natgillin/translations-raw huggingface dataset:
An insurer may not commence carrying out voluntary health insurance activities without obtaining the prior approval of the minister responsible for health.The minister responsible for health shall issue an ordinance laying down the procedure and the manner of granting the approval referred to in paragraph 1 of this Article.
Osiguravatelj ne smije započeti obavljati poslove dobrovoljnoga zdravstvenog osiguranja bez prethodno pribavljene suglasnosti ministra nadležnog za zdravstvo.Postupak i način davanja suglasnosti iz stavka 1. ovoga članka propisat će pravilnikom ministar nadležan za zdravstvo.
By way of derogation from the provisions of Articles 8 and 9 of this Act, supplementary health insurance providing cover for a portion of health care costs up to the full price of the health care services received under mandatory health insurance (co-payment) referred to in Article 15 of the Mandatory Health Insurance Act may also be provided by the Croatian Mandatory Health Insurance Fund (hereinafter referred to as the "Fund").The Fund shall maintain the accounting records of the supplementary health insurance scheme's funds separate and apart from the accounting records of the mandatory health insurance scheme's funds.
Iznimno od odredbi članka 8. i 9. ovoga Zakona, dopunsko zdravstveno osiguranje za pokriće dijela troškova do pune cijene zdravstvene zaštite iz obveznoga zdravstvenog osiguranja (doplata) iz članka 15. Zakona o obveznom zdravstvenom osiguranju provodi i Hrvatski zavod za obvezno zdravstveno osiguranje (u daljnjem tekstu: Zavod).Zavod vodi sredstva dopunskoga zdravstvenog osiguranja odvojeno od sredstava obveznoga zdravstvenog osiguranja. II.
II SUPPLEMENTARY HEALTH INSURANCE
DOPUNSKO ZDRAVSTVENO OSIGURANJE
Supplementary health insurance shall be established on the basis of a contract on supplementary health insurance concluded between a policyholder and an insurer or the Fund.
Dopunsko zdravstveno osiguranje ustanovljuje se ugovorom o dopunskom zdravstvenom osiguranju između ugovaratelja osiguranja i osiguravatelja, odnosno Zavoda.
For the purposes of the provisions of this Act, a supplementary health insurance policyholder means an insured person, or a legal or natural person, body of state administration or other body that has entered into a supplementary health insurance contract on behalf of the insured person and has assumed an obligation to pay insurance premiums.
Ugovarateljem dopunskoga zdravstvenog osiguranja, prema odredbama ovoga Zakona, smatra se osiguranik, odnosno pravna ili fizička osoba, tijelo državne vlasti ili drugo tijelo koje je za osiguranika sklopilo ugovor o dopunskom zdravstvenom osiguranju i koje se obvezalo na uplatu premije osiguranja.
For the purposes of the provisions of this Act, an insured person in the supplementary health insurance scheme means a natural person who has entered into a contract on supplementary health insurance or on whose behalf such a contract has been entered into on the basis of his or her consent, and who exercises the rights laid down in the insurance contract.An insured person referred to in paragraph 1 of this Article may only be a person who has been granted the status of insured person in the mandatory health insurance scheme, pursuant to the Mandatory Health Insurance Act.If the insured person referred to in paragraph 2 of this Article loses the status of insured person in the mandatory health insurance scheme, he or she shall also lose the status of insured person in the supplementary health insurance scheme.
Osiguranikom dopunskoga zdravstvenog osiguranja, prema odredbama ovoga Zakona, smatra se fizička osoba koja je sklopila ili za koju je, na temelju njezine suglasnosti, sklopljen ugovor o dopunskom zdravstvenom osiguranju i koja koristi prava utvrđena ugovorom o osiguranju.Osiguranik iz stavka 1. ovoga članka može biti samo osoba koja ima utvrđen status osigurane osobe u obveznom zdravstvenom osiguranju sukladno Zakonu o obveznom zdravstvenom osiguranju.Osiguranik iz stavka 2. ovoga članka gubitkom statusa osigurane osobe u obveznom zdravstvenom osiguranju gubi status osiguranika u dopunskom zdravstvenom osiguranju.
The insurer or the Fund shall determine the premium for supplementary health insurance having regard to the scope of coverage defined in the supplementary health insurance contract.An insurer providing supplementary health insurance or the Fund shall be obliged to: - enter into an insurance contract with every person insured with the Fund who desires to insure himself or herself in order to obtain the rights arising from supplementary health insurance under the insurer's programmes, - ensure that all insured persons covered by the supplementary health insurance scheme have equal rights and obligations, as defined in individual programmes offered by the insurer.
Osiguravatelj, odnosno Zavod određuje premiju za dopunsko zdravstveno osiguranje s obzirom na opsege pokrića iz ugovora o dopunskom zdravstvenom osiguranju.Osiguravatelj dopunskoga zdravstvenog osiguranja, odnosno Zavod obvezni su: - sklopiti ugovor o osiguranju sa svakom osiguranom osobom Zavoda koja se želi osigurati za prava iz dopunskoga zdravstvenog osiguranja po programima osiguravatelja, - za sve osiguranike osigurati jednaka prava i obveze iz dopunskoga zdravstvenog osiguranja po pojedinom programu osiguravatelja.
Pursuant to the Mandatory Health Insurance Act, an entity contracted with the Fund shall seek recovery of a portion of health care costs up to the full price of the health care services provided under the mandatory health insurance (co-payment) from the insurer or the Fund.
Pokriće dijela troškova do pune cijene zdravstvene zaštite iz obveznoga zdravstvenog osiguranja (doplatu) sukladno Zakonu o obveznom zdravstvenom osiguranju ugovorni subjekt Zavoda naplaćuje od osiguravatelja, odnosno Zavoda.
The minister responsible for health shall issue an ordinance laying down detailed conditions and manner of providing supplementary health insurance.Pursuant to the ordinance referred to in paragraph 1 of this Article, the Governing Council of the Fund shall lay down the rules relating to provision of supplementary health insurance by the Fund.
Pobliže uvjete i način provođenja dopunskoga zdravstvenog osiguranja utvrđuje pravilnikom ministar nadležan za zdravstvo.Pravila provođenja dopunskoga zdravstvenog osiguranja koje provodi Zavod, sukladno pravilniku iz stavka 1. ovoga članka, utvrdit će Upravno vijeće Zavoda. III.
III ADDITIONAL HEALTH INSURANCE
DODATNO ZDRAVSTVENO OSIGURANJE
Additional health insurance shall be established on the basis of a contract on additional health insurance concluded between a policyholder and an insurer.
Dodatno zdravstveno osiguranje ustanovljuje se ugovorom o dodatnom zdravstvenom osiguranju između ugovaratelja osiguranja i osiguravatelja.
For the purposes of the provisions of this Act, an additional health insurance policyholder means an insured person, or a legal or natural person, body of state administration or other body that has entered into a contract on additional health insurance on behalf of the insured person and has assumed an obligation to pay insurance premiums.
Ugovarateljem dodatnoga zdravstvenog osiguranja, prema odredbama ovoga Zakona, smatra se osiguranik, odnosno pravna ili fizička osoba, tijelo državne vlasti ili drugo tijelo koje je za osiguranika sklopilo ugovor o dodatnom zdravstvenom osiguranju i koje se obvezalo na uplatu premije osiguranja.
For the purposes of the provisions of this Act, an insured person in an additional health insurance scheme means a natural person who has entered into a contract on additional health insurance or on whose behalf such a contract has been entered into on the basis of his or her consent, and who exercises the rights laid down in the contract on additional health insurance.An insured person referred to in paragraph 1 of this Article may only be a person who has been granted the status of insured person in the mandatory health insurance scheme, pursuant to the Mandatory Health Insurance Act.
Osiguranikom dodatnoga zdravstvenog osiguranja, prema odred - bama ovoga Zakona, smatra se fizička osoba koja je sklopila ili za koju je, na temelju njezine suglasnosti, sklopljen ugovor o dodatnom zdravstvenom osiguranju i koja koristi prava utvrđena ugovorom o dodatnom zdravstvenom osiguranju.Osiguranik iz stavka 1. ovoga članka može biti samo osoba koja ima utvrđen status osigurane osobe u obveznom zdravstvenom osiguranju sukladno Zakonu o obveznom zdravstvenom osiguranju.
The insurer shall determine the premium for additional health insurance having regard to the scope of coverage defined in the additional health insurance contract, the risk to which the insured person is exposed, taking into account the age, sex, bonus/malus, mortality tables and sickness tables, and the duration of the insurance contract concluded.An insurer providing additional health insurance shall be obliged to: - enter into an insurance contract with every person insured with the Fund who desires to insure himself or herself in order to obtain the rights arising from additional health insurance under the insurer's programmes, - ensure that all insured persons covered by the additional health insurance scheme have equal rights and obligations, as defined in individual programmes offered by the insurer.
Osiguravatelj određuje premiju za dodatno zdravstveno osiguranje s obzirom na opseg pokrića iz ugovora o dodatnom zdravstvenom osiguranju te rizik kojem je osiguranik izložen, uzimajući u obzir dob, spol, bonus i malus, tablice smrtnosti i tablice bolesti te trajanje sklopljenog ugovora o osiguranju.Osiguravatelj dodatnoga zdravstvenog osiguranja obvezan je: - sklopiti ugovor o osiguranju sa svakom osiguranom osobom Zavoda koja se želi osigurati za prava iz dodatnoga zdravstvenog osiguranja po programima osiguravatelja, - za sve osiguranike osigurati jednaka prava i obveze iz dodatnoga zdravstvenog osiguranja po pojedinom programu osiguravatelja.
A contract on additional health insurance referred to in Article 17 of this Act shall specify the health care institutions, companies providing medical services and private health care professionals at which insured persons may exercise their rights arising from additional health insurance.
Ugovorom o dodatnom zdravstvenom osiguranju iz članka 17. ovoga Zakona određuju se zdravstvene ustanove, trgovačka društva koja obavljaju zdravstvenu djelatnost te privatni zdravstveni radnici kod kojih osiguranik može koristiti prava iz dodatnoga zdravstvenog osiguranja.
Health care institutions, companies providing medical services and private health care professionals contracted with the Fund to provide health care services may only enter into a contract on additional health insurance referred to in Article 17 of this Act for the capacities beyond those contracted with the Fund or for insuring broader health care rights than those provided under the mandatory health insurance scheme, or for the purpose of ensuring a higher standard of health care than that ensured within the mandatory health insurance scheme, outside working hours agreed upon with the Fund.
Zdravstvene ustanove, trgovačka društva koja obavljaju zdravstvenu djelatnost te privatni zdravstveni radnici sa sklopljenim ugovorom o provođenju zdravstvene zaštite sa Zavodom mogu sklopiti ugovor o dodatnom zdravstvenom osiguranju iz članka 17. ovoga Zakona samo za kapacitete izvan ugovorenih kapaciteta sa Zavodom i za osiguranje većeg opsega prava na zdravstvenu zaštitu u odnosu na prava iz obveznoga zdravstvenog osiguranja kao i za osiguranje višeg standarda zdravstvene zaštite u odnosu na standard zdravstvene zaštite iz obveznoga zdravstvenog osiguranja, izvan ugovorenog radnog vremena sa Zavodom.
If they wish to use the capacities beyond those contracted with the Fund for the purpose of providing additional health insurance, health care institutions, companies providing medical services and private health care professionals referred to in Article 22 of this Act shall first obtain the approval of the minister responsible for health.Upon obtaining the approval of the minister responsible for health, as referred to in paragraph 1 of this Article, the health care institution or the company providing medical services may enter into a contract on additional health insurance on the basis of a prior decision by the managing board of the health care institution or the competent body of the company, respectively.The procedure and manner of providing additional health insurance shall be determined by a general by-law adopted by the managing board of the health care institution or the competent body of the company, as the case may be.
Za korištenje kapaciteta izvan ugovorenih kapaciteta Zavoda za provođenje dodatnoga zdravstvenog osiguranja zdravstvene ustanove, trgovačka društva koja obavljaju zdravstvenu djelatnost te privatni zdravstveni radnici iz članka 22. ovoga Zakona obvezni su ishoditi suglasnost ministra nadležnog za zdravstvo.Po ishođenoj suglasnosti ministra nadležnog za zdravstvo iz stavka 1. ovoga članka, zdravstvena ustanova, odnosno trgovačko društvo koje obavlja zdravstvenu djelatnost može sklopiti ugovor o dodatnom zdravstvenom osiguranju na temelju prethodne odluke upravnog vijeća, odnosno nadležnog tijela trgovačkog društva.Postupak i način provođenja dodatnoga zdravstvenog osiguranja uređuje se općim aktom koji donosi upravno vijeće zdravstvene ustanove, odnosno nadležno tijelo trgovačkog društva.
The insurers shall provide the ministry responsible for health with information on contracts concluded with health care institutions, companies providing medical services or private health care professionals at which insured persons may exercise their rights arising from additional health insurance.The content of the information referred to in paragraph 1 of this Article and the deadlines for providing this information shall be specified in an ordinance issued by the minister responsible for health.
Osiguravatelj je obvezan podatke o sklopljenim ugovorima sa zdravstvenim ustanovama, trgovačkim društvima koja obavljaju zdravstvenu djelatnost te privatnim zdravstvenim radnicima kod kojih osiguranik može koristiti prava iz dodatnog zdravstvenog osiguranja dostavljati na uvid ministarstvu nadležnom za zdravstvo.Sadržaj podataka i rokove za dostavljanje podataka iz stavka 1. ovoga članka propisat će pravilnikom ministar nadležan za zdravstvo.
The minister responsible for health shall issue an ordinance laying down detailed conditions and manner of providing additional health insurance.
Pobliže uvjete i način provođenja dodatnoga zdravstvenog osiguranja utvrđuje pravilnikom ministar nadležan za zdravstvo. IV.
IV PRIVATE HEALTH INSURANCE
PRIVATNO ZDRAVSTVENO OSIGURANJE
Private health insurance shall be established on the basis of a contract on private health insurance concluded between a policyholder and an insurer.
Privatno zdravstveno osiguranje ustanovljuje se ugovorom o privatnom zdravstvenom osiguranju između ugovaratelja osiguranja i osiguravatelja.
For the purposes of the provisions of this Act, a private health insurance policyholder means an insured person, or a legal or natural person that has entered into a contract on private health insurance on behalf of the insured person and has assumed an obligation to pay insurance premiums.
Ugovarateljem privatnoga zdravstvenog osiguranja, prema odredbama ovoga Zakona, smatra se osiguranik, odnosno fizička ili pravna osoba koja je za osiguranika sklopila ugovor o privatnom zdravstvenom osiguranju i koja se obvezala na uplatu premije osiguranja.
For the purposes of the provisions of this Act, an insured person in a private health insurance scheme means a natural person who has entered into a contract on private health insurance or on whose behalf such a contract has been entered into on the basis of his or her consent, and who exercises the rights laid down in the insurance contract.
Osiguranikom privatnoga zdravstvenog osiguranja, prema odredbama ovoga Zakona, smatra se fizička osoba koja je sklopila ili za koju je, na temelju njezine suglasnosti, sklopljen ugovor o privatnom zdravstvenom osiguranju i koja koristi prava utvrđena ugovorom o osiguranju.
The insurer shall determine the premium for private health insurance having regard to the scope of coverage defined in the private health insurance contract, the risk to which the insured person is exposed, taking into account the age, sex, bonus/malus, mortality tables and sickness tables, and the duration of the insurance contract concluded.An insurer providing additional health insurance shall be obliged to ensure that all insured persons covered by the private health insurance scheme have equal rights and obligations, as defined in individual programmes offered by the insurer.
Osiguravatelj određuje premiju za privatno zdravstveno osiguranje s obzirom na opseg pokrića iz ugovora o privatnom zdravstvenom osiguranju te rizik kojem je osiguranik izložen, uzimajući u obzir dob, spol, bonus i malus, tablice smrtnosti i tablice bolesti te trajanje sklopljenog ugovora o osiguranju.Osiguravatelj privatnoga zdravstvenog osiguranja obvezan je za sve osiguranike osigurati jednaka prava i obveze iz privatnoga zdravstvenog osiguranja po pojedinom programu osiguravatelja.
A contract on private health insurance referred to in Article 26 of this Act shall specify the health care institutions, companies providing medical services and private health care professionals at which insured persons may exercise their rights arising from private health insurance.
Ugovorom o privatnom zdravstvenom osiguranju iz članka 26. ovoga Zakona određuju se zdravstvene ustanove, trgovačka društva koja obavljaju zdravstvenu djelatnost te privatni zdravstveni radnici kod kojih osiguranik može koristiti prava iz privatnoga zdravstvenog osiguranja.
Health care institutions, companies providing medical services and private health care professionals contracted with the Fund to provide health care services may only enter into a contract on private health insurance referred to in Article 26 of this Act for the capacities beyond those contracted with the Fund and outside working hours agreed upon with the Fund.
Zdravstvene ustanove, trgovačka društva koja obavljaju zdravstvenu djelatnost te privatni zdravstveni radnici sa sklopljenim ugovorom o provođenju zdravstvene zaštite sa Zavodom mogu sklopiti ugovor o privatnom zdravstvenom osiguranju iz članka 26. ovoga Zakona samo za kapacitete izvan ugovorenih kapaciteta sa Zavodom i izvan ugovorenoga radnog vremena sa Zavodom.
If they wish to use the capacities beyond those contracted with the Fund for the purpose of providing private health insurance, health care institutions, companies providing medical services and private health care professionals referred to in Article 31 of this Act shall first obtain the approval of the minister responsible for health.Upon obtaining the approval of the minister responsible for health, as referred to in paragraph 1 of this Article, the health care institution or the company providing medical care services may enter into a contract on private health insurance on the basis of a prior decision by the managing board of the health care institution or the competent body of the company, respectively.The procedure and manner of providing private health insurance shall be determined by a general by-law adopted by the managing board of the health care institution or the competent body of the company, as the case may be.
Za korištenje kapaciteta izvan ugovorenih kapaciteta Zavoda za provođenje privatnoga zdravstvenog osiguranja zdravstvene ustanove, trgovačka društva koja obavljaju zdravstvenu djelatnost te privatni zdravstveni radnici iz članka 31. ovoga Zakona obvezni su ishoditi suglasnost ministra nadležnog za zdravstvo.Po ishođenoj suglasnosti ministra nadležnog za zdravstvo iz stavka 1. ovoga članka, zdravstvena ustanova, odnosno trgovačko društvo koje obavlja zdravstvenu djelatnost može sklopiti ugovor o privatnom zdravstvenom osiguranju na temelju prethodne odluke upravnog vijeća, odnosno nadležnog tijela trgovačkog društva.Postupak i način provođenja privatnoga zdravstvenog osiguranja uređuje se općim aktom koji donosi upravno vijeće zdravstvene ustanove, odnosno nadležno tijelo trgovačkog društva.
The insurers shall provide the ministry responsible for health with information on contracts concluded with health care institutions, companies providing medical services and private health care professionals at which insured persons may exercise their rights arising from private health insurance.The content of the information referred to in paragraph 1 of this Article and the deadlines for providing this information shall be specified in an ordinance issued by the minister responsible for health.
Osiguravatelj je obvezan podatke o sklopljenim ugovorima sa zdravstvenim ustanovama, trgovačkim društvima koja obavljaju zdravstvenu djelatnost te privatnim zdravstvenim radnicima kod kojih osiguranik može koristiti prava iz privatnoga zdravstvenog osiguranja dostavljati na uvid ministarstvu nadležnom za zdravstvo.Sadržaj podataka i rokove za dostavljanje podataka iz stavka 1. ovoga članka propisat će pravilnikom ministar nadležan za zdravstvo.
The minister responsible for health shall issue an ordinance laying down detailed conditions and manner of providing private health insurance.
Pobliže uvjete i način provođenja privatnoga zdravstvenog osiguranja utvrđuje pravilnikom ministar nadležan za zdravstvo.
V PENAL PROVISIONS
V. KAZNENE ODREDBE
A legal person shall be guilty of a misdemeanour and shall be fined a sum between HRK 70 000.00 and HRK 100 000.00 for:1. providing voluntary health insurance contrary to Article 8 of this Act,2. engaging in the activities of voluntary health insurance without having obtained the prior approval of the minister responsible for health (Article 9),3. providing voluntary health insurance contrary to Article 10 of this Act,4. failing to fulfil its obligations set out in Article 14, paragraph 2, Article 20, paragraph 2 and Article 29, paragraph 2 of this Act,5. using capacities contrary to the provisions of Article 23, paragraph 1 and Article 32, paragraph 1 of this Act without the approval of the minister responsible for health,6. failing to provide the specified information or failing to deliver them within the prescribed deadline (Articles 24 and 33).The responsible person in the legal person shall be fined a sum between HRK 7 000.00 and HRK 10 000.00 for committing a misdemeanour referred to in paragraph 1 of this Article.A natural person shall also be fined a sum between HRK 7 000.00 and HRK 10 000.00 for committing a misdemeanour referred to in paragraph 1 of this Article.
Novčanom kaznom u iznosu od 70.000,00 do 100.000,00 kuna kaznit će se za prekršaj pravna osoba:1. koja provodi dobrovoljno zdravstveno osiguranje protivno članku 8. ovoga Zakona,2. započne obavljati poslove dobrovoljnoga zdravstvenog osiguranja bez prethodno pribavljene suglasnosti ministra nadležnog za zdravstvo (članak 9.),3. koja provodi dobrovoljno zdravstveno osiguranje protivno članku 10. ovoga Zakona,4. ako ne ispuni obvezu iz članka 14. stavka 2., članka 20. stavka 2. i članka 29. stavka 2. ovoga Zakona,5. ako bez suglasnosti ministra nadležnog za zdravstvo koristi kapacitete protivno odredbama članka 23. stavka 1. i članka 32. stavka 1. ovoga Zakona,6. ako ne dostavi propisane podatke, odnosno ako ih ne dostavi u propisanom roku (članak 24. i 33.).Za prekršaj iz stavka 1. ovoga članka kaznit će se i odgovorna osoba u pravnoj osobi novčanom kaznom od 7.000,00 do 10.000,00 kuna.Za prekršaj iz stavka 1. točke 1. ovoga članka kaznit će se i fizička osoba novčanom kaznom od 7.000,00 do 10.000,00 kuna.
The minister responsible for health shall issue the ordinances which he is authorised to issue under this Act within six months from the date of entry into force of this Act.
Ministar nadležan za zdravstvo pravilnike za čije je donošenje ovlašten ovim Zakonom donijet će u roku od 6 mjeseci od dana stupanja na snagu ovoga Zakona.