Both honorary distinctions were merged by royal decree of the Ministry of the Interior on July 29, 1910, remaining under the name of the Civil Order of Beneficence.

Its concession is personal and non-transferable and, in the case of Corporations, Associations, Entities, Companies or collectives, it will expire after twelve years.

The concession confers the right to be and to be denominated member of the Civil Order of Health, to receive the treatment and official considerations due to its category, to exhibit the corresponding decorations, to be recognized in all class of activities and Sanitary Institutions and to make it be stated in the writings and documents of the interested party.

[8] In 1910 this order underwent a reform, the category of the Grand Cross with Badge as insignia was created, the design of the different insignia was modified and different badges were introduced in all the classes: The Grand Cross with Badge carries with it the treatment of Excellency, Most Excellent, Most Excellent, Most Excellent Sir or Madam (in Spanish: Excelencia, Excelentísimo or Excelentísima or Excelentísimo Señor or Excelentísima Señora) the First Class Cross carries with it the treatment of Illustrious, Most Illustrious, Most Illustrious Sir or Madam (in Spanish: Ilustrísimo or Ilustrísima or Ilustrísimo Señor or Ilustrísima Señora) and the Second Class Cross carries with it the treatment of Sir or Madam (in Spanish: Señoría or Señor or Señora).

The recipient of any of the categories who has been sentenced for the commission of an intentional crime or has publicly and notoriously committed acts contrary to the reasons for the award of the distinction may, by virtue of proceedings initiated ex officio or by reasoned complaint, and with the intervention of the Prosecutor of the Royal Order, be deprived of the title corresponding to the distinction granted, a decision that corresponds to the person who granted it.