SZV Social & Health Insurances

What SZV Social & Health Insurances does

SZV Social & Health Insurances is a statutory government body responsible for administering social and health insurance programs for the residents of Sint Maarten. Established as a national insurance entity (with AVBZ coverage implemented in 1997) and operating under the authority of the Government of Sint Maarten, SZV manages a portfolio of interconnected insurance schemes covering private-sector employees, employers, seniors, and civil servants. Core insurance lines include Sickness Insurance (ZV), Accident Insurance (OV), Old-Age Pension (AOV), Widow/Orphan Pension (AWW), Long-Term Care (AVBZ), Severance Pay (Cessantia), and government retiree medical insurance (FZOG and 62+).

The organization's digital infrastructure comprises the MySZV self-service portal (built on Microsoft Power Apps, offering 24/7 access for individual insured persons), the Employer Portal for business-side compliance, Google Forms-based online sick leave reporting (AO Control), web-based request forms, and an electronic information exchange system now adopted by all General Practitioners on Sint Maarten as of June 2026. SZV also coordinates a Medical Referrals Abroad (MRA) network spanning Curaçao, Aruba, Dominican Republic, Puerto Rico, Colombia, and the Netherlands, managing travel, accommodations, and daily allowances for patients referred for specialist treatment.

SZV's revenue model is built on mandatory statutory premium collection: percentage-of-wage ZV/OV declarations filed monthly by employers, fixed-fee cessantia contributions (ANG 40 per registered employee annually), and solidarity-based AVBZ contributions. As a government state entity, SZV does not engage in commercial marketing or fundraising; customer acquisition is driven entirely by legal compliance obligations under the Sickness Insurance and Accident Insurance Ordinances. Service delivery occurs through walk-in service centers in Philipsburg, self-service portals, email channels by department, and dedicated service desks for employers, employees, and seniors. The organization operates with 51-100 employees under Director Glen A. Carty, CFO Elton Felisie, COO Reginald Willemsberg, and Chief Transition Officer Parveen Boertje.

Name

SZV Social & Health Insurances

Legal name

Social & Health Insurances SZV

Website

https://szv.sx

Company type

Private

Founded year

1997

Operating status

Operating

Headcount range

51–100 employees

Short description

SZV Social & Health Insurances is the statutory government body of Sint Maarten that administers mandatory social and health insurance programs, including sickness (ZV), accident (OV), old-age pensions (AOV), survivor benefits (AWW), long-term care (AVBZ), and severance pay, serving private-sector employers, employees, and seniors on the island.

Ownership category

akta.pro rank

Product category

Social and Health Insurance Administration

NAICS

Direct Health and Medical Insurance Carriers (524114), Direct Life, Health, and Medical Insurance Carriers (52411), Health Care and Social Assistance (62)

SIC

Accident & Health Insurance (6321), Hospital & Medical Service Plans (6324), Life Insurance (6311)

akta.pro primary industry

Large Group Health Insurance (Mid-Market & National Accounts) (FSAIAFAE)

akta.pro secondary industry

Care Transitions Management (Hospital/SNF-to-Home) (HSABAIAC)

Keywords

• Social insurance administration
• Health insurance benefits
• Old age pensions
• Medical referrals abroad
• Long term care insurance

Headquarters

HQ city

Sint Maarten

HQ country

Netherlands

HQ region

Europe

Offices4 records

Markets served

GTM type

B2B and B2C

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Technology or R&D, Marketing or Sales

Revenue model

1. Social Insurance Premium Collection: SZV collects mandatory social insurance premiums (ZV sickness insurance, OV accident insurance, AOV old-age, AWW widow/orphan pensions) from employers and employees. Premium percentages vary based on wage levels. Employers submit monthly ZV/OV declarations by the 15th of each month. Cessantia contributions are ANG 40 per registered employee annually, due June 30th.

Pricing tiers

Go-to-market motion1 record

Distribution channels5 records

Marketing channels5 records

Core offering

SZV Social & Health Insurances is the statutory body of the Government of Sint Maarten that administers mandatory social and health insurance schemes — ZV Sickness Insurance, OV Accident Insurance, AOV Old-Age Pensions, AWW Widow/Orphan Pensions, AVBZ Long-Term Care, FZOG and 62+ Medical Insurance, and Cessantia (Severance Pay) — funded by recurring employer and employee premiums. It delivers these benefits through walk-in service centers in Philipsburg, the MySZV self-service portal, the Employer Portal, and end-to-end Medical Referrals Abroad covering Curaçao, Aruba, Dominican Republic, Puerto Rico, Colombia, and the Netherlands.

Product overview

SZV Social & Health Insurances is a government organization managing social and health insurance programs for Sint Maarten. The organization operates a portfolio of interconnected services including the MySZV customer self-service portal and Employer Portal as its primary digital platforms. Core insurance products include ZV Sickness Insurance (accessed via insurance card), Accident Insurance (OV), and AVBZ Long-Term Care Insurance. The company provides pension benefits through AOV Old Age Pension, AWW Widow(er) and Orphan Pensions, and specialized medical coverage including FZOG for retired government workers and 62+ Medical Insurance. Supporting services include medical referrals abroad with full travel and accommodation arrangements, medical expense reimbursements, maternity and sick leave processing, medical authorizations for specialized care, Cessantia severance pay administration, and funeral grants. All services are accessible through the integrated digital portal ecosystem and physical service desks at SZV offices in Philipsburg.

Differentiator

Problem solved

Functional benefit

Products and services

• MySZV Self-Service Portal 24/7 online portal allowing insured individuals on Sint Maarten to check medical insurance status, apply for or renew medical insurance, and access personal account information for ZV and 62+ coverage.
• Employer Portal Self-service web portal for private-sector employers on Sint Maarten to register their company with SZV, submit employee mutations, file monthly ZV/OV premium declarations, request loss-of-wages compensation, and administer cessantia — with Finance and Administration user roles.
• Online Sick Leave Reporting (AO Control) Online procedure for ZV-insured employees on Sint Maarten to report sick leave and obtain control-doctor approval, including a same-day callback assessment that issues an approval email the employee can pass to their manager or HR.
• Medical Referrals Abroad (MRA) Coordinated specialist medical treatment for SZV-insured patients when care is not available locally — including appointment scheduling, travel, hotel accommodation, transportation, and daily allowances across designated providers in Curaçao, Aruba, the Dominican Republic, Puerto Rico, Colombia, and the Netherlands.
• AOV Old Age Pension Statutory old-age pension for Sint Maarten residents reaching pensionable age (60-65 based on birth cohort), payable via SZV under the AOV program; application is recommended six months in advance.
• AWW Widow(er) Pension Statutory survivor pension for the surviving spouse of a deceased AOV-insured individual on Sint Maarten.
• AWW Orphan Pension Statutory pension for orphaned children aged 15-24 of deceased AOV-insured individuals on Sint Maarten, requiring school enrollment verification.
• AVBZ Long-Term Care Insurance National long-term care insurance covering persons on Sint Maarten with prolonged chronic illness or disability who need assistance with daily living activities — funded by solidarity-based monthly contributions from all employed persons, employers, and the Government of Sint Maarten.
• FZOG Medical Insurance Medical insurance fund administered by SZV for retired Sint Maarten government workers and their surviving spouses, covering medical expenses after pension application.
• 62+ Medical Insurance Medical insurance administered by SZV for individuals aged 62 and over on Sint Maarten who qualify under FZOG provisions.
• Medical Expense Reimbursement Reimbursement of out-of-pocket medical expenses — treatments, medications, and medical aids — to ZV- and AVBZ-insured persons on Sint Maarten, processed within six weeks upon approval.
• Cessantia (Severance Pay) Administration Severance compensation administered by SZV for terminated employees on Sint Maarten; payment is made from the SZV-administered fund only when the employer is bankrupt or under court-ordered payment suspension.
• Funeral Grant One-time funeral grant paid by SZV equal to four months of maximum AOV pension benefit, plus any unpaid AOV benefits due to the deceased at the time of death.
• Maternity Leave Service Online procedure for pregnant ZV-insured employees on Sint Maarten to report and obtain approved maternity leave days up to 2 months before the expected due date, with gynecologist or midwife certification.
• Medical Authorizations (Machtigingen) Authorization letters from SZV confirming coverage for paramedical care, prescriptions, medical aids, prosthetics, district nursing, and hearing aids for ZV and OZR insured individuals on Sint Maarten.
• ZV Sickness Insurance (and ZV Insurance Card) Statutory ZV Sickness Insurance covering medical care and medication for all private-sector employees on Sint Maarten and their eligible dependents, accessed at healthcare providers via the ZV insurance card; new dependents are added via the Baby Guarantee Letter from the 7th month of pregnancy and newborn registration within 10 working days.

Quantifiable outcome

• Medical referrals abroad processed within 24 hours for emergent cases, 3 days for urgent cases, and 10 working days for standard referrals
• +1 more outcomes

Segments5 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature5 records

Partnerships

Four partnerships are on record, tiered core.

• Fundacion Valle del LilicoreStrategic or Co-development Partner · 1 June 2026SZV formalized a long-term partnership with Fundacion Valle del Lili as an international care provider. This partnership expands the Medical Referrals Abroad (MRA) network, providing SZV-insured patients with access to specialized medical treatment at Fundacion Valle del Lili in Colombia.
• SVB (Sociale Verzekeringsbank)coreStrategic or Co-development Partner · 3 May 2017SZV and SVB announced collaboration in May 2017. SVB is the Dutch Caribbean social insurance bank. The collaboration likely relates to cross-border pension and social insurance administration, particularly regarding AOV pension status verification and Life Certificate exchanges with SVB offices in Aruba, Curaçao, and the Netherlands.
• White and Yellow Cross FoundationcoreStrategic or Co-development PartnerThe White and Yellow Cross Foundation provides psycho-geriatric daycare and district nursing services for AVBZ-insured patients with conditions such as Alzheimer's. They assist with personal care, conduct patient evaluations for AVBZ home care and nursing home admissions, and submit requests to SZV on behalf of patients.
• MRA Network Hospitals (Curaçao, Aruba, Dominican Republic, Puerto Rico, Colombia, Netherlands)coreTechnology or IntegrationSZV has established a network of designated hospitals and specialists in Curaçao, Aruba (limited), Dominican Republic, Puerto Rico (limited to diagnostic studies), Colombia (Bogotá, Cali), and the Netherlands (limited to long-term pediatric care and certain treatments). SZV coordinates medical referrals, travel, accommodations, transportation, and daily allowances for insured patients.

Scale indicators1 record

Recent moves6 records

Expansion highlights6 records

Regional players

• Social Insurance Bank Caribbean Netherlands (SVB CN / RCN-unit SZW): Administers social insurance for BES islands (Bonaire, Sint Eustatius, Saba) under Dutch Kingdom framework. Direct statutory-mandate peer covering Dutch Caribbean territories comparable in population scale to Sint Maarten.
• National Insurance Board (Bahamas): Bahamas' statutory body administering national insurance contributions and benefits. Comparable Caribbean government social insurance administrator with a similar employer-mandate model.
• National Insurance Board (NIB Barbados): Caribbean statutory social insurance agency administering national insurance, severance payments, and benefit schemes for Barbados. Comparable in mandate and small-island operating environment.
• Caribbean Health Insurance Ltd. (CHIL): Caribbean health insurer offering group and individual health plans across multiple territories. Indirect comparator given similar operating geography but operating as a commercial insurer rather than a statutory administrator.
• National Insurance Scheme (NIS Trinidad & Tobago): Trinidad & Tobago's statutory national insurance scheme covering long-term benefits, sickness, and maternity. Comparable in social insurance mandate across the Caribbean.

Broad incumbents

• UWV (Uitvoeringsinstituut Werknemersverzekeringen): Dutch national employee insurance agency administering WW, WIA, ZW, and related employee benefit schemes. Broad incumbent comparator given Sint Maarten's Dutch administrative lineage, though operating at materially larger scale.

Others

• White and Yellow Cross Foundation Curaçao: Care provider foundation for AVBZ-eligible patients in Curaçao; already operates as an SZV partner providing district nursing and AVBZ evaluations. Adjacent service-provider peer in the long-term care value chain.
• Government Pension Fund Sint Maarten (APS): Civil servant pension administrator for Sint Maarten's government workers. Adjacent ecosystem participant — together with SZV it covers most formal workers on the island through complementary (FZOG/APS) schemes.

Direct peers

• SVB Curaçao (Sociale Verzekeringsbank): Statutory social insurance administrator for Curaçao, also part of the Dutch Caribbean. Closest direct peer — same mandate, similar product mix (AOV/AWW pensions, ZV/OV health/accident insurance), and an existing mutual collaboration partner of SZV.
• SVB Aruba (Sociale Verzekeringsbank): Aruba's statutory social insurance bank administering old-age, survivor, and health insurance for the island. Direct peer in mandate and structure, although Aruba is set to exit SZV's MRA referral network.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights6 records

Customer concentration

• YouTubeyoutube.com/watch?v=hX-Y_8PHunQ
• Facebookfacebook.com/SZV.org
• Xx.com/uszv

Revenue estimate

Valuation estimate

Number of profiles

Profiles4 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about SZV Social & Health Insurances