Continued payment of wages
- First year one hundred per cent
- Second year seventy per cent
- A collective labour agreement may require more
Lower frequency · longer duration · gatekeeper rules
In an office it is not the number of sickness reports that determines your absence burden, but the handful of cases that remain open for months without a clear medical cause.
Deze pagina in het Nederlands: Verzuimverzekering voor kantoororganisaties.
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An office organisation has few absence reports, but those it has are long-term and often psychological in nature. The distribution of costs is uneven: a small number of cases accounts for most of the wages paid over two years.
At the same time you have an advantage that a construction or production business lacks: adapted work is available. Reducing hours, redistributing tasks, temporarily giving someone a different role: it can usually be done within your own organisation. As a result a partial return to work gets going sooner and the insurer pays for the part that is not yet being worked.
The most difficult subject is absence around a workplace conflict. Without medical limitations that is not illness and therefore not covered, however high the tension runs.
The structure of the cover in three parts, with an overview per situation below.
What you are legally required to continue paying.
How many days you bear yourself.
Guidance with reintegration.
What is covered
| Situation | Conventional | Full-service option |
|---|---|---|
| Continued payment of wages during sickness | Yes | Yes |
| Guidance with reintegration | No | Yes |
| Risk of a wage sanction borne by the insurer | No | Yes |
| Occupational health services included | No | Sometimes |
| Cost of replacing a member of staff who is off sick | No | No |
| Sickness absence that already existed at inception | No | No |
This overview is general in nature and is not personal advice. What is actually covered, including exclusions, limits and the excess, is set out in the policy conditions and the insurance card (verzekeringskaart) of the insurer; you receive both before you take out cover. Taking out cover without advice? Then read what execution only means for you.
Four points that make the difference between a policy that pays out and one that does not.
If someone reports sick after a poor appraisal or a reorganisation, the company doctor must establish whether there really are medical limitations. If there are not, there is no incapacity for work and therefore no payment, while you do continue to pay wages. The usual route is then an intervention period with mediation. Record that assessment, because without an opinion from the company doctor you will face a refusal.
If someone works part of the week again after two months, the payment falls in line with the percentage of incapacity for work set by the company doctor. That is logical, but it calls for discipline in the administration: you must report every change in capacity. The same applies to a reduction in hours. If you report it late, the insurer can reduce the payment under Article 7:941 of the Dutch Civil Code limit.
With a long-running office case, the UWV assesses afterwards whether you took the right steps. Precisely because adapted work is available, you are expected to have genuinely offered and recorded it. If a properly supported plan of action is missing or evaluations are not carried out, an extension of the continued payment of wages of up to a year follows. Under a conventional policy that extension is not covered.
Not covered are: absence without a medical basis such as a pure workplace conflict, emergency and short-term care leave, and absence already running on the start date. The costs of an interim worker or of mediation also fall outside the cover. If you fail to disclose existing long-running cases when applying, that affects the duty of disclosure under Article 7:928 of the Dutch Civil Code and its consequences under Article 7:930 of the Dutch Civil Code.
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Only where the company doctor establishes that there are medical limitations. A conflict in itself is not an illness, so without that finding there is no entitlement to a payment while you do continue to pay wages. The usual approach is then a short intervention period in which you use mediation. Always ask for a written opinion from the company doctor before you submit a claim.
The insurer pays according to the percentage for which the employee is unfit for work. If someone resumes part of their contracted hours, the payment falls proportionally. You must report every change in capacity, including where the build-up stalls and the hours go back down. Without a timely report you miss out on payment for the period concerned.
No. Care leave and emergency leave are forms of leave, not incapacity for work. You continue to pay wages in full or in part in accordance with the law and your collective labour agreement, but the sickness absence insurance pays nothing for it. Only illness or an accident affecting the employee gives entitlement to compensation under this policy.
Because most of the money leaks away in a few long-term cases and not in days off with flu. A longer waiting period lowers your premium without giving up much cover: the cases that matter financially run well beyond that period. But first work out how many short sick days you have each year, so that the choice is well founded.
Request a quote without obligation. We will look at which insurer best matches your activities and your risk.
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Finass Verzekert is a trading name of Finass Advies B.V. We advise on and arrange non-life insurance on the basis of an objective analysis of several insurers, and receive commission for this from the insurer, which is included in the premium. You pay no separate advice fee. Before you take out cover, we establish your wishes and needs.
You will find our licence, KvK and Kifid details and our complaints procedure at the foot of every page.
This page was written and checked by an adviser at Finass Verzekert. Last updated on .
The information on this page is general in nature and is not personal advice.
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