Social insurance is an important area of support for the population. Citizens often have questions about legislative acts and their application to certain categories. The hotline, which was created by the fund, helps to find answers to pressing questions about payments and benefits.
Reasons for filing an application
Both entrepreneurs acting as employers and ordinary citizens can apply to the Social Insurance Fund with an official application. There are many reasons why people turn to employees of an organization.
Entrepreneurs usually make appeals on the following issues:
- the occurrence of an accident during the production process;
- questions regarding the submission of official reports;
- receiving material compensation;
- sending a letter of clarification.
Citizens turn to FSS employees for the following reasons:
- receiving disability benefits;
- registration of a birth certificate;
- submitting an application for a voucher for sanatorium treatment;
- insurance or recourse payments;
- filing a complaint against an employer;
- registration of a sick leave certificate if, for various reasons, a citizen cannot contact the employer with this question.
It is even possible to draw up an official appeal regarding the inaction of the head of the company, who does not want to independently arrange benefits for the employee.
Application to the Social Insurance Fund for reconciliation of calculations: structure of the document
As a guideline when forming this application, you can use any similar document, for example, an application form on the status of settlements with the Federal Tax Service of the Russian Federation for taxes. The corresponding document is given in Appendix No. 8 to Order No. 99n of the Ministry of Finance of the Russian Federation dated July 2, 2012 (as of May 5, 2020, this Regulation has become invalid, but the form can still be taken as a sample).
The application, which can be drawn up on the basis of a form developed by the Federal Tax Service, reflects:
- information about the recipient of the document - the territorial representative office of the Social Insurance Fund;
- information about the payer of contributions (registration number in the Social Insurance Fund, code of subordination, address, INN, KPP);
- wording reflecting the essence of the request on behalf of the manager);
- date of document preparation, signature of the head of the company, contact details of the requester.
You can view a sample request form to the Social Insurance Fund for reconciliation of calculations on our website.
The legislation does not regulate the period within which the FSS must respond to the application. But taking into account the fact that within 10 days from the moment of detection of overpayments on insurance premiums, the fund is obliged to inform payers about this, it is legitimate to expect a response from the Social Insurance Fund on the application under consideration within a comparable time frame.
The FSS response is drawn up in the form of a settlement reconciliation report, which is drawn up in the form approved in Appendix No. 1 to the FSS order No. 457 dated November 17, 2016.
Shipping methods
The appeal is formed in free form, but certain mandatory information must be provided. You can submit an application with other documentation to FSS representatives in different ways, which include:
- filling out an electronic form on the website https://www.fss.ru, for which electronic reception services are used, and for individuals no digital signature is required;
- sending an application with other documentation confirming the information from the text by mail, for which the email address is used: or;
- oral transmission of information by telephone hotline: +7 (495) 668-03-44;
- personal visit to the department.
You can find out about the progress of consideration of a specific application by phone.
If a person decides to personally come to the service department, then the following steps are followed:
- pre-registration by phone with the chairman of a specific division of the Social Insurance Fund;
- agreeing on the optimal date and time of appointment;
- sending a request regarding documents that the applicant must have;
- the citizen receives notification of a specific date and time of reception.
There is no exact information about how long it takes to approve an application for a personal meeting with the head of the Social Insurance Fund.
It is also useful to read: How to send an appeal to the FSSP
How to send a letter via electronic reception
Due to the coronavirus pandemic, the state fund has suspended personal reception of citizens, so if a person has any questions or problems, he can use the simplified online application form.
The only drawback of the new form is that it is impossible to track the progress of the application, but you don’t even need to register on the site to fill it out.
The rules for filling out the simplified form include:
- indicate the name of the FSS unit, full name of the applicant, as well as the email address to which the response will be sent;
- to receive a detailed answer, indicate your residential address and contact telephone number;
- the specific essence of the proposal or complaint is given;
- the response is sent electronically to the specified address;
- if precise information about the complaint or request is not available, no response will be provided;
- To confirm the arguments given in the text, it is recommended to attach relevant documents or files to the application.
Send an appeal through the FSS electronic reception
Additionally, a standard application form is filled out through the electronic reception. Such requests are considered by representatives of the Social Insurance Fund who have the appropriate powers.
The text indicates the name of the regional division of the fund, full name and passport details of the citizen, as well as an email address for sending a response. The response is sent electronically to the specified address. The text indicates the social status and preferential category of the applicant. Documents confirming the stated facts may be attached to the application.
You can attach up to 10 files, but their size should not exceed 10 MB. You can use not only text, but also audio or video files. Through your personal account on the website or portal of the State Services, you can track the progress of the application.
If an entrepreneur wants to set up electronic interaction with representatives of the Social Insurance Fund, then to do this you need to register and also purchase an electronic signature.
How to file a complaint
The requirements for the content of the complaint are defined in clause 3 of the Rules - when filing a complaint with the structural units of the FSS - and Art. 7 Federal Law No. 59 - when filing a complaint with the prosecutor's office. The complaint must contain:
- the name of the body to which the complaint is filed, or the name of the position and initials of the manager to whom the complaint is addressed;
- initials and address of the applicant or name and legal address for the company; telephone number for contact; email address if the applicant wants the response to be sent to him by email;
- date of filing the complaint;
- information about the action or decision of an employee of the Social Insurance Fund or a fund branch that is being appealed;
- the applicant’s arguments (links to regulations, documents, etc.), which confirm the presence of violations by FSS employees;
- the applicant's request to eliminate the violation of his rights.
The complaint in writing must be certified by the signature of the applicant or his representative.
For reference: you can write a complaint to the FSS or the prosecutor's office in free form on an A4 sheet, if the complaint is sent in writing; by hand or using printing technology. There is no formalized form or special requirements for filing a complaint.
Rules for acceptance and deadlines for consideration of applications
FSS representatives take into account the following rules when processing applications:
- no response is given if the text does not contain the applicant’s full name, as well as his actual or email address;
- all requests are registered by FSS employees, for which information about each application is entered into a special automated accounting system;
- if a court decision is appealed with the help of such an application, then within 7 days the document is forwarded to the responsible structural department;
- if the text contains obscene or offensive words, and the person also threatens those in charge, then the application remains unanswered;
- if the text cannot be read or it needs to be sent to other government bodies, then the applicant is informed about this within 7 days after registration of the document;
- if the citizen has previously received answers to the questions posed, and there are no new circumstances or requests, then such a statement is considered unfounded, and therefore no answer is given;
- if in order to provide a service it is necessary to disclose secret information, the citizen is notified that it is impossible to receive an answer;
- The general period for consideration of applications is 30 days, but it can be extended if additional proceedings are necessary, but the person is notified about this in advance.
If a citizen sends several identical requests at the same time, then he is given only one answer.
FSS hotline phone number
+7 – a single hotline located in Moscow. Questions are considered from Monday to Thursday from 9-00 to 18-00. On Friday the working day is reduced to 16-45. You can make a call from Russia or another country in the world.
Important! The number is paid. The cost of an outgoing call varies depending on the rules of your mobile operator. To avoid financial expenses, it is recommended to contact the regional branches of the Fund. You can view the location of branches and contact information on the website of the state organization.
For free text communication, fax +7 . Citizens are able to attach the necessary documents, which will be reviewed by call center operators. Employees receive faxes on a scheduled basis. During non-working hours, requests are automatically saved and subsequently reviewed by specialists. All questions received by the FSS will be processed.
FSS hotline in Moscow
+7 – hotline telephone number for residents of the Moscow region. To send text messages or documents, it is recommended to use fax 4956502414. Email also works
FSS hotline in St. Petersburg
+7 – information hotline for the population of the Leningrad region. Sending documents or letters is carried out to the fax number 8123463583. Official email works
Regional hotline FSS
The Social Security Fund has opened numerous branches throughout the country. You can view the contacts of a specific representative office on the organization’s website.
Go to the “Hotline numbers” section. You will see an interactive map divided into republics, autonomous okrugs, regions and cities. Any visitor can use the service. Hover your cursor over the locality of interest. A pop-up window will appear with contact information.
Are telephone requests accepted?
You can solve various questions or problems remotely through phone calls.
To do this, use the FSS toll-free phone number: 8 (495) 650-19-17.
In each region there are separate communication centers that consider specific issues for a particular city. For example, in St. Petersburg the phone number used is +78126778717.
By phone you can get information about the size and types of benefits, payments, free prosthetics, the rights of workers and pregnant women, as well as about the actions that need to be taken in case of violation of labor protection rules. You can make an appointment with the head of a specific department via telephone. But when using this method, a written response to the request is not given.
It is also useful to read: How to send an application to Rosreestr
Results
The legislation sets out in sufficient detail the procedure for filing a complaint against the actions or inaction of FSS employees, and regulates the time frame for their consideration. The main attention in the complaint should be paid not to technical issues or its design, but to the content, that is, the arguments confirming the rightness of the applicant.
Sources:
- Federal Law "On the Prosecutor's Office of the Russian Federation" dated January 17, 1992 No. 2202-1
- Law “On the procedure for considering appeals from citizens of the Russian Federation” dated May 2, 2006 No. 59-FZ
You can find more complete information on the topic in ConsultantPlus. Free trial access to the system for 2 days.
When will the Social Insurance Fund pay benefits?
The Fund must review documents within 10 calendar days . As a result, a decision will be made to pay the individual benefits or refuse. Whatever the outcome, it must be sent to the applicant within 5 days of acceptance.
The regulations state that the payment of benefits must take place no later than 10 calendar days from the date when the Social Insurance Fund body received all the necessary documents. Therefore, as soon as a decision is made, the benefit will be paid. The method of receiving it is indicated by the employee himself in the application.
If the fund refuses to pay benefits, the applicant can appeal its decision to a higher body of the FSS system .
In the 33 regions that participate in the FSS pilot project “Direct Payments,” the interaction between the employer, the Fund and the insured person is structured differently.
We invite you to watch a video about maternity, childbirth and child care benefits that are relevant in 2021: