natgillin/translations-raw huggingface dataset:
In other words, you will remaininsured under the legislation of the ‘old’ country even whilst posted ina ‘new’ country.
Ne pridobivate več pravic v „stari“ državi in jih začnete pridobivati v „novi“ državi zaposlitve, ne glede na to, ali stalno prebivate v „novi““ državi zaposlitve ali ne.
This solution is reasonable because it would not beappropriate to change the applicable legislation for such short periodsof employment abroad.
Tudi kot obmejni delavec, ki še naprej prebiva v „stari“ državi zaposlitve, ste zavarovani v skladu z zakonodajo države, v kateri delate.
You or your employer may obtain the form from theinstitution of the Member State whose legislation remains applicable.
Začasna izjema: napotitev na delo v drugo državo
If the duration of the work to be done abroad exceeds 12 monthsbecause of unforeseen circumstances, you can apply for an extension ofthe posting period of up to 12 more months (in this case you mustobtain form E102).
Lahko se zgodi, da vas podjetje, ki vas zaposluje v eni državi, iz poklicnih razlogov (napotitev na delo) začasno pošlje na delo v drugo državo.
The provisions on posting apply not only to employed persons but alsoto self-employed persons who perform work temporarily in anothercountry.
Če trajanje dela v tujini ne presega dvanajst mesecev (in če niste bili napoteni, da nadomestite drugega zaposlenega, ki mu je napotitev potekla), se zakonodaja, ki velja za vas, ne spremeni.
Mariners:If you are a mariner and you work on board a vessel flying theflag of a Member State, you will be insured in that State, even if you livein another country.
Ta rešitev je logična, ker ne bi bilo smiselno spreminjati veljavne zakonodaje za tako kratek čas dela v tujini.
Civil servants: As a civil servant (or a person treated as such), you areinsured in the country of the administration which employs you.
Vi – ali vaš delodajalec – lahko ta obrazec pridobite pri ustanovi države članice, katere zakonodaja ostaja veljavna.
Persons called up for service in the armed forces: You will be subject tothe legislation of the country in whose armed forces you are serving.The same applies to persons called up for civilian service.
Če zaradi nepredvidenih okoliščin trajanje dela, ki ga morate opraviti v tujini, preseže dvanajst mesecev, lahko zaprosite za podaljšanje časa napotitve za največ dvanajst dodatnih mesecev; v tem primeru morate pridobiti obrazec E102. 102.
Persons employed by diplomatic missions or consular posts: As a rule,you will be insured in the State of employment (i.e. the State where thediplomatic mission or consular post is situated); however, if you are anational of the accrediting or sending State, you may opt to be insuredin this State instead.
Določbe o napotitvah se ne uporabljajo samo za zaposlene osebe, ampak tudi za samozaposlene osebe, ki opravljajo začasno poklicno dejavnost v drugi državi.
Special cases
Posebne kategorije oseb
In some exceptional cases, the abovementioned rules will not be sufficient to determine in which country an employed or self-employedperson is insured.
Delavci v mednarodnem prometu (razen mornarjev): če ste zaposleni v podjetju, ki opravlja storitve mednarodnega prevoza po železnici, cesti, zraku ali celinskih plovnih poteh, ste zavarovani v državi članici, v kateri je sedež podjetja (razen če delate v podružnici ali zastopstvu tega podjetja v drugi državi članici ali če ste prvotno zaposleni v državi, v kateri živite).
Persons working regularly in more than one Member State
Osebe, vpoklicane na služenje vojaškega roka: za vas velja zakonodaja države, v kateri opravljate vojaško službo.
If you are regularly employed in more than one Member State, you areinsured in the country where you reside if you carry out part of yourwork in that country. The same applies to self-employed persons whowork in several Member States.
Osebe, zaposlene v diplomatskih ali konzularnih predstavništvih: načeloma ste zavarovani v državi, v kateri ste zaposleni (to pomeni v državi, v kateri ima diplomatsko ali konzularno predstavništvo svoj sedež); če pa ste državljan države, ki vas akreditira ali napoti, lahko izberete zavarovanje v tej državi.
If you are self-employed, you will be insured inthe State in which you do most of your work as a self-employed person.
V nekaterih izjemnih primerih zgoraj omenjena pravila ne zadoščajo za opredelitev, v kateri državi je zavarovana neka zaposlena ali samozaposlena oseba.
Persons who are employed in one Member State and self-employed in another
Osebe, ki redno delajo v več kot eni državi članici
However, as mentioned above, in exceptional casesyou may be insured in both States; you should therefore contact thesocial security institutions of the Member States in which you work.
Če ste zaposleni v več kot eni državi članici, ste zavarovani v državi stalnega prebivališča, če opravljate del svojega dela v tej državi.
5.2.What are your rights and obligations in the country in which you are insured?
Enako velja za samozaposlene osebe, ki delajo v več kot eni državi članici.
As a rule, the social security legislation of the country in which you areinsured entitles you to have the same rights and obligations as nationals of that country.
Če nimate stalnega prebivališča v eni od držav, v katerih opravljate poklicno dejavnost, ste zavarovani v državi članici, v kateri ima sedež vaš delodajalec ali v kateri ima podjetje, v katerem ste zaposleni, registriran sedež (če ste zaposlena oseba).
This means, in particular, that your claim for benefitmay not be rejected for the sole reason that you are not a national ofthat State.
Če ste samozaposleni, ste zavarovani v državi, v kateri opravljate pretežni del dejavnosti kot samozaposlena oseba.
You may always rely on the principle of equality of treatment
Osebe, zaposlene v eni državi članici in samozaposlene v drugi
As the European Court of Justice has decided, this applies not only toforms of clear ‘direct’ discrimination but also to all forms of hidden(‘indirect’) discrimination where, in theory, a provision of national legislation applies equally to nationals and foreigners, but, in practice, isfound to be disadvantageous for foreigners.
Načeloma ste zavarovani v državi, v kateri opravljate poklicno dejavnost. Vendar pa ste lahko, kot je omenjeno zgoraj, v izjemnih primerih zavarovani v obeh državah; v tem primeru se morate posvetovati z ustanovami socialne varnosti v državah članicah, v katerih delate.
Clearly, this puts nationals of this State in a better position thanmigrant workers.
Kakšne so vaše pravice in dolžnosti v državi, v kateri ste zavarovani?
In many cases, the principle of equal treatment is not sufficient to protectmigrant workers if they or the members of their families reside outside
Na področju zakonodaje o socialni varnosti v državi, v kateri ste zavarovani, imate enake pravice in obveznosti kot državljani te države.
There are special provisions for cases such as these,which are dealt with in Sections 5.3 to 5.9.
Vedno se lahko zanesete na načelo enake obravnave.
According to the Community provisions on social security, you have thesame entitlement as the nationals of the State in which you are insuredto elect members of the bodies of social security institutions or to participate in their nomination. Whether you are also eligible to be a member of those bodies depends, however, on national legislation.
Kot je odločilo Sodišče Evropskih skupnosti, se to ne uporablja samo za oblike jasne („neposredne“) diskriminacije, ampak tudi za vse oblike prikrite („posredne“) diskriminacije, kjer se določba nacionalne zakonodaje teoretično uporablja enako za državljane in tujce, v praksi pa je neugodna zlasti za tujce.
Finally, you should not forget your obligations under the legislation ofthe State in which you are insured.
Primer Država članica določi, da je upravičenost do nadomestila odvisna od določene dolžine bivanja v tej državi, in ta pogoj postavi vsem delavcem.
This applies in the first place to theobligation to pay social insurance contributions, but also to all otherobligations to which the nationals of that State are subject.
Več kot očitno so državljani te države v prednosti v primerjavi z delavci migranti.
5.3.What you should know in the event of sicknessor maternity
Posebne določbe, povezane s takšnimi primeri, so obravnavane v točkah 5.3. do 5.9.
They offer extensive and adequate protection not onlyto migrant workers and the members of their families but to all personsto whom these provisions apply, in particular to the millions of touristsspending their holidays abroad.
V skladu z določbami Skupnosti o socialni varnosti imate pravico, tako kot državljani države, v kateri ste zavarovani, da volite člane organov ustanov socialne varnosti ali da sodelujete pri njihovem imenovanju.
The following explanations are intended to give you an overview of your rights to these benefits as well aspractical tips on how to obtain them.
Vendar pa nacionalna zakonodaja določa, ali ste lahko izvoljeni za člana teh organov ali ne.
Whenever certain conditions have to be fulfilled before you becomeentitled to benefits, the competent institution must take account ofperiods of insurance, residence or employment completed under thelegislation of other countries (aggregation).
Na koncu ne smete pozabiti svojih obveznosti po zakonodaji države, v kateri ste zavarovani.
This is a guarantee that youwill not lose your sickness insurance coverage when changing employment and moving to another State.
To velja zlasti za obveznost plačevanja prispevkov za socialno varnost, pa tudi za vse druge obveznosti, ki jih morajo izpolnjevati državljani te države.
The Community provisions ensure that a worker whohad to interrupt his previous insurance when moving to that State will beentitled to sickness benefits from the beginning of his insurance.
Določbe Skupnosti o socialni varnosti vsebujejo podrobno poglavje o nadomestilih za bolezen in materinstvo, vključno s posebnimi pravili, ki se uporabljajo za delavce, brezposelne, upokojence in njihove družinske člane, ki stalno ali začasno prebivajo v tujini.
Sickness and maternity benefits are different in each of the States towhich the Community provisions on social security apply. However,
Zagotavljajo obsežno in učinkovito zaščito, ne le delavcem migrantom in njihovim
there are two major categories of benefits in all countries belonging tothe European Union or the European Economic Area: benefits in cashand benefits in kind.
družinskim članom, ampak vsem osebam, za katere veljajo te določbe, zlasti milijonom turistov, ki preživljajo svoje počitnice v tujini.
Sickness benefits in cash
Zahtevani pogoji – seštevanje
These benefits are normally intended to replace income (wages,salaries) which is suspended because of sickness.
Kadar morate izpolnjevati nekatere pogoje, preden postanete upravičeni do nadomestil, mora pristojna ustanova upoštevati zavarovalne dobe, dobe bivanja ali dobe zaposlitve, izpolnjene v skladu z zakonodajo drugih držav (seštevanje).
Benefits provided in aspecific situation (dependence) may be regarded as sickness benefits incash.
To zagotovilo pomeni, da ne boste izgubili kritja za zdravstveno zavarovanje, če zamenjate službo in se preselite v drugo državo.
As a general rule, they are always paid according to the legislation ofthe country where you are insured, regardless of which country you areresiding or staying in.
Določbe Skupnosti zagotavljajo, da je delavec, ki prekine svoje prejšnje zavarovanje zaradi selitve v to državo, upravičen do nadomestila za bolezen od začetka zavarovanja.
This applies to all categories of persons and all situations: frontier workers, seasonal workers, posted workers, pensioners or family members.The amount and duration of benefits depend entirely on the legislationof the State where you are insured, and they will normally be paiddirectly to you by the institution with which you are insured.
Nadomestilo za bolezen in materinstvo se razlikujejo po vseh državah, v katerih veljajo določbe Skupnosti o socialni varnosti. Vendar obstajata v vseh državah, ki so del Evropske unije ali Evropskega gospodarskega prostora, dve veliki kategoriji nadomestil: nadomestilo v denarju in storitve.
These benefits comprise medical and dental care, medicines and hospitalisation, as well as direct payments intended to reimburse the costs ofthese.
Navadno je mišljeno kot nadomestilo dohodka (zaslužka), katerega izplačilo je zaradi bolezni začasno ustavljeno .
As a general rule, they are provided according to the legislation of thecountry where you reside or stay as if you were insured in that country.This may or may not be to your advantage in comparison with thelegislation of the country where you are actually insured.
Nadomestila za posebne okoliščine (odvisnost od pomoči) se lahko obravnavajo kot denarna nadomestila za bolezen.
The reason for this rule is easy to understand: the doctors and institutions concerned cannot possibly know the details of the legislation of 28 different countries; therefore, they always apply the legislation oftheir own country, even if the person concerned is insured in anothercountry.
Običajno se vedno izplačajo v skladu z zakonodajo države, v kateri ste zavarovani, ne glede na vaše stalno ali začasno bivališče.
In this guide, we often use the terms ‘residence’ and ‘stay’. Beforecontinuing, we should explain the difference between them.
To velja za vse kategorije oseb in vse okoliščine: za obmejne delavce, sezonske delavce, delavce, napotene v tujino, upokojence ali družinske člane.
However, the mere fact that benefits in kind are provided according tothe legislation of the State of residence or stay does not mean that persons covered by the Community provisions on social security can expect
Znesek in trajanje nadomestila sta v celoti odvisna od zakonodaje v državi, v kateri ste zavarovani, ustanova, pri kateri ste zavarovani, pa vam jih običajno plača neposredno.
Residence in the country in which you are insured
Storitve v primeru bolezni
If you reside in the country in which you are insured, it goes withoutsaying that you are entitled to all benefits in kind provided under thelegislation of that country.
Navadno se plačajo v skladu z zakonodajo države vašega stalnega ali začasnega bivališča, kakor da bi bili zavarovani v tej državi.
These benefits are provided by the sicknessinsurance institution of your place of residence under the same conditions as for all other persons insured in that country.
V primerjavi z zakonodajo države, v kateri ste dejansko zavarovani, ste zaradi tega lahko v boljšem ali slabšem položaju.
Residence outside the country where you are insured
Zato vedno uporabljajo zakonodajo svoje države, tudi če je zadevna oseba zavarovana v drugi državi.
If you reside in a different country from the one in which you areinsured, you are entitled to all benefits in kind provided under thelegislation of the country where you reside.
V tem vodniku pogosto uporabljamo izraza „stalno“ in „začasno“ bivališče.
The benefits are providedby the sickness insurance institution of your place of residence as if youwere insured with it.
Preden nadaljujemo, moramo razložiti, kakšna je razlika med tema dvema izrazoma.
If you are a frontier worker, remember that youalso have rights in the country in which you work (see Section 5.8: ‘B. Special rules for frontier workers’).
Stalno bivališče je kraj, kjer oseba običajno prebiva; začasno bivališče je kraj, kjer oseba začasno prebiva.
This applies to all categories of persons covered by the Communityprovisions on social security (employed and self-employed persons, civilservants, unemployed persons, pensioners and members of the familiesof these persons), regardless of their country of residence.
Vendar pa samo dejstvo, da so storitve zagotovljene v skladu z zakonodajo države stalnega ali začasnega prebivališča, še ne pomeni, da lahko osebe, za katere veljajo določbe Skupnosti o socialni varnosti, prosto in brez omejitev pridobivajo te storitve v vseh zadevnih državah.
Normally, thesickness insurance institution of the place of residence is reimbursed bythe sickness insurance institution with which you are insured.
Zato je treba poznati konkretne pogoje za upravičenost do storitev v primeru bolezni, ki se uporabljajo v različnih okoliščinah in za različne kategorije oseb.
Temporary stay outside the country where you are insured
Stalno prebivališče v državi, v kateri ste zavarovani
If you are staying temporarily in a different country from the one inwhich you are insured, you will be entitled to all benefits in kind whichbecome medically necessary during a stay in the territory of another Member State, taking into account the nature of the benefits and theexpected length of the stay.
Če imate stalno prebivališče v državi, v kateri ste zavarovani, je samoumevno, da ste upravičeni do vseh storitev, predvidenih z zakonodajo te države.
In other words, you will always get the treatment you really need, evenvery expensive hospital treatment (e.g. intensive care after a heartattack).
Te storitve zagotovi nosilec zdravstvenega zavarovanja v vašem kraju stalnega prebivališča pod enakimi pogoji kot vsem drugim osebam, zavarovanim v tej državi.
But be careful: if you go abroad specifically to obtain treatment,special conditions apply.
Stalno prebivališče zunaj države, v kateri ste zavarovani
Remark The explanations given in this chapter also apply to maternity benefitsin cash or in kind.
Če imate stalno prebivališče zunaj države, v kateri ste zavarovani, ste upravičeni do vseh storitev, predvidenih z zakonodajo države stalnega prebivališča.
European Health Insurance Card
da ima ta kategorija delavcev pravice tudi v državi, v kateri dela (glej stran 24 tega vodnika).
From 1 June 2004 onwards, the European Health Insurance Card willgradually be issued to European citizens who are travelling within the European Economic Area (i.e. the European Union, Norway, Iceland and Liechtenstein) and Switzerland, for private or professional reasons.
Če začasno bivate zunaj države, v kateri ste zavarovani, imate pravico do vseh storitev, za katere se izkaže, da so zdravniško potrebne, ob upoštevanju narave storitev in predvidenega trajanja bivanja.
Thiscard will simplify the procedure when receiving medical assistanceduring a temporary stay in one of these countries.
Toda pozor, če greste v tujino izključno zaradi zdravljenja, veljajo posebni pogoji.
This European card replaces the following forms:
Ta evropska kartica nadomešča naslednje obrazce: • E 111 in E 111 B (obrazca, ki so ju uporabljali turisti),
E111 and E111 B (used by tourists),E110 (used by international transport companies),
E 110 (obrazec, ki so ga uporabljali mednarodni prevozniki),
E128 (used by workers posted to another Member State and bystudents),
E 128 (obrazec, ki so ga uporabljali delavci, napoteni na delo v drugo državo članico, in študenti)
E119 (when used by unemployed persons seeking work in another Member State and in need of medical treatment).
E 119 (kadar ga uporabljajo brezposelni, ki iščejo delo v drugi državi članici in ki potrebujejo zdravstveno oskrbo).
Each Member State is responsible for producing and distributing the European Health Insurance Card in its territory.
Vsaka država članica je odgovorna za izdelavo in distribucijo evropske zdravstvene kartice na svojem ozemlju.
However, the card isidentical and has the same technical characteristics in each Member State, thus ensuring its immediate recognition by healthcare providersto whom it is produced.
Vendar pa je vzorec te kartice v vseh državah članicah enak in ima enake tehnične značilnosti. To omogoča, da izvajalci zdravstvenih storitev kartico takoj prepoznajo.
Travelling to another country for treatment
Odhod na zdravljenje v tujino
If you go to another country in order to obtain treatment there, thecosts will be covered by your sickness insurance institution only if youreceived permission from it beforehand.
Če greste na zdravljenje v drugo državo, stroške te oskrbe poravna vaš nosilec zdravstvenega zavarovanja samo v primeru, če vam zdravljenje pred tem odobri.
Normally, it is up to thesickness insurance institution to decide whether or not it will giveapproval.
Odločitev o tem je navadno v rokah nosilca zdravstvenega zavarovanja.
However, in cases where the treatment in question is amongthe benefits provided for by the legislation of your country but notavailable within the time normally necessary with regard to your current state of health, the required permission may not be refused.
Zahtevane odobritve ne sme zavrniti samo v primeru, ko zadevno zdravljenje spada med storitve, ki so predvidene z zakonodajo vaše države, vendar niso na voljo takrat, ko
In thiscase, you are entitled to the benefits available in the host country.
V tem primeru boste upravičeni do storitev, predvidenih v državi gostiteljici.
Insome cases you can also apply for reimbursement in your country oforigin.
V nekaterih primerih lahko zaprosite tudi za povračilo stroškov v vaši državi izvora.
cost of non-hospital medical treatment in another Member State, on thebasis of the scale applied in the State of insurance.
Na podlagi sodne prakse, povezane z opravljanjem storitev, je Sodišče odločilo, da lahko socialno zavarovane osebe, ki jim zdravljenje predhodno ni bilo odobreno, vseeno zaprosijo svoj sklad za povračilo stroškov za nebolnišnično zdravljenje v drugi državi članici, in sicer na podlagi lestvice, ki se uporablja v državi, v kateri so zavarovani.
In this same case-law, the Court has concluded that social security institutions may refuse prior authorisation for hospital treatment in another Member State.
Sodišče je na podlagi te iste sodne prakse odločilo, da lahko ustanove socialne varnosti zavrnejo izdajo predhodne odobritve za bolnišnično zdravljenje v drugi državi članici.
Nevertheless, for a prior administrative authorisationscheme to be justifiable it must be based on objective, non-discriminatorycriteria which are known in advance.
Vendar mora odločitev o izdaji predhodne odobritve temeljiti na vnaprej znanih objektivnih in nediskriminacijskih merilih, , da se zagotovi njena utemeljenost.
These criteria must circumscribe theexercise of the national authorities’ discretion so that it is not used arbitrarily.
Ta merila morajo omejiti pooblastila nacionalnih organov, da se prepreči njihova poljubna uporaba.
An easily accessible procedural system must ensure that a requestfor authorisation is dealt with objectively and impartially and within a reasonable time.
Lahko dostopen postopek mora omogočiti, da se zahtevek za odobritev obravnava objektivno in nepristransko ter v primernem časovnem roku.
Refusals to grant authorisation must be open to challenge injudicial or quasi-judicial proceedings.
Ob zavrnitvi izdaje odobritve mora biti omogočena pritožba na sodišču ali drugem pravosodnem organu .
In any event, national authoritiesmust take account of all the circumstances in each individual case, i.e. notonly the patient’s state of health, but also his or her medical history.
Nacionalni organi morajo vsekakor upoštevati vse okoliščine posameznega primera, torej ne le zdravstveno stanje bolnika, ampak tudi njegovo zdravstveno anamnezo.
Practical tips
Praktični nasveti
Residence outside the country where you are insured
Stalno prebivališče zunaj države, v kateri ste zavarovani
If you reside in a different country from the one in which you areinsured, you should register with the sickness insurance institution ofyour place of residence.
Če imate stalno prebivališče zunaj države, v kateri ste zavarovani, se morate prijaviti pri nosilcu zdravstvenega zavarovanja v vašem kraju stalnega prebivališča.
You will need the following forms which areissued by the sickness insurance institution with which you are insured:
Pri tem boste potrebovali naslednje obrazce, ki jih lahko dobite pri nosilcu zdravstvenega zavarovanja, pri katerem ste zavarovani:
• form E106for employed or self-employed persons and the membersof their families living with them in the same country;
— obrazec E 106 za zaposlene ali samozaposlene osebe in njihove družinske člane, ki prebivajo z njimi v isti državi;
• form E109for the members of the family living in a different country from the one in which the employed or self-employed personconcerned lives;
— obrazec E 109 za družinske člane, ki prebivajo v drugi državi kot zadevna zaposlena ali nezaposlena oseba;