Occupational accidents and illnesses
Any employee who suffers an occupational accident, i.e., one relating to their occupation (including accidents that occur during commuting), or develops an occupational illness will be covered.
To receive compensation, the employee must declare the occupational accident to their employer within 24 hours. The employer then has 48 hours to inform the relevant CPAM office.
Who to contact? The Primary Health Insurance Fund (CPAM) of the insuree’s place of residence.
Temporary medical leave
If, as a result of an occupational accident or illness, the employee is temporarily unable to return to work, their healthcare expenses are covered in full by the public health insurance fund and the insuree will not be required to pay for any medical costs up front.
They will receive daily compensation from the first day they unable to work due to their occupational accident or illness.
This daily compensation is equal to 60% of the employee’s daily salary, and 80% as of the 29th day of medical leave, up to a maximum ceiling set by the public health insurance fund.
If, as a result of an occupational accident or illness, the employee is unable to return to work, they will receive an allowance. The allowance amount will depend on both the employee’s degree of incapacity and their salary prior to the occupational accident or illness.
To find out more, please visit the CLEISS website