Aid for civil servants of the city administration of Jena
Allowance is a benefit provided by the employer as part of the employer's duty of care to beneficiaries for certain expenses. The allowance supplements personal provision (health and long-term care insurance), which must be paid from current salaries.
Details
What is aid granted for?
For expenses for, among other things
- Illness, nursing care and childbirth
- Vaccinations
- Medical rehabilitation measures
- Measures for the early detection of illnesses.
Who is entitled to benefits / eligible for benefits?
Civil servants and pension recipients are entitled to benefits if and as long as they are paid a regular salary or pension.
Eligible dependants are the spouse, registered partner and children of the beneficiary who are eligible for family allowance. In the case of spouses, the income limit must be observed.
How do I receive aid and what do I need to bear in mind?
Benefits are only granted upon written application. The application must be accompanied by medical bills, prescriptions and other expenses. A copy is sufficient.
When applying for the first time , you must enclose a copy of your health insurance policy and a copy of your certificate of appointment as a civil servant.
If another person is authorized to submit the aid application, a power of attorney (informal) must be submitted to the aid office.
If medical prescriptions or certificates of necessity are required, which must always be issued before the expenses are incurred (e.g. for medical aids, medical treatment), please enclose these with the relevant receipts. Please note that medical invoices must contain a diagnosis, as this is usually the only way to determine whether expenses were incurred due to an illness and were necessary. In the case of dental invoices, the diagnosis is only required for implantology, functional analysis and functional therapy services.
In addition, the invoices should also contain the stamp and signature of the issuer if the receipt cannot be clearly assigned to the invoicing party (e.g. when invoicing by private medical clearing houses or when using pre-printed header sheets).
If a child is eligible for aid from several beneficiaries, aid for its expenses is only granted to the beneficiary who receives the corresponding share of the family allowance or who has been designated by the beneficiaries in a joint declaration.
What does the "individual" allowance offer?
The "individual" allowance is granted for the actual necessary and reasonable expenses, including in the event of illness (§ 72 Para. 3 ThürBG). The assessment rate (i.e. the proportion of the eligible invoice amount that is reimbursed) is in accordance with § 46 ThürBhV in conjunction with § 87 para. 4 sentence 2 ThürBG:
| Assessment rate | Beneficiaries |
|---|---|
| 50 % |
for active civil servants |
|
70 % |
for active civil servants with at least 2 children eligible for the child-related portion of the family allowance for eligible spouses and registered partners, provided they do not have an income of more than € 18,000.00 |
|
80 % |
for children eligible for the child-related portion of the family allowance and orphans entitled to assistance themselves |
|
100 % |
for voluntary members of statutory health insurance funds after deduction of health insurance benefits |
Flat-rate allowance
The flat-rate allowance generally amounts to half of the premiums for full health insurance. It is paid monthly together with the salary. Membership can be in statutory health insurance or an insurance contract with a private health insurance company. Supplementary allowances are not granted in addition to the flat-rate allowance. In the case of full private health insurance, the amount of the flat-rate allowance is limited to half of the insurance premiums for SHI-compliant benefits, but no more than half of the premium for insurance in the basic tariff of private health insurance.
The decision in favor of the flat-rate allowance is irrevocable.
The flat-rate allowance does not include long-term care insurance. The previous procedure remains in place here.
Procedure/deadlines
The application must be submitted within one year of the invoice being issued or the expenses being incurred. The date of receipt by the aid office is decisive (§ 50 ThürBhV). Aid can only be granted if the expenses claimed exceed the amount of € 200.00, after 10 months € 15.00 is sufficient.
Documents
- Application for aid (individual)
- Compilation of expenses
- Application for flat-rate aid
Legal basis
There is a legal entitlement to the allowance.
- Thuringian Civil Service Act (ThürBG) §72
- In Thuringia, the Thuringian Ordinance on the Granting of Aid in Cases of Birth, Illness, Nursing Care and Other Cases (Thuringian Aid Ordinance ThürBhV ) regulates this entitlement.
- In addition, the scale of fees for doctors (GOÄ)
- and the scale of fees for dentists (GOZ) is a legal basis.