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If you are unable to work due to your child's illness, you can receive child sickness benefit from your statutory health insurance fund. Under certain conditions, you can transfer the child sickness benefit days to your partner.
This form can be submitted electronically without signature (e.g. via a secure contact form or by e-mail) or in paper form to the responsible authority.
You receive child sickness benefit as compensation for lost wages if you
For parents of children with disabilities who are dependent on help, the age limit of 12 years does not apply.
You can apply for child sickness benefit from your statutory health insurance fund. To do this, you must submit the so-called child sickness certificate (sample 21).
Children's sickness benefit is generally 90 percent of your lost net salary. If you received one-off payments from your employer in the year before the child fell ill (e.g. Christmas bonus), the child sickness benefit is 100 percent of the lost net salary. For self-employed persons whose main occupation is self-employment, children's sickness benefit is paid in the amount of the sickness benefit in the event of your own incapacity to work. Due to the statutory contribution assessment ceiling, the maximum amount of children's sickness benefit is capped.
Children's sick pay is subject to social insurance contributions. This means that your health insurance fund automatically deducts nursing care, pension and unemployment insurance contributions. Health insurance contributions are not due.
You can claim
Due to the COVID-19 pandemic, the number of working days on which you can receive child sickness benefit has been increased and is 2021:
Due to the coronavirus pandemic, you can also apply for child sickness benefit in 2021 if you have to look after your child at home due to
You must provide your health insurance company with proof of one of the reasons. Your health insurance company can request a certificate from the daycare center or school.
If your employer gives you paid leave from work, this time will count towards your entitlement to child sickness benefit. This means that your entitlement to child sickness benefit is suspended for as long as your employer gives you paid leave. For example, if your employer has continued to pay you your net salary for 5 days, you will still be entitled to child sickness benefit for 5 working days of your maximum entitlement to child sickness benefit of up to 10 working days per year (1 child).
If you have already used up your maximum number of days of child sickness benefit, it may be possible for your partner to transfer the days of child sickness benefit to you. You must also submit an application to your health insurance fund for this. Your employer must also be prepared to give you another period of unpaid leave.
If your child is seriously ill and under 12 years old or disabled and dependent on help, you will receive child sickness benefit for an unlimited period. You must also meet the following requirements:
You must submit a certificate of your child's serious, fatal illness to your health insurance fund.
For seriously ill children:
For the transfer of children's sickness benefit days:
Please ask your health insurance provider whether proof is required.
You can submit the application for child sickness benefit and the application for the transfer of child sick days by post and - in the case of many statutory health insurance funds - in person at the office or online.
The procedure is normally as follows:
You do not have to pay anything for the application.
You should go to the doctor with your child as soon as possible - preferably on the first day of illness - to obtain the child sick note (sample 21) and inform your employer of your absence.
Processing normally takes around 4 to 9 working days.
In order to process and decide quickly, your health insurance fund must have the necessary information and any required documents in a complete and meaningful form.
The health insurance company decides on applications promptly, whereby the statutory processing period is adhered to in order to protect patients' rights.
Please note that the processing time stated is an average value for all health insurance companies. It may vary in individual cases.
The exact processing time also depends on the complexity of the individual case and may be longer. The same applies if documents or records are sent to you or your health insurance company by post.
If you have private insurance and the other parent has statutory insurance, it depends on where the child is insured: If the child has statutory insurance, the parent with statutory insurance can apply for child sickness benefit.
If your child has an accident at school or daycare, you will receive child injury benefit from the accident insurance. This is usually calculated and paid by your health insurance fund on behalf of the relevant accident insurance provider.
If you are unemployed, the employment agency will continue to pay unemployment benefit for a limited period if you are unable to continue your job search due to the illness and the resulting need to care for your child.