When moving to live from one EU Member State to another, in order not to lose previously acquired insurance periods, it is also necessary to transfer the health insurance to the country where the person will permanently reside or work.

The exchange of information about health insurance periods takes place between the competent authorities of the Member States using structured electronic documents (SEDs). An authority that requires information about the person’s insurance periods sends the request SED S040 and the insurance periods are sent using SED S041.

Before the introduction of the electronic social security data exchange system, insurance periods were certified using Form E104 ‘Certificate of Insurance Periods’, which specified periods of personal insurance (employment and residence) in the country that issued Form E104.

If the competent authority in the country you wish to transfer your insurance to requires Form E104, the person informs the competent authority of that country that it must send SED S040 to the National Health Service in Latvia via the EESSI - Electronic Exchange of Social Security Information. The National Health Service of the Republic of Latvia will send a reply (SED S041) about the person’s insurance periods.

Legal basis for issuing health insurance information:

  • Republic of Latvia, 1 January 2018 Health Care Financing Law.
  • Republic of Latvia, 1 October 1997 Medical Treatment Law (regarding periods of health insurance until 31 December 2017).
  • Regulation (EC) No 883/2004 of the European Parliament and of the Council of 29 April 2004 on the coordination of social security systems.
  • Regulation No 987/2009 of the European Parliament and of the Council of 16 September 2009 laying down the procedure for implementing Regulation (EC) No 883/2004 on the coordination of social security systems.
  • Regulation (EU) No 1231/2010 of the European Parliament and of the Council of 24 November 2010 extending Regulation (EC) No 883/2004 and Regulation (EC) No 987/2009 to nationals of third countries who are not already covered by those Regulations solely on the ground of their nationality.