natgillin/translations-raw huggingface dataset:
— the Commission of the European Communities, by V. Kreuschitz and J.-P. Keppenne, acting as Agents, after hearing the Opinion of the Advocate General at the sitting on 28 June 2007
– za Komisijo Evropskih skupnosti V. Kreuschitz in J.-P. Keppenne, zastopnika, po predstavitvi sklepnih predlogov generalne pravobranilke na obravnavi 28. junija 2007
2008 — CASE C-212/06 gives the following
2008 – ZADEVA C-212/06 izreka naslednjo
1), as amended by Council Regulation (EC) No 307/1999 of 8 February 1999 (OJ 1999 L 38, p.
1, kot je bila spremenjena z Uredbo Sveta (ES) �t. 307/1999 z dne 8. februarja 1999 (UL L 38, str.
1) (‘Regulation No 1408/71’).
1, v nadaljevanju: Uredba �t. 1408/71).
The reference was made in the context of proceedings between several federated entities of the Kingdom of Belgium.
Ta predlog je bil vložen v okviru spora med več zveznimi enotami Kraljevine Belgije.
In those proceedings, the Government of the French Community and the Walloon Government, on the one hand, and the Flemish Government, on the other, are in dispute over the conditions for affiliation to the care insurance scheme established by the Flemish Community for persons whose autonomy is reduced by serious and prolonged disability.
Ta spor poteka med vlado francoske skupnosti in valonsko vlado na eni strani ter flamsko vlado na drugi strani glede pogojev za vključitev v sistem zdravstvenega zavarovanja, ki ga je vzpostavila flamska skupnost za osebe s hudo in dolgotrajno zmanj�ano sposobnostjo skrbeti zase.
The relevant provisions of Community law
Skupnostna ureditev
The scope ratione personae of Regulation No 1408/71 is defined in Article 2(1) thereof, which provides:
Osebno področje uporabe Uredbe �t. 1408/71 je določeno v njenem členu 2(1), ki določa:
‘This Regulation shall apply to employed or selfemployed persons and to students who are or have been subject to the legislation of one or more Member States and who are nationals of one of the Member States or who are stateless persons or refugees residing within the territory of one of the Member States, as well as to the members of their families and their survivors.’
„Ta uredba se uporablja za zaposlene ali samozaposlene osebe in �tudente, za katere velja ali je veljala zakonodaja ene ali več držav članic in ki so državljani ene od držav članic, ali osebe brez državljanstva, ali begunce, ki stalno prebivajo na ozemlju ene od držav članic, pa tudi za njihove družinske člane in njihove preživele osebe.“
Article 4 defines the scope ratione materiae of that regulation as follows:
Stvarno področje uporabe navedene uredbe je določeno v členu 4 te uredbe:
This Regulation shall apply to all legislation concerning the following branches of social security:
Ta uredba se uporablja za vso zakonodajo v zvezi z naslednjimi področji socialne varnosti: a) dajatve za bolezen in materinstvo;
This Regulation shall apply to all general and special social security schemes, whether contributory or non-contributory, and to schemes concerning the liability of an employer or ship owner in respect of the benefits referred to in paragraph 1.
Ta uredba se uporablja za vse splo�ne in posebne sisteme socialne varnosti, na podlagi plačevanja prispevkov ali brez njih, in za sisteme, ki se nana�ajo na odgovornost delodajalca ali lastnika ladje za dajatve iz odstavka 1.
2b This Regulation shall not apply to the provisions in the legislation of a Member State concerning special non-contributory benefits, referred to in Annex II, Section III, the validity of which is confined to part of its territory.
2b Ta uredba se ne uporablja za določbe zakonodaje države članice v zvezi s posebnimi dajatvami, za katere se ne plačujejo prispevki iz Priloge II, oddelek III, katerih veljavnost je omejena na del njenega ozemlja.
Article 3 of Regulation No 1408/71, headed ‘Equality of treatment’, provides:
Člen 3 Uredbe �t. 1408/71, z naslovom „Enako obravnavanje“, določa:
Subject to the special provisions of this Regulation, persons resident in the territory of one of the Member States to whom this Regulation applies shall be subject to the same obligations and enjoy the same benefits under the legislation of any Member State as the nationals of that State.’
Ob upo�tevanju posebnih določb te uredbe imajo osebe s stalnim prebivali�čem na ozemlju ene od držav članic, za katere se uporablja ta uredba, enake pravice in obveznosti po zakonodaji vsake države članice, kot državljani te države članice.“
Lastly, Article 13 of the Regulation determines the legislation applicable to migrant workers in the field of social security.
Nazadnje, člen 13 navedene uredbe določa zakonodajo, ki se na področju socialne varnosti uporablja za delavce migrante.
It is worded as follows:
Določa, da:
(a) a person employed in the territory of one Member State shall be subject to the legislation of that State even if he resides in the territory of another Member State or if the registered office or place of business of the undertaking or individual employing him is situated in the territory of another Member State;
V skladu s členi od 14 do 17: a) za delavca, zaposlenega na ozemlju ene države članice, velja zakonodaja te države, tudi če stalno prebiva na ozemlju druge države članice ali če je registrirani sedež ali poslovna enota podjetja ali posameznika, ki osebo zaposluje, na ozemlju druge države članice;
(b) a person who is selfemployed in the territory of one Member State shall be subjected to the legislation of that State even if he resides in the territory of another Member State;
(b) za osebo, ki je samozaposlena na ozemlju ene države članice, velja zakonodaja te države, tudi če stalno prebiva na ozemlju druge države članice;
The relevant provisions of domestic law
Nacionalna ureditev
19149, ‘the Decree of 30 March 1999’), the Flemish Community introduced a scheme of care insurance in order to improve the state of health and living conditions of persons whose autonomy is reduced by serious and prolonged disability.
19149, v nadaljevanju: dekret z dne 30. marca 1999) je flamska skupnost vzpostavila sistem zdravstvenega zavarovanja, da bi izbolj�ala zdravstveno stanje in življenjske pogoje oseb s hudo in dolgotrajno zmanj�ano sposobnostjo skrbeti zase.
This scheme confers entitlement, subject to certain conditions and up to a maximum amount, to have an insurance fund take responsibility for the paying of certain costs occasioned by a state of dependence for health reasons, such as expenses involved in home help services or in the purchase of equipment or products needed by the insured person.
Ta sistem pod določenimi pogoji in za znesek, za katerega je določena zgornja meja, zagotavlja, da zavarovalni sistem povrne stro�ke, nastale zaradi odvisnega položaja iz zdravstvenih razlogov, kot so stro�ki za storitve pomoči na domu ali za nakup opreme in proizvodov, ki jih zavarovanec nujno potrebuje.
The Decree of 30 March 1999 has been amended on several occasions, in order in particular to take account of objections raised by the Commission of the European Communities and leading to the opening of infringement proceedings in 2002.
Dekret z dne 30. marca 1999 je bil večkrat spremenjen zlasti zato, da so bili upo�tevani očitki Komisije Evropskih skupnosti, zaradi katerih je bil leta 2002 sprožen postopek za ugotavljanje kr�itve.
In essence, the Commission challenged the compatibility with Regulation No 1408/71 of the condition of residence in the Dutchspeaking region or in the bilingual region of Brussels-Capital to which affiliation to that care insurance scheme and the payment of the services for which it provided were made subject in the original version of the decree.
Komisija je izpodbijala zlasti združjlivost pogoja stalnega prebivali�ča v nizozemsko govoreči regiji oziroma v dvojezični regiji glavnega mesta Bruselj, ki je v izvirni različici navedenega dekreta določen kot pogoj za vstop v navedeni sistem zdravstvenega zavarovanja in plačilo dajatev, ki jih ta sistem predvideva, z Uredbo �t. 1408/71.
The criterion of residence was, therefore, adapted by the Decree of the Flemish Parliament amending the Decree of 30 March 1999 on the organisation of care insurance (Decreet van de Vlaamse Gemeenschap houdende wijziging van het decreet van 30 maart 1999 houdende de organisatie van de zorgverzekering) of 30 April 2004 (Moniteur Belge of 9 June 2004, p.
Merilo stalnega prebivali�ča je bilo od tedaj urejeno z dekretom flamskega parlamenta z dne 30. aprila 2004, s katerim je bil spremenjen dekret z dne 30. marca 1999 o ureditvi zdravstvenega zavarovanja (Decreet van de Vlaamse Gemeenschap houdende wijziging van het decreet van 30 maart 1999 houdende de organisatie van de zorgverzekering, Moniteur Belge z dne 9. junija 2004, str.
43593, ‘the Decree of 30 April 2004’).
43593, v nadaljevanju: dekret z dne 30. aprila 2004).
That decree, which had retroactive effect to 1 October 2001, chiefly extended the scope ratione personae of the care insurance scheme to persons working in the territory of those regions and residing in a Member State other than the Kingdom of Belgium.
Ta dekret, ki ima retroaktivni učinek od 1. oktobra 2001, je načelno raz�iril osebno področje uporabe sistema zdravstvenega zavarovanja na osebe, ki delajo na ozemlju navedenih regij in ki nimajo stalnega prebivali�ča v Kraljevini Belgiji, ampak v drugi državi članici.
It also excluded from that ambit persons residing in those regions but subject to the social security system of another Member State.
Iz navedenega področja uporabe je prav tako izključil osebe, ki stalno prebivajo v teh regijah, vendar so vključene v sistem socialnega zavarovanja druge države članice.
As a result of the adoption of those amendments, the Commission decided on 4 April 2006 to take no further action in the infringement procedure in question.
Po sprejetju teh sprememb se je Komisija 4. aprila 2006 odločila, da bo ustavila postopek za ugotavljanje kr�itve.
Article 4 of the Decree of 30 March 1999, as amended by the Decree of 30 April 2004, defines as follows the classes of persons who must or may be affiliated to the care insurance scheme:
Člen 4 dekreta z dne 30. marca 1999, kot je bil spremenjen z dekretom z dne 30. aprila 2004, takole opredeljuje skupine oseb, ki so obvezno ali neobvezno vključene v sistem zdravstvenega zavarovanja:
Any person residing within the Dutchspeaking region must join a care insurance scheme approved by this Decree.
Oseba s stalnim prebivali�čem v nizozemsko govoreči regiji mora biti vključena v sistemu zdravstvenega zavarovanja, ki je določen s tem dekretom.
Any person residing within the bilingual region of Brussels-Capital may on a voluntary basis join a care insurance scheme approved by this Decree.
Oseba s stalnim prebivali�čem v dvojezični regiji glavnega mesta Bruselj se lahko prostovoljno priključi sistemu zdravstvenega zavarovanja, določenem s tem dekretom.
§2ter Any person not residing in Belgium to whom, on the basis of the rules governing the applicable law under Regulation (EEC) No 1408/71, the social security scheme in Belgium applies as of right because of his employment in the Dutchspeaking region must join a care insurance scheme approved by this decree.
§2b Vključitev v s tem dekretom določen sistem zdravstvenega zavarovanja je obvezna za osebe, ki ne živijo v Belgiji in za katere se na podlagi njihovega prava in za zaposlitev v nizozemsko govoreči regiji uporablja sistem socialne varnosti v Belgiji na podlagi pravil iz Uredbe (EGS) �t. 1408/71 o upo�tevnem pravu.
The provisions of this decree concerning persons referred to in paragraph 1 shall apply by analogy.
Določbe tega dekreta se po analogiji uporabljajo za osebe iz odstavka 1.
Any person not residing in Belgium to whom, on the basis of the rules governing the applicable law under Regulation (EEC) No 1408/71, the social security scheme in Belgium applies as of right because of his employment in the bilingual region of Brussels-Capital may elect to join a care insurance scheme approved by this decree.
Vključitev v s tem odlokom določen sistem zdravstvenega zavarovanja je prostovoljna za osebe, ki ne živijo v Belgiji in za katere se na podlagi njihovega prava in za zaposlitev v dvojezični regiji glavnega mesta Bruselj uporablja sistem socialne varnosti v Belgiji na podlagi pravil iz Uredbe (EGS) �t. 1408/71 o upo�tevnem pravu.
The provisions of this decree concerning persons referred to in paragraph 2 shall apply by analogy.’
Določbe tega dekreta se po analogiji uporabljajo za osebe iz odstavka 2.“
Article 5 of the Decree of 30 March 1999, as most recently amended by the Decree of the Flemish Parliament amending the Decree of 30 March 1999 on the organisation of care insurance (Decreet van de Vlaamse Gemeenschap houdende wijziging van het decreet van 30 maart 1999 houdende de organisatie van de zorgverzekering), of 25 November 2005 (Moniteur Belge of 12 January 2005, p.
Člen 5 dekreta z dne 30. marca 1999, kot je bil nazadnje spremenjen z dekretom flamskega parlamenta z dne 25. novembra 2005, s katerim je bil spremenjen dekret z dne 30. marca 1999 o ureditvi zdravstvenega zavarovanja (Decreet van de Vlaamse Gemeenschap houdende wijziging van het decreet van 30 maart 1999 houdende de organisatie van de zorgverzekering, Moniteur belge z dne 12. januarja 2006, str. 2153),
2008 — CASE C-212/06 retrospective effect from 1 October 2001, lays down as follows the conditions for reimbursement by the care insurance scheme:
2008 – ZADEVA C-212/06 ki ima prav tako retroaktivni učinek od 1. oktobra 2001, določa pogoje za povrnitev stro�kov s strani sistema zdravstvenega zavarovanja:
‘The user must fulfil the following conditions in order to be able to claim reimbursement of the costs of nonmedical assistance and services by a care insurance scheme:
„Uporabnik mora izpolniti naslednje pogoje, da bi od sistema zdravstvenega zavarovanja lahko zahteval povračilo stro�kov nezdravstvene pomoči in storitev:
5. for at least five years before reimbursement, he must have resided without interruption either in the Dutchspeaking region or the bilingual region of Brussels-Capital or, as a person covered by a social insurance scheme, in a Member State of the European Union or a State party to the Agreement on the European Economic Area;
5º najmanj pet let pred zahtevo za povračilo mora neprekinjeno prebivati v nizozemsko govoreči regiji ali v dvojezični regiji glavnega mesta Bruselj oziroma mora biti vključen v sistem socialnega zavarovanja v državi članici Evropske unije oziroma v državi Evropskega gospodarskega prostora;
This case originates from the third action for annulment brought by the applicant Governments against the Decree of 30 March 1999, the two earlier actions having
Ta zadeva izhaja iz tretje ničnostne tožbe, ki so jo vložile vlade – tožeče stranke v postopku v glavni stvari – zoper dekret z dne 30. marca 1999, prvi dve je Cour
GOVERNMENT OF THE FRENCH COMMUNITY AND WALLOON GOVERNMENT been rejected in part and in whole by the Cour d’arbitrage (Court of Arbitration).
VLADA FRANCOSKE SKUPNOSTI IN VLADA VALONIJE d’arbitrage delno oziroma v celoti zavrnilo. To sodi�če je v okviru teh predhodnih zadev med drugim s sodbo �t.
In those earlier cases, the Cour d’arbitrage stated, in particular, in its judgment No 33/2001 of 13 March 2001, that the care insurance scheme introduced by that Decree concerned ‘aid to persons’, a matter falling, by virtue of Article 128(1) of the Belgian Constitution, within the powers of the Communities, and did not, therefore, trespass on the exclusive powers of the federal State in the sphere of social security.
33/2001 z dne 13. marca 2001 navedlo, da sistem zdravstvenega zavarovanja, vzpostavljen z navedenim dekretom, spada na področje „pomoči osebam“, to je področje, ki na podlagi člena 128(1) belgijske ustave spada v pristojnosti regionalnih skupnosti, in torej ni poseglo v izključne pristojnosti zvezne države na področju socialne varnosti.
The decision for reference makes it clear that the dispute in the main proceedings turns, more specifically, on Article 4 of the Decree of 30 March 1999 in the version contained in the Decree of 30 April 2004 (‘the Decree of 30 March 1999, as amended’).
Iz predložitvene odločbe izhaja, da se spor v postopku v glavni stvari natančneje nana�a na člen 4 dekreta z dne 30. marca 1999, v različici, ki izhaja iz dekreta z dne 30. aprila 2004 (v nadaljevanju: spremenjeni dekret z dne 30. marca 1999). Vlade – tožeče stranke – so v tožbah, ki so jih 10. decembra 2004 vložile pri predložitvenem sodi�ču, med drugim navajale kr�itev Uredbe �t.
In their actions, brought before the referring court on 10 December 2004, the applicant Governments pleaded infringement of Regulation No 1408/71 and of various provisions of the EC Treaty, claiming that to exclude from that scheme persons who, although working in the Dutchspeaking region or in the bilingual region of Brus-sels-Capital, reside in national territory, but outwith the territory for which those regions are respectively competent, amounts to a restrictive measure hindering the free movement of persons.
1408/71 in različnih določb Pogodbe ES s sklicevanjem, da naj bi izključitev oseb iz navednega sistema – oseb, ki, čeprav delajo v nizozemsko govoreči regiji ali v dvojezični regiji glavnega mesta Bruselj, imajo stalno prebivali�če na nacionalnem ozemlju, vendar zunaj ozemlja teh dveh regij – pomenila omejitveni ukrep, s katerim se ovira prosto gibanje oseb.
In those circumstances, the Cour d’arbitrage has decided to stay proceedings and to refer the following questions to the Court for a preliminary ruling:
V teh okoli�činah je Cour d’arbitrage prekinilo odločanje in Sodi�ču v predhodno odločanje predložilo ta vpra�anja:
(b) applies to persons who are resident in the part of the territory of that federal State for which that autonomous Community is competent,
2008 – ZADEVA C-212/06 b) velja za osebe, ki imajo stalno prebivali�če na delu ozemlja te zvezne države, za katero je pristojna ta avtonomna skupnost, c) daje pravico do tega, da se iz tega sistema krijejo stro�ki storitev pomoči in nezdravstvenih storitev za osebe z dolgotrajno in hudo zmanj�ano sposobnostjo skrbeti zase, ki so zavarovane po tem sistemu, in sicer v obliki pav�alnih plačil za stro�ke, povezane s tem, in d) se po eni strani financira z letnimi prispevki zavarovancev, po drugi strani pa iz dajatev iz proračuna za stro�ke zadevne avtonomne skupnosti, sistem, ki sodi v stvarno področje uporabe Uredbe […] �t.
(d) is financed by members’ annual contributions and by a grant paid out of the budget for expenditure of the autonomous Community concerned, constitute a scheme falling within the scope ratione materiae of … Regulation … No 1408/71 …, as defined in Article 4 thereof?
1408/71 […], kot je določeno v členu 4 te uredbe?
Concerning the questions referred
Vprašanja za predhodno odločanje
By its first question the national court seeks in substance to ascertain whether the benefits provided under a scheme such as the care insurance scheme established by the Decree of 30 March 1999 fall within the ambit ratione materiae of Regulation No 1408/71.
Predložitveno sodi�če s prvim vpra�anjem v bistvu spra�uje, ali dajatve, izplačane iz takega sistema, kot je sistem zdravstvenega zavarovanja, ki je vzpostavljen z dekretom z dne 30. marca 1999, spadajo na stvarno področje uporabe Uredbe �t. 1408/71.
For the purpose of answering that question, it is to be borne in mind that the Court has consistently held that the distinction between benefits excluded from the scope
Za odgovor na to vpra�anje je treba opozoriti, da se v skladu z ustaljeno sodno prakso dajatve, ki so izvzete s področja uporabe Uredbe �t. 1408/71, in dajatve, za katere se ta
On this point, the Court has also stated on numerous occasions that a benefit may be regarded as a social security benefit in so far as it is granted, without any individual and discretionary assessment of personal needs, to recipients on the basis of a legally defined position and provided that it relates to one of the risks expressly listed in Article 4(1) of Regulation No 1408/71 (see, inter alia, Hoeckx , paragraphs 12 to 14; Commission v Luxembourg, paragraph 29, and Celozzi, paragraph 17).
Sodi�če je glede tega že večkrat pojasnilo, da je dajatev mogoče �teti za dajatev socialne varnosti, če se, prvič, upravičencem dodeli na podlagi zakonsko opredeljenega položaja, brez vsakr�ne individualne ali diskrecijske presoje o osebnih potrebah in, drugič, če se nana�a na eno od tveganj, izrecno na�tetih v členu 4(1) Uredbe �t. 1408/71 (glej zlasti zgoraj navedene sodbe Hoeckx, točke od 12 do 14; Komisija proti Luksemburgu, točka 29, in Celozzi, točka 17).
In the case in the main proceedings, as is made apparent in all the observations submitted to the Court, it is not disputed that a scheme such as the care insurance scheme established by the Decree of 30 March 1999 satisfies those conditions.
V postopku v glavni stvari, kot izhaja iz stali�č, predloženih Sodi�ču, ni sporno, da sistem, kot je sistem zdravstvenega zavarovanja, vzpostavljen z dekretom z dne 30. marca 1999, izpolnjuje te pogoje.
First, the provisions of that decree make it plain that such a scheme gives a right, objectively and on the basis of a statutorily defined position, to reimbursement by a care insurance fund of the costs incurred in respect of the provision of help and nonmedical services by any person whose autonomy is reduced by reason of serious and prolonged disability.
Na eni strani namreč izhaja iz določb navedenega dekreta, da tak sistem daje pravico, objektivno in na podlagi zakonsko določenega položaja, da zdravstvena zavarovalnica povrne nastale stro�ke za storitve pomoči in nemedicinske storitve vsem osebam, ki imajo dolgotrajno in hudo zmanj�ano sposobnost skrbeti zase.
Secondly, the Court has earlier held that benefits intended to improve the state of health and quality of life of persons reliant on care, such as those at issue in the main proceedings, have as their essential purpose the supplementing of sickness insurance
Na drugi strani je Sodi�če že razsodilo, da je cilj dajatev, ki so namenjene izbolj�anju zdravstvenega stanja in življenja oseb, ki potrebujejo pomoč in postrežbo, predvsem dopolniti dajatve zdravstvenega zavarovanja in jih je treba �teti kot „dajatve
Furthermore, as the Walloon Government observes, care insurance cannot be excluded from the ambit of Regulation No 1408/71 on the basis of Article 4(2)b thereof, which covers certain kinds of non-contributory benefits, provided that they are governed by provisions of domestic law applicable to part only of the territory of a Member State.
Poleg tega, kot poudarja valonska vlada, zdravstvenega zavarovanja ni mogoče izključiti s področja uporabe Uredbe �t. 1408/71 na podlagi njenega člena 4(2b), ki se nana�a na nekatere vrste dajatev, za katere se ne plačujejo prispevki, zgolj zato, ker so urejene z nacionalnimi določbami, ki se uporabljajo le za del ozemlja države članice.
As a matter of fact, in contrast to the requirements laid down by the derogation provided for by Article 4(2)b, the care insurance scheme at issue in the main proceedings is contributory in kind, for it is funded, at the very least in part, by contributions paid by the persons insured, and is not mentioned in Annex II, Section III, to Regulation No 1408/71.
V nasprotju z zahtevami, postavljenimi z izjemo, ki je določena v navedenem členu 4(2b), je sistem zdravstvenega zavarovanja v postopku v glavni stvari plačljive narave, ker se vsaj deloma financira s prispevki zavarovancev, in ni omenjen v Prilogi II, oddelek III, Uredbe �t. 1408/71.
In consequence, the answer to be given to the first question is that benefits provided under a scheme such as the care insurance scheme established by the Decree of 30 March 1999, as amended, fall within the scope ratione materiae of Regulation No 1408/71.
Zato je treba na prvo vpra�anje odgovoriti, da dajatve, izplačane iz sistema, kot je sistem zdravstvenega zavarovanja, ki je vzpostaviljen s spremenjenim odlokom z dne 30. marca 1999, spadajo na stvarno področje uporabe Uredbe �t. 1408/71.
Concerning the second and third questions
Drugo in tretje vprašanje