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Members

GIP SPSI covers the main French players involved in international cooperation in health and social protection.

The State

The State - represented by the Ministers in charge of health, social protection and social action, the Minister of foreign and European affairs, the Minister of economy and finance - is the founder member of GIP SPSI.

ADECRI (Agency for the Development and Coordination of International Relations)

With its twelve founding members – including the different funds of the French general social security scheme (Régime général), several special schemes and the Ecole Nationale Supérieure de Sécurité Sociale (EN3S) - ADECRI (Agence pour le développement et la coordination des relations internationales) is at the forefront of French social security action in the international arena. It has also established a presence among the European institutions via its representation office in Brussels, REIF, and organises cooperation in the area of social welfare.

EHESP (Ecole des hautes études en santé publique) - formerly ENSP (Ecole nationale de la santé publique) - is France’s leading institution providing initial professional and continuing training for seniors managers in the public health, health care and social services sectors.

FHF (French Hospital Federation)

Created more than 80 years ago, the French Hospital Federation (Fédération hospitalière de France) speaks on behalf of French public hospitals and many of France’s nursing homes. As the hospitals’ key interface with government, the federation is closely involved in the process of formulating and implementing health policy.

The Mutualité Française (National Federation of French Mutual Benefit Societies)

Incorporating almost all of France’s mutual benefit funds (mutuelles), which in their own right cover 38 million people, the Mutualité Française is a leading player in the area of complementary health insurance in France. It is also driven by a set of strong values which are a legacy of its past.

CNAMTS (National Health Insurance Fund for Salaried Workers)

Created in 1945, the general health insurance scheme – of which the CNAMTS (Caisse nationale d’assurance maladie des travailleurs salariés) is the national fund – is governed by three basic principles: equal access to health care, high-quality care and solidarity. Today it provides health coverage for 50 million people and devotes an annual €120 billion to payment of sickness, maternity and industrial industry benefits.

CNAF (National Family Fund)

The family branch of the French social security system – of which the CNAF (Caisse nationale des allocations familiales) is the leading player – is a cornerstone of France’s pro-family policy. Apart from family benefits and a broad range of actions in the social sphere, it also administers three minimum income programmes, playing a major role in delivering France’s solidarity policy. Total annual benefit payments made by the CNAF are of the order of €60 billion.

CNAVTS (National Old Age Pension Fund for Salaried Workers)

Created in 1945 and covering over 70% of the population, the CNAVTS (Caisse nationale d’assurance vieillesse des travailleurs salariés) is the largest scheme of France’s social security system. It manages the basic pensions of private-sector salaried workers, paying out more than €80 billion each year, including a contribution to the “compensation” mechanism (system of financial solidarity between schemes to offset demographic and economic disparities).

ACOSS (Central Agency for Social Security Funds)

ACOSS (Agence centrale des organismes de sécurité sociale) is the central umbrella body for the network of local offices responsible for collecting social security contributions (URSSAF). It also manages the flow of funds and cash flows within the social security system. Though not directly involved in administering benefits, ACOSS and the URSSAF are at the very centre of innovations such as exemptions to stimulate employment and foster the development of the home help sector.

The RSI (Social Security Scheme for the Self-employed)

Launched in 2002 and up and running in 2006, the RSI (Régime social des indépendants) replaces earlier compulsory health insurance funds and pension schemes for self-employed workers (entrepreneurs, tradespeople, artisans, independent professional people, etc.)

CCMSA (Central Agricultural Workers’ and Farmers’ Mutual Benefit Fund)

The successor of the agricultural mutuelles which developed in the second half of the nineteenth century, the agricultural workers’ and farmers’ mutual welfare fund, MSA (Mutualité sociale agricole), and its central fund, the CCMSA (Caisse centrale de Mutualité sociale agricole), have a number of distinctive features that set them apart from other French social welfare schemes.

The National School for Social Security (EN3S)

As a training ground for the upper echelons of France’s social security system, EN3S has rapidly emerged as the reference educational establishment in its field. It also provides in-career training for social security managers and executives and cooperates actively in the international arena on training initiatives for French-speaking social security professionals.