Sickness benefit is crucial financial support for people who cannot work due to illness or accident. However, many people do not realize that there are situations where the right to benefit can be lost. research the most crucial cases erstwhile you do not have a sickness allowance, and learn how to avoid problems.
When is there no sickness allowance?
1. Remuneration under circumstantial provisions
If you are entitled to pay for your incapacity for work on the basis of separate provisions (e.g. a contract of employment in which remuneration is paid despite illness), you will not be entitled to sickness benefit. In specified cases, the employer pays the costs of incapacity for work, so the benefit from the Social Insurance Institution is not needed.
2. Free or educational leave
You are not entitled to sickness benefit during free or parental leave. Free leave is simply a period erstwhile a individual does not work but besides does not receive a salary, so besides the sickness allowance is not paid.
3. Temporary arrest or imprisonment
If you are temporarily arrested or sentenced to imprisonment, you are not entitled to sickness benefit. The exception may be cases where the entitlement to the allowance derives from sickness insurance for persons employed on the basis of referral to work during the performance of the penalty.
4. Alcohol abuse
If your incapacity to work is the consequence of alcohol abuse, the sickness allowance is not due for the first 5 days of dismissal. This limitation aims to prevent abuse and to guarantee that the benefit is not utilized erstwhile wellness problems are the consequence of irresponsible behaviour.
5. False medical clearance
False medical leave is simply a serious offence which results in a deficiency of entitlement to sickness benefit. Those who usage false papers may besides face additional legal and financial sanctions.
6. Work during L4
If, during a medical discharge, you do work for a surviving or usage a occupation that does not comply with your purpose, the benefit may be withdrawn. ZUS monitors and controls specified cases to prevent abuse.
Inspection and simplification of medical leave by ZUS
The medical examiner of the Social Insurance Institution is entitled to shorten the period of medical leave if he finds that incapacity has ceased earlier. In this case, the sickness allowance is only due until the date of cessation of incapacity for work. Regular examinations and transportation of the required documentation are crucial to maintaining entitlement to the benefit.
How to avoid failure of entitlement to sickness benefit?
To avoid losing your entitlement to the sickness allowance, remember any crucial principles:
- Follow the rules: Make certain you meet all the requirements for entitlement to the benefit.
- Provide documentation on time: Regularly supply all required papers and put yourself on check-up.
- Avoid abuse: Do not usage the L4 to do a occupation or cheat the system.
ZUS intensively controls medical exemptions to prevent abuse. Awareness of rules and regulations will aid you to make full usage of your rights while avoiding unnecessary problems.
Read more:
Surprising Reasons For Which You Don't service Sickness Allowance – Check If You're Threatened!