Presentation of the

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Presentation of the Mutuelle Générale de
l'Education Nationale (MGEN)

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Origins of the MGEN

• The MGEN from the 19th century to 1946
• Schoolteachers created 132 friendly societies or
  mutual aid societies, with a limited
  geographical scope (1 or 2 districts or
  départements), to cover a range of specific
  risks relating to
• Death
• Incapacity
• Illness
• Orphanhood
• Retirement
• Saving

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The origins of the MGEN

• From 1946
• At the proposal of the national schoolteachers
  union, the 132 friendly societies merged into a
  single national mutual insurance society, the
  MGEN.
• A social security system was set up for all
  wage-earners in France.
• The law entrusts the MGEN with the management of
  the social security of all public employees of
  the national public education system (Education
  Nationale)
• The MGEN manages social security and provides
  additional (complementary) second-level health
  and social welfare protection.

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The mission of the MGEN
MGEN Health and social welfare complementary
insurance scheme
Optional
MGEN Management of healthcare insurance scheme
under the social security system
State Social welfare insurance for public
employees
Compulsory
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Tasks entrusted to the MGEN

• Public-service tasks
• Management of social security 83 million
  treatment forms (feuilles de soins)
• 2.89 billion euros worth of healthcare services
  provided under the compulsory regime (Régime
  obligatoire RO)
• Management of the States participation in
  covering social risks
• Participation in ministerial welfare policies
• Management of the services provided by the mutual
  insurance society
• Health
• Social welfare, assistance for dependants and
  other supplementary social protection services
  and benefits
• Healthcare 1.5 million days of care, visits or
  consultations in our 33 healthcare and social
  welfare centres

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The MGEN population

• 1946 2009
• The MGEN has developed on the basis of solidarity
  principles and is today one of the largest mutual
  insurance societies in France.
• 1946 200 000 members
• 2009 3 000 000 people protected.

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Basic mutual insurance principles of the MGEN

• Membership is on an individual, voluntary basis
• Members have responsibility all decisions are
  discussed and voted on by the General Assembly.
• Non-profit-making

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Our basic value solidarity

• Contributions are proportional to income
• We offer a comprehensive range of services.

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The MGEN Healthcare based on a service-oriented
approach

• Assistance and support provided to MGEN members
• 1.05 billion euros worth of healthcare services
  provided under the complementary health insurance
  scheme (Régime complémentaire RC)
• Annual turnover in 2008 1.6 billion euros,
  including contributions and the turnover of our
  healthcare centres
• A policy based on national agreements governing
  hospital- and dental-care service contracts
  (conventionnement)
• An innovative approach to the provision of
  optical healthcare under national agreements
  (closed network)

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Healthcare Social security and MGEN services and
benefits (2008)
Total for services and benefits provided (Social
Security MGEN) 3.94 billion euros
BENEFITS SERVICES Social Security (in ) MGEN (in ) SS share (as ) MGEN share (as )
Illness 2 087 506 288 638 823 676 76.6 23.4
Medical fees 596 603 915 194 782 309 75.4 24.6
Prescriptions 1 329 482 255 429 496 061 75.6 24.4
Pharmaceuticals 814 281 843 274 233 806 74.8 25.2
Other 161 420 118 14 545 306 91.7 8.3
Dental care 146 930 837 159 608 624 47.9 52.1
Prostheses 51 651 995 125 133 051 29.2 70.8
Optical healthcare 8 796 488 98 013 334 8.2 91.8
Hospitalisation 606 314 067 151 270 049 80.0 20.0
Maternity care 38 637 254 3 009 172 92.8 7.2
Total 2 888 184 934 1 050 724 855 73.3 26.7
Source MGEN Annual Report 2008
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Healthcare Social security and MGEN benefits
(2008)
Benefits paid by MGEN 1.05 billion
Benefits paid under the social security system
2.89 billion
Illness 72.3 Hospitalisation maternity
22.3 Optical dental 5.4
Illness 60.8 Hospitalisation maternity
14.7 Optical dental 24.5
Source MGEN Annual Report 2008
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Overview of MGEN benefits (2008)
Total MGEN benefits 1.2 billion
Source MGEN.Annual Report 2008
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The MGEN also provides.

• Other products and services
• A range of products and services to help members
  meet their housing needs
• Loan to set up or move to a new home (Prêt
  installation)
• Deposit guarantee to rent or buy accommodation
• Loan insurance
• A comprehensive range of personal services,
  particularly for persons with diminished autonomy
• A supplementary retirement scheme COREM
  (Complément de retraite mutualiste)

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The MGEN also provides.

• Subsidies to finance medical research Institut
  national de la santé et de la recherche médicale
  (National Institute for Health and Medical
  Research INSERM), Institut Pasteur, Centre
  national de la recherche scientifique (National
  Centre for Scientific Research CNRS), etc.
• A partnership with the French Ministry of
  National Education to develop and implement
  social welfare policies
• The organisation and funding of
  preventive-healthcare and health-education
  actions

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The MGEN comprises.

• 9 319 employees
• Including 4 607 in healthcare centres
• More than 91 000 hours of training provided every
  year
• 1 national headquarters
• 1 information technology production centre
• 1 information technology research centre
• 101 district branches (sections
  départementales) throughout France
• 8 specialised treatment centres
• 1 management unit for specific services

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The MGEN relies on a team of

• Active members
• 13 members of the national headquarters
• 60 national administrators
• 473 membership delegates to the General
  Assembly(2010)
• 266 branch directors and managers
• 2524 active members elected to the branch
  committees
• 15 000 correspondents of the association

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Organisation of the MGEN Group
The MGEN Group
Education and Solidarity network
MGEN Holding
MGEN co-founder
MGEN founder
Montparnasse Institute for Social Protection
MGEN Healthcare centres
EGAMO Asset management subsidiary
MGEN Filia
MGEN Public Health Foundation
MGEN Mutual insurance society for complementary
health and social welfare protection
MGEN Management of compulsory medical
insurance (mandated by the Department of social
security)
UMR Retirement insurance benefits
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The international development of MGEN
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MGEN action to ensure the durability of the
mutual model

• Manage the social protection of our mutual
  members when they live and work abroad the SEM
• Develop the provision of MGEN services in other
  countries Europamut in Portugal
• Mobilise to defend the interests of MGEN and its
  members at the European level
• Take action to develop the mutual model worldwide
  and ensure its durability the Education and
  Solidarity Network.

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 Mutual insurance system, transmitter of
movement, humanism and solidarity is our
difference 

• Thierry BEAUDET, President
• Rapport moral 2009