Assignment of pensions to medical workers based on length of service. How is medical experience calculated?

The law on raising the retirement age in Russia, which came into force on January 1, 2019, provides for the possibility of obtaining a preferential long-service pension for medical workers, subject to the acquisition of special (medical) experience of the required duration.

Preferential long-service pension for medical workers from 2019: tables by year of retirement and list of positions of medical workers eligible for early retirement

For medical workers (doctors, nurses, paramedics, etc.) in Russia are provided preferential retirement plan - by length of service , i.e. subject to the acquisition of special (medical) experience of the required duration. That is, the possibility of early registration of pensions for medical workers directly does not depend on age and number of years of total insurance experience, since this right is determined only by the date of completion of the years of service provided for by law.

In 2019, in connection with the pension reform, preferential retirement for doctors will not be canceled, however, an additional condition will be provided for obtaining pensioner status - how many years have passed since receiving the required preferential length of service (that is, a delay of several years before applying for a pension). In total, after the end of the transition period of the reform (starting in 2023), doctors will be able to become pensioners only 5 years after completing the required experience(see the schedule of retirement of health workers by year).

Long service pension for doctors in 2019

From 2019, to apply for a long-service pension, doctors will need to have:

1. Medical work experience according to clause 20, part 1, art. 30 of Law No. 400-FZ of December 28, 2013 “About insurance pensions”, namely:

  • 25 years- in rural areas or urban-type settlements;
  • 30 years- mixed experience (in cities, rural areas and urban areas) or only in cities.

When taking into account medical experience, it is of particular importance position and name of institution, in which the medical worker works, since the preferential length of service includes time worked only in the relevant positions and institutions provided for by law. Let us note that the calculation of special length of service is carried out according to a certain order, for example, for some categories of workers the accounting is “a year and a half”.

2. Minimum required IPC value on the date of registration of payments in accordance with Part 3 of Art. 8 of Law No. 400-FZ. Every year the IPC standard increases by 2.4 points, therefore:

  • in 2018 you need to have 13.8 points;
  • in 2019 - already 16.2, etc.;
  • and from 2025 the minimum value of the IPC will be fixed - 30 pension coefficients.

Pension reform for doctors (by length of service)

Pension reform since 2019 will also affect medical workers- for them, the new law No. 350-FZ of October 3, 2018 provides for the introduction of a deferment period for receiving a preferential long-service pension.

  • The amount of this delay will increase annually, and the final standards will be established in 2023 and will amount to 5 years.
  • This means that those doctors who complete the required preferential service in 2023 and later will be able to become pensioners only after 5 years, i.e. in 2028, etc.
The increase in the deferment standard provided for by law will be carried out in stages according to the following procedure:
  1. Starting from 2019, this value will increase by 1 year until it reaches its final value (5 years in 2023);
  2. In 2019 and 2020 it will be possible to receive a pension 6 months ahead of schedule.
You can determine in which year a medical worker can retire, taking into account the two above conditions, using the table (presented below):

Note:** - the date of retirement of medical workers according to the old law was the date of completion of the preferential length of service. Abbreviations used: VP - retirement; p. - the corresponding half-year of the specified year.

The new law, adopted on October 3, 2018, does not provide any conditions for the type of activity of medical workers during the period for which the possibility of receiving a pension is postponed. Therefore, during the provided 0.5-5 years of deferment, you can at your discretion both continue to work and stop working- there are no restrictions for this.

Medical experience for superannuation

The main condition for preferential retirement of medical workers (doctors, nurses, midwives, etc.) is having the required medical experience - 25 or 30 years depending on the area in which the doctor works. With the implementation of pension reform, these standards will not change, just as the rules for calculating special experience and the list of medical positions will not be adjusted.

The procedure for recording medical experience and the list of medical positions are regulated by legislative acts depending on the period of such labor activity:

  • until 01/01/1992- Resolution of the Council of Ministers of the USSR No. 1397 of December 17, 1959;
  • from 01.01.1992 to 31.10.1999- Resolution of the Council of Ministers of the RSFSR No. 464 of 09/06/1991;
  • from 01.11.1999 to 31.12.2001 No. 1066 of September 22, 1999;
  • from 01/01/2002 to present- Decree of the Government of the Russian Federation No. 781 of October 29, 2002

To determine whether the length of service is included in the preferential medical experience that allows you to apply for an early pension (according to length of service), you should be guided by the legislative act for each relevant period.

It should be noted that the preferential length of service includes periods of work only in those positions and institutions that are provided for by the above legislative acts. If the entries in the work book do not meet such requirements, then when determining the right to early retirement in the Pension Fund based on the length of service Some work periods may be excluded.

List of positions of medical workers eligible for early retirement

In order for the period of work to be taken into account in the preferential medical experience, health workers must carry out official work activity in a position and health care institution provided for by law. As noted earlier, the name of the position and organization must comply with the regulatory documents in force at that time.

For periods of work from January 1, 2002 lists of positions and institutions provided for Decree of the Government of the Russian Federation No. 781 of October 29, 2002 Therefore, during the specified period of time, the preferential medical period includes working time according to the presented list of positions and institutions - in the table below:

Name of institution Job title
Hospitals
  1. Doctors are specialists.
  2. Doctors are the heads of institutions carrying out medical activities.
  3. Average honey staff:
    • head of the FAP, health center;
    • paramedic;
    • senior paramedic;
    • Dentist;
    • honey. sister;
    • main med. sister;
    • senior med. sister;
    • x-ray technician;
    • medical laboratory assistant;
    • assistant epidemiologist;
    • midwife;
    • senior midwife;
    • honey. technologist;
    • honey. disinfectant;
    • assistant sanitary doctor and others.
Psychiatric hospitals (inpatient facilities)
Medical units
Hospitals
Nursing homes
Outpatient clinics
Paramedic and midwife stations
Dispensaries
Maternity
Sanatoriums
Honey. companies
Disinfection stations
Leper colonies
Anti-plague centers
Military hospitals
Ambulance stations aid, ambulance and emergency medical services. help
Blood transfusion stations
Women's clinics and other organizations

Complete list of positions and institutions, work on which is counted towards preferential length of service for early retirement, is presented in the List approved by Resolution No. 781.

How to calculate preferential length of service for retirement for doctors

The rules for calculating preferential length of service for health workers differ depending on the period of such work - they are regulated by legislative acts for each corresponding period. For work activities carried out from January 1, 2002 to the present, the following applies: procedure for calculating medical experience:

  • Preferential length of service is taken into account in calendar order, i.e. a year of work in a position specified in the list is taken into account as a year of preferential service.

It does not matter what clinical profile is indicated in the name of the healthcare institution, and the departmental or territorial affiliation of the organization is not important.

  • In some cases, experience is taken into account not “year by year”, but preferential calculation procedure:
    • a year of work in a rural area or in an urban village is counted as 1 year and 3 months(this is important for health workers with mixed experience, for whom the standard is set at 30 years of medical experience);
    • For the list of positions established by law, medical experience is counted as “a year and a half.”
  • Work experience before November 1, 1999 is counted towards the preferential benefit in full, and after this date only those periods of work during which working hours were met according to labor legislation (normal or reduced).
  • If the work was carried out in several positions (or institutions) during a part-time working day, then it will be taken into account in the preferential length of service only if the total amount of working time is worked out, corresponding to the full rate for one of the positions.
  • In healthcare institutions of the Russian Federation abroad, length of service is counted on a general basis.

All conditions for accounting for preferential medical experience provided for by law are given in the Rules for calculating work periods approved by the Government of the Russian Federation.

For which positions is medical experience counted as a year and a half?

The legislation provides a list of positions and health care institutions, a year of work in which is counted as one and a half years. For periods of work from 01/01/2002, this rule applies to the following health workers:

  1. Surgical departments, hospitals, burns, oncology, orthopedic, otolaryngological, microsurgical departments as:
    • operating medical specialists of any profile, incl. medical directors;
    • operating rooms med. nurses (including elders), midwives (including elders), honey. nurses in purulent surgery, trauma, burn and other departments.
  2. Departments (mobile ambulance teams, wards, groups) of anesthesiology-reanimation, resuscitation and intensive care, namely:
    • anesthesiologists, resuscitators (including heads);
    • honey. ward sisters, incl. seniors;
    • honey. nurse anesthetists.
  3. Bureau court. honey. examinations, central courts. honey. examinations, court. honey. laboratories, etc. as:
    • forensic doctors, incl. managers;
    • average med. personnel involved in forensic autopsies and research;
  4. Pathological and anatomical departments, namely:
    • pathologists, incl. managers;
    • average med. staff and others.

Resolution No. 781 approved a complete List of healthcare institutions and titles of positions of doctors and paramedics. personnel, in which a year of employment is counted as 1 year 6 months. In order for preferential medical experience to be taken into account according to this scheme, it is necessary that the entry in the work book corresponds to what is specified in this list.

Question answer

Is studying at a medical school (residency, internship) included in the length of service?

The length of service includes periods during which insurance premiums are paid to the Pension Fund (Part 1, Article 11 of Law No. 400-FZ of December 28, 2013. “About insurance pensions”). Therefore, the time during which the citizen received education will be counted towards the preferential length of service only if if during training he held a full-time position and received wages (for example, was on leave with pay). This is possible, for example, when taking advanced training courses, internship, residency, etc. In addition, length of service may not be taken into account in calendar order, but for example, a year and a half if, while undergoing training, the health worker took part in operations (in some cases, such a decision is made only in court).

Accordingly, if during the training period the physician was not registered under an employment contract (accordingly, insurance premiums were not paid), such a period will not be included in the medical experience.

« Preferential pension for medical workers list of positions" is a common request on the Internet. Its popularity is understandable, since many fundamental changes have recently occurred in the field of pension provision. Those who work in the field of medical care for the population can still count on early retirement, but there are some nuances.

What is preferential length of service for medical workers?

Preferential length of service is a social guarantee, the right to which the state has legally assigned to doctors. In this case, pensions for healthcare workers are accrued not upon reaching a certain age, as in the general case, but according to years of service, after completing a certain length of service.

Important! The accrual of preferential pensions is guaranteed to medical workers by the Federal Law “On Insurance Pensions” No. 400-FZ of December 28, 2013.

For health workers in rural areas, a shortened length of service is established, after which the employee has the right to retire - 25 years; for those working in cities, the length of service is 30 years. If an employee of the medical services sector worked part of his work experience in the city and part in the countryside, the calculation is made using a special coefficient.

Important! Full-time employees are entitled to an early pension (except for the situation discussed in the next section); periods of temporary disability (including maternity leave) and annual paid leave are also included in the counted length of service.

Pension for health workers based on length of service. Nuances of determining length of service

The law separates the procedure for determining the length of service of employees of urban and rural medical institutions: the latter receive the right to early retirement five years earlier than their urban colleagues. But what to do if an employee changes jobs?

If during his medical career an employee worked in both rural and urban medical institutions, then work experience in rural ones is taken into account when calculating length of service with a coefficient of 1.3. At the same time, the very fact of working in a rural area may have to be proven (after all, the work book does not say whether the medical institution was rural). In doubtful cases, Pension Fund employees are asked to submit a certificate from the self-government bodies of the municipality in which the institution was located stating that the locality is rural.

The calculation also has certain nuances preferential length of service for medical workers who worked according to the approved list of specialties in surgical, intensive care, pathological-anatomical departments and forensic medical examination structures - for them the length of service is determined with a coefficient of 1.6.

Important! If a medical worker claims several benefits for calculating length of service (for example, when working in the surgical department of a rural medical institution), then the benefits in this case are summed up.

A special procedure exists for determining the length of service of persons who worked in medical institutions part-time in several positions or on a part-time basis. In order to retire early, such medical workers will have to prove that they have worked out standard working hours for the position that entitles them to this benefit.

Early pension for medical workers of private medical institutions

Employees of private and departmental medical institutions have the same right to pensions as their colleagues from government agencies. This was confirmed by the decision of the Constitutional Court of the Russian Federation and is undoubted.

At the same time, an employee operating in a private medical institution must pay attention to the title of his position (check it with the list of positions for which early retirement is possible). Current lists of regulatory documents regulating the appointment of preferential length of service (including lists of positions and works) are established by regulations listed in Decree of the Government of the Russian Federation No. 665 of July 16, 2014.

In addition, it is worth remembering that a prerequisite for appointment early pension for a medical worker is the transfer by his employer of pension contributions during the period the employee performs his labor duties.

Instructions

To correctly calculate your medical experience, please refer to the required documentation. First, read the decree of the Government of the Russian Federation “On approval of the list of positions that give the right to enrollment in, giving the right to receive a pension in connection with engaging in medical and other activities related to public health.” Here you can study the rules for calculating length of service for the subsequent assignment of a pension, taking into account work in the medical field.

Calculate preferential medical experience according to the following rule: count one year of work in the field of medicine as one and a half years. However, please clarify which periods of work and in which periods can be counted as medical experience, according to the preferential procedure.

The list of positions approved by the Government of the Russian Federation does not contain a detailed list of specific positions that are or are not entitled to receive a long-service pension. Therefore, when considering medical work experience, be guided by the nomenclatures (lists) of medical positions.

Work in private enterprises engaged in medical activities must also be counted towards medical experience. Check whether a specific position and a specific type of institution belongs to the list according to which you can accrue a preferential medical pension to this employee.

In any case, in order to include a certain period of work in your medical experience, check whether it meets the requirements of a specific list that approves the names of positions and health care institutions in which you may be entitled to receive an early old-age pension. To include this period in the length of service also on a preferential basis, make sure that the work took place in the relevant departments and in the relevant positions, which are listed in the regulations.

Sources:

  • how to get work experience

Work experience is the period of time when a citizen worked or was engaged in other activities for the benefit of society, and which must be confirmed by documents issued from the place of work or study in the event that the time of study can be included in the work experience. The concept of “work experience” is a generalized concept that includes such varieties as insurance, general or special experience. There is also the concept of continuous work experience.

Instructions

Calculating work experience is a rather complicated task, the procedure for which is established by current legislative acts. In addition to the general rules, there are a sufficient number of departmental regulations that define the rules for calculating various types of seniority. In any case, the length of service is carried out in order, and consists of 30 days, and a year of 12 months.

The insurance period is calculated taking into account the length of time when the employer paid insurance premiums. In this case, you can engage in any type of activity: military or service, individual entrepreneurship, or perform work on. In accordance with the laws in force today, the right to receive an old-age pension arises if you have five years of insurance service, during which mandatory contributions were made.

When determining the right to receive labor upon reaching , including in the case of its early assignment, the insurance period must include all periods when the citizen worked or was engaged in other activities, and which were subject to offset when calculating the general or special work experience required for assignment of a pension in accordance with the legislative acts in force during the period of his work (activity).

At the same time, it is necessary to calculate the length of service in accordance with the rules provided for by these legislative acts (including when calculating “preferential” length of service). This procedure also applies when a citizen (regardless of his or her status on the day of repeal of the relevant legislative act or other regulatory document) has fully developed a special or general length of service, the presence of which gave him the right to receive a pension for long service or old age.

Video on the topic

Preferential experience makes it possible to receive an early retirement pension, as well as preferential pension benefits. Preferential experience given to citizens who work in difficult and hazardous working conditions, for example, in coal mines, medical workers, and teachers.

Instructions

Calculation of preferential experience and is legislatively enshrined in the Decree of the Government of the Russian Federation dated July 11, 2002 No. 516 “On approval of the rules for calculating periods of work giving the right to early assignment of a labor pension in accordance with Articles 27 and 28 of the Federal Law “On Labor Pensions in the Russian Federation.” According to the Resolution on preferential experience periods are included (both primary and additional), as well as periods of temporary disability of a citizen. Does not count toward the discount experience administrative leave.

Pension laws have changed, but people remain. And they remained - with thoughts about their future retirement. In order to satisfy the interest of the general public, we have begun a series of articles about the new pension reform. And today we will touch on the topic of preferential pensions for medical workers in Russia. What changes have occurred? Will the right of medical workers to a preferential calculation of their insurance pension be preserved under the new rules? What length of experience will be counted as “medical”? Is it profitable to go to work in a village? etc.

Without further ado, let's get started.

Categories of health workers entitled to early retirement

The first and most important thing that concerns any beneficiary in connection with the changes that have taken place is the preservation of the right to benefits. Health care workers are no exception. As is known, until 2013, having a certain level of experience in medical work, they had the right to retire earlier than other workers.

So, Law No. 400-FZ of December 28, 2013, regulating the pension provision of Russians, included in a separate chapter provisions on the preservation of benefits for special categories of workers. Thus, according to paragraph 20 of Article 30 of the above-mentioned legislative act, healthcare workers still have the right to early retirement.

How early can such an exit be?

Unlike some other preferential categories, doctors are not tied to a specific age. For medical workers, the main requirement to ensure the right to receive a preferential pension is length of service, position and place of work.

Minimum period of work for early retirement for:

  • employees of health care institutions located in villages or urban-type settlements (urban-type settlements) must be 25 years old;
  • workers of healthcare institutions located in the city - 30 years;
  • employees of health care institutions with mixed work experience (both in rural areas and in cities) - 30 years.

Criteria for "preferential"

However, the number of years worked, as we have already said, is not everything. Not every job can be regarded as “preferential”. To do this, a healthcare worker must work in a certain position and in a certain place.

The state establishes these “certain positions” and “certain places of work” in the relevant regulations. Anyone can familiarize themselves with them in Decree of the Government of Russia No. 781 of October 29, 2002.

The general criteria for "preferentiality" are:

  • the organizational and legal form of a healthcare enterprise cannot be other than an “institution”;
  • the name of the enterprise must contain the words specified in Resolution No. 781, for example: “hospital”, “hospital”, “medical unit”, “orphanage” and others;
  • if a medical worker carried out his activities not in a healthcare enterprise, but in medical structural divisions of individual organizations, then this activity is counted towards the “preferential length of service” on a general basis. For example, such organizations may include: clinics at medical universities, sanitary units, laboratories at military units, military institutes, etc. (for more details, see clause 6 of the Rules for calculating the periods of work of doctors of Resolution No. 781).
  • the position held by an individual medical employee must be listed in the relevant list of Resolution No. 781. This includes all practicing doctors and nursing staff. The head of, for example, a clinic can also receive benefits upon retirement, but only if he did not stop practicing medicine throughout his work.

Principles for calculating length of service

We have already briefly mentioned the rules by which the duration of medical activity is calculated - they are all listed in the same Resolution No. 781. However, we will help you figure out what’s what.

So, the “preferential length of service” includes the full 25 or 30 years of service in a preferential position, including mixed ones (part of the service in the village, part in the city). If an employee changes jobs several times during his working career, then all “grace periods” are considered and confirmed.

Each “preferential” year of work in the city is counted towards the total length of service in a 1:1 ratio. That is, for one year of work - one year of service. But village employees have the right to relief. They are credited with “preferential seniority” in a ratio of 1:1.25. In other words, for each working year - a year and three months of service.

Also, at an accelerated pace, the length of service goes to health workers - surgeons, anesthesiologists, forensic experts, pathologists and other health care employees from the corresponding list (see the same Resolution). They are credited with 1.5 years of service per year of work.

An important point: during the “preferential period”, starting from November 1, 1999, only full rates are taken. Until this date, all places of work are included in the length of service, regardless of the rate. After that - only complete ones or complete ones obtained by addition. For example, if a health worker worked in two “preferential places” at the same time, in each at half the rate.

If you are applying for a preferential pension for a medical worker, you need to come to the Pension Fund of the Russian Federation in advance, about six months to a year before your expected retirement, with your passport, work record book and SNILS. An employee of the Pension Fund of Russia will review the documents you brought and tell you what else is needed to calculate the preferential pension for a health worker. The procedure for checking, confirming and crediting work experience is not a quick process, so you need to prepare for the fact that you will most likely have to prove your right to benefits.

By the way, keep in mind that the benefit only applies during retirement. They do not affect the size in any way and do not increase it.

We hope that we were useful to you. All the best!

The work of medical workers is characterized by a fairly high level of moral and physical stress.

In addition, we must not forget about the presence of frequent stress and overexertion.

All these and many other indicators indicate that a long-service pension is provided for health workers.

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Features of calculating pension experience

A health worker who has worked for the following period of time can take early retirement:

  • When working in small rural outpatient clinics, the employee must have 25 years of experience.
  • When working in medical institutions of a city, town or urban type, the experience should not be less than 30 years.

In addition, it should also be noted some medical specialties, when working in which 12 months are taken into account as one and a half years of experience:

  • Pathologist
  • Anesthetist
  • Reanimatologist
  • Forensic expert
  • Practicing surgeon
  • Dentist
  • Paramedic
  • Medical technician
  • Paramedic laboratory assistant

If a health worker practices in one of the above specialties and practices in a rural area, 1 year of work is equivalent to 21 months.

In addition to the time worked, the preferential length of service also includes:

  • Vacation period
  • Maternity leave
  • The period when the employee was officially on sick leave
  • The period of taking advanced training courses.

Misunderstandings and questions often arise about the fact that the length of service on benefits is calculated incorrectly. Basically, the questions relate to the fact that this length of service does not take into account the following periods:

  • Leave to look after a newborn
  • Work to combine several positions
  • The working time is not enough to calculate the service pension
  • Residency training time

In different regions of the country, work experience is calculated with some peculiarities. Therefore, to resolve disputes and calculations of preferential pensions, it will be necessary to contact a judicial organization.


It should also be noted that since 2016, the long-service pension for medical workers in Russia is also available not only for medical workers of government organizations, but also for those who work in municipal or private institutions.

When calculating an early pension, the employee’s work schedule does not matter: be it a full or shortened work week.

Only the number of years the medical worker has worked is taken into account. Years are calculated according to the calendar.

If a health worker is not included in any of the above lists, he retires on a general basis: women - 55 years, men - 60 years.

How to register correctly

In order to start applying for an early pension, you must submit a written application to the Pension Fund. You need to have these with you:

  • Passport
  • Employment history
  • Application for calculation of service pension
  • Certificate of income (last 5 years of continuous work in one place)
  • Document on the place of registration
  • Certificate certifying the presence of people under guardianship

The application is reviewed by PF employees within 5 working days. The deadline for granting a long-service pension is the day on which the application was submitted.

In order not to drag out the process for several months and not to visit the Pension Fund again, experts recommend first collecting all the certificates and documents necessary for this, and only then going to the Pension Fund for all weapons.

Early retirement for medical workers working in a private organization


Medical workers who worked in private or departmental institutions have exactly the same rights to retire as medical workers based on length of service as employees of government organizations.

In this case, it is necessary to pay attention to what position is listed for and check its compliance with the entries in the work book.

We should also not forget that some heads of private organizations, unfortunately, do not practice paying contributions to the Pension Fund. And this is one of the important conditions that gives a health worker the right to retire early.

In 1999, changes were made to the Labor Code, according to which only full-time rates are taken into account in the preferential length of service. If a health worker worked in two places simultaneously on a half-time basis in each, the length of service is calculated by addition.

In order to avoid misunderstandings, experts recommend applying to the Pension Fund with your passport and work book approximately 6-8 months before applying for an early pension. After studying and calculating, pension fund employees will determine whether it is possible to retire early.

On video about long-service pensions for education workers and health workers:

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