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Air Traffic Controllers
Association of Greece Supplementary Compensation and Medicare
Funds
In May 1999, the Air Traffic Controllers Association
of Greece (ATCAG) created a mutual assistance supplementary compensation
fund for medical care, totally independent from ATCAG-SCF, by the name
"Supplementary Compensation and Medicare Funds" (ATCAG-SCMF), for the
registered members of ATCAG. ATCAG-SCMF does not constitute a separate
legal entity but it is entirely owned by ATCAG. Its operation and funds
administration are carried out under supervision from the Governing
Council and the General Assembly of the ATCAG active Members.
THE AIM OF
ATCAG- SCMF
The aim of
ATCAG-SCMF is to provide medical care compensation to its Members and
their dependents. "Members" of ATCAG-SCMF are considered all those active
members of ATCAG who will be able to conserve their membership ever after
their retirement as pensioners (they will become non-active members). As
soon as membership is established, medicare assistance is provided until
the age of 75. It can be prolonged beyond this limit (for life) if
membership has been held for at least 10 consecutive years before age
75.
THE COVERED
PERSONS
All ATCAG-SCMF
Members and their dependents (non active members) are entitled to
compensation. A Dependent (non active member) is defined as the wife or
husband of a Member as well as any unmarried child aged 1 to 20 or up to
28 if they are students. In the latter case an affidavit of student status
shall be provided by the Member (or the dependent), as proof of
matriculation and yearly promotion in a University or Technical College
here or abroad.
THE RESOURCES OF
ATCAG-SCMF
The resources
of ATCAG-SCMF are the following:
The monthly
contribution of each member or dependent (non-active member).
A lump-sum contribution from each member, equal to 1% of the
insurable salary equivalent to the Social security (IKA) highest insurance
class.
A lump-sum contribution from each member, equal to 0.5% of
the insurable salary equivalent to IKA's (social security) highest
insurance class for each participating dependent member.
BASIC
COMPENSATION
The upper limit for
hospital expenses In case of hospitalisation due to accident or illness
the ATCAG-SCMF shall refund 100% of all certified expenses. Nevertheless,
the refund cannot exceed the limit of € 29154 for hospitals in Greece and
€ 58309 for hospitals abroad ( €1 = 343 Drs.) These refunds will
include:
The daily
charge for a hospital room which however cannot exceed that of a double
room in the most expensive private hospital operarting legally
in Greece.
The daily
expenses for lodging and food for the insured member and its escort which
cannot exceed the amount of €145,77 per person. The daily
expenses compensation will be paid after the 7th day of
residing abroad for hospitalization purposes and cannot exceed the
30 days for each time.
Re-adjustment of the
upper limit for hospital expenses is to be expected in case
hospitalisation concerns one of the five serious "dread diseases",
i.e:
heart
attack
coronary
artery needing
surgery
stroke
cancer
kidney
malfunction In the above five cases, the previous limits are extended to €
43731(local hospitalisation) and € 58309 (abroad),
respectively.
Hospitalisations taking place less than three months apart shall be
regarded as one.
Expenses not covered
by ATCAG-SCMF For each hospitalisation in Greece, the insured will bear
the cost of the first € 4373 (or € 7288 abroad). The rest will be paid by
ATCAG-SCMF as above.
Provision of daily
hospitalisation allowance In case the insured person fails to submit a
receipt for the expenses as mentioned above then ATCAG-SCMF will pay a
daily allowance of €73 (in Greece) and €146 (abroad), not exceeding the
period of 30 days each time.
Hotel room and board
expenses for patient and one companion. If the patient is taken abroad for
hospitalisation, room and board daily expenses are covered for both
companion and patient who must, in this case be treated as an outpatient
unable to travel back to Greece.
Priority in the
collection of compensation from sources other than ATCAG-SCMF. The
following mandatory procedure of compensation collection will be applied
in the following sequence. Social security (IKA), mutual funds and
insurance companies are given priority in the payment of claims for
compensation; then the ATCAG-SCMF will pay the remaining compensation
amount claim after the submission of the required documents.
ADMINISTRATION
AND INVESTMENT OF FUNDS
The
ATCAG-SCMF reserve funds are invested in:
profitable
bonds medium or long term bank accounts land and
real estate government bonds any other profitable
investment short term bank deposits Greek and
E.U. mutual funds Greek and E.U.
stocks
At the beginning of each
accounting period there is a compulsory auditing of the previous year's
proceedings. This is carried out by a three member Auditing Committee (AC)
elected in the same proceedings with the ATCAG-SCF GB.
Another compulsory auditing is carried out by a chartered accountant, and
the report is submitted to the General Assembly along with the AC report,
according to Articles in the ATCAG charter. |