Contact

Access to online services

English

A key body to provide extraordinary support to protected workers

The FREMAP Special Benefits Commission is the body responsible for analyzing, assessing and approving financial aid and extraordinary support for protected workers who are in situations of need arising from a work accident or occupational disease.

Its actions fall within the powers attributed to the Mutual Societies Collaborating with Social Security and constitute a differentiating element of FREMAP's care model due to its humanitarian and social approach.

Purpose of the Commission

The Commission's objective is:

  • To address urgent or extraordinary needs that are not covered by the standard benefits of the Social Security System.
  • To mitigate the economic, social and personal impact that a work accident or occupational disease can have on the worker and his family.
  • To facilitate the recovery, rehabilitation and labor and social integration of the worker.
  • Granting exceptional aid, assessing its relevance, urgency and proportionality.
  • These benefits are neither mandatory nor guaranteed: They are granted on a discretionary basis, through individualized analysis and prior presentation of supporting documentation.

Supplementary benefits are included within the so-called "social assistance benefits" provided by Mutual Insurance Companies:

  • The Commission operates under criteria of fairness, necessity, proportionality and transparency.
  • Exclusively intended for protected workers and their families who present a state of need derived from a work accident or occupational disease.

The regulations that currently govern special benefits are the Royal Decree 453/2022

It is composed of:

  • 5 representatives appointed by the trade union organizations.
  • 5 representatives from partner companies.

  • The Commission meets monthly and also in extraordinary sessions when the urgency of the case requires it.
  • The process for processing and assessing the benefit includes:
1

Completion of the application by the worker.

2

Receipt of the application and review of the documentation.

3

Asset value

  • The Commission studies each case individually.
4

Agreement and resolution

  • Full, partial or denial approval.
  • Certified communication, via mail or electronically, to the worker.

Types of aid that the Commission can approve

The Commission may authorize financial or in-kind aid, always linked to the recovery process, the social impact of the accident or the improvement of the worker's living conditions. Among the most common are:

  • Assistance to cover the cost of a long-term stay in a social care or residential center.
  • Assistance to cover the costs of relocation, accommodation and meals of the worker in a hospital, social care or residential center, as well as the companion in charge of their care.
  • Assistance for prostheses and non-regulated technical aids.
  • Assistance for medical treatments or non-regulated therapies. 

  • Courses for vocational training and socio-labor integration.
  • Adaptation of the premises where the self-employed worker carries out his activity.

  • Help for the removal of barriers in the main residence.
  • Assistance for the acquisition of an adapted primary residence.
  • Assistance for vehicle adaptation or the acquisition of an adapted vehicle.
  •  Home support for the development of basic daily living activities.
  • Assistance for accessing new information and communication technologies.

  • Supplement to the death benefit.
  • Support for training in the care of people with severe disabilities.
  • Assistance for maintaining possession or enjoyment of the main residence.

Assessment criteria

When approving aid, the Commission analyzes:

  • Severity and nature of the accident.
  • Functional and social impact of the sequelae.
  • Economic situation of the worker and assessment of the state of need.
  • Suitability of the requested assistance to the therapeutic or care objective.
  • Urgent or unforeseen nature of the need.
  • Possibility of coverage through other public entities.
  • Rationality of spending.

The Special Benefits Commission:

  • It reinforces FREMAP's social commitment.
  • It contributes to the humanization of care.
  • It complements health and social services resources.
  • It supports workers in particularly difficult situations.
  • Facilitates autonomy through training.
  • It builds trust in companies and workers.