Area: Delovno pravno
Competent authority: MF, MZ
EZU URL: .nan
Initiative ID: 805
Initiative accepted and completed: '2017-04-06'
Initiative classified in EZU: .nan
Initiative forwarded in response: '2017-04-06'
Initiative published: '2017-04-06'
Initiative submitted: '2017-04-06'
Response from the competent authority: "Reply from the Ministry of Health and the\
  \ Health Insurance Institution of Slovenia:The above-mentioned area of the initiative\
  \ falls under the competence of the Health Insurance Institution of Slovenia (ZZZS),\
  \ and we therefore provide below the reply of ZZZS.\r\nThe abolition of the BOL\
  \ form or its electronic introduction in the case of temporary incapacity for work\
  \ of a worker implies interference in several areas. The BOL form has two important\
  \ systemic roles in addition to its function of reporting the insured's temporary\
  \ incapacity for work. It entitles the insured person to the payment of a salary\
  \ allowance during the temporary absence from work under the compulsory sickness\
  \ insurance scheme and to the payment of the allowance which the employer is obliged\
  \ to pay to the insured person under the law and the collective agreement. This\
  \ form is used by both employers and self-employed persons to report the information\
  \ necessary for the calculation and payment of the wage allowance. Thus, in addition\
  \ to the first page of the form, which contains information on the insured person\
  \ and his/her temporary absence from work, the information on the reverse side,\
  \ which is the basis for the calculation of the allowance, must also be completed.\
  \ This information is filled in by the employer for employees and by the competent\
  \ unit of the Financial Administration of the Republic of Slovenia (FURS) for self-employed\
  \ persons.\r\nWith regard to the argument that unnecessary administration is incurred\
  \ when a self-employed person takes sick leave, as a reimbursement claim has to\
  \ be drawn up, it should be clarified that a self-employed person is only required\
  \ to draw up a reimbursement claim when he or she claims compensation for his or\
  \ her employees, i.e. when he or she is acting in the capacity of an employer (a\
  \ tool for drawing up a reimbursement claim is available on the website of the Health\
  \ Insurance Fund).\r\nHowever, if the self-employed person claims compensation for\
  \ the period of his/her own absence from work, this will be paid without any written\
  \ claims or applications. The personal doctor issues a BOL form, which is submitted\
  \ to the ZZZS, and no specific application by the insured person is required, as\
  \ he/she is deemed to have requested the payment of the allowance by submitting\
  \ the BOL form to the ZZZS.\r\nIn view of all the above, in the case of electronic\
  \ transmission of that form directly from the doctor to the patient's employer,\
  \ appropriate technical and other solutions should be adopted and implemented, in\
  \ particular in the area of the link between the individual records, which should\
  \ be ensured both by the employers and by the providers (personal physicians).\r\
  \nThis year, the ZZZS has developed an electronic solution for the submission of\
  \ employers' reimbursement claims, which is not yet mandatory for all employers,\
  \ but has met with a good response from employers. Plans are also underway to develop\
  \ an electronic solution that would allow data from the BOL form to be transmitted\
  \ directly to the ZZZS (e-BOL). All of the above is a step towards simplifying the\
  \ procedures for the payment of temporary disability benefits.\r\n Reply from the\
  \ Ministry of Public Administration:Since 1 October 2016, it has also been possible\
  \ to submit a reimbursement claim electronically via the e-VEM portal, which is\
  \ administered by the Ministry of Public Administration. It is also possible to\
  \ submit such a claim via an online interface, the purpose of which is to transfer\
  \ data from the employer's own information systems to the e-VEM system. This saves\
  \ employers a great deal of administrative work when submitting a reimbursement\
  \ claim, as the submission is carried out electronically."
Text file: 805.txt
Title: Refund claim
URL: https://www.stopbirokraciji.gov.si/pobuda/?st=805
