Slika družine

Entitlement to disability allowance for physical impairment

If you have suffered physical impairment as a result of an accident at work or an occupational disease which occurred in connection with employment or insurance in Slovenia, you may acquire an entitlement to disability allowance.

 

Disability allowance is a monthly cash benefit received by an insured person as a result of a specific physical impairment that occurs in the course of an insurance period.

 

You are not entitled to disability allowance for physical impairment as a result of an occupational injury or occupational disease if you were covered for a narrower scope of entitlement for most of the insurance period prior to the impairment.

 

Who can make a claim and what should be enclosed?

When am I entitled to disability allowance for physical impairment?

The amount of disability allowance

From when am I entitled to the allowance?

Change in the amount and scope of the entitlement

 

Who can make a claim and what should be enclosed?

A claim for the entitlement (form) may be filed:

  • by your doctor (if you live in Slovenia) or
  • by yourself or by your legal or authorised representative;  relevant medical documentation (which must be certified by your doctor if the originals are not submitted) should be enclosed.

The opinion on the existence and type or degree of physical impairment is given by the disability commission.

ZPIZ decides on the entitlement by decision, on the basis of an expert opinion issued by the disability commission.

The statutory deadline for a decision on the existence of physical impairment and the entitlement to disability allowance is four months from the day the procedure started.

 

When am I entitled to disability allowance for physical impairment?

In principle, the following three conditions must be met for the entitlement to disability allowance:

  • that the physical impairment is of a certain type and degree;
  • that the impairment occurred during a coverage period;
  • that the impairment occurred as a result of an accident at work or an occupational disease.

 

Types of physical impairment

Physical impairments are classed with regard to eight degrees of severity. The lowest physical impairment (eighth degree) is 30 % and the highest (first degree) is 100 %.

 

Occurrence of physical impairment

As a rule, disability allowance can only be acquired for physical impairment that occurs during a coverage period.

 

EXCEPTIONS

An exception is applied to physical impairment that occurs prior to joining compulsory insurance and deteriorates during the insurance period, if the deterioration was caused by an injury at work or an occupational disease. In such a case, the insured person is entitled to disability allowance only for that part of the physical impairment caused by the deterioration.

 

A similar exception is also applied to the impairment of a paired organ that occurred before joining an insurance scheme. If, during that period, the insured person already had a damaged eye, ear, hand, foot or other paired organ and, during the insurance period, another paired organ got damaged as a result of an injury at work or occupational disease, they receive disability allowance for the impairment of both organs.

 

Amount of the disability allowance

The amounts of disability allowance from 1 January 2019:

 

 

Rate

Physical impairment

Amount

1.

100

EUR 102.17

2.

90

EUR 93.66

3.

80

EUR 85.14

4.

70

EUR 76.62

5.

60

EUR 68.11

6.

50

EUR 59.59

7.

40

EUR 51.09

8.

30

EUR 42.58

 

From when am I entitled to the allowance?

You are entitled to disability allowance for physical impairment from the day the physical impairment occurred and until the impairment lasts.

Disability allowance is also payable from the day the physical impairment occurs, if it was established after the claim was lodged. If the physical impairment occurred before the claim was lodged, disability allowance may be paid at the latest from the first day of the month after the claim was lodged, backdated for 6 months.

 

Change in the amount and scope of the entitlement

Changes in the state of health that affect the amount and scope of the entitlement take effect the day after they occur. The new amount is paid no later than the first day of the month after the claim was lodged, backdated for 6 months.

 

 

Pension and Disability Insurance Institute of Slovenia, Kolodvorska 15, Ljubljana
General conditions of use
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