natgillin/translations-raw huggingface dataset:
➥ sickness benefits
➥ dajatve (nadomestilo) za bolezen,
➥ maternity and equivalent paternity benefits
➥ dajatve (nadomestilo) za materinstvo in očetovstvo,
➥ accidents at work
➥ nesreče pri delu,
➥ invalidity benefits
➥ dajatve (nadomestilo) za invalidnost,
➥ survivors’ benefits
➥ dajatve (nadomestilo) za preživele družinske člane,
➥ death grants
➥ pomoč ob smrti,
➥ unemployment benefits
➥ dajatve (nadomestilo) za brezposelnost,
➥ family benefits
➥ družinske dajatve (dodatki),
➥ pre-retirement benefits.
➥ dajatve za predčasno upokojitev.
➥ social and medical assistance: these are benefits which are normally means-tested and not linked to any of the categories mentioned above;
To pomeni, da se lahko vedno sklicujete na določbe koordinacije, kadar so te določbe potrebne za vašo upravičenost do ene od teh dajatev.
) Regulation (EC) No 883/2004 Article 1(l) specifies that ‘ “legislation” means, in respect of each member state, laws, regulations and other statutory provisions and all other implementing measures’ related to the social security branches listed in this Section 5.
) Člen 1(l) Uredbe (ES) št. 883/2004 navaja, da „‚zakonodaja‘ pomeni vse zakone, predpise in druge določbe ter vse druge izvedbene ukrepe“, ki se nanašajo na področja socialne varnosti, navedena v poglavju 5 tega vodnika.
Do not hesitate to contact the appropriate institution to find out.
Vendar pa te določbe ne veljajo na naslednjih področjih:
IMPORTANTThe coordination provisions apply to social security matters but not to taxation, which could be governed by bilateral agreements.
➥ socialna in zdravstvena pomoč: te dajatve so običajno odvisne od dohodka in niso povezane z nobeno od zgoraj navedenih kategorij;
Please ask the tax authorities in your own state for information on your particular case.
➥ dajatve za žrtve vojn, vojaških posegov ali njihovih posledic, za žrtve zločinov, atentatov ali terorističnih dejanj, žrtve škode, ki so jo povzročili državni agenti po dolžnosti, ali žrtve, ki so bile v slabšem položaju zaradi političnih ali verskih razlogov ali zaradi svojega izvora.
First of all, coordination provisions set rules to determine which member state’s social security legislation applies to you when you are in a situation involving more than one member state.
POMEMBNODoločbe koordinacije veljajo za področja socialne varnosti in ne za obdavčenje, ki ga lahko urejajo dvostranski sporazumi.
The basic principles are explained below.
O podrobnostih v zvezi s svojim položajem se posvetujte z davčnimi organi v svoji državi.
A. You are subject to the legislation of only one member state at a time
5.1 V kateri državi ste zavarovani?
This principle applies to all persons who are or have been subject to the legislation of one member state or more, regardless of the number of states concerned.
Prvič, določbe koordinacije določajo pravila za ugotavljanje, katera zakonodaja države članice s področja socialne varnosti velja za vas v primeru, ki vključuje več kot eno državo članico.
Even persons who are employed in four or five member states are subject to the legislation of one single member state at a time.
To je pomembno zaradi plačevanja prispevkov za socialno varnost ter tudi zaradi upravičenosti do dajatev in pridobitve pravic do pokojnine v prihodnosti.
If these conditions are fulfilled (and you are not sent to replace another person), you can work up to 24 months while remaining under the legislation of the ‘sending’ state.
To načelo velja za vse osebe, za katere velja ali je veljala zakonodaja ene države članice ali več držav, ne glede na število vpletenih držav.
This solution aims at avoiding frequent changes of applicable legislation in case of short periods abroad, which is why it is limited in time.
Za osebe, ki so zaposlene v štirih ali petih državah članicah, prav tako velja zakonodaja le ene države članice hkrati.
You or your employer may obtain this document from the institution of the member state in which you are insured (the ‘sending’ member state).
Če delate v eni državi članici, za vas velja zakonodaja te države članice
The same provisions apply to self-employed persons who perform a similar activity temporarily in another member state.
To načelo se uporablja za zaposlene in samozaposlene osebe, tudi če prebivajo na ozemlju druge države ali če imajo njihova podjetja ali delodajalci sedež v drugi državi članici.
For mariners: If you are a mariner and you work on board a sea vessel flying the flag of a member state, you will be covered by the legislation of that state, even if you reside in another one.
Če prekinete delo v eni državi članici, da bi delo opravljali v drugi državi članici, za vas velja zakonodaja„nove“ države zaposlitve.
However, if the registered place of business of your employer is in a different member state than the one flying the flag and this is also your place of residence, you will be covered by your state of residence.
Tako v „stari“ državi ne boste več pridobivali pravic, začeli pa jih boste pridobivati v„novi“ državi.
In the interest of the persons concerned: It is possible to derogate from these common EU rules under the condition that it is in the interest of the persons concerned. Two or more member states may then provide for national derogations by common agreement.
Ni pomembno, ali tam tudi stalno bivate: tudi kot obmejni delavec, ki ohrani stalno prebivališče v „stari“ državi zaposlitve, ste zavarovani v skladu z zakonodajo države, v kateri delate.
C. If you work in more than one member state
IZJEMEPri tem splošnem načelu pa je tudi nekaj izjem.
Under these circumstances, the principle is to determine the state with which you have the strongest links.
V primeru napotitve: Vaš delodajalec vas lahko začasno pošlje na delo v drugo državo. Ta položaj, za katerega veljajo posebni pogoji, se imenuje „napotitev“.
When working in more than one member state and residing in the state where you pursue a substantial part of your activity, as an employed or as a self-employed person, you are subject to the legislation of your state of residence.
Pred odhodom v državo napotitve morate pridobiti dokument „A1“ (glej seznam v¥oddelku 7), ki dokazuje, da za vas še vedno velja zakonodaja države običajne zaposlitve. Vi ali vaš delodajalec lahko ta dokument pridobita pri nosilcu države članice vašega zavarovanja (država običajne zaposlitve).
When working in more than one member state and being employed by various undertakings or employers in different member states you are also subject to the legislation of your state of residence.
Za mornarje: Če ste mornar in delate na ladji, ki pluje pod zastavo ene od držav članic, za vas velja zakonodaja te države, tudi če živite v drugi državi.
If your state of residence does not correspond to the state in which you pursue a substantial part of your activity (in the case of an employed person) or to the centre of interest (in the case of a self-employed person), the following rules apply.
Če je sedež poslovanja vašega delodajalca v eni državi članici, plujete pa pod zastavo druge države, pri čemer je to tudi vaše stalno prebivališče, ste zavarovani v državi stalnega prebivališča.
Employed persons: You are subject to the legislation of the member state in which the registered office or place of business of your employer is situated.
V interesu zadevnih oseb: Odstopanje od teh skupnih pravil EU je mogoče pod pogojem, da je to v interesu zadevnih oseb.
Self-employed persons: You are subject to the legislation of the member state in which the centre of interest of your activities is situated.
V tem primeru lahko dve državi članici ali več predvidevata nacionalna odstopanja na podlagi skupnega sporazuma.
If you pursue both an employed and a self-employed activity in different member states, the legislation of the state of your employed activity prevails.
V teh okoliščinah se običajno določi država, s katero ste najbolj povezani.
Finally, civil servants remain under the legislation of their administration even if they carry out employed and/or self-employed activities.
Kadar delate v več kot eni državi članici in stalno prebivate v državi, v kateri opravljate bistveni del dejavnosti kot zaposlena ali samozaposlena oseba, velja za vas zakonodaja države stalnega prebivališča.
Applicable legislation under modernised coordination
Samozaposlene osebe: Za vas velja zakonodaja države članice, v kateri je središče interesa vaših dejavnosti.
REFERENCE TO REGULATION (EC) NO 883/2004
SKLIC NA UREDBO (ES) ŠT. 883/2004
Article 11
Člen 11 Odstopanja
‘Posted’ workers remain subject to the legislation of the state they are posted from.
Za„napotene“ delavce velja zakonodaja države običajne zaposlitve.
Articles 12 and 16
Člena 12 in 16
Two or more states may agree to provide exceptions to the general rules in the interest of certain persons or categories of persons.
Dve državi ali več se lahko strinjata z zagotovitvijo izjem pri splošnih pravilih v interesu nekaterih oseb ali kategorij oseb.
For persons who pursue activities in two or more states, the legislation applicable will depend on where the substantial part of their activity takes place.
Za osebe, ki opravljajo dejavnosti v dveh ali več državah, velja zakonodaja tiste države, v kateri se izvaja bistveni del njihove dejavnosti.
Special categories
Posebne kategorije
Special rules apply to ‘non-active’ persons.
Posebna pravila veljajo za „neaktivne“ osebe.
Article 11 (2), (3)(e) and (4)
Člen 11(2), (3)(e) in (4)
As a rule, when you are subject to the social security legislation of a member state you are entitled to the same rights and obligations as nationals of that state.
Kadar za vas velja zakonodaja na področju socialne varnosti države članice, imate enake pravice in obveznosti kot državljani te države.
This means, in particular, that your claim for benefit may not be rejected for the sole reason that you are not a national of that state.
To zlasti pomeni, da vaš zahtevek za dajatve ne more biti zavrnjen zgolj zato, ker niste državljan te države.
The principle of equal treatment applies not only to forms 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, is found to be disadvantageous for foreigners.
Načelo enake obravnave se ne uporablja le za oblike jasne („neposredne“) diskriminacije, ampak tudi za vse oblike prikrite („posredne“) diskriminacije, kjer se določba nacionalne zakonodaje uporablja enako za državljane in tujce, v praksi pa se izkaže za neugodno zlasti za tujce.
According to the coordination provisions, you have the same entitlement as the nationals of the state in which you are covered to elect the members of the bodies of social security institutions or to participate in their nomination.
Načeli nediskriminacije in enake obravnave sta osrednja elementa pravil koordinacije, ker preprečujeta slabši položaj ljudi pri premikih znotraj Unije.
This is a guarantee that you will not lose your sickness insurance coverage when changing employment and moving to another state.
V okviru novih pravil koordinacije splošna določba ti načeli dejansko oblikuje: obravnava izravnavo ali
EXAMPLEIn some states, you become entitled to sickness benefits only after six months of insurance.
združevanje dajatev, dohodka, dejstev ali dogodkov.
The coordination provisions ensure that if you had to interrupt your previous insurance when moving to that state, you will be entitled to sickness benefits from the beginning of your insurance period there.
To na primer pomeni, da mora država članica pri določanju upravičenosti do dajatev, odvisnih od določenega dogodka (kot npr. zaključek vojaškega roka ali nesreča pri delu), med ocenjevanjem pravice osebe do prejemanja dajatev iz socialne varnosti upoštevati tudi dogodke, ki so se zgodili v drugih državah članicah, kot če bi se zgodili na njenem ozemlju.
Sickness and maternity benefits are different in each of the member states.
V skladu z določbami koordinacije o socialni varnosti imate enako pravico kot državljani države, v kateri ste zavarovani, da volite člane organov ustanov socialne varnosti ali da sodelujete pri njihovem imenovanju.
However, in all of them there are two major categories of benefits: benefits in cash and benefits in kind.
Nacionalna zakonodaja kljub temu določa, ali ste lahko izvoljeni za člana teh organov ali ne.
These benefits are normally intended to replace an income (wages, salaries) which is suspended due to sickness.
Nenazadnje ne smete pozabiti svojih obveznosti do države, v kateri ste zavarovani.
Benefits provided in a specific situation (e.g. dependence) may also be regarded as sickness benefits in cash.
To velja zlasti za obveznost plačevanja prispevkov za socialno varnost in tudi za vse druge obveznosti, ki jih morajo izpolnjevati državljani te države (npr. prijava pri nacionalnih organih in obveščanje o nekaterih dejstvih).
As a general rule, they are always paid according to the legislation of the state where you are insured, regardless of which state you are residing or staying in.
5.3 Kaj morate vedeti v primeru bolezniali materinstva
This applies to all categories of insured persons and all situations.
Določbe koordinacije vsebujejo podrobno poglavje o dajatvah za bolezen, materinstvo in enakovredne storitve za očetovstvo za zavarovane osebe, upokojence in njihove družinske člane, ki stalno ali začasno prebivajo v tujini.
The amount and duration of the benefits depend entirely on the legislation of the state in which you are insured.
Zagotavljajo obsežno in ustrezno zaščito delavcem migrantom in njihovim družinskim članom ter prav tako vsem osebam, za katere veljajo te določbe, zlasti več milijonom turistov, ki preživljajo svoje počitnice v tujini.
All benefits in cash will therefore normally be paid directly to you by the competent institution of this state.
Naslednji odstavki navajajo pregled vaših pravic.
These benefits include healthcare, medical treatment, medicines and hospitalisation, certain benefits for persons reliant on care, as well as the direct payments intended to reimburse their costs.
Seštevanje: Kadar je treba za uveljavitev pravic iz zavarovanja izpolniti nekatere pogoje, mora pristojni nosilec upoštevati tudi dobo, ko ste bili zavarovani oziroma zaposleni po zakonodaji drugih držav, oziroma čas, ko ste v njih zakonito prebivali.
This may or may not be to your advantage in comparison to the legislation of the state where you are actually insured.
To je zagotovilo, da ne boste izgubili pravic iz zdravstvenega zavarovanja, kadar se zaposlite ali preselite v drugo državo.
benefits in all the states concerned without any restrictions or limitations.
Določbe koordinacije zagotavljajo, da ste, ko prekinete svoje prejšnje zavarovanje zaradi selitve v to državo, tam upravičeni do dajatev za bolezen od začetka zavarovanja.
If you reside in the state in which you are insured, it goes without saying that you are entitled to all benefits in kind provided under the legislation of that state.
Te dajatve običajno nadomeščajo dohodek (plače), katerega izplačilo je zaradi bolezni začasno ustavljeno.
These benefits are provided by the sickness insurance institution of your place of residence under the same conditions as for all other persons insured in that state.
Dajatve za posebne okoliščine (npr. odvisnost od pomoči) se lahko obravnavajo kot denarne dajatve za bolezen.
E. Residence outside the state where you are insured
Na splošno se vedno izplačajo v skladu z zakonodajo države, v kateri ste zavarovani, ne glede na vaše stalno ali začasno prebivališče.
If you reside in a different state from the one in which you are insured, you are entitled to all benefits in kind provided under the legislation of the state where you reside.
To velja za vse kategorije zavarovanih oseb in vse okoliščine.
The benefits are provided by the sickness insurance institution of your place of residence as if you were insured with it.
Znesek in trajanje dajatev sta v celoti odvisna od zakonodaje v državi zavarovanja.
If you are a crossborder worker or a member of his/her family, you also have rights in the state in which you work (there are some restrictions for members of the family of a frontier worker (see Section 6.1) and for pensioners (see Section 6.3)).
Vse denarne dajatve vam torej neposredno izplačuje pristojna ustanova te države.
Normally, the sickness insurance institution of the place of residence is reimbursed by the sickness insurance institution with which you are insured.
Te storitve vključujejo zdravstveno varstvo, zdravljenje, zdravila in bolnišnično oskrbo, nekatere dajatve za osebe, ki so odvisne od oskrbe, ter neposredna plačila za povračilo stroškov teh storitev.
F. Temporary stay outside the state where you are insured
V primerjavi z zakonodajo države, v kateri ste dejansko zavarovani, ste zaradi tega lahko v boljšem ali slabšem položaju.
If you are staying temporarily in a different state from the one in which you are insured, you will be entitled to all benefits in kind which become medically necessary during your stay in the territory of another member state, taking into account the nature of the benefits and the expected length of the stay.
Vendar pa samo dejstvo, da so storitve zagotovljene v skladu z zakonodajo države stalnega ali začasnega prebivališča, še ne pomeni, da lahko prosto ali brez omejitev
In other words, you will always get the treatment you really need, even very expensive hospital treatment (e.g. intensive care after a heart attack).
pridobivate te storitve v vseh zadevnih državah.
The treatment should be given to you under the same conditions as if you were insured in the state of stay.
Zato je treba poznati dejanske pogoje za upravičenost do storitev v primeru bolezni v vsaki državi članici.
THE EUROPEAN HEALTH INSURANCE CARDThe European Health Insurance Card (EHIC) is 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 or for reasons of study.
Če imate stalno prebivališče v državi zavarovanja, je popolnoma jasno, da ste upravičeni do vseh storitev, določenih z zakonodajo te države.
This card simplifies the procedure when receiving medical assistance during a temporary stay in one of these states.
Te storitve zagotovi nosilec zdravstvenega zavarovanja v vašem kraju stalnega prebivališča pod enakimi pogoji kot vsem drugim osebam, zavarovanim v tej državi.
However, the card is identical and has the same technical characteristics in each member state, which ensures its immediate recognition by healthcare providers all over Europe.
Če imate stalno prebivališče zunaj države zavarovanja, ste upravičeni do vseh storitev, določenih z zakonodajo države stalnega prebivališča.
If you are not in possession of a EHIC, you can obtain a card free of charge by contacting your local health insurance institution.
Storitve zagotovi nosilec zdravstvenega zavarovanja v vašem kraju stalnega prebivališča, kot če bi bili tam zavarovani.
In order to learn more about your rights to healthcare abroad please visit our website (http://ehic.europa.eu).
Če ste čezmejni delavec ali njegov družinski član, imate pravice tudi v državi zaposlitve (obstajajo nekatere omejitve za družinske člane obmejnega delavca (glej oddelek 6.1) in za upokojence (glej oddelek 6.3)).
G. Travelling to another state for treatment
Upoštevajte, da se morate prijaviti pri nosilcu zdravstvenega zavarovanja v kraju vašega stalnega prebivališča.
If you go to another state in order to obtain healthcare treatment, in accordance with the coordination rules, the costs will only be covered by your sickness insurance institution if you have received permission from it beforehand.
V ta namen morate prositi za dokument „S1“ (glej seznam v oddelku 7), ki potrjuje vaše kritje zdravstvenega zavarovanja s strani nosilca vašega zavarovanja.
Normally, it is up to your health insurance institution to decide whether or not it will give its approval.
Nosilec v kraju vašega stalnega prebivališča se lahko poveže tudi z nosilcem vašega zavarovanja, da si izmenjata potrebne informacije v¥zvezi z vašo upravičenostjo.
However, in cases where the treatment required is provided for by the legislation of your state, but not available within the necessary time with regard to your current state of health, the permission may not be refused.
Nosilec zdravstvenega zavarovanja, pri katerem ste zavarovani, običajno povrne stroške nosilcu zdravstvenega zavarovanja v kraju stalnega prebivališča.
Accordingly, you are entitled to the benefits provided
Če začasno bivate zunaj države zavarovanja, imate pravico do vseh storitev, za katere se izkaže, da so v času vašega bivanja na ozemlju druge države članice potrebne z medicinskega vidika, ob upoštevanju narave storitev in predvidenega trajanja bivanja.
by the host state on behalf of your sickness insurance institution.
To pomeni, da boste vedno deležni ustreznega zdravljenja, vključno z izjemno dragim bolnišničnim zdravljenjem (na primer intenzivna nega po srčnem napadu).
In some cases you can also apply for an additional reimbursement in your state of residence.
Toda pozor: če greste v tujino izključno zaradi zdravljenja, je za to potrebno dovoljenje (glej oddelek 5.3G spodaj).
Additionally, the Court of Justice of the European Union has ruled that persons covered by health insurance who do not have the authorisation of their national competent institution may nevertheless ask their social security fund to reimburse the cost of non-hospital medical treatment in another member state, on the basis of the scale applied in the state of insurance.
EVROPSKA KARTICA ZDRAVSTVENEGA ZAVAROVANJAEvropska kartica zdravstvenega zavarovanja (EHIC) se izda evropskim državljanom, ki se iz osebnih ali poklicnih razlogov ali zaradi študija gibljejo v Evropskem gospodarskem prostoru (tj. v Evropski uniji, na Norveškem, Islandiji in v Lihtenštajnu) ter Švici. Ta kartica poenostavlja postopek pri prejemanju zdravstvene pomoči med začasnim bivanjem v eni od teh držav.
In this same case-law, the Court concluded that social security institutions may refuse an authorisation for hospital treatment in another member state.
Vsaka država članica je odgovorna za izdelavo in distribucijo evropske kartice zdravstvenega zavarovanja na svojem ozemlju.
Nevertheless, the administrative authorisation procedures leading to this decision must be based on objective, non-discriminatory criteria which are known in advance.
Vzorec te kartice je v vseh državah članicah enak in ima enake tehnične značilnosti, kar omogoča, da izvajalci zdravstvenih storitev kartico takoj prepoznajo.
These criteria must ensure that the national authorities’ discretion is not used arbitrarily: the procedures must be easily accessible, make sure that requests for authorisation are dealt with objectively and within a reasonable delay and allow for refusals to be challenged in judicial or quasi-judicial proceedings.
Če nimate evropske kartice zdravstvenega zavarovanja, jo lahko brezplačno pridobite pri lokalnem nosilcu zdravstvenega zavarovanja.
In addition, national authorities must take account of all the circumstances of each individual case, i.e. not only the patient’s state of health, but also his or her medical history.
Več informacij o pravicah do zdravstvene oskrbe v tujini najdete na spletni strani http://ehic.europa.eu.
Accidents at work and occupational diseases
Odhod na zdravljenje v tujino
The coordination provisions on benefits in respect of accidents at work or occupational diseases are very similar to the provisions on sickness benefits.
V primeru zdravljenja v drugi državi vam stroške v skladu s pravili koordinacije poravna vaš nosilec zdravstvenega zavarovanja le v primeru, če vam zdravljenje predhodno tudi odobri.
However, you will have to fulfil some specific procedures to inform or notify the authorities with whom you are insured when an accident at work occurs or when a professional disease is diagnosed for the first time.
V primerih, ko je potrebno zdravljenje določeno z zakonodajo vaše države, vendar ni na voljo v času, ko bi ga potrebovali glede na vaše zdravstveno stanje, se dovoljenja ne sme zavrniti.