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Brazil

Qualifying Candítions
Old'agepe¡s¡on
Age pension(socialinsu¡arce,)jAge 65 (men)or age60
(women)for employeesandtheurbanself-employed; age60
(men)o¡ age55 (rvomen)for theruralself-employed,

OIdAge, Disability,and Survivors Contr¡butorypension(soc¡al¡nsurance):At least35 yeaIsof


contributions(men)or 30 yea¡sofcontributions(women).For
Regulatory Frameutork arduousemployment,the coverageperiodis betweenl5 y€ars
and25 yearswith at least180monthsofcontributions.
Fifst laws: 1923(Iaitrroads),
1934(commerce),
and1936
lnsuredpersonswho entcrcdthe systemup ultil 1988are
(industry).
subjectto transitionrules.
current lawsi l99l and1999. The pensionis payableabroadifthere is a reciprocal
Type of program; Dual socialinsuranceand socialassistance agreement.
system. Old'age assistance {means"tested}: 67 (ageó5
^ge
beginningin 2004)with family eamingslcssthan25%ofthe
Coverage minimumrvagefor eachperson.
Social insurance: Employedpersonsin industry,commerce, Disabilitypension(soc¡alinsuranc6);Twelvemonthsof
andagriculture;domesticservants;somecategoriesof casual contributionsandpermanentincapacityfo¡ wo¡k. Thc
r.vorkcr:andthc sclf-employcd. contributionperiodis waivedif the disabilityresultsfrom an
accidentor a diseasespecifiedby law.
thc
Voluntaryinsuranccis possiblefor studcnts,housewiv¡js,
unemployed,andothercategories. Disabililyassistance(means.tested):Assessed as disabied
rvithfamily eamingslessthan25% ofthe minimumwagefor
Specialsystemsfor public-sectoremployeesandmilitary
each person.
pelsonnel.
Survivor pension (social insurance)i The insuredlvasa
Social assistance: Ncedy elderly or disabledpersons.
pensioneror had paid contributio¡sin the l2 monthsbefore
Separateschemeslbr rural andurbancitizens.
death.

Source of Funds Old-Age Benefifs


Soc¡alinsurance
Old.agepens¡on
lnsuredpercon:7.65%,8.650/o, 9Yo,or I I o/oof eamings
Age pens¡on(socíalinsurance):'10o/o
of ave¡ageindexed
accordingto four carningscatcgorics,up to a maximum. Ths
earnings,plus l7o ofaverageeamingsfor eachyearof
seliemployedcontribute207oofearnings,up to a maximum.
contributions.
Employer: 20o/oof payrotl.
Thcmaximumpcnsion
is l00o/oofavcragc
incomc.
Govemnent Ea¡markedtaxesareusedto finance
Contr¡butorypens¡on(social¡nsurcnce):Averageearnings
administrativecostsanddefraydeficits.
rvith between30 yearsand35 yealsof contributions.
The minimumeamingsfor contdbutionpurposesa¡eequalto
Theminjmumpensionis 100%oftheminimumwage(240reais
theminimummonthlywage(240reaisin June2003).
in June2003).
The maximumearningsibr contributionpurposesare7.79times
the maximumpensionis 1,869.34reais(June2003).
thc minimümsalaryfor cachearningscategory.
Scheduleofpayments: Thifeen paymentsa year.
All of the abovecontdbutionsalso financesicknessand
matcmitybenefitsandfamil¡,allor.vanoes. Bsnefit adjustment:Age andcontdbutorypensionsarc
adiustedannuallyaccordingto changesin retail prices,
Soqialass¡stance Old-agaassi$tance(means-tested): The averageallowanc€
/nsuredperson.None. is equaltothe minimumrvage,
Employer None, Benotitadjustment:Pensionsa¡e indexedto changesin tho
Government:Totalcost,includingrevenuefrom camarked minimumsalaryfor thefollowingmonth.
ta.(es.
PermanentD isability Bénef¡ts
Oisabilitypcns¡on(socia¡insurance);100o/o of indexed
earningsin the last 36 monthsbeforethe onsetofdisability.

2003
Americas,
50 . SSPTW:The
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Theminimumbenefitis 100%oftheminimumwage(240reaisin Sourceof Funds
June2003).
Insured person: Seesourceoffunds underOld Age,
allowance:25% of the disabilitypension.
Constant-attendance Disability,andSurvivors,above.
Scheduleofpayments:lhifleen paymentsa year. Employeri Seesou¡ceof fundsunderOld Age, Disability.and
Benefitadjustment:Benefitsarc adjustedannuallyaccording Survivors,above.
to changesin retail prices. Government: Thc oostofmedical benefits.
Disab¡l¡tyass¡stance{moans-tésled): The averagepension
is equalto themininum wage, Qualifying Conditions
Benefitadjusünent:Pensionsare indexedto changesin the
The insuredcontributeddurjng the last 12 months.Thereis no
minimumsalaryfor thefollowingmonth.
minimun qualifring pe¡jodfor cashmatemitybenefits.

Survivor Benefits Srcknessand l[4aternityBenefits


Survivorpension(socialinsurance):100%ofthe pension
S¡cknessbenefit: 9 I o/oof ave¡ageearnings.'lhe benefit is
paid or payableto the insuredor l00oZofaverageindexed
payableaftera l5-day rvaitingperiod(duringwhichtbe
eamingsduringthe 36 monthspdor to the insured'sdeath,
empioysris requiredto pay 100%ofthe wage).
regardlessofthe numberofeligible survivors. The pensionis
dividedequallyamongeligiblesurvivors. Sch€duleofpayments: Thirteenpaymentsa yearifthe insured
is entitledto a sicknessbenefitfor morethan l5 days.
Eligiblesurvivors(in orderofpriority): Wido\¡,(er),companion,
childrel underage21 or disabled,stepchildre¡and dependenl Theminimumbenefitis 100%ofthe minimumwaee(240rcaisin
minors,parents,andunmaniedbrothersand sistcrsunde. June2003).
age2l or disabled. Matornitybenef¡t: I 00% ofthe wagefor 120days,payable
Theminimumpensionis 100%ofthe minimumrvage(240reais 28 daysbeforeand9l daysafter the expecteddateof
inJune2003). childbirth:benefitis paid fo¡ 2 weeksin thc cascofa
miscaffiage.
Thcmaximumpensionis 1.869.34reais(Junc2003).
Scheduleofpayments: Thirteenpaymcntsa y€ar.
Workers' Medical Benefits
Benefitadiustment:Pensionsare adjustedannuallyaccording
to changesin retail prices. Medicalservicesareprovideddirectly to patientsin rural and
urbana¡cas.Benefitsincludegeneral,specialist,matemity,¿nd
dentalcare;hospitalization;medicines(somecostsharingjs
Admin istative Organizatio n requircd);andnecessary transportation,Thereis no limit to
Minislry of SocialInsuranceprovidesgeneralsup€rvision, duration.
NationalSocialSecuity lnstituteadministersbenefits.
Depende nts' Medi cal Benefits
Sickness and Maternity Medicalservicesareprovideddirectlyto patientsin rurul and
urbanareas.Benelitsincludegene¡al.specialist,maternity,and
Regulatory Frarnework dentalcare;hospitalization;medicines(somecostshalingis
requircd);andnccessarytransportation.Tho¡eis no limit to
First laws: 1923(railroads),1934(commerce),
and1936 du¡ation.
(industry).
curront laws: 1990(medicalbenefits),l99l (sickncssand Ad mi n i strativ e Org anizati o n
medicalbenefits),and1991and 1999(maternitybenefits).
Ministry ofltealth providesgeneralsupervisionofthe Unified
Type of programi Socialinsumnce(cashbenelits)andbasic
SystemofHealth.
universalsystem(medicalbenefits).
Unified SystemofHsalth administers
medicalbenefits.
Covarage Ministry of SocialInsuranceprovidesgeneralsuperv_'ision
of
theNationalSocialSecurityInstitute,
Employcdpersonsin indushy,commerce,andagriculturc;
NationalSocialSecurityInstituteadministerscashbenelits.
domesticservants;the self-employed;and ce.taincategolies
ofcasualworker,
Volultary coverageis possiblefo¡ students,house\,vives,
the
unemployed,and other groups.
Specialsystemsfor public-sectoremployees.

2003I 51
SSPTW:TheAmericas,
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Worklnjury Suruivor Benefits


Survlvor pension: 100% of the insured'scoveredeamingson
RegulatoryFramework the day ofthe accidont.The pensionis dividedequallyarnong
F¡rstlawsi 1919,1944.
and196'1- eligiblesulvivo¡s.
Currenllaw; 1991. 'Ihe marimumpensionis 1,869.34rcais

Type of program: Socialinsurancesystem. Eligiblesurvivors(in orderofpriority): Widow(er),companion


childrenunderage2l or disabled,stepchildrenanddependen
minors,parenls,and unma¡riedbrothen and sistersundef
Coverage agc2l or disabled.
Employedpersons. Soheduleofpayments: Thifieenpaymentsa year.
Specialsystemsfbr public-sectoremployeesandthe military.
Adm in istrative Organization
Sourceof Funds Ministry ofHealth providesgeneralsupervisionoftbe llnified
Insüredperson: None. Systemofllealth.
Fmployer: Totalcost,met throughpreniums of l% to 3% of UnifiedSystemofllealth administersmedicalbenefits.
payroll acco¡dingto the assessed
degreeofrisk. Ministry ofSocial Insuancep¡ovidesgeneralsupenisionof
Government:None. thcNationalSocialSccudtylnstitute.
The maximumcarningsfof contributionpurposesis the sumof NationalSocialSecurityInstituteadministerscashbenefits.
all eamingsofall employeesfor eachparticularemployer.
Unemployment
QualWing Conditions
work injury benef¡ts:'fhereis no minimüD quali!ing period.
RegulatoryFramework
Pérmanentdisability: 'Ibt¿l lossof capacityto work. First laws: 1965(compulsorysavingsprogramfrom the
length-of-service
güarantee
fund,oTFGTS)and 1986
Accident benef¡f(partial disab¡l¡ty); Incapableof usualwork (unemployment insurance).
but capablcof doingsomeothe¡kinds ofwork.
currentlawe; 1990and1994.

TemporaryDisabiIity Benefits Type of program: Socialinsurancesystem.

9l o¿ofaverageeamings.Thebenefitis payableaftera 15-day


\.vaitingperiod(düringwhich the laborlaw rcquiresthe
Coverage
employerto pay 100%ofthe rvage). Employcdpersons.
Scheduleofpayments:Thifieenpaymentsa yea¡.
Sou¡ce of Funds
Permanent Disability Benetits In$uredperso¡i None.
Permanentd¡sab¡litypension: I00% ofinsuredearnings. Employéri None. (Employerscontribute87oofeamingsto
Themaximumpensionis 1,869.34reais. individualITGTSsavingsaccountsto which the insuredhas
accessin the eventofunemployment,marriage,retircment,and
supplement:25oloofthe pension(no
Constant-attendance othercontingencies.)
maximumif sclf-employed).
Governmenl: Totalcostis financedby earmarkedtaxes.
Scheduleofpayments:Thirteenpaymentsa year.
Accident benefit (partial dlsabllity): 50% ofthe full pension.
Qualifying Conditions
Scheduleofpayments:Thirteenpaymentsa yea¡.
Unemploymenlbenef¡t: 'Ihe benefitvariesaccordingto
rvhetherthe insuredhas6 monthsto I I monthsofcovcrage,
Workers' Medi caI Benefi ts 12 monthsto 23 monthsofcoverage,or 24 or moremonthsof
Medicalanddentaltreatment,hospitaltreaünent,medicines, coverage.Unemploymentmust not be dueto misconduct.
rehabilitation,andtranspo{ation. The insuredmust lack otherresourccsto supportselfor family.

Americas,
52 r SSPTW:The 2003
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UnemploymentBenefits
UnemploymentbeÍefit {means-test€d}; 50% of average
eamingsin the last3 monthsofemploymcnt,up to threetimes
theminimumwage. The berefit is payableaftera60-day
\.vaitingperiodfo¡4 monthsin any 16-monthperiod,
Thr:minimumbcncfitis l00yooftheminimumwase.

Adm inistrafive Organ ization


Ministry oflabor andEmploymentprovidesgeneral
superyision.
WorkerAssistanaelrundAdvisory Council administersfhe
progf¡m.

Family Allowances
Regulatory Framework
First law: 1941(largefamilies).
Currentlaw: 1999.
Typc of program: Employment-rclated
system.

Coverage
Low-incomeemployeesrvith oneormore children(excludes
employees).
domestic

Sourceof Funds
Inguredperson:None.
Employer: None. (Benetitsarepaiddirectlyby the employer,)
Governme¡t: Totalcost. (Reimbursesemployersfor the total
costofbenefitspaid to enployees.)

Qualifying Conditions
Familyallowances: Employeeswith incomeup to 560,81¡sais
(June2003). The child mustbe underage 14 or disabledand
attendingschool. The parentmust be cuffently in inswed
employment,a pensioner,or receivingsicknessbenefit.'Ih€
allowanceis payableto bothparentsifboth are insured,

Family AIlowance Benef its


F¡milyallowances:13.48reaisamonthforeachchild,

Ad mi n i strative Org anizati on


Ministry ofSoaial hsuranceprovidesgeteral supervision.
NationalSocialSecuritylnstituteadministersbenefitsforold'
ageor disabilitypensionrecipients,
Employerspaybenefitsto their own employces.

SSPTW;The Americas,2003 . 53
Canada

Qualifying Condítions
Old.agepens¡on
Un¡versalpens¡on:Age 65 and l0 yearsof residencein
Canadaafterage 18. Retirementis not necessary.The pension
is payableabroadifthe beneliciaryr.csidcdin Ca¡adalbr
20 yearsafierage I 8.
Old Age, Disability,and Survivors
Earnings-related ret¡rementpens¡on:Age 60 with at least
Regulatory Framework I yea¡ of contributions. Ifthe persion is alvardedbefore
age65, the insurcdpersonmust hav€fully or substantially
Fi rs t laws :1927( o l d -a ga es s i s ra n c el 9r.3 7 1 b l i n rs
d si srancet. ceasedemployment.Ifthe pensionis award€dat ageó5 or
and1955(disability assistance). older,retirementis not necessary.The pensionis payable
Currentlaws: l95l and1952(universal pension), 1965and abroad.
I 966(earnings-r'clatcd pcnsion).and 19ó6andl9ó7 (incc¡rnc-
testedsupplement). D¡sab¡lity pens¡on
Earnings-related d¡sabilítypension: Severeand prolonged
Typeof programil)ual unive¡sal
pensionandsocial
insurancesystem. incapacityfor anygainl-ulactivity \.vithcontributionsin 4 ofthe
last6 years.(The QuebecPensionPlannornrallyrequires
contributionsin halflhe yearsin which contributionscould
Coverage havebcenmade;thc minimunl contributionperiodis 2 ofthe
Univers¿lpension{old-agesecurily): All residcnts, last3 years.)The pensionis payableabroad.

pension(CanadaPensionplan/Quebec
Earnings-related Surv¡vorpensign
PensionPlan):All employees rvorkingin Canadaandall sell- Universalpension: Income-tested
benefitis availableto
enployedpersonsresidingin Canada. widowsandrvidowe¡saged60 to 64. The survivormustbe a
'lhosein casualenployment(annualearnings
Dxclusions: less resident
ofCanadaandhaveresidedin Ca¡adatbr l0 years
thanC$3.500)or in seasonal
agficulturalemployment. alterage18. The unive¡sal
sun,ivorpensionis feplaced by the
A provincemay opt out ofthe f¡deral earnings-related
Canada universal
old-agepensjonat age65.
Pe¡sionPlanifit establishes
a conrparable program.Thjs is Eam¡ngs-related penslon; The insuredhad made
the casewilh the QuebecPensionPlan; benefitsarepoflable co¡tributionsduringthe lesserof l0 yearso¡.one-thi¡doflhe
bctwecnthe two plans. ycarsin lvhich costributionscould havebccn made;the
mininlumcontribution periodis 3 years.Thepensionis
Sourceof Funds pa;"ableabroad.
Spousa
andwidolv(cr)includclcgallymarriedpersons and
Universatpension
commo¡-lawpartners(inch¡dingsam€-sex
partnells).
/nsuredperson.None.
Employer: None. Old-Age Berefifs
Government:'Ibtal cost,includingthe {otalcostofincome-
Old-agepe¡sion
testedbenellts.
Un¡versalpension:The nraximummonfhlypensionis
pension
Earn¡ngs"related C$461.55.t'hepension is calculated
asl/40thofthemaximunr
lnsurcdperson:4.95%ofealnilgs (employees)or 9.97oof pensionfor eachyearofresidencein Canadaafterage 18. Ttle
earnings(self-employed). pension ofhigh-inconeearnelsis subjectto recovery(1570of
annualincomeoverC$57,879).
Employet:4.95yoof empio¡,ee's
earnings.
lncome-tostodsupplcmcnt:Thc supplcmcnti¡creasesthe
Goyefimer¡f:None. naximumuniversal pension for a singleperson
to C$1,010.08 or
The minimumannualeamingsfbr benefitandcontribution to C$1,637.7{}
for a couple.
purposesareC$3,500. Income-fested allo\,vance:
Up to a maximumofC$818.85a
'I hemaximumannualearDingsfo¡ benefitandcolfibution mc¡nthfor a pensioner'sspousebetwecnagcs60 ¿ndó4.
purposes
areC$39,900. Ean¡ngs-rclatedretirementpens¡on:25o/oof avcragc
Earningslimit adjustmest:Adiustedannuallyaccordingto adjustedyearlycoveredearnings. I 5% of the yearswith the
increasesin the averageindustlial$'age. lowestincomeare disregardedi yea¡sin which the insuredrvas
carirg for a child undcragc 7 ma¡.'alsobc disregardcdif it is in
the i¡sured'sfavor.

56 | SSPTW:fheAmericas,2003
Canada
The pensionis reducedby 0.5% a montb ifalvardedat any age Orphan'spension:C$ I 86.71a monthfor eachchild below
alier 60 butbefo¡e65. age l8; age25 ifa sfudent.(eueb€cpensionplan: C$59_2g for
'I'hepensionis increasedby 0.5% a rnonth eachchild belowage l8 only.)
ifarvardedafler
age65 but betbreage70. Dcathbenefit: Síx months'earnings-related
retirementpcnsion.
Themaximummonthlypensionis C$801.25. uptoa ma\imumofC$2,500.
Pensioncreditsaccumulated by spousesor common-law Benelitadjustment:Automatr'cannualadjustmentof earnings-
pa¡tl1ers
(includingsame-sexpartners)duringmaniag€or relatedpensionsfor changesin the consumerpric€ index.
cohabitationmay be dividedequallyin caseofdivorce or
separatron. Adm ¡n istrative Organ ization
Recordedeamingsare adjustedfo¡ changesin national
Departmentof HumanResources Developmsnt,through
ave¡ag€wages.
dist ct and local offices,administersthe universaland
Benefitadjustment:Automaticadjustmentsfor changesin the eamings-related pensionsand income-tested supplements.
consumerpriceitdex a¡eimplementedquaterly for the
CanadaCustomsandRevenueAgency is responsiblefor
univcrsalpcnsionand annuallyfor the earnings-related
collcclingcontr¡butjons for Lhecarnings-relaied
pensions.
pe¡sron.
QuebecDepartmentofRevenueandeuebecpensionBoard
administerthe eamings-related pensionplan in euebec.
Permanent Di sabi I¡ty Ben ef,ts
Earn¡ngs.relateddisabililypens¡or: A basicmonthly
pcnsionofC$370.32,plus75yoofthe eamings-rclatad
retirementpeosion.
Regulatory Framework
Thema\imummonthlypension
is C$971.26.
Cash benefits
Rec0rdedeamingsare adjustedfor changesin national
F¡rstand currcntlaw: 1996(employmentinsurance).
avcfagc wages.
Child'ssuppl€mont:C$186.71a monthfor eachchildbslow Physicianand hospllalseryices
age l8; age25 ifa student.(Quebecpeffion plan: C$59.2gfor Fist law: 1965.
eachchild belowage l8 only.)
Currentlaw: 1984(healrh).
Benefitadjustment:Automaticannualadiustmentofall
benefitsfor changesin the consumerprice index. Type of progÍam: Socialinsurance(cashben€fits)and
unive¡salsystem(physicianand hospitalse¡v-ices).

Survivor Benefits
Coverage
Survivor pensio¡
Cash benefits: All wageandsalaryeamcrs,includingfedcral
Un¡versalpens¡on(¡ncome-tested):
For a widow(er)aged60 governmentemployees;also,self:employedfisbermen.
to 64.
'Ihe maximummonlhlypensionis C$904.03. Provincialgovemmentemployeesmay be coveredwith the
consentof prcvincialgovemmenl.
The survivorpensionis replacedby the universalold-agc
Exclusions:Self-employedpersonsothe¡thanfishermen.
pensionat age65.
Physic¡anand hospital services: All residentssatislying
Ean¡ngs-relatedpens¡or: A surviving spouseaged65 o¡
federalandprovincialcriteriafor eligibility andinsuredstaius.
olderreceives607oofthe insured'seamings-related retirement (Virtually the total populationis covered.)Coverageis
pension,upto am¿ximumofc$480.75amonth. (euebec
portableliom provinceto provinceandfor emergencycarc
PensionPIan: The provisionis the samefor a surviving
anywherein the world. In the lattercase,payme¡tis limited to
spouseaged65 or o¡d€r.)
theralepayablein Lheperson's homeprovince.
A survivingspouseyoungerthan age65 receives37.520ofithe
Specialprovisionsfbr certaingroups,includingmembersofthe
¡rsurcd'scamings-related rctirementpensionplus CS144.49,up a¡medforces.
to a maximumofC$444.96a month. (Quebecpensionplan: A
survivingspouseaged55 to 64 receivesup to amaximumof
C$700.06amonth;aged45 to 54,up to a ma.xhumofc$670.76 Source of Funds
a nonth, For a suF/ivingspousewho is undefage45 and InsuÍedpergon
disabled,themaximumis C$670.76amonth;ifnot disabledbut
Cashbenef¡ts:SeesourceoflfundsunderUnemployment,
caringfor a dependentchild,up to a maximumofC$644.28;if
below.
not disabledand$,ith no dependentchildren,üp to a maximum
ofC$395.31.) Physic¡anand hosp¡ta/beneffs..premiumsa¡epaid in Alberta
¿ndBritish Columbia. Ontariohasa,,fair sharchealthcare

SSPTW:The Amer¡cas,2003 . 57
Canada

levy,"whichvariesfrom 0.2oAto2.0yoof ta,rableincome.No¡e diagnosticandtherapeuticserviass,Benefitsarepaid directly


in the otherprovinces. by provincialauthoritiesaccordingto predetermined
formulas
and agreed-upon fee schedulcs.
Employer
Otherbcnefitsincludeoral surgcryifrequircd andperformcdin
Cashbenefits:Seesourceoffunds underUnemployment, an applovedhospitaland,in someprovinces,servicesof
below. osteopaths,chiropmctors,optometrists;dentalcar€for
Physicianand hosp¡talbenef¡ts:Contributionsvary by childrcn;pfosthetics;and prescribeddrugs. Somccost
provinccfrom lYoto 4.5Yo. sharingmay be requiredin suchcases.
In someprovinces,welfarerecipientsandpersonsoverage65
Govsrnmenl
are eligiblefor fiee drugs,eyeglasses,
subsidizednursing-
CashBeneflts.None. homecare,anddentalcarefor child¡en.
Physic¡anand hosp¡talbeDeflts.Most ofthe cost is met from
federal,provincial,andterritorialgeneralrevenues.Federal Dependents'Medical Benefits
govemmentmakescontdbutionsto provincesa¡d territories
throughblock transfem,part ofwhich afa conditionalon Med¡calbenefits: Benelitsincludesurgical,specialist,and
provincesandtenito|iesmeetingf€deralprogmm¡equirements laboratoryservices;generaimedicalandruatemitycare.
as setout in the CanadaIlealth Act. Benefitsarepaid directlyby provincialauthoritiesaccordinglo
predeterminedformulasandagreed-upon fee schedules.
llospital benefits for dependents: Benefitsincludestandard
Qualifying Conditions
ward care,necessary nursing,pba¡maceuticals p¡ovid€din
Cash sickness and mater¡ily benef¡ts: The qualiling hospital,and diagnosticandtherapeuticservices.flenelits arc
conditionsvary from 420 hou¡sto 700 hoursofcove¡ed paid direotlyby provincialauthoritiesaccordingto
employnenlduringthe lastyear. predetermined formulasand agreed-upon fee scheduies.
Med¡caland hosp¡talizalionbenefils: Generally,3 months' Otherbenefitsincludeoral surgeryifrequired andpeformed in
residencein the provinceis requiredto be i¡rsu¡ed.Whenthe an approvedhospitaland,in someprovincss,serviccsof
insuredmovesfrom oneprovinceto another,the former osteopaths,chiropractors,optometrists;dentalcarefor
provincecontinuesto provideinsurancecoverageduring the children;p¡osthetics;and prescribeddrugs. Somecost
waitingpcriod. sharingmay bc rcquiredin suchoases
ln Albe¡taandB tish Columbia,the paymentofprcmiumsis 1
additionalcondition,but suchpaymentis not linked to Admin istrative Organization
entitlementto services.
HealthCanadaadministersprogrumsfor groupsnot covared
underplovincialplans,monitorsprovincialcompliancewith
Sícknossand Matemity Benefits condilionsofnational legislation,and providesprovinceswith
S¡cknessb€nef¡t: 557oof prcviousaverageinsurcdeamings, technical.
consultative.andcoordinating serviccs.
plusat'amilysupplement for low-incomeandmodest-incom€ Provincialautboritiesadministertheir healthinsuranceplans,
eamerswith dependent children. The supplementis awarded establish¡esidenteligibility status,assesshospitalandmedical
for annualincomclessthanC$25,921.Thc benefitis paid after claims,pay providers,andmonitorall aspectsofprograms.
a 2-weekrvaitingpeliodfor up to 45 weeks.
QuebecPensionlloard adnlinistersthe programin Quebec.
Themaximumweeklybenefitis C$413.
Providersareusuallypublic, not-for-prohthospitals,andother
Malern¡tybenefiti 55yoofprevious avefageinsuredeamings, specializedinstitutions;doctorsandallied practitionersin
plusa fanily supplement for low-incomeandmodest-inoome ent¡epreneurialpractice.
eamerswith dependent childrcn. The supplementis awarded
fbr annualincome lessthanC$25,921.Thebenelltis paidfbr
up to 15 weeks,plus up to 35 additionalweeksfor parentalcae
Work Injury
(the mothet fatheror both)on thc birth or adoptionofa ohild.
Regutatory Framework
ThemrximumweeklybencñtisC$413.
F¡rstaÍd current laws: 1908and 1994(Newtbundland), 1915
and1996(NovaScotia),l9l5 and1996(Ontario),l9l6 and1993
Workers' MedicaI Benefits (BritishColumbia),1916a¡d 1993(Manitoba),l918 and1994
Med¡calbe¡efits: Benefitsincludege¡e¡almedicaland (New Brunswick), I 9 I 8 and I 995 (Alberta), 1928aíd 1994
matemitycarq surgical,specialisl,andlaboratolyservic€s. (Quebec),1930and1994(Saskatchewa¡), 1949and1995(Prince
Benefitsarepaiddirectlyby provincialauthofitiesaccofdingto Edwardlsland),1974and 1992(NorthwcstTeÍitories/
predet€rminedformulasandagreed-upon fee schedul€s. Nunavut),and 1993(Yukon).
Hospital benef¡ts: B€nefitsincludestandardward care, Type of program: Socialinsurancesystem.
necessary nursing,pharmaceulicalsprovidedin hospital,and

2003
58 . SSPTW:fheAme.¡cas,
Canada

Coverage Ad mi nistrative Arga n ization


Employeesin industryandcommerce(somediffe¡encesexist Workeñ'Compensation Boaxd,or a Work Saf'etyCommission,
amoogprovlnces). in eachprovinceandtenitory administersthe program,
Commonexclusions:Domesticworkers,professional
athletes,
andmembe$ofspots clubs. Unemployment
seamcnandfederaloivil
Specialsystemsfor meroh¿Lnt
servants. Regulatory Framewark
First law; 1940.
Sourceof Funds C!rrent law; 1996(employmentinsurance),with
amendments
Insuredperson:None. Type of program: Socialinsurancesystem.
Employer: Total cost,met throughcontributionsvarying by
industryandaccordingto the asscsseddegrecofrisk (large Coverage
may seli'-insure).
firms in someprovinces
All wageandsalaryeamers,includingfederalgovemment
Government:None. employees;also,self-employedfishermen.
Provincialgovernmentemployeesmay be cove¡edwith the
Qualifying Cond¡tions goremment.
cñnsenlol'provincial
period.
work ¡njury benefits; Thereis no minimumqr.ralifying Exclusions:Self-ernployed
personsotherthanfi shermen.

Teñporary DiEability Benefits Sourceof Funds


Thc bcncfitvaricsfrom 75olo1o90'/ooIgrüsseamings, Insuredperson; 2.I 0olo
of earnings.
accordingto pfovince.
Employer; 2,947oofthe insured'swage.
Theminimumva¡ies1i^om zel'oup to C$403.03a week,
€overnment: Nonc.
accordingto province.
The naximum annualcamingsforconfibution andbenefit
pu¡!osesareC$39,000.
Permanent Disability Benefits
Permanentdlsabil¡ty pension: ln most provincss,the benefit Qualifying Conditions
is either75%or 90% ofthe insured'searningsfor full disability.
Unemploymentbenef¡t: The qualifling conditionsvary fron
Themaximumpensionva¡ies liom C$454.44to C$897.54a week,
420 hoursto 700 hoursofcoveredemploymentduringthe last
accordingto province.Someprovincesprovidelump-sum yea¡ dependingon the unemploymentrate ofthe regjon.
payments.
The insuredmustbe registered,abie,willing, andavailableto
Partialdisability: The pensionis in proportionto thc full
work afldunableto oblainsuilableomployment,or unableto
benefitaacordingto the assessed degreeof loss of €arning
work becauseofsickness,matemity,or providingparental
capacity(in someaases,the pensionis aonverledto a lump
care.
sum ifthc assessed dcgrceofloss is l0% or lcss).
Ifunemploymentis due eitherto voluntaryleavingwithoutjust
causeor to misconducl,the disqualificationis indefiniteand
Workers' Med¡caI Benefits appliosuntil the i¡su¡cd rcqualificsfo¡ the benefit.
Benefitsin all provincesincludemedical,surgical.nursing,and In the eventof rel'usalofa suitableoffer ofemploymentor
hospitalservices;medicines;and appliances, failureto undergotraining,the insutedis disqualifiedfbr
bstween7 and l2 weeks;ifunemploymentis ducto a labor
Survivor Benefits dispute,imprisonment,or residenceoutsideofCanada,the
insuredis disqualifiedfbr as lo¡g asthe conditionexists.
Surv¡vor pens¡on; The pensionvaricsaccordingto province.
The pensionis payableto a widow(er).
Unemployment Benafits
Ofphan's pens¡on: F,ithera monthlyflat-mtepensionset
slightlyhighefthanthat for childrenresidingwith a parentor a 55oloofpreviousaverageinsuredeamings,plusa family
perccntage ofthe insured'swages,accordingto province, supplementfor low-incomeandmodest-incomc eamerswith
dependentchildren. The supplemenlis awardedfor annual
Oth€r dependents(lf no spouse or orphan): Areasonable
incomelessthanC$25,921.The benefitis payableaftera 2-
sum in proportionto the lossofincome,
rveckwaiting periodfor up to 45 wcaksdependingon the
Funeralgrant: The grantvariesaccofdingto province,

SSPTW:The Amer¡cas,2003 r 59
claimant'semploymenthistoryandregionalunemployment
Íates.
'I hemaximumweeklybenefitis C$413.

A dmi ni strative Org an izati on


HumanResou¡c{js DevelopmentCanada,throughits region¿l
the program.
andlocalofiices,administers
CanadaCustomsandRevenueAgency is responsiblefor
collectingcontributions.

Family Allowances
RegulatoryFramework
Firstlawi 1944.
Currentlawi 1998.
Type of program: Socialassistance
system.

Coverage
All residents.

.Sourceof Funds
person:
Insured None.
EmployeriNone.
Governmgnti Total cost.

Qualifying Conditions
A child mustbe underage l8 anda residentof Canadafor
lnoometax purposes.

Family Ailowance Benefits


Child tax benefit (income-tested):The benefitis delivered
throughthe incometax system.
'lhe ma,rimumannualbenefitis C$2,632for thefirstchild,
C$2,423fo¡ thesecondchild,andC$2,427for thethi¡d and
subsequentchildren.
Additionalincone-testedbenefit: For childrenunderage7, up
lo a maximumofc$232 a year.
llenefitsarepaidmonthlyandarebasedoü total family income
duringthe prcviousyear.

A dmi ni strctive Organ ízati on


CanadaCustomsandRevenueAge¡cy administersthe
programin all ofCanadaexcept
Quebec.
QuebecPensionBoardadministersthe programin Quebec.

Americas,
60 . SSPTW:The 2003
Mex¡co

Guaranteed minimumpension:Age 65 with 1,250weeksof


contributionsandlhe pensionis lessthan the minimum
penslon.
Disab¡l¡typension:The insuredhas 150wceksof
contributionsand an assessed
degreeofdisability of75% or
nrore.
Old Age,Disability, and Survivors surv¡votpens¡on:The insu¡edwas receivinga disability
pensionor had 150weeksof contributionsat thc time of death.
Regulatory Framework The deathmust not be the ¡esultofan occupationalinjury.
Firstlawi 1943. Social¡nsurance
Currentlawsi 1973;l99l; 1992(complernentarymandatory Old-agepension:Age ó5 rvith 500 weeksofcontributions.
retirementsavings);and 1995(nandatorypdvale insurance),
implemcnted in 1997. Earlypension:Age 60 with 500 weeksofcontributions.
Retirementfrom coveredemploymentis required.
Type of programi Socialinsuranceand privat€insurance
system. In the absenceof a reciprooalagreement,the pensionis
payableabroadfor 2 ycals only.
Note:As of Julyl, 1997.allworkercmustjointheprivate
insurancesystem,and the socialinsurancesyst€mis being D¡sabilitypension:500¿reductionin normalearningcapacity
phasedout. Therealc no contributorsto thc socialinsur¿ncc with I 50 weeksof contributions.The insurednay continueto
system.At reti¡ement,employeescoveredby the social work in a differertjob.
insuranc€systembeforg1997canchooseto ¡eceivebenefils SuNivorpens¡on:-fhe insuredwas a pensionerol had
from eithe¡thc socialinsurancesystemor thrj p vate insurance 150weeksofcont¡ibutiors at the time ofdeath.
sysrcm. Funeralgrant: Twclvc wccksofconhibutions in thc Iast
9 monthsor a pensionefat the time ofdeath.
Coverage
Pr¡vateinsurance: workersente¡ingthe laborforceon or OId-Age Benefits
^ll
aftcrJanuaryl, 1997. Old"agepension
Voluntaryaovaragcis to bc madepossible. Púvate¡nsunnce: The benefitis basedon the valueof
Socialirisurance:Employees andmembers ofproducers'. accumulated capitalplus accruedint€rest.At retirement,the
u'ho rveretirst
agricultural,andcreditunion cooperatives insuredcaneitherpurchasean annuityor makeprogrammed
coveredbefore1997. r,vithdrawals
basedo¡ life expectancy.
Specialsystemsforpetroleumworkcrs,public-scctor Guaranteed minimumpension:'Ihe gua¡anteed mininum
employees,andthemilitary. pensionis equalto the minimumsalaryin July 1997indexedto
prices.
Sourceof Funds Soc¡al¡nsurcnce:3570of average€amingsdudng the lasl
250 weeksof contributions,plus 1.257oofcarningsfor cvery
Insuredperson: L 125%ofearningstbr old-agebenefits; year ofcontributionsbeyond500lveeks. The pensionis
0.625%for disabilityandsurv'ivorbenefits. increasedby l5yo ifthe¡e arc no dependents.
Employer:3.15%ofpayroll;1.75%for disabilityandsurvivor Dependents' supplements:l5oá ofthe insured'spensionfor a
ben€fits, wife and l0% ofthc insurcd'spensionfor cachchild undcr
Gover¡ montr A sumequalto I 0.14olo ofthe total employ€r age l6 (age25 if a student,no lim it if disabled).In theabsence
contributionsfor the old-agepeflsionplus a flat-rat€amountto of awife or children,10%for eachdependentparent.
financetheguaranteed minimumpension. Theminimun pensionis 100%ofthe minimümsalaryin Mexico
City (1.309.50NPin Janua¡y2003).
Qualifying Condit¡ons The maximumpensionis 100%of earningswith at least
Private insufancé 2,000weeksof contributions.
Old-agepens¡on:Age 65 with 1,250weeksofcontributions. Christmasbonus: One month'spension.
Early pension:Age 60 or older,no longeremployed,and Ben€fi1adjustment:Pensionsare adjustedaccordingto
1,250weeklyconfibutionsj!vi1hlessthan 1,250weekly changesinthe minimumwage.
contribütions,a lump sum is paid.
thii pcnsionis
ln tho abscnceofa ¡eciprocalagreement,
payableabroadfbr 2 yearsonly.

108r SSPTW:The 2003


Amer¡cas,
Mexico

Permanent DisabiIity Benefits Theminimumpensionis equalto 100%oftheminimumsalary


in MexicoCity (1,309.50NP in lanuary2003).
Disab¡litypension
'fhe ma,rimumsurvivorpensionis 1007oofthe insured's
Private¡nsurance:357oofaverageearningsin the last p€nsion.
500 weeksofcont¡ibutions,plusfamily allowancesequalto
l5% ofthe pension. Funeralgrant: A lump sum equalto tlvo timcsthc monthly
salary.
Bcnefitadjustment:Pensionsare indexedto changesin thc
nationalconsum€rpriaeindex. Benefitadjustment:Pensionsare adjustedaccordingto
changesin lhe minimumwage.
Social¡nsurance:35yoofaverageeamingsduring the last
250 weeksofcontributions,plüs 1.25%ofeamingsfor every
yeff ofcontributionsbeyond500 rveeks.The pensionis A dmi n i slrative Org an iz ation
increasedby lsyo ifther€ are no dependents. Private insurance: SocialInsu¡ancclnstituteadministersthe
allowance:20oloof the insured'spension.
Constant-attendance prcgram.
Dependents' supplements:lsyo ofthe insured'spensionfbr a NationalCommissionfor the RetirementSavingsSystem
wife and 10%ofthe insured'spensionfor eachchild unde¡ (CONSAR)superv'isesthe pensionfund management
age 16(age25 ifa student,no limit ifdisabled). ln the absence companies(AFORES).
ofa wife or children,l0% lbr eachdependentparent. Social insurance: SocialInsüanceInstituteadministersthe
Theninimum pensionis 100%ofthe minimumsalaryin Mexico p¡ogramthroughregionalandlocal boardsin areasto which
City (1,309.50
NP in January2003). coverageis extended.
The maximumponsionis 100%ofeamingswith at least SociallnsuranceInstituteis man¿gedby ¿ generalassenbly,
2.000weeksof contributions. technicalcounoil,oversightcommission,anda director
general.
Christmasbonus: One month'spension.
Benefitadjustment:Pensionsare adjustedaccordingto
changesin the minimumwage. $ickness and Maternity
Regulatory Framework
Survivor Benefits
Firsttaw: 1943.
Sr¡rvivorpgnsion
Currentlaw: 1995,inplementedin 1997.
Pr¡vateinsurance:90% ofthe valueofthc privateinsurance
disabilitypension,The pensionis payableto a widow or a Type of pfogram: Socialinsurancesystem.Cashand$edical
dependent disabledwidorver. benelits.
a
Remaniagesettlement:Ifawidow remaries,shereceives
linal lump-sumpaymenlequalto 3 years'pension. Coverage
Orphan'spens¡on:20oloofthe insured'spensionfor each Employces;membersof produoers',agricultuml,andcredit
orphanunderage l6 (age25 ila studett,no limit ifdisabled); pensioners:
unioncooperatives: and dependents.
30% ifa full orphan.Orphansalsoreceivca final benefitequal
to 3 monthsofthe insured'spension.
Source af Funds
Other et¡g¡blesuN¡vorE(in the absence of the above): 20yo ot
the insured'spensionfor eacheligihlesurvivor' Insurgdperson

B€nefitadjustment;Pensionsare indexedto changesin the cash benef¡ts:0.25%ofthe bascsalary.


nationalconsumcrpriocindex. Med¡catbenef¡ts:Nonc, excaptwhen earningsars grcaterthan
threetimestheminimumwageinMexico City.
Soc¡al¡nsurance:90% ofthc pcnsionpaid or acc¡uedto the
insured.The pensionis payableto a widow or a dependent Employer
disabledwidower.
cash benefits:0.7% ofthe basesalary.
Remarriage seülement:Ifawidow rcmanies,shereceivesa
final lump-sumpaymcntequalto 3 years'pension. Medícalbenef¡ts:Af'latraieof 17.15%oftheminimum wagein
Mexico Cjty per employee(plusan additionalamountfor each
Oryhan'spension:20olo ofthe insured'spensionlor each
cmployeeeamingmorethanthrectimestheminimumwagein
orphanunderage l6 (age25 ifa student,no limit ifdisabled); MexicoCify).
30% ifa full orphan.Orphansalsoreceivea final benefitequal
to 3 monthsofth€ insurcd'spension. Government
Other eligible survivots (¡n the absenceof the above): 20yoaf cash benef¡ts:0.05%ofthe basesalaxy.
theinsured's pensionfor eacheligiblesurvivor,
olthe minimumwagcin MexicoCity.
Medicalbenefits:13.9olo
Christmasbonus: One month'spension.

2003. 109
SSPTW:TheAmer¡cas,
Mexico

The minimumeamingsfor contributionandbenefitpurposes Administñtive Org anization


are100%oftheminimumwagcin theregion.
SocialInsurancelnstituteadministersthe prog|amthrough
'Ihe maximumea¡ningsfor contdbutionandbenefitpurposes
regionaland localboa¡ds.
a¡c25 timestheminimumwageinMexico City.
SocialInsuranceInstituteoperatesits own hospitals,clinics,
pharmacies,andothermedicalfacilitiesandalsocontractsfor
Qualifying Conditions the useofsome facilities.
Cash s¡cknessbenef¡ts: FouI w€eksofcontributions
immedialelybeforethe onsetofillness; fo¡ casualworkers, Worklnjury
6 wseksofaontributionsdud¡g the last4 months.
Cash mater¡¡ty benef¡ts: Thirty lvceksofcontributiors Regulatory Framework
duringthe last l2 months. Fi rsl l aw :1943.
a pensioner.
Med¡calbenefits:Currentl5insured. or an Currentlaw: 1995,implcmentsdin 1997.
eligibledependent.
Type of progfam: Socialinsuranacsystcm.

Sicknessand Matern,ty Benefits


Coverage
Sickness benefit: 600¿of averageeamings,payableaftera 3-
daywaiting periodfor up to 52 lveeks;may be extendedin Insuredworkers.
somecasesto 78 weeks.
Theminimumbenefitis 600¿ofthe minimumsalary. Sourceof Funds
'I'hemaximunbenefitis 60%of eanings. Insuredperson;None.
Maternitybenefit: 10070ofaverageeamings,payablefor Employer: 'Ibtal cost; cont¡ibulionsvary accordingto the
42 daysbeforeand42 daysafterthe expecteddateof total salarybaseandthe assessed
degreeofrisk.
childbirth. (lfunable to work 42 daysalter childbirth,the Government: None.
rnotheris eligiblefor acashsicknessbenefil.)
Nursingallowance:Assistancein kind, payablefor up to Qualifying Conditions
6 monthsafter childbi¡th.
for the newborn)is
qualirying
Workinjurybenef¡ts;Thereisnominimum period.
A layette(clothingand othernecessities
also fumished.
Fu¡eral grant: 'Iwo mo¡ths'minimumwagein MexicoCity.
Temporary Disa bility Benefits
Temporarydisabilily beñefit: 100%ofaverageearningsis
Workers'MedicalBe nefits payablefrom the fiISt day ofdisability until the inswedis fully
recoveredo¡ declaredpermanentlydisabled.
Medicalservicesarenormallyp|ovideddirectlyto pationts
Themaximumbenefitis 25 timestheminimumwagein Mexico
th¡oughthe healtbf'acilitiesofthe SocialInsuranceInstitute.
Citv.
Benefitsincludegeneralandspecialistcare,surgery,matemity
o¡ carein a oonvalcscent
care,hospitalization home,medicines, ofaveragccarningsin
Occupationald¡seasebenefit: 100o/o
laboratoryservioes,dentalcare,and appliances.Benefitsafe the last52 weeks,
payablefor 52 weeks;may be extendedin somecases10
104weeks. Permanent D isability Benefits
permanentd¡sab¡l¡typens¡on; 7070of eamings,if assessed
Dependents'MedicaI Benefits as100%disabled.
Medicalserviccsa¡cnormallyprovideddirectlyto patients Partialdisability: A pensionin p¡oportionto the assessed
tbroughthe healthfacilitiesoflthe SocialInsuranceInstitute. degreeofdisability is paid when the assessed degreeof
Benefitsincludegeneralandspecialistcare,surgery,matemily disabilityis geater tha¡ 50%. Ifthe assessed degreeof
carc,hospitalizationo¡ ca¡ein aco¡valescenthome,mcdicines, disabilityis 25% of less,the pensionis paid asa lump sum
laboratoryservices,dentalcare,andappliances.Belr€fitsare equalto 5 years' pension.lfthe assessed degee ofdisability
payablefor 52 weeks;may b€ exte¡dedin somecasesto is between26% and 50%,the pensionis pajd asa peÍae¡tage
104weeks.Thc wife ofan insurcdmanalsorcceivespostnatal of the full pensionin p¡opofion to the assessed degreeof
benetitsin kind. Medicalservicesare providedlbr dependent disabilityor asa lump sum.
childrenup to age l6 (age25 if a student,no limit if disabled).
Christmasbonus: A supplementequalto l5 days'pensjonis
degreeofdisability is gr€aterthan5070.
paid ifthe assessed

1'10. SSPTW:The 2003


Americas,
Mexico
Benefitadjustment:The pensionis adjustedat the sametime Coverage
as,andin the sane proporlionto, changesin the minimum
!vagc. Child carei Dependentchildrenofcoveredrvomen,widotvers,
or divo¡cedwo¡kingmen.
Social benefitsi Residents.
Workers' MedicaI Benefits
Family assiatance: Personsassessed
as needy.
Benefitsincludefull medical,surgical,andhospitalcare;
medicines;rehabilitation;andappliances.
Sourceof Funds
Survivar Benefits Insuredperson:None.

Survivorpensioni 40% ofthe insured'stofal disability Employer:l% of payroll.


pcnsionis payableto a widow or a dependentdisabled Governmenl:Nonc.
widowe¡,
Remaniagesettlement:Ifawidow remar¡ies,shereceivesa Qualifying Conditions
linal lump-sumsettlementequalto 3 yearc'pension.
Child ca.e: The parent;s in coveredemployment;may be
Orphan'spension: 20olooft}le insu¡ed'spensionfor cach extendedfor up to 4 weeksafterleavingemployment.'fhe
orphan(30%ifa full orphan)underage l6 (age25 ifa student, child must bc aged43 daysbut no olderthanage4.
no limit ifdisabled). Orphansreceivea final benefitequalto
Social benef¡tsi Resident.
3 moflthsofthe insurcd'spension.
(in théabsenceoflhe above):20% Fam¡lyassistánce: Assessedas needy.
Otherelig¡blesurvivo¡s
of the insured'spension,
Theminimumpensionis 100%oftheminimumrvagein Mexico Fam¡ly Al Iowance Beneffs
City. Ch¡ld care; The provisionofichild day caret'acilities.
'l'hemaximumpensionis l00o/oofthe irsu¡ed'slotal disability
Social benelits: Preventivebealthcare.
pension,
Fam¡ly assista¡ce: Means-testedcashbenefits.
Christmasbonus: A supplementequalto 15 days'pension.
Fun€¡algranl: Two months'minimumwagein MexicoCity. Adm i n istrative Organ ization
Benefitadjustment:Pensionsare adjustedaccordingto
SocialInsurancelnstituteadministersthe program.
changesin theminimum\,vage
in Mexico City.

Admini strative Organization


Sociallnsurancelnstitut€administersconl¡ibuxionsand
benefitsthroughregionaland local boa¡ds.

Unemployment
Regulatory Framework
Labor law requiresemploycrsto pay dismissedemployeesa
lump sumequalto 3 months'pay plus 20 days'pay for each
yearofservice,
Socialsecurilypaysan unemploymentbenefitofbetween75%
and 95% ofthe old-agepensionfor unemployedpersons
aged60 to 64 (thebenefitis paid underOldAge, Disability,and
Sun ivors).

Family Allowances

RegulatoryFramework
F ¡ r s llaw: 1973 .
Currentlaw: 1995,implemented
ir 1997.
Typ€ of programi Socialinsumncesystem.

2003. 111
SSPTW:TheAmericas,

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