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<h1>Social Security Programs Throughout the World: The Americas, 2019</h1>
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<h1>Bolivia</h1>
<div class="exchangeRate">Exchange rate: <abbr class="spell">US</abbr>$1.00&nbsp;= 6.86&nbsp;bolivianos.</div>
<h2>Old Age, Disability, and Survivors</h2>
<h3>Regulatory Framework</h3>
<p><span class="h4">First law:</span> 1949 (social insurance).</p>
<p><span class="h4">Current laws:</span> 1956 (social security), implemented in 1959; 2007 (universal pension), implemented in 2008; 2010 (integrated pensions system); 2011 (social security regulations); 2012 (persons with disabilities); 2013 (disability solidarity grant); and 2013 (increases in universal and solidarity pension).</p>
<p><span class="h4">Type of program:</span> Universal and mandatory individual account system.</p>
<p>Note: In 1997, all active members of the old social insurance program were transferred to the mandatory individual account program.</p>
<h3>Coverage</h3>
<p><span class="h4">Universal:</span> Resident citizens of Bolivia.</p>
<p>Exclusions: Public-sector employees (for the disability solidarity grant).</p>
<p><span class="h4">Mandatory individual account:</span> Employed persons, including military personnel, and apprentices.</p>
<p>Voluntary coverage for self-employed persons.</p>
<h3>Source of Funds</h3>
<p><span class="h4">Insured person</span></p>
<p><span class="h5">Universal:</span> None.</p>
<p><span class="h5">Mandatory individual account:</span> 10% of monthly covered earnings (old age) plus 1.71% (disability and survivors) and 0.5% (administrative fees). For the solidarity pension, 0.5% of monthly covered earnings from 2,122&nbsp;bolivianos to 13,000&nbsp;bolivianos, 1% of monthly covered earnings from 13,001&nbsp;bolivianos to 25,000&nbsp;bolivianos, 5% of monthly covered earnings from 25,001&nbsp;bolivianos to 35,000&nbsp;bolivianos, and 10% of monthly covered earnings exceeding 35,000&nbsp;bolivianos.</p>
<p>The minimum monthly earnings used to calculate contributions are the legal monthly minimum wage.</p>
<p>The maximum monthly earnings used to calculate contributions are 60&nbsp;times the legal monthly minimum wage.</p>
<p>The legal monthly minimum wage is 2,122&nbsp;bolivianos.</p>
<p>20% of the insured person's contributions for disability and survivor insurance also finances the solidarity pension.</p>
<p><span class="h4">Self-employed person</span></p>
<p><span class="h5">Universal:</span> None.</p>
<p><span class="h5">Mandatory individual account:</span> 10% of monthly covered declared earnings (old age) plus 1.71% (disability and survivors) and 0.5% (administrative fees). For the solidarity pension, 0.5% of monthly covered declared earnings from 2,122&nbsp;bolivianos to 13,000&nbsp;bolivianos, 1% of monthly covered declared earnings from 13,001&nbsp;bolivianos to 25,000&nbsp;bolivianos, 5% of monthly covered declared earnings from 25,001&nbsp;bolivianos to 35,000&nbsp;bolivianos, and 10% of monthly covered declared earnings exceeding 35,000&nbsp;bolivianos. Self-employed persons working in mining cooperatives contribute an additional 2% of declared income from sales for the solidarity pension.</p>
<p>The minimum monthly earnings used to calculate contributions are the legal monthly minimum wage.</p>
<p>The maximum monthly earnings used to calculate contributions are 60&nbsp;times the legal monthly minimum wage.</p>
<p>The legal monthly minimum wage is 2,122&nbsp;bolivianos.</p>
<p>20% of the self-employed person's contributions for disability and survivor insurance also finances the solidarity pension. See also source of funds under Work Injury.</p>
<p><span class="h4">Employer</span></p>
<p><span class="h5">Universal:</span> None.</p>
<p><span class="h5">Mandatory individual account:</span> None (old age); premiums finance disability and survivor insurance. For the solidarity pension, 3% of covered payroll (mining companies pay 2% of covered payroll; mining cooperatives pay 2% of declared income from sales). See also source of funds under Work Injury.</p>
<p><span class="h4">Government</span></p>
<p><span class="h5">Universal:</span> The total cost of the universal <span class="nobr">old-age</span> pension, the universal funeral grant, and the solidarity disability grant is financed by taxes on hydro-carbons and dividends from public enterprises.</p>
<p><span class="h5">Mandatory individual account:</span> Finances the value of accrued rights under the social insurance program and the funeral grant; no contributions for the solidarity pension; contributes as an employer.</p>
<h3>Qualifying Conditions</h3>
<p><span class="h4">Old-age pension (Renta Dignidad, R&eacute;gimen No Contributivo, universal):</span> Age&nbsp;60.</p>
<p>The universal <span class="nobr">old-age</span> pension is payable abroad temporarily under certain conditions.</p>
<p><span class="h4">Old-age pension (Pensi&oacute;n de Vejez, R&eacute;gimen Contributivo, mandatory individual account):</span> At any age if the account balance is sufficient to finance a monthly pension of at least 60% of the insured's average monthly covered earnings in the last two years (or over the total contribution period if the insured has less than two years of contributions), funeral expenses, and survivor benefits for the insured's dependents.</p>
<p>Age&nbsp;55 (men) or age&nbsp;50 (women) with accrued rights under the old social insurance program, if the account balance is sufficient to finance a monthly pension of at least 60% of the insured's average monthly covered earnings in the last two years (or over the total contribution period if the insured has less than two years of contributions), funeral expenses, and survivor benefits for the insured's dependents.</p>
<p>Age&nbsp;58 (age&nbsp;56 for miners) with at least 10&nbsp;years of contributions if the account balance is sufficient to finance a monthly pension that is greater than the solidarity pension.</p>
<p>The retirement age for women is reduced by one year for each live birth, up to three. The retirement age for miners is reduced by one year for every two years of work in unhealthy conditions, up to a <span class="nobr">five-year</span> reduction.</p>
<p>Solidarity pension (Pensi&oacute;n solidaria de vejez, r&eacute;gimen semicontributivo): Age&nbsp;58 (age&nbsp;56 for miners) with at least 10&nbsp;years of contributions, and the account balance is insufficient to finance a monthly pension above a legally defined minimum monthly amount.</p>
<p>The retirement age for women is reduced by one year for each child born alive, up to three. The retirement age for miners is reduced by one year for every two years of work in unhealthy conditions, up to a <span class="nobr">five-year</span> reduction.</p>
<p>The individual account <span class="nobr">old-age</span> pension is payable abroad temporarily under certain conditions.</p>
<p><span class="h4">Disability pension (Pensi&oacute;n por Invalidez, R&eacute;gimen Contributivo, mandatory individual account):</span> Must be younger than age&nbsp;65; have at least a 60% assessed degree of disability; have at least five years of contributions to the social insurance or individual account programs or during half the period from the date of the first individual account contribution to the date the disability began; and have contributed in the 12&nbsp;months before the disability began. If the disability is due to an illness, the insured must also have at least 18&nbsp;months of contributions in the 36&nbsp;months before the disability began.</p>
<p>Partial disability: Must have a 50% to 59% assessed degree of disability and meet the age and contribution requirements for the full disability pension.</p>
<p>Severe disability supplement (Suplemento por gran invalidez): Must have at least an 80% assessed degree of disability.</p>
<p>Certified medical doctors assess the degree of disability.</p>
<p>The disability pension ceases at age&nbsp;65 and is replaced by the individual account <span class="nobr">old-age</span> pension.</p>
<p>The disability pension is payable abroad temporarily under certain conditions.</p>
<p><span class="h4">Disability solidarity grant (Renta Solidaria para personas con discapacidad grave y muy grave, universal):</span> Must be assessed with a severe (unable to perform most daily tasks) or very severe (in need of the constant attendance of others to perform daily tasks) disability.</p>
<p>The disability solidarity grant is not paid for visual impairments.</p>
<p><span class="h4">Survivor pension (Pensi&oacute;n por Muerte, R&eacute;gimen Contributivo, mandatory individual account):</span> The deceased received or was entitled to receive an individual account <span class="nobr">old-age</span> or disability pension; had at least five years of contributions to the social insurance or individual account programs or during half the period from the date of the first individual account contribution to the date of death; and had contributed in the 12&nbsp;months before the death. If the death was the result of an illness, the deceased must also have had at least 18&nbsp;months of contributions in the 36&nbsp;months before the date of death.</p>
<p>Eligible survivors include a <span class="nobr">widow(er)</span> or cohabiting partner and orphans younger than age&nbsp;18 (age&nbsp;25 if a student; no limit if disabled). If there is no eligible <span class="nobr">widow(er),</span> partner, or orphan, other eligible survivors include the deceased's parents, brothers and sisters younger than age&nbsp;18, or other survivors named by the insured.</p>
<p>The <span class="nobr">widow(er)'s</span> or partner's pension ceases upon (re)marriage or cohabitation.</p>
<p>The survivor pension is payable abroad temporarily under certain conditions.</p>
<p><span class="h4">Funeral grant (Gastos Funerales, R&eacute;gimen No Contributivo, universal):</span> Paid if a universal <span class="nobr">old-age</span> pensioner dies.</p>
<p>A <span class="nobr">widow(er)</span> or cohabiting partner, sibling, or parent can claim the grant up to 18&nbsp;months after the deceased's death; other persons only have up to six months to claim the grant.</p>
<p>The universal funeral grant cannot be combined with an individual account funeral grant.</p>
<p><span class="h4">Funeral grant (Gastos Funerarios, R&eacute;gimen Contributivo, mandatory individual account):</span> Paid when an insured person younger than age&nbsp;60 or a person aged&nbsp;60 or older receiving or entitled to receive an individual account <span class="nobr">old-age,</span> disability, or solidarity pension dies.</p>
<p>A <span class="nobr">widow(er)</span> or cohabiting partner, sibling, or parent can claim the grant up to 18&nbsp;months after the deceased's death; other persons have only up to six months to claim the grant.</p>
<p>The individual account funeral grant cannot be combined with a universal funeral grant.</p>
<h3>Old-Age Benefits</h3>
<p><span class="h4">Old-age pension (Renta Dignidad, R&eacute;gimen No Contributivo, universal):</span> 4,550&nbsp;bolivianos a year is paid; 3,900&nbsp;bolivianos a year to a person receiving another pension.</p>
<p>Schedule of payments: The pension is paid monthly, bimonthly, quarterly, or annually.</p>
<p>Benefit adjustment: Benefits are adjusted every three years based on available funds.</p>
<p><span class="h4">Old-age pension (Pensi&oacute;n de Vejez, R&eacute;gimen Contributivo, mandatory individual account):</span> The insured must use the account balance to purchase a fixed or variable life annuity, depending on the account balance at retirement. (The value of accrued rights under the old social insurance program is combined with the account balance at retirement.)</p>
<p>The first monthly amount paid under a variable life annuity must be at least 60% of the insured's average monthly covered earnings in the last two years (or over the total contribution period if the insured has less than two years of contributions).</p>
<p>Benefit adjustment: Benefits are adjusted annually based on changes in the <abbr class="spell">UFV</abbr> (Unidad de Fomento de Vivienda).</p>
<p>The <abbr class="spell">UFV</abbr> is an index that is adjusted daily based on changes in the consumer price index.</p>
<p>Solidarity pension (Pensi&oacute;n solidaria de vejez, r&eacute;gimen semicontributivo): The difference between the monthly pension financed by the account balance and a legally defined minimum monthly amount based on the insured's years of contributions is paid with 10 to 15&nbsp;years of contributions: 640&nbsp;bolivianos with 10&nbsp;years of contributions, 695&nbsp;bolivianos with 11&nbsp;years of contributions, 752&nbsp;bolivianos with 12&nbsp;years of contributions, 808&nbsp;bolivianos with 13&nbsp;years of contributions, 864&nbsp;bolivianos with 14&nbsp;years of contributions, or 920&nbsp;bolivianos with 15&nbsp;years of contributions. If the insured has at least 16&nbsp;years of contributions, the legally defined minimum monthly amount varies depending on the insured's years of contributions and average covered earnings in the last 24 contribution periods: the monthly amount ranges from 954&nbsp;bolivianos to 1,136&nbsp;bolivianos with 16&nbsp;years of contributions (depending on the insured's average covered earnings) and increases with each additional year of contributions until reaching 1,600&nbsp;bolivianos to 4,200&nbsp;bolivianos with at least 35&nbsp;years of contributions.</p>
<p>Schedule of payments: 13&nbsp;payments a year.</p>
<h3>Permanent Disability Benefits</h3>
<p><span class="h4">Disability pension (Pensi&oacute;n por Invalidez, R&eacute;gimen Contributivo, mandatory individual account):</span> 70% of the insured's average monthly covered earnings in the last five years (or over the total contribution period if the insured has less than five years of contributions) is paid.</p>
<p>Partial disability: The insured's average monthly covered earnings in the last five years (or over the total contribution period if the insured has less than five years of contributions) multiplied by the assessed degree of disability is paid.</p>
<p>Severe disability supplement (Suplemento por gran invalidez): A monthly benefit equal to the legal monthly minimum wage is paid.</p>
<p>The legal monthly minimum wage is 2,122&nbsp;bolivianos.</p>
<p>The insurance company pays a monthly contribution of 10% of the insured's average monthly covered earnings in the last five years (or over the whole contribution period if the insured has less than five years of contributions) to the insured person's individual account until retirement or death.</p>
<p>The minimum monthly earnings used to calculate the disability pension are the legal monthly minimum wage.</p>
<p>The maximum monthly earnings used to calculate the disability pension are 60&nbsp;times the legal monthly minimum wage.</p>
<p>Schedule of payments: 13&nbsp;payments a year.</p>
<p>If an insured person assessed with a disability does not meet the contribution requirements for a disability pension, the insured may use the individual account balance plus accrued rights under the old social insurance program (if applicable) to purchase a temporary annuity. The monthly annuity is 60% of the insured's average monthly covered earnings in the last five years (or over the total contribution period if the insured has less than five years of contributions). The minimum monthly annuity is 60% of the legal monthly minimum wage.</p>
<p>Benefit adjustment: Benefits are adjusted annually based on changes in the <abbr class="spell">UFV</abbr> (Unidad de Fomento de Vivienda).</p>
<p>The <abbr class="spell">UFV</abbr> is an index that is adjusted daily based on changes in the consumer price index.</p>
<p><span class="h4">Disability solidarity grant (Renta Solidaria para personas con discapacidad grave y muy grave, universal):</span> 250&nbsp;bolivianos a month is paid.</p>
<h3>Survivor Benefits</h3>
<h4><span class="h4">Survivor pension (Pensi&oacute;n por Muerte, R&eacute;gimen Contributivo, mandatory individual account)</span></h4>
<p><span class="h5">Spouse's pension:</span> 90% of the monthly base survivor pension is paid to a <span class="nobr">widow(er)</span> or cohabiting partner with no eligible orphan; 70% with one eligible orphan; or 50% with at least two eligible orphans. (Life insurance tops up the deceased's account balance if the balance plus accrued rights under the old social insurance program [if applicable] is insufficient to finance the survivor pension.)</p>
<p>The monthly base survivor pension is the individual account <span class="nobr">old-age,</span> disability, or solidarity pension the deceased received or was entitled to receive at the time of death, whichever is greater, depending on the deceased's age at the time of death.</p>
<p>The minimum monthly earnings used to calculate the monthly base pension are the legal monthly minimum wage.</p>
<p>The maximum monthly earnings used to calculate the monthly base survivor pension are 60&nbsp;times the legal monthly minimum wage.</p>
<p>The legal monthly minimum wage is 2,122&nbsp;bolivianos.</p>
<p><span class="h5">Orphan's pension:</span> 20% of the monthly base survivor pension is paid for one orphan; 50% is split equally if there are two or more orphans; or 100% is split equally among full orphans. (Life insurance tops up the deceased's account balance if the balance plus accrued rights under the old social insurance program [if applicable] is insufficient to finance the survivor pension.)</p>
<p>When an orphan ceases to be eligible, the spouse's pension is recalculated.</p>
<p>The maximum combined spouse's and orphan's pension is 100% of the monthly base survivor pension.</p>
<p><span class="h5">Other eligible survivor's pension:</span> If there is no eligible <span class="nobr">widow(er),</span> partner, or orphan, 60% of the monthly base survivor pension is divided equally among other eligible survivors.</p>
<p>The maximum combined survivor pension for other eligible survivors is 60% of the monthly base survivor pension.</p>
<p>Schedule of payments: Survivor pensions are paid 13&nbsp;times a year.</p>
<p>If the deceased did not meet the contribution requirements for an individual account <span class="nobr">old-age</span> or disability pension, the deceased's account balance plus accrued rights under the old social insurance program (if applicable) may be used to purchase a temporary annuity. The monthly annuity is 60% of the deceased's average monthly covered earnings in the last five years (or over the total contribution period if the insured has less than five years of contributions). The minimum monthly annuity is 60% of the legal monthly minimum wage.</p>
<p>Benefit adjustment: Benefits are adjusted annually based on changes in the <abbr class="spell">UFV</abbr> (Unidad de Fomento de Vivienda).</p>
<p>The <abbr class="spell">UFV</abbr> is an index that is adjusted daily based on changes in the consumer price index.</p>
<p><span class="h4">Funeral grant (Gastos Funerales, R&eacute;gimen No Contributivo, universal):</span> A lump sum of 1,800&nbsp;bolivianos is paid to the person who paid for the funeral.</p>
<p><span class="h4">Funeral grant (Gastos Funerarios, R&eacute;gimen Contributivo, mandatory individual account):</span> A lump sum of 1,800&nbsp;bolivianos is paid to the person who paid for the funeral.</p>
<h3>Administrative Organization</h3>
<p>Note: The Public Management Body for <span class="nobr">Long-Term</span> Social Security, once established, will take over administration of <span class="nobr">old-age,</span> disability, and survivors benefits, under the supervision of the Ministry of the Economy and Public Finances. The Public Management Body for <span class="nobr">Long-Term</span> Social Security will transfer administration of disability benefits to the Public Insurance Entity, once established.</p>
<p>Ministry of the Economy and Public Finances (<a href="https://www.economiayfinanzas.gob.bo/">http://www.economiayfinanzas.gob.bo/</a>) provides general supervision.</p>
<p>Approved financial entities pay the universal <span class="nobr">old-age</span> pension.</p>
<p>Ministry of Health (<a href="https://www.minsalud.gob.bo">https://www.minsalud.gob.bo</a>) administers the disability solidarity grant.</p>
<p>Pension and Insurance Auditing Authority (<abbr class="spell">APS</abbr>) (<a href="https://www.aps.gob.bo/">http://www.aps.gob.bo/</a>) supervises the Pension Fund Administrators (<abbr class="spell">AFP</abbr>s).</p>
<p><abbr class="spell">AFP</abbr>s administer the <span class="nobr">old-age</span> and solidarity pensions and funeral grants and contract with insurance companies for disability and survivor insurance.</p>
<p>Financial institutions approved by <abbr class="spell">AFP</abbr>s collect contributions through the integrated pension system (<abbr>SIP</abbr>).</p>
<p>Insurance companies pay disability and survivor pensions.</p>
<p>Assessment Body, established by the <abbr class="spell">AFP</abbr>s and the insurance companies, determines the degree of disability.</p>
<h2>Sickness and Maternity</h2>
<h3>Regulatory Framework</h3>
<p><span class="h4">First and current laws:</span> 1956 (social security code); 1959 (regulations), 1987 (social security), implemented in 1989; 1988 (job protection); 1998 (basic health insurance); 2002 (child and maternal health); 2009 (job protection; health insurance for university students; and health care for dependents); 2011 (health resolution); 2012 (paternity); and 2013 (integral health care).</p>
<p><span class="h4">Type of program:</span> Universal (medical benefits), social insurance (cash and medical benefits), and employer-liability (paternity benefit) system.</p>
<h3>Coverage</h3>
<p><span class="h4">Universal:</span> Citizens of Bolivia not covered by the social insurance program; noncitizens from a country under a reciprocity agreement with Bolivia; noncitizens from a country without a reciprocity agreement with Bolivia restricted to: pregnant women up to six months after child delivery, children younger than age&nbsp;5, persons older than age&nbsp;60, registered disabled persons, and women of reproductive age for sexual and reproductive health care.</p>
<p><span class="h4">Social insurance:</span> Public- and private-sector employees, and persons older than age&nbsp;60 (medical benefits only).</p>
<p>Voluntary coverage for self-employed persons.</p>
<p><span class="h4">Employer liability:</span> Public- and private-sector employees.</p>
<p>Exclusions: Self-employed persons.</p>
<h3>Source of Funds</h3>
<p><span class="h4">Insured person</span></p>
<p><span class="h5">Universal:</span> None.</p>
<p><span class="h5">Social insurance:</span> None; pensioners contribute 3% of their monthly pensions.</p>
<p><span class="h5">Employer liability:</span> None.</p>
<p><span class="h4">Self-employed person</span></p>
<p><span class="h5">Universal:</span> None.</p>
<p><span class="h5">Social insurance:</span> Pay contributions. (Self-employed miners contribute 10% of 1.3&nbsp;times the legal monthly minimum wage.)</p>
<p>Mining cooperatives contribute 1.8% of declared income from sales.</p>
<p>The legal monthly minimum wage is 2,122&nbsp;bolivianos.</p>
<p>The self-employed person's contributions also finance temporary disability benefits and medical benefits under Work Injury.</p>
<p><span class="h5">Employer liability:</span> Not applicable.</p>
<p><span class="h4">Employer</span></p>
<p><span class="h5">Universal:</span> None.</p>
<p><span class="h5">Social insurance:</span> 10% of monthly payroll.</p>
<p>The employer's contributions also finance temporary disability benefits and medical benefits under Work Injury.</p>
<p><span class="h5">Employer liability:</span> The total cost.</p>
<p><span class="h4">Government</span></p>
<p><span class="h5">Universal:</span> The total cost.</p>
<p><span class="h5">Social insurance:</span> None; the total costs of health insurance for university students not otherwise covered; contributes as an employer.</p>
<p><span class="h5">Employer liability:</span> None; contributes as an employer.</p>
<h3>Qualifying Conditions</h3>
<p><span class="h4">Cash sickness benefit (Subsidio de Enfermedad, Seguro de Enfermedad, social insurance):</span> Must have at least two months of contributions before the incapacity began.</p>
<p><span class="h4">Cash maternity benefit (Subsidio de Maternidad, Seguro de Maternidad, social insurance):</span> Must have at least six months of contributions in the 12&nbsp;months immediately before the expected month of childbirth. The benefit is paid to an insured woman or to the wife of an insured man.</p>
<p><span class="h4">Paternity benefit (Licencia de Paternidad, employer liability):</span> Must provide a medical certificate confirming a spouse's or partners child delivery.</p>
<p><span class="h4">Medical benefits (universal):</span> There is no minimum qualifying period.</p>
<p><span class="h4">Medical benefits (Seguro de Enfermedad, social insurance):</span> Must have at least one month of contributions in the last two months.</p>
<h3>Sickness and Maternity Benefits</h3>
<p><span class="h4">Sickness benefit (Subsidio de Enfermedad, Seguro de Enfermedad, social insurance):</span> 75% of the insured's last monthly earnings is paid after a three-day waiting period for up to 26&nbsp;weeks (the first three days of sick leave are paid by the employer).</p>
<p><span class="h4">Maternity benefit (Subsidio de Maternidad, Seguro de Maternidad, social insurance):</span> 90% of the insured's last monthly earnings before the maternity leave began is paid for up to 45&nbsp;days before and 45&nbsp;days after the expected date of childbirth.</p>
<p>Job protection: Both parents have the right to retain their job positions, salaries, and grades during the entire pregnancy and until the child is 12&nbsp;months old.</p>
<p>Additional maternity benefits are paid under Family Allowances.</p>
<p><span class="h4">Paternity benefit (Licencia de Paternidad, employer liability):</span> 100% of the employee's daily earnings are paid for up to three days.</p>
<h3>Workers' Medical Benefits</h3>
<p><span class="h4">Medical benefits (universal):</span> Benefits include general, specialist, and preventive care; maternity care; diagnostic services; surgery, hospitalization; dental care; and essential medicine. Medical services with a specialist must be accessed by referral.</p>
<p><span class="h4">Medical benefits (Seguro de Enfermedad, social insurance):</span> Benefits include general, specialist, and preventive care; maternity care; diagnostic services; surgery; hospitalization; prostheses; organ transplants; dental care; and medicine.</p>
<h3>Dependents' Medical Benefits</h3>
<p><span class="h4">Medical benefits (universal):</span> Dependents are covered in their own right.</p>
<p><span class="h4">Medical benefits (Seguro de Enfermedad, social insurance):</span> Benefits for dependents are the same as those for the insured.</p>
<h3>Administrative Organization</h3>
<p>Ministry of Health (<a href="https://www.minsalud.gob.bo/">https://www.minsalud.gob.bo/</a>) provides supervision through the Supervisory Authority of <span class="nobr">Short-Term</span> Social Security (<abbr class="spell">ASUSS</abbr>) (http://asuss.gob.bo/).</p>
<p><span class="nobr">Short-term</span> social insurers administer the social insurance program and collect contributions jointly with the National Health Fund (https://www.cns.gob.bo/).</p>
<p>Employers pay paternity benefits directly.</p>
<p>Free health care is provided under the universal program in public health institutions.</p>
<h2>Work Injury</h2>
<h3>Regulatory Framework</h3>
<p><span class="h4">First law:</span> 1924 (work injury).</p>
<p><span class="h4">Current laws:</span> 1956 (social security code); 1959 (regulations); 1987 (social security); 1996 (mandatory individual account), implemented in 1997; and 2010 (integrated pensions system).</p>
<p><span class="h4">Type of program:</span> Social insurance (temporary disability and medical benefits) and mandatory individual account (permanent disability and survivor benefits) system.</p>
<h3>Coverage</h3>
<p><span class="h4">Social insurance:</span> Public- and private-sector employees.</p>
<p>Voluntary coverage for self-employed persons.</p>
<p><span class="h4">Mandatory individual account:</span> Employed persons, including military personnel and apprentices.</p>
<p>Voluntary coverage for self-employed persons.</p>
<h3>Source of Funds</h3>
<p><span class="h4">Insured person</span></p>
<p><span class="h5">Social insurance:</span> None.</p>
<p><span class="h5">Mandatory individual account:</span> None.</p>
<p><span class="h4">Self-employed person</span></p>
<p><span class="h5">Social insurance:</span> See source of funds under Sickness and Maternity.</p>
<p><span class="h5">Mandatory individual account:</span> 1.71% of monthly covered declared earnings.</p>
<p>The minimum monthly earnings used to calculate contributions are the legal monthly minimum wage.</p>
<p>The maximum monthly earnings used to calculate contributions are 60&nbsp;times the legal monthly minimum wage.</p>
<p>The legal monthly minimum wage is 2,122&nbsp;bolivianos.</p>
<p>20% of the self-employed person's contribution also finances the solidarity pension. See also source of funds under Old Age, Disability, and Survivors.</p>
<p><span class="h4">Employer</span></p>
<p><span class="h5">Social insurance:</span> See source of funds under Sickness and Maternity.</p>
<p><span class="h5">Mandatory individual account:</span> 1.71% of monthly covered payroll.</p>
<p>The minimum monthly earnings used to calculate contributions are the legal monthly minimum wage.</p>
<p>The maximum monthly earnings used to calculate contributions are 60&nbsp;times the legal monthly minimum wage.</p>
<p>The legal monthly minimum wage is 2,122&nbsp;bolivianos.</p>
<p>20% of the employer's contribution also finances the solidarity pension. See also source of funds under Old Age, Disability, and Survivors.</p>
<p><span class="h4">Government</span></p>
<p><span class="h5">Social insurance:</span> None; contributes as an employer.</p>
<p><span class="h5">Mandatory individual account:</span> None; contributes as an employer.</p>
<h3>Qualifying Conditions</h3>
<p>Must be assessed with a work injury or occupational disease. Accidents that occur while commuting to and from work are covered if the employer provides the transportation.</p>
<p>Employed persons must be younger than age&nbsp;65 and have an assessed degree of disability of at least 10%. If the disability is the result of an accident at work, the insured must have been employed when the accident occurred. If the disability is the result of an illness, the disability must begin while the insured is employed or up to 12&nbsp;months (18&nbsp;months for miners) after employment ceases.</p>
<p>Self-employed persons must be younger than age&nbsp;65, have an assessed degree of disability of at least 10%, and have made at least three contributions in the last 12&nbsp;months before the disability began. If the disability is the result of an accident at work, the disability must be assessed while the insured is making contributions. If the disability is the result of an illness, the disability must begin while the insured is making contributions or up to nine months (18&nbsp;months for members of mining cooperatives) after contributions cease.</p>
<h3>Temporary Disability Benefits</h3>
<p><span class="h4">Temporary disability benefit (Subsidio por Incapacidad Temporal, social insurance):</span> 90% of the insured's last earnings is paid in the case of a work injury; 75% for an occupational disease.</p>
<h3>Permanent Disability Benefits</h3>
<p><span class="h4">Permanent disability pension (Renta de Invalidez, mandatory individual account):</span> For an assessed degree of disability of at least 60%, 100% of the insured's average monthly covered earnings in the last five years (or over the total contribution period if the insured has less than five years of contributions) is paid.</p>
<p>Severe disability supplement (Suplemento por gran invalidez): A monthly benefit equal to the legal monthly minimum wage is paid if the insured has at least an 80% assessed degree of disability.</p>
<p>The insurance company pays a monthly contribution of 10% of the insured's average monthly covered earnings in the last five years (or over the total contribution period if the insured has less than five years of contributions) to the insured person's individual account until retirement or death.</p>
<p>The minimum monthly earnings used to calculate benefits are the legal monthly minimum wage.</p>
<p>The maximum monthly earnings used to calculate benefits are 60&nbsp;times the legal monthly minimum wage.</p>
<p>The legal monthly minimum wage is 2,122&nbsp;bolivianos.</p>
<p>Partial disability (Invalidez parcial): For an assessed degree of disability of at least 25% but less than 60%, the insured's average monthly covered earnings in the last five years (or over the whole contribution period if the insured has less than five years of contributions) multiplied by the assessed degree of disability is paid.</p>
<p>The disability pension ceases at age&nbsp;65 and is replaced by the individual account <span class="nobr">old-age</span> pension.</p>
<p>Disability grant (Indemnizaci&oacute;n global): For an assessed degree of disability of at least 10% but less than 25%, a lump sum of 48&nbsp;times the insured's average monthly covered earnings in the last five years (or over the whole contribution period if the insured has less than five years of contributions) is paid.</p>
<p>Certified medical doctors assess the degree of disability.</p>
<p>Benefit adjustment: Benefits are adjusted annually based on the <abbr class="spell">UFV</abbr> (Unidad de Fomento de Vivienda).</p>
<p>The <abbr class="spell">UFV</abbr> is an index that is adjusted daily based on changes in the consumer price index.</p>
<h3>Workers' Medical Benefits</h3>
<p><span class="h4">Medical benefits (social insurance):</span> Benefits include necessary medical and surgical care, hospitalization, diagnostics, prosthesis, and medicine.</p>
<h3>Survivor Benefits</h3>
<p><span class="h4">Survivor pension (Pensi&oacute;n por Muerte, mandatory individual account)</span></p>
<p><span class="h5">Spouse's pension:</span> 80% of the monthly base survivor pension is paid to a <span class="nobr">widow(er)</span> or cohabiting partner with no eligible orphans; 60% if there is one eligible orphan; or 50% if there are two or more eligible orphan.</p>
<p>The monthly base survivor pension is 100% of the deceased's average monthly covered earnings in the last five years (or over the total contribution period if the deceased had less than five years of contributions).</p>
<p>The minimum monthly earnings used to calculate benefits are the legal monthly minimum wage.</p>
<p>The maximum monthly earnings used to calculate benefits are 60&nbsp;times the legal monthly minimum wage.</p>
<p>The legal monthly minimum wage is 2,122&nbsp;bolivianos.</p>
<p>The spouse's pension ceases upon remarriage or cohabitation.</p>
<p><span class="h5">Orphan's pension:</span> 20% of the monthly base survivor pension is paid for one orphan up to age&nbsp;18 (age&nbsp;25 if a student; no limit if disabled); 50% is split equally if there are two or more orphans; or 100% is split equally among full orphans.</p>
<p>When an orphan ceases to be eligible, the spouse's pension is recalculated.</p>
<p>The maximum combined spouse's and orphan's pension is 100% of the monthly base survivor pension.</p>
<p><span class="h5">Other eligible survivor's pension:</span> If there is no surviving spouse, partner, or orphan, 60% of the monthly base survivor pension is split equally among other eligible survivors.</p>
<p>The monthly base survivor pension is 100% of the deceased's average monthly covered earnings in the last five years (or over the whole contribution period if the deceased had less than five years of contributions).</p>
<p>The maximum combined survivor pension for other eligible survivors is 60% of the monthly base survivor pension.</p>
<p>Schedule of payments: Survivor pensions are paid 13&nbsp;times a year.</p>
<p>If the deceased did not meet the contribution requirements for a permanent disability pension, the deceased's individual account balance may be used to purchase a temporary annuity. The monthly annuity is 60% of the insured's average monthly covered earnings in the last five years (or over the whole contribution period if the insured has less than five years of contributions). The minimum monthly annuity is 60% of the legal monthly minimum wage.</p>
<p>Benefit adjustment: Benefits are adjusted annually based on the <abbr class="spell">UFV</abbr> (Unidad de Fomento de Vivienda).</p>
<p>The <abbr class="spell">UFV</abbr> is an index that is adjusted daily based on changes in the consumer price index.</p>
<p><span class="h4">Funeral grant (Gastos Funerales, mandatory individual account):</span> A lump sum of 2,000&nbsp;bolivianos is paid to the person who paid for the funeral.</p>
<h3>Administrative Organization</h3>
<p>Note: Once established, the Public Management Body for <span class="nobr">Long-term</span> Social Security, under the supervision of the Ministry of the Economy and Public Finances, will administer the permanent disability and survivors benefits (work injury) until a Public Insurance Entity is established.</p>
<p>Ministry of the Economy and Public Finances (<a href="https://www.economiayfinanzas.gob.bo/">http://www.economiayfinanzas.gob.bo/</a>) provides general supervision.</p>
<p>Supervisory Authority of <span class="nobr">Short-Term</span> Social Security (<abbr class="spell">ASUSS</abbr>) (http://asuss.gob.bo/) provides regulatory and financial supervision for the social insurance program.</p>
<p><span class="nobr">Short-term</span> social insurers administer the social insurance program and collect contributions jointly with the National Health Fund (<a href="https://cns.gob.bo/">http://www.cns.gob.bo/</a>).</p>
<p>Pension and Insurance Auditing Authority (<abbr class="spell">APS</abbr>) (<a href="https://www.aps.gob.bo/">http://www.aps.gob.bo/</a>) supervises the Pension Fund Administrators (<abbr class="spell">AFP</abbr>s).</p>
<p>Pension Fund Administrators (<abbr class="spell">AFP</abbr>s) collect contributions and contract insurance companies for work injury disability and survivor insurance.</p>
<p>Insurance companies administer the work injury disability and survivor programs.</p>
<p>Assessment Body (<abbr class="spell">EEC</abbr>), established by the <abbr class="spell">AFP</abbr>s and the insurance companies under the legal form of a civil association, determines the origin, cause, degree, and date of the disability for disability benefit purposes as well as the origin and cause of death for survivor benefit purposes</p>
<h2>Unemployment</h2>
<h3>Regulatory Framework</h3>
<p>No statutory unemployment benefits are provided.</p>
<p>The labor code requires employers to provide severance pay to dismissed employees with more than 90&nbsp;days of continuous employment. The payment amount is 100% of the employee's average monthly earnings in the last three months of employment multiplied by the number of years of continuous employment (or a proportional sum for continuous employment of less than a year). Dismissed employees are covered for medical and maternity benefits for up to two months after employment ceases.</p>
<h2>Family Allowances</h2>
<h3>Regulatory Framework</h3>
<p><span class="h4">First law:</span> 1953 (family allowances for certain categories of workers).</p>
<p><span class="h4">Current laws:</span> 1956 (Social Security Code), implemented in 1959; 1987 (social security reform); 2009 (Juana Azurduy mother and baby grant); 2011 (family allowances); and 2012 (Juancito Pinto cash transfer).</p>
<p><span class="h4">Type of program:</span> Universal and social insurance system.</p>
<h3>Coverage</h3>
<p><span class="h4">Universal:</span> Residents of Bolivia.</p>
<p><span class="h4">Social insurance:</span> Public- and private-sector employees, including employees of mining cooperatives, and their spouses or partners and children.</p>
<p>Exclusions: Self-employed persons.</p>
<p>Special systems for bank employees, military personnel, and other groups of workers.</p>
<h3>Source of Funds</h3>
<p><span class="h4">Insured person</span></p>
<p><span class="h5">Universal:</span> None.</p>
<p><span class="h5">Social insurance:</span> None.</p>
<p><span class="h4">Self-employed person</span></p>
<p><span class="h5">Universal:</span> None.</p>
<p><span class="h5">Social insurance:</span> Not applicable.</p>
<p><span class="h4">Employer</span></p>
<p><span class="h5">Universal:</span> None.</p>
<p><span class="h5">Social insurance:</span> 13% of monthly payroll.</p>
<p><span class="h4">Government</span></p>
<p><span class="h5">Universal:</span> The total cost.</p>
<p><span class="h5">Social insurance:</span> None; contributes as an employer.</p>
<h3>Qualifying Conditions</h3>
<p><span class="h4">Child cash transfer (Bono Juancito Pinto, universal):</span> Paid for children younger than age&nbsp;21 (no limit if disabled) who are enrolled in and regularly attend primary or secondary school or special education institutions, present their national identity cards, and are accompanied by a parent or guardian to receive the payments.</p>
<p><span class="h4">Mother and baby grant (Bono Juana Azurduy, universal):</span> Paid to a pregnant woman without social insurance for medical benefits, an imprisoned pregnant woman, or a child not covered by social insurance for medical benefits up to age&nbsp;2 (must be younger than age&nbsp;1 at the time of the application for the grant). Mother and child must attend regular medical appointments. Beneficiaries must not receive any other family allowance.</p>
<p><span class="h4">Prenatal subsidy (Subsidio Universal Prenatal por la Vida, universal, in kind):</span> Paid to an uninsured woman who has completed four months of pregnancy.</p>
<p><span class="h4">Prenatal grant (Subsidio Prenatal, social insurance, in kind):</span> Paid to an insured woman who has completed four months of pregnancy and undergone monthly prenatal examinations.</p>
<p><span class="h4">Birth grant (Subsidio de Natalidad, social insurance):</span> Paid for a child registered as the insured's dependent with the National Health Fund.</p>
<p><span class="h4">Nursing allowance (Subsidio de Lactancia, social insurance, in kind):</span> Paid for a child younger than 12&nbsp;months.</p>
<p><span class="h4">Burial allowance (Subsidio de Sepelio, social insurance):</span> Paid for the death of a child younger than age&nbsp;19.</p>
<h3>Family Allowance Benefits</h3>
<p><span class="h4">Child cash transfer (Bono Juancito Pinto, universal):</span> 200&nbsp;bolivianos a year is paid for each eligible child.</p>
<p><span class="h4">Mother and baby grant (Bono Juana Azurduy, universal):</span> A lump sum of 2,000&nbsp;bolivianos is paid.</p>
<p><span class="h4">Prenatal subsidy (Subsidio Universal Prenatal por la Vida, universal, in kind):</span> Four baskets of nutritional products, each valued at 300&nbsp;bolivianos, are provided during pregnancy.</p>
<p><span class="h4">Prenatal grant (Subsidio Prenatal, social insurance, in kind):</span> A monthly basket of food products equal in value to 2,000&nbsp;bolivianos is provided during the last five months of pregnancy.</p>
<p><span class="h4">Birth grant (Subsidio de Natalidad, social insurance):</span> A lump sum of 2,000&nbsp;bolivianos is paid for each birth.</p>
<p><span class="h4">Nursing allowance (Subsidio de Lactancia, social insurance, in kind):</span> A food and milk basket equal in value to 2,000&nbsp;bolivianos is provided during the first year.</p>
<p><span class="h4">Burial allowance (Subsidio de Sepelio, social insurance):</span> A lump sum of 2,000&nbsp;bolivianos is paid.</p>
<h3>Administrative Organization</h3>
<p>Ministry of Health (<a href="https://www.minsalud.gob.bo/">https://www.minsalud.gob.bo/</a>) provides supervision for the social insurance system, the Juana Azurduy mother baby grant, and the universal prenatal subsidy.</p>
<p>Supervisory Authority of <span class="nobr">Short-Term</span> Social Security (<abbr class="spell">ASUSS</abbr>) (http://asuss.gob.bo/), along with other <span class="nobr">short-term</span> health entities, administer the social insurance program, the Juana Azurduy mother baby grant, and the universal prenatal subsidy.</p>
<p>Ministry of Education (<a href="https://www.minedu.gob.bo/">http://www.minedu.gob.bo/</a>) administers the Juancito Pinto cash transfer program.</p>
<p>Subsidy Distributor (<a href="https://www.sedem.gob.bo/">https://www.sedem.gob.bo/</a>) procures and distributes <span class="nobr">in-kind</span> benefits.</p>
<p>Employers pay cash benefits directly to employees or pay the Subsidy Distributor for <span class="nobr">in-kind</span> benefits.</p>
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