Health Insurance will cut up to 1,700 jobs by 2027, subject to conditions

The abolition of these 1,700 positions will be subject to “productivity gains” and with a “review clause” in two years.

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The entrance to a health insurance building, on June 7, 2023, in Paris.  (MAGALI COHEN / HANS LUCAS / AFP)

Weight loss cure in sight. The Board of Directors of Health Insurance gave the green light on Monday June 26 to a new agreement with the State providing for up to 1,700 job cuts by 2027, subject to “productivity gains” and with a “review clause” in two years. The largest social security fund, with 82,000 agents on permanent contracts, will reduce its workforce by around 2% by the end of 2027.

Confirmed by three members of the board of directors, this quantified objective does not appear in the new objective and management agreement, of which AFP obtained a copy. This document specifies that the “staff reductions” will specifically target the “payment of benefits” and the “rights management”thanks to “productivity gains” related to the computerization of care sheets, invoices and other forms.

A “very gradual” reduction

Conversely, a “reinforcement” human resources is promised in other areas, including “access to rights and care”there “fight against fraud” or even the “prevention programs”. The text was approved with the voices of employers and users (chronically ill, disabled), and thanks to the abstention of mutual insurance companies and the CFDT, while the other unions voted against, detailed in a press release the president ( CFDT) of the Board of Directors of Health Insurance, Fabrice Gombert.

The adoption of this agreement had been blocked for several weeks by the subject of job cuts, finally defused by the addition of a “review clause” scheduled “during the first half of 2025”. Incidentally, the downsizing was made “very progressive”with only 5% then 10% of the 1,700 deletions in the first two years, or around 250 by the end of 2024.


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