Sickness benefit or its amount depends on the reason for the insured person’s absence from work. Due to the spread of the COVID-19 outbreak, the topic of the amount of compensation for sick leave is also very popular among amongst employers. How much (in percentage), to whom and when is the sickness benefit due?
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In the event of absence from work, it is necessary to comply with the laws that define this area, as well as the intervention laws that apply during the COVID-19 epidemic. DATA consultants also point out that electronic sick leave slips are in use since this year. However, if you need further clarification on regulation of patient benefit during an epidemic, our experts from Data d.o.o. can advise you. Write to them at data@data.si.
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Sickness benefit: who are the insured persons and what is the basis for the benefit?
Insured persons are employees, persons who independently perform economic or professional activity, partners of partnerships, partners of limited liability companies and also founders of institutions. Insured persons are also top athletes and top chess players, foster parents and also farmers, if they are insured under this activity. Under certain conditions, also unemployed persons fall in this category . The basis for sickness benefit is average monthly salary and benefits paid in the calendar year preceding the year in which the temporary absence from work occurred.
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Sickness benefit: amount and eligibility
Given that, due to the global health crisis, the reason for dealing with absence from work and sickness benefits may also be related to COVID-19, we illustrate the reasons for absence from work in two tables below.
1. Table of reasons for absence from work (in general, and not linked to COVID-19) and the amount of sickness benefit:
| CODE OF THE REASON | REASON FOR ABSENCE | THE AMOUNT OR PERCENTAGE OF THE BASIS UP TO 90 CALENDAR DAYS OF ABSENCE AT THE EXPENSE OF HEALTH INSURANCE INSTITUTE OF SLOVENIA (ZZZS) | THE AMOUNT OR PERCENTAGE OF THE BASIS ABOVE 90 CALENDAR DAYS OF ABSENCE AT THE EXPENSE OF ZZZS |
| 01 | SICKNESS | 80% | 90% |
| 02 | INJURIES OUTSIDE OF WORK | 70% | 80% |
| 03 | OCCUPATIONAL SICKNESS | 100% | 100% |
| 04 | WORK INJURY | 100% | 100% |
| 05 | INJURY CAUSED BY THIRD PERSON OUTSIDE WORK | 70% | 80% |
| 06 | CARE | 80% | 80% |
| 07 | TRANSPLANTATION | 90% | 100% |
| 08 | ISOLATION | 90% | 100% |
| 09 | ACCOMPANIMENT | 70% | 80% |
| 10 | TRAINING FOR CHILDREN’S REHABILITATION | 80% | 80% |
| 11 | INJURY OCCURED AT THE ACTIVITIES FROM THE 18. ARTICLE OF THE LAW | 100% | 100% |
| 12 | BLOOD DONATION | 100% |
An employee who is absent due to illness for up to 3 working days in a row may be absent without a certificate of justified absence from work. Intervention Act on Interim Measures for Mitigation and Elimination of Consequences COVID-19 (ZZUOOP) adopted the right of absence from work.
Such a worker has the right to 80 % of the salary compensation. The worker can invoke the right once in a calendar year. Absence to up to 30 working days is paid by the employer. For the duration of further absence from 30 days onwards, the insurance office pays the sickness benefit.
Sickness benefit in Slovenia: Amount and Eligibility with Cause and in Connection with COVID-19
2. Table of reasons for absence due to and in connection with COVID-19 and the amount of sickness benefit
| CODE OF THE REASON | REASON FOR ABSENCE | EXPLANATION | PERCENTAGE |
WHO IT PAYING FOR IT |
| 01 | ISOLATION DUE TO COVID-19 INFECTION | Isolation lasts as long as the insured person is infected (signs of disease for COVID-19 + high probability of transmission) | 90% for the first 90 calendar days, then 100% over 90 calendar days | Compensation is paid by ZZZS from the first day of absence from work |
| 02 |
INJURY AT WORK |
If a COVID-19 infection occurs in the workplace and then the insured person becomes ill with COVID-19 (e.g., nurses at a nursing home). | 100% | from 11 April 2020 onwards to 31 May 2020 at the expense of the ZZZS,
from 1 June 2020 onwards, the employer pays salary compensation to his debit for the first 30 working days. |
| 03 |
CHILDCARE |
If a child is infected with COVID-19, the parent is entitled to childcare for the time the child has to be at home due to the disease. | 80% | Compensation is paid by ZZZS from the first day of absence from work |
Compensation for sick leave – who is not entitled?
- insured persons working from home;
- healthy persons who are unable to work for reasons of force majeure (e.g. childcare, absence of public transport);
- healthy persona in the event of prescribed quarantine.
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