Medical Care and Sickness Benefits Convention, 1969

Medical Care and Sickness Benefits Convention, 1969

C130
ILO Convention
Date of adoption	June 25, 1969
Date in force	May 27, 1972
Classification	Medical Care and Sickness Benefit
Subject	Social Security
Previous	Labour Inspection (Agriculture) Convention, 1969
Next	Minimum Wage Fixing Convention, 1970

Medical Care and Sickness Benefits Convention, 1969 is an International Labour Organization Convention. It was established in 1969 revised Convention C24 Sickness Insurance (Industry) Convention, 1927 and Convention C25 Sickness Insurance (Agriculture) Convention, 1927.^[1]

Content[]

Article 1[]

There are several terms and words used in this convention with specific meaning.
The term legislation means any social security rules, laws and regulations.
Prescribed means determined by national legislation.
The phrase industrial undertaking implies all activities in the branches of mining and quarrying, manufacturing, construction, electricity, gas and water, and transport, storage and communication.
Residence means any ordinary residence in the territory of the member and a resident is a person living in the territory of the member.
The term dependent means a state which is assumed to exist in prescribed cases.
The term wife is defined as a wife dependent on her husband and the term child covers children under the age of 15 or who left school. Exceptions are people with chronic illness or infirmity disabling them for any gainful activity, apprentices and students.
Standard beneficiary is defined as a married man and wife with two children.
The term qualifying period means a period of contribution, employment, residence or any combination thereof.
Sickness implies any morbid condition.

Article 2[]

For Articles 1, 11, 14, 20, and 26, a member may request temporary exceptions if medical facilities and economy are inadequate. In doing so, any exception must be justified by the member and limited in time.
Each member agrees, after declaring exceptions, to expand the scope of persons protected, to expand the scope of medical care, and to extend the duration of sickness benefits.

Article 3[]

Each member can, by an additional declaration to the ratification, exempt workers in the agricultural sector from the application of this Convention under certain conditions.
Any member which has made an additional declaration shall submit to the International Labor Organization (ILO) a report on the application and progress of this convention with respect to workers in the agricultural sector.
Any member which has made an additional declaration shall increase the number of protected workers in the agricultural sector as rapidly as circumstances permit.

Article 4[]

Any member can, by an additional declaration to the ratification, exclude from this convention seafarers, sea fishermen, and public service employees.
If an additional declaration has been filed, the member may not include the excluded persons in calculating the figures in Articles 5, 10, 11, 19 and 20.
Any Member which has made an additional declaration may at a later date notify the Director-General of the ILO that it accepts the obligations under this convention in respect of the excluded groups of persons.

Article 5[]

Any member can exclude from the convention casual employees, members of the employer's family who work for and reside with the employer, and other classes of employees, so long as such exclusion does not affect more than 10 percent of the employees.

Article 6[]

For the purposes of this convention, a member can take into account the protection afforded by insurance under official supervision which covers a substantial proportion of male skilled workers or which is in conjunction with the protection arising from this convention.

Article 7[]

Cases covered for protection by this convention or insurance include need for medical treatment for curative or preventive purposes and incapacity for work due to illness.

Article 8[]

Each member provides care to the protected persons for the cure or prevention of the covered cases referred to in Article 7.

Article 9[]

Medical care under Article 8 shall be provided with the intention of restoring or improving the health of the protected persons and their ability to work.

Article 10[]

Under Article 7, all workers and their wives and children, as well as apprentices, are protected.

Article 11[]

If an additional declaration has been made, the group of persons included in Article 7 shall comprise at least 25 percent of all employees together with their wives and children. In addition, groups of employees in industrial establishments constituting at least 50 percent of all employees, together with their wives and children, shall be protected.

Article 12[]

The protected persons under Article 7 also include persons entitled to social security on account of invalidity, old age, death of the person liable for maintenance or unemployment.

Article 13[]

Under Article 8, medical care includes primary care, specialist care in hospitals, pharmaceutical care, hospitalization, dental care, and medical rehabilitation.

Article 14[]

In the case of an additional statement, medical care under Article 8 must include primary care, specialist care, pharmaceutical care, and hospitalization.

Article 15[]

If medical care under Article 8 depends on protected persons fulfilling a waiting period, the conditions shall be fulfilled in such a way that they do not deprive the right to benefits.

Article 16[]

Medical care referred to in Article 8 shall be ensured during the entire quota.
If a beneficiary ceases to be a protected person, the entitlement to medical care may be limited to a prescribed period, which shall not be less than 26 weeks, as long as sickness benefits are not longer.
The period of medical care for illnesses requiring longer treatment shall be extended notwithstanding the prescribed period.

Article 17[]

If a member is required to contribute to the cost of medical care referred to in Article 8, the rules for such contribution must be calculated in such a way as to avoid hardship and not to impair the effectiveness of medical and social protection.

Article 18[]

Each member of this convention shall be obliged to provide sickness benefits to the persons protected under article 7.

Ratifications[]

As of 2022, the convention has been ratified by 16 states.

References[]

External links[]

• Ratifications.