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I have suffered a trauma at work

  • If you have been injured at work or on the way to / from work, inform your doctor that you have been injured at work or on the way to / from work.
  • When issuing an electronic certificate of incapacity for work, your doctor will indicate that you are incapacitated for work due to an injury at work or on the way to / from work.   
  • Inform your employer about your accident and absence from work.
  • An accident must be investigated.

If the injury is minor or the accident occurred on the way to / from work, the investigation will be carried out by a commission set up by the employer.

If the injury is severe or fatal (except on the way to work) - the State Labor Inspectorate (hereinafter - SLI). For officers and soldiers, the investigation shall be carried out by a commission set up by the Head of the institution in which the person serves.

  • SLI submits the original of the accident investigation report (form N-1) or the accident investigation report (form N-2) to "Sodra" about the accident that occured on the way to / from work and a certified copy of the accident investigation material (for officers and soldiers, the conclusion of the accident). Other documents are also provided, such as:  
    • employment contract;
    • working time accounting sheet;
    • explanations of witnesses;
    • doctors' findings;
    • other documents containing data on the accident at work or on the way to / from work or the cause of death due to the accident.
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  • An accident at work (service) is an incident at work (service), including an accident while performing work (service) functions or while at work (during additional, special breaks or breaks to rest and eat while the employee is at work on company premises), which causes damage to the worker's health and incapacity for work for at least one day or which results in the worker's death.
  • An accident at work also includes an incident related to the performance of the official's duties during which the official is exposed to a risk factor (chemical, physical, biological, physical or ergonomic) or to several factors resulting in the death or disorder of the official.
  • An accident on the way to work (service) or from work (service) is an event, including traffic accidents, while an employee is on the way to work (service) or from work (service) on the dates of the employee's working days in the area of his path between the workplace and:
    • his residential place;
    • locations outside the workplace where the employee can take a break to rest or eat;
    • other workplaces.
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Insured incidents

Accidents at work include accidents to persons on the way to / from work, the investigation of which reveals that they occurred under all of the following conditions:

  • working during the working hours set by the policyholder, as well as during working hours assigned by a separate instruction of the policyholder and during working business trips;
  • performing work agreed in the employment contract (including preparation and arrangement of the workplace), as well as performing other work assigned by the policyholder in connection with his / her activities for the benefit of the policyholder or performing public administration functions;
  • in the case of paid employment, for which Social Insurance contributions for accidents at work are paid or are to be paid.

For more information, see Article 6 of the Law on Social Insurance for Accidents at Work and Occupational Diseases.

 

Non-insured incidents

Non-insured incidents are accidents at work en route to / from work which, if examined, show that they do not meet the conditions set out in Article 6 of the Law on Social Insurance for Accidents at Work and Occupational Diseases.

Non-insured incidents also include accidents at work, on the way to / from work, which are found to meet the above-mentioned conditions of the law, but which occur in at least one of the following circumstances:

  • the insured person has been the victim of an act in which the pre-trial investigation authority or a court has established the signs of a criminal act or that this act is related to an administrative offense, except for violations of occupational safety or hygiene legislation;
  • the insured person knowingly (intentionally) sought to cause an accident;
  • the insured person has a non-work-related illness;
  • the insured person worked arbitrarily (without the knowledge of the employer) for himself (in his own interests);
  • violence has been used against the Insured Person, if the circumstances and motives of the violence are not related to work, unless the accident occurs on the way to or from work.

For more information, see Article 7 of the Law on Social Insurance for Accidents at Work and Occupational Diseases.

Decisions on the recognition of accidents at work, en route to / from work are determined to be as insured or non-insured by the territorial divisions of "Sodra".

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Benefits may be granted if:

  • You have been covered by Social Insurance for accidents at work and an accident at work that has occurred on your way to / from work has been recognized as an insured event. This decision is made by "Sodra" on the basis of the accident investigation report drawn up by the SLI or the employer's commission (for officers and soldiers - the conclusion on the accident) and other documents.
  • You have become temporarily incapacitated for work due to an insured event and you have been issued an incapacity certificate. In addition, you have lost insured income due to temporary incapacity for work, the employer informs "Sodra" by submitting a Notice of Benefit (NP-SD2).
  • You have lost part of your ability to work as a result of an insured event and the Disability and Working Capacity Assessment Office Under the Ministry of Social Security and Labour (hereinafter - DWCO) has determined the percentage of your incapacity for work and this has been confirmed by a certificate of work capacity due to an accident at work or an established occupational disease (form DLN-2).
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The following benefits can only be granted if an accident at work is recognized as an insured event on the way to / from work:

  • if a person has become temporarily incapacitated for work due to an injury suffered during the insured event, the benefit for illness due to an accident at work or on the way to / from work (hereinafter - sickness benefit) is granted;
  • if a person has lost part of his or her ability to work due to an injury suffered during the insured event and a percentage of incapacity for work is determined, a one-time or periodic compensation for incapacity for work is granted;
  • if a person dies as a result of an insured event, his / her family members and / or dependents are granted a one-time and / or periodic insurance benefit upon the death of the insured.

 

Sickness benefit

If an accident at work or on the way to / from work is recognized as an insured event, a sickness benefit in the amount of 77,58 per cent of your compensatory wage (salary) is paid.

Compensatory earnings are calculated on the basis of your insured income (earnings) during the 3 consecutive calendar months preceding the previous calendar month before the month in which the temporary incapacity for work was established.

For example, if you became temporarily unable to work (have been issued a certificate of incapacity for work) due to an accident at work recognized as an insured event in in January, 2022, then the compensatory earnings for sickness benefit will be calculated on the basis of your income of September - November, 2021.

 

Monthly compensatory earnings may not:

  • exceed the National average of 2 monthly wages;
  • be less than 15 percent of the National average monthly wage in force in the previous calendar quarter prior to the month in which the temporary incapacity for work was determined.

 

Sickness benefit is paid for working days according to the calendar, applying a 5-day working week.

Sickness benefit from "Sodra" funds are paid for the entire period of incapacity for work, confirmed by a certificate of incapacity for work, i.e. from the first day of temporary incapacity for work until the day of recovery of incapacity for work or determination of the level of incapacity for work.

 

 

One-time or periodic compensation

The level of incapacity for work of persons and the percentage of incapacity for work are determined by the DWCO.

A one-time compensation for incapacity for work is granted if the DWCO has determined that you have lost up to 29 percent (inclusive) of incapacity for work due to the insured event.

The one-time compensation is calculated on the basis of your insured income (earnings) for the 12 calendar months preceding the previous calendar month before the accident at work, en route to / from work.

For example, the DWCO found that you had lost 20 percent of your ability to work (DWCO certificate) as a result of an accident at work in November 2021 as an insured event, so the compensation will be calculated on the basis of your income from October 2020 to September 2021.

The amount of the one-time compensation depends on your insured income (salary), the amount of incapacity for work set by the DWCO and their validity period (valid for a fixed period or for an indefinite period).

 

Periodic incapacity compensation is granted if the DWCO has determined that you have lost 30 percent or more of your incapacity for work due to an insured event.

Periodic compensation is calculated as the product of the incapacity for work coefficient (d), the compensation coefficient (k) and 77.58 per cent of the National average wage (D) for the month in which the compensation is paid, ie according to the formula 0.5 x d x k x 0.7758 x D.

Periodic incapacity benefit is paid monthly for the previous month. 

Important! If you have lost 45 percent or more of your ability to work as a result of an insured event (this is determined by DWCO) and you are also paid a disability pension due to this event, the incapacity benefit will be deducted from the periodic incapacity benefit and only the difference will be paid out.

 

One-time and / or periodic benefit in case of death of the insured

A one-time insurance benefit for the insured person upon death is paid to the family of the deceased only if the person has an accident at work or on the way to / from work and this is recognized as an insured event.

This benefit is equal to 46.55 of the National average wage for the month of death due to an accident at work on the way to and from work and is paid in equal parts to each member of the deceased's family who is entitled to this allowance.

 

Family members of the deceased are considered:

  • spouse;
  • minor children (adopted) before the age of 18;
  • children (adopted children) up to 24 years of age, studying in duly registered educational institutions according to general education or formal vocational training programs or studying according to a full-time study programs;
  • children (adopted children) of the deceased, over 18 years of age, if they have been recognized as disabled (up to 1 July, 2005 -  as disabled) and under 18 years of age;
  • the deceased's children born no more than 300 days after his death
  • the father (adoptive parent) and the mother (mother-in-law).

 

Periodic insurance benefit after the death of the insured person is paid:

  • children (adopted) under 18 years of age, children (adopted) under 24 years of age, studying in duly registered educational institutions according to general education or formal vocational training programs or studying according to the full-time study program . In addition, the children of the deceased (adopted children) over the age of 18, if they have been recognized as disabled before the age of 18 - as long as they are unable to work or partially able to work. The child ren of the deceased, born no more than 300 days after his or her death, is also entitled to the benefit.

Periodic insurance benefits in the event of the death of an insured person shall be suspended if there is no evidence of education for orphans. 

  • the deceased's spouse or father (mother), adoptive parent, regardless of age and ability to work, if he or she does not work and supervises the deceased's children (adopted children), grandchildren, siblings or sisters until they reach the age of 8;
     
  • to the spouse of the deceased who has reached the retirement age established by the Law on Social Insurance Pensions - for life, and to the spouse who has been recognized as incapable or partially able to work - while he or she is incapacitated or partially able to work;
     
  • other persons declared incapable of work or partially able to work or who have reached the retirement age, who were dependent on the deceased or should have received maintenance on the day of the death. The fact of maintenance or rights to maintenance of these persons is determined by a court decision, and the fact of their incapacity for work is determined by a decision of the DWCO or court.

 

The benefit, calculated as periodic compensation for incapacity for work on the basis of the deceased's insured income, is divided by the number of beneficiaries increased by one and paid in equal parts to all beneficiaries.

The periodic insurance benefit for the insured upon death is paid monthly for the previous month.

Important! If you are paid a widow's or orphan's Social Insurance pension due to the same insured event, the widow's or orphan's pension will be deducted from the periodic insurance benefit if the insured is deceased and only the difference between these benefits will be paid out.

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You must apply for the sickness pay no later than 3 years after the end of temporary incapacity for work due to an accident at work or due to an accident occured on the way to / from work.

Regarding one-time compensation for incapacity for work - no later than within 3 years from the date on which the DWCO determines the incapacity for work due to an insured event.

Regarding periodic compensation for incapacity for work - no later than within 3 years from the date on which the DWCO determines incapacity for work due to an insured event. If the application is made after 3 years, the compensation for the previous time is paid for 12 months, counting back from the date of application.

Regarding the one-time insurance benefit to the insured upon death - not later than within 3 months from the date of recognition of the accident at work or due to an accident occured on the way to / from work. 

Regarding periodic insurance benefit to the insured in the event of death - within 3 years from the date of entitlement to this benefit. When a benefit is claimed after it has been awarded to other persons, the benefit is recalculated and paid to all beneficiaries from the first day of the following month.

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  • The State Labour Inspectorate must submit to the "Sodra" an investigation report confirming the insured event at work or on the way to/from work (form N-1 or N-2) and an accident investigation material.

The conclusion regarding the accidents of soldiers and officers shall be submitted to the "Sodra" by the employer.

  • Regarding the case of sickness benefit, one-time or periodic compensation for incapacity for work or one-time, or periodic insurance benefit - the insured person must submit a separate application for each benefit upon death of the insured person. The application can be found here (lithuanian).

Applications can be submitted:

  • Online, by logging in to the personal "Sodra" account of the resident. If you want to apply for an injury caused by an accident recognized as an insured event, you must select the Application for Sickness Benefit (including Nursing) (indefinite), if you have not already submitted it.
  • By post (a copy of an document certified in accordance with the procedure established by legal acts must be attached to the relevant application).
  • On arrival at any "Sodra" department. You need to:
    • have an identity document, e.g. passport, identity card;
    • know the details of the personal account to which the benefit will be transferred.

Important! If you have submitted an indefinite application for sickness benefit, it is not necessary to submit an application for sickness benefit due to an injury sustained during an accident recognized as an insured event. Sickness benefit will be granted on an indefinite application. 

  • You can claim one-time or periodic compensation for incapacity for work if the DWCO has determined a percentage of incapacity for work for you and this has been confirmed by a certificate of incapacity for work due to an accident at work or an occupational disease (form DLN-2).
  • Applications for one-time and / or periodic insurance benefit for the insured upon death must be accompanied by documents proving the family relationship proof (birth, marriage, death certificates, etc.), if the data are not available in the Population Register.
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  • Sickness benefit is paid from the 1st day of temporary incapacity for work until the day of recovery of incapacity for work or until the day of determining the level of incapacity for work. 
  • Periodic incapacity benefit is paid for the period of incapacity for work certified by the Disability and Working Capacity Assessment Office Under the Ministry of Social Security and Labour (DWCO) level of incapacity for work due to an accident at work or Occupational Disease (Form DLN-2).
  • Periodic insurance benefit is paid to the deceased's children until they reach the age of 18, and to those over the age of 18 - until they are enrolled in registered educational institutions under general education or formal vocational training programs or study under full-time study programs, but not longer after they reach the age of 24. 

Important! From 1 January 2022, the payment of a periodic incapacity benefit or of a periodic insurance benefit after the death of the insured person is suspended and benefits are not paid in cases when a person is recognized as a person whose whereabouts are not known, or when data are received about circumstances (messages from relatives, refunds from the bank, etc.) which form the basis for deciding that the person has lost entitlement to the benefit. The payment of a periodic insurance benefit after the death of the insured person is terminated when the spouse of the deceased enters into another marriage.

The payment of a periodic insurance benefit after the death of the insured person is suspended if no evidence has been received to attest to the learning of orphans. 

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The amounts of benefits due to you will be transferred to your personal account held with a credit or payment institution.

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Update date: 2022-01-19
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