Sąd orzekł w sprawiewomen, zobacz jak sprawa się zakończyła.
The Lublin District Court ruled that a womandon't have toreturn the amount of over PLN 60 thousand that ZUS requested as an unduly collected sickness benefit. The Court of First Instance considered that the obligation to reimburse only concerns benefits unduly received and that the woman did not knowingly mislead the pension authority.
The Supreme Court points out that "exhaustive factual findings must be made concerning the state of consciousness of the rightholder" and the grounds for conscious misleading.
In other judgments, the courts amended the decisions of the Social Security Office and granted the right to retain the sickness benefit if the person proved that he did not infringe the rules of the L4 or acted deliberately to the detriment of the social security fund.
In a loud case, a woman who during L4She was taking dinner to her husband., was called upon by ZUS to return60 thousand PLN benefitShe's been given. Reason?„Używanieexemptionslekarskiego w sposób niezgodny z jego przeznaczeniem, czyli wykonywanie czynności wymagających sprawności fizycznej i opuszczanie miejsca pobytu bez zgody”– explained one of the people who knew the case in a media interview.
What activities are not permitted during L4?
The Social Insurance Institution clearly indicates that L4 must not:
- take up paid work,
- perform intensive housework such as renovations or gardening,
- leave the house without being forbidden by the doctor and without reporting it to the Social Security Office,
- engage in activities that may impede treatment.
"Infringement of these rules may result in a claim for reimbursement of benefits paid and financial sanctions" - observes the social security expert in the interview for Money.pl.
Consequences of misuse of the exemption
W opisanej sprawie ZUS stwierdził, że kobieta „nie respektowała zasadexemptionslekarskiego, co doprowadziło do nienależnego pobrania świadczenia chorobowego na kwotę 60 tysięcy złotych”. W efekcie nakazano jej zwrot tych pieniędzy. To jedna z najwyższych kwot nałożonych przez Zakład Ubezpieczeń Społecznych w podobnych sytuacjach.
The ZUS expert adds: "The control of medical dismissals is increasing, and abuses result in sanctions that may also affect the employer".
How can you defend yourself against such a decision?
A person who receives a recovery order may appeal the decision to the labour court. "In some cases, the courts favored patients when they proved that the actions taken during the L4 were aimed at improving health," says a labour law lawyer.
However, it is crucial to document what activities have been performed and whether they have been prescribed by a doctor. "No notification of departure or departure from the place of residence without the consent of the Social Insurance Institution is a serious deficiency," the experts emphasize.
