Will there be a change in the regulations on farmers’ social insurance regarding the right to sickness benefits for pregnant women? The Ministry of Agriculture is responsible.
The Ministry of Agriculture responded to the request of the Management Board of the National Council of Agricultural Chambers regarding changes to the provisions on farmers’ social insurance regarding the right to sickness benefits for pregnant women.
The agricultural local government pointed out that a person insured in KRUS has the right to apply for sickness benefit from 30 to 180 days of illness and for an extended period, but this requires submitting an application to an KRUS branch and form N-14 completed by the attending physician and appearing at the commission. medical. This also applies to pregnant women. At the same time, pregnant women on sick leave under ZUS can collect sickness benefit for a maximum of 270 days, i.e. as long as the pregnancy lasts, and do not have to submit additional applications or appear at a medical commission to continue L4.
The regulations are clear on this matter
In response, the Ministry of Agriculture explained that sickness benefit is due to an insured person (farmer, his spouse, household member) who, due to illness, is unable to work continuously for at least 30 days, but no longer than 180 days. If, after exhausting the 180-day benefit period, the insured person is still unable to work and, as a result of further treatment and rehabilitation, he/she expects to regain the ability to work, the benefit period is extended for the time necessary to restore work capacity, no longer than by a further 360 days.
The extension of the right to sickness benefit for temporary incapacity for work lasting longer than 180 days is based on a submitted application for the extension of sickness benefit and a medical declaration on the health condition, completed by a doctor.
The basis for payment of sickness benefit in an extended period lasting longer than 180 days is a decision issued by an KRUS medical expert in the first instance or an KRUS medical commission (in the second instance).
The judgment may be issued in absentia
Additionally, in accordance with § 12 section 2 of the regulation of December 31, 2004 of the Minister of Social Policy on medical certification at the Agricultural Social Insurance Fund – an KRUS medical expert or an KRUS medical commission may consider the case and issue a decision in absentia without conducting a direct examination, if the documentation available is sufficient to issue a decision, and the person’s health condition makes it impossible to appear for the examination in person. In special cases, KRUS also has the option of making a home or hospital visit to people who cannot appear before an KRUS medical examiner or KRUS medical board.
However, the Ministry of Agriculture and Rural Development assures KRIR that it will analyze the issue of changing the described procedure.
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