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Sickness benefit

In order to compensate for the unearned income to the person during the sickness, state allocates and pays sickness benefit.

Sickness benefit can be received by:

  • an employee;
  • a self - employed person, who has made social insurance contributions;
  • a spouse of the self-employed person, who has voluntarily joined social insurance scheme.
Granting and payment of sickness allowances:

1.    as from the 11th day of work incapacity until the date of recovery of the working capacity, however not exceeding 26 weeks starting from the first day of the working incapacity if the work incapacity is continuous, or not exceeding 52 weeks over a period of three years of the work incapacity is repeated with interruptions;

* If the work incapacity continues for more than 26 weeks the doctor in charge or the assistant doctor is obliged to direct the person to the State Medical Commission for the Assessment of Health Condition and the Working Ability. The Commission shall issue a conclusion regarding the extension of the working disability during a period of temporary working incapacity lasting for more than 26 weeks, however, not exceeding 52 weeks (as of the first day of the working incapacity), if this is required for providing comprehensive treatment, including rehabilitation, or shall set disability.

2.    from the 2nd to the 10th calendar day (except the working incapacity related with pregnancy and delivery and care of a sick child), the employer shall pay the working incapacity allowance to the employee from its own resources amounting to minimum 75 per cent of the mean salary for the second and the third working incapacity day and to minimum 80 per cent for the period starting from the fourth day of the working incapacity;

3.    for taking care of a child aged up to 14 years the allowance shall be granted for a period from the 1st to the 14th day and from the 15th to the 21st day if the child has been treated also in hospital during the period of the working incapacity.

The working incapacity allowance shall not be granted if:


1.    a person obtains income as an employee or a self-employed person during the period of working incapacity;

2.    the working incapacity of a person has set in during the time period when the person has committed a crime or in the result of this crime and this has been established by the court;

3.    the person has knowingly and essentially damaged his/ her own health or the health of the persons cared for and this has been established by a doctor;

4.    the person has attempted to obtain the allowance by fraud and this has been established by the doctor or the State Social Insurance Agency.

Important:
  • the working  incapacity allowance shall be granted in the amount equal to 80 per cent of the mean salary for the mean salary of the allowance beneficiary for the purpose insurance contributions;
  • the mean salary for the purpose of the insurance contributions shall be assessed on the basis of the income during a period of 12 months from which the state social insurance mandatory contributions were made;
  • the income tax shall be withheld from the working incapacity allowance.
As of the 1st January 2016 the working incapacity allowance may be claimed within a period of 6 months as from the 1st day of the working incapacity by submitting the following to the State Social Insurance Agency:
  • application for granting the allowance;
  • the working incapacity certificate;
  • the employer’s approval that during the period of the working incapacity the person has not worked at his/ her job, a self-employed person shall attest by himself/ herself that he/ she is not gaining any income during the particular period of the working incapacity).
Documents and the application may be submitted by the benefit applicant or a person authorised by him/ her to any department of the State Social Insurance Agency:
  • by arriving to the State Social Insurance Agency in person;
  • as an electronic document by stating all the required information therein or by using the form available on the website of the State Social Insurance Agency;
  • by sending it by post and stating all the required information therein or by using the form available on the website of the State Social Insurance Agency.
More detailed information:
http://www.vsaa.lv/lv/pakalpojumi/stradajosajiem/slimibas-pabalsts