When an injured person is determined to be permanently disabled, the Board examines whether the disability caused by the work injury affects his ability to return to the job prior to the injury and whether there is a permanent decrease of more than 20% of his income as a result.
In these cases, the Medical Board can increase the degree of disability permanently, up to half of the degree of disability determined for him.
Authority Committee
The Authority Committee recommends that the Medical Board determine a permanent degree of disability greater than half of the medical disability determined, with reference to the age
and profession of the insured. The committee will consider the injured person's ability to return to work and determine whether the disability has resulted in a significant decrease in the insured person's income on a permanent basis.
The Committee consists of a doctor from the National Insurance Institute, a work injury claims officer, a rehabilitation officer
Income examination
The insured's income in the quarter of the year preceding the injury, compared to the quarter of the year preceding the Committee date
- Employee - income will be calculated according to the data available at the National Insurance Institute (you can attach pay stubs in your possession)
- Self-employed/controlling owner - according to VAT reports for the requested period
Determining rates for increasing the degree of disability:
Between 20% - 25%
| 1/4 (up to a quarter)
|
Between 26% - 35%
| 1/3 (up to a third)
|
Over 36%
| 1/2 (up to half)
|
Claim handling process
The Authority Committee convenes without the presence of the injured employee
- The Authority Committee's recommendation is forwarded for further processing and determination of permanent disability degree, by a Medical Board.
- If the Committee recommends that there is no reason to increase the disability degree or recommends that it be increased only partially - an appeal against the decision can be filed in writing, and if necessary, the appellant will be called to appear and present arguments before the Committee.
- The appeal must be sent to the Work Disability Department using this link.
Circumstances for determining a reexamination
of the work disability degree due to income change ("Regulation 17")
A work disabled person with a permanent disability degree of 20% or more who, due to the work injury, has experienced a significant decrease in his or her income and not temporarily, may request an increase in the percentage of disability degree.
- The right to submit a request to the Authority Committee when there is a change in income exists for both the insured and the National Insurance Institute
- The competence to increase or decrease the degree of disability due to a change in income is given to the Authority Committee without the need to transfer to a Medical Board
The increase or decrease will be made in accordance with the determination of the degree of disability
How to submit a claim
If you meet these conditions, you can submit a Request for reexamination of work disability degree due to income change (Regulation 17) to let us review your eligibility.
The claim and required documents can be sent in one of the following ways:
After we verify that you meet the eligibility conditions, an authority committee will meet and discuss At your request
For more information click here.