ABSTRACT

In the social security legislation, the rule that the number of days for paying universal health insurance premium is thirty days per month has been adopted. This rule implies important consequences for those who are deemed to be insured in the status of 4/a. Accordingly, insured persons working in private sector workplaces with the status of 4/a, in some cases, have to complete their missing days in a month to thirty days by paying the universal health insurance premium themselves. Similarly, those who work with employment contracts in public administration workplaces and who are deemed to be insured with 4/a status are obliged to pay the general health insurance premium for the months when their employment contracts are suspended by the relevant public administration. On the other hand, besides the explicit provisions of the law in which the employment contract is deemed suspended in the labor legislation, there are also suspension situations that are frequently applied in practice, although they are not included in the legislation. In cases where the employment contract is deemed suspended, whether the employer of the public administration pays wages or not is determinant in terms of the payment of universal health insurance premium for the suspension period. The universal health insurance premium payments for the months when the employment contract of the public administration employers is suspended is made in different processes from calculation to declaration with appropriate premium documents. While the obligation to pay the general health insurance premiums by the public administrations for the suspension periods creates an assurance in terms of the premium collection capability of the Social Security Institution, it can be said that the Institution increases the financing possibilities in terms of the health services benefited by the general health insurance holders