAL WORKERS AND FARMERS ACOSS redistributes revenues earmarked for financing the benefits provided by the four branches (health, occupational injuries & diseases, family, pensions) of the social security general scheme. National fund Local funds Names Central Agricultural Workers' and Farmers' Mutual Benefit Fund Agricultural Workers and Farmers Mutual Benefit Fund National funds Local funds Names ACOSS The Central Agency for Social Security Funds URSSAF CGSS The Union of Social Security contribution and family benefit collection organizations General Social Security fund (Overseas Departments) THE SOCIAL SECURITY SCHEME FOR NON-AGRICULTURAL SELF-EMPLOYED INDIVIDUALS CNAF National family benefit fund National fund Local funds Names CAF Local family benefit offices The Social Security Scheme for the Self-Employed CNAMTS National Health Insurance Fund for Salaried Workers Regional fund CPAM Local Health Insurance Fund URSSAF/OC* The Union of Social Security contribution and family benefit collection organizations/ Official bodies CARSAT Old-age and Occupational Health Insurance Fund CGSS General Social Security Fund (Overseas Departments) Local family benefit offices CNAVTS National Old-age Pension Fund for Salaried Workers CARSAT CRAM CGSS Old-age and Occupational Health Insurance Fund General Social Security Fund (Overseas Departments) *As of 1 January 2008, the RSI became the single Social Security contact-point (ISU) for self-employed, artisanal, industrial and commercial professions for all personal benefi ts and social contributions (elderly and illness benefi ts, CSG-general welfare levy, CRDS-social security debt repayment levy, family benefi ts and training contributions. The RSI delegates some of its collection duties to URSSAF. For self-employed professionals, the collection of health contributions continues to be delegated by the RSI to authorized bodies that manage health care benefi ts for artisans, industrialists, shopkeepers and self-employed professionals. ** Self-employed workers pay into the CAF of the general scheme. Collection Occupational illnesses and injuries Pensions Health Family Collection Pensions Health Family Occupational illnesses and injuries Key French Social Security Figures / 42 Key French Social Security Figures / 43

23 For more information about the French social security system, go to DICOM-Communication interne septembre 2012 Réalisation : Direction de la Sécurité Sociale maquette : La Fabrique création et exécution : My fi sh is fresh Key French Social Security Figures / 44