The authorities of the Treasury of the Social security (TSS) reported yesterday that, in compliance with Law 13-20, which empowers the entity to report offenders of the system to justice, in 2024 they presented 103 complaints to the Attorney General’s Office of the Republic, for alleged frauds committed by employers to the detriment of members of the Family Health Insurance scheme contributory.
Since the promulgation of this law, the official data indicates, 333 complaints have been filed with the Public Ministry, in which the registration of 168,982 people as alleged workers was detected, which has meant an economic loss of just over 560 million pesos, only in the months in which said suspicious activities were detected.
Regularization
In 2024, according to the data, the TSS subscribed more than 700 agreements payment with employers in default, generating additional income of 230 million pesos. These efforts allowed hundreds of workers to regain access to Family Health Insurance benefits, thus guaranteeing the continuity of their rights and the protection of their family members.
4.7Millions of affiliates in the contributory regime, which groups salaried workers and their dependents.
Collections
Also, the authorities of the TSS estimate that, at the end of 2024, the collections of the Dominican System of Social security (SDSS) will register a growth of 11.2% compared to 2023, reaching an amount greater than 210,000 million.
Official data indicates that these collections are distributed among more than 120,000 employers registered, who finance the benefits of Family Health Insurance (SFS), Old Age, Disability and Survival Insurance (pensions) and Occupational Risk Insurance, fundamental pillars of the SDSS. Since the creation of the SDSS (2001) to date, the TSS has raised more than 1.75 billion pesos.
5.7Millions of affiliates in the subsidized regime, who are those with the lowest income financed by the State.
Regimes
The document details that, as of November 30, 2024, the system has 10,517,174 health insurance affiliates, divided between the regimes contributory and subsidized. In it contributorywhich brings together salaried workers and their dependentsadds 4,765,726 affiliated citizens; and the subsidized regime, intended for citizens with lower incomes financed by the State, benefits 5,751, 448 affiliates.
Furthermore, the TSS highlights the inclusion of 265,608 dependents additional, among whom are parents, in-laws and children over 21 years of age without disabilities.
