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Krankengeld für Krankenversicherte Gewährung bei Erkrankung des Kindes

Hamburg 99134014080002 Typ 2/3

Inhalt

Leistungsschlüssel

99134014080002

Leistungsbezeichnung

<div lang="en-x-mtfrom-de">Sickness benefit for health-insured persons Granting of sickness of the child</div>

Leistungsbezeichnung II

<div lang="en-x-mtfrom-de">Sick pay in case of illness of the child</div>

Leistungstypisierung

Typ 2/3

Begriffe im Kontext

<div lang="en-x-mtfrom-de">Loss of earnings due to childcare</div> (Synonym), <div lang="en-x-mtfrom-de">Illness of the child</div> (Synonym), <div lang="en-x-mtfrom-de">exemption from work</div> (Synonym), <div lang="en-x-mtfrom-de">Absenteeism from work</div> (Synonym), <div lang="en-x-mtfrom-de">Care for sick children</div> (Synonym), <div lang="en-x-mtfrom-de">Caring for disabled child</div> (Synonym), <div lang="en-x-mtfrom-de">Caring for a sick child</div> (Synonym), <div lang="en-x-mtfrom-de">Caring for disabled child</div> (Synonym)

Leistungstyp

nicht vorhanden

SDG Informationsbereiche

nicht vorhanden

Lagen Portalverbund

nicht vorhanden

Einheitlicher Ansprechpartner

Nein

Fachlich freigegeben am

21.01.2025

Fachlich freigegeben durch

nicht vorhanden

Handlungsgrundlage

Section 45 of the Fifth Book of the Social Code (SGB V) - sickness benefit if the child falls ill
http://www.gesetze-im-internet.de/sgb_5/index.html

Teaser

If you, as a statutory insured parent, are absent from work to care for your sick and insured child, you may be entitled to sick pay and time off.

Volltext

As parents with statutory health insurance, you may be entitled to sick pay and time off to care for your sick and insured child. This is the case if you stay away from work because another person living in the household cannot look after the child and the child has not yet reached the age of 12 or is disabled.

Erforderliche Unterlagen

  • medical certificate

Voraussetzungen

In order to be eligible for sickness benefit and sick leave for your child, all of the following must be met:
  • Medical professionals certify the need for supervision, care or nursing of the sick child,
  • another person living in the household cannot do this and
  • the child has not yet reached the age of twelve
  • A doctor's certificate must confirm the need to care for the child. For those with statutory health insurance, there is template 21 from medical professionals: "Medical certificate for receiving sickness benefit in the event of a child's illness"
  • no other person living in the household can take over the care (also employed or ill themselves)
  • the child has not yet reached the age of 12 or is disabled
  • the child is insured with a statutory health insurance company
  • an application must be submitted for payment by the health insurance company
  • You are employed and are entitled to sick pay yourself.
  • All insured persons in statutory health insurance are entitled to child sickness benefit. If both spouses are privately insured, there is no entitlement to child sickness benefits according to Section 45 of the Fifth Book of the Social Code (SGB V).
  • If one spouse is privately insured and the other spouse is legally insured, it is crucial that the child has statutory health insurance. In the event that the children are assigned to the spouse who is privately insured, the children do not fall under the scope, since its provisions are only binding for those with statutory insurance. This applies regardless of whether the other spouse is still legally insured because their children do not have family insurance.
  • If both parents are legally insured, but with different health insurance companies, the health insurance company pays the caregiver's sickness benefit, regardless of where the child is insured.

Kosten

Gebühr: Es fallen keine Kosten an

Verfahrensablauf

  • After the medical certificate has been issued, please submit a written application for sickness benefit payment to your health insurance company. The easiest way is to go to your health insurance company with the medical certificate and fill out the application during a consultation.
  • Please submit a written application for exemption with the medical certificate to the health insurance company and your place of employment.
It is important that the health insurance company recognizes your entitlement to benefits before you want to assert your right to leave. Because if the requirements for an entitlement to time off are not met, your employing company has the right to offset the time off already granted from work against a later entitlement to time off to supervise, look after or care for your sick child.
Therefore, please first go to your health insurance company to clarify your entitlement to benefits before submitting a leave of absence to your employment office.

Bearbeitungsdauer

Frist

Hinweise

In addition, a parent is entitled to sick pay, not subject to the above time limit, when caring for and caring for a serious and terminal illness of their child.
The entitlement exists if your child is disabled and dependent on help and, according to a medical certificate, suffers from an illness,
  • which is progressive and has already reached a very advanced stage,
  • in which a cure is impossible and palliative medical treatment is necessary or desired by a parent and only a limited life expectancy of weeks or a few months can be expected.

A notice:
Sickness benefit in the event of a child's illness is a compensation benefit from statutory health insurance in Germany. An overview of the health insurance companies can be found on the website of the National Association of Statutory Health Insurance Funds (see the "Links" section).

Rechtsbehelf

  • contradiction
  • suit

Kurztext

nicht vorhanden

Ansprechpunkt

nicht vorhanden

Zuständige Stelle

Authority for Labor, Health, Social Affairs, Family and Integration

Formulare

nicht vorhanden