Regional Health Insurance Funds (Caisses régionales d'assurance maladie / CRAM) are private legal entities with a public service vocation.
They are involved in prevention and professional risk pricing (industrial accidents and occupational diseases)They play a role in the hospitalisation sector by contributing to the work of the Regional Hospitalisation Agencies (Agences régionales d'hospitalisation / ARH) as well as in the retirement field, and manage social and healthcare action for old-age pensioners.
Their roles consist in:
- Helping companies to assess occupational health and safety risks with a prevention aim.
- Fixing the tariffs of occupational health and safety insurance.
- Developing training schemes, advisory services and social and healthcare measures in the healthcare sector.
- Developing a social action policy for people in difficulty through their social service.
- Participating in hospital and clinical care offer organization, and in allocation of their means.
- Calculating, managing and paying employees' pensions and offering various aids to old-age pensioners.


