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Claiming

How, where and when to apply for a parent and what form to submit. 

What?

  • application for maternity leave  is a form of the Social Insurance Agency that 

    1. The doctor of the medical facility (not freely available) will usually expose the pregnant insured person at the beginning of the eighth to sixth week before the expected date of birth. 

    2. to the insured person other than the mother who gave birth to the child, the relevant branch of the Social Insurance Agency shall provide it 

  • With this form, the insured person asserts the right to maternity leave, and before sending it to the Social Insurance Agency he / she is obliged to indicate the data in the declaration (whether he / she asserts the benefit from the concurrence of insurance and the method of remittance), sign it and in case of the employee submit it to the employer 

  • in the event that the insured person wants to claim maternity benefits from several sickness insurances, an application for maternity insurance must be issued separately for each of them

      

Where?  -  in the local competent  branches  Social insurance

When?  - the best  immediately  after issuing the application ( see Limitation )

How?

  • compulsory sickness insured self-employed person, voluntary sickness insured person and natural person submit an application within the protection period to the parent branch of the Social Insurance Agency that performs / last performed their sickness insurance

  • the employee submits an application for maternity leave before claiming  to the employer , who will issue and sign the employer's certificate upon request

Terms of claim

Conditions that the insured must meet in order to be entitled to maternity leave. Protection period.

Employee

  • the emergence of a reason for the provision of maternity leave, ie pregnancy or care for a newborn child, in the case of another insured person care for a adopted child

  • the reason for providing maternity insurance (usually the day of the beginning of the sixth week, at the earliest of the eighth week before the expected date of birth determined by the doctor, or the day of birth, if earlier, and for the other insured the day of taking the child into care) must arise during the health insurance period. in  protection period

  • at least 270 days of sickness insurance in the last two years before childbirth 

    1. the previous period of any sickness insurance completed shall be taken into account 

    2. the period of interruption of the employee's compulsory health insurance due to the use of parental leave and the period of interruption of the compulsory health insurance of a self-employed person due to the right to parental allowance are also included 

  • Absence of income for work performed, which is considered as the assessment basis, paid for the period of receiving maternity leave (decides for which period the income is paid, not in which period and whether it is income for work performed)

  • it is not monitored whether the employer has paid sickness insurance premiums

Compulsory sickness insurance self-employed person

  • the emergence of a reason for the provision of maternity leave, ie pregnancy or care for a newborn child, in the case of another insured person care for a adopted child

  • the reason for providing maternity insurance (usually the day of the beginning of the sixth week, at the earliest of the eighth week before the expected date of birth determined by the doctor, or the day of birth, if earlier, and for the other insured the day of taking the child into care) must arise during the health insurance period. in  protection period

  • at least 270 days of sickness insurance in the last two years before childbirth

    1. the previous period of any sickness insurance completed shall be taken into account 

    2. the period of interruption of the employee's compulsory health insurance due to the use of parental leave and the period of interruption of the compulsory health insurance of a self-employed person due to the right to parental allowance are also included 

  • payment of sickness insurance premiums in the correct amount from the origin of the sickness insurance until the end of the calendar month preceding the calendar month in which the reason for maternity was established, at most for the last five years preceding the calendar month in which the reason for maternity was established, usually in the period until the end of the calendar month in which the reason for the provision of maternity leave arose (exceptions if the reason for the provision of maternity leave arises in the calendar month in which the insurance first arose or within the protection period); when assessing the condition of payment of sickness insurance premiums, the amount of sickness insurance premiums owed is tolerated in total less than EUR 5; payment of a premium claim assigned by the Social Insurance Agency, the condition of payment of the premium is considered fulfilled for the purposes of entitlement to the benefit

  • it is not monitored whether the self-employed person earns an income while receiving maternity leave

Voluntarily sickness insured

  • the emergence of a reason for the provision of maternity leave, ie pregnancy or care for a newborn child, in the case of another insured person care for a adopted child

  • the reason for providing maternity insurance (usually the day of the beginning of the sixth week, at the earliest of the eighth week before the expected date of birth determined by the doctor, or the day of birth, if earlier, and for the other insured the day of taking the child into care) must arise during the health insurance period. in  protection period

  • at least 270 days of sickness insurance in the last two years before childbirth

    1. the previous period of any sickness insurance completed shall be taken into account 

    2. the period of interruption of the employee's compulsory health insurance due to the use of parental leave and the period of interruption of the compulsory health insurance of a self-employed person due to the right to parental allowance are also included 

  • payment of sickness insurance premiums in the correct amount from the origin of the sickness insurance until the end of the calendar month preceding the calendar month in which the reason for maternity was established, at most for the last five years preceding the calendar month in which the reason for maternity was established, usually in the period until the end of the calendar month in which the reason for the provision of maternity leave arose (exceptions if the reason for the provision of maternity leave arises in the calendar month in which the insurance first arose or within the protection period); when assessing the condition of payment of sickness insurance premiums, the amount of sickness insurance premiums owed is tolerated in total less than EUR 5; payment of a premium claim assigned by the Social Insurance Agency, the condition of payment of the premium is considered fulfilled for the purposes of entitlement to the benefit

Protection period

  • duration 

    • seven  days after the end of the sickness insurance

    • if the sickness insurance lasted less than  seven days, as many days as the health insurance lasted

    • in the case of an insured person whose sickness insurance expired during pregnancy, eight months

The expiry of the withdrawal period shall end, if not earlier, on the day on which 

  • health insurance was created

  • a right to an old-age pension, an early retirement pension or an invalidity pension has arisen

Another policyholder

  • father of the child

    • if the mother died

    • if, according to a medical opinion, the mother is unable or unwilling to care for the child due to her unfavorable state of health, which lasts for at least one month, and the mother does not receive maternity or parental allowance

    • in agreement with the mother, at the earliest after six weeks from the date of birth and the mother does not receive maternity or parental allowance

    • the spouse of the child's mother, if the mother cannot take care of the child or is not allowed to care for her unfavorable health condition, which lasts at least one month, and the mother does not receive maternity or parental allowance

    • the wife of the child's father, if she is caring for a child whose mother has died

    • a natural person if he or she is caring for a child by a decision of the competent authority

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