[Updated 3/24/23] Supplementary medical insurance is the most valued benefit among employees. Premium medical insurance includes consultations with medical professionals, highly-specialized tests (that are difficult to access through mandatory insurance), maternity, dental, vision, and medication (and also elective fees), surgical devices, and consumables required for inpatient care, in addition to the state services.

Group life insurance and voluntary pension schemes are gaining popularity among employees and employers and are turning into must-have benefits for high-performing companies and business sectors.

Asinta Partner
Natalia Zaborovska

GrECo Group

More Info

Average Cost

The average cost of employer-sponsored benefits in Bulgaria varies widely depending on the benefits supplied.

Optimized company cost in 2023

  • Health insurance, life insurance, or voluntary pension insurance – The amount of up to BGN 60 per employee per month, paid by the employer for voluntary health insurance, life insurance, or voluntary pension insurance, is treated as tax-free social cost for the employer.
  • Food vouchers – Fully exemption from taxes and social contributions up to 200 BGN per month per employee
  • Public transport card for employees

Mandatory employee benefits in Bulgaria include contributions to the State-run pension and healthcare systems. Common supplementary employee benefits in Bulgaria include healthcare, accident insurance, group life insurance, and voluntary pension insurance. In addition, perks include food vouchers, gym memberships, mobile phones, transportation benefits, and employee assistance programs.

Mandatory Employee Benefits in Bulgaria

State-Run System

  1. Social Security System

The Social Security Code regulates the State Social Security system in Bulgaria. Contributions are mandatory for all employed and self-employed persons, administered/withheld through payroll for people under an employment contract, and paid to the collective state body, the National Revenue Agency (NRA). This agency distributes the funds to the respective state funds, which build the National Security Institute, which is responsible for paying benefits.

  • Sick-leave payment of up to 6 months in case of a short-term disability or reduced ability to work due to general disease (80% of the average monthly security income) and due to work-related accident or occupational disease (90% of the average monthly security income)
  • Sick-leave payment is also available for taking care of a sick child up to 60 days per year and for a sick relative adult up to 10 days per year
  • Maternity leave – pregnancy, childbirth, and raising a child to 1 year, 90% of the average security income for the last 24 months, for a total of 410 days and a monthly fixed amount of BGN 710, as of April 2022) which is for caring for a child from 1 to 2 years.
  • Disability pension in case of a 50% or more permanent disability due to general disease, work-related accident, or occupational disease
  • Life-long old-age and full contribution period pension is the first pillar (cost-covered basis) of the 3pillar pension model, introduced in 2000.
  • One-time cash benefit of BGN 540 in case of death and survivor’s pension depending on the security income of the deceased person and the number of heirs
  • Unemployment -60% of the average security income for the last 24 months, available for a period from 4 to 12 months, depending on the contribution period
  • Annual Paid leave of 20 days for employees under ordinary working conditions, defined by law, more days for sectors with heavier working conditions, agreed in a collective employment agreement


  1. Healthcare System

The Health Insurance Act regulates the State healthcare system. Health contributions are mandatory for all Bulgarian citizens and all foreigners with long-term (5 years) and permanent residence permits.

For employed persons, contributions are administered through payroll; self-employed people should pay by themself; this is also valid for people who do not work.

For children, pensioners, and some socially vulnerable groups, these are paid by the State.

The National Health Insurance Fund is the state body that manages the health installments and distributes them to the respective medical care providers.

The state system is focused on inpatient services (arranged via clinic treatment paths) and on the health of children and retirees. A visit to the general practitioner is necessary to obtain a referral to a medical professional who has the right to order highly-specialized tests. Thus, consultations and diagnoses can be difficult-to-access for busy adults.

Dental care is limited; drugs are partially reimbursed for chronic diseases only.

  1. Pension Model

Bulgaria has a three-pillar pension system:

  • State Pension fund – the 1st pillar – mandatory, solidarity cost-covered model which provides life-long old-age pension, disability pension, and social pension
  • Supplementary mandatory universal funds – the 2nd pillar – are compulsory for all born after 01.01.1960. Contributions can be paid to an individual inheritable account in one of the Universal pension funds, managed by private Pension insurance companies, or to the State Pension fund, which provides additional lifelong old-age pension
  • Supplementary voluntary Pension funds – the 3rd pillar – are additional contributions to private pension funds managed by Pension insurance companies; installments can be paid by the insured person, shared with the employer, or sponsored only by the employer

Funds paid by the employer or another third party cannot be received before fulfilling the state criterion for lifelong old-age pension; personal installments can be deducted at any time for a fee.

Contributions and key budget indicators

Contributions to the mandatory state system are calculated to the monthly security income of the insured persons with a legally defined ceiling of BGN 3,000 for the last 3 years.

The calculation increased to BGN 3,400 in April 2022, and a defined minimum depends on the economic activity and type of contract – employed or self-employed. Generally, it cannot be less than the State minimum monthly salary (BGN 710 in 2022 and BGN 780 as of January 2023).

Contributions are shared between the employee and the employer as follows:

Deductions (2023): Total аt the expense of employee at the expense of employer
State Social Insurance contributions: (disability, general disease, maternity, old age pension) 19.30% 8.38% 10.92%
Retirement (Supplementary Mandatory Pension Security, second pillar) 5.00% 2.20% 2.80%
Healthcare contributions (Mandatory medical insurance) 8.00% 3.20% 4.80%
Total contributions: 32.30% 13.78% 18.52%
Occupational Accident and Disease 0.4-1.1%
Personal Income Tax is based on the net salary (gross salary minus all contributions) 10%

Mandatory Benefits – private system

Work-Related Accident Insurance

It is legally defined that employers from economic sectors with accidents at work coefficient higher than or equal to the average for the country must provide group Accident insurance with an individual sum insured for an employee with at least seven gross annual salaries

Personal accident insurance is also mandatory for some employees with risk professions like police officers, military, and firefighters, and for some employees in the state administration like judges, prosecutors, and others.

Business Travel Insurance

Employers must pay all medical expenses incurred by their employees while on a business trip abroad, making this insurance highly recommended.


Voluntary Employee Benefits

Supplementary Medical Insurance

Medical insurance is the most valued benefit among employees.

This benefit provides outpatient care with immediate access to specialized medical professionals and expensive and highly-specialized tests without a visit to the general practitioner.

The National Health Insurance Fund sponsors the main in-hospital care services, but the supplementary insurance includes reimbursement for elective surgery/treatment/childbirth fees, surgical devices, and minimally invasive consumables not paid for by the mandatory insurance.

Premium medical insurance also includes medicines, vision, and dental care, with annual limits.

The COVID-19 crisis boosted digitalization, including mobile apps to support medical insurance with claims uploading, online telemedicine appointments, etc.

Group Life Insurance

This benefit, still underestimated, is gathering speed in recent years, especially with the coronavirus pandemic.

We see a growing interest at first-class employers to offer Life insurance for their personnel, realizing the importance of this benefit on the one hand and the competitive advantage they have in recruitment since life insurance is getting popular and expected by employees, especially in the Hi-tech, outsourcing service, finance, and consultancy sector.

Supplementary Voluntary Pension Insurance

Together with Life insurance, voluntary Pension insurance is the next valued benefit after medical insurance. Typically supplementary pension insurance contributions are shared between the employer and the employee, with an average 2% rate on the monthly salary.

Employee Perks

Bulgaria is turning into a preferred destination for technology and outsourcing companies, and many modern benefits are coming to market, such as:

  • Food Vouchers (used mainly by production enterprises)
  • Free healthy food and drinks
  • Free Professional Learning and Development
  • Gym cards /Multisport Cards, fitness and other sports facilities (swimming pools)
  • Mobile Phones
  • Transportation allowances and company cars for managers
  • Employee Assistance Programs
  • Use of corporate discounts
  • Remote work


Related Government Websites


This information about mandatory and supplemental employee benefits in Bulgaria comes from Asinta’s Central and Eastern European Partner, the GrECo Group.

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