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<h1>Social Security Programs Throughout the World: Europe, 2010</h1>
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<h1>Germany</h1>
<div class="exchangeRate">Exchange rate: <abbr class="spell">US</abbr>$1.00 equals 0.70 euros (&euro;).</div>
<h2>Old Age, Disability, and Survivors</h2>
<h3>Regulatory Framework</h3>
<p><span class="h4">First law:</span> 1889 (<span class="nobr">old-age</span> and disability), implemented in 1891; and 1911 (survivors), implemented in 1914.</p>
<p><span class="h4">Current law:</span> 2002 (pension insurance).</p>
<p><span class="h4">Type of program:</span> Social insurance system.</p>
<p><span class="h5">Note:</span> Effective 1992, the social security systems of the Federal Republic of Germany (FRG) and the German Democratic Republic (GDR) were merged and Part VI of the Social Act came into force throughout the entire federal territory. In the summary that follows, particular provisions that are in place in the new federal states are preceded by the designation&nbsp;&quot;E -&quot;.</p>
<h3>Coverage</h3>
<p>Employed persons (including apprentices), certain self-employed persons, persons caring for a child younger than age&nbsp;3, recipients of social security benefits (such as unemployment benefits), conscripts or persons doing community service instead of military service, and voluntary care workers.</p>
<p>Voluntary coverage for persons aged&nbsp;16 or older who are exempt from compulsory coverage, including German citizens residing abroad and foreign citizens residing in Germany.</p>
<p>Special systems for certain self-employed persons, miners, public-sector employees (supplementary insurance), civil servants, and farmers.</p>
<h3>Source of Funds</h3>
<p><span class="h4">Insured person:</span> 9.95% of monthly earnings; none if earnings are less than &euro;400 a month (voluntary contributions can be made); a reduced contribution is paid if monthly earnings&nbsp;are from &euro;401 to &euro;800.</p>
<p>The maximum annual earnings used to calculate contributions are &euro;66,000 (E&ndash;&euro;55,800) if covered by the German Pension Insurance; &euro;81,600 (E&ndash;&euro;68,400) if covered by the German Pension Insurance for Miners-Railwaymen-Seamen.</p>
<p><span class="h4">Self-employed person:</span> 19.9% of monthly income.</p>
<p>The minimum monthly contribution is &euro;79.60 and the maximum is &euro;1,094.50 (E&ndash;&euro;925.35) or a <span class="nobr">flat-rate</span> amount of &euro;508.45 (E&ndash;&euro;431.83), depending on the type of coverage chosen by the self-employed person.</p>
<p><span class="h4">Employer:</span> 9.95% of monthly payroll; 15% of earnings for employees with monthly earnings less than &euro;400; 16.45% of payroll for employees covered by the German Pension Insurance for Miners-Railwaymen-Seamen.</p>
<p>The maximum annual earnings used to calculate contributions are &euro;66,000 (E&ndash;&euro;55,800) if covered by the German Pension Insurance; &euro;81,600 (E&ndash;&euro;68,400) if covered by the German Pension Insurance for Miners-Railwaymen-Seamen.</p>
<p><span class="h4">Government:</span> Pays the cost of noninsurance-related benefits.</p>
<h3>Qualifying Conditions</h3>
<p><span class="h4"><span class="nobr">Old-age</span> pension:</span> Age&nbsp;65 with at least 5&nbsp;years of contributions. For all persons born after 1964, the pensionable age is 67. (For those born before 1965, the normal pensionable age will rise gradually from age&nbsp;65 to age&nbsp;67 with at least 5&nbsp;years contributions from 2012 to 2029. From 2012, a special length of service pension will be paid at age&nbsp;65 with 45&nbsp;years of contributions.)</p>
<p>Age&nbsp;63 (rising gradually to age&nbsp;65 from 2012 to 2029) with an assessed degree of disability of at least 50% and at least 35&nbsp;years of coverage. For insured persons born before 1952, age&nbsp;65 with at least 15&nbsp;years of contributions and unemployed for at least 52&nbsp;weeks after age&nbsp;58 and 6&nbsp;months, or with at least 15&nbsp;years of contributions for employees in <span class="nobr">part-time</span> work for at least 24&nbsp;months before the normal retirement age, or for women with at least 10&nbsp;years of contributions after age&nbsp;40. Age&nbsp;60 (rising gradually to age&nbsp;62 from 2012 to 2029) for miners with at least 25&nbsp;years of contributions from employment in permanent underground work.</p>
<p>Earnings test: The pension paid to pensioners younger than age&nbsp;65 depends on the level of individual earnings: if monthly earnings are less than &euro;400, the full pension is paid; if earnings are greater than &euro;400, a partial pension is paid at 33.3%, 50%, or 66.7% of the full pension, depending on earnings.</p>
<p>Early pension: Age&nbsp;63 with at least 35&nbsp;years of coverage, subject to conditions.</p>
<p>Deferred <span class="nobr">old-age</span> pension: The pension may be deferred after the normal retirement age.</p>
<p><span class="h4">Disability pension:</span> Paid for a full loss of working capacity (unable to work more than 3&nbsp;hours a day in any form of work) or a partial loss of working capacity (able to work at least 3&nbsp;hours but not more than 6&nbsp;hours a day in any form of work; for insured persons born before January&nbsp;2, 1961, unable to work at least 6&nbsp;hours a day in the usual or a similar occupation). The insured must have at least 5&nbsp;years of contributions and 36&nbsp;months of compulsory contributions in the last 5&nbsp;years. Special conditions apply for a reduction in earning capacity that is the result of a work injury.</p>
<p><span class="h4">Survivor pension:</span> The deceased had at least 5&nbsp;years of contributions or was a pensioner at the time of death. The pension is income tested.</p>
<p>Small <span class="nobr">widow(er)</span> pension: Paid to a <span class="nobr">widow(er)</span> or surviving civil partner for up to 24&nbsp;months following the month of the insured's death. The survivor must not have remarried or entered a new civil partnership after the insured's death.</p>
<p>Large <span class="nobr">widow(er)</span> pension: Paid to a <span class="nobr">widow(er)</span> or surviving civil partner who meets the qualifying conditions for the small <span class="nobr">widow(er)</span> pension and is aged&nbsp;45 or older (rising gradually to age&nbsp;47 from 2012 to 2029), cares for a child younger than age&nbsp;18, or has a disability.</p>
<p>Orphan's pension: Paid until the orphan reaches age&nbsp;27; after age&nbsp;18 the pension is income tested and the orphan must be a student, in training, taking part in a voluntary social or ecological year (in lieu of military service), or have a disability.</p>
<p>Special conditions apply to marriages or civil partnerships that began after 2001&nbsp;and marriages or civil partnerships that began before 2002&nbsp;with both&nbsp;spouses&nbsp;or civil partners born after January&nbsp;1, 1962.</p>
<p><span class="nobr">Old-age</span> pension splitting: Couples can opt for a pension-splitting arrangement instead of receiving a survivor benefit if their marriage or civil partnership began after 2001, or if their marriage or civil partnership began before 2002 with both spouses or civil partners&nbsp;born after January&nbsp;1, 1962. Both spouses or civil partners must have at least 25&nbsp;years of coverage and be eligible for a statutory <span class="nobr">old-age</span> pension. Spouses or surviving civil partners can request that the entitlements to pension benefits accrued during their marriage or civil partnership be split.</p>
<p>Child's supplement: Paid to a <span class="nobr">widow(er)</span> or surviving civil partner receiving the large <span class="nobr">widow(er)</span> pension and rearing a child younger than age&nbsp;3. The supplement is not paid if the spouse died before 2002, or if the marriage took place before that date and at least one spouse was born before January&nbsp;2, 1962.</p>
<h3><span class="nobr">Old-Age</span> Benefits</h3>
<p><span class="h4"><span class="nobr">Old-age</span> pension:</span> The&nbsp;pension is based on total individual earnings points multiplied by the pension factor of 1.0 and the pension value. (Special rules apply to persons insured under the German Pension Insurance for Miners-Railwaymen-Seamen.)</p>
<p>Individual earnings points are calculated as individual annual earnings divided by the average earnings of all contributors multiplied by the entry factor. An individual earnings point of 1.0 is awarded if the individual's annual earnings correspond to the average earnings of all contributors. In the case of lower or higher individual annual earnings, a corresponding earnings point of less than or more than 1.0 is awarded.</p>
<p>The pension value is calculated as the monthly benefit amount for 1&nbsp;year of average covered earnings, adjusted according to changes in wages. From July&nbsp;1, 2009, the pension value is &euro;27.20 (E&ndash;&euro;24.13).</p>
<p>The normal entry factor is 1.0 and increases or decreases depending on the age at which the insured is first awarded a pension.</p>
<p>There is no statutory minimum pension.</p>
<p>Compensation amount for low-income workers: For low-income workers with at least 35&nbsp;years of coverage and with less than 0.0625 earning points on average (calculated based on months with full contributions), the value of contributions paid before 1991 is increased to 1.5&nbsp;times the value, up to 75% of the value of contributions for average earnings of all insured persons (0.0625 earning points).</p>
<p>For persons with at least 25&nbsp;years of coverage, the value of contributions paid after 1992 while caring for a child younger than age&nbsp;10 is increased to 1.5&nbsp;times the value, up to the value of contributions for average earnings of all insured persons.</p>
<p>Early pension: The entry factor (1.0) is reduced by 0.003 for each calendar month the pension is taken before age&nbsp;65.</p>
<p>Deferred pension: The entry factor (1.0) is increased by 0.005 for each calendar month the pension is deferred after age&nbsp;65.</p>
<p>Benefit adjustment: Benefits are adjusted annually in July according to changes in the pension value. The adjustment formula also takes into account changes in the ratio between the number of pensioners and contributors and includes a rule preventing absolute decreases in pension benefits.</p>
<h3>Permanent Disability Benefits</h3>
<p><span class="h4">Disability pension:</span>&nbsp;The pension is based on total individual earnings points multiplied by the pension factor and the pension value.</p>
<p>Individual earnings points are calculated as individual annual earnings divided by the average earnings of all contributors multiplied by the entry factor. The pension factor for a full reduction in earning capacity is 1.0; for a partial reduction, 0.5. (Special rules apply to persons covered under the German Pension Insurance for Miners-Railwaymen-Seamen.)</p>
<p>The pension value is calculated as the monthly benefit amount for 1&nbsp;year of average covered earnings, adjusted according to changes in wages. From July&nbsp;1, 2007, the pension value is &euro;26.27 (E&ndash;&euro;23.09).</p>
<p>If the disability begins before age&nbsp;60, the period from the date of the reduction in earning capacity up to age&nbsp;60 is taken fully into account for the purpose of calculating the pension.</p>
<p>The normal entry factor (1.0) is reduced by 0.003 for every calendar month a pension is awarded before age&nbsp;63, up to a maximum reduction of 0.108.</p>
<p>The disability pension ceases at age&nbsp;65 and is replaced by the <span class="nobr">old-age</span> pension. The <span class="nobr">old-age</span> pension paid must be at least equal to the disability pension.</p>
<p>Benefit adjustment: Benefits are adjusted annually in July according to changes in the pension value. The adjustment formula also takes into account changes in the ratio between the number of pensioners and contributors and includes a rule preventing absolute decreases in pension benefits.</p>
<h3>Survivor Benefits</h3>
<p><span class="h4">Survivor pension:</span>&nbsp;The pension paid to a <span class="nobr">widow(er)</span> or surviving civil partner is based on the total of the deceased's individual earnings points multiplied by the pension factor and the pension value.</p>
<p>Individual earnings points are calculated as individual annual earnings divided by the average earnings of all contributors multiplied by the entry factor. The pension factor is 1.0 for the first 3&nbsp;months after the insured's death; thereafter, 0.25 if the survivor is receiving the small <span class="nobr">widow(er)</span> pension or 0.55 if receiving the large <span class="nobr">widow(er)</span> pension and if both spouses or civil partners were born after January&nbsp;1, 1962, or if the marriage or civil partnership began after 2001 (0.6 if the marriage or civil partnership began before 2002 and one spouse or civil partner was born before January&nbsp;2, 1962). (Special rules apply to persons covered by the German Pension Insurance for Miners-Railwaymen-Seamen.)</p>
<p>The pension value is calculated as the monthly benefit amount for 1&nbsp;year of average covered earnings, adjusted according to changes in wages. From July&nbsp;1, 2007, the pension value is &euro;26.27 (E&ndash;&euro;23.09).</p>
<p>The small <span class="nobr">widow(er)</span> pension is paid for 2&nbsp;years; an unlimited pension is paid if the marriage or civil partnership began before 2002 and the widowed spouse or civil partner was born before January&nbsp;2, 1962.</p>
<p>Normally, a <span class="nobr">widow(er)</span> pension is not paid if the marriage or civil partnership lasted less than a year. Special rules apply for spouses divorced before July&nbsp;1, 1977.</p>
<p>Income test: 40% of the survivor's net income above &euro;718.08 (E&ndash;&euro;637.03) is deducted from the <span class="nobr">widow(er)</span> pension from the 4th month of payment.</p>
<p><span class="nobr">Old-age</span> pension splitting: The pension of the surviving spouse or civil partner is calculated by splitting the pension rights accrued by both members of the couple during their marriage or civil partnership. The survivor pension is not paid.</p>
<p>Child's supplement: Additional earnings points are awarded for the large <span class="nobr">widow(er)</span> pension if the spouse or civil partner cares for children. Two earnings points are awarded per month for the first child; one earnings point for each additional child.</p>
<p><span class="h4">Orphan's pension:</span> The pension factor is 0.1 for a half orphan and 0.2 for a full orphan. Supplements are paid depending on the length of the insured's coverage period and other factors. The pension is paid in full until the orphan reaches age&nbsp;18; thereafter, if the orphan's net income is above &euro;478.72 (E&ndash;&euro;424.69), 40% of the orphan's net income above this limit is deducted from the pension. (Special rules apply to deceased's persons who were covered by the German Pension Insurance for Miners-Railwaymen-Seamen.)</p>
<p>Benefit adjustment: Benefits are adjusted annually in July according to changes in the pension value. The adjustment formula also takes into account changes in the ratio between the number of pensioners and contributors and includes a rule preventing absolute decreases in pension benefits.</p>
<h3>Administrative Organization</h3>
<p>Federal Ministry of Labor and Social Policy (<a href="http://www.bmas.de/">http://www.bmas.bund.de</a>) provides general supervision. Federal Insurance Institute (<a href="https://www.bundesamtsozialesicherung.de/">http://www.bva.de</a>) supervises the administrative functions of the German Pension Insurance.</p>
<p>Federal German Pension Insurance (http://www.deutsche-rentenversicherung-bund.de), regional agencies of the German Pension Insurance, and the German Pension Insurance for Miners-Railwaymen-Seamen (http://www.deutsche-rentenversicherung-knappschaft-bahn-see.de) administer the program.</p>
<p>Since October&nbsp;1, 2005, administrative responsibilities have been set by a special procedure providing for a distribution of the insured among all pension insurance institutions. For certain insured persons, special responsibility lies with the German Pension Insurance for Miners-Railwaymen-Seamen.</p>
<p>Sickness funds collect contributions and forward them to pension insurance institutions.</p>
<h2>Sickness and Maternity</h2>
<h3>Regulatory Framework</h3>
<p><span class="h4">First law:</span> 1883 (sickness insurance), implemented in 1884.</p>
<p><span class="h4">Current laws:</span> 1924 (maternity), 1988 (sickness),&nbsp;and 1994 (<span class="nobr">long-term</span> care).</p>
<p><span class="h4">Type of program:</span> Social insurance system.</p>
<h3>Coverage</h3>
<p>All wage and salary workers earning up to &euro;49,950 a year (&euro;45,000 if the employee was insured through private sickness insurance before 2003),&nbsp;including the insured's spouse or civil partner and children up to age&nbsp;18 (age&nbsp;25 if a student or an apprentice) if they are not insured in their own right through a sickness or <span class="nobr">long-term</span> care fund; pensioners; students; persons with disabilities under certain conditions; apprentices; and beneficiaries of unemployment benefits.</p>
<p>Exclusions: Self-employed persons.</p>
<p>Voluntary coverage for persons who were covered previously, subject to certain conditions.</p>
<p>Special systems for miners, artists, public-sector employees, and self-employed farmers.</p>
<p><span class="nobr">Long-term</span> care is provided for all persons covered by the statutory sickness insurance system and some special groups subject to certain conditions. Persons with private sickness insurance must buy equivalent private coverage for <span class="nobr">long-term</span> care.</p>
<h3>Source of Funds</h3>
<h4>Sickness and maternity benefits</h4>
<p><span class="h5">Insured person:</span> The average contribution is 7.9% of covered earnings, up to a ceiling. No contributions are made if monthly earnings are less than &euro;400; a reduced contribution is paid if monthly earnings are between &euro;401 and &euro;800. Pensioners contribute an average of 7.9% of the pension (and pension funds pay an additional 7% of the pension). Students contribute 10.43% of the student bursary amount.</p>
<p>The student bursary amount is &euro;512.</p>
<p>The maximum annual earnings used to calculate contributions are &euro;45,000.</p>
<p><span class="h5">Self-employed person:</span> Not applicable.</p>
<p><span class="h5">Employer:</span> The average contribution is 7% of covered earnings, up to a ceiling; 13% of covered earnings for employees with monthly earnings of less than &euro;400.</p>
<p>The maximum annual earnings used to calculate contributions are &euro;45,000.</p>
<p><span class="h5">Government:</span> Subsidies for maternity benefits, pensioned farmers' health benefits, and noninsurance-related benefits.</p>
<h4><span class="nobr">Long-term</span> care benefits</h4>
<p><span class="h5">Insured person:</span> 0.975% of earnings in most federal states Pensioners contribute 1.95% of the pension. Childless insured persons older than age&nbsp;23 contribute an additional 0.25% of earnings (with the exception of noncontributory unemployment benefit recipients, persons in civil or military service, and pensioners born before 1940).</p>
<p>The maximum annual earnings used to calculate contributions are &euro;45,000.</p>
<p><span class="h5">Self-employed person:</span> Not applicable.</p>
<p><span class="h5">Employer:</span> 0.975% of earnings in most federal states.</p>
<p>The maximum annual earnings used to calculate contributions are &euro;45,000.</p>
<p><span class="h5">Government:</span> Contributes for unemployed persons, farmers, and students receiving benefits under the Federal Education Support Act.</p>
<h3>Qualifying Conditions</h3>
<p><span class="h4">Cash sickness and medical benefits:</span> Paid to members of sickness funds. No minimum membership period is required for medical benefits.</p>
<p><span class="h4">Cash sickness benefits:</span> Paid to insured persons who are caring for a sick child younger than age&nbsp;12.</p>
<p><span class="h4">Cash maternity benefits:</span> Paid to female members of sickness funds.</p>
<p><span class="h4"><span class="nobr">Long-term</span> care benefits:</span> The insured must have at least&nbsp;2&nbsp;years of coverage in the last 10&nbsp;years. Benefit entitlement varies according to the required need for care: a substantial need for care at least once a day (degree of care 1), a severe need for care at least 3&nbsp;times a day (degree of care 2), or a critical need for care requiring round-the-clock care (degree of care 3). In addition, all levels of care must require assistance with housekeeping several times a week.</p>
<h3>Sickness and Maternity Benefits</h3>
<p><span class="h4">Sickness benefit:</span> The employer pays&nbsp;100% of the insured's earnings for up to 6&nbsp;weeks; thereafter, sickness funds pay 70% of gross earnings (up to 90% of net earnings) for up to 78&nbsp;weeks in a <span class="nobr">3-year</span> period for the same illness.</p>
<p>Voluntarily insured <span class="nobr">full-time</span> self-employed persons, <span class="nobr">short-term</span> and irregular employees, artists, and writers may choose a contribution rate based on desired coverage.</p>
<p>Insured persons who are caring for a sick child receive sickness benefits for up to 10&nbsp;working days per child but no longer than 25&nbsp;days per insured person in each calendar year. In single-parent households, the benefit is paid for up to 20&nbsp;working days per child and for up to 50&nbsp;days in a calendar year.</p>
<p><span class="h4">Maternity benefit:</span> For female members of a sickness fund with an employment contract, the benefit is 100% of average net earnings (up to &euro;13 a day from the sickness fund with the remainder paid by the employer) during the previous 3&nbsp;months and is paid 6&nbsp;weeks before and 8&nbsp;weeks after the expected date of birth (a total of 12&nbsp;months for premature or multiple births); other fund members receive the same amount as for the sickness benefit. If net earnings are greater than the maximum maternity benefit, the employer must pay the difference as a subsidy.</p>
<p>For female employees who are not members of a sickness fund, Federal States pay maternity benefits equivalent to the sickness benefit.</p>
<p><span class="h4"><span class="nobr">Long-term</span> care allowance:</span> An allowance is paid to insured persons who organize care provision for themselves (for example, care provided by relatives). The allowance is &euro;215, &euro;420, or &euro;675 a month, depending on the degree and frequency of care required.</p>
<p>The allowance may be combined with <span class="nobr">in-kind</span> benefits (see home care benefits under medical benefits) provided by a professional care worker (the allowance decreases in proportion to claimed <span class="nobr">in-kind</span> benefits).</p>
<p>Social security contributions for caregivers: Contributions are paid toward <span class="nobr">old-age</span> pension insurance by <span class="nobr">long-term</span> care funds for unpaid relatives who provide care for at least 14&nbsp;hours a week for persons needing care at home and who are not in paid work for more than 30&nbsp;hours a week. The paid contributions depend on the level of care required. Coverage for work injury is also provided. When care giving ceases, former caregivers have the right to a cost-of-living allowance to facilitate their return to work.</p>
<h3>Workers' Medical Benefits</h3>
<p><span class="h4">Medical benefits:</span> Benefits are provided to patients by doctors, hospitals, and pharmacists under contract with sickness funds. Benefits include comprehensive medical and dental care, preventive examinations and treatment, laboratory tests, maternity care with a midwife or doctor, hospitalization, surgery, appliances, and prescribed medicine.</p>
<p>Cost sharing: The insured has a copayment&nbsp;for certain benefits (including medicine, appliances, ambulatory care, hospitalization, and transportation) but not for hardship cases (depending on means).</p>
<p><span class="h4"><span class="nobr">Long-term</span> care (home care benefits):</span> Benefits include care at home and housework provided by professional care workers or outpatient care services, appliances and technical assistance (such as home modification), day and night care (including services partly provided by a care establishment), <span class="nobr">short-term</span> institutional care, care at home if the care organized by the insured person (see <span class="nobr">long-term</span> care benefits) is temporarily unavailable. Maximum benefit amounts are fixed for the different services.</p>
<p><span class="nobr">In-kind</span> benefits for care at home are &euro;420, &euro;980, &euro;1,470, or &euro;1,918, depending on the level of care required.</p>
<p><span class="h4"><span class="nobr">Long-term</span> care (institutional care benefits):</span> The cost of care services is covered up to maximum amounts. The insured pays the cost of room and meals.</p>
<h3>Dependents' Medical Benefits</h3>
<p><span class="h4">Medical benefits:</span> Benefits are provided to patients by doctors, hospitals, and pharmacists under contract with sickness funds. Benefits include comprehensive medical and dental care, preventive examinations and treatment, laboratory tests, maternity care with a midwife or doctor, hospitalization, surgery, appliances, and prescribed medicine.</p>
<p>Cost sharing: The patient has a copayment&nbsp;for certain benefits (including medicine, appliances, ambulatory care, hospitalization, and transportation) but not for hardship cases (depending on means).</p>
<p><span class="h4"><span class="nobr">Long-term</span> care (home care benefits):</span> Benefits include care at home and housework provided by professional care workers or outpatient care services, appliances and technical assistance (such as home modification), day and night care (including services partly provided by a care establishment), <span class="nobr">short-term</span> institutional care, care at home if the care organized by the insured person (see <span class="nobr">long-term</span> care benefits) is temporarily unavailable. Maximum benefit amounts are fixed for the different services.</p>
<p><span class="nobr">In-kind</span> benefits for care at home are &euro;420, &euro;980, &euro;1,470, or &euro;1,918, depending on the level of care required.</p>
<p><span class="h4"><span class="nobr">Long-term</span> care (institutional care benefits):</span> The cost of care services is covered up to maximum amounts. The patient pays the cost of room and meals.</p>
<h3>Administrative Organization</h3>
<p><span class="h4">Sickness and maternity:</span> Federal Ministry of Health (<a href="https://www.bundesgesundheitsministerium.de/">http://www.bmg.bund.de</a>) provides general supervision.</p>
<p>Federal Insurance Institute (<a href="https://www.bundesamtsozialesicherung.de/">http://www.bva.de</a>) supervises federal health insurance institutions and their <span class="nobr">long-term</span> care funds.</p>
<p>Designated state authorities provide supervision at the state level.</p>
<p>Sickness funds administer contributions and benefits. Separate sickness funds are organized within federations at the national level and, if applicable, at the state level.</p>
<p>A board of directors, elected by an administrative council (generally consisting of insured persons and employer representative), handles day-to-day administration of funds.</p>
<p>Regional physicians' associations contract annually with federations of funds for payment for medical services.</p>
<p>Physicians' associations apportion the total sum paid by sickness funds to participating doctors.</p>
<p><span class="h4"><span class="nobr">Long-term</span> care:</span> Federal Ministry of Health (<a href="https://www.bundesgesundheitsministerium.de/">http://www.bmg.bund.de</a>) provides general supervision of <span class="nobr">long-term</span> care. Separate funds for <span class="nobr">long-term</span> care organized by sickness funds and private sickness insurance funds administer benefits. Federal states pay construction costs for <span class="nobr">long-term</span> care institutions.</p>
<h2>Work Injury</h2>
<h3>Regulatory Framework</h3>
<p><span class="h4">First laws:</span> 1884 (accident insurance), implemented in 1885; and 1925 (occupational diseases).</p>
<p><span class="h4">Current law:</span> 1996 (accident insurance), implemented in 1997.</p>
<p><span class="h4">Type of program:</span> Social insurance system.</p>
<h3>Coverage</h3>
<p>Employed persons; some categories of self-employed person; voluntarily insured employers; apprentices; students; children in day care institutions or receiving care by qualified day care personnel; family helpers in agriculture; persons engaged in specified voluntary activities; persons undergoing rehabilitation in hospitals paid by health or pension insurance; and any other persons with a status similar to that of an employee.</p>
<p>Exclusions: Most categories of self-employed person.</p>
<p>Special system for civil servants and public-sector employees.</p>
<h3>Source of Funds</h3>
<p><span class="h4">Employees:</span> None.</p>
<p><span class="h4">Self-employed person:</span> Not applicable.</p>
<p><span class="h4">Employer:</span> Contributions vary according to the assessed degree of risk. The average contribution is 1.26% of payroll (2008).</p>
<p><span class="h4">Government:</span> A subsidy for agricultural accident insurance and contributions for students, children in day care institutions, and persons engaged in specified voluntary activities. (Coverage for persons engaged in voluntary activities is financed from contributions paid by nonprofit associations, the overall premium income, or tax revenues.)</p>
<h3>Qualifying Conditions</h3>
<p><span class="h4">Work injury and occupational disease benefits:</span> There is no minimum qualifying period.</p>
<h3>Temporary Disability Benefits</h3>
<p>After entitlement to the continuous wage payment ceases (in most cases, after 6&nbsp;weeks), the accident insurance fund pays benefits. The benefit is paid from the day after the disability began for a work injury or an occupational disease until recovery or the award of a transition benefit. If recovery is not anticipated and occupational rehabilitation is not possible, the benefit is paid for up to 78&nbsp;weeks. The benefit is 80% of the insured's last gross wage but must not exceed the last net income.</p>
<p>A transition benefit is paid during periods of vocational rehabilitation.</p>
<p>For insured persons aged&nbsp;18 or older, the minimum annual earnings used to calculate benefits are &euro;18,396 (E&ndash;&euro;15,624).</p>
<p>The maximum annual earnings used to calculate benefits vary depending on the accident insurance fund but must not be less than &euro;50,400 or more than &euro;84,000.</p>
<h3>Permanent Disability Benefits</h3>
<p><span class="h4">Permanent disability pension:</span> If the insured is assessed with a total disability (100%), the annual pension is 66.7% of earnings in the year before the disability began.</p>
<p>Partial disability: If the assessed loss of earning capacity is 20% to 99%, a percentage of the full pension is paid according to the assessed loss of earning capacity.</p>
<p>Severe disability supplement: An additional 10% of the basic pension is paid if the assessed loss of earning capacity is 50% or more and the insured is not working and not receiving another pension; if the insured is unemployed, the pension is further increased for up to 2&nbsp;years.</p>
<p>Constant-attendance allowance: &euro;307 to &euro;1,228 a month (E&ndash;&euro;269 to &euro;1,075) is paid if the insured requires the constant attendance of others to perform daily functions.</p>
<p>Benefit adjustment: Benefits are adjusted at the same time and according to changes made to pensions under Old Age, Disability, and Survivors.</p>
<h3>Workers' Medical Benefits</h3>
<p>Benefits include comprehensive medical care; medical, occupational, and social rehabilitation; appliances; and help with housework.</p>
<h3>Survivor Benefits</h3>
<p><span class="h4">Survivor pension:</span> The pension is&nbsp;66.7% of the deceased's last earnings and is paid for up to 3&nbsp;calendar months; thereafter, 40% of the deceased's last earnings is paid if the <span class="nobr">widow(er)</span> is aged&nbsp;45 or older, disabled, or caring for at least one child (large <span class="nobr">widow(er)</span> pension). If the <span class="nobr">widow(er)</span> does not qualify for the large <span class="nobr">widow(er)</span> pension, a pension&nbsp;of 30% of the deceased's income is paid for up to 24&nbsp;calendar months (small <span class="nobr">widow(er)</span> pension).</p>
<p><span class="h4">Orphan's pension:</span> Each orphan younger than age&nbsp;18 (age&nbsp;27 if a student or in training) receives 20% of the deceased's earnings; 30% for a full orphan.</p>
<p>Income test: 40% of net income above a specified ceiling is deducted from the pension paid to survivors older than age&nbsp;18.</p>
<p><span class="h4">Widow(er) and orphan grant:</span> A lump sum of 40% of the deceased's earnings is paid if survivors are not eligible for a survivor pension and the deceased had been assessed with a severe loss of earning capacity of at least 50%. The grant is split equally among survivors.</p>
<p><span class="h4">Other eligible survivors (means-tested):</span> Single parents and grandparents receive 20% of the deceased's earnings each; 30% if a couple.</p>
<p>Divorced spouses (if eligible) may receive a survivor pension. The amount is split between the surviving spouse and the divorced spouse according to the respective length of the marriage to the deceased.</p>
<p>All survivor benefits combined must not exceed 80% of the deceased's earnings.</p>
<p><span class="h4">Death grant:</span> A lump sum of &euro;4,380 (E&ndash;&euro;3,720) is paid.</p>
<p>Benefit adjustment: Benefits are adjusted at the same time and according to changes made to pensions under Old Age, Disability, and Survivors.</p>
<h3>Administrative Organization</h3>
<p>Federal Insurance Institute (<a href="https://www.bundesamtsozialesicherung.de/">http://www.bva.de</a>)&nbsp;supervises federal accident insurance institutions.</p>
<p>Federal Ministry of Labor and Social Policy (<a href="http://www.bmas.de/">http://www.bmas.bund.de</a>) supervises the field of prevention.</p>
<p>Supreme administrative state authorities responsible for social insurance or authorities assigned by the provincial governments supervise the state accident insurance institutions.</p>
<p>Accident insurance funds (nonagricultural, agricultural, and public authorities), managed by elected representatives of employers and the insured,&nbsp;administer the program.</p>
<p>Agricultural accident insurance provides assistance to guarantee vital farming operations.</p>
<p>Medical benefits are provided exclusively by accident insurance funds.</p>
<h2>Unemployment</h2>
<h3>Regulatory Framework</h3>
<p><span class="h4">First laws:</span> 1927 (employment service and unemployment insurance) and 2003 (basic unemployment allowance).</p>
<p><span class="h4">Current laws:</span> 1997 (employment promotion) and 2010 (basic unemployment allowance).</p>
<p><span class="h4">Type of program:</span> Social insurance and social assistance system.</p>
<h3>Coverage</h3>
<p><span class="h4">Social insurance:</span> Employed persons, including household workers, apprentices, and trainees. Other groups (including participants in occupational training schemes) are also covered, subject to conditions.</p>
<p>Voluntary coverage for self-employed persons, caregivers, and foreign workers (from outside of the <abbr class="spell">EU</abbr>), subject to conditions.</p>
<p>Exclusions: Persons in irregular employment.</p>
<p><span class="h4">Social assistance:</span> Employed and unemployed needy job seekers.</p>
<h3>Source of Funds</h3>
<h4>Insured person</h4>
<p><span class="h5">Social insurance:</span> 1.4% of covered earnings.</p>
<p>The maximum annual earnings used to calculate contributions are &euro;66,000 (E&ndash;&euro;55,800).</p>
<p><span class="h5">Social assistance:</span> None.</p>
<h4>Self-employed person</h4>
<p><span class="h5">Social insurance:</span> 2.8% of the monthly reference value. The monthly reference value is &euro;2,555 (E&ndash;&euro;2,170).</p>
<p><span class="h5">Social assistance:</span> None.</p>
<h4>Employer</h4>
<p><span class="h5">Social insurance:</span> 1.4% of covered earnings.</p>
<p>The maximum annual earnings used to calculate contributions are &euro;66,000 (E&ndash;&euro;55,800).</p>
<p><span class="h5">Social assistance:</span> None.</p>
<h4>Government</h4>
<p><span class="h5">Social insurance:</span> Loans or subsidies to cover any deficit for social insurance; federal and municipal governments pay the cost of noncontributory unemployment benefits.</p>
<p><span class="h5">Social assistance:</span> Federal and local governments pay the total cost.</p>
<h3>Qualifying Conditions</h3>
<p><span class="h4">Unemployment benefit (social insurance):</span> The insured must have at least 12&nbsp;months of covered work in the last 2&nbsp;years, be registered at an employment office, and be capable of, available for, and actively seeking work.</p>
<p>In certain cases, the right to the unemployment benefit can be suspended (for up to 12&nbsp;weeks).</p>
<p><span class="h4">Short-time work benefit (social insurance):</span> Paid to short-time workers (work sharing) who lose working hours due to economic restructuring in the workplace.</p>
<p><span class="h4">Short-time transfer allowance (social insurance):</span> Paid to short-time workers (work sharing)&nbsp;to avoid dismissal due to economic restructuring in the workplace.</p>
<p><span class="h4">Bad weather allowance (social insurance):</span> Paid to construction workers whose work is halted because of bad weather.</p>
<p><span class="h4">Unemployment benefit (social assistance, means-tested):</span> Paid to all needy job seekers aged&nbsp;15 to the normal retirement age who are capable of, available for, and actively seeking work, including employed persons seeking more suitable work and social insurance unemployment beneficiaries.</p>
<p>The basic subsistence needs of the beneficiary must not be met by any other benefit.</p>
<p>If the qualifying conditions for the social assistance unemployment benefit are violated, the benefits may be reduced or suspended.</p>
<p>Dependent's supplement: Paid to the dependents of a social assistance unemployment beneficiary, including children and nonemployed persons. Children under age&nbsp;15 must not work.</p>
<h3>Unemployment Benefits</h3>
<p><span class="h4">Contributory unemployment benefit (social insurance):</span> The benefit is 67% (60% if without children) of the insured's net earnings. The benefit is paid for 6 to 24&nbsp;months, according to the length of the covered work period and the claimant's age. The benefit is paid for up to 24&nbsp;months to unemployed persons older than age&nbsp;58 with at least 48&nbsp;months of covered work.</p>
<p>Benefit adjustment: Benefits are adjusted annually in July according to changes made to pensions under Old Age, Disability, and Survivors.</p>
<p><span class="h4">Short-time work benefit (social insurance):</span> The benefit is 67% (60% if without children) of the difference between previous and current income and is usually paid for 6&nbsp;months (up to 24&nbsp;months).</p>
<p><span class="h4">Short-time transfer allowance (social insurance):</span> The allowance is 67% (60% if without children) of the difference between previous and current income and is paid for up to 12&nbsp;months.</p>
<p><span class="h4">Bad weather allowance (social insurance):</span> The allowance is 67% (60% if without children) of the difference between previous and current income. The allowance is paid based on hours of stoppage between November&nbsp;1 and March&nbsp;31.</p>
<p><span class="h4">Unemployment benefit (social assistance, means-tested):</span> &euro;287, &euro;323, or &euro;359 a month is paid, depending on the person's family composition.</p>
<p>Means test: A portion of the beneficiary's income above &euro;100 a month is deducted from the benefit (20% of income from &euro;100.01 to &euro;800.00; 10% of income from &euro;800.01 to &euro;1,200.00 or &euro;1,500.00 (if the claimant has children). Certain types of income are exempt from the deduction. Benefits are not paid to persons with a certain level of savings.</p>
<p>In addition, support is provided for heating and housing costs and further provisions if needed.</p>
<p>There is no limit to duration.</p>
<p>Dependent's supplement: &euro;215 a month is paid for children younger than age&nbsp;6; &euro;251 for children aged&nbsp;6 to 14; &euro;287 for spouses or civil partners under the age of 18 and other relatives who are needy and unable to work; and &euro;323 for an adult spouse or civil partner who is needy and unable to work.</p>
<p>Benefit adjustment: Standard <span class="nobr">flat-rate</span> benefits are adjusted annually in July according to changes made to pensions under Old Age, Disability, and Survivors.</p>
<h3>Administrative Organization</h3>
<p>Federal Ministry of Labor and Social Policy (<a href="http://www.bmas.de/">http://www.bmas.bund.de</a>) provides overall supervision.</p>
<p>Federal Employment Agency (<a href="https://www.arbeitsagentur.de">http://www.arbeitsagentur.de</a>) administers contributory benefits.</p>
<p>Local employment offices are responsible for job placements, career guidance, and benefits administration.</p>
<p>Committees of employment agencies and 69 authorized local carriers administer noncontributory benefits.</p>
<p>Sickness funds collect contributions.</p>
<h2>Family Allowances</h2>
<h3>Regulatory Framework</h3>
<p><span class="h4">First laws:</span> 1954 (child benefit), implemented in 1955; and 1985 (child-rearing allowance).</p>
<p><span class="h4">Current laws:</span> 2004 (child-rearing allowance); 2005 (child benefit); 2007 (parental benefit); and 2009 (income tax).</p>
<p><span class="h4">Type of program:</span> Universal and social assistance system.</p>
<h3>Coverage</h3>
<p>Parents with one or more children.</p>
<p>Full orphans and children who have lost all contact with their parents.</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">Child benefit:</span>&nbsp;The child must be younger than age&nbsp;18 (age&nbsp;21 if unemployed; age&nbsp;25 if a <span class="nobr">full-time</span> student, searching for an apprenticeship or in a voluntary position; no limit for children with a disability that began before age&nbsp;25). For children younger than age&nbsp;18, the benefit ceases if the child's own annual income is greater than &euro;8,004.</p>
<p><span class="h4">Child allowance (income-tested):</span> Paid to parents with at least one child younger than age&nbsp;25, who are able to meet their own needs but not those of their children. Must be entitled to the child benefit and have earnings between a specified minimum and maximum. Parents who receive non-contributory unemployment benefits, social benefits, or social assistance, are not eligible for a child allowance</p>
<p><span class="h4">Parental benefit (income-tested):</span> Paid to parents with a child younger than age&nbsp;14&nbsp;months. A parent with sole custody may receive the parental allowance for up to 12&nbsp;months after the birth; other parents may share the entitlement for a combined maximum of 14&nbsp;months (each parent must receive the benefit for at least 2&nbsp;months).</p>
<h3>Family Allowance Benefits</h3>
<p><span class="h4">Child benefit:</span> &euro;184 a month is paid for the first and the second child; &euro;190 for the third; &euro;215 for each additional child.</p>
<p><span class="h4">Child allowance (income-tested):</span> Up to &euro;140 per child is paid for up to 36&nbsp;months; if entitled to an allowance for more than one child in the household, a combined total allowance is paid. The child's own income may reduce the benefit.</p>
<p><span class="h4">Parental benefit (income-tested):</span> At least 67% of the net income of the last 12&nbsp;months before birth is paid, up to &euro;1,800 (&euro;300 if not employed) a month.</p>
<h3>Administrative Organization</h3>
<p>Federal Ministry for Family, Seniors, Women, and Youth (<a href="https://www.bmfsfj.de">http://www.bmfsfj.de</a>) provides general supervision.</p>
<p>Federal Revenue Office (http://www.bzst.bund.de) administers child benefits and child allowances through regional and local labor offices of the Federal Employment Agency (<a href="https://www.arbeitsagentur.de">http://www.arbeitsagentur.de</a>).</p>
<p>Child benefits for public employees are administered through salary payment offices.</p>
<p>Federal states are responsible for the enforcement of federal child-rearing and parental benefit laws. Child-rearing and parental benefit centers administer the program.</p>
<p>The federal government reimburses administrative costs.</p>
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