Health Cover Social Charges and French Pensions

Obtaining a French retirement pension could mean you lose your S1 health cover and pay more in taxes than you receive in pension income.


Although those who retire to France are not entitled to a French State Pension, if you start a business or take salaried employment you can earn such an entitlement through the social security (national insurance) contributions you pay.


However, when you finally decide to put your feet up once and for all, for EEA nationals, prior employment or business activity in France can have implications on the nature of your health cover and the social charges you will pay.


This is because, if you are in receipt of a French retirement pension, you become the responsibility of the French State for the purposes of health and social security rights.


That being the case you would not be eligible for an S1 (formerly E121) certificate of health cover from your home country. The S1 would otherwise give a retired person health cover in France through the reciprocal relationships that exist within the EEA.


The issue is governed by EC Regulations (EC) No 883/2004 and (EC) No 987/2009, which state that if you are in receipt of a State Pension from the country in which you are resident that by itself passes responsibility for health care (and administration of all pension rights) over to your host country, despite the fact that you may also be in receipt of a pension from your country of origin.


In relation to those in receipt of a State Pension the Regulations state:


For the right to benefits in kind (healthcare), the competent State, which bears the cost of the benefits, is: the Member State of residence, if the person concerned is in receipt of a pension from that State entitling him/her to benefits in kind (even where the person concerned is in receipt of pensions from one or more Member States)....


Now, in practice, it makes very little (if any) difference to the nature of the health cover you receive, as S1 health cover is provided on the same terms as French nationals.


Nevertheless, it does have tax implications, for those with S1 cover escape the payment of social charges on their pension income, whereas this is not the case for those in the French health system.


Accordingly, on retirement, those with a French pension will be liable for social charges at the rate of 7.1% on all their pension income, including pensions from outside of France, where these are not otherwise exempt under a double taxation treaty, ie government service pensions.


There is some relief for those on modest incomes, for a reduced rate of 3.8% is payable by those who pay less than €61 in income tax (and around half the population in France pay no income tax), while those whose total income is below the level that would make them liable for the taxe d'habitation are completely exempt from the payment of the social charges on this income.


In addition, not everyone who starts a business will obtain pension rights; if this is the case, then on retirement you would obtain health cover through the reciprocal S1 arrangements, provided you were in receipt of a State Pension from your home EEA country.


The income needed to earn an entitlement to health cover does vary by the type of business activity (and thereby insurance fund) through which you are covered, but as the recent article we published on the Pension Rights of Auto-Entrepreneurs made clear, there are not inconsiderable turnover requirements necesary for those with this business tax status.


Now, it is beyond the scope of this article to delve into the operation of the complex pension system in France (we will leave that for another occasion), but as there are minimum income and duration requirements to obtain entitlement it is likely that, in the vast majority of cases, those who enter the system over the age of 50 would only be entitled to a small pension, if any.


Accordingly, if you are likely to be worse off by taking receipt of your French retirement pension due to the social charges that will arise on all your pension income, then what are your options?


Well, the first step must be to try and establish just what is likely to be the level of your French pension and compare that to the additional social charges you are likely to pay.


You can ask your pension fund in France for an estimate of your pension, although with the innumerable problems that have beset the Régime Social des Indépendants (RSI),the main insurance fund, an early response should not be anticipated.


If the result of the comparison is not to your liking then one solution is simply not to take receipt of the French pension!


The French system does not actually oblige you to take the pension, and there is always the option of deferral in the event your personal circumstances or the tax regulations change.


The difficulty with this approach is that under the above EU regulations you are supposed to make application for both your home and host country pensions from the country in which you last lived and worked. They are then responsible for processing both pension applications and administering payment of your pensions.


Now there is no reason why you cannot make application through the French authorities and indicate by a covering letter that you are do not wish to apply for a French pension, only the pension from your home country. It seems highly unlikely to us that the French authorities would insist you take French pension, although it is always possible they may be reluctant to process your application from your home country pension.


Nevertheless, even if your application is accepted by your Caisse there remains some risk as to your eligibility for an S1 from your home country once administration of your pension had passed into foreign hands. The UK Department of Work and Pensions has stated to us that until such time you take receipt of your French pension you would remain entitled to an S1, although we have not received written confirmation from them.


So the other option is to simply apply direct to your own home country pension authority, making no reference to any previous employment in France. If you are not seeking a French pension then disclosure of French employment may well be considered facultative. The guidance notes from the UK DWP merely state that, 'We need to know about any time you have lived or worked outside the United Kingdom. This is because if you have paid into the social security system in another country, it may count towards your State Pension.'


Whichever approach you take, in the case of a couple, where only one of them has worked in France, no requirement exists for the non-working spouse to making application through the French authorities for their own home country pension. Their pension arrangements would be unaffected by EU regulations. By extension, this would also grant them access to an S1, and thereby exemption from social charges on their pension. You would normally receive an application for a State Pension four months before you reach the age of retirement.


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If this thread is still active I have a question and need some simplification on this detailed explanation.

I am coming up to the UK state pension age of 66 and I am preparing to receive my full UK basic state pension along with a smaller state pension from Germany. Since 2016 I have lived in France and been classed as Auto Entrepreneur running a gite business, thus in the French state social and medical system CPAM. I am not expecting any pension from the French and I am not planning on trying to claim from them.

What will my situation be if:

A) I continue with my business and registration as an AE and I claim my UK and German state pensions. Will I still be entitled to CPAM etc.?

B) I stop being an AE and claim the UK and German state pensions, nothing from the French. Will I be covered for my state health in France CPAM etc.?

Am I correct in understanding that the UK should take responsibility for my health cover due to the fact that I have full UK basic state pension entitlement? If so what do I need to do re: CPAM etc.?

Would carrying on as being registered as and AE be the easiest solution?

Do you not pay social charges via your AE? If so, then you would be paying pension charges to the french system just as an employed person would be doing. Therefore you should be entitled to something from the french pension scheme depending on how much/long you have paid in, you maybe surprised and there is no harm in enquiring with Carsat etc. I have paid social charges in France, get all my healthcare via CPAM and have just started to receive UK basic state pension but not entitled to any S1 or help from UK as France is my competant state. The AE part is the bit you have to define.

The difference is whether you are professional or non professional.

If you are a non professional you just pay tax and social charges on your income via your income tax return. Amd then an annual charge to URSAFF for your health-cover - which is entirely possible as an Micro AE.

Or are you professional and affiliated to a caisse? So you pay cotisations depending on your turnover ( as well as income tax and social charges of course!). And in 7+ years you might have built up enough trimesters to get a minuscule French pension.

If the former then once you get UK state pension you get an S1 and no longer pay the annual URSAFF charge. Plus the social contribution on your income drop to 7.5%.

If the later you may no longer be eligible for an S1 as you are entitled to a French pension. And as France is the last country you worked in then they remain your competent state for healthcare whether you like it or no.

(And once you get the S1 you take copies and then shuffle along to CPAM and give it to them. A while later you do a mise à jour of your carte vitale and will find yiu code gestion has changed to 70).

I thank both of you for the information but I am still confused as to what my status will be once I start drawing the pensions from the UK and Germany.
I recently received a letter from INFO RETRAITE I assume that this relates to the French pension system but as it seems to indicate that they will be paying me a pittance I did not really try to understand it. It indicates that since moving to France I have accrued 0 points (hints of Eurovision). Seriously due to the pension amount being next to nothing I assumed that I could ignore it.
What I need to understand is what my options are before I make the wrong decision.
At the moment due to being registered as an AE both me and my wife and disabled daughter are all covered by CPAM. If I pack up being an AE will we still be covered?
We actually think that due to the fact that my wife is caring for our daughter she is entitled to CPAM as she is the ‘full-time’ Carer but again is there some way that this can be checked?
My main concern is to ensure that our daughter is still in the French health system due to her many critical care needs…

@gregca
Is there any possibility of you making an appointment to go and speak with someone at your CPAM office…??

Any and every resident of France is entitled to healthcare via PUMA -protection universelle maladie. The only difference will be whether you pay for it via AE cotisations, via the UK or via a an annual charge.

Step 1 is to look at that letter again!

Step 2 is to check whether you are paying cotisations right now, probably monthly payments to a caisse.

Doing that should point you in a better direction, and we can perhaps help more as still a bit vague to be able to be precise.

But really don’t worry about your daughter’s health cover. This is an universal right here - France is not America. There may be admin to do, and even a glitch while you transfer from system A to B, but it will work out in the end.

If you get nowhere, seek out your local Assistante Sociale via your local Mairie or CDAS locally. If you get a sympathetic person, they are worth their weight in gold and I have been there and got the teeshirt and got better treatment than a french neighbour did! They know how to get your rights, will help you and your family and possibly other things you did not know about. Don’t delay, get in touch asap.