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Súdny dvor Európskej únie·23.3.2000

C-73/99

ECLI:EU:C:2000:161

Súd
Súdny dvor Európskej únie
IČS
61999CC0073

MOVRIN

OPINION OF ADVOCATE GENERAL JACOBS delivered on 23 March 2000 *

1. This case concerns the compatibility The national legislation with Regulation No 1408/71 1of the refu- sal by the competent authority in Germany (the Landesversicherungsanstalt Westfalen; 'LVA "Westfalen') to pay a subsidy towards 2. The German Sozialgesetzbuch Erstes the contributions to the statutory Nether- Buch (Social Security Code, Book I) pro- lands sickness insurance scheme compulso- vides that subsidies for expenditure on rily paid by the claimant Mr Movrin, a sickness insurance may be claimed as Netherlands national resident in the Neth- statutory pension insurance. 2 The other erlands and in receipt of old-age pensions relevant provisions are in the Sozialgesetz- from both the LVA Westfalen and the buch Fünftes Buch (Social Security Code, competent authority in the Netherlands. Book V, 'SGB V ) , which governs the Under German legislation pensioners com- statutory sickness insurance scheme, and pulsorily or voluntarily affiliated to a the Sozialgesetzbuch Sechstes Buch (Social statutory sickness insurance scheme or Security Code, Book VI, 'SGB VI'), which privately insured with a sickness insurance governs the statutory pension insurance scheme are entitled to such a subsidy except scheme. Their effect may be summarised where they live in another Member State as follows. and are compulsorily insured there in that State's statutory sickness insurance scheme.

3. The German pension insurance institu- tions pay half the sickness insurance con- tributions payable by recipients of a Ger- man pension compulsorily affiliated to the statutory sickness insurance scheme in Germany, even if they live in another * Original language: English. Member State; 3 those contributions are 1 — The latest consolidated version is that published as Part I of calculated on the basis of the amount of Annex A to Council Regulation (EC) No 118/97 of 2 December 1996 amending and updating Regulation pension received from the statutory insur- (EEC) No 1408/71 on the application of social security ance scheme. 4The payment towards the schemes to employed persons, to self-employed persons and to members of their families moving within the Community and Regulation (EEC) No 574/72 laying down the proce- dure for implementing Regulation (EEC) No 1408/71, OJ 1997 L 28, p. 1. Although Regulation No 118/97 2 — Paragraph 23. entered into force after the Landesversicherungsanstalt Westfalen had taken the decision contested in the main 3 — SGB V, Paragraph 249 A. proceedings, the relevant provisions are the same. 4 — SGB V, Paragraph 226.

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contributions is made directly to the sick- lieu of pensions, and payments made by ness insurance institution. 5 In addition the way of reimbursement of contributions'. German pension insurance institutions pay half the sickness insurance contributions payable by recipients of a German pension voluntarily affiliated to the statutory sick- ness insurance scheme in Germany or 5. The first sentence of Article 10(1) of covered by private sickness insurance with Regulation No 1408/71 provides: an undertaking established in Germany or another Member State, even if they live in another Member State; that payment is made directly to the pensioner. 6 I will refer to both types of payment as a subsidy. The German pension insurance institutions pay 'Save as otherwise provided in this Regula- no subsidy however towards payment of tion invalidity, old-age or survivors' cash the sickness insurance contributions pay- benefits, pension for accidents at work or able by the recipient of a German pension occupational diseases and death grants who is resident in another Member State acquired under the legislation of one or where he is compulsorily affiliated to that more Member States shall not be subject to State's statutory sickness insurance scheme. any reduction, modification, suspension, withdrawal or confiscation by reason of the fact that the recipient resides in the territory of a Member State other than that in which the institution responsible for payment is situated.'

Relevant Community legislation

6. Article 27 of Regulation No 1408/71 provides: 4. Article 1(t) of Regulation No 1408/71 provides:

'A pensioner who is entitled to draw pensions under the legislation of two or more Member States, of which one is that 'benefits and pensions means all benefits of the Member State in whose territory he and pensions, including all elements thereof resides and who is entitled to benefits under payable out of public funds, revalorisation the legislation of the latter Member State, increases and supplementary allowances, taking account where appropriate of the subject to the provisions of Title III, as also provisions of Article 18 and Annex VI, lump-sum benefits which may be paid in shall, with the members of his family, receive such benefits from the institution of the place of residence and at the expense 5 — SGB V, Paragraph 255(1). of the institution as though the person 6 — SGB VI, Paragraph 106(1). concerned were a pensioner whose pension

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was payable solely under the legislation of uncertain whether the refusal to grant the the latter Member State.' subsidy was compatible with Community law, referred to this Court the following question:

Facts 'Is European Community law infringed where the defendant refuses to grant a subsidy in respect of the cost of Nether- 7. Mr Movrin, a Netherlands national lands sickness insurance to the plaintiff, resident in the Netherlands, completed who receives a normal old-age pension insurance periods in both the Netherlands from the defendant?' and Germany; he has been entitled to an old-age pension from the Netherlands authorities since 1 August 1995 and from the German authorities since 1 September 1995. Under Netherlands law he is required to pay sickness insurance contributions, calculated by reference to the cumulative amount of his Netherlands and German Analysis pensions. Recipients of a Netherlands pen- sion receive compensation designed to off- set sickness insurance contributions; Mr Movrin receives such compensation but it is calculated by reference to his Netherlands 9. Mr Movrin submits that the subsidy is pension alone. an old-age cash benefit within the meaning of Article 10(1) of Regulation No 1408/71 and must accordingly be exported pursuant to that provision; in similar vein the Commission argues that the subsidy is a 8. In November 1996 Mr Movrin asked the pension supplement within the meaning of LVA Westfalen to pay him the sickness Article 1(t) of Regulation No 1408/71 and insurance subsidy in respect of the propor- therefore subject to Article 10(1). The Ger- tion of his Netherlands sickness insurance man Government however considers that contributions attributable to his German the subsidy is not a 'benefit' within the pension. The LVA Westfalen refused by meaning of Article 1(t) of the Regulation decision of 9 January 1997. After the LVA and is therefore not within the scope of Westfalen had dismissed his objection Article 10(1). The observations of the LVA against that decision, he unsuccessfully Westfalen, on the other hand, are based on brought proceedings before the Sozialger- the premiss that the sickness insurance icht (Social Court), Münster. On appeal, subsidy is a sickness benefit and that the Landessozialgericht (Regional Social Article 27 of Regulation No 1408/71 Court) Nordrhein-Westfalen quashed the accordingly applies, with the result that decision of the Sozialgericht and sent the the German institution has no obligation to case back for rehearing. The Sozialgericht, pay the subsidy.

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10. The essential question is whether the (1)(a)) and old-age benefits (Arti- subsidy is an old-age cash benefit within cle 4(1)(c)). The classification of a benefit the meaning of Article 10(1) of Regulation in a branch of social security is essentially No 1408/71, in which case it will be determined by the characteristics of each payable to Mr Movrin notwithstanding benefit, in particular its purpose and the that he is not resident in Germany. The conditions of its grant. 8 As the Commis- subsidy cannot be within the scope of sion notes, it is clear from the national Article 10(1) unless it falls within the scope legislation that both those factors point to of 'benefits and pensions' defined in Artic- the subsidy's being an element of old-age le 1(t); I will accordingly address that issue pension. The subsidy is granted by the first. pension institutions and is calculated on the basis of the level of sickness insurance contributions, which in turn is based on the pension received. The amount of the sub- sidy accordingly depends on the level of the pension without any discretionary assess- ment by the authorities. Moreover payment of the subsidy is both conditional on entitlement to a pension and payable as of Is the subsidy within Article 1(t)? right to recipients of a pension, again without any discretionary assessment. It is accordingly in the nature of an allowance supplementary to a pension within the meaning of Article 1(t) of the Regulation. 11. In my view, the sickness insurance subsidy, intended to contribute to payment of sickness insurance contributions, is a benefit within the meaning of Article 1(t) of Regulation No 1408/71.

13. The German Government argues that the fact that, at least in the case of a 12. The Court has stated on numerous pensioner compulsorily affiliated to the occasions that a benefit may be regarded German statutory sickness insurance as a social security benefit in so far as it is scheme, the subsidy is paid by the pension granted without any individual and discre- insurance institution not to the pensioner tionary assessment of personal needs to but directly to the sickness insurance insti- recipients on the basis of a legally defined tution means that it cannot constitute a position and provided that it concerns one 'benefit' within the meaning of Article 1(t) of the risks expressly listed in Article 4(1) of Regulation No 1408/71. As the Com- of Regulation No 1408/71. 7 That list mission points out, however, the payment is includes both sickness benefits (Article none the less made for the benefit and

7 — See for example Case C-66/92 Acciardi v Commissie Beroepszaken Administratieve Geschillen in de Provincie 8 — Case 249/83 Hoeckx v Openbaar Centrum voor Noord-Holland [1993] ECR I-4567, paragraph 14 of the Maatschappelijk Welzijn Kalmthout [1985] ECR 973, judgment. paragraph 11 of the judgment.

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account of the pensioner: its effect is the meaning of Article 1(t) of the Regula- accordingly to supplement the pension in tion, it is clearly an old-age benefit within real terms and it thus falls within the scope the meaning of Article 10(1) thereof. The of Article 1(t). It may be noted that Artic- Court has held that the purpose of that le 1(t) of Regulation No 1408/71 expressly provision is to promote the free movement includes in the definition of 'benefits' of workers by insulating those concerned 'payments made by way of reimbursement from the harmful consequences which of contributions'. Payment of a subsidy might result when they transfer their resi- towards a contribution has the same effect; dence from one Member State to another: indeed the view could equally be taken that the protection given must therefore neces- the sickness-contribution subsidy falls sarily extend to cover benefits which, while within this limb of Article 1(t). Moreover created within the confines of a particular the German Government appeared to scheme, are given effect by increasing the accept at the hearing that the subsidy value of the pension which would other- payable (by way of payment to the pen- wise accrue to the recipient. 9Moreover it sioner) in respect of sickness insurance is clear from that principle not only that the contributions where the pensioner is either person concerned retains the right to voluntarily affiliated or covered by private receive pensions and benefits acquired insurance falls within Article 1(t); I cannot under the legislation of one or more however see any difference of principle Member States even after taking up resi- between that type of subsidy and the dence in another Member State but also subsidy by way of direct payment to the that he may not be prevented from acquir- sickness insurance institute where the pen- ing such a right merely because he does not sioner is compulsorily affiliated to a statu- reside in the territory of the State in which tory scheme. I am accordingly not con- the institution responsible for payment is vinced by the German Government's argu- situated: 10 the objective pursued by Arti- ment. cle 10 is to safeguard not only the payment of benefits acquired but also the acquisition of entitlement to them. 1 1Article 10 there- fore means that a person may not be precluded from acquiring or retaining enti- tlement to the benefits, pensions and allowances referred to in that provision on the sole ground that he does not reside within the territory of the Member State in which the institution responsible for pay- ment is situated. 12 Since, as the Commis- Is the subsidy payable to non-residents? sion points out, Mr Movrin's lack of entitlement to the subsidy is attributable precisely and solely to the fact that he is

9 — Case 51/73 Sociale Verzekeringsbank v Smieja [1973] ECR 1213, paragraphs 20 and 21 of the judgment. 10 — Case 92/81 Camera v INAMI [1982] ECR 2213, para- 14. If the subsidy is an allowance supple- graph 14 of the judgment. mentary to a pension (or if it amounts to a 11 — See the Opinion of Advocate General da Cruz Vilaça in payment made by way of reimbursement of Joined Cases 379/85 to 381/85 and 93/86 CRAM Rhône- Alpes v Giletti [1987] ECR 955, paragraph 69. contributions) and hence a benefit within 12 — Giletti, paragraph 17 of the judgment.

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resident in another Member State, the Gand in Dekker, 14 an earlier case concern- national court's question must be answered ing the same allowance: in the affirmative.

'There is an inherent contradiction between the concept of contribution and that of benefit; the first is a condition precedent to the creation of a right, the second presup- poses the existence of a right.'

15. The LVA Westfalen'simplicit argument that the subsidy is a sickness benefit and hence by virtue of Article 27 of the Reg- 16. The German Government has raised ulation not payable by it is in my view the argument that the Netherlands' treat- misconceived. As noted by Mr Movrin and ment of recipients of pensions from both the Commission, that argument cannot be the Netherlands and another Member State reconciled with the judgment of the Court is contrary to Community law, and in in Aulich. 13 That case concerned the status particular Article 33 of Regulation of a similar allowance towards sickness No 1408/71. Unlawful conduct of that insurance contributions provided for under nature cannot, the German Government the Reichsversicherungsordnung (German continues, give rise to an obligation on the social insurance code). The Court ruled part of Germany to subsidise the resulting that, since the allowance was not granted contributions, at least where, as here, Mr after materialisation of the risk designated Movrin is in fact in a better financial by the person entitled, it could not be position than he would be if he were within the scope of Article 27, which was resident in Germany. limited to sickness (or maternity) benefits after materialisation of the risk insured against. The Court stressed that a distinc- tion must be drawn between insurance contributions and insurance benefits. The allowance at issue was not a benefit paid in 17. The German Government's reasoning is the event of sickness; on the contrary, it was as follows. It asserts that, where a recipient a payment towards contributions to sick- of a German pension resides in another ness insurance, which insurance was a pre- Member State, either the health system of condition for the entitlement to benefits that State will be financed exclusively by payable, in case of sickness, by the sickness tax, as in the United Kingdom, in which insurance institution. Or, in the rather more case no deduction will be made from the elegant formulation of Advocate General pension to cover his sickness insurance so

13 — Case 103/75 Aulich v Bundesversicherungsanstalt für 14 — Case 33/65 Dekker v Bundesversicherungsanstalt für Angestellte [1976] ECR 697. Angestellte [1965] ECR 901, at p. 909.

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that the payment of a subsidy would not be is less than the contribution he would have justified, or the health system will be to pay on the basis of his German pension essentially financed by contributions. In (7%) if he were resident in Germany and the latter case, the Member State in ques- compulsorily affiliated to the German sick- tion should, when setting the level of ness insurance institution. The applicant is contributions, take account only of the thus in a better position than he would be if pension paid by it; any pension paid by he were in Germany. Since there is no another Member State's statutory pension disadvantage, a sickness insurance subsidy insurance scheme should be disregarded. is not objectively justified. According to the German Government's information, all Member States except the Netherlands proceed on that basis. In all those States, therefore, sickness insurance costs do not reflect the German pension 19. Article 33(1) 1 6 of Regulation received, so that any relief by way of No 1408/71 provides: sickness insurance subsidy is irrelevant.

'The institution of a Member State which is responsible for payment of a pension and which administers legislation providing for deductions from pensions in respect of contributions for sickness and maternity shall be authorised to make such deduc- tions, calculated in accordance with the 18. The Netherlands however is a special legislation concerned, from the pension case, since a pension paid by another payable by such institution, to the extent Member State's statutory pension scheme that the cost of the benefits under Arti- is taken into account in full when calculat- cle 27, 28, 28a, 29, 31 and 32 is to be ing sickness insurance contributions. The borne by an institution of the said Member German Government considers that that is State.' incompatible with Regulation No 1408/71, in particular Article 33. 15 An unlawful measure cannot give rise to a legal obliga- tion on the part of the German institution which pays the pension on the basis of which the contributions are calculated to 20. I cannot see how the Netherlands' pay a subsidy towards those contributions. conduct is contrary to that provision. Such a subsidy is at the very least precluded Article 33(1) seeks to ensure that a pen- in circumstances such as those of the sioner cannot be required, because he present case in which the contribution resides in the territory of a Member State, which the applicant must pay to the to pay compulsory insurance contributions Netherlands sickness insurance institution to cover benefits payable by an institution on the basis of his German pension (5.4%) of another Member State. It accordingly

15 — See paragraph 19 below. 16 — Article 33(2) is not relevant to this case.

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precludes the institution of a Member State 22. Nor can I see how Mr Movrin's rights responsible for payment of a pension from under Community social security law could charging contributions to cover the sickness be extinguished by the circumstance that, and maternity benefits payable by an as alleged, he in fact pays lower overall institution of another Member State. 17 sickness insurance contributions as a Neth- Deductions from pensions may thus be erlands resident than he would as a Ger- made by the institution of a Member State man resident. What is relevant is that only in respect of those insured persons denial of the subsidy on the ground that who in return receive sickness and mater- he is resident in the Netherlands puts him nity benefits from the institution of the in a worse position than he would be in if same Member State responsible for such he were resident in Germany, and that is benefits; such deductions may not be made clearly contrary to the general principle of where the benefits in question are not freedom of movement for workers under- borne by an institution of that Member pinning the Regulation. State. 18 There appears in this case to be no question of the Netherlands' deducting contributions from Mr Movrin's pension in respect of benefits borne by the German sickness insurance institution (which indeed stresses in its written observations that it is not responsible for Mr Movrin's sickness insurance).

23. I accordingly conclude that the sickness insurance contribution subsidy is a 'benefit' within the meaning of Article 1(t) of Reg- ulation No 1408/71 and an old-age cash benefit within the meaning of Article 10(1) of the Regulation. It is therefore payable notwithstanding that the putative recipient resides in a Member State other than that 21. In any event, and as the Commission of the paying institution. In the light of.that submitted at the hearing, even if the conclusion, which is sufficient to answer conduct of the Netherlands were, as the referring court's question, I do not alleged, unlawful, that could not override consider that it is necessary to consider the rights conferred on Mr Movrin by Regula- arguments variously raised by Mr Movrin tion No 1408/71; the appropriate course and the Commission concerning Articles 6, would be for the Commission (or Ger- 48 and 51 of the EC Treaty (now, after many) to institute infringement proceed- amendment, Articles 12, 39 and 42 EC), ings. Article 3(1) of Regulation No 1408/71 and Regulation No 1612/68. 19

17 — Case C-140/88 Noij [1991] ECR I-387, paragraphs 11 and 14 of the judgment. 19 — Regulation (EEC) No 1612/68 of the Council of 15 Octo- 18 — Case 275/83 Commission v Belgium [1985] ECR 1097, ber 1968 on freedom of movement for workers within the paragraph 3 of the judgment. Community (OJ, English Special Edition 1968 (II), p. 475).

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Conclusion

24. For the above reasons the question referred by the Sozialgericht, Münster, should in my opinion be answered as follows:

A sickness insurance contribution subsidy such as that payable by virtue of Paragraph 249A of the Sozialgesetzbuch Fünftes Buch and Paragraph 106(1) of the Sozialgesetzbuch Sechstes Buch is a 'benefit' within the meaning of Article 1(t) of Regulation (EEC) No 1408/71 of the Council of 14 June 1971 on the application of social security schemes to employed persons, to self- employed persons and to members of their families moving within the Community and an old-age cash benefit within the meaning of Article 10(1) of that Regulation. It is therefore payable to the recipient of a German pension who is resident in another Member State where he is compulsorily affiliated to that State's statutory sickness insurance scheme.

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