Basic conditions

The employee must be registered, which assumes that the employer has filed an employment request with the Employment Service (Service de l'Emploi).

In the event that a work permit is refused, any entitlement to benefits ceases on the date on which this refusal is notified.

On the date of treatment, the active employee must prove:

  • 120 hours of work or equivalent during the previous calendar month or thirty days,or
  • 200 hours of work or equivalent during the previous calendar quarter, three months or 90 days.


  • So that we can process your requests for the reimbursement of health expenses, you must complete and sign the statement of employment appearing on the treatment forms or attach a statement of employment form to the French forms.
  • During the first three months of employment or if you are employed by a temporary employment agency, you must also provide a certificate of attendance produced by your employer either on the treatment form or the related form.
Previous employment

If necessary, salaried working hours conducted in Italy (for Italian and Monegasque nationals) or in France (regardless of nationality), during the period immediately prior to starting employment in the Principality may be included to achieve the number of working hours required.
This may be particularly useful when beginning a new occupational activity.
You must attach copies of the last three payslips as proof of this.

Simultaneous employment

When the employee works in France and Monaco during the same week, the working hours are combined to achieve the number of working hours required.
For benefits in kind (healthcare, hospitalisation, pharmacy, etc.) entitlement lies with the fund of the employee's country of residence.
For cash benefits (daily allowances), each fund shall compensate the employee based on the activity carried out on its territory.

First salaried employment in Monaco

As part of a first salaried employment in the Principality, if the working hours conditions above are still not met and no other social insurance can be claimed, during the first three months, benefits in kind are likely to be granted under the social action of the C.C.S.S.

Employment Office

Every day covered by the Employment Office is equivalent to 6 hours of salaried employment.
For the reimbursement of medical expenses, unemployed people receiving benefits, who live in Monaco or France, are covered by the health insurance scheme of their usual place of residence.
Unemployed people receiving benefits after losing a job in Monaco and who live in France must therefore contact the C.P.A.M. (Local Sickness Insurance Fund) in their place of residence.

Special case of employees and the unemployed receiving benefits after losing a job in the Principality who live in Italy