Question 27479 — maternity health insurance

Summary

Mr. Alain Perea draws the attention of the Minister of Solidarity and Health to the difficulty encountered by people on long-term assignment (ALD) who wish to continue their activity despite the need for short periodic work stoppages for the continuation of care or due to the manifestation of symptoms. In the current state of the law, a person on ALD whose illness requires short-term work stoppage but periodicals can only benefit from national solidarity and the payment of daily allowances over a period of three years. Indeed, following the first work stoppages justified by an ALD, a period of three years begins for the employee during which social security may be required to pay daily allowances. After this period of three years, regardless of the number of daily allowances actually paid, the employee can no longer claim this solidarity system. The system makes no distinction between a person who has benefited from continuous three-year sick leave during this period and someone who has benefited from “split” sick leave during this period, alternating between a work phase and a sick leave phase. It should be noted that, in theory, a period of one year without sick leave linked to ALD allows you to “recharge” this three-year period. In practice, this situation is impossible for people whose chronic pathology does not have a one-year respite! Thus, this legal situation results in penalizing and making financially impossible the continued activity of a person who, although suffering from ALD, wishes to continue working despite the recurring need for short work stoppages to continue their care. or due to the manifestation of its symptoms. Also, in order to restore solidarity for the benefit of these people, he asks whether a modification of the system is envisaged to allow the payment of daily allowances beyond the three-year period since the maximum number of days giving rise to the payment of daily allowances has not been reached by the insured affected by an ALD.

Machine translation from French. The official text remains authoritative.

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