The activities of the Social Insurance Agency (SIA) in the international field are focused on cooperation with EU Member States, the European Commission, the Administrative Commission for the Coordination of Social Security Systems and the international organizations ESIP (European Social Security Platform) and EUMASS (an international organization of medical examiners), of which SIA is a member.
Between 1996 and 2017, SIA was a member of the International Social Security Association (ISSA). On the basis of the resolution of the Government of the Slovak Republic no. 237 of June 15, 2016 on the Comprehensive Evaluation of the Effectiveness of Slovakia's Membership in International Organizations and Associated Financial Aspects (2014-2015), membership in ISSA was terminated for objective, personnel, capacity and financial reasons, but the SIA continues to participate in its activities on informal basis.
At the international level, SIA representatives participate, if necessary, in the negotiations of the Administrative Commission for the Coordination of Social Security Systems, the Working Group for Social Issues, the Working Group for Posting, the European Platform for Combating Fraud and Error in Social Security and other working groups. SIA participates in the preparation of international contracts on social security and international agreements, within the framework of bilateral cooperation, it mainly focuses on cooperation with neighbouring countries, especially the V4 countries.
SIA is currently a member of two international organizations, namely ESIP (European Social Insurance Platform) and EUMASS (European Union of Medicine in Assurance and Social Security).