Secondary Dependents

A dependent parent, a brother or a sister recognised by the organization of the paying member as secondary dependent may be covered by UNSMIS. Secondary dependents may be enrolled within 31 days of entry on duty, within 31 days of the recognition of dependency by the organization, or during the Annual Enrolment Campaign.
As per Regulation 3.6 (iii) of the UN Staff Rules and Regulations, only one secondary dependent may be recognized, and a secondary dependent and a dependent spouse may not be recognized at the same time. However, a non-dependent spouse may be enrolled as Specially Protected Person along with a secondary dependent.
Benefits payable in respect of a secondary dependent, insured in accordance with Rule IV of the Internal Rules of the Society, shall be subject to the following, as stated in Annex IV of the Internal Rules.

Benefits

The benefits payable shall include only basic benefits. The Supplementary Plan shall NOT be applicable. Benefits shall be paid in accordance with the procedure laid down by the Internal Rules of the Society and shall be calculated in the manner specified in Annex III of these rules, except for those benefits which are subject to an exclusion, limitation or waiting period as described below:
Exclusions: No benefit shall be paid for the following:

  • Medical or paramedical benefits related to a long-term stay in a medicalized establishment or at home (item 6)
  • Long-term nursing care (item 8)
  • Nursing and home-help charges (item 9)
  • Benefits for care in the home (nursing or home health services): assistance with hygiene and mobility (item 10)
  • Cures (items 11 and 12)
  • Sessions with a dietician (item 13 (b))
  • Maxillo-facial operations (item 24)

Waiting period (for new affiliates): Expenses incurred for the following items during the first year (365 days) of coverage shall not be reimbursed:

  • Functional rehabilitation treatment (item 17)
  • Mental and Developmental health (item 18)
  • Prosthetic appliances (item 20 (a))
  • Hearing aids (item 20 (e))
  • Eyeglasses (item 21 (a))
  • Dental treatment (item 22 and 23)

Limitation: The cost of the following items shall be reimbursed up to the limits shown:

  • Dental treatment (item 22 and 23): CHF 1,000.- per annum, non-cumulative

Overall ceiling for reimbursements: During the first year (365 days) of coverage, the overall amount of benefits paid by the Society shall be subject to a ceiling of CHF 12,000.-.