Fraternidad-Muprespa in the webinar of the Council of Social Graduates on control and monitoring of IT in CC

Fraternidad-Muprespa, Mutual Collaborator with Social Security No. 275, participated on Thursday, September 12, in the conference organized by the General Council of Social Graduate Colleges of Spain with the title: "Control and monitoring of temporary disability due to common contingencies by mutual insurance companies: worker obligations and effects of non-compliance. Royal Decree 625/2014".

Held online and before a capacity of close to four hundred attendees, mostly social graduates, the day was presented by the president of the Council, Joaquín Merchán Bermejo, who has thanked the Mutua for its participation and commitment to the more than 17,000 social graduates from all over Spain, and to them for their attendance and interest in the day, then introducing the interveners.

José Luis Sanz Zapata, lawyer from the Mutual Legal Services and Advisory Center, began his presentation by explaining the nature and functions of the Mutual Collaborators with Social Security, providing relevant data from the sector on their hospital infrastructures, the workers employed and the healthcare activity carried out.

Next, he analyzed the concept of Temporary Disability and its coverage, explaining the different options of the employer, providing data on the distribution of coverage in the Professional and Common Contingency, and advancing some points of the Social Agreement signed between business organizations and unions on July 31. He also explained step by step the process for declaring the right to the benefit, including the verifications carried out by the mutual insurance companies and the periods, amounts and method of payment of the benefit, as well as the process for making a proposal for medical discharge due to Common Contingency, providing recent data on the results of the lawsuits challenging said discharges.

On the point of workers' obligations and the effects of non-compliance, he focused first on medical appointments and the consequences of non-appearance, explaining the requirements that mutual insurance companies must meet when summoning patients, explaining the reasons alleged by them for non-appearance, and providing abundant jurisprudence to illustrate when a non-appearance is considered justified, and when not.

Secondly, it analyzed the obligation to undergo the prescribed treatment and the refusal to undergo it, or its unjustified abandonment, and the consequences derived for the patient in light of the jurisprudence.

And he ended his presentation with two cases of fraudulent action to access or maintain the benefit, such as joining the company with a known previous pathology, which can lead to the denial of the subsidy, and the performance of work incompatible with the sick leave situation, which may lead to suspension and, where appropriate, termination of the benefit.

Natalia Fernández 

He thanked all the attendees for their presence, the speaker for his clarity and didactics, and the Council for the opportunity given. He added that mutual societies and social graduates, in harmony for decades, share values and challenges in their work dynamics hand in hand with the Administration with their common clients: mutual companies and self-employed workers.

Provided data on the current situation of medical leave, lost hours and cost, pointing out the importance of a joint reflection on causes and solutions. He added that it is a complex problem, with many aspects, that must be resolved between all the agents involved, companies, mutual societies, workers and administration, since it is everyone's interest to improve the competitiveness and sustainability of companies, but also their working conditions.