EsSalud It provides not only health services, but also financial subsidies to all its members. One of them applies when the worker experiences a Laboral inhability due to health problems. The subsidy provides financial assistance to help them cover the expenses resulting from the unemployment benefit.
Below, we offer you a detailed overview of the requirements necessary to access this subsidy, as well as the amount awarded and the steps required to process it, which provides crucial information for those seeking support in adverse circumstances.
EsSalud: what is the temporary disability subsidy?
The temporary disability subsidy is a financial support granted by EsSalud to insured people who are unable to work due to health problems. This benefit seeks to compensate for the economic loss due to the impediment to work and provides money during the convalescence period.
This subsidy comes into effect from the 21st day of the insured’s disability. and can be extended to a maximum of 11 months and 10 consecutive days, as long as you do not carry out paid work during this period. It is essential to highlight that the employer is obliged to pay compensation during the first 20 days of the insured’s disability.
Subsidy for health reasons: what are the requirements?
To access the EsSalud temporary disability subsidy, it is necessary to meet certain requirements established by the institution. Firstly, the regular insured must have an employment relationship at the time the temporary disability begins and have made three consecutive or four non-consecutive months of contributions within the six calendar months prior to the month in which the disability began.
In addition, there are specific requirements for different categories of workers, such as independent fishing workers and artisanal fish processors, who must comply with a certain number of consecutive monthly contributions paid. In the event of an accident, it is enough to be affiliated with EsSalud to be able to access the temporary disability subsidy.
EsSalud: what is the amount awarded for temporary disability?
The amount of the EsSalud temporary disability subsidy varies according to different factors, such as the length of disability and the contributions made by the insured. During the first 20 days of disability, the employer continues to be obliged to pay the remuneration, while from day 21 onwards, EsSalud assumes partial payment of the subsidy.
The subsidy is calculated based on the average daily remuneration of the last 12 calendar months prior to the contingency month, multiplied by the days of medical leave. It is important to note that the deadline to submit the subsidy application is 6 months, counted from the date on which the disability ends.
In what situations is the subsidy lost or suspended?
The EsSalud temporary disability subsidy can be extinguished, lost or suspended in various situations. These include the loss of the employment relationship, the performance of paid work during the subsidy period, the recovery of health or the declaration of permanent disability, and the abandonment or non-compliance with medical treatment.
How to process the temporary disability subsidy?
The process to obtain the EsSalud temporary disability subsidy can be carried out by the insured person, the legal representative of the employing entity or an authorized third party. To do this, it is necessary to complete Form 1040, present the DNI or immigration card of the beneficiary applicant and have the Certificate of Temporary Disability for Work (CITT).
Once all the requirements have been met, the applicant must go to the EsSalud Insurance and Economic Benefits Office and deliver the requested documents at the corresponding window. The official in charge will indicate the steps to follow to complete the process properly and obtain the temporary disability subsidy.
Source: Larepublica
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