OPEKA — Organismos Pronoiakon Epitomaton kai Koinonikis Allilengyis

{
  "id": "pv_mitos_child_benefit_a21_v1_l3",
  "protocol_id": "proto_mitos_child_benefit_a21",
  "parent_version_id": null,
  "version_label": "mitos-child-benefit-a21-v1-l3",
  "status": "DRAFT",
  "description": {
    "default_locale": "en",
    "default": "Protocol specification for the annual Child Benefit (A21) application before OPEKA. The procedure is exclusively digital: a single annual application triggers a fully-automated income-tiered eligibility determination (income categories A/B/C) producing either approval — with a bi-monthly payment sequence of six instalments — or rejection. An internal administrative appeal (ενδικοφανής προσφυγή) is available within 3 months of the decision notification.",
    "translations": {
      "el": "Πρωτόκολλο ετήσιας αίτησης Επιδόματος Παιδιού Α21 ενώπιον ΟΠΕΚΑ. Αποκλειστικά ψηφιακή διαδικασία: αυτόματη κρίση επιλεξιμότητας βάσει εισοδηματικής κατηγορίας (Α/Β/Γ) — έγκριση με εξαμηνιαίες διμηνιαίες καταβολές ή απόρριψη. Ενδικοφανής προσφυγή εντός 3 μηνών από κοινοποίηση."
    }
  },
  "commitment_points": [
    {
      "id": "cp_eligibility_determination",
      "protocol_version_id": "pv_mitos_child_benefit_a21_v1_l3",
      "name": "Annual Benefit Eligibility Determination",
      "name_el": "Ετήσια κρίση επιλεξιμότητας και ορισμός ποσού επιδόματος",
      "_rationale": "After the applicant submits the annual application via the OPEKA digital platform, the system performs a fully-automated determination of eligibility and income-category assignment (A/B/C), calculates the monthly benefit amount per dependent child, and produces a formal decision (Απόφαση). This is the central binding commitment — it creates a legal entitlement or formal denial. Payment execution across 6 bi-monthly instalments is downstream execution, not a separate CP. The per-instalment income re-verification is flagged as a recurrence pressure in annotations (UA-375051-01) but is not modelled as separate CPs given current ICSL primitives.",
      "description": {
        "default_locale": "en",
        "default": "The OPEKA automated system determines whether the applicant is eligible for the child benefit. It assigns the applicant to an income category (A, B, or C), calculates the monthly benefit amount per dependent child, and issues a formal decision (Απόφαση). Approval activates a registry update and a bi-monthly payment programme of six annual instalments. Rejection or erroneous-approval revocation triggers the recourse path.",
        "translations": {
          "el": "Αυτόματη κρίση από το σύστημα ΟΠΕΚΑ: προσδιορισμός επιλεξιμότητας, κατάταξη σε εισοδηματική κατηγορία (Α/Β/Γ), υπολογισμός μηνιαίου ποσού ανά εξαρτώμενο τέκνο, έκδοση απόφασης. Αποτέλεσμα: έγκριση ή απόρριψη."
        }
      },
      "commitment_type": "DECIDE",
      "sequence_order": 1,
      "authority_config": {
        "required": true,
        "model": "automated_system",
        "roles": [
          {
            "ref_id": "role_opeka_automated_system",
            "name": "OPEKA automated determination system",
            "name_el": "Αυτοματοποιημένο σύστημα κρίσης ΟΠΕΚΑ",
            "uri": null,
            "notes": "Routine determination is fully system-mediated via OPEKA/IDIKA software interoperability. Manual review may occur in exceptional cases where electronic cross-checking fails — source does not specify whether the authority model reverts to a human officer in those cases (see UA-375051-04)."
          }
        ],
        "quorum": null,
        "attribute_expression": null,
        "delegation_scope": null
      },
      "evidence_config": {
        "required": true,
        "expression": {
          "op": "AND",
          "args": [
            {
              "op": "EXISTS",
              "field": "family_status_cert",
              "note": "Typically acquired automatically via civil registry interoperability; manual submission only if electronic cross-check fails."
            },
            {
              "op": "EXISTS",
              "field": "income_data_e1",
              "note": "Annual tax declarations for all household members, acquired automatically via ΑΑΔΕ interoperability. Re-verified before each bi-monthly payment instalment."
            },
            {
              "op": "IF_THEN",
              "condition": "child_age_18_to_24_in_education",
              "then": {
                "op": "EXISTS",
                "field": "studies_cert"
              }
            },
            {
              "op": "IF_THEN",
              "condition": "child_disability_67plus_aged_18_to_24",
              "then": {
                "op": "EXISTS",
                "field": "disability_cert"
              }
            },
            {
              "op": "IF_THEN",
              "condition": "contested_custody_or_separation",
              "then": {
                "op": "EXISTS",
                "field": "custody_doc"
              }
            },
            {
              "op": "IF_THEN",
              "condition": "non_greek_citizen",
              "then": {
                "op": "EXISTS",
                "field": "residence_doc"
              }
            }
          ]
        },
        "_source_note": "Source states: 'Documents are not attached by default — only requested if flagged by the system.' Expression is synthesised from conditional evidence list (INFERRED, confidence 0.78 — see annotations UA field annotation)."
      },
      "reasoning_config": {
        "required": false,
        "require_reasoning_text": null,
        "allowed_privileges": [],
        "structured_requirements": [],
        "_note": "Fully automated determination — no officer reasoning text required for routine cases."
      },
      "dependency_config": {
        "dependencies": []
      },
      "version_config": {
        "required": null,
        "allowed_model_versions": null
      },
      "recourse_config": {
        "required": true,
        "paths": [
          {
            "for_outcomes": [
              "REJECTED",
              "REVOKED"
            ],
            "via_commitment_point_id": "cp_appeal",
            "window": "P3M",
            "window_notes": "3 months from notification of the decision.",
            "hearing_authority": {
              "ref_id": "auth_opeka_appeals_unit",
              "name": "OPEKA — appeals review body (specific unit not identified in source)",
              "uri": "https://opeka.gr/endika-mesa-prosfyges/",
              "_gap": "Reviewing unit within OPEKA not named in source (UA-375051-03)."
            },
            "remedial_powers": [
              "UNKNOWN"
            ],
            "suspends_execution": false,
            "exclusion_note": "Appeal not permitted when grounds relate to an act of ΑΑΔΕ (Independent Authority of Public Revenue)."
          }
        ]
      },
      "automation_level": "FULLY_AUTOMATED",
      "automation_conditions": [
        "System verifies AMKA, income data (via E1 tax declarations through ΑΑΔΕ interoperability), family status (via civil registry interoperability), and citizenship/residency evidence. Determination is system-generated in 2–3 seconds."
      ],
      "identity_requirements": {
        "required": true,
        "verification_methods": [
          "TAXISNET"
        ],
        "credential_types": [
          "taxisnet_credentials",
          "AMKA"
        ],
        "delegation_allowed": false,
        "role_required": null
      },
      "signing_requirement": null,
      "allowed_outcomes": [
        "APPROVED",
        "REJECTED",
        "REVOKED"
      ],
      "outcome_overrides": {},
      "institutional_function": {
        "object": {
          "type": "income-tiered child benefit eligibility determination",
          "description": {
            "default_locale": "en",
            "default": "Automated determination that assigns the applicant to an income category (A/B/C) and calculates the monthly child benefit amount, producing a binding Απόφαση and activating or denying the payment programme.",
            "translations": {
              "el": "Αυτόματη κρίση κατάταξης σε εισοδηματική κατηγορία (Α/Β/Γ) και υπολογισμού μηνιαίου ποσού επιδόματος — παράγει δεσμευτική Απόφαση."
            }
          }
        },
        "nature": "CONSTITUTIVE",
        "subject": "APPLICANT",
        "trigger": "ON_APPLICATION",
        "effect": {
          "type": "GRANTS_OR_DENIES_ENTITLEMENT",
          "reversible": true,
          "creates_obligation": false
        }
      },
      "metadata": {
        "workflow_phase": "DETERMINATION",
        "source_citations": [
          "Law 4512/2018, Art. 214",
          "Law 4756/2020, Art. 63",
          "Law 4808/2021",
          "ΚΥΑ Δ11/οικ. 72936/2021 (ΦΕΚ reference not available in source)",
          "Mitos 375051, process_steps_digital steps 2–4"
        ],
        "recurrence_note": "Before each of the 6 bi-monthly payment instalments, income is re-verified against the latest amended E1 tax declaration and the benefit amount is recalculated. This constitutes a recurring determination within the single annual validity period — not modelled as separate CPs but flagged as CORE GAP (SP-375051-01, UA-375051-01).",
        "income_categories": {
          "_note": "Benefit amounts by income category are not included in the Mitos source record at machine-readable field level. The source confirms three tiers (A/B/C) and per-child monthly amounts exist; exact amounts require cross-reference to the implementing ΚΥΑ.",
          "categories": [
            "A",
            "B",
            "C"
          ],
          "scaling": "per_dependent_child_monthly"
        },
        "temporal": {
          "application_window_opens": "~March (by OPEKA administrator decision — not a fixed statutory date)",
          "application_window_closes": "15 January of the following year",
          "validity_period": "P1Y",
          "modification_obligation": "P1M from changed circumstances",
          "payment_months": [
            "March (last working day)",
            "May",
            "July",
            "September",
            "November",
            "December/January"
          ]
        }
      }
    },
    {
      "id": "cp_appeal",
      "protocol_version_id": "pv_mitos_child_benefit_a21_v1_l3",
      "name": "Internal Administrative Appeal",
      "name_el": "Ενδικοφανής προσφυγή",
      "_rationale": "The source explicitly names an ενδικοφανής προσφυγή with a 3-month deadline from notification of the decision. This is a genuine binding institutional recourse pathway creating a formal challenge record. Modelled as APPEAL. Source is thin on process details — reviewing body, possible outcomes, and response time limit are all MISSING (UA-375051-03).",
      "description": {
        "default_locale": "en",
        "default": "An applicant who contests a benefit determination (rejection, revocation, or disputed amount) may file an ενδικοφανής προσφυγή (internal administrative appeal) with OPEKA within 3 months of the decision notification. Filing does not suspend execution of the contested act. Appeal forms and information are available on the OPEKA website. The appeal is not permitted where the ground relates to an act of ΑΑΔΕ.",
        "translations": {
          "el": "Ο αιτών που αμφισβητεί την απόφαση υποβάλλει ενδικοφανή προσφυγή εντός 3 μηνών από κοινοποίηση. Η άσκηση δεν αναστέλλει εκτέλεση. Δεν επιτρέπεται όταν η αιτιολογία αφορά πράξη ΑΑΔΕ."
        }
      },
      "commitment_type": "APPEAL",
      "sequence_order": 2,
      "authority_config": {
        "required": true,
        "model": null,
        "roles": [
          {
            "ref_id": "auth_opeka_appeals_unit",
            "name": "OPEKA — appeals review body (specific unit not identified in source)",
            "uri": null,
            "_gap": "Source does not identify the reviewing unit within OPEKA (UA-375051-03, MISSING confidence 0.0)."
          }
        ],
        "quorum": null,
        "attribute_expression": null,
        "delegation_scope": null
      },
      "evidence_config": {
        "required": null,
        "expression": {
          "op": "AND",
          "args": []
        },
        "_gap": "Source does not specify what evidence is required for the appeal filing."
      },
      "reasoning_config": {
        "required": null,
        "require_reasoning_text": null,
        "allowed_privileges": [],
        "structured_requirements": []
      },
      "dependency_config": {
        "dependencies": [
          {
            "kind": "COMMITMENT",
            "depends_on_cp": "cp_eligibility_determination",
            "relationship": "follows_adverse_outcome",
            "notes": "Appeal is triggered by rejection, erroneous approval/revocation, or disputed benefit amount from CP1."
          }
        ]
      },
      "version_config": {
        "required": null,
        "allowed_model_versions": null
      },
      "recourse_config": {
        "required": null,
        "paths": [],
        "_gap": "Post-appeal pathway (court appeal or further administrative recourse) not specified in source (SL-375051-04, SP-375051-04)."
      },
      "automation_level": "MANUAL",
      "automation_conditions": [],
      "identity_requirements": null,
      "signing_requirement": null,
      "allowed_outcomes": [
        "UNKNOWN"
      ],
      "outcome_overrides": {},
      "institutional_function": {
        "object": {
          "type": "internal administrative appeal review",
          "description": {
            "default_locale": "en",
            "default": "Internal recourse mechanism allowing the applicant to contest a rejection or revocation decision before OPEKA, within a 3-month window from decision notification.",
            "translations": {
              "el": "Ενδικοφανής προσφυγή ενώπιον ΟΠΕΚΑ κατά απόφασης απόρριψης ή ανάκλησης, εντός 3 μηνών από κοινοποίηση."
            }
          }
        },
        "nature": "RECOURSE",
        "subject": "APPLICANT",
        "trigger": "ON_ADVERSE_OUTCOME",
        "effect": {
          "type": "REVIEW_REQUESTED",
          "reversible": null,
          "creates_obligation": false
        }
      },
      "metadata": {
        "workflow_phase": "RECOURSE",
        "appeal_deadline": "P3M from decision notification",
        "suspends_execution": false,
        "filing_url": "https://opeka.gr/endika-mesa-prosfyges/",
        "exclusion_note": "ενδικοφανής προσφυγή not permitted when grounds relate to an act of ΑΑΔΕ.",
        "source_citations": [
          "Mitos 375051, process.sdg_notes"
        ],
        "gaps": [
          "Reviewing body within OPEKA not identified in source.",
          "No information on appeal outcomes or further recourse paths.",
          "No appeal time limit for OPEKA to respond.",
          "Post-appeal court recourse not described."
        ]
      }
    }
  ],
  "topology": {
    "nodes": [
      {
        "id": "cp_eligibility_determination",
        "type": "commitment_point",
        "label": "Annual Eligibility Determination (DECIDE)"
      },
      {
        "id": "cp_appeal",
        "type": "commitment_point",
        "label": "Internal Administrative Appeal (APPEAL)"
      },
      {
        "id": "payment_sequence",
        "type": "execution_node",
        "label": "Bi-monthly payment execution (6 instalments/year)"
      }
    ],
    "edges": [
      {
        "from": "cp_eligibility_determination",
        "to": "payment_sequence",
        "label": "APPROVED → payment activated"
      },
      {
        "from": "cp_eligibility_determination",
        "to": "cp_appeal",
        "label": "REJECTED or REVOKED → appeal available (3 months)"
      }
    ]
  },
  "cross_case_rules": [],
  "temporal_constraints": [
    {
      "type": "application_window",
      "opens": "~March (OPEKA administrator decision — not a fixed statutory date)",
      "closes": "15 January of the following year",
      "_confidence": 0.88
    },
    {
      "type": "modification_obligation",
      "window": "P1M",
      "_note": "Applicant must modify the application within 1 month of changed circumstances. Logged as unresolved UA-375051-02: whether this is a variant track, a separate protocol, or a CP within the main protocol is not clear from the source."
    },
    {
      "type": "output_validity",
      "window": "P1Y",
      "_note": "Benefit determination valid for 1 year; annual re-application required."
    },
    {
      "type": "recourse_deadline",
      "window": "P3M",
      "_note": "Internal administrative appeal within 3 months of decision notification."
    },
    {
      "type": "payment_schedule",
      "_note": "6 bi-monthly instalments: last working day of March, May, July, September, November, and December (or January of following year). Income re-verified before each instalment."
    }
  ],
  "variant_tracks": {
    "mid_year_modification": {
      "label": "Mid-year application modification (τροποποίηση)",
      "description": "If applicant circumstances change during the validity year, the applicant is obliged to submit a modification within 1 month and before the annual deadline. This triggers re-processing of the determination. Modelled here as a variant track label only — the ICSL variant_tracks shape does not support independent temporal constraints, and the source does not describe this as a separate formal procedure.",
      "_gap": "UA-375051-02: the modification obligation has its own 1-month deadline and legal consequences if missed. A cleaner companion-layer representation is needed."
    }
  },
  "domain_context": {
    "jurisdiction": "Greece",
    "sector": "social_protection",
    "benefit_type": "child_benefit",
    "administering_body": "OPEKA",
    "delivery_mode": "exclusively_digital",
    "recurrence_pattern": "annual_application_with_bimonthly_payments",
    "automation_level": "fully_automated_determination"
  },
  "source_quality": {
    "overall_confidence": 0.82,
    "density": "medium-high",
    "gaps_summary": [
      "Appeal reviewing body not identified.",
      "Appeal outcomes and post-appeal pathway unknown.",
      "Bi-monthly re-verification not modelled as recurring CPs (CORE GAP).",
      "Income-tier benefit amounts require ΚΥΑ cross-reference.",
      "Organisation IDs (96352, 58558) not externally dereferenceable.",
      "ΦΕΚ references missing for two legal items."
    ]
  },
  "igsl_version": "1.2",
  "created_at": "2026-05-02",
  "amendment_notes": "First-pass extraction from Mitos API (2026-05-02), Batch 4 case 2 of 5. Rendered as protocol artifact for demo/mitos-pilot. See mitos-375051.review.md for full analysis.",
  "evidence_definitions": {},
  "governing_principles": []
}