1. CURRENT EXPERIENCES ON SOCIAL SECURITY SCHEME IN MYANMAR
Dr. Lwin Lwin Oo Hlaing
Social Security Board
Ministry of Labour

2. MINISTRY OF LABOUR
DOL
CIFHC
SSB
FGLLID
CTDC

3. Operating Mechanism
The Board of Directors is responsible for the administration of the Social Security Scheme.
It comprises the Chairman, the General Manager, the Deputy General Manager and five mangers from different departments of the Board.
The Chairman is also the head of the Social Security Board.
The operation of the scheme comes under five Divisions, namely the Insurance Division, the Finance Division, the General Administrative Division, the Planning and Research Division, and the Medical Division.
Also 80 local offices, 95 social security clinics and three hospitals have been set up in the whole country.

4. Organization Chart Chairman General Manager Deputy General Manager
Admin
Finance
Insurance
Research
Medical
107 Local Offices
3 Workers’ Hospitals
93 SSB clinics

5. Population of Labour Forces
Description
Number
% on Total Population
Total Population
57,370,000
Total Labour Force
27,000,000 47
Male Labour Force
17,000,000 30
Female Labour Force
10,000,000 17
Insured Workers
566,665
0.99

6. Introduction & Historical Background
The Social Security Act drawn by the assistance of ILO was enacted in 1954.
The Social Security Scheme came into operation in January 1956 under the Social Security Act.
The Scheme was introduced in Yangon Area first and gradually extended through out the country.

7. Covered Establishments
Industrial establishments in which at least 5 persons are employed;
Establishments covered under the shops and Establishments Act (1951);
Railways under the Myanmar Railways Enterprises;
Public industrial and transport establishments under the Union Government or a local authority;
Ports / Mines / Oilfields/ Docks
The Ministry of Labour; and
Any other establishments as may be notified by the competent authority from time to time

8. Persons covered by the Act
Persons working permanently or temporarily in the covered establishments as-
*salaried workers;
*daily- rate workers;
*piece-rate workers; and
*apprentices.
Employers and management concerned are liable to make necessary arrangement insuring their workers with the Social Security Board .

9. Contribution
The Board collects contributions from employers and employees which amount to approximately 4% of the employees wages in the ratio of 2.5 : 1.5.
Employer and employee have to pay their contributions according to 15 wages classes.
Payment of contributions may be made by cheque or in cash.

10. Benefits There are two main types of benefits 1. Free medical care and
2. Cash benefits.

11. Coverage Area There are 80 social security local offices
in 110 townships
in 14 states and regions except Chin state.

12. Free medical care Primary Care 93 Clinics and
41 Government Enterprise Clinics 
Secondary Care Workers’ Hospitals
(1) Yangon bedded hospital
(2) Mandalay bedded hospital (3) Htantabin bedded T.B hospital 
Tertiary Care Referral linked system
to Specialist Hospitals

13. Other Free Medical Care provisions
Out Patient Medical care (SSB Clinics)
Antenatal, Confinement and Postnatal care (Clinics & Hosp)
Investigation and diagnostic tests (Hospital)
Specialist consultation (Specialist OPD)
Hospitalization
Medical certification (Fit for Job, Training Course)
Supply of prosthesis and orthopedic appliances (Injured)
Supply of pharmaceuticals and appliances (Purchasing)
Preventive measures and mass vaccination (ATT)
Health education (Hosp, Clinics and Workplaces)
Clinical assessment by medical boards
(Invalid Pension, Permanent Disability Benefit)
Medical education
(Medical Student, Training Nurses, Nurse aids)

14. Three Kinds of Free Medical Care
Free Medical Care as in form of Medical certificate
Sickness benefit
Maternity benefit
Employment injury benefit (Temporary & Permanent)

15. Medical procurement costs and Medical reimbursements
Medicines
Medical instruments and
Medical equipments are procured yearly through State allotted budget.
Medical reimbursements for those who cannot have access to the social security clinics and have received medical treatments at the other clinics and hospitals.
Every month Reimbursement cases= cases
Average reimbursement per each= kyats

16. Current Medical Care Data (9/2011)
OPD Patients. 34,623
Admission Patients
Specialist OPD Patients
Death case
Tuberculosis Patients
Malaria Patients
HIV/AIDS Patients
Invalid Pension
Permanent Disability Benefit

17. Cash benefits Benefit Qualified Period Cash Sickness benefit 4 months
50% of wages
Maternity benefit
6 months
66.67% of wages
Funeral grant
1 month
40000 kyats
Temporary Disability benefit
Permanent Disability benefit
loss of earning capacity
Survivor’s Pension

18. Cash benefits (cont.) Temporary disability Benefits
- Cash benefit is payable until the injured worker has recovered or until the expiry of 52 weeks
Permanent disability pension
-cash benefit-based on the % of loss of earning capacity
Survivors Pensions
-paid to his or her dependants
-in case of death is due to employment injury

19. Other Provisions for Employment Injuries of Non-insured Workers
who are not covered by the Social Security Scheme, the Workmen’s Compensation Act (1932) places liability of compensation, in case of work accidents, on the individual employer.
It deals with personal injuries resulting from employment accidents and also with occupational diseases.

20. Financial Resources
Free medical care and benefits are financed by contributions from employees, employers and the State in our social insurance system.
Employers and employees have to pay their contributions according to 15 wages classes.
The lowest class is 1 kyat upto 4000 kyats.
The highest class is kyats and above.

21. Financial Resources (contd)
The State subsidizes more than 200 million kyats annually for capital expenditure to be utilized in -building hospitals, clinics, offices and
- purchasing medical equipment, vehicles, furniture and office equipment.

22. Financial Resources (contd)
The Social Security Board maintains three separate accounts in the Social Security Fund:
General Insurance(sickness,maternity,death) Account
Employment Injury Account,
Administrative Expenditure Account.

23. Recent Financial Data (9/2011)
Active Insured Persons. 566,665
Contribution (Kyat) ,710,970
Contribution (FEC) ,060*
Benefit (Cash) ,438,570
Cost for Med: & Access: ,114,960
Cost for Hosp, Clinic, Off: ,325,450
Cost for Admin (Salary) ,345,030
Cost for Capital ,883,700
Reimbursement
Total Cost ,430,270

24. Medical Invalid Pension
If the insured persons are non-gazetted officer or other ranks and suffer from chronic illness, they can request invalid pension.
Medical invalid pension board including senior medical officials recommends it after assessment of the claimant.
But the gazetted officers are transferred to medical board of Ministry of Health.

25. Potential for reform the current Scheme
To accumulate more contributions
To improve benefits
To lay down limitations in issuing benefits
To extend coverage of scheme

26. Thank you for your kind attention