Submit a complaint about statutory social security

Prerequisites

No

Documents required

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

Please note

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

Deadlines

No

Procedure

Responsibility The social authority currently does not supervise statutory social security institutions. Complaints are processed by the supreme administrative authority responsible for social security in the country in which the national insurer is based. Unless it is a direct state insurance carrier, the complaint should be addressed to the Federal Social Security Office. The competent supervisory authority can usually be found in the imprint of the website of each statutory health insurance company. procedure. After your complaint has been received by the responsible supervisory authority, you will first receive a confirmation.
If necessary, the affected social security institution will then be asked to comment on your complaint.
The supervisory authority then checks the statement and all associated documents for violations of the law.
After completing the regulatory check, you will receive a reply with the result of the check.

Processing time

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.

Fees

No

Legal remedies

No

Legal basis

§87 Social Code - Fourth Book (SGB IV)

https://www.gesetze-im-internet.de/sgb_4/__87.html


§88 Social Code - Fourth Book (SGB IV)

https://www.gesetze-im-internet.de/sgb_4/__88.html


§89 Social Code - Fourth Book (SGB IV)

https://www.gesetze-im-internet.de/sgb_4/__89.html


Section 90 of the Social Code - Book Four (SGB IV)

https://www.gesetze-im-internet.de/sgb_4/__90.html


§90a Social Code - Fourth Book (SGB IV)

https://www.gesetze-im-internet.de/sgb_4/__90a.html

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.