Merki Sameykis á smærri skjá

Grettisgötu 89
105 Reykjavik
Ísland

525-840
sameyki@sameyki.is
6202690-3449

Rules of allocation for Sameyki’s Support and Sickness Fund

Halda áfram
Effective as of 1 January 2021
1. Who are entitled to a grant?
1.1. Fund members must have been members of Sameyki for one year to be entitled to a grant. Exceptions to this are grants for cancer and heart disease screening, where a three-month membership is required. Grants cannot be applied for retroactively, i.e. applications are valid in the year of the grant application.
1.2. Fund members must also have paid at least ISK 20,000 in membership fees in the preceding 12 months in order to receive a full grant. Half a grant is provided to those who have paid ISK 19,999 or less in membership fees in the preceding 12 months.
1.3. Fund members must be employed, both when they apply for a grant and when they use it.
1.4. Fund members who are job seekers can use their accrued rights if they choose to pay trade union fees during their job search.
1.5. Fund members who are on parental leave can use their accrued rights if they choose to pay trade union fees during their job leave.
1.6. Fund members retain their rights in the Fund while they exercise their sickness leave rights and during the period when they receive sickness per diem allowance.
1.7. Entitlements lapse 2 months after the final payment of membership fees to the Fund has been received.

2. The following treatments and preventive measures are eligible for grants:

2.1. Physiotherapy, therapeutic massage, chiropractic treatment
A Fund member who has been a member for one year receives a grant for physiotherapy, therapeutic massage, chiropractic treatment or similar treatment, ISK 2,500 for each session up to 25 times per calendar year.
Fund members can also apply for a grant for training at the Heart and Lung Centre or comparable institutions.

2.2. Screening for cancer and heart disease
A Fund member who has been a member for three months will receive a grant for a routine breast or gynecological examination once per calendar year. ISK 4,984 for cervical smear only or ISK 4,984 for mammogram only. Cervical smear and mammogram in the same examination is ISK 8,800 (which is the maximum grant for routine cancer screening per calendar year).

Fund members can also receive a grant for a colon and prostate cancer screening, up to a maximum of ISK 10,000.

Fund members who have been members for 12 months can also receive a grant for follow-up examinations with the Icelandic Cancer Society, up to a maximum of ISK 10,000.

Fund members who have been members for three months can receive a grant for a risk assessment examination with the Icelandic Heart Association, up to a maximum of ISK 20,000 once per calendar year.

2.3. Psychological, social and family counselling
A Fund member who has been a member for one year receives a grant for treatment from the following approved types of therapists:
A social worker, family counsellor, psychologist or art therapist. Sessions with a psychiatrist are not eligible as they are covered
by the discount card from Icelandic Health Insurance, nor are grants provided for sessions with a psychologist that are subsidised by healthcare services.
The grant covers 50% of the invoice, up to a maximum of ISK 80,000 in each calendar year.

2.4. A stay at a health clinic
A Fund member who has been a member for one year receives a grant for treatment at at health clinic, ISK 2,500 per day for up to 42 days in the calendar year.

2.5. Physical training
A Fund member who has been a member for one year or longer receive a grant of up to ISK 23,000 per year. Invoices from the following entities are accepted: Fitness centres, swimming pools, ski resorts or a sport clubs, as well as other fitness entities deemed comparable by the Board of the Fund.

2.6. Eye operations and glasses
A Fund member who has been a member for one year has the right to apply once every 36 months for a "laser" and lens replacement surgery on one eye, ISK 50,000 or ISK 100,000 for both eyes.
Grants are also provided to purchase of glasses or contact lenses once every 36 months. Payments are made for 20% of the total amount of invoices for ISK 10,000 or more. However, grants for the purchase of glasses/contact lenses can never exceed ISK 30,000.

2.7. Dental repair
A Fund member who has been a member for one year can apply for a grant to cover dental repair costs once every 24 months The grant amounts to 50% of costs in excess of ISK 50,000, up to a maximum of ISK 150,000. Invoices dating further back than the previous year are not accepted.

2.8. Hearing aids
A Fund member who has been a member for one year can apply to a grant to purchase hearing aids once every 36 months. The grant amounts to 50% of costs in excess of ISK 50,000, up to a maximum of ISK 150,000.

2.9. Artificial insemination
A Fund member who has been a member for one year can have 30% of the cost of a microscopic or in vitro fertilisation treatment reimbursed (pharmaceuticals not included). The maximum allowance per calendar year is ISK 150,000.

2.10. Courses to quit smoking
A Fund member who has been a member for one year can apply for a grant for a course to quit smoking. The maximum grant is ISK 15,000 for one time per calendar year.
2.11. Travel grant
The Fund pays part of the expenses of members who have to travel from one part of the country to another for medical procedures or examinations for themselves, their spouse or their children, provided that contributions to the Fund have been made for them for 6 out of the 12 previous months. A grant must be applied for with the Social Insurance Administration. If this request is rejected, the Fund will pay ISK 10,000. for 250-400 km of driving, ISK 15,000 for 400-600 km of driving, ISK 20,000 for 600-800 km of driving and ISK 25,000 for more than 800 km of driving. The calculations are based on a round trip. Payments are made for a maximum of three trips in each 12-month period. The Board of the Fund may depart from these criteria if there is valid reason to do so.

3. Other grants

3.1. Maternity/paternity grant
Sameyki’s Support and Sickness Fund provides a maternity/paternity grant. The amount of the grant is the same for men and women, with reference to the proportion of employment. The full grant is ISK 240,000 for each child, assuming that the parent has been 100% employed for the 6 months preceding the birth of the child/children.
3.2.1. Parents who are members of Sameyki are entitled to a grant provided theyr are members of the Fund and fulfil conditions for fund membership.
3.2.2. The parents apply separately if they are both members of Sameyki.
3.2.3. The applicant must have an employment proportion of at least 25% to be eligible for a grant.
3.2.4. The grant amount decreases in line with the decreased employment proportion.
3.2.5. The rules regarding childbirth also apply to adoptions.
3.2.6. In the event of miscarriage after 18 weeks of pregnancy or stillbirth of a child, the Fund pays half the maternity/paternity grant.
3.2.7. The grant can be used until the child/children have reached the age of 18 months.
A maternity/paternity grant is disbursed to a parent upon presentation of a birth certificate and confirmation of employment, stating the applicant’s proportion of employment in the 6 months preceding the birth of the child/children, from the applicant’s employer.

3.2. Death benefits
A funeral grant of ISK 200,000 is available, provided that the deceased had been a Fund member for 12 months before death. The Fund also provides a funeral grant in the amount of ISK 100,000 upon the death of former Fund members for up to 5 years after they have retired due to age or disability. Grants are also provided to Fund members upon the death of their children aged 18 and younger. The grant is paid to the person in charge of the funeral. Funeral grants are paid to legal heirs. Payment receipts related to the person's funeral must be submitted.

4. Exceptional circumstances
The Board may, at its discretion, provide a grant due to exceptional circumstances that involve a Fund member’s loss of income or considerable expenses due to the illness of the Fund member or their immediate family. All applications for exceptional circumstances have to be reviewed by the Board of the Support and Sickness Fund.

5. How payments from the Fund are made
Documents: The necessary documents must be presented in order for a Fund member to receive payment from the Fund. These documents are: An itemised invoice which has been verifiably paid and includes the applicant’s name and ID number. The invoice must have the signature/stamp/sign of the issuer of the invoice, in addition to details such as name, title, ID number, and address or telephone number. The invoice must state the dates and number of treatments or purchases of products or services. Note that receipts or operation dates may never be older than 12 months, from the submission of the application and documentation. Dental receipts are an exception to this.
Payment receipts are submitted to heilsustyrkir@sameyki.is or at Sameyki’s office.
Grants are pre-filled on the tax return. Deductible physical training expenses may be recorded when the tax return is submitted, in accordance with the rules of the Directorate of Internal Revenue.

6. How do you apply for a grant?
An online application must be filled out and supporting documents submitted in order for the application to be processed. The online application is submitted via Sameyki’s My Pages at www.sameyki.is.
Invoices and/or payment receipts and other supporting documents must be sent as an attachment on My Pages or e-mailed to heilsustyrkir@sameyki.is. They can also be submitted at Sameyki's office at Grettisgata 89, 105 Reykjavík.

The Board reserves the right to amend these rules without notice.
Properly filled in applications facilitate the processing of grant requests.

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