Illness and employment

When illness puts pressure on the employment relationship, specialized legal guidance is essential to protect your position.

Illness fundamentally changes the employment relationship

Reporting sick is much more than a medical matter. The moment you report sick, the dynamics between you and your employer change dramatically. Your position as an employee comes under pressure, and although your income is legally protected at a minimum of 70%, discussions can arise about reintegration and the continuation of your employment.

The first two years of illness are governed by the Gatekeeper Improvement Act (Wet verbetering poortwachter). This law imposes obligations on both employer and employee. You must actively participate in reintegration, but your employer must adequately support you in this process. In practice, most conflicts arise here: employers who apply too much pressure, company doctors who underestimate your symptoms, or reintegration programs that do not match your capacity.

MediRights guides employees dealing with the legal complexity of illness and work. We analyze your file, assess your position and together determine the best strategy. From continued salary payment to reintegration, from disputes with the company doctor to UWV procedures.

During the first 104 weeks of illness, you have legal protection: the dismissal prohibition. Your employer may not dismiss you due to illness, although exceptions are possible such as dismissal for other reasons or expiration of a temporary contract. Legal guidance ensures you know where you stand and what your options are.

Common situations

  • Employer disputes your sick report
  • Disagreement about reintegration pace
  • Salary suspension or reduction announced
  • Disagreement with company doctor
  • Pressure to reintegrate faster
  • Employer pushing for dismissal
  • Settlement agreement offered during illness
  • UWV sanction threatened

The legal framework: Gatekeeper Improvement Act

The Gatekeeper Improvement Act regulates the entire process of illness and reintegration. Knowledge of this law is essential to defend your position.

Week 1-6: Problem analysis

The company doctor prepares a problem analysis within six weeks. This document describes your limitations and capabilities. An incorrect problem analysis can negatively affect the entire process.

Week 8: Action plan

Employer and employee jointly prepare an action plan. This plan describes how you will reintegrate. You are not obliged to agree to a plan that does not match your capacity.

Every 6 weeks: Evaluation

The action plan must be regularly evaluated and adjusted if necessary. At least every six weeks, you discuss the progress of reintegration with your employer.

Week 42: Sick report to UWV

After 42 weeks of illness, your employer must report you sick to the UWV. This is a formal obligation that affects your later WIA application.

Week 52: First-year evaluation

After one year of illness, an extensive evaluation takes place. Employer and employee assess whether the reintegration process needs to be adjusted.

Week 91: WIA application

No later than week 91, you apply for a WIA benefit. The UWV then assesses whether employer and employee have done enough for reintegration. Shortcomings can result in a salary sanction for the employer.

Continued salary payment during illness

During the first two years of illness, you are entitled to continued salary payment. However, this right is not unconditional.

What are you entitled to?

  • At least 70% of your salary for 104 weeks
  • First year a minimum wage floor applies if 70% falls below it
  • Higher percentages according to collective agreement or employment contract
  • Continued payment also for partial incapacity, for the hours you cannot work

When can salary be stopped?

  • Refusing suitable work without valid reason
  • Not cooperating with reintegration
  • Not appearing at company doctor
  • Actively obstructing or delaying recovery

Note: a salary suspension requires a prior written warning. MediRights assesses whether a salary suspension is justified and helps recover wrongfully withheld salary.

What MediRights does for you

1

File analysis

We analyze your complete file: sick reports, company doctor reports, action plan, correspondence. This gives us a complete picture of your situation and potential legal vulnerabilities.

2

Position assessment

Based on the analysis, we determine your legal position. Where do you stand? What are the strengths and weaknesses in your file? What risks do you face and how can they be mitigated?

3

Strategy determination

Together we determine the best approach for your specific situation. Sometimes de-escalation is the right route, sometimes a firmer stance is needed. We advise what is most effective.

4

Communication

We help formulate your position towards your employer. From responding to letters to conducting negotiations. You don't have to do this alone.

5

Expert opinion

If necessary, we guide an application for an expert opinion from the UWV. This independent opinion can break a deadlock or strengthen your position.

6

Process guidance

From sick report to WIA application or termination of employment: we guide you through the entire process. You always know where you stand and what the next steps are.

Protection against dismissal during illness

The dismissal prohibition protects you against dismissal during the first 104 weeks of illness. However, employers regularly try to circumvent this prohibition.

Settlement agreement

Employers often offer a settlement agreement to terminate employment. Signing during illness can carry risks for your unemployment and Sickness Benefits Act rights, depending on the circumstances and wording. We assess whether signing is wise and negotiate better terms.

Pressure and intimidation

Some employers apply pressure to push you towards leaving. This can range from subtle hints to explicit threats. Legal guidance ensures you know your rights.

Dissolution request

In exceptional cases, an employer can request dissolution through the subdistrict court, despite the dismissal prohibition. We assess the chances and represent you in any proceedings.

After 104 weeks

After two years of illness, the dismissal prohibition expires. In case of continued incapacity for work, the employer can apply for a dismissal permit through the UWV after the WIA assessment. Good preparation for this moment is essential for your financial security.

Illness and work: a complex combination

Have your situation assessed by a specialist. MediRights analyzes your file and advises on the best strategy.

Contact us