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  NOVALIS glossary
 

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Actual expenses
Fees actually incurred.
AGIRC French General Association of Pensions Institutions for Managerial Staff (Association Générale des Institutions de Retraite des Cadres). Created by the collective bargaining agreement of March 14, 1947, it brings together a group of managerial staff pension institutions (including NOV. RC from NOVALIS).
Allowance
Sum distributed periodically to a retiree by his/her complementary pension fund.
Annual remuneration of reference (Rémunération annuelle de référence)

Used to calculate death, incapacity or disability benefits. Generally equivalent to 12 times the gross base pay from the last calendar month of employment at time of death or sick leave, with the addition of all bonuses and extra pay added up over the course of the previous 12 calendar months.

ARRCO
French Employees' Complementary Retirement Scheme Association (Association pour le Régime de Retraite Complémentaire des salariés). Created in compliance with the agreement of December 8, 1961, it brings together a group of institutions (including NOV. RS from NOVALIS) responsible for recruiting the membership of non-managerial staff as well as managerial staff contributing in salary bracket 1 (tranche 1).
ASSEDIC
French Association for Employment in Industry and Commerce (Association pour l'Emploi dans l'Industrie et le Commerce). Responsible for distributing unemployment allowances.
Beneficiary A person who receives a complementary pension allowance from an institution, either as a contributing former employee, or as the spouse or orphan.
CCN
French National Collective Labor Agreement (Convention Collective Nationale). Agreement concluded by social partners for determining a framework of employment and work conditions for employees, and of their social guarantees. The conclusion of this agreement will be carried out by one or a group of several employers, in conjunction with employee representative labor unions. The labor agreement only links employers subscribing to signatory employers' associations. Additional provisions to the collective bargaining agreement may complement, replace, terminate or elaborate upon its measures.
Certain collective bargaining agreements will designate a specific complementary pension or social insurance institution to which liable businesses must subscribe, and set a contribution rate higher than the minimum required rate.
CFE
French Fund for French Citizens Abroad (Caisse des Français de l'Etranger). As with all Social Security Funds, the CFE is a private organization responsible for a public service. It is financially independent and governed by the French Social Security Code. It offers all French employees abroad the option of being insured against one or several risks depending on their family, financial and local situations: illness; maternity; disability; industrial accidents; occupational illness, old age (Social Security pensions managed by CNAV).
CNAM
French National Health Insurance Fund (Caisse Nationale d'Assurance Maladie).
CNAV
French National Old Age Pension Fund (Caisse Nationale d'Assurance Vieillesse).
Manages the pension branch of Social Security's basic scheme: the basic pension schemes of employees in commercial, industrial and service sectors.
Complementary pension institutions
Also called complementary pension funds, they designate entities that manage the pension rights of their participants, complementing the basic pension distributed by Social Security
Contractual rate
Rate of implementation prescribed in the subscription contract. The rights booked in the account of every participant are calculated on this rate base.
Contribution base
Salary base that contributions are determined upon.
Co-payment (Ticket modérateur)
Equivalent to the difference between Social Security's liability or standard fee and the total reimbursement that Social Security distributes.
CPAM
French local health fund (Caisse Primaire d'Assurance Maladie).
CRAM
French regional health fund (Caisse Régionale d'Assurance Maladie).
CRAV
French regional pension fund (Caisse Régionale d'Assurance Vieillesse).
CTIP
French Technical Center of Social Insurance Institutions (Centre Technique des Institutions de Prévoyance).
Created in February, 1986, it has 73 member institutions (including NOVALIS Prévoyance and La BOETIE Prévoyance from NOVALIS). Governed by the law of 1901, the CTIP is an organization whose main mission is to carry out actions for the general interest of promoting the development and popularity of social insurance funds.
DADS Annual Declaration of Social Data (Déclaration Annuelle de Données Sociales). By January 31 of each year, all employers with salaried personnel (with certain exceptions) are obliged to present to organizations responsible for contribution collection, a statement specifying the total salary amount paid to each employee in the previous year.
Daily allowance
Allowance allocated by Social Security in case of sick leave for reasons of illness, maternity, industrial accident, commuting accident, or occupational illness. The employer is required to continue distributing part of the salary for employees whose employment is disrupted (loi de mensualisation, or monthly payment law). Social insurance institutions can complement these indemnities and payments.
Dependent children
Generally speaking, the biological, recognized, adopted, or foster children of the participant and those of his/her legal spouse living as a member of their household(s), subject to the following conditions: the participant and his/her spouse have legal guardianship; they are under the age of 20; under the age of 26 if they are students; under the age of 26 if they are maladjusted or incapable of being employed.
Direct payment system (Tiers payant) System implemented to ensure that the insured and his/her family do not have to pay health fees (pharmacy, etc.), which are normally covered by Social Security, in advance.
Extra-billing
Certain government-regulated doctors or institutions are authorized to charge fees higher than the standard fees set by Social Security.
Extra-billing refers to the amount difference between the actual expenses incurred and the standard fees set by the Social Security.

Government-regulated medical care (Médecine conventionnée)

Applies to practitioners or establishments who have signed an agreement with Social Security. Reimbursements are distributed on a standard fee base.
Member Company subscribed to a collective contract with a pension or social insurance institution.

Non government-regulated medical care (Médecine non conventionnée)

Applies to practitioners or establishments who have not signed an agreement with Social Security. Reimbursements from these entities are distributed on the basis of a fee lower than the recommended medical rate (tarif d'autorité).
OCIRP
French Joint Organization of Pensions and Social Insurance Institutions (Organisme Commun des Institutions de Rentes et de Prévoyance).
Created in 1967, the OCIRP is a grouping of social insurance institutions governed by the French Social Security Code. The Code was concluded by 42 social insurance institutions in order to create a common protection system and to guarantee complementary coverage for families in case of premature death. Businesses and employees can subscribe to these benefits, which are offered in the form of life annuities and/or temporary life annuities.
Participant
Actively employed or retired person, affiliated with an institution.
Pay-as-you-go (PAYG) scheme
System whereby worker contributions are immediately transferred to pension allowances. The PAYG scheme represents intergenerational solidarity and operates based on the mandatory and permanent nature of the transfers.
Pension point value (Valeur de point de retraite)
Set once a year by each complementary pension scheme. It is used in determining the total annual pension income, which is calculated with the following equation: pension point value in year Y x number of points acquired = total income of the complementary pension.
Pension scheme
The term refers to an administratively organized, financial, and regulatory system that guarantees a set of homogenous benefits to covered persons.
There are:
- basic schemes, which are Social Security schemes such as the general scheme, trade and industry sector schemes (ORGANIC), craftsmen's schemes (CANCAVA), civil and military pensions schemes for public servants,
- complementary pension schemes such as the ARRCO, AGIRC, and IRCANTEC (Complementary Retirement
Pensions Institution for Unestablished State Employees and Employees of Public Administrations) schemes.
- super-complementary pension schemes such as funded occupational schemes.
PMSS
French Social Security monthly ceiling (Plafond Mensuel de la Sécurité Sociale).
Recommended medical fee (Tarif d'autorité)
Reference fee set by the decision of non government- regulated doctors.
Reference salary (Salaire de référence)
Salary that corresponds to the total in euros of the contribution needed to obtain a pension point. The total is set annually by pension scheme bodies.
Retiree Person who has retired from employment and benefits from a pension allowance.
Retirement entitlement
Calculation unit used by the majority of ARRCO and AGIRC funds. It is determined on a contractual contribution basis. Each contributor acquires rights in terms of retirement entitlement.
Salary bracket (Tranche de salaire)
Salary bracket whereby salaries are divided into three brackets (tranche 1, tranche 2 and tranche 3) with respect to the ceiling set by Social Security. The contribution rates may vary from bracket to bracket.
Salary bracket 1 (Tranche de salaire 1)
Salary bracket from the first euro of the salary to the Social Security ceiling.
Salary bracket 2 (Tranche de salaire 2)
Salary bracket from the salary bracket 1 (tranche 1) ceiling to a maximum limit of either four times the Social Security ceiling for managerial employees, or three times the ceiling for non-managerial employees.
Salary bracket 3 (Tranche de salaire 3) From four to eight times the Social Security ceiling.
Social insurance
Collection of social risk coverage, including sick leave, incapacity, disability, decease, old age, etc.
Social insurance institutions Private, nonprofit corporate entities, governed by the French Social Security Code. They are subject to the same technical obligations as other insurance companies, and are managed on an equal and joint basis by employee and employer representatives.
Social partners
Ensemble of employers' associations and employee labor unions. Within the context of union-management cooperation, the social partners manage employee complementary pension schemes, and can decide on collective pension or social insurance agreements.
Social Security ceiling
Salary total defined originally in 1945 as the limited contribution base for Social Security's old age insurance, and as the salary limit for calculating benefits (daily allowances, illness or maternity, old age pensions, disability pensions). It is also used in the calculation of contributions owed to organizations such as the AGIRC or the ARRCO. The ceiling is re-evaluated annually.
Social Security reimbursement
Part of the expenditure covered by Social Security, which calculates its reimbursements based on the recommended medical fee (tarif d'autorité) or the standard fee.
Solidarity
Basis of the French social protection system since the creation and application of Social Security. In terms of complementary pensions, there is:
- intergenerational solidarity in the form of the PAYG scheme
- interprofessional solidarity in the form of compensation
- solidarity between the insured in the form of social welfare
SS
French Social Security (Sécurité sociale), or national health insurance.
Established by the ordinance of October 4, 1945, Social Security is the keystone of the French social protection system. It is comprised of public institutions under the guardianship of the Ministry of Employment and Social Solidarity and the Ministry of Economy and Finance, and is divided into three branches: illness; family; and old age. Social Security is managed by three main pension funds: CNAF (National Family Allowances Fund); CNAM (National Health Insurance Fund); and CNAV (National Old Age Pension Fund). The shared treasury is managed by one organization, the ACOSS (Central Agency for Social Security Organizations), which covers the basic recovery organizations which comprise the URSSAF (Union for recovering social security contributions and family allowances).
Standard fee (Tarif de convention)
Reference fee set by Social Security for every medical act and product. The fees are established jointly by Social Security, medical labor unions and health professions. National health practitioners abide by these fees.
Union-management cooperation
System of designating social partners on the boards of directors of employee social protection institutions. As with complementary pension institutions, representatives of both employers (subscribing businesses) and employees (participants) will have an equal number of seats on the boards.