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Benefits for temporary Calculation of the payment
incapacity (SSI report To release the payment of incapacity benefit to the
allowance) employees, the institution from which the report is received
must log in to the SSI’s medical visit system and that should
Definition of incapacity? be approved by the employer. In calculating the reports
exceeding 2 days, SSI divides the total gross wage of the last
3 months to the total number of premium days in the last
The incapacity reports or the medical reports are the reports 3 months. Then the number of days reported is multiplied
for the recovery of the insured employees, approved by
the doctors and health care providers authorized by the by the result. The significant point here is the deduction
of 2 days during the calculation since the first 2 days are
Social Security Institution (SSI) due to illness, prenatal and not paid by the SSI. Finally, 2/3 of the result for outpatient
postnatal period, occupational disease or occupational
accidents. The benefit for temporary incapacity or SSI report treatments and half for inpatient treatments should be taken
into account.
allowance are the amounts paid to the 4A (workers employed
in the private sector through a contract) and the 4B (the
insured who work independently by the service contract How to follow up the benefit
or on their own behalf and account) by the Social Security
Institution to avert them facing trouble during the period The incapacity benefit has been started to be controlled
they are at rest. through e-state as of 1 June 2013. Concerning checks on it
may be performed over the title of “Monitoring the 4A/4B
As per the contract between the employer and the employee, Incapacity Benefits”. In the circumstance of an absence of
the employer is not liable for paying the insurance premium the employee’s e-state password, the employee may receive
and salary during the reported period. However, under a password from PTT or log in to the e-state via the bank of
the existence of an employer-employee relationship based which he/she is an internet banking user.
on trust, the employer is entitled to full payment of the
insurance premiums and not to make any deduction from the If employees have bank accounts defined in the SSI system,
salary to avert the employee from facing trouble. Under the the payment is transferred directly to the bank accounts.
second circumstance, the employer has the right to demand Transaction for account definition may be handled through
the return of the benefit for temporary incapacity paid to the the title “Account Definition for Individual Payments” via
employee. the e-state if the person has a bank account within any
contractor bank.
In this article, we have explained how employees can control
and obtain incapacity payments in details. Ziraat Bankası, Halk Bank, Vakıf Bank, Akbank, Burgan Bank,
Fibabanka, Şeker Bank, Türkiye Ekonomi Bankası and Garanti
Who will be paid? Bankası are the banks contracted by the SSI. In case the
individual is not a client of any of these banks, the benefit
may be acquired through the PTT Bank. If the amount
The employees should be meeting the terms indicated in the deposited in the employee's account is not withdrawn
section containing provisions for short term insurance within
Article 18 of Social Security and General Health Insurance within 2 months, the payment will be returned to SSI and
transferred to the safekeeping account. The SSI call center
Law no.5510 that the insured who work independently by (170) should be called and action must be taken to remove
the service contract or on their own behalf and account are the amount from safekeeping account and deposited into the
subject to for obtaining the benefit for temporary incapacity. employee’s account.
Pertaining to these terms, the SSI pays the incapacity benefit
for the reports over 2 days and must have paid at least 90
days insurance premiums within one year prior to the start of
the employee's incapacity report.

Explanations in this article reflect the writer's personal view on the matter. EY and/or Kuzey YMM ve Bağımsız Denetim A.Ş. disclaim any responsibility
in respect of the information and explanations in the article. Please be advised to first receive professional assistance from the related experts before
initiating an application regarding a specific matter, since the legislation is changed frequently and is open to different interpretations.
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