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<title>Social Security Programs Throughout the World: The Americas, 2011 - Uruguay</title>
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<h1>Social Security Programs Throughout the World: The Americas, 2011</h1>
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<h1>Uruguay</h1>
<div class="exchangeRate">Exchange rate: <abbr class="spell">US</abbr>$1.00 = 18.30 new pesos.</div>
<h2>Old Age, Disability, and Survivors</h2>
<h3>Regulatory Framework</h3>
<p><span class="h4">First laws:</span> 1829 to 1934 (various laws for specified groups of workers) and 1967 (national social security institutions).</p>
<p><span class="h4">Current laws:</span> 1995 (social insurance and individual accounts), implemented in 1996; and 2009 (flexibility on social security).</p>
<p><span class="h4">Type of program:</span> Social insurance, individual account, and social assistance system.</p>
<p>Note: The mixed social insurance and individual account system is mandatory for employed and self-employed persons born after April&nbsp;1, 1956, with monthly earnings greater than 24,709&nbsp;pesos and voluntary for those with monthly earnings of 24,709&nbsp;pesos or less. All others are covered only by the social insurance system.</p>
<h3>Coverage</h3>
<p><span class="h4">Social insurance only:</span> Employed and self-employed persons, including rural and household workers.</p>
<p>Special systems for bank employees, notaries, university graduates, and military and police force personnel.</p>
<p><span class="h4">Social insurance and individual account:</span> Employed and self-employed persons with monthly earnings greater than 24,709&nbsp;pesos.</p>
<p>Voluntary coverage for employed and self-employed persons with monthly earnings of 24,709&nbsp;pesos or less.</p>
<p>Special systems for bank employees, notaries, university graduates, and military and police force personnel.</p>
<p><span class="h4">Social assistance:</span> Needy elderly or disabled persons.</p>
<h3>Source of Funds</h3>
<p><span class="h4">Insured person&nbsp;</span></p>
<p><span class="h5">Social insurance only:</span> 15% of gross monthly earnings of 24,709&nbsp;pesos or less.</p>
<p><span class="h5">Social insurance and individual account:</span> 15% of the first 24,709&nbsp;pesos of gross monthly earnings to social insurance; 15% of gross monthly earnings above 24,709&nbsp;pesos to the individual account; 7.5% of gross monthly earnings if enrolled voluntarily.</p>
<p>The insured's contribution to the individual account includes an average 0.97% of covered earnings for disability and survivor insurance and an average 1.86% of covered earnings for administrative fees.</p>
<p>The maximum monthly earnings used to calculate contributions are 74,128&nbsp;pesos.</p>
<p>Earnings used to calculate contributions are adjusted according to the civil servants' average wage index.</p>
<p><span class="h4">Self-employed person</span></p>
<p><span class="h4">Social insurance only:</span> 15% of gross monthly earnings of 24,709&nbsp;pesos or less.</p>
<p><span class="h5">Social insurance and individual account:</span> 15% of the first 24,709&nbsp;pesos of gross monthly earnings to social insurance; 15% of gross monthly earnings above 24,709&nbsp;pesos to the individual account; 7.5% of gross monthly earnings if enrolled voluntarily.</p>
<p>The insured's contribution to the individual account includes an average 0.97% of covered earnings for disability and survivor insurance and an average 1.86% of covered earnings for administrative fees.</p>
<p>The maximum monthly earnings used to calculate contributions are 74,128&nbsp;pesos.</p>
<p>Earnings used to calculate contributions are adjusted according to the civil servants' average wage index.</p>
<p><span class="h4">Employer</span></p>
<p><span class="h4">Social insurance only:</span> 7.5% of covered payroll.</p>
<p><span class="h5">Social insurance and individual account:</span> None.</p>
<p><span class="h4">Government</span></p>
<p><span class="h4">Social insurance only:</span> Finances pension deficits; the total cost of noncontributory benefits; contributes as an employer.</p>
<p><span class="h5">Social insurance and individual account:</span> None.</p>
<h3>Qualifying Conditions</h3>
<p><span class="h4">Old-age pension</span></p>
<p><span class="h5">Old-age pension (social insurance):</span> Age&nbsp;60 with at least 30&nbsp;years of contributions. Women are credited with one year of contributions for each biological or adopted child, up to five years. Additional years of contributions are credited to workers in hazardous occupations.</p>
<p>Deferred pension: The pension may be deferred if the insured has at least 35&nbsp;years of contributions.</p>
<p><span class="h5">Old-age pension (individual account):</span> Age&nbsp;60 with at least 30&nbsp;years of contributions; age&nbsp;65 with no contributions requirement.</p>
<p><span class="h5">Advanced-age pension (social insurance and individual account):</span> Age&nbsp;70 with at least 15&nbsp;years of contributions. Age requirements are reduced according to the number of years worked, from age&nbsp;69 with at least 17&nbsp;years of contributions to age&nbsp;65 with at least 25&nbsp;years of contributions. Employment must cease.</p>
<p><span class="h5">Noncontributory means-tested pension (social assistance):</span> Age&nbsp;70, assessed as needy, and a resident of Uruguay for at least 15&nbsp;years.</p>
<p><span class="h4">Disability pension</span></p>
<p><span class="h5">Permanent disability pension (social insurance and individual account):</span> The insured must be incapable of any work and have at least a 66% assessed degree of disability. If the disability is the result of an accident, there are no other qualifying conditions. Otherwise, workers aged&nbsp;26 or older must have at least two years (six months if younger than age&nbsp;26) of recognized service before the disability began. Coverage is extended two years after employment ceases if the insured has at least 10&nbsp;years of contributions.</p>
<p><span class="h5">Partial disability benefit (social insurance and individual account):</span> The insured must be incapable of work in the current job and have a 50% to 66% assessed degree of disability. If the disability is the result of an accident, there are no other qualifying conditions. Otherwise, workers aged&nbsp;26 or older must have at least two years (six months if younger than age&nbsp;26) of recognized service before the disability began. The benefit is temporary and subject to reassessment of the incapacity to work.</p>
<p>District medical commissions of the Social Security Bank assess the degree of incapacity to work.</p>
<p><span class="h5">Noncontributory means-tested pension (social assistance):</span> Must be assessed as needy with a total and permanent disability and a resident of Uruguay for at least 15&nbsp;years.</p>
<p><span class="h4">Survivor pension</span></p>
<p><span class="h5">Survivor pension (social insurance and individual account):</span> The deceased was working; a pensioner; a partial disability, sickness, maternity, or work injury beneficiary; unemployed and receiving unemployment benefits; or died in the <span class="nobr">12-month</span> period after the unemployment benefit ceased. Coverage is extended for up to 12&nbsp;months after employment ceases; no limit with at least 10&nbsp;years of contributions.</p>
<p>Eligible survivors include a <span class="nobr">widow(er)</span>, divorced spouse, unmarried orphans up to age&nbsp;21 (no limit if disabled), and dependent, disabled parents. A <span class="nobr">widow(er)</span> must have average monthly earnings of no more than 59,414&nbsp;pesos (2009) in the 12&nbsp;months before the insured's death.</p>
<p><span class="h4">Funeral grant:</span> The grant is paid to the person who paid for the funeral.</p>
<h3>Old-Age Benefits</h3>
<p><span class="h4">Old-age pension</span></p>
<p><span class="h5">Old-age pension (social insurance):</span> 45% of the insured's monthly average earnings in the last 10&nbsp;years or 45% of 105% of the insured's monthly average earnings in the best 20&nbsp;years of earnings (whichever is lower) is paid. The pension is increased by 1% for each year of work from 30 to 35&nbsp;years; 0.5% for each year of work exceeding 35&nbsp;years, up to 2.5%; and 2% for each year of work after age&nbsp;60 if the contribution conditions were not met, up to age&nbsp;70 or until contribution conditions are met.</p>
<p>Deferred pension: The pension is increased by 3% for each year of work after age&nbsp;60 with at least 35&nbsp;years of work, up to 30%; 2% if the insured has less than 35&nbsp;years of work, up to age&nbsp;70 or until contribution conditions are met.</p>
<p>The minimum monthly pension is 3,339&nbsp;pesos.</p>
<p>The maximum monthly pension is 20,385&nbsp;pesos (social insurance and individual account) or 30,145&nbsp;pesos (social insurance only).</p>
<p>The pension is payable abroad under bilateral or multilateral agreement only.</p>
<p>Benefit adjustment: Benefits are adjusted according to the civil servants' average wage index.</p>
<p><span class="h5">Advanced-age pension (social insurance):</span> 50% of the insured's monthly average earnings in the last 10&nbsp;years plus 1% for each year of work exceeding the respective minimum years of service (from 15 to 25 minimum years, up to 14%) is paid.</p>
<p>The pension is payable abroad under bilateral or multilateral agreement only.</p>
<p>Benefit adjustment: Benefits are adjusted according to the civil servants' average wage index.</p>
<p><span class="h5">Old-age pension (individual account):</span> At retirement, the insured uses the accumulated capital (contributions plus interest) to purchase an annuity from an insurance company.</p>
<p>The pension is payable abroad under bilateral or multilateral agreement only.</p>
<p><span class="h5">Advanced-age pension (individual account):</span> The value of the pension depends on the insured's contributions plus accrued interest. At retirement, the insured uses the accumulated capital to purchase an annuity from an insurance company.</p>
<p>The pension is payable abroad under bilateral or multilateral agreement only.</p>
<p><span class="h5">Noncontributory means-tested pension (social assistance):</span> 4,767&nbsp;pesos a month is paid.</p>
<p>Benefit adjustment: Benefits are adjusted according to the civil servants' average wage index.</p>
<h3>Permanent Disability Benefits</h3>
<p><span class="h4">Disability pension</span></p>
<p><span class="h5">Permanent disability pension (social insurance):</span> 65% of the insured's average indexed earnings in the 20&nbsp;years before the disability began or the total number of years worked (whichever is less) is paid.</p>
<p>Special allowances: A lump sum of 1,272&nbsp;pesos is paid for transportation costs, and 2,855&nbsp;pesos for rehabilitation costs.</p>
<p>Partial disability benefit (social insurance): 65% of the insured's average indexed earnings in the 20&nbsp;years before the disability began or the total number of years worked (whichever is less) is paid for up to three years.</p>
<p>The minimum monthly benefit is 4,742&nbsp;pesos.</p>
<p>Benefits are payable abroad under bilateral or multilateral agreement only.</p>
<p>Benefit adjustment: Benefits are adjusted according to the civil servants' average wage index.</p>
<p><span class="h5">Permanent disability pension (individual account):</span> 45% of the insured's average indexed earnings in the 10&nbsp;years before the disability began is paid. The accumulated capital in the individual account (contributions plus accrued interest) is transferred to an insurance company, which pays the pension.</p>
<p>Partial disability benefit (individual account): 45% of the insured's average indexed earnings in the 10&nbsp;years before the disability began is paid by disability insurance for up to three years.</p>
<p><span class="h5">Noncontributory means-tested pension (social assistance):</span> 4,742&nbsp;pesos a month is paid.</p>
<p>Benefit adjustment: Benefits are adjusted according to the civil servants' average wage index.</p>
<h3>Survivor Benefits</h3>
<p><span class="h4">Survivor pension</span></p>
<p><span class="h5">Survivor pension (social insurance and individual account):</span> 66% to 75% of the pension the deceased received or was eligible to receive is paid, depending on the number of survivors.</p>
<p><span class="nobr">Widow(er)s</span>, divorced spouses, and partners with at least five years of cohabitation with the insured share 100% of the pension if there are no other eligible survivors; 70% of the pension if they have children; 60% if there are no children but other eligible survivors. The remainder is split equally among other eligible survivors. If there is no&nbsp;<span class="nobr">widow(er)</span> or a divorced spouse, 100% of the pension is split equally among other eligible survivors.</p>
<p>The pension ceases if the <span class="nobr">widow(er)</span>, divorced spouse, or eligible partner remarries.</p>
<p>For the survivors of a member of an individual account scheme, the accumulated capital in the individual account (contributions plus accrued interest) is transferred to an insurance company, which pays the pension.</p>
<p>Survivor pensions are payable abroad under bilateral or multilateral agreement only.</p>
<p>Benefit adjustment: Benefits are adjusted according to the civil servants' average wage index.</p>
<p><span class="h4">Funeral grant:</span> The cost of the funeral is paid, up to 11,476&nbsp;pesos.</p>
<h3>Administrative Organization</h3>
<p>Ministry of Labor and Social Security (<a href="http://www.mtss.gub.uy">http://www.mtss.gub.uy</a>) provides general supervision.</p>
<p>Social Insurance Bank (<a href="http://www.bps.gub.uy">http://www.bps.gub.uy</a>) supervises and administers the social insurance program.</p>
<p>Central Bank of Uruguay (http://www.bcu.gub.uy) oversees pension fund management companies and insurance companies.</p>
<p>Pension fund management companies manage the individual accounts.</p>
<h2>Sickness and Maternity</h2>
<h3>Regulatory Framework</h3>
<p><span class="h4">First laws:</span> 1958 (maternity benefits) and 1960 (sickness benefits for construction workers).</p>
<p><span class="h4">Current laws:</span> 1975 (sickness), 1980 (maternity), 1981 (maternity), 1995 (pensioners), 1999 (maternity), 2007 (national health fund), 2008 (national integrated health system), and 2010 (maximum sickness benefits).</p>
<p><span class="h4">Type of program:</span> Social insurance system.</p>
<h3>Coverage</h3>
<p><span class="h4">Sickness benefits:</span> Employed persons in the private sector and their children younger than age&nbsp;18 (no limit if disabled), self-employed persons, persons receiving unemployment benefits, employers with up to three employees, and pensioners.</p>
<p>Exclusions: Workers with less than 13&nbsp;days a month of covered work or who earn less than 2,782&nbsp;pesos a month.</p>
<p>Special systems for military and police force personnel.</p>
<p><span class="h4">Maternity benefits:</span> Benefits are provided under Family Allowances.</p>
<h3>Source of Funds</h3>
<p><span class="h4">Insured person:</span> 3% to 6% of gross earnings. Small business owners with up to one employee contribute 1,374&nbsp;pesos (without children) or 1,591&nbsp;pesos (with children).</p>
<p><span class="h4">Self-employed person:</span> 1,374&nbsp;pesos (without children) or 1,591 (with children).</p>
<p><span class="h4">Employer:</span> 5% of payroll, plus additional premiums.</p>
<p><span class="h4">Government:</span> Finances maternity benefits and any deficits for sickness benefits.</p>
<h3>Qualifying Conditions</h3>
<p><span class="h4">Cash sickness benefits:</span> The insured must have at least three months of contributions or 75&nbsp;days of contributions in the last 12&nbsp;months.</p>
<p><span class="h4">Cash maternity benefits:</span> See Family Allowances.</p>
<h3>Sickness and Maternity Benefits</h3>
<p><span class="h4">Sickness benefit:</span> 70% of the insured's earnings is paid after a three-day waiting period (no waiting period for hospitalization) for up to a year; may be extended for an additional year.</p>
<p>The maximum monthly benefit is 8,904&nbsp;pesos.</p>
<p><span class="h4">Maternity benefit:</span> See Family Allowances.</p>
<h3>Workers' Medical Benefits</h3>
<p>Medical services are available through mutual health institutions. Medical services include medical assistance, surgery, and pharmaceutical products.</p>
<p>Health institutions provide grants for eyeglasses, contact lenses, prostheses, orthopedic appliances, wheelchairs, and psychiatric hospitalization.</p>
<p>Maternity care is provided for insured women under Family Allowances.</p>
<h3>Dependents' Medical Benefits</h3>
<p>Medical benefits for dependents are the same as those for the insured. Maternity care for the wife of an insured man and pediatric care for the insured's children up to age&nbsp;6 (may be extended to age&nbsp;14) are provided under Family Allowances.</p>
<h3>Administrative Organization</h3>
<p>Social Insurance Bank (<a href="http://www.bps.gub.uy">http://www.bps.gub.uy</a>) supervises and administers cash benefits.</p>
<p>Collective medical assistance or mutual health institutions contracted by the Social Insurance Bank provide medical benefits.</p>
<h2>Work Injury</h2>
<h3>Regulatory Framework</h3>
<p><span class="h4">First law:</span> 1914.</p>
<p><span class="h4">Current law:</span> 1989 (work injury).</p>
<p><span class="h4">Type of program:</span> Compulsory insurance with a public carrier.</p>
<h3>Coverage</h3>
<p>Private-sector employees, including agricultural workers; certain public-sector workers; and apprentices.</p>
<p>Exclusions: Self-employed persons, professional athletes, and actors.</p>
<h3>Source of Funds</h3>
<p><span class="h4">Insured person:</span> None.</p>
<p><span class="h4">Self-employed person:</span> Not applicable.</p>
<p><span class="h4">Employer:</span> The total cost, which varies with the assessed degree of risk. For agricultural workers, based on the land area the employer has under cultivation.</p>
<p><span class="h4">Government:</span> None.</p>
<h3>Qualifying Conditions</h3>
<p><span class="h4">Work injury benefits:</span> There is no minimum qualifying period. Accidents that occur while commuting to and from work are not covered.</p>
<h3>Temporary Disability Benefits</h3>
<p>66% of earnings before the disability began is paid; for occasional workers, 66% of total adjusted earnings in the last six months divided by 150. The daily benefit is paid retroactively after a <span class="nobr">four-day</span> waiting period for the duration of the disability.</p>
<p>For an occupational disease, 100% of earnings before the disease was diagnosed is paid. There is no waiting period.</p>
<p>An additional benefit of 3.607% of earnings is paid under sickness benefits.</p>
<p>The Social Insurance Bank assesses the degree of loss of earnings.</p>
<p>Benefit adjustment: Benefits are adjusted according to the civil servants' average wage index.</p>
<h3>Permanent Disability Benefits</h3>
<p><span class="h4">Permanent disability pension:</span> For an assessed degree of disability of at least 20%, the monthly pension is the monthly loss of earnings.</p>
<p>Constant-attendance supplement: 115% of earnings before the disability began is paid if the insured needs the constant attendance of others to perform daily functions.</p>
<p>For an assessed degree of disability of 10% to 19%, a lump sum of 36&nbsp;times the monthly loss of earnings is paid; for an assessed degree of disability less than 10%, a benefit is paid only if the assessed disability is the result of repeated accidents.</p>
<p>The Social Insurance Bank assesses the degree of loss of earnings.</p>
<p>Benefit adjustment: Benefits are adjusted according to the civil servants' average wage index.</p>
<h3>Workers' Medical Benefits</h3>
<p>Medical services are available through the Social Insurance Bank. Benefits include medical, surgical, and dental care; hospitalization; medicine; and appliances.</p>
<p>There is no limit to duration.</p>
<h3>Survivor Benefits</h3>
<p><span class="h4">Survivor pension:</span> 75% of the deceased's earnings is paid to a <span class="nobr">widow(er)</span>, divorced spouse, or partner with dependents. The <span class="nobr">widow(er)</span> must have been married to the deceased for a year; a partner must have cohabited with the deceased for at least five years. If the only eligible survivors are the divorced spouse or dependent parents of the deceased, the benefit is 50% of the deceased's earnings.</p>
<p><span class="h4">Orphan's pension:</span> If there are no other eligible survivors, 66% of the deceased's earnings is paid.</p>
<p>For survivors of a member of an individual account scheme, the accumulated capital in the individual account (contributions plus accrued interest) is transferred to an insurance company, which pays the pension.</p>
<p>Benefit adjustment: Benefits are adjusted according to the civil servants' average wage index.</p>
<h3>Administrative Organization</h3>
<p>Social Insurance Bank (<a href="http://www.bps.gub.uy">http://www.bps.gub.uy</a>) supervises and administers benefits.</p>
<h2>Unemployment</h2>
<h3>Regulatory Framework</h3>
<p><span class="h4">First law:</span> 1934.</p>
<p><span class="h4">Current laws:</span> 1981 (industry and commerce), with amendments in 2008, 2001 (rural workers), 2002 (term contracts), and 2006 (household workers).</p>
<p><span class="h4">Type of program:</span> Social assistance system.</p>
<h3>Coverage</h3>
<p>Private-sector employees in industry and commerce, rural workers, and household workers.</p>
<p>Exclusions: Self-employed persons.</p>
<h3>Source of Funds</h3>
<p><span class="h4">Insured person:</span> None.</p>
<p><span class="h4">Self-employed person:</span> Not applicable.</p>
<p><span class="h4">Employer:</span> None.</p>
<p><span class="h4">Government:</span> The total cost.</p>
<h3>Qualifying Conditions</h3>
<p><span class="h4">Unemployment benefits:</span> The insured must have at least six months of work in the <span class="nobr">12-month</span> period before unemployment; workers who are paid at irregular intervals must have at least five months of work and have earned at least 13,356&nbsp;pesos in the <span class="nobr">12-month</span> period before unemployment began.</p>
<p>Rural workers who are paid monthly must have at least 12&nbsp;months of work in the <span class="nobr">24-month</span> period before unemployment; rural workers who are paid at irregular intervals must have at least 250&nbsp;days of work and have earned at least 26,712&nbsp;pesos in the <span class="nobr">24-month</span> period before unemployment began.</p>
<p>Household workers must be registered; household workers who are paid monthly must have at least six months of work in the <span class="nobr">12-month</span> period before unemployment; household workers who are paid at irregular intervals must have at least 12&nbsp;months in the <span class="nobr">24-month</span> period before unemployment began; workers who are paid daily or weekly must have at least 150&nbsp;days in the 12&nbsp;months or 250&nbsp;days in the 24&nbsp;months of work before unemployment began.</p>
<p>Unemployment must not be the result of dismissal for disciplinary reasons.</p>
<p>Partial unemployment benefit: A benefit is paid to workers who are paid daily or at irregular intervals if working time is reduced by 25% or more.</p>
<p>Dependent's supplement: Paid if the unemployed person is married, has children younger than age&nbsp;21 (any age if disabled), or has disabled dependents.</p>
<p>There is a <span class="nobr">12-month</span> waiting period before a new claim for unemployment benefits can be made.</p>
<h3>Unemployment Benefits</h3>
<p>For full unemployment, workers who are paid monthly or at irregular intervals receive a monthly benefit of 50% of average earnings in the six months before unemployment; a monthly benefit of 12&nbsp;days of earnings before unemployment for workers who are paid daily.</p>
<p>Partial unemployment benefit: The monthly benefit is 12&nbsp;days of earnings before partial unemployment, minus the value of current monthly earnings.</p>
<p>Dependent's supplement: 20% of the benefit is paid.</p>
<p>The minimum monthly unemployment benefit is 2,226&nbsp;pesos.</p>
<p>The maximum monthly unemployment benefit is 24,486&nbsp;pesos.</p>
<h3>Administrative Organization</h3>
<p>Ministry of Labor and Social Security (<a href="http://www.mtss.gub.uy">http://www.mtss.gub.uy</a>) provides general supervision.</p>
<p>Social Insurance Bank (<a href="http://www.bps.gub.uy">http://www.bps.gub.uy</a>) supervises and administers the unemployment insurance program.</p>
<h2>Family Allowances</h2>
<h3>Regulatory Framework</h3>
<p><span class="h4">First law:</span> 1943.</p>
<p><span class="h4">Current laws:</span> 1995 (social security), 2002 (multiple pregnancy), and 2008 (equity in family allowances).</p>
<p><span class="h4">Type of program:</span> Social assistance system.</p>
<h3>Coverage</h3>
<p>Needy private-sector employees, household workers, unemployment benefit recipients, newspaper vendors, small rural products vendors, and pensioners.</p>
<p>Exclusions: Self-employed persons.</p>
<p>Special system for civil servants.</p>
<h3>Source of Funds</h3>
<p><span class="h4">Insured person:</span> None.</p>
<p><span class="h4">Self-employed person:</span> Not applicable.</p>
<p><span class="h4">Employer:</span> None.</p>
<p><span class="h4">Government:</span> The total cost.</p>
<h3>Qualifying Conditions</h3>
<p><span class="h4">Family allowances:</span> The child must be younger than age&nbsp;14 (age&nbsp;18 if a student, no limit if disabled). The benefit is paid from the day the pregnancy is confirmed.</p>
<p>Parents or guardians with up to two children and earnings of more than 22,260&nbsp;pesos do not receive family allowances. For parents with three or more children, the earnings limit is increased by 2,226&nbsp;pesos for each additional dependent child.</p>
<p><span class="h4">Cash maternity benefit:</span> Paid for the birth of a child.</p>
<p><span class="h4">Multiple birth allowance:</span> Paid to a pregnant woman expecting more than one child. The benefit is paid from the day the pregnancy is confirmed.</p>
<p><span class="h4">Special paid leave:</span> Paid to a salaried worker who adopts a child.</p>
<p><span class="h4">Low-income family allowance:</span> Paid from the birth of the child until age&nbsp;14 if in primary school, age&nbsp;16 if the child could not finish primary school for justified reasons, or age&nbsp;18 if in higher education (no limit if disabled).</p>
<h3>Family Allowance Benefits</h3>
<p><span class="h4">Family allowances:</span> 356&nbsp;pesos is paid for covered families with income up to 13,356&nbsp;pesos; 178&nbsp;pesos with income between 13,356&nbsp;pesos and 22,260&nbsp;pesos; for income over 22,260&nbsp;pesos, 178&nbsp;pesos is paid depending on the number of children. In the case of a child with a disability, the allowance is doubled.</p>
<p>For a family with children resulting from a multiple birth, the allowance is paid at three times the standard rate until the children reach age&nbsp;5, at twice the standard rate until the children reach age&nbsp;12, and at the standard rate until the children reach age&nbsp;18.</p>
<p>The benefit is paid every two months.</p>
<p><span class="h4">Cash maternity benefit:</span> 100% of average earnings in the last six months is paid on the expected date of childbirth for the period six weeks before and six weeks after the expected date of childbirth.</p>
<p><span class="h4">Multiple birth allowance:</span> The allowance is paid at three times the family allowance standard rate until the children reach age&nbsp;5, at twice the standard rate until the children reach age&nbsp;12, and at the standard rate until the children reach age&nbsp;18. The benefit is paid every two months.</p>
<p><span class="h4">Special paid leave:</span> Private-sector workers receive benefits equal to six months of cash maternity benefit.</p>
<p><span class="h4">Low-income family allowance:</span> Based on the number of beneficiaries in the family, the number of family members with disabilities, and their level of education, the benefit is 809&nbsp;pesos for a child in primary school and 1,156&nbsp;pesos for a child in secondary school or with a disability.</p>
<p>In-kind benefits include pediatric care for children up to age&nbsp;6, dental care for children up to age&nbsp;9, and medical specialist care and transportation for children up to age&nbsp;14. Free medical examinations and medicine for children.</p>
<p>The benefit is paid monthly.</p>
<p>Benefit adjustment: Benefits are adjusted according to the civil servants' average wage index.</p>
<h3>Administrative Organization</h3>
<p>Social Insurance Bank (<a href="http://www.bps.gub.uy">http://www.bps.gub.uy</a>) supervises and administers benefits.</p>
<p>Collective medical assistance or mutual health institutions contracted by the Social Insurance Bank provide medical benefits.</p>
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