Internal organisation

The President

The CNS is led by its President, Mr Christian Oberlé, who assumes the double duty of chief of administration and representative of the State within the Council of Administration. The President represents the CNS judicially and extra-judicially.

The President, in collaboration with the Council of Administration, coordinates, plans, governs and supervises all activities of the CNS.

It is his responsibility in particular:

  • to make the decisions relating to the registration or exclusion of medications from the positive list as well as to determine their coverage rate;
  • to carry out the negotiations with healthcare providers in terms of health and long-term care insurances;
  • to make individual decisions concerning insured persons in terms of services covered by health and long-term care insurances as well as administrative fines;
  • to contact the General Inspection of the Social Security (Inspection générale de la sécurité sociale - IGSS) for any decision that is against the laws, regulations, conventions or statutes.

The Executive Office

Based on the strategic orientation and priorities set forth by the administration, as well as implications rising from the reform of the public service in particular, the direction and coordination of the activities of the CNS are entrusted to an Executive Office whose general attributions, without prejudice to prerogatives reserved for the Council of Administration, are:

  • At the strategic level:
    • to draw up the multiannual planning or the work programme of the administration
    • to define priorities and achieve set objectives
  • At the level of the Council of Administration:
    • to prepare and follow the meetings of the Council of Administration and the Statutes Commission
  • At the political level:
    • to define the position of the administration in relation to various priority issues and political questions, and define the position with regard to the various offices at the ministerial levels
  • At the level of providers and services:
    • to adopt the basic positions, the organisation and the follow-up for the various negotiations with healthcare providers: agreements, nomenclatures, disputes
    • to adopt the draft amendments of statutes
  • At the organisational level:
    • to monitor major organisational projects
    • to determine positions with particular responsibility and draft a description of the corresponding tasks
    • to determine organisational changes: nominations, organisational structure…

The Executive Office is comprised of:

Mr Jean-Paul JUCHEM, First Executive Adviser, whose key task is coordinating the reforms in the healthcare system and whose cross-sectional tasks and major projects are:

  • Development of statistics and supply of data to third parties
  • Systematic detection of abuse and fraud
  • Primary care physician
  • Revision of nomenclatures and conventions: laboratories and physiotherapists
  • Hospital plan and hospital act
  • Documentation and financing systems for the hospital sector (hospital documentation, DRG, ...)

Reporting departments:

  • Department Benefits in kind sickness-maternity (Département Prestations en nature maladie-maternité)
  • Department Medications, medical devices and preventive medicine (Département Médicaments, dispositifs médicaux et médecine préventive)

Ms Denise SEYWERT, First Executive Adviser, whose key tasks are the organisational development, the multi-year planning and development of services to the insureds, and whose cross-sectional tasks and major projects are:

  • Development and coordination of action plans
  • Personal interviews, description of functions and objectives by department
  • Development and implementation of the quality charter
  • Modernisation of administrative exchanges with insured persons
  • Modernisation of CNS agencies
  • Implementation of the Public Service Reform

Reporting departments:

  • Department Cash benefits sickness-maternity (Département Prestations en espèces maladie-maternité)
  • Department International (Département International)
  • Department Relation with insureds (Département Relation assurés)
  • Department Human resources and organisation (Département Ressources humaines et organisation)

Mr José BALANZATEGUI, First Executive Adviser, whose key task is coordinating relations with hospital and long term care providers and whose major tasks are:

  • Coordination of the long-term care reform
  • Revision of nursing and palliative care nomenclatures
  • Overall budgetary envelope for the hospital sector
  • Hospital accounting
  • Non-hospital psychiatry

Reporting departments:

  • Department Hospitals (Département Établissements hospitaliers)
  • Department Long-term care insurance (Département Assurance dépendance)

Ms Sonja TRIERWEILER, First Executive Adviser, head of the department Legal coordination, whose key task is the coordination of legal affairs and whose cross-sectional tasks and major projects are:

  • Development of legal instruments: statutes and agreements, opinions and contributions for regulations and laws
  • Questions of interpretations of statutory, treaty and regulatory provisions and internal contact point for departments and services
  • Legal link with Ministries, IGSS, CMSS, Medical College etc.
  • Legal coordination of anti-abuse and fraud
  • Development of relations with public sector sickness funds

Reporting departments:

  • Department Litigations and legal affairs (Département Contentieux et affaires juridiques)
  • Department Legal coordination (Département Coordination juridique)

Mr Nicolas KREMER, First Executive Adviser, whose key task is the coordination and IT modernisation and whose cross-sectional tasks and major projects are:

  • Billing Chains
  • Electronic exchanges CMSS
  • Process documentation
  • Systematic detection of abuse and fraud
  • eBilling / ePrescription
  • Business Intelligence (statistics and datawarehouse)
  • eCNS development
  • Link with CISS, eHealth Agency, CTIE etc.
  • Helpdesk
  • Operational support for data protection

Reporting department:

  • Department MOA, IT support, decisional and procedural analysis (Département MOA, support informatique, analyse décisionnelle et procédurale)

The Finance and Communication departments, as well as the General Secretariat are reporting directly to the president.

Ms Catherine THOMÉ, general secretary, whose cross-sectional tasks and major projects are the following:

  • Non-business law
  • Security of information
  • Wealth management
  • Legal aspects eHealth
  • Follow-up of the work programme and achievement of objectives
  • Internal audit (function to be created)
  • Annual report
  • Statute of the CNS staff

The departments

The activities of the CNS are grouped under 13 departments.

Under the responsibility of a head of department and a deputy, a department normally consists of several services. The service consists of several collaborators, grouped, if necessary, into different teams. The service is headed by a head of service and a deputy.

The 13 departments are presented below with a brief description of their main missions.

1. Department Long-term care insurance (Département Assurance dépendance)

The department Long-term care insurance processes claims for long-term care insurance benefits.

Head of department:
Jeannick PERROTTE

2. Department Communication (Département Communication)

The department Communication is responsible for internal and external communication. In particular, it is responsible for managing and updating the intranet and internet sites and publishing leaflets.

Head of department:
Caroline DE HOOG

3. Department Hospitals (Département Établissements hospitaliers)

The department Hospitals manages relations with hospitals and with the Luxembourg Federation of Hospitals (Fédération des hôpitaux luxembourgeois - FHL).

Head of department:
Frank BISENIUS
Deputy head of department:
Francis PALLMER

4. Department Finances (Département Finances)

The department Finances is responsible for finances and accounting of sickness-maternity and long-term care insurances. The department is in charge of establishing budgets, general accounting, debt collection and managing the administrative budget of the CNS.

Head of department:
Vanessa DI BARTOLOMEO
Deputy head of department:
Jean-Marie ROSSLER

5. Department Medications, medical devices and preventive medicine (Département Médicaments, dispositifs médicaux et médecine préventive)

The department Medications, medical devices and preventive medicine manages the medicines, medical devices and various supplies (eg hearing aids, dressings, anti-decubitus mattresses).

Head of department:
Claude FRIEDEN
Deputy head of department:
Danièle HENGEN

6. Department International (Département International)

The department International covers all the tasks relating to cross-border activities, including management of all international forms (S1, BL1 etc.), management of requests for a transfer abroad for stationary and European Health Insurance Cards.

Head of department:
Romain SCHAUL

7. Department Legal coordination (Département Coordination juridique)

The department Legal coordination is in charge of coordinating legal affairs. It coordinates the adaptation of legal instruments (conventions and by-laws) and coordinates efforts to combat abuse and fraud.

Head of department:
Sonja TRIERWEILER

8. Department Litigations and legal affairs (Département Contentieux et affaires juridiques)

The department Litigations and legal affairs deals with claims and objections made against presidential decisions. The department also manages the CNS litigation and gives legal advice.

Head of department:
Mike WALCH
Deputy head of department:
Nadine HIRTZ

9. Department MOA, IT support, decisional and procedural analysis (Département MOA, support informatique, analyse décisionnelle et procédurale)

The department MOA, IT support, decisional and procedural analysis coordinates and plans CNS projects with a strong IT involvement and a strong intersection with the Social Security Information technology Center (CISS). It guarantees, among other things, the consistency of major IT tools within the CNS.

Head of department:
Nicolas KREMER
Deputy head of department:
Fabrice MAERZ

10. Department Benefits in kind sickness-maternity (Département Prestations en nature maladie-maternité)

The department Benefits in kind sickness-maternity has as its main task the reimbursement to insured persons of the care delivered in Luxembourg and abroad and the management of estimates for dental prostheses and orthodontic treatment. The department is also managing the centralized registration of all healthcare professionals and providers and managing the authorization, pricing and liquidation through third-party payment of certain acts. The department is also in the process of negotiating with the representative groups of professionals in order to draw up and adapt the conventions.

Head of department:
Joël KIRTZ

Deputy heads of department:
Christian KIEFFER and Jacques MICHELS

11. Department Cash benefits sickness-maternity (Département Prestations en espèces maladie-maternité)

The department Cash benefits sickness-maternity is responsible for the processing of certificates of incapacity for work as well as the administrative control of persons who are incapable of work, the calculation and payment of sickness benefits, as well as work exemptions, maternity leave, hospitality leave, family leave and the accompaniment of people at the end of life.

Head of department:
Michel GOERGEN
Deputy head of department:
Gilles KREMER

12. Department Relation with insureds (Département Relation assurés)

The department Relation with insureds has as its main task the management of coinsurance and of the local offices.

Head of department:
Martha MAAR

13. Department Human resources and organisation (Département Ressources humaines et organisation)

The department Human resources and organisation, each CNS employee is at the center of their reflections and actions, while contributing to the human resources value chain. This includes the recruitment of qualified and motivated candidates and their successful integration, the professional and personal development of employees at all levels and the management of projects and initiatives relating to the human resources component, including those related to management administrative. The department also manages all the support services necessary for the daily operation of the CNS (mail, logistics, office equipment, etc.).

Head of department:
Torsten KLAAS

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