Economic subjects | Social insurance » Employers guide to social insurance

Source: http://www.doksinet Employer’s guide to social insurance 2017 edition Source: http://www.doksinet Contents Introduction . 3 Swiss Federal Law on Old Age and Survivors’ Insurance (AHVG . 4 Swiss Federal Law on Disability Insurance (IVG) . 5 Swiss Federal Law on Compensation for Loss of Earnings for Persons on Military Service or Maternity Leave (Compensation for Loss of Earnings Act, EOG) . 6 Swiss Federal Law on Occupational Retirement, Survivors’ and Disability Pension Plans (BVG) . 7 Swiss Federal Law on Compulsory Unemployment Insurance and Benefits on Insolvency (AVIG) . 10 Swiss Federal Law on Military Insurance (MVG) . 12 Swiss Federal Law on Accident Insurance (UVG) . 14 Swiss Federal Law on Supplementary Benefits to Old-Age, Survivors’ and Disability Insurance (ELG) . 18 Swiss Federal Law on Health Insurance (KVG) . 20 Overview Benefits. 21 Practical guide . 27 Source: http://www.doksinet Introduction Social insurance – a clear and concise overview.

Social insurance is a complex issue that demands expertise, responsibility and detailed knowledge from you as an employer. This brochure aims to help you tackle this challenge It provides you with a concise, easily digestible overview of the Swiss social insurance system from the employer’s perspective For you, security is about much more than safety regulations or simple insurance benefits. Security comes from knowing that you have a capable partner that you can rely on at all times. In this regard have a lot to offer as an insurance partner with many years of experience As a major provider of corporate insurance, we have dealt with the ins and outs of company pension provision for decades and we constantly monitor legislative and societal changes. Our products are thus promptly adjusted to changing social needs and statutory requirements. We can work with you to develop a comprehensive, cost-effective and appropriate insurance solution for your company’s needs, for your security

and for the benefit and wellbeing of your employees. And we also have an «Employee’s guide to social insurance», which offers employees valuable advice and information. Our Baloise customer advisers can help you with all your professional and personal insurance needs. They have the extensive training and expertise needed to answer your insurance questions properly or, if necessary, put you in touch with one of our specialists. If your company wants to achieve more with less risk, simply call our office nearest to you. 3 Source: http://www.doksinet 4 Swiss Federal Law on Old Age and Survivors’ Insurance (AHVG) Swiss Federal Law on Old Age and Survivors’ Insurance (AHVG) of 20 December 1946, in force since 1 January 1948 Purpose AHV old-age and survivors’ insurance financially assists the insured person and his or her family members by replacing some of the income lost as a result of retirement or death. Pension benefits (as a percentage of the maximum single retirement

pension) Maximum single retirement pension (men: 65 years, women: 64 years) If there are no gaps in contributory years: from CHF 1,175, up to CHF 2,350 per month 100% Total of both pensions for spouses or registered partners Up to 150% of the maximum single retirement pension Children’s pension (men: 65 years, women: 64 years) 40% Widower’s pension (if there are children less than 18 years old) 80% Widow’s pension (if there are children or the insured person is over 45 years of age and was married for at least 5 years) 80% Orphan’s pension Either father or mother deceased Both father and mother deceased 40% max. 60% Insured persons (also applies to the IV) This insurance is compulsory for everyone whose residence or place of work is in Switzerland, or who is subject to the Swiss social security system as a result of the bilateral agreements with the EU. Persons who are employed and paid by a Swiss employer but who work abroad can maintain their insurance cover by

mutual agreement with their employer. All EU and EFTA citizens, as well as Swiss citizens residing outside the EU and EFTA, can take out this insurance voluntarily, if, in the immediately preceding period, they had been compulsorily insured for at least 5 years without interruption. Contributions (also applies to the IV and EO) Insured persons are liable for contributions as long as they are gainfully employed and provided their annual salary from one employer exceeds CHF 2,300. For non-gainfully employed persons, the contribution liability commences on 1 January after they reach 20 years of age. Non-gainfully employed spouses or registered partners are exempted from the contribution liability if the spouse or registered partner has paid contributions worth at least twice the minimum contribution (i. e 2  CHF 478 per year, incl IV/EO) Contributions are levied based on total income The employee and employer each pay half of the contributions. Eligibility (pensions only) The

following groups are eligible: Swiss citizens, refugees and stateless persons pursuant to federal legislation, and foreigners, provided they are resident in Switzerland. The residency requirement no longer applies to EU and EFTA citizens. Benefit period Children’s and orphans’ pensions are paid until 18 years of age. Children in education or training are entitled to benefits until they complete their studies, or until they turn 25 years of age, whichever comes first. Widows’ and widowers’ pensions cease upon remarriage. Widowers’ pensions also cease when the widower’s youngest child turns 18. Procedure in the case of divorce, legal separation or dissolution of a registered partnership If a married couple divorces, each spouse receives half of the combined income earned during the marriage, including any educational and care allowances (this does not cover the year of marriage and the year of divorce), credited to his/ her individual account. The divorce settlement must

include this mandatory splitting of AHV credits. If the joint household is legally dissolved, then the ceiling for the shared spouses’ pension of 150 per cent of the maximum single AHV retirement pension no longer applies. The same procedure is applied in the case of dissolution of a registered partnership Source: http://www.doksinet Swiss Federal Law on Disability Insurance (IVG) Swiss Federal Law on Disability Insurance (IVG) of 19 June 1959, in force since 1 January 1960 Purpose The IV’s most important principle is «integration first, pension second». A disability pension is only paid if the disabled person can no longer be integrated into the labour market at all or can only be partially integrated. Revisions to pensions also aim at reintegrating IV pension recipients into working life if possible. Insured persons and contributions (cf. AHV) What does disability mean? Disability is defined as a presumed permanent or long-term incapacity for work due to a physical, mental

or psychological health impairment caused by a congenital disorder, illness or accident in the relevant balanced employment market under consideration. Pension benefits (as a percentage of the maximum single retirement pension) Maximum single disability pension 100% Total of both pensions for spouses or registered partners (if both spouses or registered partners are disabled) Up to 150% of the maximum single retirement pension Single children’s pension (if the father or mother is disabled) 40% Double children’s pension (if both parents are disabled) 60% Benefits IV benefits mainly consist of occupational integration measures and pensions. Occupational integration measures The integration measures include: Medical treatment Occupational programmes (career counselling, first-time vocational training, retraining and job placement) Integration measures in preparation for workplace entry The provision of physical aids Daily disability allowances (80 per cent of the last

earnings but not more than 80 per cent of CHF 148,200 per year). Insured persons, including pension recipients who are disabled or imminently threatened by disability, are entitled to occupational integration measures if the measures are necessary and appropriate for restoring, improving or maintaining the insured person’s capacity for work. Pensions The level of the disability pension equals the AHV retirement pension and depends on the established degree of disability: Pension entitlement Degree of disability (as a fraction of a full pension) At least 40% One quarter At least 50% One half At least 60% Three quarters At least 70% Full pension Insured persons are entitled to draw a disability pension if their incapacity for work is permanently rated 40 per cent or more, or if their incapacity for work averaged 40 per cent over one year without any significant interruptions and they remain unable to work. Benefit period Disability pensions are paid out when the

beneficiaries turn 18 years of age, but no earlier than six months after the entitlement to benefits has been established. The entitlement lapses if the disability ceases (in some cases only after completion of the rehabilitation and workplace reintegration measures), the beneficiary dies or the AHV pension begins. Children’s pensions are paid until 18 years of age. Children who have not yet completed their college education or vocational training are entitled to receive benefits until they complete their education/training, or until they turn 25 years of age, whichever comes first. 5 Source: http://www.doksinet 6 Swiss Federal Law on Compensation for Loss of Earnings for Persons on Military Service or Maternity Leave (Compensation for Loss of Earnings Act, EOG) Swiss Federal Law on Compensation for Loss of Earnings for Persons on Military Service or Maternity Leave (Compensation for Loss of Earnings Act, EOG) of 25 September 1952, in force since 1 January 1953 Purpose The

Compensation for Loss of Earnings Act provides reasonable compensation for salary and earnings lost due to participation in military, civilian and other services described in the Act. The Act also establishes the duration and amount of the compensation for loss of earnings paid to working mothers on maternity leave. Contributions The following are obligated to pay contributions: employees and employers liable for AHV contributions, who each pay half the contribution of 0,45 per cent of the income from gainful employment. Benefits Minimum and maximum amount in CHF per day Basic compensation, regardless of marital status: In general During military promotion service For recruits and those liable for enlistment without children 62/196 111/196 62 Children’s allowance: Per child 20 Maximum total compensation 245* Care cost allowance max. 67 Business cost allowance 67 * This ceiling applies even if the total of basic compensation and children’s allowances exceeds CHF 245.

Compensation for loss of earnings for persons on military/ civilian service Eligible beneficiaries The eligible beneficiaries are persons residing in or outside Switzerland who are: serving in the Swiss army or the Swiss Red Cross (for every paid day of service); serving in the civilian service (for every creditable day of service); serving in the civil defence service (for every day for which they are paid); coloro che sono obbligati a presentarsi al servizio di leva per i giorni di reclutamento. attending federal and cantonal coaching classes for the «Jugend+Sport» summer sports camps or youth marksmanship courses (for every whole day of the course); enlisted for the recruiting days. Benefits The total compensation consists of the basic compensation and the children’s allowances. Allowances for care costs and business costs are paid over and above the total compensation and are never reduced. Compensation for loss of earnings during maternity leave Women in gainful

employment are entitled to 14 weeks of paid maternity leave, provided they were compulsorily insured in accordance with the AHVG for the nine months prior to the birth and were in paid employment for at least five months during this period. The maternity leave compensation is paid through the employer as a daily allowance The daily allowance amounts to 80 per cent of the mother’s average earnings from gainful employment before giving birth. The allowance is capped at CHF 196 per day. Source: http://www.doksinet Swiss Federal Law on Occupational Retirement, Survivors’ and Disability Pension Plans (BVG) Swiss Federal Law on Occupational Retirement, Survivors’ and Disability Pension Plans (BVG) of 25 June 1982, in force since 1 January 1985 Purpose AHV/IV (first pillar) and BVG (second pillar) benefits are intended to enable the elderly, disabled and survivors to maintain their accustomed standard of living in an appropriate manner. The minimum statutory benefits are described

below. Pension funds may offer additional benefits Insured persons Compulsory insurance Employees who receive more than CHF 21,150 in annual salary from an employer are insured against death and disability starting on the first day of January after they turn 17 years of age, and are insured against old age starting on the first day of January after they turn 24 years of age. Secondary employment activities are not eligible for compulsory BVG cover if the insured person is already insured in his/her main occupation under a compulsory occupational pension plan or his/her main occupation is a self-employed activity. Retirement assets consist of: Retirement credits Portable benefits transferred into the fund Additional voluntary contributions Divorce settlement payments received Interest earned on all the amounts above Retirement credits are calculated each year as a percentage of the pensionable salary. The rates are: Age for women/men Rate as a percentage of pensionable salary

25–34 35–44 7% 10% 45–54 55–64/65 15% 18% Voluntary insurance for self-employed persons Self-employed persons with employees can insure themselves with their employees’ pension fund, their trade association’s pension fund or the Substitute Occupational Benefit Institution (national substitute pension scheme). Self-employed persons who do not have employees can choose between the last two options. Pensionable salary The insurance covers annual salaries between CHF 24,675 and CHF 84,600. The maximum salary that can be insured is CHF 59,925, and is known as the pensionable (or coordinated) salary. A minimum amount of CHF 3,525 is insured for annual salaries between CHF 21,150 and CHF 28,200. If an insured person is partially disabled according to IV criteria, the lower and upper limits (CHF 21,150 and CHF 59,925) are reduced by a fraction of the full disability pension in proportion to the degree of disability. Contributions The employer must pay at least half of the

total contributions for all staff. The contributions consist of the retirement credits, the risk premium and the additional costs that must be levied by law (adjustments for inflation and contributions to the BVG Security Fund). The employer transfers the full contributions to the pension fund Benefits Retirement benefits Retirement pension Entitlement to an AHV retirement pension begins at the age of 64 (women) or 65 (men). The Pension Regulations of the individual pension fund may allow for continued insurance cover until the age of 70. The retirement pension is calculated as a percentage of the retirement assets that the insured person has accumulated up to retirement age. On retirement at 64/65, the conversion rate applied to assets under the compulsory scheme is 6.8 per cent Pension funds may apply different conversion rates to the non-compulsory components of the retirement assets. Pensioners’ children’s pensions If insured persons are entitled to a retirement pension, then

they are also entitled to pensioners’ children’s pensions for every child that could claim an orphan’s pension in the event of their death. Pensioners’ children’s pensions are equal to 20 per cent of the retirement pension 7 Source: http://www.doksinet 8 Swiss Federal Law on Occupational Retirement, Survivors’ and Disability Pension Plans (BVG) Lump-sum settlements Insured persons can request that a quarter of their retirement assets be paid out as a single lump-sum settlement. If permitted by the individual pension fund’s Pension Regulations, insured persons can also request a full lumpsum settlement instead of a retirement pension. Benefits resulting from voluntary additional contributions may not be drawn as a lump-sum payment for a period of three years. Disability benefits Disability pension Disabled persons are entitled to a disability pension, provided they are at least 40 per cent disabled according to IV criteria and were insured on the date of being

incapacitated for work due to the same reason that subsequently lead to the disability. The entitlement ceases when the insured person dies or is no longer disabled. Amount of disability pension Disability pensions are calculated based on the same conversion rate that is used to calculate the retirement pensions. The underlying retirement assets consist of: the retirement assets accumulated by the insured person up to the date he or she became entitled to the disability pension; the total non-interest-bearing retirement credits for the years remaining until retirement age. Often, however, the disability pension is defined as a percentage of the pensionable salary. The pension fund can reduce the disability pension if the total benefits and other qualifying income exceed 90 per cent of the estimated loss in earnings. Disabled persons’ children’s pension If insured persons are entitled to a disability pension, then they are also entitled to a disabled person’s children’s

pension for every child that could claim an orphan’s pension in the event of their death. The disabled person’s children’s pension is 20 per cent of the disability pension. Entitlement to children’s pensions The children’s pension entitlement ceases when the child dies or reaches 18 years of age. However, the entitlement remains in force until 25 years of age for children until they complete their initial education or training, until they are capable of working, provided they are at least 70 per cent disabled. Survivors’ benefits Widow’s or widower’s pension The surviving spouse is entitled to a widow’s or widower’s pension if, at the date of the spouse’s death, he or she: – is responsible for the maintenance of one or more children; or – is at least 45 years of age and the marriage lasted at least five years. If the surviving spouse fails to meet any of these conditions, he or she is still entitled to a one-off settlement equal to three annual pension

payments. The surviving spouse is entitled to the widow’s or widower’s pension from the date of the insured person’s death but no earlier than the date when full salary payments are stopped. The entitlement ceases when the widow or widower remarries or dies. Upon the insured person’s death, the widow’s or widower’s pension is equal to 60 per cent of the full disability pension that the insured could have claimed. If an insured person who is drawing a retirement or disability pension dies, then the widow’s or widower’s pension is equal to 60 per cent of the last retirement or disability pension paid. Surviving registered partners have the same legal status as widows or widowers. Orphan’s pension Children of a deceased insured person are entitled to orphans’ pensions; foster children can only claim a pension if the deceased person was responsible for their maintenance. The orphan’s pension is equal to 20 per cent of the full disability pension. Pensions for

divorced spouses Divorced spouses are treated the same way as widows or widowers after the death of their former spouse as long as the marriage lasted at least 10 years and the divorced spouse was awarded a pension or a lump-sum settlement in place of a life-time pension in the divorce settlement. However, the pension can be reduced by the amount by which the pension and benefits from other forms of insurance – in particular the AHV and IV – exceed the amount awarded under the divorce settlement. Former registered partners are treated the same as divorced spouses after the death of their former registered partner. Source: http://www.doksinet Swiss Federal Law on Occupational Retirement, Survivors’ and Disability Pension Plans (BVG) Lump-sum settlements If permitted under the Pension Regulations, the widow or widower can request a lump-sum settlement instead of a widow’s or widower’s pension. The surviving spouse must submit the declaration requesting the lump-sum

settlement to the pension fund before the first pension payment. The same applies to surviving registered partnersa rendita. Lo stesso vale per il partner registrato superstite Additional statutory costs Adjustment for inflation Survivors’ and disability pensions that have been paid for a period of more than three years are adjusted for inflation until the age of 65 for men or 64 for women. BVG Security Fund The BVG Security Fund (LOB Guarantee Fund) pays subsidies to pension funds with an unfavourable age structure (an average retirement credit of more than 14 per cent) and covers expenses incurred by compensation offices. It guarantees the statutory benefits of insolvent pension funds up to one-and-a-half times the upper BVG limit (CHF 126,900). Contributions to the Security Fund include: 0,1 per cent of the total pensionable salaries of all insured persons paying retirement pension contributions (to cover subsidies for funds with an unfavourable age structure); 0,005 per cent of

the regulatory withdrawal benefits for all insured persons as at the 31 December and the same percentage of ten times the total amount of pensions reported in the operating statement (to cover insolvency and other benefits). Portable benefits Employees with a BVG retirement pension plan who change their employer receive a withdrawal benefit (portable benefit) from their former employer’s pension fund. If the employees remain covered under the BVG at their new company, they must transfer their withdrawal benefits into the new pension fund. If they are no longer covered under the BVG, they can transfer the withdrawal benefits to a portable benefits account or a portable benefits policy. Employees who permanently change their place of residence from Switzerland to an EU or EFTA country can receive the non-compulsory part of the withdrawal benefits as a cash payment. If employees establish their place of residence outside the EU or EFTA, they can have their entire withdrawal benefits

paid out in cash. Promotion of home ownership out of pension funds Insured persons can withdraw or pledge occupational pension fund assets to finance the purchase of a residential property for personal use up to three years before they become entitled to a retirement pension, whereby the available assets are not limited to the compulsory BVG minimum. However, additional voluntary contribution amounts may not be used for the purposes of financing home ownership for a period of three years after the voluntary contribution was made. Withdrawals and pledges are governed by the BVG and the statutory provisions for the promotion home ownership out of pension funds. Compulsory insurance for unemployed persons Unemployed persons who receive a daily allowance of at least CHF 81.20 are insured with the Substitute Occupational Benefit Institution (the national substitute pension plan) for the minimum BVG benefits in the event of death and disability. The unemployment office deducts the insured

person’s contribution from his/her daily allowance and transfers it to the Substitute Occupational Benefit Institution along with the employer’s contribution, which the unemployment office pays. Divorce As a rule, claims to withdrawal benefits that are accumulated during the period of marriage until the initiation of the divorce proceedings are divided equally. Purchases of pension benefits classified by law as own property under the statutory matrimonial property regime are not subject to splitting. Depending on whether the claim to pension benefits arises on the basis of disability or retirement, the benefit owed is paid into the pension of the entitled spouse or paid out to the entitled spouse directly. The rules for divorces also apply, mutatis mutandis, to legal dissolutions of registered partnerships. 9 Source: http://www.doksinet 10 Swiss Federal Law on Compulsory Unemployment Insurance and Benefits on Insolvency (AVIG) Swiss Federal Law on Compulsory Unemployment

Insurance and Benefits on Insolvency (AVIG) of 25 June 1982, in force since 1 January 1984 Purpose Unemployment insurance provides reasonable loss of earnings compensation in the case of unemployment and provides financial benefits to finance measures to prevent and combat unemployment. Insured persons This insurance covers employees who are compulsorily insured with the AHV and pay AHV contributions on income from employment. Family members who work on a family farm are not compulsorily insured, but are treated as selfemployed farmers. Self-employed persons cannot take out unemployment insurance. Types of benefits Unemployment benefits Short-time work allowance Inclement weather allowance Allowance in the case of employer insolvency Financial benefits for labour market measures Contributions Insurance contributions depend on the AHV salary and are capped at the maximum pensionable earnings subject to compulsory accident insurance and converted into months (CHF 148,200 per year

or CHF 12,350 per month). The contribution rate is set at 2,2 per cent and the employee and employer each pay half the contribution. If the employer is not required to pay contributions, the employee pays the full amount. In addition, until the structural debt of the unemployment insurance is repaid, a jointly financed solidarity contribution of 1 per cent is charged on the salary component from CHF 148,200 and above. Benefits Unemployment benefit Insured persons are entitled to receive an unemployment benefit if they meet all of the following criteria: are fully or partially unemployed; have suffered a qualifying loss of work; reside in Switzerland; have completed their compulsory education, have not reached the AHV retirement age and are not drawing an AHV retirement pension; have completed the contributory period or are exempted from completing it; are employable; and fulfil the employment office’s requirements. Contributory periods spent in an EU/EFTA country also count

towards the completion of the contributory period for Swiss and EU/EFTA citizens employed under permanent or multiyear contracts. Insured persons must look for new employment immediately after receiving notice of termination – that is, during the notice period – and during the entire period of unemployment. They must regularly show copies of applications, notes of verbal applications, etc., to the employment office as proof of their efforts. Short-time work allowance Employees are entitled to an allowance in case of employer insolvency if: they are liable for insurance contributions; the loss of work qualifies; the employment relationship has not been terminated; the loss of work is presumed to be temporary and a shorttime work programme is expected to save jobs. The introduction of short-time work requires the verification and approval of the employment office’s cantonal office. Inclement weather allowance The inclement weather allowance is only paid in certain industry

sectors where losses of income due to meteorological conditions are common (mainly in construction, civil engineering and related trades). Allowance in the case of employer insolvency Il dipendente può rivendicare il proprio diritto a un’indennità per insolvenza se they have earnings claims against their employer when the employer files for bankruptcy; or they have filed a seizure request for earnings claims against their employer. Labour market measures Labour market measures (e. g further training) are intended to help integrate insured persons into the workplace who are harder to place due to the state of the labour market. Source: http://www.doksinet Swiss Federal Law on Compulsory Unemployment Insurance and Benefits on Insolvency (AVIG) Amount of benefits Unemployment A full daily allowance is 80 per cent of the pensionable earnings. A daily allowance of 70 per cent of the pensionable earnings is paid to insured persons who are less than 40 per cent disabled, are not

obligated to pay maintenance to children under 25 years of age and have a full daily allowance in excess of CHF 140. Entitlement to the daily allowance is limited to salary components of up to CHF 12,350 per month or CHF 148,200 per year. Insured persons can claim five daily allowances per week. In addition to the daily allowance, claimants receive a supplement equal to the lost children’s allowances. AHV contributions must be paid from the daily allowances in order to avoid AHV contribution gaps. At most, two thirds of the premium for compulsory non-occupational accident insurance must also be paid. Contributions for the compulsory occupational pension are also deducted from the daily allowance, which ensures the provision of insurance cover in the event of disability and death. The unemployment office takes all the necessary steps in all cases. For persons who are not obligated to pay maintenance to children under 25, and have pensionable earnings of at least CHF 3,000 per month,

no daily allowance is paid for the first 5, 10, 15 or 20 days, depending on the amount of the pensionable earnings. If the insured person is obligated to pay child maintenance, no five-day waiting period applies, provided the pensionable earnings does not exceed CHF 5,000 per month. Short-time work and inclement weather allowance The short-time work and inclement weather allowances are each equal to 80 per cent of the qualifying loss of earnings. Allowance in the case of employer insolvency The insolvency allowance covers salary claims from the last four months prior to the declaration of bankruptcy or the seizure request, but only up to CHF 12,350 per month. Labour market measures The insurance pays daily allowances to insured persons for the days they spend planning their self-employment or participating in a training or employment programme as per a decision made by the competent authority. Benefit period and reference period The number of daily unemployment allowances to which an

insured person is entitled depends on the person’s age and a contributory period (see box) of at least 12 months during a two-year reference period. The reference period commences two years before the date when all the requirements for receiving daily allowances are met for the first time (generally the first day of registered unemployment). Entitlement to unemployment benefits (ranked by age and contributory period) Contributory period of at least 12 months Up to 260 daily allowances Contributory period of at least 18 months Up to 400 daily allowances Contributory period of at least 22 months and at least 55 years of age Up to 520 daily allowances Contributory period of at least 22 months and drawing an IV disability pension of at least 40 per cent Up to 520 daily allowances If unemployed during the four years prior to reaching AHV retirement age 120 additional daily allowances Persons exempted from the contributory period Up to 90 daily allowances Persons up to 25 years

of age, without children and a contributory period of at least 12 months Up to 200 daily allowances 11 Source: http://www.doksinet 12 Swiss Federal Law on Military Insurance (MVG) Swiss Federal Law on Military Insurance (MVG) of 19 June 1992, in force since 1 January 1994 Purpose The military insurance scheme provides people with benefits due to an incapacity for work or earnings incapacity occurring while they are serving in the security and peace services (army, civil defence, civilian service, humanitarian aid, etc.) This is a comprehensive assumption of risk to ensure national/social security. Insured persons Insurance cover is provided specifically to: members of the army and civil defence who are serving compulsorily or voluntarily; people rendering civilian service; members of the Instruction Corps, the Military Police and the Swiss Humanitarian Aid Unit; participants in recruitments and inspections, off-duty firearms training, voluntary off-duty military activities or

military sports activities, and peacekeeping activities of Switzerland’s Good Offices. Contributions The insurance is exempted from contributions. The Swiss Federal Government bears all costs. The maximum pensionable earnings are CHF 150,918 Insurance term Insurance cover is provided for the entire duration of the service or training. The insurance also covers the journey to and from the service/training site as long as it is completed within a reasonable period. The insurance is suspended while the insured person remains compulsorily covered by the UVG insurance and in gainful employment. Source: http://www.doksinet Le prestazioni più importanti Indennità giornaliera Insured persons who are incapacitated for work due to a health impairment are entitled to a daily allowance. In the case of persons who are fully incapacitated for work, the daily allowance is equal to 80 per cent of the pensionable earnings. If they are partially unable to work, the daily allowance is reduced

accordingly Occupational integration measures Insured persons who are disabled or imminently threatened by disability are entitled to occupational integration measures if the measures are necessary and appropriate for maintaining or improving the insured person’s social integration or remaining capacity for work. As a rule, the occupational integration measures are provided in Switzerland Apart from medical arrangements and the provision of physical aids, the integration measures consist of arranging and financing occupational and social integration programmes as well as providing compensation for any loss of earnings for the duration of the measures. Disability pension An annual disability pension of 80 per cent of the pensionable earnings is paid in case of a full disability. The pension is reduced accordingly in the case of a partial disability Depending on the age of the beneficiary, the pensions are adjusted to salary trends and inflation by the Federal Council. Survivors’

pensions The spouse, children, parents and divorced spouse of a deceased insured person may be entitled to a survivors’ pension depending on the individual circumstances. Depending on the age of the beneficiary, the pensions are adjusted to salary trends and inflation by the Federal Council. Swiss Federal Law on Military Insurance (MVG) Survivors’ pensions (as a percentage of the pensionable earnings) Spouse 40% Divorced spouse, maintenance no longer payable Up to 20% Half orphan 15% Full orphan 25% Parents: only if a need is recognised Up to 20% Compensation for self-employed persons If self-employed persons suffer an additional loss from ongoing fixed operating costs due to the structure of their business while they are incapacitated for work, then this loss is reasonably compensated provided it is deemed unavoidable despite the diligent management of the business. Selfemployed persons may receive additional compensation payments if their health impairment prevents

them from maintaining their business out of the daily allowance and any existing compensation that they may be receiving. The additional compensation payments and the regular compensation must not, however, jointly exceed double the maximum qualifying annual earnings. Additional benefits Medical treatment (medical care) Assumption of travel and rescue costs Compensation of funeral costs Allowances for home care, spa treatments and long-term care Physical aids Settlements and damage payments Retirement pensions for disabled insured persons Pensions for physical and mental impairment Cover for property damage. 13 Source: http://www.doksinet 14 Swiss Federal Law on Accident Insurance (UVG) Swiss Federal Law on Accident Insurance (UVG) of 20 March 1981, in force since 1 January 1984 Insurer Compulsory and voluntary accident insurance is provided by: private insurance companies and public accident insurance funds; the Swiss National Accident Insurance Fund (Suva) for the

companies for which it is responsible; recognised health insurance funds, although the pensions have to be provided by a private insurer in this case. Health insurance fund must therefore agree to partner with private insurance companies for this purpose. Except for persons insured through Suva, employees have a right to participate in selecting the insurer. Purpose Accident insurance provides reasonable loss of earnings compensation for income lost due to occupational accidents, occupational illnesses or non-occupational accidents. Accident insurers also take action to prevent occupational accidents and illnesses at companies Insured persons Compulsory insurance This insurance is compulsory for all employees working in Switzerland. This includes: farm workers; household domestic staff; cleaning ladies in private households; people working from home; apprentices, unpaid interns, trainees and career entrants working for an employer in order to explore a prospective career, for

the duration of this activity (workplace trial trainees); people working in training or sheltered workshops; people in secondary employment who pay contributions to the AHV for this activity; the employer’s family members working in the employer’s business if they receive earnings in cash and/or pay contributions to the AHV; retirees (AHV benefit recipients) who continue to work as employees, even if no contributions are paid to the AHV. Persons not subject to the compulsory scheme In addition to the self-employed, the following persons are not compulsorily insured: family members working in the family business who do not receive earnings in cash and do not pay contributions to AHV or persons who are treated as self-employed farmers; members of boards of directors who do not work at the company; persons carrying out activities in the public interest who do not have a contract of employment (e. g members of parliament, public agencies and commissions); Swiss government

employees subject to military insurance; persons residing in an EU/EFTA country who work in that country and in Switzerland. Voluntary insurance Self-employed Swiss residents and family members working in the family business who are not subject to compulsory insurance can take out accident insurance voluntarily. This also applies to persons pursuing self-employment in Switzerland who reside in an EU/EFTA country but who were subject to Swiss Social insurance law at some point in the past. Voluntary insurance is not available for non-gainfully employed employers who merely employ household domestic staff. If the business is subject to Suva, voluntary insurance must be taken out with Suva, regardless of whether any staff are employed. If the business is not subject to Suva, then voluntarily insured persons must be included in the employees’ contract. If there are no employees, insurance can be taken out with a private insurer or a health insurance fund. Scope of cover and premiums

Insured benefits are paid in the event of occupational accidents, occupational illnesses and non-occupational accidents. Part-time employees are only insured against nonoccupational accidents if they work for the same employer for at least eight hours per week. The premium is levied on all earnings that are subject to premiums. This is equal to the pensionable salary. The premium for occupational accidents and occupational illnesses is borne by the employer; the premium for non-occupational accidents is charged to the employee unless other arrangements have been made in the employee’s favour. Source: http://www.doksinet Swiss Federal Law on Accident Insurance (UVG) Pensionable salary The pensionable salary is equal to the AHV salary, subject to a limit of CHF 148,200 per year or CHF 406 per day. The pensionable salary is also understood to mean earnings on which no contributions to AHV are payable due to the insured person’s age, and also family allowances granted as

children’s, training or household allowances. Insurance term Insurance cover commences on the date that the employee commences employment or should have commenced employment in accordance with the employment agreement, but in any case at the time they leave for work. Insurance cover ends on the 31th day after the date on which employees lose their claim to at least half of their salary. The insurance cover for non-occupational accidents can be extended by a maximum of six months by taking out insurance by special agreement within the 31-day extension of cover period. The insurance cover continues if at least 50 per cent of the earnings or daily allowances are paid, i.e also in case of illness and accident Unemployed persons entitled to daily allowances under unemployment insurance have compulsory accident insurance with Suva. The insurance remains in force for two years and can be extended to up to six years if employees are transferred abroad and were compulsorily insured in

Switzerland immediately before their transfer. Insurance cover continues for one year after the employee has been transferred to an EU/EFTA country. This period can be extended with official approval. Insurance cover is suspended for as long as the insured person is subject to military insurance or foreign compulsory accident insurance Benefits Care allowance and reimbursement of costs Medical treatment The insurance pays the costs of: – outpatient treatment by a doctor, dentist or medical assistants acting on a doctor’s or dentist’s orders, or by a chiropractor and outpatient treatments in a hospital; – pharmaceutical drugs and tests prescribed by a doctor or dentist; – treatment, food and accommodation in the general ward of a hospital; – convalescence and spa treatments prescribed by a medical practitioner, – Any remedies and objects required for the medical recovery. Medical treatment abroad The insured person receives refunds of up to twice the amount of the

expenses that would have been incurred for treatment in Switzerland. Medical treatments in EU and EFTA countries are subject to special provisions within the meaning of Art. 18 UVV 15 Source: http://www.doksinet 16 Swiss Federal Law on Accident Insurance (UVG) Home care Contributions for home care are paid as long as the treatment is provided by approved home nursing staff. Physical aids The insured person is entitled to aids that compensate for physical impairments or functional deficiencies (e. g prostheses). Loss of or damage to property The cost of repairing damage caused as a result of an accident to property that acts as a replacement for a part of the body or a physical function (e. g damage to prostheses in use) are reimbursed The replacement of spectacles, hearing aids and dentures may only be claimed for in connection with a bodily injury requiring treatment. Travel, transportation and rescue costs Compensation is paid for any necessary rescue and recovery costs and

the cost of medically required travel and transportation. Rescue, recovery, travel and transportation costs incurred abroad are reimbursed to the value of up to 20 per cent of the maximum amount of insured annual earnings. Transport of deceased persons As a rule, the costs necessary for transporting deceased persons to the place of interment are reimbursed. Funeral costs Compensation is paid for funeral costs provided that they do not exceed seven times the maximum pensionable daily salary. Cash benefits Daily allowances Insured persons are entitled to a daily allowance if they are totally or partially incapacitated for work as a result of an accident. The daily allowance is paid for each calendar day starting on the third day after the date of the accident. The daily allowance for total incapacity for work is equal to 80 per cent of the pensionable salary, and is reduced for partial incapacity for work accordingly. The daily allowance is not paid as long as the insured person can

claim a daily allowance under the IV or a maternity allowance under the income compensation regulations (EO). For stays at hospitals, sanatoriums and clinics, the following deductions are made from the daily allowances for maintenance expenses covered by the accident insurance: – 20 per cent of the daily allowance, but no more than CHF 20 for single persons without maintenance or support obligations; – 10 per cent of the daily allowance, but no more than CHF 10 for married persons and for single persons with maintenance or support obligations insofar as the next paragraph is not applicable. For married or single persons who are responsible for minors or children in education or training, no deductions are made. Disability pension Insured persons who become at least 10 per cent disabled as a result of the accident are entitled to a disability pension, provided the accident occurred before they reached ordinary retirement age. The pension for total disability is 80 per cent of the

pensionable salary, and is reduced for partial disability accordingly. If insured persons are entitled to an IV or AHV pension of a Swiss or foreign institution, they are granted a supplementary pension to bring the AHV or IV pension up to 90 per cent of their pensionable salary. However, the maximum amount paid must not exceed the amount payable for total or partial disability. If the pension recipient’s degree of disability changes significantly, the pension is increased or reduced accordingly, or discontinued if the pensioner has regained his or her full capacity for work. Allowance for physical and mental impairment Insured persons whose physical or mental state is permanently and significantly impaired as a result of an accident are entitled to an adequate allowance for the impairment in the form of a lump-sum benefit. An allowance for physical and mental impairment can also be granted without simultaneously awarding a pension. Helplessness care allowance Insured persons who,

due to a health impairment, permanently require personal supervision or the assistance of a third party to carry out everyday living activities are entitled to a helplessness care allowance. Source: http://www.doksinet Survivors’ pensions – 40 per cent for widows and widowers (only under certain conditions); – 15 per cent for half orphans; – 25 per cent for full orphans; – a combined total of no more than 70 per cent for multiple survivors; – 20 per cent for the divorced spouse, but no more than the maintenance allowance owed. If the survivors are entitled to AHV or IV pensions, then they are granted a supplementary pension to bring the AHV or IV pension up to 90 per cent of pensionable earnings. However, the maximum amount paid must not exceed the amount payable under the aforementioned scale. Adjustment of pensions to inflation Pensions are adjusted for inflation in accordance with the Swiss Consumer Price Index at the same time as AHV pensions. Reduction and denial

of benefits Disability pensions, allowances for physical and mental impairment and survivors’ pensions are reduced if the health impairment or death is only partly the result of an accident. If insured persons deliberately cause their own death or impair their own health, then, except for funeral costs, there is no entitlement to insured benefits. If the insured person caused the accident by gross negligence, the daily allowances paid by the insurance for non-occupational accidents are reduced in the first two years following the accident. If the insured person caused the accident by intentionally committing a felony or offence, cash benefits can be reduced or, in particularly serious cases, denied. All insured benefits are denied in the case of accidents that occur while insured persons are serving in a foreign military or participating in war-like activities, acts of terrorism or organised crime. Cash benefits are reduced by at least half for accidents that occur due to:

participation in brawls or fights, unless the insured person was injured by the persons fighting while trying to assist a defenceless person or was an innocent bystander; hazards to which insured persons expose themselves by severely provoking others; participation in civil unrest. Swiss Federal Law on Accident Insurance (UVG) In the case of non-occupational accidents resulting from the insured person taking a hazardous risk, monetary benefits are reduced by half, or refused in particularly serious cases. Hazardous exposure to risks are actions that expose the insured person to a particularly high level of danger, where the insured person did not or was not able to take the precautions needed to limit the risk to a sensible level (e. g motorcycle races, climbing buildings, etc.) However, actions taken to rescue other persons are insured even if they are to be considered hazardous. 17 Source: http://www.doksinet 18 Swiss Federal Law on Supplementary Benefits to Old-Age,

Survivors’ and Disability Insurance (ELG) Swiss Federal Law on Supplementary Benefits to Old-Age, Survivors’ and Disability Insurance (ELG) of 6 October 2006, in force since 1 January 2008 Purpose Supplementary benefits were introduced to ensure that, in accordance with the constitutional mandate, all AHV/IV pension recipients and recipients of IV daily allowances receive sufficient income to cover their basic subsistence needs. In order to achieve this objective, the federal government and the cantons award supplementary benefits to cover the basic subsistence needs of persons who meet the qualifying conditions. Persons entitled to benefits Persons have an individual entitlement to supplementary benefits provided they are aged 18 or over and are domiciled and habitually resident in Switzerland. Foreigners must have lived in Switzerland for a continuous period of ten years (qualifying period) immediately prior to the date on which the supplementary benefit is claimed. The

qualifying period for refugees and stateless persons is five years. Special provisions exist for nationals of countries with which Switzerland has concluded a social security agreement Entitlement to supplementary benefits is limited to: recipients of an AHV old-age or survivors’ pension; recipients of an IV disability pension or daily allowance (that has been received for a minimum of six months); and recipients of an IV helplessness allowance who have reached the age of 18, whose pension, daily allowance or helplessness allowance does not fully cover their basic subsistence needs. Contributions The annual supplementary benefits are not financed by deductions from salary, but are paid for by the federal government (five eighths) and the cantons (three eighths). Benefits The annual supplementary benefit is a cash benefit. It corresponds to the amount by which the approved expenditure exceeds the applicable income. The approved expenditure amounts are as follows: CHF, per year

Amount for the general living expenses of: single persons married couples each of the first two children each of the two subsequent children each further child 19,290 28,935 10,080 6,720 3,360 Actual rental costs for a home for single persons up to a maximum of: for married couples up to a maximum of: 13,200 15,000 Expenditure to secure earned income (costs to obtain income from gainful activity) Actual costs Building maintenance costs, if applicable Actual costs Social insurance contributions Actual costs Flat-rate amount (varies by canton) for compulsory health insurance As stipulated by the canton Any maintenance contributions made under family law Actual costs Relevant income includes a proportion of the earned income and a proportion of the assets, the AHV/IV pension or IV daily allowance received, as well as any family allowances and maintenance payments received. Source: http://www.doksinet Swiss Federal Law on 19 Supplementary Benefits to Old-Age,

Survivors’ and Disability Insurance (ELG) Adjustment of benefits to inflation As a rule, the Federal Council reviews the approved expenditure and relevant income amounts every two years and adjusts them if required. As a result, the supplementary benefit amount paid out may be adjusted upwards or downwards. Distinction between supplementary benefits and social welfare Social welfare also serves to cover basic subsistence needs. However, this is intended first and foremost for people who do not receive an AHV/IV pension or IV daily allowance and who are therefore not entitled to supplementary benefits. If the income or financial situation of a person receiving social welfare improves significantly, the social welfare received must be repaid. In contrast, supplementary benefits that have been paid out do not have to be repaid under any circumstances. Source: http://www.doksinet 20 Swiss Federal Law on Health Insurance (KVG) Swiss Federal Law on Health Insurance (KVG) of 18 March

1994, in force since 1 January 1996 Purpose The KVG governs social health insurance. This includes compulsory healthcare insurance and voluntary daily sickness allowance insurance. Social health insurance provides benefits in the event of illness, accident (provided it is not covered by accident insurance) and maternity Insured persons This insurance principally covers all residents of Switzerland. Immigrants to Switzerland must take out insurance within three months after taking up residence. Also subject to compulsory insurance are cross-border commuters of individual EU and EFTA countries and recipients of a Swiss pension and their family members living in those countries. Employees transferred to an EU country remain insured for one year. Employees transferred to any other country remain insured for two years. Extensions are possible with approval from the authorities. Premiums All adult insured persons living in the same region pay the same premium to their health insurance

fund. In addition, they pay some of the costs of the benefits they receive with a fixed-sum excess (2017: minimum CHF 300) and a deductible of 10 per cent, limited to a maximum of CHF 700. There is no deductible for maternity benefits. In some cases, special regulations apply to the fixed-sum excess and deductible for persons residing in an EU/EFTA country Insured persons can reduce the premium or the deductible by agreeing to a restriction in their choice of service provider (e. g doctor) or an increase in the fixed-sum excess The cantons offer premium discounts to indigent insured persons. Benefits (compulsory basic insurance) The benefits include: examinations, treatment and care; tests, pharmaceutical drugs and any remedies and devices required for examination or treatment; contributions toward the costs of medically prescribed spa treatments; medical rehabilitation measures; stays in the general ward of a hospital or a semi-inpatient facility; contributions toward the costs

of medically required transportation and toward rescue costs. Health insurance under the Swiss Federal Law on Insurance Contracts (VVG) A supplementary health insurance can be concluded under the Swiss Federal Law on Insurance Contracts (VVG) to cover medical services that are not covered by compulsory health insurance. This enables the insurance coverage, for example, of the cost of alternative health care, emergency treatment in foreign countries, medicines not covered by regular health insurance plans, dental treatment, transport and rescue services, hospitalisation in single or double wards (private/semi-private), free choice of doctor, domestic help, cosmetic surgery and other benefits. In many areas, such as premium adjustment, period of notice, etc., other rules apply to supplementary health insurance than those that govern compulsory health insurance under the Swiss Federal Law on Health Insurance (KVG). Source: http://www.doksinet Benefits Benefits AHV/IV/EO Swiss Federal

Law on Old Age and Survivors’ Insurance (AHVG, in force since 1 January 1948) Swiss Federal Law on Disability Insurance (IVG, in force since 1 January 1960) Swiss Federal Law on Compensation for Loss of Earnings for Persons on Military Service or Maternity Leave (EOG, in force since 1 January 1953) Insured group of persons Pensionable salary This insurance is compulsory for everyone whose residence or place of work is in Switzerland (with exceptions) and for Swiss citizens working abroad as Swiss government employees. Persons subject to the Swiss social security system due to bilateral agreements with the EU are also insured. The AHV salary is the salary subject to contributions. The pensionable salary is the AHV salary up to a maximum of CHF 84,600. Benefits Treatment, care, recovery Temporary incapacity for work Permanent incapacity for work Medical and occupational integration measures, physical aids and helplessness care allowance. A daily disability allowance during

rehabilitation equal to 80% of the pensionable salary, up to a limit of CHF 148,200. A daily allowance as supplementary income for those performing military service (CHF 62 to CHF 245 per day) as well as for maternity (maximum CHF 196 per day). Pension depending on degree of disability From 40%. ¼ pension From 50% .½ pension From 60%. ¾ pension From 70% .full pension Children’s allowance.40% of the IV pension Survivors’ benefits Retirement benefits Inflation adjustments The pension amounts to the following percentages of the retirement pension: For widows and widowers. 80% For half orphanse . 40% For full orphans max. 60% Special terms and conditions apply to widows and divorced spouses. The pension entitlement arises on reaching the age of 65 (men) or 64 (women). An advanced payment on a retirement pension can be requested 1 or 2 years earlier, with a reduction of 6,8% per year. Retirement pensions can also be deferred by up to five years, which increases the pension

accordingly. As a rule, the Swiss Federal Council adjusts ordinary pensions every two years to average changes in earnings and price trends at the start of the calendar year. Financing Costs Gainfully employed: AHV .8,4% IV . 1,4% EO . 0,45% Cost allocation Gainfully self-employed: AHV . 7,8% IV . 1,4% EO . 0,45% Non-gainfully employed: special provisions apply All contributions are charged as a percentage of the AHV salary(without upper limit). The employer and employee each pay half and the Federal Government and the cantons pay the subsidies. 21 Source: http://www.doksinet 22 Benefits Compulsory Occupational Pensions Swiss Federal Law on Occupational Retirement, Survivors’ and Disability Pension Plans (BVG, in force since 1 January 1985) Insured group of persons Salaire assuré This insurance is compulsory for: employees subject to AHV contributions from 1 January after reaching the age of 17 with annual AHV earnings in excess of CHF 21,150; persons entitled to

unemployment benefits, for disability and death, if their daily allowance exceeds CHF 81.20 Self-employed persons and employees who are not compulsorily insured can take out this insurance voluntarily. The insurance covers annual AHV salary between CHF 24,675 and CHF 84,600, i.e no more than CHF 59,925 in earnings. If the pensionable salary is less than CHF 3,525 per year, it must be rounded up to this same amount. Benefits Treatment, care, recovery Temporary incapacity for work Permanent incapacity for work No insured benefits. No insured benefits. Pension depending on degree of disability From 40%. ¼ pension From 50% . ½ pension From 60%. ¾ pension From 70% . full pension The full pensionis currently 6,8% for men and women of the projected retirement assets excluding interest. Disabled persons’ children’s pension = 20% of the disability pension of the insured disabled parent. Survivors’ benefits Retirement benefits Inflation adjustments A widow’s or widower’s

pension upon death before retirement = 60% of the disability pension. A widow’s or widower’s pension upon death after retirement = 60% of the retirement pension. An orphan’s pension = 20% of the disability pension. The divorced spouse is treated the same as the widow or widower after the death of his or her former spouse (special terms and conditions). A surviving spouse who is not obligated to pay maintenance to children only receives a pension if he or she is 45 years or older and the marriage lasted for at least 5 years. Retirement age: Men. 65 years Women.64 years Retirement pension = for men and women currently 6,8% of the projected interestbearing retirement assets. Children’s allowance = 20% of the retirement pension. Early retirement or a deferment of retirement until the age of 70 at the latest is possible if provided for under the regulations. Benefits are reduced or increased accordingly. Survivors’ and disability pensions whose term has exceeded 3 years are

adjusted to changes in the price trend on the following 1 January, thereafter the same as AHV/IV. Financing Costs Costs for retirement credits (as a percentage of the pensionable salary): Age for women/men: 25–34.7% 35–44. 10% 45–54. 15% 55–64/65 . 18% Cost allocation Costs for death and disability benefits, contributions to the Security Fund, costs for inflation adjustment. The employer contribution must be at least as much as the total of all the employee contributions. Source: http://www.doksinet Benefits 23 Unemployment insurance Federal Law on Compulsory Unemployment Insurance and Benefits on Insolvency (AVIG, in force since 1 January 1984) Insured group of persons Pensionable salary This insurance covers residents of Switzerland from the time they complete compulsory education until they reach the AHV retirement age, and who are liable to pay contributions on income from employment or who have been exempted from their contribution liability. AHV salary up to a

maximum of CHF 148,200. Benefits Treatment, care, recovery Temporary incapacity for work Permanent incapacity for work In case of illness and accident: entitlement to a maximum of 44 daily allowances within the two-year reference period. Short-time work allowances, inclement weather allowance, allowance in case of employer insolvency, financial benefits for labour market measures. Unemployment benefit: max. 520 daily allowances (depending on the insured person’s age and the contribution period) of 80% of the pensionable salary up to CHF 148,200 (70% for certain insured persons). Survivors’ benefits Adeguamento al rincaro The unemployment insurance does not provide any survivors’ benefits. If the daily allowance exceeds CHF 81.20, recipients of unemployment benefits receive disability and survivors’ benefits from the occupational pension plan (BVG). Since unemployment insurance does not pay pensions, but temporary daily allowances instead, the legislators have not

introduced automatic inflation adjustments. Financing Costs Cost allocation 2,2% of the pensionable salary up to CHF 148,200, plus 1% of the pensionable salary that exceeds this amount. The employee and employer each pay 50% of the contributions. Military insurance Swiss Federal Law on Military Insurance (MVG, in force since 1 January 1994) Insured group of persons Pensionable salary This insurance is compulsory for members of the military and civil defence, persons rendering civilian service, persons carrying out off-duty military activities and participants in off-duty firearms training. AHV salary up to a maximum of CHF 150,918. Source: http://www.doksinet 24 Benefits Benefits Treatment, care, recovery Temporary incapacity for work Permanent incapacity for work Care from doctor, hospital or at home, integration measures, aids, helplessness care. Daily allowance of 80% of pensionable earnings until disability pension begins or the capacity to work has been regained.

Pension of 80% of the pensionable salary in the case of a total disability; supplementary pension to bring IV pension up to 90% of the pensionable salary. Survivors’ benefits (As a percentage of the pensionable salary) Widows and widowers . 40% Half orphans. 15% Full orphans .25% Inflation adjustments Special terms and conditions for parents of the insured person and divorced survivors. Inflation adjustments for military insurance are made at the same time as the AHV/IV pension adjustments. Financing Cost allocation The expenses are covered by the Swiss government. Accident insurance Swiss Federal Law on Accident Insurance (UVG, in force since 1 January 1984) Insured group of persons Pensionable salary This insurance is compulsory for employees working in Switzerland (with exceptions), persons entitled to unemployment benefits. Self-employed persons and family members working in the company can take out this insurance voluntarily (special provisions for family members in

the agricultural sector). AHV earnings up to a maximum of CHF 148,200 (with exceptions). Benefits Treatment, care, recovery Temporary incapacity for work Permanent incapacity for work Care from doctor, hospital or at home, aids, helplessness care. Daily allowance of 80% of the pensionable salary starting on the third day until the disability pension begins or the capacity to work has been regained. Pension of 80% of the pensionable salary in case of total disability. The total benefits from AHV/IV and UVG must not exceed 90% of the pensionable salary (supplementary pension). Survivors’ benefits As a percentage of the pensionable salary) Widows and widowers . 40% Half orphans. 15% Full orphans . 25% Total of no more than.70% Inflation adjustments Special conditions apply to the surviving divorced spouse. Inflation adjustments for military insurance are made at the same time as the AHV/IV pension adjustments. Source: http://www.doksinet Benefits 25 Financing Costs Cost

allocation The premiums depend on the type of business and the business operational conditions. The costs of occupational accidents and diseases must be borne by the employer. The costs of non-occupational accidents are (generally) borne by the employee. Supplementary benefits Swiss Federal Law on Supplementary Benefits to Old-Age, Survivors’ and Disability Insurance (ELG, in force since 1 January 2008) Insured group of persons Pensionable salary The eligible beneficiaries are recipients of AHV/IV pensions and IV daily allowances residing in Switzerland, as well as foreign nationals with ten uninterrupted years of residence in Switzerland or as otherwise provided for in international agreements, refugees and stateless persons with five uninterrupted years of residence in Switzerland. The eligible beneficiaries are recipients of AHV/IV pensions and IV daily allowances residing in Switzerland, as well as foreign nationals with ten uninterrupted years of residence in Switzerland

or as otherwise provided for in international agreements, refugees and stateless persons with five uninterrupted years of residence in Switzerland. Benefits Treatment, care, recovery Temporary incapacity for work Permanent incapacity for work Costs for dentists, medically prescribed spa treatments, hospital (general ward), etc. and care and aids are compensated as ancillary benefits. No insured benefits. The supplementary benefits ensure that beneficiaries reach the subsistence minimum in accordance with their individually required expenditures (for home, living costs, etc.) by increasing the existing pension(s) or daily allowance. Survivors’ benefits Prestazioni di vecchiaia Inflation adjustments The supplementary benefits ensure that beneficiaries reach the subsistence minimum in accordance with their individually required expenditures (for home, cost of living, etc.) by increasing the existing pension(s) or daily allowance. The supplementary benefits ensure that

beneficiaries reach the subsistence minimum in accordance with their individually required expenditures (for home, cost of living, etc.) by increasing the existing pension(s) or daily allowance. The maximum benefits paid are CHF 19,290 for single persons, CHF 28,935 for married couples and CHF 10,080 for orphans. Income limits are increased in accordance with Federal Council decisions when new AHV pensions are fixed. Financing Costs Cost allocation The Swiss government, cantons and municipalities pay for the supplementary benefits. The Swiss government pays five eighths of the annual supplementary benefits and the cantons pay three eighths. The actual cost allocation may vary in individual areas. Source: http://www.doksinet 26 Benefits Health insurance Swiss Federal Law on Health Insurance (KVG, in force since 1 January 1996) Insured group of persons This insurance is compulsory for persons whose residence is in Switzerland (with exceptions) and for cross-border commuters of

individual EU and EFTA countries. Certain groups of people can take out this insurance voluntarily Benefits Treatment, care, recovery Temporary incapacity for work Permanent incapacity for work Costs are paid, among others, for the following: Medical consultations Hospital stays Home care Medical aids Transportation and rescue costs Spa treatments No insured benefits. No insured benefits. Survivors’ benefits No insured benefits. Financing Costs Cost allocation The premiums vary by residential area. Discounted premiums exist for children (up to 18) and young adults (aged 19 to 25). The individual insured person pays the health insurance fund premium. The Federation and cantons provide premium discounts to insured persons in modest financial circumstances Source: http://www.doksinet Practical guide 27 Practical guide AHV/IV/EO Swiss Federal Law on Old Age and Survivors’ Insurance (AHVG, in force since 1 January 1948) Swiss Federal Law on Disability Insurance

(IVG, in force since 1 January 1960) Swiss Federal Law on Compensation for Loss of Earnings for Persons on Military Service or Maternity Leave (EOG, in force since 1 January 1953) Registering a new employee Change in salary Immediate registration with the competent AHV compensation office (the AHV compensation office must issue an identification card for persons who do not have an AHV identification card). Changes in salary only have to be reported with the annual AHV/IV statement. The employer must keep a record of employees’ salary deductions. Termination of employment Earnings incapacity Death This does not have to be reported to the AHV compensation office; the annual filing and transfer of contributions also includes reporting how long the employee was paid. Persons wishing to claim IV benefits must report to the responsible IV office as early as possible to ensure timely registration. A delayed application may result in the delayed payment of potential benefits. A

death must be reported to the AHV compensation office where the AHV contributions were last settled. Retirement Payment and invoicing of premiums Taxes A retirement pension claim must be reported to the AHV compensation office where the AHV contributions were last settled (approx. 2 months in advance) It is essential to contact the office in the case of early retirement or the deferral of pension benefits. Every employer is required to regularly account for the earnings paid to employees in cash or in kind with the responsible AHV compensation office. The amount withheld must be transferred, along with the employer’s contribution, to the responsible AHV compensation office. The employer’s contributions are considered operating expenses for direct tax purposes. The employee’s contributions can be deducted from direct taxes. Taxes are generally assessed on 100% of the benefits Source: http://www.doksinet 28 Practical guide Compulsory Occupational Pensions Swiss Federal Law

on Occupational Old-Age, Survivors’ and Disability Insurance (BVG, in force since 1 January 1985) Registering a new employee Change in salary Persons earning more than CHF 21 ,150 per year must be reported to the pension fund from 1 January after reaching the age of 17 (exception: employees with an employment contract limited to a maximum of three months). There are special provisions for temporary assignments and consecutive short-term employment contracts. Changes in salary are generally accounted for as at 1 January of each year. Changes made to earnings during the year should only be reported if they have a significant impact on the amount of the pension benefits. Termination of employment Earnings incapacity Death The pension fund must be notified immediately of the termination so that the portable benefits can be calculated and transferred to the new employer’s pension fund. The pension fund must be notified if it is presumed that a person will be fully or partially

unable to work for an extended period. The death of an insured person or a pensioner must be notified to the pension fund immediately. Retirement Payment and invoicing of premiums Taxes The pension fund must ask the insured person where the retirement pension benefits should be transferred to in good time. The pension fund must be notified in good time of the insured person’s intention to retire early or defer retirement (if this is permitted by the regulations). As per agreement with the relevant pension fund. The employee contributions and employer contributions are to be transferred jointly to the pension fund by the employer. The equal part of the joint contribution owed by the employee is deducted from his or her salary. The employer’s contributions are considered operating expenses for direct tax purposes. The employee’s contributions can be deducted from direct taxes. Taxes are generally assessed on 100% of the benefits Lump-sum payments are taxable at a reduced

rate. Unemployment insurance Federal Law on Compulsory Unemployment Insurance and Benefits on Insolvency (AVIG, in force since 1 January 1984) Registering a new employee Termination of employment Death New employees are registered for unemployment insurance and AHV at the same time. If the former employee cannot find employment, he or she must immediately file a claim with the employment office. The death of daily allowance recipients must be reported to the unemployment office immediately. Retirement Taxes The payment of daily allowances ends automatically on reaching the AHV retirement age. Unemployment benefits are taxable as replacement income. Source: http://www.doksinet Practical guide 29 Military insurance Swiss Federal Law on Military Insurance (MVG, in force since 1 January 1994) Earnings incapacity Death Taxes The report is issued by the doctor or the hospital administration. The report is issued by the doctor or the hospital administration. Pensions or

lump-sum benefits commencing for the first time or maturing on or after 1 January 1994 are fully taxed as income. Accident insurance Swiss Federal Law on Accident Insurance (UVG, in force since 1 January 1984) Registering a new employee Change in salary There is no need for a separate notification. Instead, the new employee’s total earnings must be included in the annual salaries declaration. Exception: The first person to be insured must be reported immediately. All changes in salary that are subject to AHV contributions are recorded in the annual salary statement Employers must retain working time records and all other records for a period of five years. Termination of employment Earnings incapacity Death There is no need for a separate notification. The termination is recorded in the annual salary statement. Any incapacity for work must be reported to the accident insurer immediately. A death must be reported to the accident insurer immediately. Retirement Payment and

invoicing of premiums Taxes Until the retirement date, the salary on the annual salary statement applies. Insurance cover lapses after retirement. A provisional advance premium is determined for each year. The final premium invoice is issued at the end of the year based on the annual salary statement unless a fixed-rate premium has been agreed upon. The employer’s contributions are considered operating expenses for direct tax purposes. The employee’s contributions can be deducted from direct taxes. Depending on the financing expenditure, direct taxes are assessed on all or part of the benefits. Source: http://www.doksinet 30 Practical guide Supplementary benefits Swiss Federal Law on Supplementary Benefits to Old-Age, Survivors’ and Disability Insurance (ELG, in force since 1 January 2008) Registering a new employee Change in salary Earnings incapacity People who receive supplementary benefits must report to the responsible cantonal office (generally the cantonal AHV

compensation office). Changes in income and assets must be reported immediately to the responsible cantonal office. If an employee can claim IV benefits, he/she must file a supplementary benefits claim with the relevant cantonal office. Death Retirement Taxes The responsible cantonal office must be notified immediately if a recipient of supplementary benefits dies. The supplementary benefits claim must be filed with the responsible cantonal office. Supplementary benefits are generally taxexempt. Health insurance Swiss Federal Law on Military Insurance (KVG, in force since 1 January 1996) Registering a new employee Termination of employment A person who was not previously subject to compulsory insurance (e. g moving to Switzerland from abroad) must obtain cover from a health insurer within three months. The employer must instruct the employee withdrawing from service in writing that accident cover should be added back to the cover provided by the health insurer unless the

employee takes up a new employment or is insured with Suva in accordance with the AVIG due to being unemployed. Retirement Payment and invoicing of premiums Taxes The employer must instruct the retiring employee in writing that accident cover should be added back to the cover provided by the health insurer. Every insured person or every family receives a premium invoice. Daily allowances are only taxable to the extent that they exceed the doctor’s and hospital fees and costs of treatment borne by the taxpayer. Health insurance premiums are deductible up to a maximum amount of taxable income. Last revised in January 2017 Source: http://www.doksinet Source: http://www.doksinet Baloise Insurance Ltd Baloise Life Ltd Aeschengraben 21, P.O Box CH-4002 Basel www.baloisech 000.1170 e 217 pdf Customer Service 00800 24 800 800 customerservice@baloise.ch