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Afghanistan |
Dominican Republic |
Regulatory Framework |
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First law: 1946 (labor law). Current laws: 1985 (public health) and 1987 (labor code). Type of program: Social insurance system. |
First law: 1947. Current laws: 1948 (social insurance), implemented in 1949, with 1966 and 1988 amendments; and 2001 (social security), implemented in 2003. Type of program: Social insurance (cash benefits) and universal (medical benefits) system. |
Regulatory Framework (ISSA) |
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First law: 1946 (labor law). Current laws: 1985 (public health) and 1987 (Ordinance of the Presidium of the Revolutionary Council of the Democratic Council of the Republic of Afghanistan No. 103). Type of program: Social insurance system. Note: This information is from 1989. |
First law: 1947. Current laws: 1948 (Law No.1896 on Social Insurance of 30 December), implemented in 1949, with 1966 and 1988 amendments; 2001 (Law No. 87-01 of 9 May, on the Dominican Republic Social Security System), implemented in June 2003. Type of program: Social insurance (cash benefits) and universal (medical benefits) system. |
Coverage |
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All citizens.
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Cash and medical benefits (nonsubsidized): Employed persons and their spouses or partners, the insured's children up to age 21 if a full-time student (no limit if disabled), and pensioners. Cash and medical benefits (subsidized): Pensioners receiving subsidized benefits and self-employed persons and home workers and their dependents. |
Source of funds |
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Insured person: See source of funds under Old Age, Disability, and Survivors, above. Self-employed person: Not applicable. Employer: None. Government: See source of funds under Old Age, Disability, and Survivors, above. |
Insured person: 2.86% of covered earnings. (To be raised gradually to 3% of covered earnings by 2008.) There are no minimum earnings for contribution purposes. The maximum earnings for contribution purposes are equal to 10 times the minimum wage. Self-employed person: Part of the cost for the subsidized program. Employer: 6.67% of covered payroll. (To be raised gradually to 7% of covered payroll by 2008.) There are no minimum earnings for contribution purposes. The maximum earnings for contribution purposes are equal to 10 times the minimum wage. Government: The total cost of social assistance and part of the cost for the subsidized program and the pediatric health care program. |
Qualifying conditions |
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Qualifying conditions: Information is not available.
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Cash sickness benefits (nonsubsidized): The insured must have at least 12 months of contributions or be a pensioner. Cash maternity benefits (nonsubsidized): The insured must have at least 8 months of contributions in the 12 months before childbirth or have been without paid work in the 12 months before childbirth. Medical benefits Basic health plan: Resides in Dominican Republic. Pediatric health care: Resides in Dominican Republic. |
Cash benefits for insured workers |
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Sickness benefit: Twenty days of leave with salary. Maternity benefit: Ninety days of leave with salary; 105 days of leave with salary for the birth of twins. |
Sickness benefit (nonsubsidized): The benefit is equal to 60% of earnings in the last 6 months (40% if hospitalized) and is payable after a 3-day waiting period, for up to 26 weeks. Maternity benefit (nonsubsidized): The total benefit is equal to 3 months' insured earnings and is payable for 6 weeks before and 6 weeks after the expected date of childbirth. Nursing allowance: If the insured's salary is less than three times the minimum national wage, an allowance is paid for up to 12 months after the child's birth. |
Medical benefits for insured workers |
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Medical benefits: No information is available.
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Medical benefits: Benefits under the basic health plan include preventive, inpatient and outpatient, pediatric, and specialist care; medicines; and prostheses for disabled persons, according to the schedule in law. Cost sharing: The insured is reimbursed for 70% of the cost of some medicines. Social assistance beneficiaries receive basic medicines free of charge. |
Administrative organisation |
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Ministry of Finance is responsible for the program.
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National Health Insurance (http://www.arssenasa.gov.do) and Health Risk Management Companies administer the basic health plan. Health Risk Management Companies may be private, public, or mixed entities. Superintendent of Health and Labor Risks (http://www.sisalril.gov.do) supervises the National Health Insurance and Health Risk Management Companies. Superintendent of Health and Labor Risks supervises the pediatric health care program. Social Insurance Institute (IDSS) (http://www.idss.org.do) administers pediatric health care. |
Administrative organisation (ISSA) |
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Ministry of Finance is responsible for the program.
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National Health Insurance SENASA (http://www.arssenasa.gov.do) and Health Risk Management Companies administer the basic health plan. National Health Insurance C/ Pepillo Salcedo, Edificio CEDERHSA, Plaza de la Salud, Santo Domingo, Dominican Republic Tel.: +(809) 732 3821 Fax: +(809) 732 2900 Health Risk Management Companies may be private, public, or mixed entities. Superintendent of Health and Labor Risks (SISALRIL) (http://www.sisalril.gov.do) supervises the National Health Insurance and Health Risk Management Companies. Superintendent of Health and Labor Risks Avenida 27 de Febrero # 261, Ensanche Piantini, Edificio El Clavel, Santo Domingo Dominican Republic Tel.: +(809) 227 4050, Fax: +(809) 540 3640 Superintendent of Health and Labor Risks supervises the pediatric health care program. Social Insurance Institute (IDSS) (http://www.idss.org.do) administrates pediatric health care. Social Insurance Institute Instituto Dominicano de Seguros Sociales, Pepillo Salcedo Nº 22 ENS La Fe, Apartado 1437, Santo Domingo, Dominican Republic Tel.: +(809) 565 9666 Fax: +(809) 544 0555 |
Medical benefits for dependents |
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no data
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Medical benefits for dependents: Benefits under the basic health plan include preventive, inpatient and outpatient, pediatric, and specialist care; medicines; dental treatment for children; and prostheses for disabled persons, according to the schedule in law. Pediatric health care: Provided from the 45th day after birth until age 5. Benefits include nutrition, pediatric care, and child development programs. |