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Súdny dvor Európskej únie·Rozsudok·9.12.1982

C-76/82

ECLI:EU:C:1982:424

Súd
Súdny dvor Európskej únie
IČS
61982CJ0076

JUDGMENT OF 9. 12. 1982 — CASE 76/82

In C a s e 7 6 / 8 2

R E F E R E N C E to the C o u r t u n d e r Article 177 of the E E C T r e a t y by the T r i b u n a l du Travail [ L a b o u r T r i b u n a l ] , C h a r l e r o i , for a preliminary ruling in t h e action p e n d i n g before t h a t c o u r t between

SALVATORE MALFITANO, residing at Licata, Italy,

and

INSTITUT N A T I O N A L D·ASSURANCE M A L A D I E - I N V A L I D I T É , Brussels,

o n the interpretation of Article 4 8 (1) of Regulation N o 1408/71 (Official J o u r n a l , English Special Edition 1971 (II), p. 416),

T H E C O U R T (Third Chamber)

c o m p o s e d of: U . Everling, President of C h a m b e r , Lord M a c k e n z i e Stuart a n d Y. G a l m o t , J u d g e s ,

Advocate General: P. VerLoren van Themaat R e g i s t r a r : H . A. R ü h i , Principal A d m i n i s t r a t o r

gives t h e following

JUDGMENT

Facts and Issues

I — Facts and written procedure in all, at the rate of six working days per week, that is to say, a period more than six months but less than one year. Salvatore Malfitano, the plaintiff in the main action, worked in Belgium in 1955 After 1956 Mr Malfitano was employed and 1956. The insurance periods relating in various posu in the Federal Republic to that employment amount to 233 days of Germany and then in Italy where he

MALFITANO v INAMI

finally gave up work altogether on 31 plementation of Article 66 (1) of the December 1974. basic Law of 9 August 1963.

The plaintiff in the main action made an 2. The question arises whether, in the application on 24 July 1971 seeking the event of a failure to fulfil the second grant of an invalidity pension in condition contained in Article 48 (1) accordance with the Belgian scheme of . . . , the institution of the State of invalidity insurance. On 2 May 1977, temporary insurance is obliged to relying on Article 48 (1) of Regulation grant pro rata benefits in respect of No 1408/71, the Institut National that period of insurance." d'Assurance Maladie-Invalidité [National Sickness and Invalidity Insurance Institution] (hereinafter referred to as It was against that background that the "the Belgian Institution") refused to Tribunal du Travail considered it grant such a pension since the total necessary to refer to the Court of Justice duration of the periods during which Mr the following preliminary question: Malfitano was affiliated to the Belgian sickness and invalidity insurance scheme "In view of the fact that Belgian was less than one year. legislation relating to compulsory insurance against sickness and invalidity does not make residence a sufficient On 12 June 1979 Mr Malfitano brought condition for the grant of benefits or for an action before the Tribunal du Travail, qualification for that purpose, does Charleroi, against that refusal to grant Article 48 (1) of Regulation No 1408/71 him the pension requested. mean that, where a period of insurance or residence in Belgium amounts to less By an interlocutory judgment of 14 than one year but entitlement to benefits September 1981 the Tribunal du Travail is acquired by completion of the required declared that in its opinion Article 48 (1) qualifying period, the competent insti- of Regulation No 1408/71 set two cumu- tution is bound to grant benefits in lative conditions for the acquisition of a respect of the said period of insurance or right to benefits: a period of insurance or residence?" residence of one year and the completion of the qualifying period laid down by the The order for reference was lodged at applicable legislation. It ordered the the Court Registry on 23 February 1982. reopening of the oral procedure to enable the Belgian Institution to present In pursuance of Article 20 of the argument on that point. Protocol on the Statute of the Court of Justice of the EEC written observations In a second judgment given on 8 were submitted by D. Rossini, a trade- February 1982 the Tribunal du Travail, union representative of the Confédé- Charleroi, observed that: ration des Syndicats Chrétiens [Confederation of Christian Trade "1. Under Belgian law relating to Unions] and director of the welfare compulsory insurance, residence organization Patronato ACLI, on behalf does not constitute a sufficient of Mr Malfitano, the plaintiff in the condition for entitlement to benefits main action, by Lucien Mayence, of the or qualification for that purpose; a Charleroi Bar, on behalf of the Institut qualifying period is required as National d'Assurance Maladie-Invalidité, defined by Article 204 of the Arrêté and by Jean Amphoux, Legal Adviser, Royal [Royal Decree] of 4 acting as Agent, assisted by Georges November 1963, issued in im- Vandersanden of the Brussels Bar, on

JUDGMENT OF 9: 12. 1982 — CASE 76/82

behalf of the Commission of the from the general sickness and invalidity European Communities. insurance scheme, Article 48 of Regu- lation No 1408/71 cannot have the effect of depriving him of the benefit of Upon hearing the repon of the Judge- a proportional invalidity pension from Rapporteur and the views of the the Belgian Institution. Advocate General, the Court decided to open the oral procedure without any preparatory inquiry and to assign the The applicant proposes that the case to the Third Chamber. following reply should be given to the preliminary question submitted to the Court by the Tribunal du Travail, Charleroi: II — Summary of the obser- vations submitted to the "Article 48 (1) of Regulation Nò Court 1408/71 is not applicable where the migrant worker has completed on the territory of one Member Sute the (A) — Mr Malfitano states that refer- minimum period of insurance laid down ence to the length of periods of residence by the legislation of that State for the is not justified under Belgian law. acquisition of the right to a benefit." Belgian benefits, be they for invalidity or old age, are granted in accordance with insurance periods actually completed or (B) — The Belgian Institution recalls periods treated as such and not in that the reference to periods of residence accordance with periods of residence. stems from an amendment-to Regulation. Article 48 (1) applies only when the two No 1408/71 made following the conditions referred to therein are accession to the Community of new satisfied, namely where (a) the total Member States including Denmark and, length of the insurance periods to a lesser extent, the United Kingdom, completed under the legislation of a where the right to certain benefits is Member State amounts to less than one acquired by any resident on the territory year and (b) no right to benefits is of that State irrespective of any acquired by virtue only of those periods employment or payment of contributions under the provisions of the legislation of to the insurance scheme. that State.

On the other hand in Belgium residence Belgian law provides that the right to has never constituted a sufficient benefits from the general sickness and condition for the grant of benefits. It invalidity insurance scheme' is acquired therefore appears beyond dispute that after completion of a qualifying period the expression "periods of residence" of 120 actual working days or days cannot apply to the examination of rights treated as such over a period of six to benefits from the Belgian sickness and months. invalidity insurance scheme.

Since Mr Malfitano had completed the It is clear from the wording of Article minimum length of' insurance provided 48 (1) that the second condition is for by· Belgian law (six months) needed limited to a right acquired by virtue only for the acquisition of the right to benefits' of insurance periods completed in

MALFITANO v INAMI

Belgium and does not refer to rights applied by that institution so provides — acquired by way of aggregation. mentioned in Article 48 (1) of that regu- lation, namely a period of less than one year, only where a right to those benefits exists by virtue of national law alone." As regards the question whether the qualifying period completed at the time by the worker in Belgium does not preclude the application of Article 48 (1), it should be remembered that under (C) — The Commission recalls the clear Belgian law it is at the time when the and precise interpretation of Article risk insured against materializes that an 48 (1) which was given by the Court in examination has to be carried out as to its judgment of 20 November 1975 in whether the conditions determining the Case 49/75 Camilla Borelia v Lan- acquisition of the right are satisfied. In desversichemngsanstalt Schwaben [1975] particular, in the six months preceding ECR 1461. At paragraph 5 of that the materialization of the risk, the judgment the Court declared that: worker must have completed an "Under the actual terms of Article 48 (1) insurance period during which he can the latter only applies where two prove at least 120 working days or days conditions are fulfilled, that is, first, that treated as such and he must not have lost 'the toul length of insurance periods . . . the sums of being compulsorily insured does not amount to one year' and, within the meaning of Belgian legislation secondly, under the legislation of that for more than one month at the time of Member State 'no right to benefits is the beginning of the incapacity. acquired by virtue only of those periods'. It follows that this article cannot be applied where the right to benefits of a migrant worker . . . already arises solely from the provisions of the legislation of The Belgian Institution notes the the Member State in question." insurance periods completed by Mr Malfitano in Belgium and concludes that whilst Mr Malfitano did indeed complete the qualifying period required at the beginning of the period when he was It is undisputed, and the court making subject to Belgian legislation, even before the reference emphasized that point in its leaving Belgium he was unable to observations and in the preliminary preserve his acquired rights. question, that under Belgian law residence does not constitute a condition for the acquisition of a right to benefits or for qualification for that purpose. The Belgian Institution proposes that the following reply should be given to the preliminary question: In the context of Article 48(1) the concept of periods of residence refers only to those periods the completion of "With the exception of the situation which is a condition for the grant of mentioned in Anicie 38 (3) of Regu- benefits or enables qualification for that lation No 1408/71, the competent purpose to be acquired. In so far as a institution is obliged to grant benefits by period of residence cannot perform that virtue of an insurance period — or function under Belgian law, there is period of residence if the legislation therefore no need to take account of

JUDGMENT OF 9. 12. I»82 — CASE 76/82

it for the purpose of applying even if the length of those periods is less Article 48 (1). than one year." Moreover the wording of Article 48 (1) is perfectly clear. The Commission suggests that the following reply should III — Oral procedure be given to the question referred to the Court by the Tribunal du Travail: At the sitting on 14 October 1982 oral "For the purpose of applying Article argument was presented by the 48 (1) of Regulation No 1408/71, following: D. Rossini, trade union account is to be taken of the length of represenutive of the Confédération des residence in a Member Sute only where Syndicats Chrétiens and Director of the the legislation of that State makes welfare organization Patronato ACLI, entitlement to benefits subject to the Brussels, for the plaintiff in the main completion of periods of residence. action; Lucien Mayence of the Charleroi Where, under the legislation of a Bar for the Belgian Institution; and Member State which makes the right to J. Amphoux, acting as Agent and assisted benefits subject to the completion of by G. Vandersanden of the Brussels Bar, insurance periods, such a right is for the Commission. acquired on the basis solely of the insurance periods completed under that The Advocate General delivered his legislation, the institution of that opinion at the sitting on 28 October Member Sute is bound to grant benefits, 1982.

Decision

1 By an interlocutory judgment of 8 February 1982 which was received at the Court on 23 February 1982 the Tribunal du Travail [Labour Tribunal], Charleroi, referred to the Court for a preliminary ruling under Article 177 of the EEC Treaty a question as to the interpretation of Article 48 (1) of Regu- lation N o 1408/71.

2 The question arose in the course of a dispute between an Italian national, now living in Italy, and the Institut National d'Assurance Maladie-Invalidité [National Sickness and Invalidity Insurance Institution (hereinafter referred to as "the Belgian Institution")], the competent institution in Belgium for sickness and invalidity insurance. The plaintiff in the main action, who was declared unfit for work and is in receipt of allowances under the Italian scheme, claims an apportioned invalidity pension under the Belgian scheme. His application for such a pension was refused because the total duration of the periods during which Mr Malfitano was affiliated to the Belgian sickness and invalidity insurance scheme was less than one year, the period specified by Article 48 (1) of the above-mentioned regulation.

MALFITANO v INAMI

3 Mr Malfitano challenged the refusal to pay him a pension before the Tribunal du Travail, Charleroi. By an interlocutory judgment the tribunal declared that the above-mentioned article set two cumulative conditions for the acquisition of a right to benefits: one year's insurance or residence, and completion of the qualifying period laid down by the applicable legislation. It was in some doubt as to the meaning of the condition of residence imposed under the Belgian system and ordered the re-opening of the oral procedure to enable the Belgian Institution to present argument on that point.

4 Subsequendy, the Tribunal du Travail decided to stay the proceedings and refer to the Court for a preliminary ruling the following question :

"In view of the fact that Belgian legislation relating to compulsory insurance against sickness and invalidity does not make residence a sufficient condition for the grant of benefits or for qualification for that purpose, does Article 48 (1) of Regulation No 1408/71 mean that, where a period of insurance or residence in Belgium amounts to less than one year but entitlement to benefits is acquired by completion of the required qualifying period, the competent institution is bound to grant benefits in respect of the said period of insurance or residence?"

5 The question has two aspects which fall to be considered separately. In the first place, the Tribunal du Travail asks how relevant the concept of periods of residence is to the decision it is called upon to deliver.

6 In reply to that part of the question it must be observed that the concept of "period of residence" was introduced into Regulation No 1408/71 on the accession to the European Communities of certain Member States in which the sickness insurance scheme makes the grant and the amount of benefit subject to the completion of periods of residence. The concept is applicable only in the case of schemes under which the completion of such periods is a condition for the grant of benefits or is a condition of eligibility to receive them. It is well-established that under Belgian law residence is neither a condition of entitlement to receive benefits nor a condition of eligibility. Inasmuch as a period of residence cannot have that function under Belgian legislation it is not necessary to have regard to that condition in applying Article 48 (1).

JUDGMENT OF 9. 12. 1982 — CASE 76/82

7 The second pan of the question concerns the interpretation of the paragraph cited above in the case of a worker who, as in this case, has not completed one year's insurance or residence, but who nevertheless has completed the qualifying period required by national law for entitlement to benefits.

8 Anicie 48 ) provides that the competent institution of a Member State is not bou/ .. .o award invalidity benefits to a migrant worker when two conditions ire satisfied, the conditions being hat the total length of the periods oí insurance completed under the legislation of a Member State does not amount to one year, and that under that legislation no right to benefit is acquired by virtue only of those periods.

9 It is common ground that the total duration of the per >f insurance completed by Mr Malfitano under Belgian legislation is le n one year. Accordingly, it is for the Tribunal du Travail to a- in whether Mr Malfitano is entitled to benefits by virtue of the Belgian ¡. .slation: if he is, the competent institution is bound to award him benefits calculated in accordance with the regulation.

io As to that, the Belgian Institution has submitted that whether or not a worker is entitled to benefits by virtue of the Belgian legislation is a question which must be determined at the time at which the risk materialized. In particular, it argues that the worker must, within the six months preceding the materialization of the risk, have completed a period of insurance within which he can show that he worked, or is deemed to have worked, at least 120 days, and must not have ceased to be a person compulsorily insured within the meaning of the Belgian legislation for a period of more than one month prior to the date on which he became unfit for work. Mr Malfitano, it submits, did satisfy those conditions once, but ceased to satisfy them even prior to his departure from Belgium owing to the fact that there wa?a period during which he was not insured.

MALFITANO v INAMI

M It is not for the Court of Justice to interpret national legislation or to apply it to an individual case. In order to give a useful reply to the question put by the national court, which must determine whether or not Mr Malfitano is entitled to invalidity benefits within the meaning of the regulation, the Court must make it clear that the argument put forward by the Belgian Institution is contrary to the spirit of Regulation No 1408/71, which seeks to implement Article 51 of the EEC Treaty by introducing a system guaranteeing the migrant worker that any period of insurance completed under the legislation of more than one country will be taken into account for the purposes of eligibility, and the maintenance of eligibility, for benefits as well as for the calculation for such benefits.

12 The system of apportionment under Regulation No 1408/71 is designed to ensure that when migrant workers exercise the right of free movement within the Community they do not forfeit entitlement as a result of the disparities between the different social security schemes of the Member States.

i3 If the migrant worker has completed the minimum period of insurance required for eligibility, it would be contrary to the aims of Article 51 of the Treaty for a national administration to refuse benefits on the ground that the worker was no longer insured under the national legislation of that Member State when he exercised his right of free movement within the common market.

n Accordingly, the concept of a right to benefit under Article 48 (1) must be understood as including the rights of a worker under an insurance scheme under which the obligations of the insurer do not arise until the risk materi- alizes. Once such a right has been acquired under the conditions laid down by the national law, the worker may, pursuant to Regulation No 1408/71, continue to benefit from the taking into consideration of periods of insurance completed under such a system even if national legislation no longer grants him such rights at the time at which the risk materializes.

JUDGMENT OF ». 12. 1982 — CASE 76/82

15 Consequently, in order to establish whether a worker is entitled to benefits under the Belgian legislation within the meaning of Regulation N o 1408/71, the Tribunal du Travail must ascertain whether he has completed the qualifying period specified by that legislation.

Costs

16 The costs incurred by the Commission, which has submitted observations to the Court, are not recoverable. As the proceedings are, in so far as the parties to the main action are concerned, in the nature of a step in the action before the national court, the decision as to costs is a matter for that court.

On those grounds,

T H E C O U R T (Third Chamber)

in answer to the question referred to it by the Tribunal du Travail, Charleroi, by an interlocutory judgment of 8 February 1982, hereby rules:

1. For the purposes of Amele 48 (1) of Regulation No 1408/71, the duration of residence in a Member State is to be taken into account only if the legislation of that Member Sute makes the completion of periods of residence a condition for entitlement to invalidity benefit.

2. Article 48 (1) of Regulation No 1408/71 is to be interpreted as meaning that even if the worker has not completed a period of insurance of one year, the competent institution of a Member State is bound to award him invalidity benefits if the worker has completed the minimum qualifying period specified as a condition for eligibility by national law.

MALFTTANO v INAMI

3. If the worker has completed the minimum qualifying period the competent institution may not refuse him benefit on the ground that a provision in national law makes the right to benefit dependent upon the worker's being insured in that Member State at the time at which the risk materializes.

Everling M a c k e n z i e Stuart Galmot

Delivered in open court in L u x e m b o u r g o n 9 D e c e m b e r 1982.

For the Registrar H. A. Rühi U . Everling

Principal Administrator President of the Third Chamber

OPINION OF MR ADVOCATE GENERAL VERLOREN VAN THEMAAT DELIVERED ON 28 OCTOBER 1982 *

Mr President, Admittedly, that number appears to be Members of the Court, not wholly uncontested, but it is not disputed that the total number of days of insurance amounts to less than one year. 1. T h e p r i n c i p a l facts The Koninklijke Besluit [Royal Decree] of 21 December 1963 provides that an Mr Malfitano, who lives in Italy, worked insurance year is to be equivalent to 312 in Belgium in 1955 and 1956 as a miner. days. After 1956 Mr Malfitano worked He was insured there in that capacity in Germany and later returned to Italy, against sickness and invalidity. The court where according to the information of reference, the Tribunal du Travail supplied by the Institut National [Labour Tribunal], Charleroi, calculates d'Assurance Maladie-Invalidité [National the number of days of insurance Sickness and Invalidity Insurance completed during that period as 233. Institution (hereinafter referred to as

I — Translated from the Dutch

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Rozsudok C-76/82 – Súdny dvor Európskej únie | AI Pravnik