Sickness Benefits Act claim denied by UWV: what now?

·1 min read
Sickness Benefits Act claim denied by UWV: what now?

UWV denied your Sickness Benefits Act claim? Read about common reasons, how to object and when you are entitled to ZW benefits.

What is the Sickness Benefits Act?

The Sickness Benefits Act (ZW) provides a safety net for employees who become ill and have no employer to continue paying wages. The ZW benefit is paid by the UWV and is usually 70% of the daily wage.

Why does the UWV deny your ZW claim?

You are not (or no longer) incapacitated

The UWV's insurance physician assesses whether you are incapacitated for your work. If you are deemed able to perform your work, the ZW benefit is denied or terminated.

No entitlement to ZW

You have no right if your employer must continue paying wages, if you weren't insured, or if you caused your illness intentionally.

Filing an objection

You have six weeks to object. Strong grounds include: underestimated limitations, insufficient consideration of treating physician information, or a careless examination.

Appeal

If your objection is denied, appeal to the district court within six weeks. Further appeal at the CRvB is possible.

Contact Arslan & Arslan Advocaten at 070 4500 300 or visit arslan.nl.

Frequently asked questions

Hoeveel bedraagt een Ziektewet-uitkering?
In de meeste gevallen 70% van het dagloon. Een te laag vastgesteld dagloon werkt dus door in de hoogte van uw uitkering.
Wat is de meest voorkomende reden dat het UWV de ZW afwijst?
Dat de verzekeringsarts oordeelt dat u (aangepast) uw eigen of vergelijkbaar werk kunt doen. Dit medische oordeel is vaak betwistbaar.
Hoelang heb ik om bezwaar te maken?
Zes weken na de datum van het besluit. Met een pro-formabezwaar stelt u de termijn veilig en levert u de gronden later aan.
Welk bewijs helpt bij mijn bezwaar?
Actuele medische informatie van uw huisarts, specialist of behandelaar waarin uw beperkingen worden beschreven, plus eventueel een klachtendagboek.
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