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Table 2 Comparison of the Accident Insurance Systems in the Countries of Northeastern, Central Eastern, Southeastern and Eastern Europe* EU-Members

From: Social care and changes in occupational accidents and diseases - the situation in Eastern Europe in general and for skin diseases in particular

EU Members Employment injuries and occupational diseases Field of application Special features Minimum level of invalidity
Partial and full invalidity
Bulgaria Independent component of the compulsory social insurance system All employees, except for students and persons without a contract of employment. Voluntary insurance for the self-employed and for farmers Pending reform.
Nursing care allowance if occupational invalidity is 90% or more and nursing care is needed.
No cumulation with earned income.
Cumulation with other pensions is possible (100% of the highest pension plus 50% of other pensions)
Partial invalidity: n.s.
Full invalidity: from 50%
Czech Rep. Independent component of the compulsory social insurance system All employees;
Specific groups: pensioners and students
Special system for civil servants
No family allowance;
No nursing care allowance;
Cumulation with earned income possible
Cumulation with other pensions possible
Professional rehabilitation.
No compensation.
Partial invalidity: from 30%
Full invalidity: from 50%
Cyprus Independent component of the compulsory social insurance system All employees; self-employed excluded; excluded: employees of the public and diplomatic services of foreign countries, workers on parental farms.
Independent agricultural workers aged under 16 years. Voluntary insurance for employees who work abroad.
Family allowance;
Nursing care allowance for complete occupational invalidity, requiring nursing care from third parties ca. 45€/p.w.
Cumulation with earned income possible.
After 1980, Cumulation only possible with widow's pension. Obligation of professional rehabilitation possible
European Social Charter since 2000. Ministry of Health and Social Security, Labour Supervision Agencies
Partial invalidity:
10-19% Compensation (Invalidity Compensation)
20-99% Partial Invalidity
Full invalidity: 100%
plus flat rate/p.w. if nursing care from third parties is necessary
Estonia No independent insurance.
Risks are covered by the health insurance funds (short-term) or pension insurance (long-term).
All employees;
No exceptions;
No voluntary insurance
No family or nursing care allowance;
No cumulation with other pensions;
Employee liable in civil law - additional services as compensation, e.g. prostheses, drugs, costs for emergency treatment
Partial invalidity: from 10% compensation
Full invalidity: from 40%
Greece No independent insurance.
Risks are covered by sickness, invalidity and dependent insurance.
All employees;
No exceptions;
No voluntary insurance.
Family allowance: Start of insurance from 1993, no partner allowance, percentage allowance for children
Nursing care allowance: Start of insurance from 1993, 25% of the monthly average (1991) of the gross social product; .75% pension payment for occupational invalidity because of psychiatric disease.
Cumulation with earned income or other pensions
No special rehabilitation measures
No compensation.
Partial invalidity: from 50%
Full Invalidity: from 80%
Hungary No independent insurance.
Risks are covered by sickness, invalidity and dependent insurance.
All employees:
Self-employed, recipients of income support;
No voluntary insurance
No family allowance;
No nursing care allowance
Occupational accident pension: Cumulation with earned income possible.
Occupational invalidity pension: cumulation up to 80% of the former income.
No cumulation with other pensions.
Professional rehabilitation measures up to 50% occupational invalidity.
Subsidy for persons providing nursing care
No compensation
Partial Invalidity: from 15% to 66% (occupational accident pension)
Full Invalidity: from 67% (occupational invalidity pension)
50% for silicosis and asbestosis
Latvia Independent component of the compulsory social insurance system All employees;
No voluntary insurance
No family allowance;
50% nursing care allowance or nursing care provided
20% reduction if cumulation with old-age pension.
Cumulation with earned income possible
Partial invalidity: 10-24%, compensation possible
Full invalidity: from 25%
Lithuania Independent component of the compulsory social insurance system All employees;
Voluntary insurance for self-employed; special systems for the police force, state security, armed forces etc.
No family allowance;
No nursing care allowance
Full cumulation with other pensions,
Cumulation with earned income possible
Partial invalidity: no compensation
Full invalidity: from 30%
Poland Independent component of the compulsory social insurance system All employees; self-employed
No voluntary insurance
No family allowance;
Nursing care allowance
Choice between cumulation: occupational accident pension 50% plus old-age pension or conversely possible, reduction in pension if additional earned income.
Once off payment from employer: ca. 107€ per percentage point of the deterioration in the state of health
Partial invalidity: No compensation; no percentage rate for partial occupational invalidity.
Full invalidity: n.s.
Romania Independent component of the compulsory social insurance system All employees;
Children in full time education;
Trainees;
Students;
Conscripts;
Self-employed (voluntary?);
n.s. Partial invalditiy: from 50%/group III
Full invalidity: 100%
3 Groups: I: 100% plus nursing care; II: 100%; III: from 50% restricted employment possible.
Slovakia Independent component in the compulsory social insurance system All employees;
Students and members of other groups;
No voluntary insurance
No family allowance;
Compensation of actual nursing care costs;
Cumulation with new earned income possible.
Reduction if other pension is received.
Partial invalidity: 10%-40% compensation
Full invalidity: from 40%
Slovenia No independent insurance.
Risks are covered by sickness, invalidity and dependent insurance.
All employees;
Students, trainees, handicapped persons during training, rehabilitation or practical training,
persons with second jobs or involved in social activities.
No family allowance;
Nursing care allowance;
Cumulation with earned income up to the minimum wage is possible.
Cumulation possible/Insured persons must decide for a pension.
Professional rehabilitation;
Partial invalidity: no compensation
Full invalidity: n.s.
3 groups of invalidity: I.: full occupational invalidity; II.: min. 50% occupational invalidity, III.: part-time occupation possible
  1. The information is essentially based on "MISSOC and MISSCEEC Studies on the social protection Systems" of the European Union, the SSW Database (ISSA) (see Appendix) and personal information from the corresponding national authorities.
  2. n.s. not specified