Difference between revisions of "ΔΔ:Sickness Benefit (e-EFKA)"

From National Registry of Administrative Public Services
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Revision as of 09:44, 1 August 2023



0c9542ea-96d0-46e0-b0c5-d701ca0ebe2e 954296 Επίδομα ασθενείας (e-ΕΦΚΑ)

At a glance

Remote Points of service

Number of required documents

2 to 4

Fees

Provided without cost

Estimated Time

2 months

Description

The procedure concerns the electronic application for sickness benefit and is addressed to people insured with e-EFKA for the period they were absent from work due to illness in order to obtain the relevant allowance. The online sickness benefit service covers absence from work due to a common illness and not due to an accident. In the context of this operation, in the first phase, employees insured with the former IKE-ETAM have been included and their employers, with the exception of skilled construction workers.

Basic information

Competent body

MINISTRY OF LABOR AND SOCIAL SECURITY

Authority/Public body’s Unit responsible for the institutional framework of the procedure

Authority responsible for the provision of the procedure

ELECTRONIC NATIONAL SOCIAL SECURITY ENTITY

Provided to

Related links

Notes

The physician, through the electronic prescription system, certifies the inability of the insured person to work. The employed person, within eight months from the date of notification of the sick leave, shall submit an application to the website of the insurance agency. The employer shall then enter the respective electronic service using the e-EFKA codes to accept the application.

Last update

21/11/2024

Application

Application Type

Application / Solemn Declaration

Submission by:

Submitted by the applicant (digital)

Submitted by:

Legal entities, Persons

Title

Application for sickness benefit

What you will need

Means of authentication, identification and signature

Identification document, Identification with TAXISnet codes, FRUIT

    Print

    Requirements

      Fees

        Related




        Output & Results

        Output

        Decision, Payment Document Production

        Steps

          Digital steps

            Other information

            Alternative titles

            Sickness allowance

            Official title

            Electronic application for sickness benefit

            Languages supported

            Greek, English

            Registries updated

            Μητρώο Ασφαλισμένων

            Legislation

              Categories

              Τype of procedure

              Trigger

              Applied for

              Trigger (submission method)

              Application (digital), Via video calling

              Type

              Outgoing

              ,,,,,,,


            • 1 Insurance Depending on the work/profession of the insured person, the conditions for granting: For the former IKA-ETAM: A prerequisite is to have completed 120 days of insurance in the previous year or in the last 15 months, without counting the last three months (IKA-ETAM insured persons guide)


              No No

            • 2 Insurance The electronic service of the new procedure for the granting of sickness benefits from a common disease and not for an accident, and the first phase of this operation include the workers insured under PHK ETAM and their employers, with the exception of the craftsmen.


              No No

            • 3 Possession of passwords to enter software The person concerned should be a Taxisnet code holder.

              No No

            • 4 Labour The completion of the procedure requires confirmation electronically that the person concerned has not worked during his illness.


              No No

            • 1 IBAN Account Number Proof of Bank account

              IBAN Account Number

              Submission by: Presented by the applicant

              Submitted by: Persons

              Notes: If IBAN is registered with the individual elements in the e-ECA register, then it appears pre-paid and the insured person has the ability to process it and store it in the electronic service of the sickness allowance.

              Document submitted under requirements: No


              No 6714

            • 2 APM or APMOE employer Proof of Work

              APM or APMOE employer

              Submission by: Presented by the applicant

              Submitted by: Persons

              Notes: For the time being, applications relating to construction work cannot be submitted electronically. An information message showing the insured person to visit the relevant branch of his place of residence to submit the application.

              Document submitted under requirements: No


              No 8181

            • 3 Written Opinion and Upload file entry Expert Evaluation

              Written Opinion and Upload file entry

              Submission by: Submitted by the applicant (digital)

              Submitted by: Persons

              Notes: If the opinion has not been electronically registered by the treating physician.

              Document submitted under requirements: Yes

              Document’s requirement: Health

              No 8520

            • 4 Authorisation of a beneficiary Enabling act

              Authorisation of a beneficiary

              Relevant link: https://www.gov.gr/ipiresies/polites-kai-kathemerinoteta/psephiaka-eggrapha-gov-gr/ekdose-exousiodoteses

              Submission by: Presented by the applicant

              Submitted by: Persons

              Notes: With regard to the representation of citizens to the administrative authorities, circulars of EVA (23/2018 and 28/2018) have been issued. According to Circular 23 of the Circular, the person concerned may submit the supporting documents; however, the representative should be legally authorised either by a notary officer or by another authorisation validated for the authentication of the order by any administrative authority.

              Document submitted under requirements: Yes

              Document’s requirement: Identity

              No 3070

            • Emergency Law 35 1846 1951 179 Α

              Description It's about social security.

              Legal references https://www.et.gr/api/DownloadFeksApi/?fek pdf=19510100179

            • Law 4670 2020 43 Α

              Description Insurance reform and digital transformation of the National Social Security Agency (e-ECA) and other provisions.

              Legal references https://www.et.gr/api/DownloadFeksApi/?fek pdf=20200100043

            • Ministerial Decision 13909 2021 1396 Β

              Description Establishment of e-EFTA electronic services managed through the Citizen Service Centres (CSUs).

              Legal references https://www.et.gr/api/DownloadFeksApi/?fek pdf=20210201396

            • 1 Import of beneficiary data

              Responsible for Implementation Competent Employee

              Μethod of Implementation Software action


              No No


            • 2 Successful identification of beneficiary elements

              Responsible for Implementation Competent Employee

              Μethod of Implementation Software action


              Yes No


            • 3 Unsuccessful identification of beneficiary

              Responsible for Implementation Competent Employee

              Μethod of Implementation Software action

              Description Registration , AMKA or AMG updates are required .

              Yes Yes


            • 4 Processing of extra fields

              Responsible for Implementation Competent Employee


              Description Processing of additional fields necessary for the submission of an application for sickness benefit

              No No


            • 5 Confirmation of responsible declaration data

              Responsible for Implementation Competent Employee

              Μethod of Implementation Software action

              Description After all the mandatory fields have been completed, so that it can continue to check the checkbox for the correctness of the data submitted by the beneficiary.

              No No


            • 6 Added Employer Data

              Responsible for Implementation Competent Employee

              Μethod of Implementation Software action


              No No


            • 7 Finding Doctor Therapeutic Therapeutic Therapeutic Knowledge

              Responsible for Implementation Competent Employee

              Μethod of Implementation Software action

              Notes Electronic opinion pumping: Lists the consultation code and searches.The details of the opinion are returned and displayed on the screen.

              No No


            • 8 Written Opinion and Upload file entry


              Description Lists the required fields relating to the opinion and attaches the opinion

              No No


            • 9 Confirmation of submission


              Description The summary of the application to be submitted shall appear.

              No No


            • 10 Selection of declaration that information is true

              Responsible for Implementation Competent Employee

              Μethod of Implementation Software action

              Description With my own responsibility and knowing the sanctions provided for in Article 22(6) of Law 1599/1986, I declare that this information is true.

              No No


            • 11 Integration message

              Responsible for Implementation Competent Employee

              Μethod of Implementation Software action


              No No


            • 12 Receipt of an employer's approval attestation via a platform

              Responsible for Implementation Competent Employee

              Μethod of Implementation Software action

              Description Entrance to the Employers' Subsystem of the ‘Sickness Benefit Platform’.

              Yes No


            • 13 Receipt of an employer rejection certificate via a platform

              Responsible for Implementation Competent Employee


              Description Entrance to the Employers' Subsystem of the ‘Sickness Benefit Platform’.

              Yes Yes


            • 14 Decision granting a financial amount

              Responsible for Implementation Responsible Head of Department

              Μethod of Implementation Software action


              No No


            • 15 Appropriations for payment to the beneficiary

              Responsible for Implementation Competent Employee

              Μethod of Implementation Action of the executive / co-competent body


              No Yes






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