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Sickness insurance system Employee sickness insurance system provides 4 benefits in cash: sickness benefit financial support for care of family members pregnancy and maternity compensation benefit maternity benefit Sickness insurance of self-employed persons provides 2 benefits in cash: sickness benefit maternity benefit Applying for benefits Applying for sickness benefit is done by submitting the prescribed form issued by the supervisory doctor. A woman who accepts a child for substitute parental care applies for maternity benefit in cash by submitting a written application. Employees apply for a benefit via their employer, self-employed individuals by the relevant district social security management. Also, an employee whose employment relationship has terminated however who is still in the so-called protection period has a right to receive benefits. The protection period is 7 days from the day when employment terminated otherwise, if the employee was employed for a shorter period the last time s/he was employed, the protection period is only for as many days as the employee was employed. For women whose employment ended when they were pregnant the protection period is always six months. The same applies for self-employed individuals. Conditions for awarding benefits Sickness benefit – Employees recognition of temporary incapacity to work or quarantine participation in sickness insurance or the duration of the protection period during which the temporary incapacity to work occurred no work performed in the job for which the sickness benefit was awarded support time not utilized Self-employed persons (besides the conditions as stipulated for employees) are not allowed to perform individual earning activity in person during the time of temporary incapacity to work or quarantine must have paid the premiums for sickness insurance must have been participating in self-employed persons' sickness insurance for the minimum period of 3 months prior to the temporary incapacity to work occurred Financial support for care of family members participation in sickness insurance or the duration of protection period in the time when the need for care of a family member occurred the employee is unable to work due to the necessity of taking care of a family member or child under 10 years of age for the reasons specified living in the same household with the person who is being taken care of, this condition does not apply if a parent is taking care of a child under 10 years of age no work performed in the job from which the sickness benefit was awarded Pregnancy and maternity compensation benefit woman's participation in sickness insurance transfer of the pregnant employee or the mother until the ninth month after giving birth to a different job for reasons specified a reduction in the woman's earnings because of the role transfer, not because of her own performance The compensation benefit is calculated as the difference between the daily assessment base that the employee was entitled to prior to being transferred to a different job, and the average daily recognizable income after the transfer to the different job. Maternity benefit – Employees the woman's participation in sickness insurance or the duration of the protection period achieving at least 270 calendar days of participation in sickness insurance in the last two years preceding the birth giving birth no work performed in the job from which the sickness benefit was awarded Self-employed persons (besides the conditions as stipulated for employees) must have paid the premiums for sickness insurance are not allowed to perform individual earning activity in person during the benefit period also achieve at least 180 days of participation in sickness insurance of self-employed persons during the year preceding the birth Calculation of sickness insurance benefits Daily assessment base – Employees Eligible income registered for the employee in the decisive period which is usually 12 calendar months preceding immediately upon the occurrence of incapacity to work, quarantine, the need to care of a family member or commencement of maternity leave, is divided by the number of calendar days of the relevant decisive period. However, some days are not to be included in the number of days in order to prevent unreasonable dilution of the assessment base (for example the days of sickness benefit). Self-employed persons For self-employed persons the method of calculation of the daily assessment base is analogical with the stipulation that the decisive period is usually the calendar year preceding the year in which the sick leave occurred or in which the woman commences maternity leave, and the eligible income is understood to be the sum of the monthly assessment bases for the calculation of social security premiums deposits. Reduction limits Two limits are set for reduction: CZK 825, 1,237 and CZK 2,474. The calculated daily assessment base is to be reduced if its sum exceeds the set limit as follows: for sickness benefit and financial support for care of family members, to the amount of CZK 825, 90 per cent being calculated, the amount between 825 and 1,237 limits, 60 per cent being calculated, the amount between 1,237 and 2,474 limits, 30 per cent being calculated, the sum exceeding the third reduction limit is not taken into account. Percentage rate The sickness benefits are calculated from the daily assessment base by means of the relevant percentage rate: for maternity benefit 70 per cent, for support for care of a family members 60 per cent, for sickness benefit 60% from the 22nd day of illness to the termination of the illness. Support period Sickness benefits are awarded per calendar day. The sickness benefit is awarded for a maximum of 380 days from the beginning of the incapacity to work, however, not for longer than until the end of the incapacity to work or until full or partial disability is confirmed. Financial support for care of family members is awarded for a maximum of the first 9 calendar days, or a maximum of 16 calendar days, to an employee who is living alone and looks after a child who has not yet completed the mandatory school attendance and would otherwise be alone. Maternity benefit is awarded for a maximum of 28 weeks, or 37 weeks in the case of women who have given birth to two or more children at the same time and look after at least two of them, or if they are single, widowed, divorced or alone for any other significant reason, or who do not live with a partner. Pregnancy and maternity compensation benefit is awarded, maximally, until the woman commences maternity leave and after the maternity leave, maximally, until the end of the ninth month after the birth.