Sickness branch
The French National Health Insurance Fund (Caisse nationale de l'assurance maladie des travailleurs salariés / CNAMTS) manages sickness risks, maternity, disability, death and, with a different management, industrial accidents and occupational diseases.
- At a local level and at a departmental one: 101 Local Health Insurance Funds (Caisses primaires d'assurance maladie / CPAM) in Metropolitan France and 4 general Social Security Funds (Caisses générales de sécurité sociale / CGSS) in overseas departments.
- At a regional level : 16 Regional Health Insurance Funds (Caisses régionales d'assurance maladie / CRAM) are involved in prevention and industrial accident and occupational disease pricing ; CRAMs are also involved in hospitalisation through Regional Hospitalization Agencies (Agences régionales d'hospitalisation / ARH).
Old-Age branch
The National Old-Age Insurance Fund (Caisse nationale d'assurance vieillesse / CNAV) defines retirement branch thrusts, as far as old-age insurance and widowhood insurance are concerned.
Family branch
The National Child Benefit Fund (Caisse nationale des allocations familiales / CNAF) manages different social and child benefits.
At the local level, the Child Benefit Funds (Caisse d'allocations familiales / CAF) are responsible for the service related to those benefits: child benefits, family allowance, accommodation allowance, income support and so on.
Collection branch
The Central Agency for Social Security Organizations (Agence centrale des organismes de sécurité sociale / ACOSS) is the national fund of the collection branch of the Social Security general scheme.
It is responsible for Social Security cash flow management and co-ordinates the action of the Unions responsible for collecting Social Security contributions and child benefits (Union de recouvrement des cotisations de sécurité sociale et d'allocations familales / URSSAF). At a local level, URSSAFs collect contributions and taxes.


