In the Roadmap "Which Social Security Rules Apply" you have determined the social security regime that applies to the assignment. The next critical step is to ascertain the employee's healthcare coverage within that regime. 

In this step, the Navigator will help you to reassess the Country of Insurance and the Country of Residence of the employee and their family members.

Navigating cross-border medical expense settlement presents significant administrative and financial complexities, demanding meticulous adherence to regulatory requirements. 

Once you have identified the Country of Insurance and the Country of Residence, the next step is to determine if they are identical and if they differ, to ascertain whether a multilateral or bilateral Medical Expense Treaty exists between them.

When employees work across borders, they might need healthcare in a country where they are not insured, typically, in their home country. To continue utilizing their home country's healthcare system, a Medical Expense Clause, as part of a social security treaty between these countries, ensures a smooth financial and administrative settlement, provided the employee meets the specified requirements.

Determining social security coverage for family members requires an independent assessment from the employee's situation. This involves evaluating if the family member can be co-insured under the employee's healthcare plan, included under a certificate of coverage, or if they need to secure their own healthcare insurance in the country of residence.

Previous sections covered healthcare insurance systems and the reimbursement of medical expenses for employees insured in one country but residing in another, and the crucial role of social security treaties in these arrangements.

This section will explore scenarios where employees and their dependent family members require medical care during short stays outside their country of insurance and residence.

Following the documentation of key elements for mandatory social security regimes, it is now crucial to incorporate all relevant mandatory health insurance rules into the Social Security Compliance File.

This Compliance File requires continuous maintenance; ensure it is regularly updated to reflect any changes in circumstances that may impact the applicable social security and health insurance regimes.

The roadmap on mandatory health insurance rules explored scenarios where an employee is subject to one country's Social Security scheme but lives, works and/or temporarily stays in another, and the subsequent implications for the employee, their dependent family members and their employer.

To summarize, here, you will find the flowcharts.

The "Basics" section outlines general principles of HR Global Mobility disciplines that are applicable in all relevant countries.

While these general principles apply broadly, you will also need to apply country-specific compliance requirements. For detailed, country-specific information, please consult the Country Guides.