Judgment of the Court of 14 March 1978. - Giovanni Naselli v Caisse Auxiliaire d'Assurance Maladie-Invalidité and l'Institut National d'Assurance Maladie-Invalidité. - Reference for a preliminary ruling: Tribunal du travail de Bruxelles - Belgium. - Social security. - Case 83/77.



European Court reports 1978 Page 00683

Greek special edition Page 00263

Portuguese special edition Page 00269



Summary

Parties

Subject of the case

Grounds

Decision on costs

Operative part



Keywords

1 . SOCIAL SECURITY FOR MIGRANT WORKERS - INVALIDITY - PENSION - ARTICLES 27 AND 28 OF REGULATION NO 3 - APPLICATION BY ANALOGY - BENEFITS - APPORTIONMENT - CONDITION - AGGREGATION OF INSURANCE PERIODS COMPLETED UNDER DIFFERENT LEGISLATIONS

( REGULATION NO 3 OF THE COUNCIL , ARTS . 26 ( 1 ), 27 AND 28 )

2 . SOCIAL SECURITY FOR MIGRANT WORKERS - BENEFITS - OVERLAPPING - NATIONAL LEGISLATIONS - PROVISIONS FOR THE REDUCTION OR SUSPENSION OF BENEFIT - PRECLUSION - CONDITIONS

( REGULATION NO 3 OF THE COUNCIL , ART . 11 ( 2 ))

3 . SOCIAL SECURITY FOR MIGRANT WORKERS - BENEFITS - OVERLAPPING - NATIONAL LEGISLATIONS - APPLICATION OF A PROVISION FOR THE REDUCTION OR SUSPENSION OF BENEFIT - CALCULATION OF BENEFITS - ARTICLE 9 ( 2 ) OF REGULATION NO 4 - CONDITIONS FOR ITS APPLICATION

( REGULATION NO 4 OF THE COUNCIL , ART . 9 ( 2 ))

Summary

1 . THE APPLICATION BY ANALOGY OF ARTICLES 27 AND 28 OF REGULATION NO 3 TO THE CASES REFERRED TO IN ARTICLE 26 ( 1 ) IMPLIES THAT BENEFITS MAY ONLY BE APPORTIONED IF IT HAS BEEN NECESSARY , IN ORDER TO GIVE RISE TO ENTITLEMENT , TO AGGREGATE BEFOREHAND THE PERIODS COMPLETED UNDER DIFFERENT LEGISLATIONS .

2 . ARTICLE 11 ( 2 ) OF REGULATION NO 3 IS THE COUNTERWEIGHT TO THE ADVANTAGES WHICH REGULATIONS NOS 3 AND 4 PROCURE FOR WORKERS BY ENABLING THEM TO CLAIM THE SIMULTANEOUS APPLICATION OF THE SOCIAL SECURITY LAWS OF SEVERAL MEMBER STATES AND ITS PURPOSE IS TO PREVENT THEM FROM DERIVING FROM THAT APPLICATION ADVANTAGES WHICH THE NATIONAL LEGISLATION CONSIDERS EXCESSIVE . THEREFORE THE RESTRICTIONS REFERRED TO IN ARTICLE 11 ( 2 ) ONLY APPLY TO INSURED PERSONS IN SO FAR AS THE BENEFITS ACQUIRED BY APPLYING THOSE REGULATIONS ARE CONCERNED .

ON THE OTHER HAND REGULATION NO 3 DOES NOT PRECLUDE THE APPLICATION TO BENEFITS ACQUIRED BY VIRTUE OF NATIONAL LEGISLATION ALONE OF NATIONAL RULES AGAINST THE OVERLAPPING OF BENEFITS .

3 . ARTICLE 9 ( 2 ) OF REGULATION NO 4 APPLIES ONLY WHEN THE BENEFIT IN QUESTION HAS BEEN AWARDED THROUGH THE APPLICATION OF THE PROCESSES OF AGGREGATION AND APPORTIONMENT .

Parties

IN CASE 83/77

REFERENCE TO THE COURT UNDER ARTICLE 177 OF THE EEC TREATY BY THE TRIBUNAL DU TRAVAIL ( LABOUR TRIBUNAL ), BRUSSELS , FOR A PRELIMINARY RULING IN THE ACTION PENDING BEFORE THAT COURT BETWEEN

GIOVANNI NASELLI , BRUSSELS ,

AND

CAISSE AUXILIAIRE D ' ASSURANCE MALADIE-INVALIDITE ( AUXILIARY FUND FOR SICKNESS AND INVALIDITY INSURANCE ), WITH THE INSTITUT NATIONAL D ' ASSURANCE MALADIE-INVALIDITE ( NATIONAL INSTITUTE FOR SICKNESS AND INVALIDITY INSURANCE ) INTERVENING ,

Subject of the case

ON THE INTERPRETATION OF ARTICLE 11 ( 2 ) OF REGULATION NO 3 AND OF ARTICLE 9 ( 2 ) OF REGULATION NO 4 ,

Grounds

1BY ORDER OF 23 JUNE 1977 WHICH WAS RECEIVED AT THE COURT ON 5 JULY 1977 THE TRIBUNAL DU TRAVAIL , BRUSSELS , REFERRED TO THE COURT , PURSUANT TO ARTICLE 177 OF THE EEC TREATY , FOR A PRELIMINARY RULING TWO QUESTIONS RELATING TO THE INTERPRETATION OF ARTICLE 11 ( 2 ) OF REGULATION NO 3 OF THE COUNCIL OF 25 SEPTEMBER 1958 CONCERNING SOCIAL SECURITY FOR MIGRANT WORKERS ( JOURNAL OFFICIEL 1958 , P . 561 ) AND OF ARTICLE 9 ( 2 ) OF REGULATION NO 4 OF THE COUNCIL OF 3 DECEMBER 1958 ON IMPLEMENTING PROCEDURES AND SUPPLEMENTARY PROVISIONS IN RESPECT OF REGULATION NO 3 CONCERNING SOCIAL SECURITY FOR MIGRANT WORKERS ( JOURNAL OFFICIEL 1958 , P . 597 ).

2THESE QUESTIONS HAVE BEEN RAISED IN AN ACTION CONCERNING THE CALCULATION BY THE COMPETENT BELGIAN INSTITUTION OF THE INVALIDITY PENSION OF AN ITALIAN NATIONAL , MR NASELLI , THE PLAINTIFF IN THE MAIN ACTION , WHO HAS WORKED IN ITALY AND BELGIUM .

3SINCE MR NASELLI HAD BEEN DISABLED HE WAS GRANTED AN APPORTIONED INVALIDITY PENSION IN ITALY , AS FROM 1 OCTOBER 1958 , APPARENTLY PURSUANT TO THE PROVISIONS OF A CONVENTION BETWEEN ITALY AND BELGIUM .

HAVING WORKED AGAIN IN BELGIUM IN 1964 AND 1965 MR NASELLI FELL ILL AND OBTAINED , AS FROM 23 JUNE 1965 , SICKNESS BENEFIT , CONVERTED LATER ON INTO AN INVALIDITY PENSION , PAYABLE UNDER BELGIAN INSURANCE .

5HE FULFILLED THE REQUISITE CONDITIONS IN BELGIUM UNDER NATIONAL LEGISLATION FOR ENTITLEMENT TO AN INVALIDITY PENSION WITHOUT AVAILING HIMSELF OF ARTICLES 27 AND 28 OF REGULATION NO 3 .

6THE BELGIAN INSTITUTION , RELYING ON THE RULES AGAINST THE OVERLAPPING OF BENEFITS LAID DOWN BY ITS NATIONAL LEGISLATION , REDUCED WITH RETROACTIVE EFFECT THE AMOUNT OF THE PENSION WHICH IT HAD PREVIOUSLY AWARDED MR NASELLI AND CLAIMED REPAYMENT OF THE AMOUNT OVERPAID .

7THE FIRST QUESTION REFERRED IS :

' ' SHOULD ARTICLE 11 ( 2 ) OF REGULATION NO 3 BE INTERPRETED AS MEANING THAT THE PLAINTIFF , HAVING REGARD TO THE PROVISIONS OF ARTICLE 70 ( 2 ) OF THE LAW OF 9 AUGUST 1963 , COULD NOT DRAW THE FULL AMOUNT OF HIS BELGIAN PENSION AS WELL AS HIS ITALIAN PENSION , ALTHOUGH HIS RIGHT TO HIS BELGIAN PENSION WAS ACQUIRED INDEPENDENTLY OF THE REGULATIONS OF THE EUROPEAN ECONOMIC COMMUNITY , THAT IS , IN OTHER WORDS , IS THE BELGIAN INSTITUTION AUTHORIZED OR NOT TO APPLY THE NATIONAL PROVISIONS PROHIBITING PLURALITY IN CONJUNCTION WITH ARTICLE 11 ( 2 ) OF REGULATION NO 3 FOR THE PURPOSE OF REDUCING THE PENSION PAID BY VIRTUE OF THE BELGIAN LEGISLATION ALONE?

' '

8THE SECOND QUESTION REFERRED IS :

' ' DOES ARTICLE 9 ( 2 ) OF REGULATION NO 4 APPLY ONLY TO A CASE WHERE THE BENEFIT THAT IS TO BE REDUCED BECAUSE IT OVERLAPS WITH ANOTHER BENEFIT OR OTHER INCOME , IS AWARDED BY VIRTUE OF AGGREGATION OF INSURANCE PERIODS , THAT IS , IN OTHER WORDS , DID THE BELGIAN INSTITUTION HAVE TO TAKE INTO ACCOUNT A FRACTION AND NOT THE WHOLE OF THE ITALIAN PENSION FOR THE PURPOSE OF REDUCING THE BELGIAN BENEFIT ALTHOUGH THAT BENEFIT WAS ACQUIRED WITHOUT HAVING TO APPLY REGULATIONS OF THE EUROPEAN ECONOMIC COMMUNITY?

' '

FIRST QUESTION

9THE COURT HAS ALREADY HELD IN ITS JUDGMENT OF 6 DECEMBER 1973 IN CASE 140/73 DIRECTION REGIONALE DE LA SECURITE SOCIALE DE LA REGION PARISIENNE AND CAISSE REGIONALE D ' ASSURANCE MALADIE DE PARIS V CARMELA MANCUSO AND CAISSE NATIONALE D ' ASSURANCE VIEILLESSE DES TRAVAILLEURS SALARIES ( 1973 ) ECR 1449 THAT THE APPLICATION BY ANALOGY OF ARTICLE 27 AND 28 OF REGULATION NO 3 TO THE CASES REFERRED TO IN ARTICLE 26 ( 1 ) IMPLIES THAT BENEFITS MAY ONLY BE APPORTIONED IF IT HAS BEEN NECESSARY , IN ORDER TO GIVE RISE TO ENTITLEMENT , TO AGGREGATE BEFOREHAND THE PERIODS COMPLETED UNDER DIFFERENT LEGISLATIONS .

10THEREFORE THE PROVISIONS OF ARTICLES 27 AND 28 OF REGULATION NO 3 DO NOT HAVE BE APPLIED IN THE CASE OF A PENSION ACQUIRED IN PURSUANCE OF A NATIONAL LAW ALONE .

11ARTICLE 11 ( 2 ) OF THE SAID REGULATION READS ' ' PROVISIONS IN THE LEGISLATION OF ONE MEMBER STATE FOR THE REDUCTION OR SUSPENSION OF BENEFIT WHERE THERE IS PLURALITY WITH OTHER SOCIAL INSURANCE BENEFITS , OR OTHER INCOME , OR BECAUSE OF GAINFULL EMPLOYMENT , SHALL APPLY TO A BENEFICIARY EVEN IN RESPECT OF BENEFITS ACQUIRED UNDER A SCHEME IN ANOTHER MEMBER STATE , OR IN RESPECT OF INCOME DERIVED FROM , OR EMPLOYMENT IN , THE TERRITORY OF ANOTHER MEMBER STATE ; PROVIDED THAT THIS RULE SHALL NOT APPLY WHERE BENEFITS OF THE SAME KIND ARE ACQUIRED IN ACCORDANCE WITH THE PROVISIONS OF ARTICLE 26 AND 28 OF THIS REGULATION . ' '

12AS THE COURT HAS ALREADY HELD , WITH SPECIAL REFERENCE TO ITS JUDGMENT OF 15 MAY 1974 IN CASE 154/73 BESTUUR VAN DE NIEUWE ALGEMENE BEDRIJFSVERENIGING V H . W . KAUFMANN ( 1974 ) ECR 517 THIS ARTICLE , INTERPRETED IN THE LIGHT OF ARTICLE 48 TO 51 OF THE TREATY , IS THE COUNTERWEIGHT TO THE ADVANTAGES WHICH REGULATIONS NOS 3 AND 4 PROCURE FOR WORKERS BY ENABLING THEM TO CLAIM THE SIMULTANEOUS APPLICATION OF THE SOCIAL SECURITY LAWS OF SEVERAL MEMBER STATES AND ITS PURPOSE IS TO PREVENT THEM FROM DERIVING FROM THAT APPLICATION ADVANTAGES WHICH THE NATIONAL LEGISLATION CONSIDERS EXCESSIVE .

13THEREFORE THE RESTRICTIONS REFERRED TO IN ARTICLE 11 ( 2 ) ONLY APPLY TO INSURED PERSONS IN SO FAR AS THE BENEFITS ACQUIRED BY APPLYING THOSE REGULATIONS ARE CONCERNED .

14ON THE OTHER HAND CONSIDERATION OF THE OTHER PROVISIONS OF REGULATION NO 3 SHOWS THAT NONE OF THEM PRECLUDES THE APPLICATION TO BENEFITS ACQUIRED BY VIRTUE OF NATIONAL LEGISLATION ALONE OF NATIONAL RULES AGAINST THE OVERLAPPING OF BENEFITS .

15NEVERTHELESS THE BELGIAN INSTITUTION DRAWS ATTENTION TO THE PROVISIONS OF ARTICLE 70 OF THE BELGIAN LAW OF 9 AUGUST 1963 ON SICKNESS AND INVALIDITY INSURANCE WHICH READ AS FOLLOWS : ' ' THE BENEFITS PROVIDED FOR BY THIS LAW SHALL BE GRANTED ONLY UNDER CONDITIONS DETERMINED BY THE KING , IF THE INCAPACITY IN RESPECT OF WHICH A CLAIM FOR BENEFITS IS MADE FALLS WITHIN THE GENERAL LAW OR SOME OTHER LEGISLATION . IN SUCH CASES INSURANCE BENEFITS SHALL NOT BE ADDED TO THE COMPENSATION ARISING UNDER THE OTHER LEGISLATION ; THEY SHALL BE THE RESPONSIBILITY OF THE SOCIAL INSURANCE INSTITUTIONS TO THE EXTENT TO WHICH THE INCAPACITY COVERED BY THAT LAW IS NOT IN FACT MADE GOOD . IN EVERY CASE THE RECIPIENT MUST RECEIVE AMOUNTS WHICH ARE NOT LESS THAN THE AMOUNT OF THE INSURANCE BENEFITS . ' '

16IT IS FOR THE NATIONAL COURT TO CONSIDER THE QUESTION WHETHER THIS PROVISION IS A RULE AGAINST THE OVERLAPPING OF BENEFITS APPLICABLE TO THE BENEFITS IN A CASE SUCH AS THE ONE IN THE MAIN ACTION OR WHETHER IT IS ON THE OTHER HAND ONLY A PROVISION GRANTING THE RIGHT OF SUBROGATION .

17IT IS ALSO FOR THE NATIONAL COURT TO CONSIDER WHETHER UNDER THIS PROVISION THE REDUCTION OF A BELGIAN PENSION BY TAKING ACCOUNT OF BENEFITS ACQUIRED UNDER THE SYSTEM OF ANOTHER MEMBER STATE IS POSSIBLE WITHOUT INVOKING THE PROVISIONS OF ARTICLE 11 ( 2 ) OF REGULATION NO 3 .

SECOND QUESTION

18ARTICLE 9 ( 2 ) OF REGULATION NO 4 PROVIDES : ' ' THE PROVISIONS OF THE PRECEDING PARAGRAPH NOTWITHSTANDING AND , SUBJECT TO THE PROVISIONS OF THE SECOND SENTENCE OF ARTICLE 11 ( 2 ) OF THE REGULATION WOULD ENTAIL REDUCTION OR SUSPENSION OF AN INVALIDITY , OLD-AGE OR DEATH BENEFIT ( PENSIONS ), CALCULATED ACCORDING TO THE PROVISIONS OF ARTICLE 28 OF THE REGULATION BY THE INSTITUTION OF A MEMBER STATE , THAT INSTITUTION SHALL TAKE INTO ACCOUNT , FOR THE PURPOSES OF THE REDUCTION OR SUSPENSION , ONLY A FRACTION OF THE BENEFITS OR INCOME OR REMUNERATION GIVING RISE TO THE REDUCTION OR SUSPENSION . SUCH FRACTION SHALL BE DETERMINED IN PROPORTION TO THE LENGTH OF THE PERIODS COMPLETED IN ACCORDANCE WITH ARTICLE 28 ( 1 ) ( B ) OF THE REGULATION : IN CALCULATING THE AMOUNT FOR ACCOUNTING PURPOSES ACCORDING TO THE SAID PROVISION , THE BENEFIT OR INCOME OR REMUNERATION GIVING RISE TO THE REDUCTION OR SUSPENSION OF THE PENSION SHALL NOT BE TAKEN INTO ACCOUNT . ' '

19IT EMERGES CLEARLY FROM THE WORDING OF THIS PROVISION THAT IT ONLY APPLIES WHEN THE BENEFIT IN QUESTION HAS BEEN AWARDED THROUGH THE APPLICATION OF THE PROCESSES OF AGGREGATION AND APPORTIONMENT .

Decision on costs

COSTS

20THE COSTS INCURRED BY THE COMMISSION OF THE EUROPEAN COMMUNITIES WHICH SUBMITTED OBSERVATIONS TO THE COURT ARE NOT RECOVERABLE .

21AS THESE PROCEEDINGS ARE , IN SO FAR AS THE PARTIES TO THE MAIN ACTION ARE CONCERNED , IN THE NATURE OF A STEP IN THE ACTION PENDING BEFORE THE NATIONAL COURT , THE DECISION ON COSTS IS A MATTER FOR THAT COURT .

Operative part

ON THOSE GROUNDS ,

THE COURT

IN ANSWER TO THE QUESTIONS REFERRED TO IT BY THE TRIBUNAL DU TRAVAIL , BRUSSELS , BY JUDGMENT OF 23 JUNE 1977 HEREBY RULES :

1 . CONSIDERATION OF THE PROVISIONS OF REGULATION NO 3 SHOWS THAT NONE OF THEM PRECLUDES THE APPLICATION TO BENEFITS ACQUIRED BY VIRTUE OF NATIONAL LEGISLATION ALONE OF NATIONAL RULES AGAINST THE OVERLAPPING OF BENEFITS .

2 . ARTICLE 9 ( 2 ) OF REGULATION NO 4 APPLIES ONLY WHEN THE BENEFIT IN QUESTION HAS BEEN AWARDED THROUGH THE APPLICATION OF THE PROCESSES OF AGGREGATION AND APPORTIONMENT .