The European Court of Justice has ruled the UK’s requirement for Comprehensive Sickness Insurance (CSI) unlawful.


First published: May 2022.


Xtra | What is CSI?

EU Free Movement law states people can move to other EU member states to live, work and study. However, if they are studying or self-sufficient, they need CSI to not be a burden on a country’s healthcare system.

Most EU member states have insurance-based healthcare systems, requiring both nationals of that state and immigrants to hold insurance policies to access healthcare.

However, the UK’s NHS is funded from general taxation (including VAT paid by everyone) and as such EU citizens living in the UK have been able to use the NHS on an equal footing with British citizens without the need for insurance.​

Despite this, and the significant contributions made by many, the Home Office has required EU citizens to hold CSI to live in the UK in accordance with EU laws.

(Source: the3million/CSI Justice)


We are now reaching out to seek justice for people affected by this requirement throughout the years. We are looking to support people in exploring options and seeking restitution for the injustice they have suffered.

Comprehensive Sickness Insurance was wrongly required in the UK. EU Free Movement law states people can move to other EU member states to live, work and study. If they are studying or self-sufficient, they need CSI to not be a burden on a country’s healthcare system.

The European Court of Justice judgment, however, sets out that the UK should have accepted that access to the National Health Service is in itself sufficient to meet the requirement for CSI.

the3million/CSI Justice

This requirement affected students, self-sufficient parents with caring responsibilities, people with punctuated work histories and family members of EU citizens. We are looking to organise and together with a network of lawyers, campaigners and others in solidarity, seek justice.

If you have been personally affected by a lack of CSI, or if you have worked with people who have been affected by it, please do get in touch.


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Government locks EU citizens out of Government Gateway online accounts.

We have seen numerous reports from EU citizens unable to fill out tax returns or use other services such as checking pensions due to HMRC changing the system through which people prove their identity.

We have written to HMRC highlighting the problem for people who now cannot log in through the Government Gateway, and asking for alternative options to be put in place.

Thank you to everyone who shared their problems in accessing their Government Gateway or benefits account following changes to identity checks.



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We strongly encourage everyone with pre-settled status to apply for settled status, as soon as they are eligible.

We have seen that applications are taking a long time to process, with more than 300,000 applications waiting in the backlog. Securing settled status as soon as possible will offer EU citizens peace of mind.

Do you know if your family and friends are aware of the facts about pre-settled status?

  • pre-settled status expires 5 years after it was granted
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— AUTHORS —

the3million, the largest group of EU citizens in the UK.
Nicolas Hatton, CEO of the3million.

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