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

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Revision as of 11:25, 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:

Persons, Legal entities

Title

Application for sickness benefit

What you will need

Means of authentication, identification and signature

Identification with TAXISnet codes, Identification document, 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 online service of the new procedure for granting sickness benefit for a common disease and not for an accident. As part of this operation, in the first phase, workers have been included workers insured under the former ΙΚΑ-ETAM and their employers, with the exception of the construction workers.


              No No

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

              No No

            • 4 Labour Completion of the procedure requires electronic confirmation that the person concerned has not worked during his/her 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 the IBAN is registered with the individual elements in the e-EEFKA register, then it appears pre-filled and the insured person can edit it and save it in the online sickness benefit service.

              Document submitted under requirements: No


              No 6714

            • 2 VAT Number or Register Number of Construction Works of the employer Proof of Work

              VAT Number or Register Number of Construction Works of the employer

              Submission by: Presented by the applicant

              Submitted by: Persons

              Notes: At present, applications relating to a building project cannot be submitted online. An information message is displayed directing the insured to visit the relevant branch in their place of residence to submit the relevant application.

              Document submitted under requirements: No


              No 8181

            • 3 Handwritten opinion entry and file upload Expert Evaluation

              Handwritten opinion entry and file upload

              Submission by: Submitted by the applicant (digital)

              Submitted by: Persons

              Notes: If the opinion has not been registered electronically by the attending 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 EFKA (23/2018 and 28/2018) have been issued. According to Circular 23 of EFKA, the person concerned may submit the supporting documents; However, the representative must be duly authorised either by a notarial power of attorney or by another authorisation which has been certified for the authenticity of the principals signature by any administrative authority.

              Document submitted under requirements: Yes

              Document’s requirement: Identity

              No 3070

            • Emergency Law 35 1846 1951 179 Α

              Description On 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 Institution (e-EFKA) and other provisions.

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

            • Ministerial Decision 13909 2021 1396 Β

              Description Definition of electronic services of the e-EFKA that are also processed through the Points of Single Contact (KEP).

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

            • 1 Beneficiary data entry

              Responsible for Implementation Competent Employee

              Μethod of Implementation Software action


              No No


            • 2 Successful identification of beneficiary data

              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 Actions required to update registration details, AMKA or VAT number.

              Yes Yes


            • 4 Processing of extra fields

              Responsible for Implementation Competent Employee


              Description Processing of additional fields that are necessary for the submission of the sickness benefit application.

              No No


            • 5 Confirmation of solemn declaration data

              Responsible for Implementation Competent Employee

              Μethod of Implementation Software action

              Description Once all the mandatory fields have been completed, in order to continue, the check box must be ticked to ensure that the information submitted by the beneficiary is correct.

              No No


            • 6 Adding Employer Data

              Responsible for Implementation Competent Employee

              Μethod of Implementation Software action


              No No


            • 7 Search for a Medical Certificate

              Responsible for Implementation Competent Employee

              Μethod of Implementation Software action

              Notes Online opinion retrieval: It is mandatory to enter the opinion code and perform a search. The opinion data are returned and displayed on the screen.

              No No


            • 8 Entry of Written Opinion and File Upload


              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 On 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 Submission completion message

              Responsible for Implementation Competent Employee

              Μethod of Implementation Software action


              No No


            • 12 Receipt of an employer authorisation certificate via the platform

              Responsible for Implementation Competent Employee

              Μethod of Implementation Software action

              Description Login to the employers subsystem of the "Sickness Benefit Platform".

              Yes No


            • 13 Receipt of an employer's rejection certificate via the platform

              Responsible for Implementation Competent Employee


              Description Login to the employers subsystem of the "Sickness Benefit Platform".

              Yes Yes


            • 14 Issue of a decision granting a financial amount

              Responsible for Implementation Responsible Head of Department

              Μethod of Implementation Software action


              No No


            • 15 Crediting of a financial amount to the beneficiary

              Responsible for Implementation Competent Employee

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


              No Yes






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