Following the release earlier this year of data to URSSAF by
the Tax Administration, we are aware that many expatriates living in France
have recently received a letter from URSSAF stating that contributions to the
PUMA health regime (formally CMU) will be due from them within the next month. The normal rate of PUMA contributions is 8% of
the household's "revenus de patrimoine" ie investment income and capital gains.
Expatriates in France in possession of an S1 healthcare
certificate from their home country are urged to obtain an Attestation from CPAM which should show code 70 on the attestation, meaning that their
healthcare costs are borne by their home country ie United Kingdom, the
Netherlands, Ireland etc and, thus, the PUMA charge is not applicable.
If the attestation
does not show code 70, it is possible there was a clerical error when the S1
was first registered with CPAM. Often
the CPAM forms erroneously show a retired person as “inactive” rather than “autres/retraité”
so it will be necessary to get this amended to show the all-important code 70.