The new compulsory individual insurance was created as a result of the COVID-19 health emergency and is for the benefit of all private sector workers with contracts subject to the Worker’s Code and who are carrying out their activities in full or in part on a face-to-face basis:
- Protects all members of the National Health Fund (FONASA), belonging to funds B,C,D, as long as they are treated under the institutional modality, which considers 100% of the co-payment of hospitalization expenses in the public health care network.
- Covers contributors of a Social Security Health Institution (ISAPRE), provided that they are treated in the Additional Coverage Network for Catastrophic Diseases (CAEC), considering a co-payment of 30 contributions of the affiliate with a minimum of UF 60 and a maximum of UF 128.
- For both FONASA and ISAPRE, hospitalization and rehabilitation expenses for COVID-19 are considered, as long as they have occurred during the term of the policy.
- In case of death, the indemnity will be UF 180 (regardless of the worker’s age).
- Excluded from this obligation are those workers who have agreed to work their working day exclusively under the remote work or teleworking modalities.
- The employer will have a term of 30 calendar days to contract the insurance, once the policy is deposited with the Financial Market Commission (CMF), this for workers existing at the time and 10 calendar days from the beginning of the work of workers hired in face-to-face mode.
- The term of the insurance contract will be one year from the date of its respective hiring, regardless of whether the employee changes employer or is dismissed. Once the term has expired, the new employer must contract a new policy.
- The value of the annual premium must not exceed UF 0.42 per worker, plus the corresponding value added tax, and it must be paid annually.
- The insurance must be renewed if the health alert is maintained at the end of the year in which it is in force.
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