Post Office Health Insurance Fund
| Post Office Health Insurance Fund | |
|---|---|
|
|
| social insurance | Health insurance |
| legal form | Public corporation |
| founding | March 1, 1913 |
| Jurisdiction | Officials of the Federal Agency for Post and Telecommunications Deutsche Bundespost and their family members |
| Seat | Stuttgart |
| Board | Peter Reichelt (Chairman) |
| Supervisory authority | Federal Agency for Post and Telecommunications Deutsche Bundespost |
| Employee | 985 (as of December 31, 2018) |
| Website | www.pbeakk.de |
The Postbeamtenkrankenkasse ( PBeaKK ) is a federal corporation under public law and a social institution of the Federal Agency for Post and Telecommunications Deutsche Bundespost , which also oversees it. It grants its members and those co-insured with them benefits in the event of illness, birth and death as well as in the case of nursing care and measures for the early detection and prevention of illnesses. In this respect, it covers the areas of health insurance and long-term care insurance . It also offers supplementary insurance and international health insurance for its members. The Post Office Health Insurance Fund is closed; d. H. it does not accept any further members. At the end of 2018, the PBeaKK looked after around 312,000 members and around 107,000 co-insured relatives. It has around 1.55 million insurance relationships in the supplementary insurance sector and around 381,000 in international health insurance. The PBeaKK has around 1000 employees.
The Postbeamtenkrankenkasse has had its headquarters in Stuttgart since 1951. In addition to the head office in Stuttgart, it also has an office in Stuttgart and other offices in Karlsruhe , Freiburg im Breisgau , Frankfurt am Main , Saarbrücken , Munich , Nuremberg , Regensburg , Koblenz , Cologne , Düsseldorf , Dortmund , Münster , Hanover , Bremen , Hamburg , Kiel and Berlin . For the employer and the community of private insurers, the Postbeamtenkrankenkasse u. a. Tasks resulting from private long-term care insurance and the employer's duty of care according to Section 78 of the Federal Civil Service Act (BBG) (primarily aid ).
The PBeaKK has the executive board (chairman and one further member; term of office five years) and the administrative board (16 members: 8 member representatives and 8 administrative representatives). The board of directors can only be dismissed by the administrative board and set up with its consent. The current chairman of the board is Peter Reichelt; Another board member is Oliver Russ. Board resolutions must be approved by the supervisory authority. The responsible supervisory authority is the Federal Agency for Post and Telecommunications Deutsche Bundespost . The Postbeamtenkrankenkasse is subject to legal supervision and supervision with regard to the profitability of supervision by the Federal Agency for Post and Telecommunications. The Postbeamtenkrankenkasse is subject to examination by the Federal Audit Office according to Section 111 of the Federal Budget Code (BHO).
history
The first company social facility of the Reichspost were the postal medical officers in larger cities in 1874. The Oberpostdirektion were able to assign civil servants to these doctors for free treatment. However, family members were not covered by this measure.
With effect from March 1, 1913, the Reich Post Office decreed the establishment of a health insurance company at every Oberpostdirektion . They were called "health insurance for sub-civil servants in the district of the Imperial Post Office in ...". As a result, 41 cash registers - equipped with the model statutes of February 22, 1913 - began their activities. Membership was only possible for civil servants in the simple service (then called lower service) and members of these civil servants. They were not health insurances , but company social institutions. Joining the register was voluntary. In contrast to the health insurances according to the Reichsversicherungsordnung , it was stipulated that a claim against the health insurance fund did not apply if there was a third party liable to pay compensation.
In 1919 the organization was renamed to “Health Insurance for Sub-Officials in the District of the Postal Directorate in ...”, in the early 1920s to “Sickness Insurance for Post and Telegraph Officials”, and in the early 1930s to “Sickness Insurance for Civil Servants of the Deutsche Reichspost in the District of the Oberpostdirektion” ... ”On April 1, 1938, the fund was renamed“ Reichspostkrankenfürsorge ”(RPKF). Membership was possible for all officials and employees of the Reichspost and their relatives who were not subject to compulsory insurance. From 1945 to 1951 the administration of the RPKF was carried out by the respective district offices without uniform management. On November 15, 1951, a new head office was set up in Stuttgart and the cash register was given the abbreviation PBeaKK .
Until the German postal reform in the 1990s, the Postbeamtenkrankenkasse was a company social institution of the Deutsche Bundespost .
Member groups
The PBeaKK divides its members into several groups. The scope of services differs.
- A: Civil servants, retirees, and simple service survivors
- B 1: Civil servants, retirees and survivors of the middle, upper and higher service
- B 2, B 3: Members not entitled to subsidies (B 2 and B 3 receive different amounts of reimbursement)
- C: Former employees who are entitled to a pension from the Deutsche Bundespost (VAP) pension fund
- E: divorced spouses
- S: student children of members
- B 2 (S): student children of members who are not eligible for family allowance
In group C, the loss of entitlement to benefits upon retirement is compensated for by slightly higher benefits.
Scope of services:
- A: Services as for those with statutory health insurance, no private services except when referred to a private doctor by the PBeaKK contract doctor
- B1, B2, C and E (from insured persons from B): Reimbursement of private medical services
The membership group is automatically changed from A to B 1 for:
- Promotion to A 7
- Relocation to another country
- Leave without pay / remuneration without entitlement to allowance
- Elimination of salary / remuneration
- Resignation from the employment relationship if the membership remains
A change from
- A to B 1
- A or B 1 to B 2 or B 3
- B 1 to A
Legal assignment
According to a ruling by the Kassel Social Court, the Postbeamtenkrankenkasse is not considered to be a health insurance company within the meaning of the fifth book of the Social Security Code and is therefore not part of the statutory health insurance scheme , but it is explicitly not part of private health insurance either .
Web links
Individual evidence
- ↑ Social Court Kassel; File number: S 12 KR 391/07 (accessed on June 11, 2020)