natgillin/translations-raw huggingface dataset:
It is important to make sure such formalities are fulfilled: a failure to do so can negatively affect the process for granting benefits in cash.
Pristojni nosilec mora nato izdati dokument „S2“ (glej seznam v oddelku 7), ki potrjuje vašo upravičenost do zdravljenja v tujini.
A. Benefits in kind
zdravstvenega zavarovanja.
If you suffer an accident at work or from an occupational disease, you are entitled to benefits in kind according to the legislation of the state in which you reside.
Poleg tega je Sodišče Evropske unije odločilo, da lahko zdravstveno zavarovane osebe, ki jim zdravljenje predhodno ni bilo odobreno, za povračilo stroškov za nebolnišnično zdravljenje v drugi državi članici zaprosijo svoj sklad socialne varnosti, in sicer na podlagi lestvice, ki se uporablja v državi zavarovanja.
If you reside in a different member state from the one in which you are insured, the institution in the state of residence will provide you with benefits in kind according to its legislation.
Sodišče je na podlagi te iste sodne prakse odločilo, da lahko nosilci socialne varnosti zavrnejo izdajo odobritve za bolnišnično zdravljenje v drugi državi članici.
The state of residence will be reimbursed by the competent institution of the state in which you are insured.
Kljub temu morajo upravni postopki odobritve, ki vodijo v to odločitev, temeljiti na vnaprej znanih objektivnih in nediskriminacijskih merilih.
Your entitlement to healthcare cover abroad under insurance against accidents at work and occupational disease can be certified by a ‘DA1’ document (see list in Section 7) issued by the institution with which you are insured.
Poleg tega morajo nacionalni organi upoštevati vse okoliščine posameznega primera, torej ne le zdravstveno stanje bolnika, ampak tudi njegovo zdravstveno anamnezo.
B. Benefits in cash
5.4 Nesreče pri delu in poklicne bolezni
These benefits are always paid according to the legislation of the state in which you were insured when the accident at work or the occupational disease occurred, regardless of where you reside or stay.
Določbe koordinacije o dajatvah v zvezi z nesrečami pri delu ali poklicnimi boleznimi so zelo podobne določbam o dajatvah za bolezen.
They are normally paid out directly by the institution of your state of insurance who can, however, agree with the institutions of your state of residence or stay that the cash benefit will be paid out by them (in no way will this change the amount of the benefit).
Vendar boste morali v primeru nesreče pri delu ali ko je prvič ugotovljena poklicna bolezen izpolniti nekatere posebne postopke za sporočanje ali obveščanje organov, pri katerih ste zavarovani.
If the amount of the cash benefit depends on the number of members of your family, family members residing in another member state will also be taken into account.
Pomembno je zagotoviti, da so ti predpisani postopki izpolnjeni: v nasprotnem primeru lahko to negativno vpliva na postopek odobritve denarnih dajatev.
If you suffer an accident at work while travelling outside the territory of the state in which you are insured, you are still covered against this risk and entitled to the specific benefits.
Če ste žrtev nesreče pri delu ali poklicne bolezni, ste upravičeni do storitev v skladu z zakonodajo države stalnega prebivališča.
In many states, invalidity pensions are calculated in a similar way to old-age pensions, i.e. the amount of your invalidity pension depends on the length of your insurance periods: the longer you were insured before you became an invalid, the higher your pension will be.
Če imate stalno prebivališče zunaj države članice zavarovanja, ste upravičeni do storitev nosilca v državi stalnega prebivališča v skladu z njeno zakonodajo.
Under these schemes, you are normally not required to actually be insured at the time the invalidity occurs.
Državi stalnega prebivališča bo stroške povrnil pristojni nosilec države vašega zavarovanja.
In other words, even if you had stopped working several years before becoming an invalid, you will nevertheless be entitled to an invalidity pension based on your previous periods of insurance.
Upravičenost do kritja zdravstvene oskrbe v tujini v okviru zavarovanja za nesreče pri delu in poklicne bolezni potrjuje dokument„DA1“ (glej seznam v oddelku 7), ki ga izda nosilec vašega zavarovanja.
In other states, the amount of your invalidity pension is independent of the length of your insurance periods. This means that you will be entitled to the same amount of pension regardless of whether you were insured for 5, 10 or 20 years before you became an invalid.
Navedene dajatve se vedno izplačajo v skladu z zakonodajo države vašega zavarovanja v času nesreče pri delu ali nastanka poklicne bolezni, ne glede na državo stalnega ali začasnega prebivališča.
Under these schemes, however, entitlement to a pension depends on actual insurance at the moment when the invalidity occurs. If you stopped working even shortly before, you will not be entitled to an invalidity pension.
Na splošno jih neposredno izplača nosilec države zavarovanja, ki pa se lahko z nosilci države stalnega ali začasnega prebivališča dogovori, da oni prevzamejo izplačilo denarnih dajatev (pri čemer se znesek dajatev ne spremeni).
The following explanations cover the most frequent problems which you may be confronted with on becoming an invalid.
Če je znesek denarnih dajatev odvisen od števila družinskih članov, se upoštevajo tudi družinski člani, ki stalno prebivajo v drugi državi članici.
Aggregation: The institution of the state where you claim an invalidity pension will take account of periods of insurance or residence which you have completed under the legislation of any other member state, if this is necessary for your entitlement to the benefit.
Če ste žrtev nesreče pri delu med potovanjem zunaj ozemlja države vašega zavarovanja, ste še vedno nezgodno zavarovani in upravičeni do posebnih dajatev.
Residence or stay abroad: When you are entitled to an invalidity pension, it will be paid to you regardless of where you reside or stay in an EU member state, Iceland, Liechtenstein, Norway or Switzerland.
Upravičenost do zdravstvene oskrbe lahko dokažete z dokumentom„DA1“ (glej seznam v oddelku 7).
You may, however, be required to return for such an examination to the state paying your pension, if your state of health allows you to do so.
Sistemi invalidskega zavarovanja se v državah članicah med seboj zelo razlikujejo. Vendar pa lahko ločimo dve glavni vrsti.
If you have been insured in one single member state, the amount of your invalidity pension will be calculated in accordance with the legislation of that state. You are entitled to the same treatment as nationals of that country.
V več državah se invalidska pokojnina izračuna podobno kot starostna pokojnina, kar pomeni, da je znesek invalidske pokojnine odvisen od trajanja zavarovalnih dob: višina pokojnine narašča s trajanjem zavarovanja, preden ste postali invalid.
C. Persons who have been insured in more than one member state
V skladu s temi sistemi običajno ni nujno, da ste dejansko zavarovani v času pojava invalidnosti.
If you have been insured in several member states before becoming an invalid, there are different possibilities concerning your entitlement to a pension.
Čeprav ste delo prekinili več let pred pojavom invalidnosti, ste še vedno upravičeni do invalidske pokojnine, ki temelji na prejšnjih zavarovalnih dobah.
You have only been insured in member states where the amount of the pension depends on the length of insurance periods: In this case you will get separate pensions from each of these states.
V drugih državah znesek invalidske pokojnine ni odvisen od trajanja zavarovalnih dob.
The amount of each pension will correspond to the periods of insurance completed in the respective state.
To pomeni, da ste upravičeni do enakega zneska pokojnine, če ste bili zavarovani pet, deset ali dvajset let pred pojavom invalidnosti.
You have only been insured in member states where the amount of the pension is independent of the length of insurance periods: You will get a pension from the state where you were insured at the moment when you became an invalid.
Nadaljnje razlage obravnavajo najpogostejše težave, s katerimi se lahko srečate, ko postanete invalid.
You will always be entitled to the full amount of this pension, even if you were only insured in this state for a short period (one year, for example). On the other hand, you will not be entitled to pensions from the other states where you were previously insured.
Seštevanje: Nosilec države, v kateri zaprosite za invalidsko pokojnino, upošteva zavarovalne dobe ali dobe bivanja, ki ste jih izpolnili v skladu z zakonodajo katere koli druge države članice, če je to potrebno za pridobitev pravice do dajatev.
In practice, this means that the amount you will receive will correspond to the amount paid by the member state where you are insured at the moment the invalidity occurred even if this amount is lower than the amount which would have been paid under the legislation of a member state where you were previously insured.
Stalno ali začasno bivanje v tujini: Če ste upravičeni do invalidske pokojnine, jo prejemate ne glede na to, kje prebivate stalno ali začasno v državi članici EU, Islandiji, Lihtenštajnu, na Norveškem ali v Švici.
This reflects the principle of so-called risk-based schemes where the amount of a pension does not depend on the length of insurance periods and where you need to actually be insured at the time you become an invalid.
Zdravniški pregledi: Če ste upravičeni do invalidske pokojnine v eni državi in stalno ali začasno prebivate v drugi državi, nosilec v kraju vašega stalnega ali začasnega prebivališča opravi potrebna administrativna preverjanja in zdravniške preglede.
You were first insured in a member state where the amount of the invalidity pension depends on the length of insurance periods and then in a state where the pension does not depend on the length of periods: You will receive two pensions, one from the first state corresponding to the insurance periods completed under its legislation, one from the state where you were insured when you became an invalid.
Če ste bili zavarovani le v eni državi članici, se znesek pokojnine izračuna v skladu z zakonodajo te države. Upravičeni ste do enake obravnave kot državljani te države.
In many cases, however, you will only get a part of it because the state takes into account the pension you get from the first state.
Če ste bili pred pojavom invalidnosti zavarovani v več državah članicah, je možnosti v zvezi z upravičenostjo do pokojnine več.
You were first insured in a state where the amount of the pension is independent of the length of insurance periods and then in a state where the pension does depend on the length of insurance periods: You will get two separate pensions, each corresponding to the length of your insurance periods in the respective states.
Če ste bili zavarovani le v državah članicah, v katerih je znesek pokojnine odvisen od zavarovalnih dob: V tem primeru prejemate ločene pokojnine od vsake od teh držav.
D. Decisions on the degree of invalidity
Znesek vsake pokojnine ustreza zavarovalni dobi, izpolnjeni v zadevni državi.
The determination of the degree of invalidity can be a problem if you have been insured in more than one member state as there are wide discrepancies between national criteria.
Če ste bili zavarovani le v državah članicah, v katerih znesek pokojnine ni odvisen od zavarovalnih dob: Pokojnino prejemate od države, v kateri ste bili zavarovani v času začetka invalidnosti.
As a matter of fact, in most cases, the amount of the pension will depend on the degree of invalidity recognised.
Vedno ste upravičeni do celotnega zneska pokojnine, tudi če ste bili v tej državi zavarovani kratek čas (na primer eno leto).
This decision will be made by the national institutions of the state where you were insured, according to its own national legislation.
Po drugi strani pa niste upravičeni do pokojnin iz drugih držav, v katerih ste bili pred tem zavarovani.
Only in a few special cases is the decision of one institution binding for the institutions of all the other states involved.
V praksi to pomeni, da bo prejeti znesek ustrezal znesku, ki ga je plačala država članica, v kateri ste zavarovani ob pojavu invalidnosti, čeprav je ta znesek nižji od zneska, ki bi bil plačan v skladu z zakonodajo države članice, v kateri ste bili pred tem zavarovani.
EXAMPLEYou were insured for 20 years in state A, then for five years in state B and finally for two years in state C. In all three of these states, the amount of the invalidity pension depends on the length of the insurance periods covered.
Če ste bili najprej zavarovani v državi članici, v kateri je znesek invalidske pokojnine odvisen od trajanja zavarovalnih dob, nato pa v državi, v kateri ta pogoj ne velja: Prejeli boste dve pokojnini, eno iz prve države, ki ustreza izpolnjenim zavarovalnim dobam v skladu z zakonodajo te države, in eno iz druge države, v kateri ste bili zavarovani ob pojavu invalidnosti.
You stop working in state C where your degree of invalidity was assessed at 100 %.
Ta druga država bi bila sicer dolžna plačevati polno pokojnino.
This entitles you to an invalidity pension from state C based on the two years of insurance in that state.
Vendar boste največkrat prejemali le del pokojnine, ker ta država upošteva pokojnino, ki vam jo izplačuje prva država.
You will also get an invalidity pension from state B where you were insured for five years. However, in that member state your degree of invalidity was assessed at only 70 %.
Morda menite, da ste izgubili del pravic do pokojnine, za katero ste delali in plačevali; to ne drži, saj ne bi mogli prejemati višje pokojnine od tiste, do katere ste upravičeni, čeprav bi bili vedno zavarovani v¥eni od teh dveh držav (ni pomembno, v kateri).
In state A, where you were insured over most of your professional career (20 years), you will get an invalidity pension based on an invalidity of only 30 %.
Niste ne v boljšem ne v slabšem položaju kot oseba, ki je celo delovno dobo delala v eni sami državi.
This depends on the fact that the national social security systems are not harmonised, but only coordinated by the EU provisions on social security and therefore it is up to each state to determine its rules on invalidity pensions.
Če ste bili najprej zavarovani v državi, v kateri znesek pokojnine ni odvisen od trajanja zavarovalnih dob, potem pa v državi, v kateri je znesek odvisen od trajanja: Prejeli boste dve različni pokojnini, od katerih vsaka ustreza trajanju zavarovalne dobe v zadevnih državah.
Who pays my old-age pension?
Odločitve o stopnji invalidnosti
Old-age pensions are among the most important social security benefits. So when you take up an occupational activity abroad, you want to know what the consequences for your future pension rights may be.
Ugotavljanje stopnje invalidnosti je lahko težavno, če ste bili zavarovani v več kot eni državi članici, saj med merili, ki jih določa nacionalna zakonodaja, obstajajo velike razlike.
The EU provisions on old-age pensions guarantee the following rights.
Dejansko je znesek pokojnine največkrat odvisen od stopnje priznane invalidnosti.
In every member state where you have been insured, your insurance record is preserved until you reach the pensionable age.
Odločitev o tem bodo v skladu z nacionalno zakonodajo sprejeli nacionalni nosilci države vašega zavarovanja.
In other words, contributions which have been paid are neither transferred to another member state nor paid out to you if you are no longer insured in that member state.
Odločitev enega nosilca zavezuje nosilce drugih držav le v nekaterih izjemnih primerih.
Every member state where you have been insured will have to pay an old-age pension when you reach the pensionable age.
PRIMERDvajset let ste bili zavarovani v državi A, pet let v državi B, potem pa še dve leti v državi C.
For example, if you have worked in three member states, you will get three separate old-age pensions once you reach the pensionable age.
V teh treh državah je znesek invalidske pokojnine odvisen od trajanja zavarovalnih dob.
This pension will be calculated according to your insurance record in each member state.
Prenehate delati v državi C, kjer je bilo ocenjeno, da ste 100-odstotni invalid.
The amount you will receive from each one of the member states will depend on the length of your coverage in each state.
Zato ste na podlagi dveh let zavarovanja v državi C upravičeni do invalidske pokojnine.
These principles ensure that nobody will be disadvantaged by having worked in several member states: no contributions will be lost, acquired rights will be protected, and every member state will pay a pension corresponding to the insurance periods completed there.
Od države B, v kateri ste bili zavarovani pet let, prav tako prejemate invalidsko pokojnino.
Every state pays neither more nor less than the pension which has been ‘earned’, in particular through the contributions of the worker.
Vendar pa je bilo v tej državi članici ocenjeno, da ste le 70-odstotni invalid.
The following paragraphs explain how old-age pensions are calculated and paid under coordination rules.
V državi A, v kateri ste bili zavarovani največji del svoje delovne dobe (20 let), prejemate invalidsko pokojnino na podlagi le 30-odstotne invalidnosti.
Aggregation: If the period during which you have been insured in a member state is not long enough to qualify for a pension there, any periods of insurance which you completed in other member states will be taken into account.
To je odvisno od dejstva, da določbe EU o socialni varnosti ne usklajujejo nacionalnih sistemov socialne varnosti, ampak jih samo koordinirajo, pri čemer vsaka država sama določi pravila v zvezi z invalidskimi pokojninami.
What happens to your contributions paid in that member state?
5.6 Kdo mi plačuje starostno pokojnino?
You were insured in state A for 10 months and in state B for 35 years.
Starostne pokojnine so ena od glavnih dajatev socialne varnosti.
Do not worry. Your months of insurance in state A, where you worked less than one year, will not be lost.
Kadar opravljate poklicno dejavnost v tujini, se pozanimajte, kaj to pomeni za vaše prihodnje pravice do pokojnine.
State B will take over the 10 months paid in state A.
Določbe EU o starostnih pokojninah zagotavljajo naslednje pravice.
Residence or stay abroad: Your old-age pension will be paid regardless of where you stay or reside within the EU, Iceland, Liechtenstein, Norway or Switzerland without any reduction, modification or suspension.
V vsaki državi članici, v kateri ste bili zavarovani, se vaše zavarovalniške kartoteke hranijo, dokler ne dosežete upokojitvene starosti. To pomeni, da se plačani prispevki ne prenesejo v drugo državo članico in se vam ne izplačajo, če niste več zavarovani v tej državi članici.
In this case, the amount of your pension will be calculated in accordance with the legislation of that member state in exactly the same way as it is for its own nationals.
Vsaka država članica, v kateri ste bili zavarovani, vam mora plačevati starostno pokojnino, ko dosežete upokojitveno starost.
It does not matter whether or not you reside in that state when you reach the pensionable age.
Če ste na primer delali v treh državah članicah, prejemate tri različne pokojnine, potem ko dosežete upokojitveno starost.
You will get a pension from every member state in which you were insured.
Pokojnina se izračuna glede na vašo zavarovalniško kartoteko v vsaki državi članici.
These pensions will correspond to the insurance periods completed in each of the states concerned.
Znesek, ki ga prejemate od vsake države članice, je odvisen od dolžine zavarovanja v vsaki državi.
➥ for 20 years in member state B,
Seštevanje: Če vaša zavarovalna doba v eni državi članici ni dovolj dolga, da bi bili upravičeni do pokojnine, se upoštevajo tudi zavarovalne dobe, izpolnjene v drugih državah članicah.
This means that you were insured for 35 years in total before you reached the pensionable age.
Kaj se zgodi s prispevki, ki ste jih plačali v tej državi članici?
Member state A will calculate the amount of pension you would be entitled to after 35 years of insurance in that state.
V državi A ste bili zavarovani deset mesecev, v državi B pa 35 let. Ne skrbite.
Similarly, member state B will pay you 20/35 of the amount you would be entitled to in that state after 35 years of insurance.
Država B bo upoštevala deset mesecev, plačanih v državi A.
Finally, member state C will pay you 5/35 of the amount you would have been entitled to in that state after 35 years of insurance.
Stalno ali začasno bivanje v tujini: Pokojnino prejemate ne glede na to, kje stalno ali začasno prebivate v EU, Islandiji, Lihtenštajnu, na Norveškem ali v Švici, pri čemer se pokojnina ne sme znižati, spremeniti in začasno ustaviti.
When you have worked in more than one member state, you should apply for your pension in your state of residence, unless in fact you never worked there.
V tem primeru se znesek vaše pokojnine v skladu z zakonodajo te države članice izračuna na enak način kot za državljane te države.
In the latter case, you should apply to the country where you last worked.
Ni pomembno, ali ob upokojitveni starosti prebivate v tej državi.
As mentioned above, member states’ social security systems are not harmonised and therefore pensionable age varies from one state to another.
Pokojnino prejemate od vseh držav članic, v katerih ste bili zavarovani.
In such circumstances, it is important that you obtain information in advance, from the states that will pay your pensions, on the consequences of delaying the payment of your pension.
Te pokojnine ustrezajo zavarovalni dobi, izpolnjeni v vsaki od zadevnih držav.
F. The summary note
To pomeni, da ste bili skupaj zavarovani 35 let, preden ste dosegli upokojitveno starost.
Once the contact institution has been notified of all the decisions from the different countries, it will send you a summary note of these decisions.
Država članica A izračuna znesek pokojnine, do katerega bi bili upravičeni po 35 letih zavarovanja v tej državi.
The summary note is a portable document ‘P1’ (see list in Section 7) which will give you an overview of the decisions made by each member state.
Prejeli boste znesek, ki ustreza dejanskim zavarovalnim dobam, kar pomeni 10/35 tega zneska.
The new coordination rules give you the right to ask for a review of a national decision on your pension entitlement, where it appears that your rights may have been adversely affected by the interaction of the decisions taken by two or more institutions.
Prav tako vam država članica B plačuje 20/35 zneska, do katerega bi bili upravičeni po 35 letih zavarovanja v tej državi.
The time limit for asking for such a review runs from the date you receive the summary note and is the limit applicable in national law.
Država članica C pa plačuje 5/35 zneska, do katerega bi bili upravičeni po 35 letih zavarovanja v tej državi.
Payments of pensions are made directly from the national institutions to you or your bank. As a matter of principle, no transaction costs or administrative costs should be charged for a payment between member states belonging to the euro area.
Če ste bili zaposleni v več kot eni državi članici, morate zahtevek za pokojnino vložiti v državi stalnega prebivališča, razen če niste bili v tej državi nikoli zaposleni.
Such costs should be objectively justified and proportionate to the service rendered.
V¥tem primeru vložite zahtevek v državi zadnje zaposlitve.
A. Survivors’ pensions
Upokojitvena starost
In general, the rules which apply to pensions for surviving spouses or orphans are the same as the ones applying to invalidity and old-age pensions (see Section 5.6).
Kot je navedeno zgoraj, sistemi socialne varnosti držav članic niso usklajeni, zato se upokojitvena starost od države do države razlikuje.
Namely, survivors’ pensions have to be paid without any reduction, modification or suspension regardless of where the surviving spouse resides in the EU, Iceland, Liechtenstein, Norway or Switzerland.
Za osebo, ki je do pokojnine upravičena v več kot eni državi članici, to pomeni, da je lahko v eni državi do starostne pokojnine upravičena pri starosti 65 let, v drugi državi pa šele pri starosti 67 let.