Service Finder
Receive injury benefit from the statutory accident insurance
Service Description
In the event of an insured event under statutory accident insurance, i.e. an accident at work or an occupational illness, you will receive injury benefit if you are unable to work.
The injury benefit compensates for your loss of income and ensures your livelihood and that of your dependants. It is calculated individually on the basis of your regular income.
You do not need to submit an application. Your employer's liability insurance association or accident insurance fund will check possible claims on its own initiative ("ex officio") and arrange for payment. It is paid monthly as long as you are unfit for work, i.e. as long as you are on sick leave from your doctor.
The amount of the injury benefit depends on your situation:
- As a rule, the injury benefit amounts to 80 percent of your regular pay and income from work. However, it may not be higher than your regular net pay.
- If you continue to earn money while receiving injury benefit, your earned income will be offset against the injury benefit. This means that your injury benefit will be reduced in this case.
- If you are not employed but had an income from work before the start of your incapacity for work, there is a different procedure. In this case, the 360th part of your earned income in the calendar year before the start of your incapacity for work is used as the basis for calculating your injury benefit.
- Your contributions to pension and unemployment insurance are deducted from the injury benefit. As long as you receive injury benefit, your employers' liability insurance association or accident insurance fund will pay the other social insurance contributions. If you are a member of a professional pension fund, your employer's liability insurance association or accident insurance fund will pay your share of the social security contributions on application. This is the case for doctors and notaries, for example.
If you are entitled to an allowance from your employer for private health and long-term care insurance contributions, this will be paid.
Process flow
You do not have to apply for injury benefit.
- Statutory accident insurance benefits are generally determined ex officio.
- Your employer's liability insurance association or accident insurance fund will determine the persons entitled to benefits and the necessary documents for the amount of benefits.
- If you are entitled to benefits, you will receive a corresponding notification.
You can send a message to your employers' liability insurance association or accident insurance fund online if you have any questions.
Online service:
- Call up the online service.
- You will be guided through the procedure on the accident insurance service portal.
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You can log in.
- If you would like to receive a reply from your Berufsgenossenschaft or accident insurance fund in the mailbox of your BundID account or My Company Account, you must have an account and authenticate yourself.
- If you would like to receive the reply by post, you can continue without registering.
- Select your responsible employers' liability insurance association or accident insurance fund or find them using the industry search.
- Upload the required documents.
- Complete the online form and send it off.
- Your notification will be automatically forwarded to your employer's liability insurance association or accident insurance fund.
- You will receive feedback via the desired channel.
Online service of your employers' liability insurance association or accident insurance fund:
- If you have access to the portal of your employers' liability insurance association or accident insurance fund, you can also submit the notification electronically there if necessary.
Message by post:
- Send an informal letter to your employers' liability insurance association or accident insurance fund.
- Make sure you provide the required information and enclose the necessary documents.
Requirements
- You will receive injury benefit from the statutory accident insurance if you are unable to work due to an insured event.
- Accidents at work, commuting accidents and occupational illnesses are considered insured events.
Which documents are required?
You do not need to submit any documents.
What are the fees?
There are no costs.
What deadlines do I have to pay attention to?
none
Processing duration
The employer's liability insurance association or accident insurance fund begins the investigation and processing as soon as it is foreseeable that injury benefit will have to be paid. This means that there are usually no gaps between income from work, continued remuneration and injury benefit.
Legal basis
- § Section 45 of the Seventh Book of the German Social Code (SGB VII)
- § Section 46 of the Seventh Book of the German Social Code (SGB VII)
- § Section 47 of the Seventh Book of the German Social Code (SGB VII)
- § Section 47a of the Seventh Book of the German Social Code (SGB VII)
- § Section 48 of the Seventh Book of the German Social Code (SGB VII)
- § Section 52 of the Seventh Book of the German Social Code (SGB VII)
- § Section 257 of the Seventh Book of the German Social Code (SGB VII)
Applications / forms
- Appeal
- Detailed information on how to lodge an appeal can be found in the notification from your employer's liability insurance association or accident insurance fund.
Appeal
Forms available: No
Written form required: No
Informal application possible: No
Personal appearance necessary: No
Online services available: Yes
Further Information
Author
German Social Accident Insurance (DGUV)
Forwarding service: Deep link to the original portal
The text was automatically translated based on the German content.
Technically approved by
Federal Ministry of Labor and Social Affairs (BMAS)
Professionally released on
12.01.2023
Source: Zuständigkeitsfinder Thüringen (Linie6PLus)