Usually, the employee that contributes to the mandatory public medical insurance
is also covered by sickness benefit. However some conditions must be fulfilled
in order to get the allowance:
- Employees must have worked for 120 working days (including
paid leave and sickness) for the 6 months period previous to the claim
of indemnity.
- Employees must have paid a minimum amount of contributions
(and if possible complete this amount with private insurance).
Working incapacity is made of two periods: premium working incapacity and disability.
When there is no presumption of legal work incapacity (e.g. being at the hospital),
the incapacity to work (sickness) must be declared to the insurance with a medical
certificate with date and signature. The GP-advisor of the medical insurance
has to notify this state and fix its duration (start and end).
During the period of premium work incapacity (1 year maximum) the employee
gets 60% of his/her salary (up to a limit) during the first
30 days after the period covered by the guaranteed salary to be paid by the
employer. From the 31st day, the allowance stays at 60 % for people
in charge of a family or who lost their only income. For others, the percentage
is lower to 55%
Maternity allowance
The maternity leave of 15 weeks is shared into two periods:
- During the pregnancy (maximum of 7 weeks befor
the expecting date of delivery, 6 of them being optional and can be postpone
to after the birth) where is is forbiden to work.
- After the birth for a period of 8 weeks.
The amount of the maternity allowance is 82% of the income
for the first 30 days and 75% of the income (up to 100€) of the employee.
At the occasion of a birth, the father is allowed a 10
day paid leave period (3 days at a normal salary paid by the company,
then 7 days at 82% of the salary, paid by the medical organisation, up to a
limit). This leave must be taken within 30 days from the day of the birth an
can be spread over the period.
Annual paid leave
Each month the employee get 2 days holiday that can
be used the following year, i.e. 4 weeks holiday for a full work year.
The salary earned during your paid leave is more important than your normal
wage because it is made with your normal salary (pécule simple)
and a premium (double pécule) to cover the additional
cost of holidays, explained by 12/12 of 92 % of the monthly gross income for
the year when holidays take place.
Family allowance
After the birth of a child, two types of allowances are given: the birth
allowance (allocation de naissance - paid once, multiplied when
there are twins - to be requested from the 6th month of pregnancy with a certificate);
family allowance (allocations familiales) for
children between 0 and 25 years old (paid each month - to be requested as soon
as the child is born with a birth certificate).
The demand for the benefits (for employees) is simple:
- The employee will fill a request form (E form)
to be given to the health organisation that the company is registered with
(pregnancy certificate or a birth certificate can be added).
- The employer will fill a declaration to the social security
(AB form) if it is the first child. As soon as the child is born, an
allowance request will be given to the institution, with the AA form.
The father has to request the family allowance. If
he is not an employee, the mother will request them. Unemployed, people on sick
leave, getting a pension benefit from the same conditions as employees. The
mother will get the allowance if she is taking care of the child. If
not, it will be for the person in charge of the child.
For the first child of the father or the mother, the birth
allowance is € 1.043,93 (in 2005). In other cases it is €
785,43 (1st August 2005). Basic family allowance are:
€77.05 for the first child, € 142,58 for the second, € 212.87
fro each child from the 3rd one (1st August 2005).
Guaranteed family benefits for a foreign national
This is the allowance to request when the individual cannot ask for the
family benefits in Belgium, not in another country, as a freelance or
an employee. They are paid by the ONAFTS. the maximum amount for a quarter
is € 3.467,64 for a family with 1 child, 20% more from the 2nd child.
More information
on the ONAFTS website.
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For more information: Office National des Allocations
Familiales pour Travailleurs Salariés - ONAFTS [http://rkw.fgov.be]
You can calculate
yourself the amount of your benefits on the website.