Exposé - Bundesversicherungsamt

BExposé
rief Report
Effective: January 2012
GERMAN FEDERAL INSURANCE AUTHORITY
Structure and tasks
ORGANISATIONAL POSITION OF THE GERMAN FEDERAL INSURANCE AUTHORITY
The German Federal Insurance Authority (GFIA) is an independent Superior Federal Authority
which was established by law in 1956 and responsible to the Federal Ministry of Labour and
Social Affairs. As a legal supervisory authority for statutory pension and occupational accident
insurance, the Federal Insurance Authority collaborates technically with the Federal Ministry of
Labour and Social Affairs, and with regard to the legal supervision of the statutory health and
long-term care insurance, with the Federal Ministry of Health.
With regard to its supervisory activities, the Federal Insurance Authority is only bound to
general instructions given by the federal ministries but is not subject to specific instructions
regarding individual cases.
Chairman:
Dr. Maximilian Gaßner
Vice-President:
Sylvia Bohlen-Schöning
At present, the German Federal Insurance Authority has approx. 590 employees, employed in
9 departments and 48 divisions.
The main office of the German Federal Insurance Authority is located at Friedrich-Ebert-Allee
38, 53113 Bonn.
RESPONSIBILITIES OF THE GERMAN FEDERAL INSURANCE AUTHORITY
I.
Supervision of social insurance funds and other institutions under direct federal
control
When a social insurance provider is responsible for more than three federal states, it
becomes part of the federal administration system and is referred to as a social
insurance fund under direct federal control. These social insurance providers under
direct federal control (1.1.2012: 101 funds) providing statutory health, pension and
-2occupational accident insurance are subject to the legal supervision by the Federal
Insurance Authority, and include: the German Federal Pension Insurance Institute
(Deutsche Rentenversicherung Bund), the German Pension Insurance Mining-RailwaysSeafaring (Deutsche Rentenversicherung Knappschaft-Bahn-See) as well as all
compensatory funds and the funds created for long-term care insurance at the health
insurance providers as well as all professional insurance associations, two agricultural
social insurance funds and the Federal Accident Insurance Fund (Unfallkasse des
Bundes), the Accident Insurance Fund for Deutsche Post and Deutsche Telekom
(Unfallkasse Post und Telekom) and the Railway Accident Insurance Fund (EisenbahnUnfallkasse) (see annex). More than half of the persons insured under the statutory
social security insurance system are covered by funds supervised by the German
Federal Insurance Authority.
The remaining social security insurance providers are under the supervision of the
federal state in which they are located.
The Federal Insurance Authority is also entrusted with the supervision of the German
Federal Pension Insurance Institute to the extent to which the latter performs
fundamental and cross-cutting tasks in accordance with Section 138 (1), Sentence 2,
Nos. 2 to 4, 6 to 14, and 16, Vol. VI of the German Social Code on behalf of the overall
pension insurance system, including the faculty to take binding decisions for all pension
insurance funds.
The Federal Insurance Authority is also responsible for supervising the Supplementary
Provident Fund for Employees in Agriculture and Forestry (Zusatzversorgungskasse für
Arbeitnehmer in der Land- und Forstwirtschaft), the Seafarers' Retirement Fund
(Seemannskasse), the Artists’ Social Welfare Fund (Künstlersozialkasse), the German
Pension Institution for District Master Chimney Sweeps (Versorgungsanstalt der
deutschen Bezirksschornsteinfegermeister) and the Ernst Abbe Foundation (Ernst-AbbeStiftung) to the extent that these funds are established according to the Supplementary
Pension Scheme Equal Treatment Act. In addition, there are also numerous
associations of social insurance funds, such as the Association of the Compensatory
Funds (vdek - Verband der Ersatzkassen), which are subject to supervision by the
Federal Insurance Authority. Furthermore, the Federal Ministry of Labour and Social
Affairs made use of the possibility provided by Section 87 (3), Sentence 2, Vol. IV of the
German Social Code to entrust the Federal Insurance Authority with the legal
supervision of the German Social Accident Insurance (DGUV - Spitzenverband
-3Deutsche Gesetzliche Unfallversicherung e.V.) where the latter exercises the power to
issue certain directives and concludes agreements regarding the provision of medical
treatment and the remuneration of doctors.
In addition, the Federal Insurance Authority exercises the supervision of the National
Association
of
Agricultural
Social
Insurance
Funds
(Spitzenverband
der
landwirtschaftlichen Sozialversicherung) established 1 January 2009 which is, in addition
to its association and administration tasks, entrusted with fundamental and cross-cutting
tasks that include binding decisions for all agricultural social insurance funds.
1.
Supervision: Consultancy and sanctions
Any supervisory activities are carried out in the framework of a dialogue. Successful
supervision is hence not measurable by the number of sanctions imposed but becomes
mainly apparent in the effectiveness of advisory consultations.
If any insurance provider fails to take remedial action to correct infringements despite
having been advised to do so, the Federal Insurance Authority is entitled to issue a
notice of obligation (ordering also its immediate enforcement if necessary).
Social insurance providers must, by law, deploy funds in a cost-effective manner. This
enables the Federal Insurance Authority to audit the economic behaviour of the
providers as part of its supervisory tasks.
Supervising selective agreements with health insurance providers (for GP-centred care,
integrated health care, provision of aids and appliances, outsourcing etc.) is becoming
an increasingly important part of the activities carried out by the Federal Insurance
Authority.
Social insurance providers are entitled to appeal against regulatory measures issued by
the Federal Insurance Authority by submitting an objection to the Higher Social Courts of
their respective Land.
2.
Petitions and applications
A significant part of the supervisory activities of the Federal Insurance Authority consists
in handling petitions, applications and complaints concerning any social insurance
-4issue. In 2011, about 5,925 cases were handled and mainly concerned health insurance
issues.
Among other things, applications and petitions highlight legal and practical problems
encountered in the implementation of laws. In many cases they draw attention to
wrongful conduct by social insurance providers and thus provide useful indications for
supervisory audits.
3.
Supervisory audits
Supervisory audits carried out at the insurance providers are an important source of
information for the Federal Insurance Authority. Audits are carried out on an on-going
basis in accordance with an audit schedule established at the beginning of each year.
The Federal Insurance Authority carries out around 180 supervisory audits annually. In
addition, health insurance providers are audited by the Health Insurance Audit Service
(see section III).
4.
Tender procedures / Tender review body
The Federal Insurance Authority is also responsible for reviewing tender procedures with
regard to compliance with the provisions of: the Contracting Regulations on the Award of
Public Supply Contracts (VOL/A - Verdingungsordnung für Leistungen, Teil A), the
Contracting Regulations on the Award of Public Works Contracts (VOB/A - Vergabe- und
Vertragsordnung für Bauleistungen, Teil A) and the Contracting Regulations on the
Award
of
Contracts
for
Services
Provided
by
Liberal
Professions
(VOF
-
Verdingungsordnung für freiberufliche Leistungen), the Law Against Restraints of
Competition (GWB
- Gesetz gegen Wettbewerbsbeschränkungen) as well as the
Regulation on the Award of Public Contracts (VgV - Vergabeverordnung).
In addition, the Federal Insurance Authority assumes the role of a tender review body for
award procedures concerning construction works for social insurance providers under
direct federal control.
II.
Participatory rights
Numerous autonomous legislatives acts proposed by the self-regulatory bodies of the
social insurance providers require approval by the Federal Insurance Authority. These
-5include in particular: approval of by-laws of insurance providers (e.g. in case of health
insurance institutions charging additional contributions or granting premiums, mergers of
occupational accident insurance providers, health insurance and long-term care
insurance institutions) and approval of or objection to budget plans, service
regulations (including establishment plans), scales of risks established for accident
insurance cover, decisions regarding reserve funds as well as reporting and
approval of investments (purchase of land, loans, equity participations and
construction works including the related leasing provisions). This kind of preventative
supervision is very effective since the monitoring activities carried out by the Federal
Insurance Authority help to achieve, on average, savings of five per cent on the
construction volume planned by the social insurance providers.
III.
Legal and performance audit of health and long-term care insurance providers
According to Section 274 (1), Vol. V of the Social Code, the business, accounting and
operational management of health insurance institutions under direct federal control as
well as their long-term care insurance funds and the relative associations shall at least
be reviewed every five years by the Federal Insurance Authority. These audits are
carried out by the local offices of the Federal Insurance Authority in Berlin, Cloppenburg,
Duisburg, Fulda and Ingolstadt. At present, there are about 90 auditors working in single
audit teams. In addition, an auditing team provides advisory audits known as PDL for
agricultural social insurance providers. Besides monitoring the implementation of
legislation, these audits serve to provide information to the competent parties and to
promote considerations in relation to the further development of the insurance providers,
as well as to provide orientation and support in decision-making. They are advisory in
character and do not focus on finding individual mistakes. Primarily, they are intended to
identify shortcomings and to have a preventive effect.
In response to the structural changes that have affected the health insurance sector and
also to the growing importance of information technology, the Audit Service has adapted
its auditing procedures by deploying primarily specialized audit groups and using
electronic auditing tools.
Furthermore, the National Association of Statutory Health Insurance Funds (GKVSpitzenverband) and the National Association of Statutory Health Insurance Physicians
(Kassenärztliche Bundesvereinigungen) are subject to audits pursuant to Section 274,
Vol. V of the Social Code.
-6-
IV.
Legislative powers of the Federal Insurance Authority
The Further Organisational Development Act of the Statutory Health Insurance System
(GKV-Organisationsweiterentwicklungsgesetz) obliges the health insurance providers
and their associations to set aside sufficient cover capital and provisions for their
pension-related liabilities (company pension commitments for their employees) by 31
December 2049. All pertinent details, in particular the definition of the relevant pensionrelated liabilities, the actuarial parameters for the determination of their cash value as
well as the calculation of the allocations needed for establishing the required capital
reserve are to be regulated by statutory order. With the Instrument of Delegation dated
12 February 2010 in Respect of Functions Concerning the Issuing of Regulatory
Instruments
in
accordance
with
Vol.
V
of
the
Social
Code
(SGB
V-
Übertragungsverordnung), the Federal Ministry of Health entitled the Federal Insurance
Authority to issue the respective regulatory orders. The Regulation Concerning Pension
Accruals
in
the
Health
Insurance
System
(Krankenkassen-Altersrückstellungs-
verordnung) entered into force on 26 July 2011.
V.
Special administrative tasks of the Federal Insurance Authority
Besides its duties as a supervisory authority, the Federal Insurance Authority is also
entrusted with a series of administrative tasks. These include, in particular:
1.
Federal subsidies granted to the statutory pension insurance scheme
The federal authority contributes significantly to financing the social insurance system,
particularly with regard to the statutory pension insurance scheme. The Federal
Insurance Authority is responsible for the management of federal subsidies and all
other financial allocations for social insurance funds.
In the fiscal year 2011, the volume of federal funds earmarked for the statutory pension
insurance scheme came to more than 80 billion Euros.
By managing the federal subsidies allocated for the German Pension Fund, the Federal
Insurance Authority is also part of the system established to ensure the financing of the
statutory pension insurance scheme (federal guarantee).
-72.
Risk structure compensation schemes in statutory health insurance
The German Federal Insurance Authority is responsible for implementing the risk
structure compensation scheme (RSA - Risikostrukturausgleich) established in
1994. Any health insurance provider, except those established for the agricultural sector,
fall under the RSA system.
The essential idea behind the risk structure compensation scheme is to compensate the
financial implications of disparities between the health insurance providers in the
distribution of morbidity risks and allowances for family expenses. At the same time, by
paying standardised allowances rather than the actual expenses incurred, health
insurance providers should be stimulated to maintain a sound financial management.
Since 2009, the risk structure compensation scheme has not only been based on the
usual factors for compensation (age, sex and the drawing of disability benefits for
reduced earning capacity), but also on morbidity groups which are part of a classification
model for insured persons, which is established and regularly assessed by the Federal
Insurance Authority. On the basis of in-patient diagnoses and prescriptions for medicine,
this classification model groups insured persons into morbidity groups for which similar
medical expenses may be expected in the subsequent year.
The Scientific Advisory Board for the Further Development of the Risk Structure
Compensation
Scheme
(Wissenschaftlicher
Beirat
zur
Weiterentwicklung
des
Risikostrukturausgleichs) supports the Federal Insurance Authority in carrying out this
task. The Scientific Advisory Board is composed by the director Prof. Dr. Jürgen Wasem
and five experts with medical, pharmaceutical, statistical and health economic expertise.
The Health Fund (see item 3) was established at the same time as the introduction of
the morbidity-based risk structure compensation scheme. The revenue from the
general contribution rate that is uniform at federal level is no longer administered by the
health insurance institutions; instead, these revenues form the special Health Fund
administered by the Federal Insurance Authority. In order to finance their expenditure,
the health insurance providers receive now financial allocations from the Health Fund
distinguishing between:

allocations to cover mandatory services

allocations for statutory and discretionary services
-8
allocations for expenditure related to the development and implementation of
structured treatment programmes, and

allocations to cover administrative expenses.
The amount of these allocations is calculated by the Federal Insurance Authority on the
basis of an updated version of the morbidity-based risk structure compensation scheme
and monthly notification thereof is sent to health insurance providers.
The Federal Insurance Authority controls this procedure by determining and publishing
surcharge levels and by establishing individual parameters for the monthly allocations for
each health insurance fund. In addition, the procedure takes account of changes in the
risk structures of the health insurance providers by implementing three structural
adjustments for each year of compensation. Once the annual accounts and business
results have been submitted by the health insurance providers, the GFIA proceeds with
the final annual adjustment.
The respective calculations are based on a broad data set reported by the health
insurance providers. In order to maintain the data set, the GFIA was entrusted with
further review tasks.
3.
Administration of the Health Fund
Since 1 January 2009, the Federal Insurance Authority has been administered the
incoming contributions for health insurance and collected these in a special fund (Health
Fund) in accordance with Section 271 (1), Vol. V of the Social Code. These are health
insurance contributions (including contributions from marginal employment) recovered
by collecting agencies and contributions which are to be paid by the Federal
Employment Agency (Bundesagentur für Arbeit), municipal providers recognised
pursuant to Vol. II of the Social Code, the Federal Office for Defence Administration
(Bundesamt für Wehrverwaltung), the Artists’ Social Welfare Fund as well as
contributions which are to be paid for pension benefits. Additionally, the Health Fund is
fed by federal funds as well as returns on capital gained over the course of each year.
The inflow of funds takes place on a daily basis or according to respectively established
due dates. Health insurance providers are informed of the amount of the monthly
allocations by means of a notification (Section 39 (2), Sentence 2 of the Regulation
-9concerning the risk structure compensation procedure in statutory health insurance Verordnung über das Verfahren zum Risikostrukturausgleich in der gesetzlichen
Krankenversicherung, RSAV). These notifications explain the basis for the instalments
payable by the Health Fund during the payment month, the disbursement of which is
based on incoming contributions. If the amounts received during a disbursement period
are insufficient for the allocation, the related deficit will be temporarily compensated with
funds from the federal budget (Section 271 (2) and (3), Vol. V of the Social Code.
In this context, the Federal Insurance Authority is responsible for effecting the required
payments (Section 39, RSAV) as well as for the accounting and reporting related to
these payments (Section 220 (3), Vol. V of the Social Code).
4.
Audit of contributions paid to the Health Fund
Auditing the contributions paid to the Health Fund is of particular importance in this
contexts. These audits aim at ensuring the revenue of the Health Fund and hence the
long-term financial liquidity of the statutory health insurance system.
In legal terms, different auditing approaches (Section 251 (5), Sentence 2, Vol. V of the
Social Code, Section 28 q, Vol. IV of the Social Code, Section 252, (4), Vol. V of the
Social Code) take into account the heterogeneity in the structure of the existing payment
flows. In addition, internal audits are carried out based on the transmitted contribution
statements, for instance audits in accordance with Section 271a, Vol. V of the Social
Code.
The Federal Insurance Authority is responsible, to a varying degree, for the installation,
design, coordination, implementation and further development of the different audit
procedures. The effective assessment of shortcomings of the authorities paying the
contributions is effectively not only performed by personnel of the GFIA. In fact, the GFIA
co-operates with pension insurance providers and the Federal Employment Agency
(Section 28 q (1a), Vol. IV of the Social Code) and with health insurance providers and
their associations (Section 251 (5), Sentence 2, Vol. V of the Social Code) within legal or
contractual mandates.
These audits do not only serve as a basis for the required compensation, but also aim at
contributing decisively to the detection of shortcomings in the calculation and the
payment proceedings of the contributions in order to create a preventive effect for the
future.
- 10 -
5.
Approval of structured treatment programmes for patients with chronic diseases
The German Federal Insurance Authority has the core responsibility for the approval of
structured treatment programmes for chronically ill patients, the so-called ‘Disease
Management Programmes’ (DMPs), covering diabetes mellitus types 1 and 2, breast
cancer, coronary heart disease (CHD) including the module for chronic cardiac
insufficiency, bronchial asthma and chronic obstructive pulmonary disease (COPD). The
primary objective of these DMPs is to improve the care provided to insured persons with
chronic diseases. These programmes aim in particular at avoiding the occurrence of
certain consequent damages and complications that may arise for the affected insured
persons due to chronic diseases. DMPs are hence intended to help ensure the provision
of responsive and cost-effective care services, with a view to remedying existing
deficiencies such as excessive, poor or incorrect care services in the health care
system. These programmes additionally aim at reducing overall treatment costs by
avoiding complications, hospitalisation and secondary damage.
The Federal Insurance Authority assesses from a medical and a legal point of view, if
the programmes proposed by the health insurance providers as well as all contracts
concluded for their implementation between health insurance providers and service
suppliers (e.g. doctors, hospitals) or third parties (e.g. data processing centres) are in
accordance with the legal requirements. This ensures a standardised procedure and a
neutral assessment of the prerequisites for programme accreditation.
In order to maintain the accreditation, the programme must be subject to evaluation. To
that purpose - in accordance with Section 28g (2) RSAV as amended prior to 31
December 2011 in conjunction with Section 321 of the Social Code - the Federal
Insurance Authority is committed to working towards ensuring that evaluation of the
DMPs proposed by the single health insurance providers is comparable from a
diagnostic point of view by setting methodological criteria. The above shall apply until an
appropriate directive of the Federal Joint Committee (Gemeinsamer Bundesausschuss,
G-BA) has entered into force. A scientific board assists the GFIA in this task.
In order to promote the DMPs, since 1 January 2009 health insurance providers have
been allocated funding from the Health Fund for each insured person registered under
the programmes to cover the required medical expenses as well as documentation and
- 11 coordination services (a so-called fixed programme expenditure allowance). For 2012,
this allowance amounts to 153,12 Euros per registered insured person.
Additional information is available in the "DMP" section of the GFIA website.
6.
Financial equalisation in statutory long-term care insurance
The German Federal Insurance Authority operates the monthly financial equalisation in
the social long-term care insurance system. It is only due to this compensation scheme
that the long-term care insurance system may adopt a contribution rate, which is uniform
at federal level, of 1.95 per cent of the income subject to contributions plus a supplement
of 0.25 per cent for childless contribution payers. When the monthly expenses of longterm care insurance providers exceed their income, the compensation scheme ensures
that they are provided with funds up to the amount of the legal defined target working
capital and reserves. At present, up to 0.8 billion Euros have to be paid out each month
in order to ensure the liquidity of long-term care insurance providers. In order to finance
these allocations, long-term care insurance providers with a monthly income exceeding
their expenses transfer the difference between their income and their target working
capital and reserves to the compensation fund.
Since long-term care providers do not dispose of their own administrative staff and their
respective tasks are carried out by the staff members of the health insurance providers,
their administrative costs are reimbursed by the long-term care insurance providers on a
lump sum basis. This reimbursement procedure is carried out by the Federal Insurance
Authority on a per-incident basis.
7.
Equalisation fund for long-term social care insurance
The German Federal Insurance Authority administers the equalisation fund which
ensures financial equalisation in the long-term care insurance system. This fund serves
as a fluctuation reserve for all insurance providers and is used to carry out the financial
equalisation. Besides transfer payments of long-term care insurance providers, the
equalisation fund also contains the long-term care insurance contributions for pensioners
received directly from pension insurance providers as well as certain contributions
payable by the state, districts, and local governments in their capacity as social service
providers. In addition, the equalisation fund receives contributions forwarded by the
Health Fund (long-term care insurance contributions for recipients of Unemployment
- 12 Benefit I and II, lump sum contributions for conscripts on compulsory military or
community service and long-term care insurance contributions from the Artists’ Social
Welfare Fund).
As the competent administration body, the Federal Insurance Authority is responsible for
investing these funds in a safe and profitable manner that ensures liquidity.
The equalisation fund is also the disbursing agent for funding of up to 25 million Euros
granted by the National Association of Statutory Health Insurance Funds for the further
development of care-giving structures in accordance with Section 45c and d, Vol. XI of
the Social Code. This financial support is co-financed by the Länder granting funds of
the same amount. Private compulsory long-term care insurance providers contribute 10
per cent of the funding provided by the long-term care insurance system. In addition, a
budget of 5 million euros is granted annually for model projects implemented by the
National Association of Statutory Health Insurance Funds for the further development of
long-term care insurance in accordance with Section 8 (3), the Vol. XI of the Social
Code. An additional budget of 60 million Euros was granted to fund care support centres
in accordance with Section 92c, Vol. XI of the Social Code for the period from 1 July
2008 until 30 June 2011.
8. Burden-sharing in the commercial occupational accident insurance system
Every year, the Federal Insurance Authority carries out the procedure for sharing the
burdens among all professional insurance associations. The new burden-sharing
mechanism, which replaces the former system for burden-sharing in commercial
occupational accident insurance, is being introduced step-by-step over a transitional
period from 2008 to 2014.
The new system provides that each professional insurance association bears its pension
liabilities according its current economic structure while retaining the principle of sector
specificity and primary responsibility of individual industry sectors for accidents at work
and occupational diseases caused by them. Outstanding pension commitments (the socalled Überaltlast i.e. the difference that results when the total pension burden of all
professional insurance associations is higher than the total structural burden) are shared
jointly by all associations.
- 13 9. Transitional Body for the Social Insurance of the GDR
(ÜLA - Überleitungsanstalt Sozialversicherung)
As of 1 January 1992, the powers and pending tasks of the ÜLA were devolved to the
president of the German Federal Insurance Authority. This entailed, in particular, the
liquidation of the joint assets of the Mutual Social Insurance Provider of the GDR.
The same applies to the premises that, being assets in administrative use, are due to the
Social Insurance and are to be classified according to the Unification Treaty as joint
property assets owned by the Social Insurance in the acceding territory.
10. Tasks under Compensation Pension Act / Head Office of the Commission
Pursuant of the provisions of the Compensation Pension Act, the German Federal
Insurance Authority decides upon the awarding of compensation pensions to victims of
National Socialism within the acceding territory. The Federal Insurance Authority also
decides whether existing claims are to be disallowed or reduced if a person claiming a
pension is guilty of having violated rule-of-law or humanitarian principles in the former
GDR.
The German Federal Government has set up a commission which is responsible for
submitting proposals. The offices of the commission are established at the Federal
Insurance Authority.
11. Training for social security insurance provider employees
The German Federal Insurance Authority is involved in the training of qualified recruits
for the social insurance providers under direct federal control:

Nominated under the Vocational Training Act (BBiG - Berufsbildungsgesetz) as
the competent authority, the Federal Insurance Authority is responsible for
monitoring the vocational training of social insurance clerks, administrative
clerks, office communication and information services clerks, and also lends
advisory support to the trainees. Furthermore, the GFIA is responsible holding
interim and final examinations.
In addition, the Federal Insurance Authority holds examinations under Section 54
BBiG
for
advanced
training
courses leading to government-recognised
qualifications as social insurance business administration specialist for statutory
- 14 pension insurance and miners' social insurance (Sozialversicherungsfachwirt/in
der
Fachrichtungen
Sozialversicherung),
gesetzliche
health
(Krankenkassenfachwirt/in)
insurance
and
Renten-
und
business
specialist
in
knappschaftliche
administration
public
specialist
administration
(Verwaltungsfachwirt/in).

As the Examination Office for civil service examinations for candidates for higher
service careers in non-technical areas of social insurance, the Federal Insurance
Authority holds civil service grade examinations (Laufbahnprüfungen) for student
candidates from the Departmental Branch of Social Security Administration of the
Federal University of Applied Administrative Sciences aspiring to become civil
servants within the German Federal Pension Insurance, German Pension
Insurance Mining-Railways-Seafaring or at the GFIA itself.
12. Maternity Benefit Unit
Female employees who are not covered by statutory health insurance receive their
maternity benefit payments from the German Federal Insurance Authority. Approximately
22,000 applications for maternity benefit are processed each year.
13. Advisory support in political decision making
Providing advisory support in political decision making is not part of the legally
established duties of the German Federal Insurance Authority. However, the GFIA is
increasingly being called upon to assist parliamentary consultations on pending
legislation with its expertise as a competent authority.
- 15 -
Annex
Institutions supervised by the German Federal Insurance Authority
Insurance providers:
Health Insurance (including long-term care insurance providers)
Company Health Insurance Funds:
Trade Guild Health Insurance Funds:
Auxiliary Health Insurance Funds:
Agricultural Health Insurance Funds:
Miners' Health Insurance Fund:
Insurance providers:
1
----83
Pension insurance
German Federal Pension Insurance:
German Pension Insurance
Mining-Railways-Seafaring:
Agricultural Pension Funds:
Insurance providers:
71
3
6
2
1
1
2
----4
Occupational accident insurance
Industry/Trade professional insurance associations:
Agricultural professional insurance associations:
Accident Insurance Funds:
9
2
3
---14
Other:
National Association of Agricultural Social Insurance Funds
German Social Accident Insurance
Supplementary Provident Fund for Employees in Agriculture and Forestry
Seafarers' Retirement Fund
Artists’ Social Welfare Fund
Ernst Abbe Foundation
German Pension Institution for District Master Chimney Sweeps
Associations of social insurance funds
Effective: January 2012
- 16 -
German Federal Insurance Authority
Postal Address
Friedrich-Ebert-Allee 38
53113 B o n n
Tel.:
02 28 / 619 - 0
F a x : 02 28 / 619 - 1870
E-mail: [email protected]
Internet: http://www.bundesversicherungsamt.de/