<b>THE 7 KEYS TO THE MANAGEMENT AND CONTROL OF PROCESSES DUE TO TEMPORARY DISABILITY</b>

From the December 1, 2015 The Order comes into force ESS/1187/2015, June 15, which regulates certain aspects of the management and control of processes due to temporary disability in the first 365 days of duration, presenting the following news.

These new models of discharge/discharge reports are in force since December 1, 2015 and will be used in temporary disability processes that are ongoing on the date of entry into force of this order and have not exceeded 365 days.

1. Types of temporary disability processes based on their estimated duration.

• very short: less than five calendar days.
• short: from 5 to 30 calendar days.
• Average: from 31 to 60 calendar days.
• long: 61 or more calendar days.

This measure aims,Streamline tracking cadences between consultations, to avoid overwhelming primary care doctors with appointments“bureaucratic”. And provide companies with accurate information about the estimated duration of the process.
It is the responsibility of the physician who issues the medical discharge and confirmation report to determine the estimated duration of the process. To do this, they will have tables of optimal duration of the processes and others, of the degree of incidence of the same in the different work activities.
Regardless of the estimated duration of the process, the doctor will issue a medical discharge due to a cure or improvement that allows the worker to carry out his or her usual work, when he or she considers that the worker has recovered his or her working capacity, or due to a proposal for permanent disability, or due to the beginning of a maternity situation.

2. Types of medical discharge and confirmation reports.

The medical report for temporary disability leave, whatever the common or work-related determining contingency, will be issued immediately after the medical examination of the worker, by the Public Health Service or Mutual Insurance doctor who performs it. Depending on the estimated duration of the leave, if it is:

• very short: the worker does not have to return at the end of the week, as was the case until now, because at the same time, the doctor issues the sick leave and discharge report, as long as they are situations lasting less than five calendar days.
• short: the first confirmation report will be made after 7 days, and the following ones, every 2 weeks. In all sick leave that lasts more than 5 days, the next review date that the worker must attend must appear.
• Average: The first part will be after 1 week, and the following ones, every 28 days.
• Long: The renewal of the first part will be after 14 days and the following ones every 35 days.

If the loss exceeds one year, the National Social Security Institute will be directly responsible for management.

3. National Occupation Code (C.N.O.) and job description.

Relevant information so that the doctor can more accurately assess the worker's ability to carry out his or her usual work and, consequently, whether he or she should initiate a temporary disability process or simply receive health care.
Companies, once they have the reports, must communicate to Social Security the worker's contribution data to estimate the regulatory basis that corresponds to them, as well as the National Occupation Code key and the identifying data of the medical process.

4. Common rules for processing medical reports.

• The worker, is obliged to present to the company a copy of the cancellation reports and confirmation intended for it, within a period of 3 days from the date of issue. The registration report must be presented to the company within 24 hours of its issuance.

• The company, has the obligation to transmit to the National Social Security Institute, the withdrawal, confirmation or registration report presented to it by the worker, after completing the sections concerning it, through the RED system, immediately and, in any case, within a maximum period of 3 business days from its receipt.

5. Date of withdrawal from the initial process of which it is a relapse.

This new information will greatly facilitate the calculation of delegated payment deductions in social security settlements, when the medical leave is a relapse from a previous process.
The inclusion of this new date, not only will facilitate companies and agencies the preparation of delegated payment deductions in social insurance settlements, but will also allow the managing entities and collaborators with Social Security a better control of their maximum duration, when indicating their grouping by this date.

6. Causes for medical discharge.

The possible causes of medical discharge have been updated. They have joined "Healing" y "Improvement" in a single undifferentiated cause. A specific cause for discharge has been added when the maternity situation begins and discharge by inspection has been eliminated as a cause for discharge.

7. Information on the suspension of the benefit.

The medical leave report for the worker includes:information that is of interest to you in relation to the consequences that will arise from not attending a medical examination (suspension of economic benefit), and the mechanisms and procedures what has to challenge a medical discharge when you are not satisfied with it.

"Your Mutual - Quality and Service, 365 days a year"