Forwarding the data of a certificate of incapacity for work to the Health Insurance Fund
Payment of sickness benefits
A certificate of incapacity for work can be issued by a doctor to a person who has health insurance through their employer.
A person with health insurance will receive a sickness benefit starting from the fourth day of falling ill.
Between the fourth and the eighth day of illness, the sickness benefit will be paid by the employer in the amount of 70% of the average wages of the employer in the past six months. Starting from the ninth day of illness, the Health Insurance Fund will pay the sickness benefit.
The employer is not required to pay the sickness benefit if the leave is caused by an occupational disease or accident, an occupational accident in traffic, a complication or illness caused by an occupational accident, an injury suffered while protecting the interests of the country or the society and stopping a crime, transferring to an easier job, or illnesses or injuries during pregnancy. In these cases, the Health Insurance Fund will pay the sickness benefit starting from the second day.
Electronic submission of documents
Electronic certificates of incapacity for work are used in Estonia. Electronically adding data to the certificate of incapacity for work is mandatory for employers.
In order to transfer data on certificates of incapacity for work to the Health Insurance Fund, the employer must join the service in the State Portal.
The employer must transfer the data to the Health Insurance Fund within seven calendar days as of receiving information from the employee about being on sick leave through the State Portal service ‘Adding data on the certificate of temporary incapacity for work’.
More information about the calculation of sickness benefits is available on the website of the Health Insurance Fund.
Employees can view information related to the payment of the benefit through the State Portal service ‘Benefits for incapacity for work’.