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Social Security Observer 16
In Africa, using new technologies to improve the delivery of social security
Examples from the ISSA Good Practice Award for Africa confirm the widespread deployment of new ICT systems
Photo: World Bank
Accurately-targeted and objective-driven use of information and communication technology (ICT) is increasingly essential to the capability of social security institutions to deliver better client services and improve organizational efficiency. The ISSA Good Practice Award for Africa 2011 provides evidence of the growing importance of new technologies for social security in the region. At least half of the 42 entries included the use of ICT as a major component of operational strategy to meet organizational objectives and deliver the changes required. Social security organizations are now among those at the forefront of innovative use of web, mobile phone and electronic banking technology in Africa.

Technologies can help overcome or minimize problems related to managing and reaching clients who are geographically widespread. As the core business of social security organizations is collecting contributions and paying benefits, this is a fundamental problem for many institutions. Entries for the Good Practice Award for Africa indicate that social security organizations are increasingly and successfully deploying alternative means to collect and record contributions, pay benefits, reduce administrative costs and minimize fraud and abuse of social security schemes.


Improvements in contribution collection

Since December 2009, employers in Cameroon can make declarations electronically to the National Social Insurance Fund (NSIF). In Algeria, the National Fund for Paid Leave and Weather-related Layoffs in the Construction, Public Works and Hydraulics Industries introduced its electronic platform from January 2010 to allow users to make and consult declarations of salaries and contributions online. The Swaziland National Provident Fund introduced a web system in July of 2010 to collect contributions electronically from employers and to provide members with an easy way of accessing information regarding their contributions.

In March last year, the National Pension and Social Insurance Fund (NPSIF) of Tunisia replaced its previous system of managing revenue from employers with a new system based on maintaining and monitoring an individual account for each insured person. This system has allowed the Fund to obtain payroll data monthly for 70 per cent of all active insured persons. Detailed records of contributions deducted and paid, corresponding periods and data on the insured person's administrative and financial status can now all be consulted in real time.

The Ministry of Social Security, National Solidarity and Reform Institutions of Mauritius made it mandatory in 2001 for employers with more than 50 employees to file contribution returns and make payments electronically each month. Currently 93 per cent of targeted employers file returns and make payments online and the Ministry is working on how to extend the online system to all remaining employers. Efficiencies achieved include the reduction from 35 to only seven officers to process 77.3 per cent of employees’ records. Payments are now made directly to the fund’s account without transiting through the cashier’s office, thereby increasing the interest on revenue.


Improvements in client services

Photo: R. Lord/ILO

Social security organizations must provide services to members in rural as well as urban locations. Mobile telephony, which is already widely used and increasing rapidly in Africa, as well as other electronic technology and social media, offer alternative methods of delivery that can help overcome geographical and infrastructure constraints. In the last two years, the Parastatal Pensions Fund (PPF) of the United Republic of Tanzania and the National Social Security Fund (NSSF) of Uganda introduced the possibility for members to access their contribution balances online and by SMS.

The National Health Insurance Fund (NHIF) of Mauritania has, in partnership with the Mauritanian Postal System, telecommunication operators and the University of Aix-Marseille, used SMS since September 2011 to reimburse its members. The NSSF issues 46 per cent of contribution statements electronically, and on average 4,041 clients access their statements daily through electronic channels. Feedback from NSSF members indicates that they consider services through electronic channels to be quicker, cheaper, convenient, and customer-friendly. Thanks to the TAARIFA system in the United Republic of Tanzania, PPF members have access to services 24 hours a day, seven days a week, regardless of their geographical location.

In Ghana, the Social Security and National Insurance Trust (SSNIT) introduced its New Business Process in 2010 to ensure that it can issue complete and accurate statements of account to contributors. New software, the Enhanced-Branch Operating System (E-BOS), was an important element of the New Business Process and now about 98 per cent of the accounts of all contributors are credited by the end of the month and the quality of contribution data has improved.

ICT has been used also to improve the payment of benefits. In Côte d’Ivoire, the Social Insurance Institute – National Social Insurance Fund (SII-NSIF) has been using a system called Citidirect since 2008 to streamline and enhance security and pay social benefits to members’ accounts in real-time through the banking system. This has resulted in a reduction in transaction costs per insured member from 1,300 CFA francs BCEAO (XOF) to 300 XOF and achieved savings of more than 240 million XOF a year. The NSSF in Uganda introduced online applications for benefits and instituted electronic handling of the claims process. These, together with other procedural changes, have turned around the benefits processing time in the NSSF from 105 days in 2009 to 18 days in 2011.

The Collective Scheme for Retirement Allowances (CSRA) of Morocco introduced online services to the public in 2006. These services are underpinned by a transactional web server providing the same services as a real front office. More than 60 per cent of CSRA’s clients now use the Web for their transactions and the submission of claims.

In Egypt, the Government Sector Insurance Fund adopted another approach to improving services to a geographically spread clientele. In May 2009 it opened a call centre, the operations of which are underpinned by ICT systems, including the use of computerized databases of laws and regulations as references for employees. The NSSF in Uganda, as part of its electronic service delivery strategy, also introduced a call centre with a toll-free line specifically to reply to member’s queries.

Photo: M. Crozet/ILO

Another innovation in improving the quality of client services in Africa is the introduction of a smart card (CHIFA) by the Algerian National Social Insurance Fund for Employees. Relying on sophisticated system architecture, the CHIFA card was initially targeted at pensioners and the chronically ill, was gradually extended to the disabled and the indigent in State care, then finally to the working insured.


Improvements in administrative efficiency

ICT is being employed effectively in organizations to overhaul administrative processes and help boost efficiency. The National Social Insurance Institute of Cape Verde started a project in early 2009 to digitize paper documents and simplify and automate the workflow to increase efficiency, accessibility and security. Over 90 per cent of formerly manual processes have been automated, resulting in a reduction in the average reimbursement time to pharmacies from anything up to 75 days to just one or two days.

Since 2003, the CSRA of Morocco has been employing a platform of products to simplify its administrative work: Electronic management of documents, scanning of documents, Business to Business and the digital recording, indexing and storing of all incoming mail. This has permitted a workload increase of more than 70 per cent to be absorbed with an increase of less than 15 per cent in staff while the overall satisfaction rate of clients has risen to above 80 per cent. The Client Relationship Management (CRM) system has reduced the average time to deal with complaints from 15 to 5 days.

In Tunisia, the NPSIF is automating its business processes and gradually integrating all IT applications into its electronic records management (ERM) system. Members no longer need to queue to have their identities properly verified and claims turn-around time has improved to an average of three days.

The NSIF in Cameroon developed an IT system to monitor and report on the implementation of decisions taken at regular management meetings. Since its introduction in July 2010 they report that information-sharing between staff has increased, decision-making in terms of quality and relevance has improved, and all departments at headquarters have immediate access to information from their local offices.

Another innovation to boost internal efficiency adopted by the SII-NSIF in Côte d’Ivoire was the introduction of a service desk to handle any IT problems. As the structure of the SII-NSIF is highly decentralized, delays in resolving these problems resulted in excessive difficulties in handling benefit claims, failure to comply with accounting procedures, and periods of inactivity or lack of productivity of staff. Since the replacement in the latter half of 2009 of the manual system of handling IT queries, request handling times have improved to around 48 hours and the numbers of queries has dropped considerably to an average of 25 per week.


Minimizing fraud and abuse

Some organizations, recognizing that fraud and abuse can threaten scheme sustainability in the same way as poor compliance does, have introduced countermeasures to limit this risk. The NSIF in Cameroon introduced processes to verify the authenticity of documents required for family benefit claims. Their first assessment, conducted two years after the project began in 2009, showed that it had identified 32,000 children who were irregular beneficiaries, and achieved total savings of 2,500,000,000 CFA francs BEAC (XAF). The Swaziland National Provident Fund also successfully negotiated access to the Government population register to minimize the risk of paying fraudulent claimants by introducing an identity verification system, connected to the Government population register, using thumbprints.

As these and other examples confirm, ICT is increasingly facilitating new and innovative ways for social security organizations to provide benefits and customer services. Effective use of technology can also improve the levels of service quality and client satisfaction in social security schemes, and thereby contribute to strengthening the reputation and public confidence in institutions. And although ICT implies important investments at the outset, successful implementation of projects can lead to important cost savings in the long-term, to the benefit of all stakeholders.


These and other good practices implemented by ISSA member organizations can be consulted in the ISSA’s Good Practice database www.issa.int/goodpractices >>

Modernizing the social security system in Turkey
The Turkish social security system has undertaken extensive reforms in recent years with the aim of improving its efficiency, sustainability and services to citizens
Photo: Collin Key
Demographic changes, financing challenges, unequal access to social security by different categories of the population as well as institutional inefficiencies all combined to convince policy-makers of the need for an extensive and radical reform of the Turkish social security system, which has been implemented in phases since 2006.

Why the need for reform?

Securing financial sustainability

The financial difficulties of the social security system in Turkey stemmed from a range of factors. Revenue had been constrained by the high level of informal employment in the country, the under-declaration of earnings used to calculate contributions, a low level of contribution collection, and a decrease in the level of contribution payments. Expenditure had risen primarily because of a trend towards early retirement, the longer duration of pension payments due to increased life expectancy, over-generous insurance payments causing a financial imbalance, and a loose link between the level of contributions made and actual pensions paid.

The impact of early retirement on the financial health of the system was one of the most important issues addressed by the reform. As much as 60 per cent of individuals who retired were below the statutory retirement age of 60 (for men) and 58 (for women). Life expectancy at birth, however, is 73.6 years according to the OECD and although this is nearly six years below the OECD average, Turkey registered one of the greatest gains in life expectancy of any country between 1960 and 2008, implying a growing risk to the financial sustainability of the system. Other issues impacting on the system were the high replacement rate, a weak relation between earnings and pension benefits, and the method of adjusting pensions annually.


Ensuring uniform social security norms

One of the most important purposes of social security is to limit social inequality. To do this, the State has the responsibility to build a social security system with equal rights and obligations for all individuals. This obligation is enshrined in Article 60 of the Turkish Constitution: “Everyone has the right to social security. The state shall take the necessary measures and establish the organization for the provision of social security.”

However, pension entitlements, conditions of eligibility to health-care services and the provision of those services were defined differently by distinct laws for each category of worker: Those employed under a service contract; the self-employed; civil servants; farmers; and agricultural workers. These different schemes were managed by separate institutions.

Complex legislation, heavy bureaucracy, insufficient IT infrastructure and personnel issues prevented the social security institutions from functioning effectively, making the system difficult to coordinate and to ensure the uniformity of norms. This, in turn, caused a number of problems for beneficiaries, such as delays in receiving notice of their pension entitlement – especially for those who had years of service in different types of employment – and in obtaining health reports or accessing health-care services.


Anticipating demographic changes

Turkey currently has a relatively young population, but census data released in early 2010 show that the over-65 age group increased by nearly 3.9 per cent in 2009. In the same year, the growth rate of those under the age of 29 reduced from 0.52 percent to 0.32 per cent. Projections show that the ratio of the population over age 65 to the population aged between 0 and 64 will rise from 7 per cent to 14 per cent in just 27 years. These factors, coupled with the reduction in the total fertility rate to 2.12 births per woman in 2009 – down from just over 6 in 1960 – mean Turkey will face relatively rapid population ageing compared to the major industrialized countries, and a deteriorating total dependency ratio, which will have important implications for social security schemes.


The main reforms implemented

Starting in 2006, the Turkish authorities introduced important new social security legislation (1): The Social Security Institution Law and the Social Security and General Health Insurance Law . The reforms undertaken were aimed at tackling the financial deficit, creating a sustainable and sound social security system for future generations, as well as guaranteeing high-quality, standardized services for all citizens. The laws focused on three main areas:

- The provision of norms and equality for all with respect to insurance rights and obligations;
- The establishment of universal health insurance to offer equal and fair service to all citizens;
- The introduction of more effective protection against poverty through an accessible and financially-sustainable social security system, managed through a sound institutional structure.

Studies to prepare the legislation had started in 2002 with the Government’s “Emergency Action Plan”, and experts from all stakeholder groups were invited to participate. Throughout the reform process, suggestions, criticisms and contributions from social partners, public institutions, non-governmental organizations and the media were taken into account and reflected in the legislation.


Parametric changes to the pension system

The fundamental parameters of the pension system, including the retirement age, the number of days of contributions required to qualify for a pension, the replacement rate, and the valorization coefficient – used for updating the income of previous periods – were all reformed.

A major change introduced by the 2006 legislation was the gradual increase in the retirement age starting in 2036 to reach age 65 for both men and women by 2048. The number of days of contributions required to qualify for a pension was also increased from 7,000 to 9,000 for the self-employed and civil servants and to 7,200 for other employees.

The previous accrual rate was one of the highest among OECD countries and it decreased as the length of the working period increased, thereby encouraging early retirement and jeopardizing the sustainability of the system. The new law (2) revised the accrual rate to a standard 2 per cent for each year, providing more incentive for insured persons to stay longer in the system, helping to increase the system’s revenue and reduce its expenditure.

In addition to these main changes, other parameters were altered to standardize the different social security schemes. In particular, the scheme for the self-employed was abolished and their rights and obligations concerning both retirement and health insurance were aligned with those of employees and civil servants. At the same time, the calculation method and rate of contribution for the self-employed were redesigned to encourage compliance. The self-employed now have easier access to health insurance, can benefit from insurance against work accidents and occupational diseases and may also be entitled to additional benefits, such as nursing, support in the case of temporary incapacity and funeral grants.

As a result of these parametric changes, there has been some progress in improving the system’s financial situation. Table 1 shows that after the reform in 2006, the rate of increase in revenue has generally exceeded the rate of increase in expenditure, resulting in a recovery in the compensation rate (the ratio of revenue to expenditure) to 78 per cent in 2010. For 2011, the compensation ratio is expected to improve further.


Table 1


Table 2 illustrates how the number of clients administered by the Social Security Institution (SSI) is increasing. According to these figures, active insured persons increased from 13.4 million to 17 million in the last 6 years, a rise of approximately 28 per cent. Passive insured persons and dependents increased by 2.2 million and 4 million respectively in the same period. The active/passive ratio, which currently stands at 1.90, has started to recover and will soon reach its pre-reform level.


Table 2


Reorganization of the institutional structure

Prior to the reform, there were three different social security institutions: For employees, the self-employed and civil servants, each with their own branches, IT infrastructure, human resources policy and methods of implementation.

The policy-making process and financial management of social security were amalgamated into a single institution, the SSI, with the aim of ensuring the delivery of a fair, effective, easily accessible, actuarially and financially sustainable modern social security system, which is based on international social insurances principles. Since its inception, the SSI has aimed to be exemplary in the implementation of its projects.

One of the main objectives of organizational reform was to strengthen local access and bring services closer geographically to clients. The SSI, with approximately 26,000 employees, now has service networks all around the country. In addition to provincial directorates in 81 cities, more than 300 social security centres have been opened, operating as one-stop-shops so that citizens can access nearly all services without needing to travel to the provincial directorates or headquarters.

This countrywide structure has to be supported by sophisticated ICT systems and one of the core priorities of the newly-created SSI was to improve the capacity and technology of its IT infrastructure. A significant step was taken through the procurement of approximately 13,000 computers and 9,000 printers for the central and provincial offices. The SSI also designed advanced software, called MEDULA, to manage the health-insurance system, allowing data, such as patient identification, doctors’ records as well as payments made, to be monitored. In addition, access to health care was streamlined by abolishing the health certificate and using ID cards to allow the insured and retirees to access health-care institutions. Online transactions for both employees and the self-employed, such as registration and monthly declarations, have also been expanded.


The way forward

The reforms introduced through the Social Security Institution Law and the Social Security and General Health Insurance Law were by far the most comprehensive changes made to the social security system in the history of the Turkish Republic. The reforms affect not only the lives of Turkey’s 74 million inhabitants but also aim to ensure the sustainability of the system for future generations. Great strides towards this objective have been made, but social security is a living system and must continually evolve in line with socio-economic changes. The reform and its effects will continue to be monitored closely.


Notes

(1) The Social Security Institution Law No. 5502 (2006) and the General Health Insurance Law No. 5510 (2008).

(2) The General Health Insurance Law No. 5510 (2008).


Article contributed by the EU and Foreign Relations Department of the Social Security Institution of Turkey, an ISSA member organization. The Social Security Institution is willing to share its experience of this comprehensive reform process with the international social security family.

Social Security Reforms
Reforms from Australia, Bulgaria, the People's Republic of China, Czech Republic, France, Jordan, Norway, Senegal, Switzerland and Thailand
Reforms
A selection of recent reforms in social security schemes worldwide compiled by the ISSA Social Security Observatory, with links to a full description of the reforms in the ISSA country profiles.

Social Security Agreement between Australia and the Czech Republic

A Social Security Agreement between Australia and the Czech Republic was signed on 16 September 2009 and came into effect on 1 July 2011.

In general terms this agreement enables workers to combine periods of activity and residence in both countries, thus acquiring entitlement to retirement, invalidity and survivors' pensions; it also avoids situations whereby workers employed temporarily in one country pay contributions to both systems. The Agreement covers the payment of retirement and other pensions abroad without deductions or retentions and aims to facilitate the administrative procedures involved.

Full article >>


Australia: A new national agreement on health reform

Agreement was reached on the introduction of a new National Health Reform Agreement (NHRA) in July 2011. The NHRA replaces the memoranda of understanding endorsed by the Council of Australian Governments (COAG) on 13 February 2011 as well as the National Health and Hospitals Network Agreement ratified by the COAG (with the exception of Western Australia) in April 2010. The main objectives of the agreement are to improve access to care, make the system more effective, provide better access to information for easier comparison of the performance of health care services, and ensure greater transparency in the funding of public hospitals in terms of the services provided and their cost effectiveness.

Full article >>

ISSA Country profile: Australia >>


Bulgaria: Reform of the health system

The Bulgarian population is shrinking and ageing. Bulgaria had a population of approximately 7,930,000 in 2001 compared with 7,350,000 in 2011. The National Statistical Institute has also noted the ageing of the population: only 15.9 per cent of the Bulgarian population is under 18 today, compared with 19.4 per cent ten years ago. Simultaneously, the population over 65 rose from 16.6 to 18.9 per cent between 2001 and 2011. In response to that challenge, the National Reform Programme (2011-2015) of the Republic of Bulgaria introduces a number of reforms to the social security system to, in particular the health system. These reforms are intended to improve the viability of long-term public funding and contribute to economic growth. The social security code has also been amended in line with this.

Full article >>

ISSA Country profile: Bulgaria >>


The People's Republic of China: China to abolish free medical care for civil servants

According to a recent official report from the People's Daily, at least 24 of the Chinese mainland's 31 provincial-level regions have abolished free medical care for civil servants who are now obliged to join the local contributory basic health insurance schemes, the most recent being Beijing as of 1 January 2012. The remaining seven regions are reportedly also proceeding with the same reforms.

Full article >>

ISSA Country profile: The People's Republic of China >>


France: The age of retirement to be raised more rapidly

Under the 2010 retirement reform the statutory retirement age was to be increased progressively, reaching the age of 62 in 2018. The transition phase is now to be shortened by one year in order to reduce the deficit in old-age insurance schemes more quickly and thus protect retirement pensions.

Full article >>

ISSA Country profile: France >>


Jordan: Unemployment and maternity benefit introduced

The Social Security Corporation (SSC) of Jordan introduced two new social security benefits: Unemployment and Maternity benefits. Implementation of the new schemes started the 1 September 2011.

Full article >>

ISSA Country profile: Jordan >>


Norway: New regulations on sick leave

Employees and self-employed workers with incomes of at least half the basic salary - NOK33,406 - may claim sick pay. Under current legislation beneficiaries must also have worked for at least four weeks immediately prior to becoming unable to work. The daily sick pay rate equals 100 per cent of pensionable income with a ceiling of six times the basic amount and is paid five days per week as of the first day of illness for up to 52 weeks. On the 17th day of sick leave, national insurance takes over the payment of sick leave from the employer. The government has also introduced changes in the respective obligations of employees, employers and doctors. New requirements will lead to closer monitoring from an earlier stage in the procedures. Those who do not meet their obligations will be penalized.

Full article >>

ISSA Country profile: Norway >>


Senegal: Planned reform of health insurance for all salaried workers

The implementation of the reform is part of the "National Strategy for the Extension of Health Insurance Cover" (led by the Ministry of Health and Prevention). It is based on three key elements.

Full article >>

ISSA Country profile: Senegal >>


Switzerland: Technical changes to improve the implementation of old age and survivors' insurance

Certain technical changes have been made to old age and survivors' insurance (Assurance-vieillesse et survivants (AVS)) as from January 2012 pending a possible increase in the retirement age for women. The Federal Council has recently decided to implement those measures of the 11th revision of the old-age insurance which are not subject to dispute, in 2012.

Full article >>

ISSA Country profile: Switzerland >>


Thailand: Improved Social Security Office benefits

The Social Security Office has increased and extended benefits to its insured members in four areas: illness, disability, maternity and family benefits.

Full article >>

ISSA Country profile: Thailand >>


More reforms on www.issa.int/reforms

Return-to-work programmes: Supporting health and employability
New ISSA Publication: Social Policy Highlight 22
Photo: Nitsche/DGUV
Social security is faced with an important change in the nature of disability. Policies must address the increased incidence of claims on grounds of mental health and at the same time support improvements in the health and employability of the inactive working-age population. Vocational rehabilitation and reintegration programmes that help empower individuals have shown themselves to be effective approaches. As one important dimension of this, in many countries growing emphasis is being accorded to return-to-work (RTW) programmes targeted specifically at disability benefit recipients.

Available in English, Arabic, Chinese, French, German, Russian, and Spanish


Download

Return-to-work programmes: Supporting health and employability (Social Policy Highlight 22)

www.issa.int/sph >>

Social Security Programs Throughout the World: the Americas 2011
New US Social Security Administration/ISSA publication
Publication cover
This report, which is part of a four-volume series, provides a cross-national comparison of the social security systems in 36 countries in the Americas. It summarizes the five main social insurance programmes in those countries: old-age, disability, and survivors; sickness and maternity; work injury; unemployment; and family allowances.

The other regional volumes in the series focus on the social security systems of countries in Africa, Asia and the Pacific, and Europe. Together, the reports provide important information for researchers and policy-makers who are reviewing different ways of approaching social security challenges and adapting the systems to the evolving needs of individuals, households, and families.

Social Security Programs Throughout the World is the product of a cooperative effort between the US Social Security Administration (SSA) and the International Social Security Association (ISSA). Social Security Programs Throughout the World is based on information available to the ISSA and SSA with regard to legislation in effect in July 2011, or the last date for which information has been received. The data and scheme descriptions are available in the ISSA Country profiles.


This report and other publications in the series are available on the SSA Website:

www.ssa.gov/policy/docs/progdesc/ssptw/2010-2011/americas/index.html

The Americas Social Security Report 2012: Fairness, Work, Retirement, and Social Protection
New Inter-American Conference on Social Security publication
Cover
The Americas Social Security Report is a tool to improve the understanding of social security programs in the region. It is addressed to the social security community, including government agencies, social groups, workers, employers, unions, users, and anyone interested in the improvement of social protection in contemporary society.

Available in English, Portuguese and Spanish


Additional information and download (external site):

The Americas Social Security Report

http://www.ciss.org.mx/index_en.php?mod=report

White Paper: An agenda for adequate, safe and sustainable pensions
New European Commission publication
Pensions are the main income source for around a quarter of the EU's population today and younger Europeans will also come to rely on pensions later in their lives. Unless Europe delivers on decent pensions now and in the future, millions will face poverty in old age. Europe is also ageing as people live longer and have fewer children. From next year, the EU's working population will already start to shrink. Pensions are putting increased financial pressure on national budgets, especially with the added strain of the financial and economic crisis. To support these efforts, the European Commission has published a White Paper on adequate, safe and sustainable pensions. It looks at how the EU and the Member States can work to tackle the major challenges that confront our pension systems.

Available in the official languages of the European Union


Download (external site):

White Paper: An agenda for adequate, safe and sustainable pensions

http://ec.europa.eu/social/BlobServlet?docId=7341&langId=en

Major ISSA Events 2012
In 2012, the ISSA is organizing the following major events:
ISSA flag
International Seminar on Social Security: Coping with the Challenges of Sustainability
27.03.2012 - 29.03.2012 | Abu Dhabi, United Arab Emirates

13th International Conference on Information and Communication Technology in Social Security
17.04.2012 - 20.04.2012 | Brasilia, Brazil

17th International Conference of Social Security Actuaries and Statisticians
30.05.2012 - 01.06.2012 | Berlin, Germany

Regional Social Security Forum for Asia and the Pacific 2012
30.10.2012 - 01.11.2012 | Seoul, Republic of Korea

More information on upcoming ISSA events >>

Information on other social security events >>

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