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Procedures and Formalities

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School Insurance




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Purpose:

It isinsurance that protects students, under 28 years old, who are taking official studies from the  3rd cycle of Spanish  Compulsory Secondary Education (E.S.O.), to the third university cycle (advance postgraduate studies),  through health care benefits, in the case of diseases , school-related injuries and family hardship.

Originators:

The student.

Benefits:
  • School-Related Injury: Medical and pharmaceutical assistance, financial compensation for disability and burial expenses.
  • Illness: Medical care, pharmaceutical assistance and burial expenses. It includes general surgery, neuropsychiatry, obstetrics, and pulmonary and bone tuberculosis. In certain cases, benefits may be granted for physiotherapy, chemotherapy, radiotherapy, cobalt therapy and maxillo-facial surgery.
  • Family hardship: Economic benefit for the death of the head of household or family bankruptcy.
Recipients:

The beneficiary of the School Insurance benefit is the student, except for compensation for death due to injury or illness, in which case the beneficiaries are the family members.

More information on beneficiaries

Requirements:
  • To be under the age of 28, of Spanish nationality or a foreigner holding legal residence in Spain.
  • Registration in the studies covered by the Insurance and payment of the fee.
  • Certification of one year of Insurance cover.

    This last requirement is not necessary for benefits due to school-related injury, family misfortune or obstetrics, nor for students who the previous year studied in the 2nd year of ESO, special education or who continued their studies abroad.

More information on requirements  

Amounts / Payments / Sums:

Different amounts  depending on the benefit.

Economic benefits may be paid directly at the financial institution assigned to the Provincial Directorate of the INSS  or by transfer to the financial institution selected in the application.

Duration:

The duration varies,  depending on the type of benefit.

Periods:

The application period for benefits due to school-related injuries is one year.

The application period for burial expenses, family hardship  and other economic benefits is five years.

Acknowledgement or rejection of School Insurance benefits is resolved and notified within a maximum period of 90 days.

Denial / Termination:

The Provincial Director of the INSS passes the resolution approving or refusing the requested benefit.

Forms:

School Insurance benefit application form .

Documentation:
  • DNI  or family record book. Document proving identity  for foreigners 
  • Non-university students: Certificate from the education centre
  • University students: Registration form receipt
  • Specific documentation for  each benefit  

More information on documentation

Where it is to be processed:

At any of the Social Security Information and Support Centres.

Competent entity:

Acknowledgement of the entitlement and payment of the benefits is the responsibility of the Provincial Directorate of the  National Institute of the Social Security (INSS) where the application was submitted. In the case of health benefits, the competent authority is the Provincial Office of the INSS in the province where the medical assistance was provided.

Other important information:

FAQs


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