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Beschwerde über landesunmittelbare Sozialversicherungsträger Einleitung

Hamburg 99107105041000 Typ 3

Inhalt

Leistungsschlüssel

99107105041000

Leistungsbezeichnung

<div lang="en-x-mtfrom-de">Complaint about local social security institutions Introduction</div>

Leistungsbezeichnung II

<div lang="en-x-mtfrom-de">Submit a complaint about statutory social security</div>

Leistungstypisierung

Typ 3

Begriffe im Kontext

<div lang="en-x-mtfrom-de">care insurance</div> (Synonym), <div lang="en-x-mtfrom-de">accident insurance</div> (Synonym), <div lang="en-x-mtfrom-de">supervisory authority</div> (Synonym), <div lang="en-x-mtfrom-de">Health insurance</div> (Synonym), <div lang="en-x-mtfrom-de">legal supervision</div> (Synonym)

Leistungstyp

nicht vorhanden

SDG Informationsbereiche

nicht vorhanden

Lagen Portalverbund

nicht vorhanden

Einheitlicher Ansprechpartner

Nein

Fachlich freigegeben am

26.08.2024

Fachlich freigegeben durch

nicht vorhanden

Handlungsgrundlage

§87 Social Code – Fourth Book (SGB IV)
www.gesetze-im-internet.de/sgb_4/__87.html
§88 Social Code – Fourth Book (SGB IV)
www.gesetze-im-internet.de/sgb_4/__88.html
§89 Social Code – Fourth Book (SGB IV)
www.gesetze-im-internet.de/sgb_4/__89.html
§90 Social Code – Fourth Book (SGB IV)
www.gesetze-im-internet.de/sgb_4/__90.html
§90a Social Code – Fourth Book (SGB IV)
www.gesetze-im-internet.de/sgb_4/__90a.html

Teaser

If you lodge a complaint about statutory social insurance carriers with the responsible supervisory authority, they will examine the behavior of the insurance carrier as part of the legal supervision for potential legal violations and work towards rectifying them.

Volltext

With a complaint, you can have potential violations of law on the part of the statutory social insurance institution checked by the competent supervisory authority. The supervisory authority is legally authorized to request all necessary documents from the statutory social security agency and to examine them for violations of the law. If a violation of the law is determined, it must be remedied by the statutory social security agency. You will receive a letter from the supervisory authority about the result of the test.

Erforderliche Unterlagen

No. However, a written description of the facts is useful.

Voraussetzungen

No

Kosten

Gebühr: Es fallen keine Kosten an

Verfahrensablauf

  • Once your complaint has been received by the responsible supervisory authority, you will first receive a confirmation.
  • The social insurance institution concerned will then be asked, if necessary, to comment on your complaint.
  • The supervisory authority then checks the statement and all associated documents for violations of law.
  • Once the regulatory audit has been completed, you will receive a response with the audit result.

Bearbeitungsdauer

The processing time depends on the scope and complexity of the individual case. It can be expected to last at least four to six weeks.

Frist

No

Hinweise

The Hamburg Social Authority does not currently supervise statutory social insurance providers. Complaints are processed by the highest administrative authority responsible for social insurance in the state in which the state-run insurance provider is based. If it is not a state-run insurance provider, the complaint must be addressed to the Federal Office for Social Security. The responsible supervisory authority can usually be found in the imprint on the website of each statutory health insurance provider.

The examination of the complaint does not constitute legal advice and does not replace an objection or a lawsuit. The supervisory authority only acts in the public interest. The responsible supervisory authority is therefore not obliged to take action following a complaint. If there is a violation of law, the responsible supervisory authority will work to ensure that this is remedied by the statutory social insurance provider. However, the supervisory authority cannot make decisions on behalf of the social insurance provider. If the complainant seeks a change in the law, he or she must contact the responsible federal ministry directly. If the statutory social insurance provider extends to more than three federal states, the Federal Office for Social Security is responsible. If not, the respective state's social ministry is usually responsible.

Rechtsbehelf

No

Kurztext

  • By submitting a complaint, potential violations of law by the statutory social insurance provider can be investigated by the responsible supervisory authority
  • Supervisory authority then examines social insurance providers
  • If violations of the law are identified, the social insurance institution must remedy them
  • Complainant receives information about test result

Ansprechpunkt

nicht vorhanden

Zuständige Stelle

Authority for Labor, Health, Social Affairs, Family and Integration

Formulare

nicht vorhanden