Workers affiliated with EsSalud can obtain work disability subsidy: What are the requirements?

Health Social Security (EsSalud) provides a subsidy by Temporary inability to affiliated workers in Peru, in order to mitigate the economic loss they face by not being able to perform their work due to health problems, which provides financial support during their recovery period.

Thus, this serves as a financial support To the affiliates who are in the process of recovery, which ensures that they comply with the conditions and requirements stipulated in the current regulations.

Next, we tell you the details about the subsidy, as well as the necessary requirements to access it and the procedure that affiliates must follow to make their application.

How does the ESSALUD work disability subsidy work?

He employer He has the responsibility of paying the corresponding remuneration during the first 20 days of the worker’s inability. As of the 21st, the insured can access the temporary disability subsidy provided by ESSALUD, which extends up to a maximum of 11 months and 10 consecutive days, provided that no paid work activity is carried out during that period.

To calculate the days of paid disability, those accumulated throughout each calendar year are added. It is essential that these days are supported by medical certificates, whether they are issued by the Temporary disability certificate for work (CITT) or by private doctors. These documents must be included in the first file that the present worker.

He established time To submit the subsidy application, it is six months, which begins to be counted from the day the disability concludes.

What are the necessary requirements and documents?

The process to request the subsidy for Temporary inability The legal representative of the employer company or an authorized person can be carried out by the owner.

• Form No. 1040, duly filled and signed.
• National Identity Document (DNI) or foreigner card of the beneficiary applicant
• Privacy Policy Format for the processing of personal data. It is mandatory in the first process that is carried out.
• Have the temporary disability certificate for work (Citt), granted to the worker.
• Show the identity document of the insured (a) in case of direct payment or the legal representative of the employer, which signs the reimbursement application (unless it has a registration of signatures in ESSALUD).
• DNI of the third that performs the process (if applicable)
• Simple representation of representation for process signed by the insured holder; And in case of reimbursement, it must be signed by the legal representative or authorized official of the employer.

What are the conditions of the EsSalud subsidy?

• The regular insured must have a labor bond when starting the temporary disability and having three months of consecutive or non -consecutive contributions within the six calendar months prior to the month in which the disability began.
• He worker You must have a labor link at the time of the enjoyment of the benefit (at the beginning and during the period to subsidize).
• The insured fishing worker Law No. 28320 You must have two consecutive or non -consecutive contributions paid in the six calendar months prior to the month in which the disability began.
• The insured Fishermen and independent artisanal fishing processors must have three consecutive monthly contributions paid.
• In case of accident, there is enough affiliation.

What is the SSALUD subsidy process like?

Once the employer has reported, through the Electronic payrollthat part or all of the days corresponding to the subsidy for temporary disability for the work were considered as days worked by the insured, EsSalud will take the relevant actions.

• EsSalud will notify the applicant on observation, which gives a period of seven days to correct the situation.
• If the applicant is rendered the observation within the period, the subsidy will be granted as a whole. If you do not, it will be paid only for the days correctly declared as not worked.
• EsSalud will issue a resolution that partly recognizes the days to subsidize and require the days not recognized for having been declared as working days, which leaves the right to file the corresponding administrative resources. ”

Likewise, the affiliate must approach the Insurance Office and Economic Benefits of your preference and deliver in the window the documents requested to initiate the process. The official will indicate the steps to follow.

In what situations are extinguished, loses or suspended the subsidy?

• Due to loss of the labor bond.
• Perform paid work during the subsidy period.
• Health recovery or declaration of permanent disability.
• Abandon or break the treatment and medical prescriptions.