Pensions and benefits that entitle you to an S1/121

You are receiving a statutory pension or benefit if you are being paid one of the following pensions or benefits:

Read more about statutionary pensions and benefits

If you have made your own pension provisions and are receiving an annuity, you are not entitled to the form in question. You will need to arrange health insurance yourself until you receive your old-age pension.

Were you self-employed (e.g. as a doctor, specialist or notary) and are you receiving a benefit under an early retirement scheme? If so, you are not entitled to an S1/121.

You will need to arrange health insurance yourself until you receive your old-age pension.

If you are only receiving a surviving dependant’s benefit from a pension fund (such as ABP), you are not entitled to an S1/121 from the Netherlands. You will need to arrange health insurance yourself.

Were you registered with us as a co-insured party under your partner’s policy and are you not receiving a surviving dependant’s pension? In that case your treaty entitlement ends. You will need to enquire at the health insurance fund in your country of residence about the insurance you can take out there.

Are you receiving a benefit under the life-course savings scheme before taking normal or early retirement? In that case you are not entitled to Dutch-funded medical care in your country of residence. You also cannot retain your health insurance in the Netherlands.

That means you need to arrange health insurance yourself in your country of residence. However, as soon as you start receiving a statutory pension, you are entitled to an S1/121. You can apply to us for this using the S1/121 application form (7.12.2020, PDF, 758 kB).