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- a) In order to receive benefits under the Netherlands' legislation an insured person who is present in the territory of Slovenia shall submit his claim to the Health Insurance Institute of Slovenia, Ljubljana.
- b)In order to receive benefits under the Slovenian legislation an insured person who is present in the territory of the Netherlands shall submit his claim to the “Landelijk Instituut Sociale Verzekeringen”, c/o GAK Nederland bv, Amsterdam.
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- The claim submitted to the institution mentioned in paragraph 1 of this Article must be accompanied by a certificate of incapacity for work issued by the doctor providing treatment. This certificate shall indicate the initial date of the incapacity for work, diagnosis and the probable duration of the incapacity for work.
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- a) The institution mentioned in paragraph 1a) of this Article which has received the claim shall as soon as possible notify the competent institution or if this institution is not known, the “Landelijk Instituut Sociale Verzekeringen”, c/o GAK Nederland bv, Amsterdam, of the submitting of the claim for benefits, stating the date on which the claim has been submitted as well as the name and the address of the employer, if any, and send the certificate of incapacity for work which was annexed to the claim to the competent institution or if this institution is not known, the “Landelijk Instituut Sociale Verzekeringen”, c/o GAK Nederland bv, Amsterdam.
- b)The institution mentioned in paragraph 1b) of this Article which has received the claim shall as soon as possible notify the Health Insurance Institute of Slovenia, Ljubljana, of the submitting of the claim for benefits, stating the date on which the claim has been submitted as well as the name and the address of the employer, if any, and send the certificate of incapacity for work which was annexed to the claim to the Health Insurance Institute of Slovenia, Ljubljana.
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- At the request of the competent institution the institution mentioned in paragraph 1 of this Article shall carry out any necessary administrative checks or medical examinations.
- However, the competent insurance institution maintains the right to have the person concerned examined by a doctor in the competent State.
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- The competent institution shall pay the benefits directly to the beneficiary by the appropriate method.
