Missions

Within the scope of the health-maternity insurance

  • reimbursement of health care costs and preventive medical measures;
  • payment of financial benefits in the event of incapacity for work or maternity;
  • payment of a funeral allowance;
  • drafting of the CNS statutes;
  • drafting of the annual global budget for the health-maternity insurance;
  • reassessment of the contribution rate, if necessary;
  • conventional negotiations with the professional organisations representing the health care providers and the hospitals;
  • drafting the budget for each hospital establishment every 2 years;
  • providing an opinion to the Government in order to determine the global budget envelope for the entire hospital sector;
  • compliance monitoring and quality control of services provided;
  • collaboration with the ministries and administrations in charge to ensure sustainable development of the health insurance scheme;
  • actively informing insured persons, health care providers and employers;
  • participation through the "Agence eSanté" in a platform for exchanging and sharing health data;
  • managing relations on a European or international level.

Within the scope of the accident insurance

  • payment of benefits in the event of a work accident or occupational disease, on behalf of the accident insurance.

Within the scope of the long-term care insurance

  • coverage of assistance and care required by the dependent person, either at home or in an in-patient establishment;
  • payment of cash benefits in lieu of benefits in kind to the dependent person at home;
  • coverage of technical aids and housing adaptations;
  • negotiations with the professional organisations representing providers working within the scope of the long-term care insurance;
  • drafting the budget for the long-term care insurance as well as the overall annual statement of revenues and expenditures.
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