Legal advice and representation for individuals in exercising rights arising from health insurance, pension and disability insurance, child protection, and veterans’ and disability benefits. Legal support includes assessing whether statutory requirements are met, preparing applications and the required documentation, representation before the competent funds and public authorities, and pursuing legal remedies against decisions by which a particular entitlement has been refused, restricted, or incorrectly calculated.
Health Insurance Rights
The Law Office provides legal support to insured persons in proceedings before the Health Insurance Fund of the Republic of Srpska and healthcare institutions, particularly in relation to:
- establishing and regulating insured status;
- exercising the right to healthcare;
- approval of medicines, medical devices, and aids;
- treatment outside the Republic of Srpska or abroad;
- reimbursement of justified medical treatment expenses;
- rights during temporary incapacity for work;
- salary compensation during sick leave;
- assessments by first-instance and second-instance medical commissions;
- appeals and other legal remedies against decisions of the Fund.
Before initiating proceedings, the medical documentation, insurance status, and any specific statutory requirements applicable to the particular entitlement are reviewed.
Pension and Disability Insurance
Legal support in proceedings before the Pension and Disability Insurance Fund of the Republic of Srpska includes the exercise and protection of rights relating to:
- old-age, disability, and survivors’ pensions;
- determination of pensionable service and insurance periods;
- registration or correction of data concerning paid contributions;
- determination of disability and remaining capacity for work;
- recalculation and adjustment of pension amounts;
- recognition of insurance periods completed with different social insurance institutions;
- exercise of rights under international social security agreements.
Particular attention is given to reviewing official insurance records, employment documentation, data concerning insurance periods and earnings, and findings of the competent medical assessment bodies. Where a claim has been refused or an entitlement has been incorrectly determined, representation is provided in appeal proceedings and administrative disputes.
Child Protection Rights
The Law Office advises and represents beneficiaries in proceedings before the Public Fund for Child Protection of the Republic of Srpska in relation to rights which, subject to the applicable statutory conditions, may include:
- child allowance;
- maternity allowance;
- assistance for newborn equipment;
- reimbursement of salary compensation during maternity leave;
- rights of parents and children requiring special care;
- other financial and social benefits within the child protection system.
Legal support includes verification of requirements relating to residence, income, family status, and other relevant circumstances, preparation of applications, supplementation of documentation, and filing appeals where an application has been refused or an entitlement has ceased without an appropriate legal basis.
Rights of Veterans, War Veterans with Disabilities and Families of Fallen Soldiers
Legal assistance includes the exercise and protection of rights prescribed by the Law on the Rights of Veterans, War Veterans with Disabilities and Families of Fallen Soldiers of the Defensive-Patriotic War of the Republic of Srpska, particularly in proceedings concerning:
- recognition of veteran status and determination of the relevant veteran category;
- recognition of the status of a war veteran with disability;
- determination of the percentage of war-related disability;
- recognition of the status of a family member of a fallen soldier;
- veterans’ allowance;
- personal and family disability benefits;
- allowance for care and assistance by another person;
- other rights arising from the veterans’ and disability protection system, where the statutory requirements are met.
The Law Office provides support in proving the duration and circumstances of military engagement, the causal link between injury or illness and the performance of military duties, and the beneficiary’s family status. Services also include analysis of medical commission findings, appeals against first-instance decisions, and representation in administrative disputes.
When to Contact Us
Legal assistance may be required where:
- the Fund or another competent authority refuses an application;
- proceedings continue for an unreasonably long period without a decision being issued;
- official records are missing years of service, contributions, or other material information;
- an entitlement is recognised to a lesser extent than supported by the documentation;
- a medical commission determines a degree of disability or capacity for work with which the beneficiary disagrees;
- a previously recognised entitlement is terminated;
- there is a need to file an appeal, request reopening of proceedings, or initiate an administrative dispute.
Each case begins with a review of the relevant decision, official records, and supporting documentation. On that basis, an assessment is made as to whether there are legal grounds to supplement the application, file an appeal, or initiate court proceedings.