Internal restructuring
Location of affected unit(s)
Public Administration And Defence
Public Administration And Defence; Compulsory Social Security
Public Administration And Defence; Compulsory Social Security
84 - Public Administration And Defence; Compulsory Social Security

1,700 jobs
Number of planned job losses
Job loss
Announcement Date
26 June 2023
Employment effect (start)
1 July 2023
Foreseen end date
1 January 2027


The Board of Directors of the French National Health Insurance (Assurance maladie) has approved a new agreement with the French government providing for up to 1,700 job cuts between now and 2027, subject to "productivity gains" and a "review clause" in two years' time.  The job cuts will be very gradual, with 5% and then 10% of the 1,700 departures taking place over the next two years. This is equivalent to 250 jobs between now and the end of 2024. This represents around 2% of the total workforce of the organisation, which has 82,000 permanent employees. The 'staff cuts' will specifically target the 'payment of benefits' and the 'management of entitlements', thanks to 'productivity gains' linked to the computerisation of treatment forms, invoices and other forms.  On the other hand, a reinforcement of human resources is promised in other areas, including access to rights and care, the fight against fraud and prevention programmes. A previous reorganisation has been recorded in the ERM Database with 3,950 job cuts announced in 2010 (FR-Assurance-Maladie-2010).



Eurofound (2023), Caisse nationale d’assurance-maladie (CNAM), Internal restructuring in France, factsheet number 109309, European Restructuring Monitor. Dublin, https://restructuringeventsprod.azurewebsites.net/restructuring-events/detail/109309.