A dependant spouse who has less than five years to retirement age
A legally married dependent spouse of the insured person who has less than five years to the retirement age has the right for state health insurance coverage.
For receiving the insurance, the person who wishes to obtain the insurance must submit an application to the Health Insurance Fund. The insurance ends when the dependent reaches the pensionable age, gets divorced, or the insurance of the maintenance provider ends. If the dependent reaches the pensionable age, generally the insurance continues as the insurance of the old-age pensioner.
A dependent spouse who is raising children
A legally married dependent spouse of the insured person has the right for state health insurance coverage if he or she is raising:
- At least one child under 8 years;
- A child of 8 years of age until the completion of the 1st grade;
- At least three children under 16 years of age.
In this case the provider of the maintenance must be insured as an employee, a person receiving employment or service fees under the contract of the Law of Obligations Act, a member of a directing or controlling body of a legal person or as a sole proprietor. For receiving health insurance, the documents shall be submitted to the Estonian Social Insurance Board, who will communicate the data necessary to formalize insurance coverage to the Health Insurance Fund.
NB! Please note that if your working spouse receives parental benefit at the same time, you will not be able to get health insurance through his or her employment.
More detailed information on the documents can be obtained from the National Social Insurance Board phone 16106 or at the address www.sotsiaalkindlustusamet.ee. If the conditions giving the right for health insurance are no longer met, the National Social Insurance Board shall communicate to the Health Insurance Fund the data for termination of the insurance.