The insurance company SegurCaixa Adeslas sent an email this Monday to the members of the mutual societies to inform them that it has not submitted an offer for the Muface concert for the years 2025 and 2026. The letter arrives 20 days later that the insurers’ sit-in was known to the ministry. of the Civil Service, which announced its intention to present a new offer.
In the email to which elDiario.es had access, the company explains that it “has been participating in this model of collaboration with civil servants’ mutual societies since its creation in 1975” and that it “has proven beneficial for the State and, therefore, “too bad, for all citizens”. Adeslas is the company that provides assistance to the largest number of civil servants and beneficiaries, just over half a million people, around 70,000 fewer than ten years ago.
In the email, the company does not refer to the period of preliminary market consultations that the ministry led by Óscar López opened on Wednesday with the objective that insurers, within 10 days, justify in what extent they are ready to provide the service, before proceeding. to publish a new call for tenders. It also does not specify whether it will provide this information to the mutual.
What the company makes its beneficiaries understand is that the State is responsible for the current blockade situation. “Unfortunately and against our will, the conditions offered for the next concert for the next two years do not allow us to continue to provide Muface, in a sustainable manner, with the quality service that we offer,” writes the commercial director. of Adeslas, Carlos Hernández Iriberri. The agreement that companies, including Asisa and DKV, rejected included an increase in the premium of 16.5% for 2025, the largest in the historic series, and 0.6% in 2026.
The government has the ace in its bag of forced extension, which would force insurers to continue providing health care to civil servants and their families under the same conditions as up to now. That is to say without increase in the premium. Concretely, the law on public sector contracts, to which the mutual referred in a press release, specifies that “when, at the expiration of a contract, the new contract guaranteeing the continuity of the service has not been formalized”, this can be extended for “a maximum period of nine months, without modifying the other conditions”.
The insurer, however, indicates to its beneficiaries that they will continue, “as until now, to provide health care” which they may “require until next January 31, 2025, the date from which the organized health system must take over as agreed for this purpose. goal through mutuality.
The email, indicated by the Independent and Civil Service Trade Union Center (CSIF), “further increases the uncertainty of those concerned”. “We continue to receive testimonies from people affected by the situation telling us about their cases: cancellations of appointments, medical examinations, postponement or suspension of surgical operations and diagnostic examinations.”
This union, the majority in the public service, has been putting pressure on the government for some time to reach an agreement with insurers. “Time is running out,” indicate union sources, who are “preparing the arrangements for the big demonstration” convened in Madrid on December 14, for which buses from all over Spain will be chartered “to protest against the abandonment” of the Executive and “demand quality health care in administrative mutuality.
