Superintendency of Occupational Risks (Superintendencia de Riesgos del Trabajo – SRT) Resolution No. 219/2016 established a model for management by objectives and results with a view to providing quality services. This is one of the main management tools required to achieve the goal of meeting citizens’ needs and expectations more successfully.

SRT Resolution No. 260/2016 also provided for the first Customer Service Quality Management System; this was implemented at the Call Centre for Worker Assistance. The main objectives included:

The Independent Tribunal for Social Assistance Appeals (ITSAA) was established in 2008 to give effect to section 33 of the Constitution of South Africa and domestic legislation relating to the Promotion of Administrative Justice. The ITSAA is responsible for adjudicating appeals received from disgruntled social grant applicants and beneficiaries following grant applications or reviews by the South African Social Security Agency (SASSA).

The rationale of a retirement benefits scheme is to alleviate old age poverty and a contributing factor to poverty is the loss of the principle bread winner. Despite paying survivors benefits, statistics indicate that up to 80 per cent of the said families have to downgrade their living standards and are susceptible to poverty. To address this challenge, the Laptrust scheme introduced additional insurance-based benefits; Group life cover (3 times annual pensionable salary) and last expense (USD 1,000) to complement existing survivor's benefits drawn from the scheme.

The medical certificates search engine on the Institute’s website via “Servicios Públicos en Línea” (“Online Public Services”) enables the local offices to verify admissible (public) information on the certificates issued to the Institute’s workers in order to speed up responses to requests for information and prevent the misuse of lost or no longer valid certificates.

Technical aid or support products are among the most important factors in terms of human development for disabled and elderly persons. The objective is to mitigate or compensate for limitations when performing various activities of daily living such as eating, dressing, personal hygiene, mobility for the bedridden, play and leisure time, productivity and work activities as well as improving independence and quality of life.

The Social Security Regulatory Authority (SSRA) in Tanzania was established under section 5 of the Social Security (Regulatory Authority) Act No.5 of 2008. Among other things, the Authority has powers to regulate and supervise the Tanzania Social Security Sector. The Authority regulates five DB schemes namely; NSSF, PSPF, LAPF, GEPF and PPF. It also regulates one Workers Compensation Fund, WCF and one health Fund, NHIF.

The National Health Insurance Fund (NHIF) has been experiencing a number of operational challenges including some attempts by non-contributing members to access health care services by using invalid membership cards.

According to the rules and procedures, members who are not contributing to the Fund for past three consecutive months, are not eligible to access medical services provided by the Fund. However, since around 95 per cent of contributing members of the NHIF are drawn out of the public sector, enforcement of this requirement has been a big challenge.

Within the framework of the Comprehensive Policy on Care for the Elderly (Política Integral de Atención a los Adultos Mayores), and in order to extend training to all those who need to take care of older persons, the State Employees’ Social Security and Social Services Institute (Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado – ISSSTE) offers a multimedia course, which is available in the institutional portal.

Every year, the world is battered by natural phenomena, and their effects disrupt daily human life. Thunderstorms, floods, volcanic eruptions and forest fires are becoming ever more common across all regions of Argentina.

In response to this, a number of presidential decrees have provided for temporary supplements in the amount of 100 per cent of family allowance, unemployment benefit and pension payments to thousands of people seriously affected by natural phenomena to reduce the economic impact of such events.

The Derrama Magisterial (DM) has begun offering a number of services in accordance with the terms of its Statutes, and one noteworthy scheme involves providing credit to member teachers at a preferential rate of interest. Such credit, along with other types of investment, helps support the organization, and contributes above all to providing pension-related benefits to member teachers and their dependents. 

Among several other social security benefits, the National Social Security Authority (NSSA) of Zimbabwe pays a funeral grant of USD 300 under the Pension and Other Benefits Scheme. The benefit is paid to provide assistance towards the burial of a member who would have contributed to the scheme for a minimum period of 12 months. The USD 300 payout is insufficient to cover basic funeral expenses. In an endeavour to accord every retirement pensioner a decent burial, NSSA contracted Econet Life to provide funeral services to NSSA retirement pensioners.

The services of the National Social Security Fund (Caisse Nationale de Sécurité Sociale – CNSS) interact with each other and with other institutions, contributors and insured persons. They exchange data, which are either provided or used by the CNSS information system. These exchanges create standardization and security problems. In light of this, the CNSS has created a computer-based tool that generates automatically and on demand generic, standard and secure Web services in the implementation of its various roles in these exchanges.

The “pension benefit service” that Derrama Magisterial (DM) provides to its members must be accompanied with sufficient ongoing support, including giving information and guidance to teachers. This is the role of the pensions advisory service.

The pensions advisory service aims to promote and raise awareness about the social security system among members through constant outreach, thus forging close and lasting links.

Changes were made based on quality standards to protect insured persons against ill health and ensure that their financial benefits are paid. This required the proper and transparent administration of resources, avoiding duplication of work, to ensure that the institution’s limited resources were used wisely.

This project consists in providing inspectors with tablet computers and web and mobile applications as part of a new policy on the collection of contributions and monitoring of insured persons. The system performs the following functions:

It enables insured persons to:

The one-stop service centre project is in line with the initiative of Algerian authorities to rethink basic public services from the citizen’s point of view. Instead of functioning in an isolated fashion, our services need to be grouped into units that make benefits accessible under optimal conditions, preferably via a common interface: the “one-stop service centre”.

This good practice aims to streamline the administrative procedures related to occupational risks and disability in accordance within the following legal framework:

This good practice comprises a workflow platform which automates a series of actions, activities and tasks performed by users when executing certain established processes. This allows work on the implementation and improvement of routine processes to be coordinated and organized. The platform integrates workflows, the requisite documentation, and internal and external services throughout the organization and allows processes to feed into one another which otherwise would be carried out in isolation. 

Single tax is an option designed for self-employed workers to pay contributions and taxes in a simplified way. Social security (retirement and health) and tax (VAT and income tax) contributions are collected together as a fixed monthly fee. To join the scheme, one has to comply with billing parameters including business surface area, electricity consumed and rental.

There are 3,373,712 single-tax contributors registered in Argentina.

Special Assistance (Ayuda Extraordinaria – AYEX) is a non-contributory benefit provided by the Social Insurance Bank (Banco de Previsión Social – BPS), aimed at responding to the socio-educational needs of persons with disabilities covered by the social security system.

The purpose of the benefit is to enable persons to regain skills, compensate lost functions and obtain a maximum degree of autonomy and a better quality of life, with their abilities and aspirations.

The National Historical Reparation Programme  (Programa Nacional de Reparación Histórica) was established with the aim of implementing settlement agreements between the National Social Security Administration (Administración Nacional de la Seguridad Social ‒ ANSES) and retirees/pensioners to adjust their pensions and to settle pension debts owed to beneficiaries who voluntarily participated and met the criteria laid out in Act No. 27.260.

Despite the age of the institution established in 2010, the National Pension and Occupational Risks Office for Civil Servants, Magistrates and Judicial Personnel (Office national des pensions et risques professionnels des fonctionnaires, des magistrats et des agents de l’ordre judiciaire – ONPR) every  March  since 2012 conducts a physical census of beneficiaries across the country in order to update its database and deactivate beneficiaries who no longer fulfil the conditions for the award of benefits.

In January 2015, the Seychelles Pension Fund (SPF) implemented a new pension formula, this was to strengthen the link between contributions and benefits and provide incentives for members to contribute longer periods as they benefit from a higher pension. Due to the complexity of its components (Average Wage, Annual Average Wage Growth, Accrual Rate and Years of Contributions), the pension calculator was designed to enable members to get an indication of their pension without having to understand the technicality of the formula.

As the baby boom generation (people born in 1946 through 1965) reached their most disability-prone years, the number of claims and subsequent appeals for disability benefits skyrocketed. This strained the United States Social Security Administration’s ability (SSA) to keep pace with the demand for hearings. A hearing is a proceeding before an administrative law judge requested by a claimant when he or she disagrees with a determination SSA has made. SSA has made use of video conferencing technology as a means of meeting this challenge.

The Online Retirement Portal serves Algerian citizens in general, and retired persons and future retirees in particular. It offers the following retirement-related services:

• follow-up on pension requests;
• managing complaints;
• home help;
• retirement accounts (on-line consultation).
   

The most common complaint made by those insured by the National Social Insurance Fund (Caisse Nationale de Prévoyance Sociale – CNaPS) relates to the amount of social benefits granted: the amount of several benefits has been set as a standard amount such that any changes require the legal texts to be amended. Moreover, the conditions for obtaining old age insurance benefits no longer reflect today’s context, given the state of the labour market following the successive crises experienced by the country.

Automating the working relationship between health-care professionals involves eliminating the need for insured persons to visit the offices of the National Social Security Fund for Non-Salaried Workers (Caisse nationale de sécurité sociale des non-salariés  ‒ CASNOS) to obtain approval by medical supervisors of prescribed medication, thereby improving relations with our partners by granting them access to the following services:

For insured persons:

E-training has come to the fore as a means of enabling training programmes to be offered to the organization’s officials on a large scale. Until now, the method has relied on so-called Virtual Learning Environments (VLE), and more specifically the Moodle platform, which is used by the institution.

The aim is to improve this training method by adopting videoconferencing as an e-training tool, using synchronous techniques to enable real-time interaction between speakers in different locations and, with other strategies, to replicate on-site courses.

The National Control and Reaction Center (Centro Nacional de Mando y Reacción – CENMAR)  for security in residential facilities for child welfare and development (Estancias de Bienestar y Desarrollo Infantil – EBDIs) is a monitoring system by video-surveillance interconnected via sensors by means of more than 8,700 devices, including intrusion, motion, temperature, smoke and gas sensors, the latter being the most important because once triggered, the gas supply is automatically shut off until the incident is resolved.

Medical check-ups must form part of the improved health care system with its mission of providing advice, analysis and monitoring.

The Housing Fund of the State Employees’ Social Security and Social Services Institute (Fondo de la Vivienda del Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado – FOVISSSTE), in collaboration with the State Employees’ Social Security and Social Services Institute’s (Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado – ISSSTE) “National Medical Center November 20”, promoted a pilot program to design an accessible, sustainable and quality housing prototype for people with different abilities.

Most patients requiring Unrelated Bone Marrow Transplantation – UBMT (trasplante de médula ósea no emparentado – TMO-NE) through Peru’s Social Health Insurance Institute (Seguro Social de Salud – EsSalud) are being treated for leukaemia, and the majority of these are children.

As part of its policies to promote a social security institution that is more effective and efficient and closer to the people, allowing their quality of life to be improved, a strategy for multi-channel services has been drawn up with the aim of offering citizens different channels of customer service depending on their needs.

The Social Health Insurance Institute (Seguro Social de Salud – EsSalud) consists of 10,978,635 members (one third of the Peruvian population), 30 highly and medium specialized assistance networks, various specialized institutions and others. With an annual budget of 411,401,032.93 US Dollars (USD), it carries out 28,079,260 hospital interventions annually.

The Catholic Workers’ Circle of the Uruguay Mutual Fund (Círculo Católico de Obreros del Uruguay Mutualista – CCOUM) is part of the integrated national health system in Uruguay. In this regard, it is a provider of total health coverage as it has been a link of the country’s social security system thanks to its mutual structure.

Currently, it has approximately 92,529 members and 2,239 workers, 679 (31 per cent) of whom are nursing staff.

Internal staff training courses organized by the National Social Insurance Fund (Caisse nationale de prévoyance sociale – CNPS) were centralized in Yaoundé, with some deployment at the level of the four regional headquarters. This compelled staff from external services to travel long distances and stay away from their duty stations and homes for several days or even weeks to attend these training courses. This model generated enormous costs for the organization in terms of travel, accommodation and subsistence.

The Social Insurance Bank (Banco de Previsión Social – BPS), guided by the aim to become more efficient and effective at managing Economic Benefits, has implemented online services to enable a beneficiary in need of eyeglasses to directly bring a prescription issued by an ophthalmologist and an identity card to an authorized optician, who then validates whether the benefit is to be granted or not.

The system verifies beforehand whether the user is eligible for the benefit or not, pending the granting or refusal of the benefit.

Improving the quality of services is an ongoing task that involves multiple dimensions such as listening to and evaluating the participants, transparency, excellence and investment in training as the main focus.

Hospitalization is an experience that involves both physical and emotional risks for the patient and family as well as institutional costs. Lowering these is the challenge of this good practice.

This best practice made improvements to the curriculum offered to children of nursery (1 year 7 months to 2 years 11 months) and preschool (3 to 6 years) ages in centres for child well-being and development. A comprehensive curriculum was set up to develop knowledge and skills and thus lay the foundation for children’s working lives. The curriculum introduces children to information technology (IT) with fun activities enabling them to acquire skills using computers.

The quality perceived by users of emergency services does not necessarily reflect the technical quality of the care they receive. The emotional condition of users, patients and relatives in such situations means that the degree of satisfaction perceived by them is affected by factors that are quite distinct from the medical care actually provided. This paper presents the outcome of implementing a care model aimed at influencing such areas of opportunity.

The mining sector is naturally hazardous and as such it poses significant danger to the health of workers through mineral dust exposure causing occupational lung conditions in extreme circumstances and excessive noise exposure predisposing workers to irreversible hearing impairment. To address this challenge the National Social Security Authority (NSSA) of Zimbabwe through its Occupational Safety and Health Division procured mobile clinic in September 2016.

Since the reorganization of the Pension Fund of Morocco (Caisse marocaine des retraites – CMR) in 2011, which placed the client at the forefront of its concerns, the Fund’s “client relationship” has changed considerably, in particular owing to the introduction and use of a marketing and multichannel approach.

In 2016, the CMR witnessed:

The Historical Reparation for Retirees and Pensioners Act (Ley de Reparación Histórica para Jubilados y Pensionados) of June 2016 provides for the current pension benefits of retirees and pensioners to be fully recalculated and where the discrepancies are in the beneficiaries’ favour, settlement offers are offered and which are then subject to judiciary approval to avoid future litigation.

The Old Age Security (OAS) and the Canada Pension Plan (CPP) programs are Canada’s public pensions programs. The OAS program is a residence based program which provides a minimum income to seniors to contribute to their income replacement in retirement. The CPP program is a mandatory, contributory, earnings-related social insurance program which provides partial income replacement for workers in Canada and their families in the event of retirement, disability or death.

The portal was generated in order to provide, in a single location accessible in a secure manner (user ID and password), a range of information for various groups wanting to exchange data with the Bank Employees’ Pension Fund (Caja de Jubilaciones y Pensiones Bancarias – CJPB), namely:

The IMSS SER program (saludar (greet), escuchar (listen) and responder (respond)) was jointly implemented in 2016 by the Mexican Social Security Institute (Instituto Mexicano del Seguro Social – IMSS) and the National Union of Social Security Workers to transform the culture of service of the IMSS, improve the work environment and enhance customer service for beneficiaries based on eight points: 

This good practice arose from the need to have a register of patients with disabling diseases, in compliance with the National Development Plan issued by the Presidency of the Republic.

June 2015: after taking up the post of Director of Foreign Travel at the Social Health Insurance Institute (Seguro Social de Salud – EsSalud), I had the following experience: a patient had come back from a foreign country after spending a month there and I decided to go with him to his first check-up in Peru. The attending doctor looked at me and asked “What do you want me to do with this patient? He has had a type of treatment that we don’t use in this country and I’m not familiar with it.

The National Social Security Fund (NSSF) would like to provide all its members effective social risk management solutions. Members should trust that the Fund delivers what it promises. The Fund has faced accusations that qualifying members are not paid their savings when they are due. It was also reported that most members use up all their savings within 48 months after payment.

The Fund developed a public tactical campaign that sought to show that:

This innovative program was implemented to improve the quality of care provided by the State Employees’ Social Security and Social Services Institute (Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado – ISSSTE) with the aim of strengthening interpersonal relationships by promoting proper treatment within the organization. The hypothesis is that the absence of quality in work life can result in negative consequences for workers, including work and psychological stress, anxiety, depression or health problems.

The use of optical fibre connections provided by local telecommunication operator caused some problems with the internal transmission of data due to technical failures resulting from the saturation of the network and frequent network outages, and has affected the coverage of different locations.

The scholarship service is intended to comprehensively intervene in the education of our members by providing them with an amount of money every month.

The scholarships cover secondary, tertiary and university levels, and are awarded through contests.

In a fast changing world, effective data management differentiates efficient organizations from the rest. In the past, the National Social Security Fund (herafter, The Fund) struggled with data management. This process was manual and required a team of dedicated staff. Posting of contributions to member accounts witnessed delays and some cases, totally forgotten. The result was that in June 2014, The Fund had USD 30 million in suspense accounts. The Straight Through Process (STP) project for contribution collection was implemented to ensure that:

The IMSS Digital mobile application is part of the modern model of digital care strategy implemented by the Mexican Social Security Institute (Instituto Mexicano del Seguro Social – IMSS) in 2013. The IMSS Digital application is a digital channel aimed at the Institute’s strategic objective of deregulating, streamlining and digitizing services and procedures in order to reduce costs and processing times, and enhance quality and user-friendly services. 

The National Social Security Administration (Administración Nacional de la Seguridad Social – ANSES) Biometric System (ABS) is responsible for validating the identity of individuals, simplifying and optimizing processes related to payment and life certificates for SIPA and non-contributory pensions beneficiaries and/or their proxies through a dynamic, secure, effective, reliable and simple technological system using biometric tools allowing fingerprints to be captured in digital form.

The system is implemented with the following functions:

Prior to 2015, the National Hospital Insurance Fund (NHIF) was only offering Inpatient services to the members on a rebate system. This arrangement was still deficient in breadth for some crucial medical services required by its members, specifically, surgical care and specialized laboratory investigations. This meant that members were still incurring out-of-pocket expenditure to access advanced treatment.

The nationwide extension of the use of the “CHIFA” electronic card for insured persons and its online updating is the most recent step in the modernization and improvement of the general conditions for the provision of service to insured persons and their dependants.

Prior to the introduction of the Collective Scheme for Retirement Allowances (Régime collectif d’allocation de retraite – RCAR) in 1978 and in the absence of a statutory retirement scheme to cover them, several public establishments in Morocco managed their own retirement funds (special schemes, railway workers, mining personnel, water and electricity managers). This however suffered from the following limitations and drawbacks:

A voluntary insurance scheme for independent workers and workers from the informal sector was established in 2014, in line with regulations. In an effort to make this scheme known to all concerned sectors of the population and to facilitate the enrolment of the greatest possible number, the National Social Insurance Fund (Caisse nationale de prévoyance sociale – CNPS) developed a system involving the accreditation of social secretariats.

The National Social Security Fund for Non-Salaried Workers (Caisse nationale de sécurité sociale des non-salariés – CASNOS) oversees the compulsory coverage of social insurance and retirement benefit risks of independent farm and non-farm workers operating in Algeria. It manages the collection of compulsory contributions.

The farming industry experienced difficult times in the 1990s, during which farmers were unable to pay their contributions, resulting in the loss of all benefits for themselves and their dependants. 

In recent years, the National Sickness Insurance Fund (Caisse nationale d’assurance maladie – CNAM) has been working to design and implement new procedures with the aim of continuously improving its benefits in order to better meet the expectations of insured persons by significantly reducing, for instance, the reimbursement period for ambulatory care expenses – a key quality objective for the CNAM.

In order to achieve this objective, the CNAM has set up a system which operates mainly at the following four levels:

Mutualising resources of social security institutions is a logical consequence of a government programme aimed at simplifying procedures with a view to improving public service. The constant increase in users’ expectations has lent real impetus to the reform process. Reform at the same time has involved another major challenge: efficiency and maintaining the financial balance of the system.

Faced with the disparity and geographical decentralization of its members and poor medical coverage, the General Mutual Fund for Civil Service Employees (Mutuelle générale du personnel des administrations publiques – MGPAP) has developed its local activities through two projects:

1. Local medical programmes.
2. Expansion of geographical presence through partnerships with the local authorities and government.
    

Given the constraints and difficulties encountered by applicants of disability aids, the National Social Insurance Fund for Employees (Caisse nationale des assurances sociales des travailleurs salariés – CNAS) is concerned to facilitate and streamline procedures and to modernize its services, and as such developed an Integrated Equipment Management System (SIGAP) with the following objectives:

Financial institutions in Africa have successfully plugged into the mobile ecosystem and deployed services that have revolutionized service delivery, transforming customer engagement touch points and feedback mechanisms as well as enhancing responsiveness of the financial institutions. In addition to this mobile tech has enabled financial penetration. Currently Kenya has 68 per cent financial penetration through mobile tech and is at 80 per cent in use. While many Social Security services providers use mobile technology, they are still to fully leverage on its capabilities.

The National Social Security and insurance Trust (NASSIT) was established through Parliamentary Act No. 5 of 2001 and charged with the responsibility of administering the Sierra Leone Pension Scheme. The scheme started operations in January 2002 as a mandatory contributory defined benefit Pension Plan. As at December 2010, NASSIT had 161,000 active Members (Contributors) and operates a payroll of over 12,000 Pensioners. By end of December 2014, membership of the Scheme grew to 165,000 and the number of Pensioners grew to 14,500.

Since 2014, a cash benefit allowance is paid to millions of recipients in the month of March of every year to the most needy people and families. This benefit is called the “March Permanent Family Benefit” (Aporte Familiar Permanente Marzo – AFPM) which consolidates through the use of better technology the payment of various extraordinary allowances dating back to 2009 by standardizing the process, setting the selection criteria for beneficiaries, and issuing beneficiaries’ lists.

The National Social Insurance Fund (Caisse nationale de prévoyance sociale – CNaPS) is continuing its efforts to extend social security coverage in Madagascar. An initiative to expand awareness raising activities has become a laudable strategy in terms of its achievements. In 2014 it launched a programme for Catholic school leaders that promotes and raises awareness on the provisions of social security and of their responsibilities regarding such rights.

The Social Security (Minimum Standards) Convention No.102 adopted by the International Labour Conference of the ILO on 28 June 1952 establishes worldwide-agreed minimum standards for all nine branches of social security to encourage the widest development of social security schemes. These branches are; medical care, sickness benefit, unemployment benefit, old-age benefit, employment injury benefit, family benefit, maternity benefit, invalidity benefit; and survivors benefits.

An application was launched to facilitate access to the information and services of the National Social Security Administration (Administración Nacional de la Seguridad Social – ANSES) through mobile phones, which are widespread among the population.

As part of its role of managing the contribution history of its insured members, the Social Insurance Institute – National Social Insurance Fund (Institution de prévoyance sociale – Caisse nationale de prévoyance sociale – IPS-CNPS) has developed a computer-based tool, termed “e-DISA”, to encourage employers to communicate workers’ individual data (length of service and remuneration). Introduced in 2013, e-DISA enables employers to produce workers’ Individual Declarations of annual earnings (DISA) electronically and securely.

The National Social Insurance Fund (Caisse nationale de prévoyance sociale – CNaPS) is the public institution managing the various branches (family benefits, work injuries, and occupational disease, pensions) of social protection for employees in Madagascar. It also manages the collection of contributions, and hence needs nationwide geographical presence. The priority accorded to maintaining the level of coverage and adjusting it to the needs of its members is a daily challenge for the CNaPS.

This good practice presents the training programmes implemented by the Uruguayan social security institute, which have been deemed a substantial qualitative step forward. The strategic plan for 2011–2015 included in its lines of action “the development of modern human resource management policies, honing staff members’ skills and improving the working environment and occupational health in the organization”.

There was a year in Mexico when identity theft increased by 141 per cent. According to statistics from the Bank of Mexico, the country has the eighth highest rate of identity theft in the world (Gazette No. 2667, Chamber of Deputies: 2016).

As regards the State Employees' Social Security and Social Services Institute (Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado – ISSSTE), weaknesses were found in the personal loan approval process that facilitated the falsification of ID documents and loan application forms.

The Public Service Pensions Fund (PSPF) was established in 1999 to serve public servants employed in the central government and executive agencies. The PSPF operates two schemes, the mandatory scheme and the supplementary scheme. To date the Fund serves 340,098 contributing members in the mandatory scheme, 91,137 members in the supplementary scheme and has 77,508 pensioners.

The Old Age Security (OAS) program is the Government of Canada’s largest pension program. It is funded out of the Government’s general tax revenues, which means that beneficiaries do not pay into it directly. This program provides eligible seniors with basic income in retirement through the OAS Pension and the Guaranteed Income Supplement (GIS).

To be more effective and efficient in the administration of economic benefits, the Social Insurance Bank (Banco de Previsión Social – BPS) has implemented an automated solution to manage benefits based on the processing of information and current regulations, and providing access to benefits without requiring beneficiaries to go to customer care centers.

To obtain a benefit, the process begins with the authorized benefit provider completing the requisite information through the available Web functionalities. 

Records Management is a critical part of social security administration. The inherent risks in poor records management are not only limited to incorrect payments but often expose the scheme to fraud, loss of data/information, compromised data integrity, poor fund management leading to non-realization of return on investment, litigation, etc.

This good practice is about ensuring effective, efficient and high-quality IT that provides the required continuity, accessibility and efficiency in the services provided to internal and external users.

As part of the extension of the third-party payment system, a new system was launched in 2012 and is gradually being introduced nationwide to enable a category of insured persons with medical and income-related conditions to benefit from the coverage of the cost of eyeglasses without advance payments. 

The National Hospital Insurance Fund (NHIF) has been focusing its efforts to recruit members from the informal sector in a bid to achieve Universal Health Coverage. Further, NHIF has also engaged strategic partners to cover the indigents. This meant that there was need for innovations to meet the needs of this target group. One area of concern was how NHIF would collect insurance premiums from members in the informal sector.

The objective of the program is to work to ensure that indigenous people and vulnerable rural communities of our country fully enjoy and exercise their social security rights from an integrated perspective, through institutional action that ensures access to the National Social Security Administration (Administración Nacional de la Seguridad Social – ANSES) benefits without discrimination and respecting their culture and socio-economic characteristics.

The National Social Insurance Fund (Institution de prévoyance sociale - Caisse nationale de prévoyance sociale – IPS-CNPS) receives clients (insured persons, employers, and others) at its Social Insurance Agencies. To improve client satisfaction, a reception service has been introduced, referred to as “EM-Reception”.

A project of Technical Cooperation between Developing Countries (Brazil and Mozambique) entitled "Modernization of Social Security of Mozambique", signed on December 3, 2010. Organizations involved:

Brazil:

• Secretariat of Social Security;
• National Institute of Social Security (INSS);
• Social Security Information and Technology Company (DATAPREV);
• Brazilian Agency for International Cooperation (ABC).

Mozambique:

Occupational accidents resulting in disability constitute a complex and multidimensional problem whose resolution transcends what is strictly provided for in the occupational accidents and diseases law (Law 16.744 of 1968). This problem impacts on the life opportunities of the affected people and results in vulnerabilities affecting not only them but also the institutions involved and society as a whole.

The National Social Security and Insurance Trust (NASSIT) was established through an Act of Parliament and is charged with the responsibility of administering the Sierra Leone Pension Scheme. NASSIT started full operations in January 2002 as a partially funded defined benefit pension plan which requires a member to contribute for at least 180 months on/before they retire at age 60 to qualify for full retirement pension.

The national reference center for birth defects and rare diseases (Centro de Referencia Nacional de Defectos Congénitos y Enfermedades Raras – CRENADECER) is a unit of the Social Insurance Bank (Banco de Previsión Social – BPS). The center for access to assistive technologies (Centro de Acceso a Tecnologías de Apoyo – CATA) is located therein, and its goal is to approach disability in a way that promotes equal opportunities in relation to technology, using computers to assist with rehabilitation.

• The State Employees’ Social Security and Social Services Institute (Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado – ISSSTE) has been offering pensioners and retirees nationwide the opportunity to take part in sporting events in athletics, swimming, tai chi and catchball, through the DeportISSSTE programme since 1995.
• These events encourage older people to engage in physical activity and a healthy lifestyle, thus improving the retirees’ quality of life.
• Since these state, regional and national events began more tha

Since 1993, the Bank Employees’ Pension Fund (Caja de Jubilaciones y Pensiones Bancarias – CJPB) has been providing “Support Sessions for the Retirement Process” with the participation of thousands of members.

The event targets members and their partners who have recently retired or are approaching the end of their working life, in order to help them in their retirement process and assist in the development of a “Second Life Plan” through workshops that promote personal development and generate rewarding, productive and healthy daily routines.