One form of quality management is cost-efficiency. In term of cost-efficiency,  BPJS Kesehatan is developing a referral system. Fasilitas Kesehatan Tingkat Pertama (FKTP) acts as a gate keeper for the selection of cases that can treated at the first or second level of health care. Of course this is very important for the aspect of financing, because the cases handled by the second level of health care cost more. The fact is that 144 diagnoses that should be completed in FKTP were still referred to second level health care facilities.

China, as the most populous country in the world, is facing the great pressure of demographic change and the sustainability of old-age insurance system.

In recent years, the Chinese government has taken various measures to promote the market-oriented investment and operation of the basic old-age insurance fund (hereinafter referred to as the fund). The investment scale has increased year by year, and its income has steadily increased, providing support for the sustainable development of the old-age insurance system.

In developing e-services, the vision of the Iranian Social Security Organization (SSO) is to minimize in-person visits and provide clients with internet based services. After consulting experts and pundits, a package of different services for different sectors were prepared and gradually offered to the beneficiaries. Initially, some of the services were introduced as small scale pilots in select SSO insurance branches, which were then completed and submitted after improvement. All the e-services have attracted large attention and have been highly welcomed by the beneficiaries.

The Information security management system (ISMS) is a unified management framework consisting of a range of security controls to protect confidentiality, availability, and unification of the information against potential threats, losses and vulnerability.

Using technology in providing high quality medical services and creating electronic health profile is one of the goals of governments to control the burden of medical expenses and prevent medical errors.

In the culture of Islam, going on a pilgrimage to holy shrines is a great strategy to meet the spiritual needs of human beings to achieve inner peace. Accordingly and since 2015, the Iranian Social Security Organization (SSO) plans and takes SSO old age pensioners to pilgrimage journeys to the holy shrine of Imam Reza in Mashhad City, in order to promote and develop their spiritual and moral revival.

Employers are required to register as enterprises and to register their staff, then pay the corresponding social security contributions. When the employer does not do this, the employees may do it themselves. What has been found in practice is that many employers either do not register themselves or their staff, as a result of which the latter cannot access the social security benefits provided by the National Social Insurance Fund (Caisse nationale de prévoyance sociale – CNPS).

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. 

Unemployment, informal employment and low pension coverage have been recurrent problems in Colombia. According to a study carried out in 2023 by Colombia’s National Statistics Institute (Departamento Administrativo Nacional de Estadística – DANE, 2023), some 57.9 per cent of the country’s population is in informal employment, and a little over half of these people earn less than the minimum wage.

Roll-out of an online auto-diagnosis tool “DIAGNEO SANTE ET SECURITE” for entrepreneurs in small and medium-sized enterprises for the management of health and safety. It makes it possible to draw up a report on the quality of strategic decisions, the evaluation of risks, the implementation of prevention plans, and the entrepreneur’s capacity to engage with employees.

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:

In its day-to-day management of social security, the Democratic Republic of the Congo’s (DRC) National Social Security Institute (Institut national de sécurité sociale – INSS) – now known as the National Social Security Fund (Caisse nationale de sécurité sociale – CNSS) – found itself facing a significant risk of fraud in benefit payments on the part of insured parties. For years, this risk often materialized into deliberate acts intended to flout the law and profit from undue social rights or benefits.

In the face of the problem posed by the financial deficit of the Sickness and Maternity Insurance in terms of its coverage for affiliates and pensioners, we had to look for methodologies to assess the future trends of revenues and expenses.

To estimate the coverage expense for Medical Expenses for Pensioners (gastos médicos de pensionados (GMP)), in 2013 we developed an actuarial model with which we could estimate the sufficient leveled premium to settle the future expenses based on the results obtained.

On the grounds of the amendment of the Mexican Social Security Law of 1995, we discerned the need to implement a new actuarial model to valuate the financial situation of the Disability and Life Insurance (seguro de invalidez y vida (SIV)), according to the radical change in the pension scheme. Therefrom, we adjusted the existing actuarial models; however, eventually, the need and challenge of reconsidering the model arose in order to have a model that covered the changes taking place during the terms of the pension scheme.

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.

The National Strategy for Reinforcing Good Personal Treatment at the Mexican Social Security Institute (Instituto Mexicano del Seguro Social (IMSS)) has been developed to improve service quality perception for institutional service users at IMSS through eight components:

The German Federal Pension Insurance (Deutsche Rentenversicherung – DRV) is revising its notifications. In order to enable insured people and pensioners to better understand decisions, notifications will become clearer, more comprehensible, and more personal. Pension experts, public relations workers, and external language consultants will ensure that texts are also legally justifiable. The aim is to position the German Federal Pension Insurance as a modern service provider that also reinforces its closeness to its members through its notifications.

Article 10 of the Constitution of Peru acknowledges and entitles the progressive and universal right of every person to social security. Within this scope, the Act Nº 26790 Modernizing Social Security for Health was enacted, based on the constitutional principles that acknowledge the right to welfare and entitles people to the free access to the services provided by public, private or mixed entities.

Unified communication is an increasingly important investment for organizations looking to improve productivity and responsiveness while reducing their IT costs. The convergence of voice, video, and data communications around a shared IP-based infrastructure - allowing users to easily make a call, send a message, or join an audio or video conference - is bringing benefits to businesses of every size, industry, and geography.

Before August 2015 more than 3 million pensioners of the Mexican Social Security Institute (Instituto Mexicano del Seguro Social – IMSS) had to visit its offices at least twice a year to confirm their survival to continue receiving pension payments.

The international community discusses the impact of noncommunicable diseases (NCD) such as heart disease, diabetes, obesity, tobacco-related diseases and cancer, among others. NCDs account for 60% of morbidity and mortality rates worldwide. In Argentina, this percentage is even higher, reaching 80%, according to the study published by the World Health Organization (WHO) in 2014: Noncommunicable Diseases (NCD) Country Profiles 2014.

This programme, “Promotion of active aging among the beneficiaries of the State Employees’ Social Security and Social Services Institute” (Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado – ISSSTE) in Mexico, encourages the adoption of habits and good practices allowing elderly adults to have a healthy life, based on promoting active aging. With this aim, courses, workshops and awareness-raising sessions are given and recreational activities held for elderly beneficiaries, depending on their needs.

Mexico has the highest mortality due to acute myocardial infarction (AMI) in people over 45 – 27.2 per cent compared to an average of 7.5 per cent (OECD, 2013). For the Mexican Social Security Institute (Instituto Mexicano del Seguro Social – IMSS), cardiovascular diseases have been the main cause of years of healthy life lost due to premature death and disability since 2015. They are also the main cause of emergency department visits and the most common reason for consultations.

As part of the introduction of health insurance for private and parastatal sector employees in June 2014, the National Health Insurance and Social Guarantee Fund (Caisse nationale d'assurance maladie et de garantie sociale – CNAMGS) initially entrusted the task of collecting contributions to the National Social Security Fund (Caisse nationale de sécurité sociale – CNSS).

In 2014, the Iranian Social Security Organization (SSO) launched a recreative sports programme for SSO pensioners called Nasim-e-Salamt (which means “blowing of health”), in solidarity with the motto of the 2012 World Health Day, “Good health adds life to years”. The programme has two categories, namely, public sports and cultural sports championships. The programme aims to promote the spirit of physical exercise among old-age pensioners in order to improve their health status as well as to prevent typical old-age diseases.

With this project, we aimed to ensure insurance registration (which has been quite troublesome) and collect contributions by short message service (SMS). Through this, we have been able to inform the insured person, register the daily insurance premium, and reflect this on the operator’s (employer) telephone bill. The transaction amount is reflected on the mobile bill of operator and transferred to the Social Security Institution of Turkey (Sosyal Güvenlik Kurumu – SGK) by the mobile telecommunication companies, namely, Turkcell, Vodafone or Türk Telekom.

With its Rehabilitation 3.0 concept the VBG is systematically implementing the targets set by the UN Convention on the Rights of Persons with Disabilities - such as full and effective integration and respect for self-determination. Rehabilitation 3.0 comprises:

In rehabilitation, achieving mobility in autonomy is a major target. In case of a gait deficit, the manual wheelchair is the ultimate tool for achieving this target: it is a key device in the world of assistive technology (AT) and its use helps to increase the chances of the person with a disability, his/her independence and participation in the activities of daily living. To make best use of the device a training programme is needed. The person has to learn a new kind of locomotion: he/she must learn to make transfers to and from the wheelchair, how to face stairs and inclines.

Driven by a commitment to providing Australians with access to convenient and cost effective services, the Service Delivery Reform programme (SDR) was announced in 2009. This AUD $1.25 billion programme included transforming the delivery of government social welfare services and integrating three large, separate service agencies into the Department of Human Services (the department).

Thanks to the adaptation of today’s developing technology to the Social Security Institution (Sosyal Güvenlik Kurumu – SSI), a number of reforms were made in order to facilitate transactions, save time and money by getting rid of bureaucratic obstacles and paperwork, and support the fight against unregistered and undeclared employment.

The new software tool called "System of Social Security Obligations Calculation (Sistema de Cálculo de Obligaciones de la Seguridad Social (SiCOSS)) - Inspection Certificate Module" streamlines the collection and distribution of social security contributions debt from inspection.

This tool makes the processes of debt determination and notification, in the area of social security funds, faster and simpler.

Improving the public awareness of different groups of society on social security concepts, the social security law as well as benefits and services of the Iranian Social Security Organization (SSO) has always been one of the main concerns of the SSO. Accordingly, developing cultural communication and establishing social dialogue between the SSO and educational centres in the country has become one of the priorities of the concerned SSO departments.

The stated vision of the Social Security Corporation (SSC) is “comprehensive social security attaining excellence in service, protection and sustainability that contributes to Jordan’s development”. Sustainability of the pension system has always been the first strategic objective of the SSC. The SSC stance on social responsibility is to be a shaper of society because its mission is to provide solidarity insurance services for the employed and pensioners.

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.
    

In March of 2015 the German Statutory Pension Insurance Scheme (Deutsche Rentenversicherung Bund) launched a new consulting service specially tailored to the needs of employers and firms. One of the aims of this service for firms is to reinforce preventively and sustainably employee health.

As a first attempt, the Public Authority for Social Insurance (PASI) prepared and adopted the first phase of its strategic plan to cover the period 2011-2015. In the final stage of strategic planning we took into account the principles of good governance in general and benchmarking with best practices from all over the world.

Fiji National Provident Fund’s (FNPF) engagement with the International Finance Corporation (IFC) has helped the FNPF to move into previously unexplored investment territories. This has helped the FNPF to diversify its investments and up skill its staff. Co-investments with the IFC has resulted in the reduction of investment risks thanks to their expertise and risk sharing through both equity and debt funding.

Due to rising health costs especially the cost of medicine, and in order to promote the quality of health services, it is highly necessary to consider solutions such as strategic purchasing of health services aimed at cost control and decreasing the fiscal burden as well as preventing medical errors.

The good practice is mainly about promoting the registered employment of women by facilitating the integration into the labour market of women with small children who are at risk of withdrawal from the labour market and by supporting the formal work of women who provide home-based child-care services.

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:

The Civil Service Employees Pension Fund (CSEPF) of Oman decided to upgrade and enhance its core pension information system (PIS) to integrate and connect with systems of other government entities. The main issues addressed by this integration are:

The National Health Insurance Service (NHIS) of the Republic of Korea has developed the National Family Caregiver Support Programme (NFCSP) to ease the burden of family caregivers of long-term care (LTC) recipients. In this programme, specialized NHIS counsellors screen family caregivers experiencing heavy burdens, evaluate their unique circumstances, and then offer a variety of services tailored to their needs.

For more than 20 years, the Employment Injury Insurance scheme for workers has provided cash benefits/compensation. In 2014, BPJS Ketenagakerjaan was mandated to reform its social security system. In order to fulfill that mandate, we proposed the Return to Work Programme to the Indonesian Government as a part of social security reform that provides a holistic approach.

Temporary Incapacity Allowance Programme (e-Payment) is a software which the Turkish Social Security Institution put into operation in July 2012 especially for insured persons who have a service contract with one or more employers. In August 2015, it was upgraded to also include the self-employed.

This programme:

The Supporting Occupational Health and Wellbeing (SOHWELL) programme was launched by the Committee for Employment and Social Security in response to a rising trend in long-term incapacity benefit claims.

Aiming to resolve the problems in construction industry, such as high work-related injury risks, flexible employment and high mobility of construction workers, China has implemented the Same-Boat Programme, a specific social insurance extension programme for construction industry workers. The programme requires the construction industry to join the social insurance coverage in terms of each building project, exploring a new coverage pattern of dynamic real-name registration management.

The Fiji National Provident Fund's reforms journey began five years ago; which formed the basis of the Fund's five-year Strategic Planning period. Its aim was to transform FNPF and ensure it kept pace with the changing global business landscape. The FNPF legislation paved the way for the reforms - beginning with changes to the previously unsustainable pension scheme in 2012.

This programme improves patient care in the accident and emergency departments of second- and third-level hospitals in the country. It involves identifying dissatisfaction among many beneficiaries, patients and family members with the care they receive in this environment as a result of excess demand in these areas and an inadequate response to the beneficiary’s situation in the accident and emergency unit, regardless of whether the emergency is real or only perceived.

As part of its vision and strategy, the General Organization for Social Insurance (GOSI) recognizes the need to find a program that protects workers in the private sector from the risk of being unemployed due to circumstances beyond their control, which could lead to some negative social, economic and psychological effects. The Unemployment Insurance Law SANED was approved by royal decree and was launched in 2014.

SANED provides:

The Public Authority for Social Insurance (PASI) began its journey into strategic planning in 2008. Since then, the PASI has been searching for a systematic methodology to integrate strategic planning with performance management to align all operations into this vision so that all employees would work in the right direction with focus on the intended strategic results. To achieve this goal, the PASI has implemented the balanced scorecard (BSC) methodology as a tool for the integration of strategic planning with performance management.

The Public Authority for Social Insurance (PASI) was facing network performance issues on remote sites, so we looked at developing a comprehensive approach of WAN optimization and branch office consolidation. Certain applications require very low latency for break free communication e.g. Voice over IP, FileNet, office automation.

State Governments are instrumental in delivering healthcare services under the ESI Act. An enabling provision was inserted in the Act to establish a body at the State level to address certain operational issues.

A committee, entitled Medical Services and Medical Education (MSME), was constituted to explore various options to improve operational efficiency.

In Guinea, the population has suffered from difficulties in accessing health care for a long time. The country has lacked sufficient health infrastructures and facilities.

The Social Security Corporation (SSC) has started to assess the work place according to the occupational health and safety standards since January, 2014. This initiative is based on the legislative reform that took place in the Social Security Law number (1) for the year 2014. This assessment also stems from the increase in the numbers of work place accidents and occupational diseases that have occurred. Therefore, the main objective of this initiative is to enhance the culture of occupational health and safety standards in the work place.

Since its establishment, the Public Institution for Social Security (PIFSS) has endeavoured to provide a better service to all its subscribers and clients, relying on an automated system to transfer legal data, to implement its procedures, and to face the increasing number of subscribers. To this end, PIFSS has developed a complete set of smart solutions using the latest technologies aimed at converting manual transactions to electronic transactions through its  Automation of Procedures and Correspondence System, a paperless solution that also helps save the environment.

The Social Insurance Bank (Banco de Previsión Social ‒ BPS) has developed measures to discourage the non-compliance of those paying social security contributions and to promptly recover debts by applying controls that discourage the adoption of irregular behaviour.

The Contributor Profiling System (Calificación Tributaria) is a model that describes each contributor as a function of the possible risks in their dealings with BPS from the time of their admission to the scheme, as derived from coefficients of trustworthiness based on their past behaviour.

The Directorate of Economic, Social and Cultural Benefits is looking to plan, improve and put in place day centres (Casas de Día) for older people, as part of the policy on comprehensive care for older people, approved by the governing body of Mexico’s State Employees’ Social Security and Social Services Institute (Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado – ISSSTE) in February 2014.

During the second half of 2013 and the first of half 2014, a comprehensive analysis including all delegations and national administrative units identified the need to develop a tool to provide information and advice to beneficiaries in relation to their personal loans, thus avoiding unnecessary visits to the offices of the State Employees' Social Security and Social Services Institute (Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE)).

Web application that allows salaried workers to obtain an official certificate of their incomes, validated by the Federal Administration of Public Revenue (Administración Federal de Ingresos Públicos (AFIP)). Workers can use this certificate, issued by the national Government, as a proof of income, presenting it as a backup on loans, rent or warranty. Moreover, the receiving entity (business, bank, etc.) can check the certificate online at the AFIP website and confirm its veracity.

The project “Classes with ZUS” is addressed to secondary schools. It aims to raise awareness of young Poles on the role of social security in their lives.

The project presents: social solidarity principles, practical knowledge on the functioning of the system, obligations of employers towards ZUS, employer-friendly solutions - e-ZUS.

The project includes 4 lessons with the materials for teachers and for students (multimedia presentations, videos, exercises and texts to deepen the knowledge): 

The Social Security Law of Iran was enacted in 1977 but its circulars are very extensive and complicated. To solve this problem, the Iranian Social Security Organization (SSO) planned a project to consolidate the existing circulars. For this purpose, we have created a main consolidating council and 40 workgroups. To date, we have summarized and consolidated approximately 500 circulars into 10 summarized and consolidated circulars.

Improving data accuracy and simplifying the process of registration for employers and insured persons are always taken into consideration by the Public Authority for Social Insurance (PASI). Previously, PASI was completely dependent on the information submitted by employers for new registrations or for updating employee-related information related, with no assurance of the accuracy of the information.

The paperless benefit documents project consists of eliminating paper (prescriptions, medical treatment forms, etc.), and replacing it with Web application screens starting with doctors and then other healthcare providers (laboratories, pharmacies).

The three main advantages for patients are:

The Polish Social Insurance Institution (ZUS) is by law obliged to prepare forecasts of the spending and revenues of the Social Insurance Fund (FUS) (i.e. the pension fund, the disability fund, the sickness fund and the work injury fund). A cohort model built to fulfil this requirement was sufficient to forecast aggregate spending and revenues, but, being based on average cohort values, it does not provide information on the benefits’ structure.

Primary Care Providers (PCPs) have many business processes ranging from referral systems, service quality to claims management. All business processes data must be recorded for utilisation evaluation.

Regarding the referral system, unnecessary referrals to hospitals made the cost of outpatient visits reach 3.6 million US dollars (USD) in 2018. This reduced primary care service quality. However, service quality needed a more patient-centred instrument for evaluation.

From 1 January 2014 the Croatian Pension Insurance Institute (CPII) introduced the electronic service Lana mirovinsko, as a web application for registration in its central database (e-applications).

Based on the changes made on the “Regulation on Medical-Social Expert Commissions”, the applied system ensures that the disability assessment process is carried out objectively and transparently through the electronic infrastructure without official-citizen contacts.

The Malagasy population's unfamiliarity with the social security concept partly explains the low rate of social security coverage (10%). Despite efforts to publicize and raise awareness, the situation remains somewhat static. To remedy this, an education program on the right to social services was implemented in February 2014 through the introduction of Junior Clubs which bring children together. They will act as information vectors through fun and festive activities and will instill a social service culture in their families and society in general.

The Croatian Pension Insurance Institute (CPII) receives the death data for Croatian pension beneficiaries residing abroad on the principle of delivered Life Certificates and letters received from the competent foreign pension institutions. That way, CPII receives the beneficiaries' death data after a certain delay thereby causing possible undue payments of pension amounts.

The electronically assisted company audit makes the procedure much simpler and at the same time more efficient for employers and tax consultants and for the Audit Office of the German Pension Insurance (Deutsche Rentenversicherung – DRV). The employer’s electronic payroll accounting data is transferred to the Audit Office in a defined form via a secure connection. Audit preparation for the employer is in many cases just a mouse click; paper documents only have to be provided occasionally.

In 2013, various actions allowed to eliminate the need for pensioners to validate their rights on-site. This practice required pensioners to go personally twice a year to the State Employees' Social Security and Social Services Institute (Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE)) to prove they were alive and that they continued to collect their pensions. In these periods, nearly a million pensioners, most of them aged 65 and over, attended one of the 365 national offices.

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.

As part of the social security reform processes in Indonesia as mandated by the 2004 Law concerning the National Social Security System, BPJS Ketenagakerjaan must cover all workers in Indonesia, in both formal and informal sectors, totalling 120 million workers distributed in 17,000 islands.

Extending social security coverage to people who do not have it is a priority. This concerns people falling outside the social security systems in many countries. In France, the problem also involves people not claiming the benefits to which they are entitled. This is what is known as the non-take-up of benefits.

Unclaimed social benefits undermines the effectiveness of public policy, equal access to rights for everyone and the fight against poverty.

Mexico’s National Commission of the Retirement Savings System (Comisión Nacional del Sistema de Ahorro para el Retiro – CONSAR) is committed to providing Mexican workers with guidance and education on financial and social security matters, specifically in relation to saving for old age. The “CONSAR Collection of Retirement Savings Calculators” (hereinafter Calculators) groups together tools designed for people who will retire under defined-contribution pension systems with individual accounts.

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 objectives of the National Health Insurance Fund (Caisse nationale d'assurance sociale (CNAM)) are expenditure control and improving the quality of care. Electronic transmission requirements and medical control prerogatives have made it necessary for the CNAM to invest in the automated processing of medical claim forms.

The main objective is the establishment of a decision-support system with a medical knowledge base which would take into account the specificities of each medical claim form.

The Employees  Provident Fund Organisation (EPFO), under the Ministry of Labour & Employment, Government of India provides social security benefits to its members in terms of provident fund and old age pensions under the Employees' Provident Funds & Miscellaneous Provisions Act, 1952 (referred to as the Act hereafter), enacted by the Parliament of India, which extends to the whole of India except the state of Jammu and Kashmir.

The Wage Protection System (WPS) is a joint programme between the Ministry of Labour (MOL) and the General Organization for Social Insurance (GOSI), and it has been built to be the wage repository for all workers to assure wages are affectively deposited to workers bank accounts and are also reported correctly to GOSI. The system requires all employers to generate a wage file which is compliant with the WPS specification.

It has been recognized that a major challenge in developing countries is how to ensure that the poor are included in health financing arrangements and they can access benefit from health insurance coverage as the non-poor.

In order to achieve the goal of “completely building a social security system that covers urban and rural residents”, the Chinese government has formulated and implemented a universal plan to see that everyone has access to social security.

By optimizing policies, enhancing the publicity, improving services, registering per person and per household, the coverage of insurance has been vigorously expanded. By the end of 2020, the full coverage of statutory social insurance personnel has been basically achieved, and the world’s largest social security system has been established.

Since 2014, the actuarial department of Costa Rica’s Pension and Retirement Board of the National Teachers’ Union (Junta de Pensiones y Jubilaciones del Magisterio Nacional – JUPEMA) in Costa Rica has produced a report known as the “Blue Report” (Informe Azul) for members of its defined-benefit Collective Capitalization System (Régimen de Capitalización Colectiva – RCC). The report aims to give members an overview of the actuarial situation in accessible language.

The social security administrator, as mandated in the Law, must provide a single identity number to its members. As part of the social security reform processes in Indonesia, BPJS Ketenagakerjaan initiated a project to integrate its whole administration system with the National ID administered by the Home Affairs Ministry (which was recently reformed in the agenda of national public administration).

In 2010, the government of Mali introduced a compulsory health insurance scheme with third-party payment for civil servants and workers to guarantee affordable health care.

In 2011, the National Sickness Insurance Fund (Caisse nationale d'assurance maladie (CNAM)) concluded agreements with all public agencies, in particular with hospitals, referral health centres and community health centres.

Since 2014, the National Family Allowance Fund (Caisse nationale des allocations familiales – CNAF) has been engaged in a major participative innovation approach to design services that are better adapted to users’ expectations and ensure better accessibility.

Since April 2014 the Social Insurance Institute - State Employees' General Retirement Fund (Institut de prévoyance sociale - Caisse générale de retraite des agents de l'Etat (IPS-CGRAE)) has been the object of a major reform which aims notably at ensuring ongoing improvements in the quality of services provided to insured persons by accelerating payment of the first pensions after retirement.

The system for managing public pensions in Côte d’Ivoire underwent a major reform in 2012.

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 Family Branch is at the heart of solidarity policies and provides support for the most vulnerable individuals. Its organisation and service delivery prioritize access to entitlements – now a key public policy issue.

In 2014 the Family branch implemented a new service with a renewed focus on identifying and accessing available entitlements and services called the “entitlement meeting”.

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.

The digital payroll (Libro de Sueldos Digital – LSD) is an information technology (IT) tool created by Argentina’s Federal Administration of Public Resources (Administración Federal de Ingresos Públicos – AFIP) in order to avoid employers registering the same employee multiple times.

Through this participation, we aim to clarify the idea of establishing the Libyan Centre for Research and Actuarial Studies, and the procedures that the administration followed in refining and qualifying human cadres in the fields of social protection, social research, and actuarial studies.