How to notify the SPME of a change in circumstances

PROCEDURE

SOCIAL, HEALTH AND FAMILIES

Last updated: 25/03/2024

Understanding the process

Any change in your personal, family or professional circumstances must be notified to the State Medical Benefits Office (SPME) as soon as possible.

All notifications should be sent to the State Medical Benefits Office using the appropriate form, duly completed and signed.

The form may be:

Depending on the nature of the notification, it must be accompanied by the following documents:

A copy of both sides of a valid ID document (ID card or residence permit) which details the new address

Marriage

A marriage certificate (long form) or a copy of a family record booklet
A copy of both sides of the spouse's national identity card and, if he or she is a citizen of a country outside the European Union, a copy of his or her residence permit

Cohabitation agreement or civil solidarity pact

Divorce or separation from bed and board

A copy of the divorce decree or the order relating to separation from bed and board

Judicial separation

De facto separation

For households without dependent children: Send only the form for the notification of change of family circumstances
For households with dependent children: Attach the completed form for the declaration of de facto separation or the cessation of marital status, which can be downloaded below

PDF591.7 kB
Déclaration de séparation (369-0027_01-2020)

Termination of a cohabitation agreement (CVC) or dissolution of a PACS (civil partnership)

Death

A death certificate and the contact details of the notary's office that is dealing with the estate, if applicable

A certificate of nationality or a photocopy of both sides of the national identity card or residence permit for the person(s) concerned

Original copy of full bank account details (RIB) or postal banking details showing the IBAN and BIC, signed by the insured person
Copy of both sides of the account holder's national identity card

You can either:

Hand in your duly completed and signed form, together with the required documents, to the State Medical Benefits Office (SPME) between 9.30 am and 5 pm from Monday to Friday, or in it post box. No appointment is needed
Or send your duly completed and signed form, together with the required documents to the State Medical Benefits Office by post