R029 - Sickness Insurance Recommendation, 1927 (No. 29)


The General Conference of the International Labour Organisation,

Having been convened at Geneva by the Governing Body of the International Labour Office, and having met in its Tenth Session on 25 May 1927, and

Having decided upon the adoption of certain proposals with regard to the principles of sickness insurance, the first item on the agenda of the Session, and

Having determined that these proposals should take the form of a Recommendation,

adopts this fifteenth day of June of the year one thousand nine hundred twenty-seven, the following Recommendation, which may be cited as the Sickness Insurance Recommendation, 1927, to be submitted to the Members of the International Labour Organisation for consideration with a view to effect being given to it by national legislation or otherwise, in accordance with the provisions of the Constitution of the International Labour Organisation:

Whereas the maintenance of a healthy and vigorous labour supply is of capital importance not only for the workers themselves, but also for communities which desire to develop their productive capacity; and

Whereas its development is only attainable by constantly and systematically applying provident measures to obviate or make good any loss of the workers' productive efficiency; and

Whereas the best provident measure for these purposes is to establish a system of social insurance which confers clearly defined rights on the persons to whom it applies;

Therefore the General Conference of the International Labour Organisation,

Having adopted Conventions concerning, of the one part, sickness insurance for workers in industry and commerce and domestic servants, and, of the other part, sickness insurance for agricultural workers, which lay down minimum conditions which must be complied with from the beginning by every system of sickness insurance, and

Considering that, in order to put the experience already gained at the disposal of the Members with a view to assisting them in the institution or completion of their sickness insurance services, it is desirable to indicate a number of the general principles which practice shows to be the best calculated to promote a just, effective and appropriate organisation of sickness insurance,

Recommends that each Member should take the following principles and rules into consideration:

I. Scope of Application
  1. 1. Sickness insurance should include within its scope, without discrimination as to age or sex, every person who performs work by way of his occupation and under a contract of service or apprenticeship.
  2. 2. If, however, it is considered desirable to fix age-limits by reason...

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