Social security

My Labour,
My Rights

Social security

Rights (remuneration) from social security in the Republic of North Macedonia are classified  depending on their affiliation to individual branches in the social security system. Such branches are health insurance, pension and disability insurance, and unemployment insurance.

Insured individuals are entitled to two types of benefits within the system of compulsory health insurance – healthcare (basic health services) and compensations (compensation to salary and travel cost reimbursement).

Healthcare

Healthcare covers basic health services provided in primary, secondary (specialist-consultative), and tertiary (hospital) health care.

Monetary Compensations

Health insurance also provides for rights to the following compensations:

  1. Compensation to salary

– In cases of temporary absence from work due to illness or injury;

– In cases of absence from work due to pregnancy, childbirth and parenthood.

  1. Reimbursement of travel costs

Requirements for exercising the right to compensation to salary

Requirements for enjoyment of the right to compensation to salary in case of temporary absence from work due to illness or injury  are the following:

-Health insurance must have been covered for a duration of at least six months without interruptions prior to the occurrence of the case (except in cases of injury at work, occupational disease, where the right to compensation to salary is applicable from the first month of payment of contributions for compulsory health insurance);

-Compulsory health insurance must have been regularly paid or paid with a delay of no more than 60 days, and

-The assessment for temporary incapacity to work must be provided by a specific doctor or medical commission.

Basis for calculation and amount of compensation to salary

Compensation to salary for a worker in the case of temporary incapacity to work due to illness or injury is paid by the employer, from their own funds, for a period up to 30 days, and by the Health Insurance Fund for a period of over 30 days, starting from the day of the occurrence of the incapacity for work, for each day of absence from work. Exception to this are cases when the employer is obligated to pay the worker compensation to salary, in the amount of 100% of the basic wage for the overall period of sick leave duration (but no more than 30 days), due to absence from work in the event of injury at work or occupational illness.

Compensation to salary due to pregnancy, childbirth and motherhood is paid for the time period defined in labour regulations. The amount of the compensation to salary due to absence from work in the event of pregnancy, childbirth and motherhood is 100% of the basic wage.  The basis for calculating compensation to salary in both cases is the average monthly salary including contribution for health insurance for the past 12 months prior to the occurrence of the case leading to the entitlement to compensation.

Insured individuals are entitled to different benefits within the system of compulsory retirement and disability insurance. The basic rights from this type of insurance are the following:

  • Old age pension;
  • Vocational rehabilitation and rights to adequate remuneration;
  • Disability pension;
  • Compensation for physical impairment;
  • Family pension.

Old age pension

An insured person acquires the right to old age pension upon reaching the age of 64 (male) or 62 (female) and for at least 15 years of service.

The base for calculating the pension (or pension base) is the monthly salary average of the insured person during the total duration of the insurance coverage, including compensation to salary, and unemployment benefits. The average monthly salary of the insured person for full-time work is taken as basis to calculate the pension base.  Salary paid for work longer or shorter than full-time is calculated upon the average monthly amount matching the salary for full-time work. The amount of old age pension is defined according to the regulations on pension and disability insurance.

Disability rights

Disability, as a social risk (for insured individuals) is recognized in the compulsory pension and disability insurance, in cases where due to changes in the health status impossible to remove by treatment or medical rehabilitation, a worker’s capability to work is permanently reduced for more than a half compared to physically and mentally fit individuals with the same or similar education and skill.

Permanent limitation of the work capability may result from an illness or injury away from the workplace, or as a result of injury at the workplace or occupational illness; the limited work capacity varies depending on the severity of the injury or illness. If work capability of the insured worker is reduced by more than 80%, there is general work incapacity, and if it is reduced by more than 50%  and up to 80%, there is occupational incapacity for work.

If an insured person has disability (reduction of work capability by 50%), resulting in incapacity to undertake work assignments full-time, they are entitled to part-time work or transfer to another adequate job position.

Basic rights of insured persons deriving from occupational and/or general incapacity to work are the right to occupational rehabilitation and the right to disability pension.

Compensation for physical impairment

Physical impairment is a social risk (for insured individuals) in cases of loss, essential damage or significant damage of certain organs or body parts, preventing normal body activity and requiring additional effort in meeting life needs, regardless of whether it causes disability.

An insured person who has experienced bodily harm during the period of insurance coverage is entitled to impairment compensation under the same conditions as the right to disability pension acquired according to the retirement for the service period covered by insurance.

The amount of the impairment compensation is defined according to the provisions on pension and disability insurance.

Family pension

Family pension is an entitlement from compulsory pension and disability insurance related to the social risk (for the insured person) of death of the insured person.

The following members of the family of the insured person are entitled to family pension:

  1. spouse (widower/widow);
  2. children;
  3. parents.

The entitlement to family pension for family members depends on whether the deceased insured person had fulfilled certain requirements, as follows:

  • Had completed at least five years of insurance coverage or had at least ten year pension period insurance coverage
  • Had met requirements for old age or disability pension, or
  • Was an old age or disability pension user.

If death occurred as a result of injury at the workplace or occupational illness, family members are entitled to family pension regardless of the length of the pension period insured.

The amount of family pension is defined according to provisions on pension and disability insurance.

In case of unemployment and in line with the insurance system in the Republic of North Macedonia, insured individuals are entitled to the following: 

1) unemployment compensation;

2) preparation for employment (training, retraining and additional training);

3) healthcare;

4) pension and disability insurance in certain cases;

5) employment of disabled individuals under favourable conditions according to the law.

The basic right acquired from unemployment insurance is the entitlement to unemployment compensation.

Unemployment compensation from unemployment insurance

An unemployed individual who was employed (and regularly covered by unemployment insurance) for at least nine months without interruptions, or for 12 months with interruptions in the past 18 months, is entitled to unemployment compensation .  

Not all cases of employment termination resulting in unemployment are entitled to unemployment compensation. Insured individuals will not be entitled to unemployment compensation  in cases when their employment was terminated not by their own will (e.g. worker/insured individual has willingly signed a statement wishing their employment be terminated, or in the case of mutually agreed termination, and other cases) or was terminated by their own fault (e.g. unjust absence from work for three subsequent days or five days with interruptions in the course of a year, or termination by the employer due to breach of work discipline and other breaches). Insured individuals will also not be entitled to unemployment compensation in other cases defined by law (e.g. employment termination by virtue of law; refusing training, retraining or additional training for another job position with the same or a different employer; fulfilling the requirements for old age pension, and other cases).

The period of receipt of unemployment compensation depends on the period the unemployed individual was insured for. Usually, this compensation is paid for a period of no less than a month (if the insured worker has minimum insurance period of nine months without interruptions, or 12 months with interruptions in the past 18 months), and up to 12 months (if the insured worker has maximum insurance period of over 25 years). Insurance regulations for unemployment also allow for other exceptions when unemployment compensation is received for a period longer than 12 months.

The amount of the monthly unemployment compensation  is 50% of the average monthly net salary of the worker for the past 24 months (for individuals entitled to allowance up to 12 months) or 50% of the average monthly net salary of the worker for the past 24 months and 40% of the of the average monthly net salary for the remaining period (for individuals entitled to allowance for more than 12 months).

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The Labour Rights Campaign is implemented
by the Economic and Social Council supported by Strengthening Social Dialogue.

The project is funded by the European Union, and implemented by the International Labour Organization

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The content is sole responsibility of the Strengthening the Social Dialogue Project
and does not necessarily reflect the positions of the European Union.

Share

The Labour Rights Campaign is implemented
by the Economic and Social Council supported by Strengthening Social Dialogue.

The project is funded by the European Union, and implemented by the International Labour Organization

partners1

The content is sole responsibility of the Strengthening the Social Dialogue Project
and does not necessarily reflect the positions of the European Union.