Social Security Schemes,Pension and Elderly policy in Lao P.D.R

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Social Security Schemes,Pension and Elderly policy in Lao P.D.R Mr. Prasong VONGKHAMCHANH Deputy Director General of Social Security Department National Director of ILO Social Security Project

Content Overview of Social Security Coverage in Lao. P.D.R Social Security Schemes for Civil servants Social Security Schemes for Enterprises Social Security Schemes Development Policy Pension and Elderly.

I. Overview of Social Security Coverage, Policy Pension and Elderly in Lao. P.D.R Prime Minister's Decree No. 178/PM dated 30 November, 1993 on "Social Security Scheme for Civil servants" Prime Minister's Decree No. 207/PM dated 23 December, 1999 on "Social Security Scheme for Enterprises" Public Health Minister's Regulation No. dated on "Community Based Health Insurance" Prime Minister s Decree No. 156/PM dated 8 October 2004 On the Approval and Declaration of Application of the Nation Policy towards the Elderly in the Lao PDR. Prime Minister s Decree No 194/PM, dated 12 November 1994 On policy Pension and State Employees.

1. Social Security Scheme for Civil servants 1.1 Legal Basis: PM's Decree No.178/PM dated 30 November, 1993. Target group : Civil servants working for Party, Government, Mass Organizations, military and police.

1. Social Security Scheme for Civil servants (Cont d) 1.2 Benefits Provided Health care insurance (Ceiling-based reimbursement model) Work Accident compensation (paid-6 month leave) Maternity Benefit ( Paid-3 month leave) + birth grant (60% of minimum wage) Invalidity pension from battle field

1. Social Security Scheme for Civil servants (Cont'd) 1.2 Benefits Provided (Cont'd) Old age pension (Male:60 y, Female:55 y) with 25 working years Funeral Grant = Last monthly salary X 10 Lump sum survivor's benefit (Depending on working years ) Pensioners' Orphans allowances

1. Social Security Scheme for Civil servants (Cont'd) 1.3 Financing System

1.3.1 Sources of income for Public Sector Scheme Gov t s subsidies 6% from Civil Servants basic salary Social Security Fund

1.3.2 Expenditure of SS Fund Expenditure Soc Sec Fund Expenditure Paid by ministries Paid by SSD Age pension Health Care Invalidity Pensioners Child Allowance Orphans 10% Regular Payment Irregular Payment Maternity Funeral Grant Prosthetic Limbs

1. Social Security Scheme for Civil servants (Cont'd) 1.4 Implementing Agency Social Security Department (Ministry of Labor and Social Welfare) Budget Department (Ministry of Finance) Provincial Labor and Social Welfare Department District Labor and Social welfare Bureau

II. Social Security Scheme for Enterprises 1. Legal Basis: PM's Decree No.207/PM dated 23 December, 1999. Target group : SOE (s), Joint and privates enterprises employing 10 or more employees.

II. Social Security Scheme for Enterprises (Cont'd) 2. Implementing Agencies Managed by Social Security Organization (SSO) Tripartite Board of Directors (Supreme Body) Management Team Provincial Branches (Savannakheth; Khammouane)

II. Social Security Scheme for Enterprises (Cont'd) 3. Benefits provided: (1)-Funeral Benefits (2)-Medical Care Benefit (3)-Sickness benefit (Temporary loss of working (4)-Maternity Benefit capacity) (5)-Employment Injury & Occupational Diseases Benefit

III. Social Security Scheme for Enterprises (Cont'd) 3. Benefits provided (Cont'd): (6)-Invalidity Benefit (Permanent loss of working capacity) (7)-Retirement Pension (8)-Survivors' benefit The following benefits shall become effective in the forthcoming years. (9)-Child allowances (10)-Unemployment Benefit

III. Social Security Scheme for Enterprises (Cont'd) 4. Contribution & Fund Allocation PM's Decree No.207/PM Article 17. Contributions Contribution are paid by employers, employees and voluntarily insured persons to each fund of Social Security Fund. Article 19. Contribution to the Compensation Fund For employment injury or occupational diseases, employers alone shall pay contribution to the Compensation Fund.

4. Contribution & Fund Allocation (Cont d) Employer (5.0 of Total Pay) Employees (4.5% of Total Pay) Social Security Fund H I Acct 4% S/T Benefits Acct 2.14% L/T Benefits Acct 2% EI Acct 0.5% Admin Acct 0.86 %

Entitlement to each benefit Benefits (1)-Medical Care benefits (2)-Sickness benefit (3)-Maternity benefit (4)-Funeral benefit (5)-Employment Injury (6)-Retirement Pension (7)-Survivors' benefit (8)-Invalidity Benefit Length of contribution payment >= 3 months within the last 12 months >= 3 months within the last 12 months >= 9 months within the last 12 months >=12months within the last 18 months No contribution period requirement At least 5 years At least 5 years At least 5 years

III. Social Security Schemes Development 1. Background ILO Social Security Project phase II Donor: Luxembourg Executing Agency: ILO Implementing Agency: Ministry of Labor & Social Welfare Duration: May, 2002 August, 2007

III. Social Security Schemes Development (Cont'd) 1.Background (Cont d) Objectives of the Project (1)-To extend SSO s Coverage to Provinces (2)-To reform social security scheme for public sector (3)-To formulate social security national plan for non-covered population (4)-To formulate policy on medical treatment and compensation loss as a consequences of a motor vehicle accidents

III. Social Security Schemes Development (Cont'd) 1. Reform of Social Security Scheme for Public Sector 1.1 The Decree 178/PM issue in 1993 was replaced by the Decree No. 70/PM issue on April 20, 2006

III. Social Security Schemes Development (Cont'd) 1. Reform of Social Security Scheme for Public Sector (Cont d) 1.2 Benefits provided by the Decree 70/PM (1)-Health insurance (2)-Child Birth Benefit & Child birth grant (3)-Employment injury & Occupational Diseases (4)-Invalidity Benefit

III. Social Security Schemes Development (Cont'd) 1. Reform of Social Security Scheme for Public Sector (Cont d) 1.2 Benefits provided by the Decree 70/PM (5)-Sickness benefit (6)-Old age pension benefit (7)-Suvivors benefit (8)-Funeral grant

III. Social Security Schemes Development (Cont'd) 1. Reform of Social Security Scheme for Public Sector (Cont d) 1.3 Contribution & fund allocation Government (8.5 of Total Pay) Civil servants (8.0% of Tot Pay) Social Security Fund H I Acct 4% S/T Benefits Acct 2.0% L/T Benefits Acct 8.0% EI Acct 0.5% Admin Acct 2.0 %

III. Social Security Schemes Development (Cont'd) 1. Reform of Social Security Scheme for Public Sector (Cont d) 1.4 Social Security Fund Management State Authority of Social Security (SASS): - Financial autonomous organization under the guidance of the Minister of Labor and Social welfare

III. Social Security Schemes Development (Cont'd) 1. Reform of Social Security Scheme for Public Sector (Cont d) 1.4 Social Security Fund Management (cont d) Hierarchy of SASS - Executive Board - Management Team - Branches in provinces, towns and districts

V. Welfare Policy for Vulnerable groups 1. Benefits for War Victims. - Transferring state-owned houses and land where they have lived to their proper ownership. - Building up new village with new houses for those who have no their own yet. - Centers for people with disability have been established both in Central city and in provinces.

2. For Elderly and Handicapped The Lao government: - Established the National Policy towards the elderly in Laos. - Collaborated with International Organization for the Elderly in Asia Pacific. - Issued the Prime Minister Decree No. 18/PM, dated June 1995, on the Establishment of National Commission for Handicapped.

3. For Elderly and Handicapped (Cont d) The Lao government: -Launched a pilot project on home care. - Implemented a pilot project on elderly life quality improvement. - Has created jobs opportunity for elderly related to their work skills.

4. Policy for another groups - To assist the residents who encounter natural catastrophe. - To assist poor people who lack food in remote areas. - To assist resident who have relocated and have no permanent job.

5. problems of Elder people - Poor living condition of elder people in the urban area. - No care from their children harms their physical and mental condition. - Not enough experience to take care of elderly. - Lack of financial support. - Lack of information on taking care of elderly.-

6 Challenges Increasing number of elder people. Social-economic disparity between developed and developing country. Not enough Health care provision and poverty reduction.

7. Measure - Mobilizing the children, community, mass organization, both state and private sectors to take responsibilities and take care of elderly. - To improve health care for elderly - To create a favorable opportunity for elderly to generate incomes. - To mobilize volunteers for taking caring of elderly in villages.

8. Future Plan. Developing and managing innovative, culturally appropriate, cost effective, sustainable and repentant older people. Producing training manuals, resource materials/toolkits etc. on home care and community care. Sharing experiences, information and technical with ASEAN member Countries and another Countries.

9. Mission - To care for Disadvantage Older people - To encourage the existing family and Community support. - To improve Health Care access. - To exchange experience from country experience.

Thank You Very Much!!!!