Preferential pension for medical workers based on length of service: required length of service and conditions in 2021

It cannot be argued that the work of a doctor, nurse, or paramedic is difficult work. That is why the law establishes preferential conditions for retirement. The main point is that a medical worker has the right to early retirement payment , subject to certain conditions. Rules for registering a pension, requirements and nuances - all this is discussed below.

Preferential long-service pension

The right to early retirement for medical workers is enshrined in Federal Law No. 400 of December 28, 2013, as well as a number of Government Decrees and other regulatory legal acts. The opportunity for early registration is provided after years of service . In other words, a person must first work for the required period of time as a medical employee.

After a medical worker has acquired the necessary experience, he will be able to submit a corresponding application to the Pension Fund office at his place of residence. What is important is that in this case, the age of the citizen will not be important, as well as the presence of an established worked-out period for the general insurance period.

According to the established rules, to apply for a preferential pension, a person must have:

1. According to clause 20 of part 1 of article 30 of Federal Law No. 400, medical work experience:

• At least 25 years of age , when working in rural areas or towns equivalent to the urban type.
• At least 30 years , when conducting mixed activities (in villages, cities, etc.), or when working exclusively in the city.

1. Have a minimum value for the E-score indicator and the day of registration for receiving payment. It should be remembered that in accordance with Federal Law No. 400, the value of the IPC increases every year. Respectively:

• In 2021 the value should be at least 21.
• In 2022 from 23,4.
• By 2025 the figure will increase to 30.

In calculating the length of service, the position held by the person also plays a significant role. The thing is that only periods of work in positions and institutions provided for by law . The calculation is carried out in accordance with the established procedure, for example, for some categories 1 year is equal to 1.5.

Long service pension: what has changed for doctors in 2021

The preferential pension for doctors in 2021 will no longer look advantageous compared to other specialties. We can only believe that the state is making the right decision, having calculated all possible risks. After all, having saved human lives for many years and restored people to health, doctors have the right to a decent life after the end of their career.

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Health workers can retire early if the following rules are met:

1. Achieving preferential medical length of service - the employee must comply by position, institution and department with the list specified in Government Decree No. 781.
2. Achieving the mandatory level of the individual pension coefficient - for pensions of medical workers in 2021 it will be 18.6 points.

The list of positions of medical workers and doctors who will be provided with a pension benefit is indicated in PP No. 781, and is as follows:

• Paramedics;
• Obstetricians;
• Disinfectors;
• Nurses;
• Physician assistants;
• Medical specialists;
• Laboratory technicians;
• Heads of medical centers

Institutions included in the list of preferential ones:

• Boarding schools for children;
• Maternity;
• Ambulance stations;
• Centers for the rehabilitation of sick children and adults;
• Centers for drug addicts;
• Hospitals;
• Forensic medical examination centers;
• Sanatoriums;
• Centers for disinfection procedures, etc.

Preferential length of service is work experience that allows a certain category of workers, according to the legislation of the Russian Federation, to go on vacation earlier than established by general legislative standards. Accrual of preferential pensions to medical workers is possible only after achieving special length of service.

Special length of service starting from 2021 is established depending on the location of work:

• You must work in a town, village or village for 25 years;
• 30 years - in the city.

Several special rules when calculating benefits for doctors:

1. For such categories of physicians as surgeons, resuscitators, forensic experts, ambulance workers, burn center specialists, not a single calculation coefficient is used (12 months = 1 year of experience), but 1.5. This means that a specialist in this category, having worked for 1 year, receives 1.5 years of service.
2. Medical workers working in rural areas or combining work outside the city and in the city have the right to use a coefficient of 1.3.
3. There is a pension benefit for medical employees of military units. For them, a coefficient of 1.6 is used.

For employees who do not apply to the special conditions described above, the standard coefficient is 1.

Nuances of pension reform for medical workers

The pension reform carried out in 2021, of course, affected all working citizens. Doctors are no exception in this regard. The new regulatory act No. 350-FZ was adopted on October 3, 2021. In accordance with these bills, employees entitled to early retirement are granted a special deferment , which begins to be calculated from the moment they work the required years.

It is worth noting that at the moment there is still a transition period . From the moment of its introduction (from 2019), this deferment of execution is being introduced gradually, and by 2023 it will be a full 5 years. This means that those who have completed the required length of service by the age of 23 will be able to begin receiving payments no earlier than 2028.

Thus, the required work experience for a medical worker is 25-30 years, depending on the area. But, pension payments will begin only after 5 years (if the year of service is 2023 or more). The employee has the right not to work for these 5 years, because experience has already been accumulated.

As for the gradual introduction of deferment, it looks like this:

• Starting from 2021, the increase is carried out gradually. In the period 2019-2020, the deferment was only 1.5 years instead of 2.
• For 2021, the deadline is shifted by 3 years, payment is possible only from 2024.
• For 2022, the deferment is 4 years (in 2026), and from 2023 there will be no increase in 5 years or more.

It is worth noting that previously, before the introduction of changes, the period for obtaining a preferential payment was considered to be the year of developing the required length of service. However, despite the established deferments, there was no increase in length of service for years of service. That is, at the moment, a doctor still needs to work for 25-30 years in the relevant position and institution.

Pension reform for doctors

The delay in payments of state assistance in old age will occur in the same way as the increase in the retirement age for the rest of the population. For those medical workers who planned to retire in 2021, pension accruals will be processed only after six months. Further, every year 12 calendar months will be added to the deferment time until the period between length of service and the calculation of old-age benefits reaches 5 years, that is, until 2023.

In order to retire after length of service, a doctor must fulfill several requirements established by the legislator:

• First, reach the established age, which is 55 years for men and 50 for women;
• Secondly, the work experience of a citizen working in rural areas must be at least 25 years;
• Thirdly, medical workers treating the city population must have at least 30 years of experience. This rule also applies to doctors who, during their working lives, have worked in both rural and urban areas, that is, they have a mixed work experience.

When determining the medical experience of a doctor, you should pay special attention to the position he holds and the name of the medical institution in which his work activities are carried out. These two factors are most important for calculating length of service, since preferential length of service is provided only for certain categories of medical workers. At the time of registration of pension accruals, each citizen must take care of the availability of papers that ensure his right to early retirement and an increased amount of state old-age benefits.

Alexey Pavlov

Lawyer, ready to answer your questions.
Important! For a free consultation on the issue of length of service for health workers, contact our professional lawyers by phone or through an online consultant.

Medical experience to receive a long-service pension

As already mentioned, a medical worker (doctor, nurse, midwife, paramedic) receives the right to receive a preferential payment only after working in this field for at least 25-30 years , depending on the place of work. Again, these standards have not changed for 2021, and no innovations are planned in the near future.

The main nuances, in this case, are related to the calculation of the period of labor activity. At different times, they are regulated by separate regulations and have their own requirements. The periods are divided as follows:

• The work of a doctor until January 1, 1992 is determined by Resolution of the Council of Ministers of the USSR of December 17, 1992 No. 1397.
• Labor activity in the period from January 1, 1992 to October 31, 99 is regulated by Resolution of the Council of Ministers of the RSFSR dated September 6, 1991 No. 464.
• From November 1, 99 to December 31, 2001 - Decree of the Russian Government of September 22, 99 No. 1066.
• Starting from January 1, 2002 to the present, the calculation of periods of custody is carried out on the basis of Government Decree No. 781 of October 29, 2002.

In order to correctly calculate what is included in the length of service and for what periods, you should be guided by the specified regulations for each year separately. It is important that only those types of activities (name of profession), as well as medical institutions that comply with legal standards . If the entries in the work book do not meet the requirements, the pension fund has the right to exclude a certain period from the calculation.

What benefits are provided for retirement for medical workers based on length of service?

The second category of citizens who are subject to the new reform are teachers. Even though they carry a huge burden of responsibility on their shoulders and quickly burn out emotionally, the government has also decided to defer their payments.

The minimum length of service required to receive a superannuation pension is 25 years.

There are certain changes for military personnel, but they are slightly different from those that affected teachers and doctors. First of all, this is due to the fact that social benefits are calculated not in the Pension Fund, but in the Ministry of Defense of the Russian Federation. If we talk about the pension reform, it has affected the amount of length of service required.

Previously, to receive a superannuation pension you had to work for 20 years, but now it is 25 years. The main thing is that at the time of dismissal from service the person is 45 years old. In addition, length of service directly affects the level of social benefits. For every 12 months of overtime, a military man is entitled to a 3% bonus, and the amount of the pension itself will be 65% of his salary.

In the Russian Federation, pension calculations occur on an individual basis for each citizen. But in any case, the social benefit cannot be less than the established level. It is worth noting that it directly depends on the cost of living that applies in a particular region. Therefore, the minimum pension will range from 8846 rubles to 15105 rubles.

In addition, every year citizens are promised an increase in payments by 1,000 rubles, but, as it turned out, the amount of the increase will directly depend on the length of service and the individual coefficient. The maximum amount is due to people to whom the state has paid 15 thousand rubles for the last 12 months.

In Russia, the issue of the aging of the nation is quite acute, since there are fewer working-age population than pensioners. In this regard, various rules are being introduced that are designed to delay the time for citizens to retire. In addition, the government is trying to retain as many qualified personnel as possible.

A health worker can count on accruing a preferential pension if he worked in a village. In this case, each year of work will give 15 months of experience. In addition, doctors holding positions established by law can retire early (1 year of work gives 1.5 years of experience):

• surgeon;
• a nurse who participated in surgical operations;
• pathologist;
• obstetrician-gynecologist;
• a nurse who, while performing her own work duties, performed purulent dressings, worked in a trauma/burn department or a tuberculosis dispensary;
• anesthetist;
• resuscitator;
• forensic scientist

Who is eligible for early retirement?

As already mentioned, only official work activity , in professions and in health care institutions established by law, is counted in medical experience. At different time periods, the names may change, so the data should be correlated with the regulatory act of that particular time.

Currently, Government Decree No. 781 is in force. Accordingly, the list of professions that earn medical experience from January 1, 2002 includes:

• specialist doctors, of all possible names;
• physicians in management positions;
• senior nurses, nurses;
• managers;
• paramedics;
• obstetricians;
• nurses;
• physician assistants and so on.

The full list can be found in regulation No. 781.

How is preferential service calculated?

Calculation rules will also change depending on the period of employment. If we talk about calculations starting from January 1, 2002, the following rules are observed:

• Preferential length of service is counted in calendar order, that is, 1 year worked is equal to 1st year of medical experience. In this case, it does not matter what clinical profile is indicated, and the departmental or territorial affiliation of the institution in which the work is carried out is also not important.

In certain cases, the calculation of length of service is carried out not year by year, but according to individual (special) conditions (In accordance with the Rules for calculating periods of work, giving the right to early assignment of an old-age pension for those who carried out medical and other health protection activities... RF PP dated 29.10 .2002 No. 781) :

• For persons who carried out medical and other activities to protect public health in health care institutions in the city, in rural areas and in an urban-type settlement (working village), a year of work in a rural area or in an urban-type settlement (working village) is counted towards the specified work experience as 1 year and 3 months
• According to the established List, a number of medical specialist positions are calculated according to the scheme 1 year = 1 year 6 months.
• Separate standards are also established for highly specialized specialists. These include: ambulance workers, forensic experts, surgeons, burn department specialists, and so on. In this case, the calculation of length of service is carried out on the basis of “a year and a half”. At the same time, for surgical workers operating in rural areas, a coefficient of 1.9 is established due to combination.

• An additional measure was introduced due to the pandemic. According to Government Decree No. 1191 of August 6, 2021, the length of service for those who work with Covid-19 patients is calculated according to the “one day in two” scheme. The responsibility for transmitting all necessary information to the Pension Fund falls on the direct employer. These measures were established for the period from January 1 to September 30, 2020.
• If the work was carried out before November 1, 1999, then the specified period will be included in the calculation in full. After November 1, only if the employee has worked the required working hours, in accordance with labor legislation.
• If labor activity was carried out in several positions or in different medical institutions during a part-time working day, then the calculation is carried out in full if the total output corresponds to the full rate for one of the positions.
• Experience worked outside the Russian Federation is counted under general conditions.

It should be understood that medical experience is a period of continuous work of a medical employee in healthcare institutions . The calculation includes only the time when work was carried out at full time or at a reduced rate, if this is established by law. When working part-time, the periods are summed up.

Also included in the calculation are periods of temporary disability, maternity leave, advanced training, and passing a probationary period when applying for a job.

Conditions for granting pensions to medical workers

To retire, medical workers are subject to different rules than other workers. The main requirement that doctors must comply with is the achievement of the established length of service - length of service. Its calculation is carried out in calendar order, that is, 1 year worked in the field of medicine will be equal to 1 calendar year included in the length of service. However, there are some more complex areas in medical practice, when working in which, doctors are provided with other rules for calculating length of service:

• So, for example, when a medical worker working in a city moves to a village, his medical experience will be calculated with a multiplier of 1.3. Accordingly, having worked for 12 months, a 15-month period of work will be counted towards the length of service, and therefore, retirement will occur much earlier. Since the work book does not indicate the territorial location of the doctor’s work, to prove the presence of a “rural” production, he will need a document from the village council confirming the presence of this fact.

In the event that a citizen works in the following areas:

• surgical activities;
• resuscitation activities;
• anesthetist;
• traumatology activities;
• holds the position of forensic expert;
• prosektura,

then the calculation of his work experience will be made with a coefficient of 1.6. When working for one calendar year, 1 year and 6 months will be counted towards length of service.

• For medical workers holding positions as pathologists, the multiplier is set at 1.9. The only condition that must be met in this situation is to work full time.

Positions for which the calculation is carried out annually for 1 year and 6 months

As already mentioned, there is a certain list of medical workers who, when calculating their length of service, follow the “ year for 1 year and six months ” scheme. According to Government Decree No. 781 of October 29, 2002, this is currently:

1. Specialists from surgical departments, hospital workers, burn and oncology departments, orthopedic, otolaryngological, microsurgical departments as:

• doctors of any profile, including directors;
• nurses, senior nurses, midwives and so on.

1. Departments, mobile ambulance teams, wards and groups, intensive care anesthesiologists:

• doctors;
• nurses;
• nurse anesthetists.

1. Employees of forensic bureaus, laboratories, more specifically:

• doctors and heads of the forensic medical examination bureau;
• nursing staff.

1. Employees of pathological and anatomical departments:

• doctors and managers;
• nursing staff.

Additional information about department employees and specialists whose length of service is calculated according to the “one and a half year” scheme can be obtained by reading Government Resolution No. 781.

Rules for applying for a preferential pension

It should be remembered that the size of the pension payment, both for special accruals and regular accruals, consists of a fixed amount, as well as compensation based on points. Currently, the cost of one E-point is 81.49 rubles . The determination of the IPC is carried out for each person individually, in accordance with the final value of work experience, as well as the amount of wages.

To receive a pension payment, a medical worker must contact the branch of the Pension Fund of the Russian Federation at his place of residence, with a corresponding application and a package of documents. The most important thing is confirmation of the work experience . The main list of attached documents includes:

• applicant's passport;
• original and copy of work book;
• insurance certificate (SNILS);
• extract, certificates and other documents that would confirm the person’s actual experience;
• personal application to receive early pension payment.

You can submit documents yourself through the Pension Fund branch or through a representative. In the latter case, you will need to present a notarized power of attorney. In addition, the entire package can be sent by registered mail. In this case, copies pre-registered with a notary are sent.

In some cases, Pension Fund employees may request additional documentation. It could be:

• information on the level of average income at the time of obtaining the right to early retirement;
• confirmation of disability or period of long-term incapacity;
• certificate of actual place of registration or residence.

Submitting documents is free, and no state fees are charged. The processing time for applications is 10 working days. Based on the results of the review, the applicant is notified in writing.

Latest news about retirement of health workers

The essence of the latest changes that have occurred in the issue of establishing pensions for medical workers is the deferment of the accrual of pension payments that citizens are claiming. Due to the fact that they did not decide to increase their length of service, due to the hard work of doctors, they influenced financial payments.

Thus, every medical worker can enter a well-deserved retirement from the moment he has accumulated the required length of service, but he will be able to count on pension payments only after 12 months (1 calendar year). Here, the legislator gave citizens of retirement age a choice: either continue to work until it becomes possible to obtain state support for old age, or leave work but live dependent on relatives.

A similar delay in obtaining the right to retire will occur over the next three years, that is, until 2023. The goal of the legislator is to establish a five-year period between the time the required length of service is accumulated and the time when the opportunity to receive pension payments becomes available.

Experienced lawyers argue that after retirement, citizens can do as they please: they can continue their work in the field of medicine, they can get a job in another industry, or they can take a well-deserved rest after many years of work.

Unfortunately, few people really believe in a positive outcome of the issue of increasing pension payments to the elderly.
I would like to believe that the changes that have taken place will really benefit both the state and citizens of retirement age. However, how to retire after accumulating the appropriate length of service and live for several more years without state old-age payments remains a mystery. It is worth noting that citizens who gave their lives to save the lives of others and ensure the health of thousands of people deserve a calm and comfortable old age, during which they will not have to survive on their “last” pennies. No rating yet

Features of early retirement during the Covid-19 pandemic

On April 6, 2021, Decree of the Government of the Russian Federation No. 1191 was published, according to which the period of work of medical employees with patients with the COVID-19 virus is calculated according to length of service as “ two days ”. This rule applies to the following types of work:

• Providing medical care to patients with coronavirus infection.
• Providing emergency care, including specialized care, collecting biological material for laboratory tests. And also for medical evacuation of persons with suspected coronavirus infection.
• Providing primary health care to citizens diagnosed with COVID-19 on an outpatient basis, including patients with symptoms of ARVI and pneumonia.

Is studying at a medical school included in special experience?

According to the current legislation (Part 1 of Article 11 of Federal Law No. 400 “On Insurance Pensions”), labor service, including special service, includes only periods for which insurance payments are made to the Pension Fund . Accordingly, if we talk about completing training at a medical school, then this period can be included in the length of service only if at that time the person held a full-time position, received a salary and made appropriate contributions.

Similar situations are possible if the employee has undergone advanced training courses, internship, residency, and so on. What is important is that in this case, if appropriate circumstances exist, the period can be calculated according to the “year to year and a half” scheme and the like.

Doctors and teachers' pensions will be taken away twice

Amid the hype around raising the retirement age, Russians did not notice how the authorities deprived the most vulnerable public sector workers - teachers, doctors and cultural workers - of one of the few incentives to give their lives to thankless work. They were deprived of their long-service pensions.

Previously, any doctor or teacher who had worked in his field for 25 years could retire before reaching retirement age. At the same time, it was not necessary to quit work: the person simply received a fixed and well-deserved increase in salary from the Pension Fund.

The pension reform law changed everything: the right to benefits seemed to be preserved, but conditions appeared. After working 25 years in a school or hospital, a specialist will have to quit and move to work in another field. And he will be able to apply for the pension earned as a doctor or teacher only after 5 years.

True, as in the case of raising the retirement age, legislators provided for a transition period. The delay in obtaining a pension will depend on the year of accumulation of the required length of service: those who receive the required length of service already in 2021 will be allowed to retire six months later, in 2021 - a year and a half later, etc.

The work activity of a long-service teacher should include work specifically in the educational field. The teacher must work full time. Part-time work will be taken into account in the total length of service if it relates to educational activities and is recorded in the work book.

[[incut? &ids=`38595`]]This includes:

— annual vacations;

— temporary incapacity for work (confirmed by sick leave);

- caring for a child until he reaches 1.5 years of age (only until October 1992, after maternity leave is not considered part of the specialized experience);

- study at a university (provided that before the start of the study and after its completion the citizen carried out teaching activities).

Approximately the same requirements are provided for other categories of beneficiaries.

It would seem that there is nothing wrong with the delay itself against the backdrop of raising the retirement age. But this is only at first glance. In fact, our teachers and doctors work their butts off and retire, especially early when they are “very near the edge.”

If previously the right to a benefit was unconditional: if you worked for 25 years, you get it, but now you first have to quit and, even if your specialized experience is 30 or 35 years, hang out for about 5 years - and only then come to the pension fund for your pension.

However, even this mockery was not enough for the legislators.

Recently, the Ministry of Labor of the Russian Federation instructed the specialized All-Russian Scientific Research Institute to analyze the legal regulation of early assignment of pensions for teaching staff. This was stated by the head of the ministry Maxim Topilin at a meeting of the State Duma Committee on Labor, RBC reports.

“Early pensions for teachers, frankly speaking, and medical workers are the wrong story. “Where there is a hazard due to working conditions, where there are workers on the payroll, such as working with X-ray equipment, this factor is there,” the minister said.

Experts from the institute will assess “the loss of professional ability to work before reaching the generally established retirement age with a scientific substantiation of proposals for improving pension legislation for workers employed in the field of education.”

Thus, the Ministry of Labor plans to reassess the real age at which school teachers and kindergarten teachers lose their ability to work. In the upward direction, of course.

While security forces retain the right to retire at 45 and even 35, representatives of the most noble professions are deprived of minimal hope for a dignified old age. Although, why be surprised? Judging by statements from high stands, in Russia the cult of the strong has become the official ideology, and the elites no longer consider it necessary to hide it.