You live, you change. Loyalis changes along with you. Cover Page Product Guides Income Loyalis Insurance Loyalis Insurance offers the possibility of purchasing employee insurance that largely covers the financial effects of partial and full disability. The insurance, called IPAP, is offered to employers / employees in three contract forms: - semi-collective; via a contract with Loyalis the employer facilitates the insurance for its employees and offers every employee the opportunity to purchase the insurance. The employees pay the premium from their gross salary and immediately enjoy the tax benefit. - purely collective; the employer insures all its employees. In this case there is the possibility of the employer fully reimbursing the premium via a contract with Loyalis. Every employee is automatically insured when hired. - individual; the employee purchases the insurance from Loyalis independently and pays the premium directly to Loyalis. There is no underlying contract with the employer. The insurance is offered in three coverage variants: 1) Coverage for partial disability. This coverage offers a supplement of 70% of the uncapped insured annual income minus the new income in the event of partial disability, as determined by the Employee Insurance Agency (UWV). The variant also offers a supplement of 80% of the uncapped income loss in the event of disability of between 0 and 35%. Finally, the variant offers possible supplement of the pension accrual up to the level that would apply if the individual were entirely disabled. 2) Coverage for full disability. This coverage offers a supplement of 10% of the uncapped insured annual income in the event of full disability. 3) Complete coverage. The combination of variants 1 and 2. Variant 1 can be paid out during the WGA (Return to Work (Partially Disabled Persons) Regulations) LGU (payrelated benefit), WGA VVU (WGA follow-on benefit) and the WGA LAU (WGA salary top-up benefit) and provides a payment on the uncapped income. Variant 2 is paid out during the IVA (Full Invalidity Benefit Regulations) or WGA (in the event of full, non-permanent disability) and provides a payment on the uncapped income. Every new hire has 6 months to sign up for the insurance without having to answer medical questions. After those 6 months a medical declaration is sent which could result in exclusion. Every employee, from the issue date of the employer contract, also has 6 months to insure himself without answering medical questions if the employer has concluded a contract with Loyalis. The insurance covers, among other things, the shortfalls mentioned in the product guides from the Dutch Association of Insurers such as: 1) the collective WGA shortfall insurance (ordinary variant); 2) the collective WGA shortfall insurance (enhanced variant); 3) the collective insurance for fixed WIA supplement; 4) the collective WIA excess insurance for employees. 90.0183.14
Product guide collective WGA shortfall insurance (ordinary) This product guide contains important general information about the collective WGA shortfall insurance (ordinary). It tells you what kind of insurance this is. Every insurer can offer its own policy terms and conditions. You can also request a quotation that is tailored to your situation. If you still have questions, you can ask your insurer or insurance advisor for explanation. The Dutch Association of Insurers has made rules for how insurers must put together their product guide. This product guide satisfies these rules. What is collective ordinary WGA shortfall insurance? If an employee becomes disabled, he usually receives a WIA benefit (benefit under the Work and Income (Capacity for Work) Act). The height of this benefit depends on the height of the salary that the employee earned before becoming disabled. If he has been receiving a WIA benefit for some time already, he must be earning 50% of what he is still able to earn. If he cannot manage to do this, he receives a WGA follow-on benefit. The WGA follow-on benefit is a percentage of the minimum wage. The ordinary WGA shortfall insurance gives an employee who is disabled a supplement to the WGA follow-on benefit. His pay is supplemented so that it amounts to a percentage of the salary he earned prior to becoming disabled. This percentage depends on the percentage of his disability. The IPAP insurance from Loyalis covers this risk and supplements the individual s salary with 70% of the difference between the pensionable salary and the new income. It does not depend on the individual s percentage of disability. For whom is collective ordinary WGA shortfall insurance meant? The collective ordinary WGA shortfall insurance is for employees who want to insure themselves via their employer against a decrease in income if they become partially disabled. The IPAP insurance from Loyalis is only meant for employees in the Government and Education sector. What risks are insured? The ordinary WGA shortfall insurance gives an employee who is disabled a supplement to the WGA follow-on benefit. This benefit is a percentage of the minimum wage. His pay is supplemented so that it amounts to a percentage of the salary he earned prior to becoming disabled. This percentage depends on the percentage of his disability. The IPAP insurance from Loyalis does not depend on the disability percentage and always provides a minimum income guarantee of 70% of the pensionable salary. In some cases you do not receive a payment, even though you are indeed disabled. <For more information, click here: what risks are not insured? on the list of keywords.> Many insurances also offer additional arrangements. <Would you like to know what you can expect from your insurer? See the list of keywords for this.> Are your employees subject to a medical examination? Medical examination of your employees is not permitted for this insurance. In that case Loyalis assumes that the employer acts as insurance policy holder and may fully reimburse the employee premium. What factors determine the premium? The height of the premium depends on: your employees salaries; your employees ages; the number of employees who have become disabled in the past. The insurer incurs costs:
Costs of the insurer These are the costs for coming up with and selling the insurance, for instance. And for the administration and provision of information to customers. Costs of the intermediary or insurance advisor Are you purchasing the insurance via an intermediary or insurance advisor? In that case the insurer must also usually pay the intermediary or insurance advisor for advising on and selling the insurance. This is called commission. You can agree that either you or the employee will pay the premium or that each party will pay part. The IPAP insurance can only be purchased from Loyalis directly. What can you expect from the insurer?the employee receives a supplement to the WGA follow-on benefit. The WGA followon benefit is a percentage of the minimum wage. The supplement is a percentage of the salary that the employee earned prior to becoming disabled. A maximum amount does apply however. With standard ordinary WGA shortfall insurance the supplement also depends on the employee s disability percentage. The supplement from the IPAP insurance from Loyalis does not depend on the disability percentage. Will the payment under the insurance become higher or lower over time? The insurer usually increases the payments by the same percentage by which the WIA benefits are increased. With some insurers you can opt to not have the payments increase, or to have them increase by a fixed percentage. The IPAP insurance from Loyalis does not offer this option; it ties in dynamically with the WIA method whereby it should pay to work. How long is the payment provided? The employee receives a payment as long as he receives a WGA follow-on benefit. The employee will not necessarily receive the payment continuously. If his earnings are higher for a period of time, the payment will cease during that period. The payment stops on the first day of the month in which the employee turns 65. What is the term of the insurance? You agree with the insurer on the term of the insurance. When can you stop the insurance (in the interim)? You usually have the opportunity to stop the insurance every 5 years. In that case you must cancel the insurance 6 months in advance. If you do not cancel the insurance, the insurer will renew it automatically. It will renew the insurance for the same term of the original insurance. If your insurance had a term of three years, for instance, the insurer will renew it for three years. After the first 5 years Loyalis renews contracts for 1 year each time. Can the insurer stop your insurance? The insurer cannot stop your insurance. Except if you commit fraud or misinform the insurer. Or if you fail to pay the premium or pay it on time. There are also other situations in which the insurance may stop. For example if your company merges with another company, if someone else takes over your company or if you stop operating your company. You can read more about these situations in the policy terms and conditions. The IPAP insurance from Loyalis can only be purchased if your company works in the Government and Education sector. What are your obligations? If something changes at your company, you must notify your insurer of this as soon as possible. For example, if your employees start doing different work, you start selling different products or services or your company will no longer be part of the Government and Education sector. You must do everything to ensure that a disabled employee or partially disabled employee can resume work. Either doing the work he originally did, or other work that is suitable for him. You must also ensure that the employee makes every effort to return to work as soon as possible.
Has an employee become disabled? You must notify the insurer of this as soon as possible. The policy terms and conditions state how many weeks you have to notify the insurer. Has an employee recovered or partially recovered? You must notify the insurer of this as soon as possible. You must adhere to the agreements and you must ensure that the employee adheres to the agreements as well. Look in the policy terms and conditions for this. Is someone else at fault, and therefore responsible, for your employee having become disabled? You must inform the insurer of this. Do you have new hires and would they like to take out this insurance as well? You must notify the insurer of this as soon as possible. You must pay the premium on time and in full. If you or the employee does not adhere to these agreements, the employee will not receive a payment or will not receive the full payment. Would you like more information about the insurances offered by Loyalis Insurance? Click here.
List of keywords Disabled When is an employee disabled? Quotation Policy terms and conditions Premium Early cancellation Dutch Association of Insurers What else can you expect from the insurer? An employee is disabled if an illness or disability prevents him from earning as much as he did when he was healthy. For this insurance the employee must be at least 35% disabled. The UWV looks at the extent of the employee s disability, expressed as a percentage. A quotation states what premium you must pay in order for your employees to be insured. The quotation must also contain the key conditions of the insurance. Insurance is a contract between you and the insurer. This contract is set down in a policy schedule and policy terms and conditions, together referred to as a policy. The insured risks, the exclusions and other restrictions in the coverage are described very precisely in the policy. Other entitlements and obligations are also stated in the policy. It is therefore a very important document for you. You usually pay the premium annually, but you may also pay monthly, quarterly or every six months. In that case your premium will be somewhat higher however. There are sometimes charges for receiving a policy schedule or for renewing the insurance. Loyalis does not charge any costs for providing a policy schedule or renewing the insurance. You cannot cancel the insurance early. The insurance is in effect as long as you have employees. If you no longer have any employees, then the insurance ceases to be in effect. The Dutch Association of Insurers is a lobby organization of private insurers on the Dutch market. The members of the Association together represent more than 95 percent of the insurance market. This insurance often involves extra arrangements. Sometimes they are not included but you can insure them alongside. Ask your insurer or insurance advisor about this. The arrangements are listed below. Reintegration Reintegration means that the employee and employer do whatever they can to get the employee back to work. It is important to the insurer that your employees can resume work quickly and that they no longer require a payment. That is why the insurer helps with the reintegration of your employee and reimburses many of the costs for reintegration. What costs do many insurers reimburse? Activities and treatments which help get the employee back to work and enable him to resume in his old position. Activities which enable the employee to perform different work in your company. Assistance in seeking work at another company. How much compensation do you receive in that case? That depends on the situation: you receive higher compensation if the insurer can provide fewer payments. you receive lower compensation if you receive a subsidy or money from another insurance held by you or the employee. Loyalis grants a maximum compensation of 5,000 per employee per assistance process. What risks are not insured? If you have intentionally made an employee disabled or if you are at fault for the employee becoming disabled. Or if someone else has intentionally made your employee unable to work. By someone else we mean someone who stands to profit from the payment. If your employee has become disabled as the result of a war or a violent demonstration. If your employee has become disabled as the result of a nuclear reaction. It does not matter what caused this reaction. If the employee is in prison or in a similar institution. If the employee is 65 or older. You will also not receive compensation if your employee s disability has been aggravated as the result of one of the events mentioned above. If an employee became sick before the date on which the insurance starts, this employee is not insured. If the employee has been healthy again for four weeks, he can also be insured. If the employee has become disabled as the result of terrorism, a special arrangement applies.
Product guide collective WGA shortfall insurance (enhanced) This product guide contains important general information on the collective WGA shortfall insurance (enhanced). It tells you what kind of insurance this is. Every insurer can offer its own policy terms and conditions. You can also request a quotation that is tailored to your situation. If you still have questions, you can ask your insurer or insurance advisor for explanation. The Dutch Association of Insurers has made rules for how insurers must put together their product guide. This product guide satisfies these rules. What is collective enhanced WGA shortfall insurance? If an employee is disabled, he may receive a WGA follow-on benefit or WGA pay supplement after a certain period of time. Collective enhanced WGA shortfall insurance gives the employee a supplement to the WGA follow-on benefit or WGA pay supplement. Naturally the employee must also receive a WGA follow-on benefit or WGA pay supplement in order to be entitled to this supplementary payment. The employee receives a supplement so that his pay amounts to a minimum of 70% of the salary he earned prior to becoming disabled. This salary may not exceed the wage for social insurance purposes. The IPAP insurance from Loyalis covers this risk and supplements the individual s income so that it amounts to at least 70% of his pensionable salary. Even if this is higher than the wage for social insurance purposes. For whom is collective enhanced WGA shortfall insurance meant? The collective enhanced WGA shortfall insurance is for employees who want to insure themselves via their employer against a decrease in income if they become disabled. The IPAP insurance from Loyalis is only meant for employees in the Government and Education sector. What risks are insured? Collective enhanced WGA shortfall insurance gives the employee a supplement to the WGA follow-on benefit or WGA pay supplement. The employee receives a supplement so that his pay amounts to 70% of the salary he earned prior to becoming disabled. This salary may not exceed the maximum salary, in other words the wage for social insurance purposes. The supplement from this insurance will not exceed 70% of the maximum salary which applies for the WIA. In some cases you do not receive a payment, even though you are indeed disabled. <For more information, click here: what risks are not insured? on the list of keywords.> Many insurances also offer additional arrangements. <Would you like to know what you can expect from your insurer? See the list of keywords for this.> Are your employees subject to a medical examination? Medical examination of your employees is not permitted for this insurance. In that case Loyalis assumes that the employer acts as insurance policy holder. What factors determine the premium? The height of the premium depends on: your employees salaries; your employees ages; the number of employees who have become disabled in the past. The insurer incurs costs: Costs of the insurer These are the costs for coming up with and selling the insurance, for instance. And for the administration and provision of
information to customers. Costs of the intermediary or insurance advisor Are you purchasing the insurance via an intermediary or insurance advisor? In that case the insurer must also usually pay the intermediary or insurance advisor for advising on and selling the insurance. This is called commission. You can agree that either you or the employee will pay the premium or that each party will pay part. What can you expect from the insurer? The employee receives a supplement to his salary or benefit so that his total income amounts to 70% of the salary he earned prior to becoming disabled, subject to a maximum. The IPAP insurance from Loyalis does not have a maximum and is always a minimum of 70% of the pensionable salary. Will the payment under the insurance become higher or lower over time? This insurance ensures that the employee in total receives a payment that is equal to 70% of the salary he earned prior to becoming disabled, subject to a maximum. The payment from this insurance is a supplement to the WGA benefit and/or current salary. When taking out this insurance, you decide whether the payments for employees increase each year or not. In that case your premium will increase as well. The IPAP insurance from Loyalis does not offer this facility. How long is the payment provided? The employee receives a payment as long as he receives a WGA follow-on benefit or WGA pay supplement. The payment stops on the first day of the month in which the employee turns 65. What is the term of the insurance? You agree with the insurer on the term of the insurance.when can you stop the insurance (in the interim)? The initial term is always 5 years, after that you have the opportunity to stop the insurance every year. In that case you must cancel the insurance 6 months in advance. If you do not cancel the insurance, the insurer will renew it automatically. It will renew the insurance for the same term of the original insurance. If your insurance had a term of three years, for instance, the insurer will renew it for three years. Loyalis always renews the insurance for 1 (one) year.can the insurer stop your insurance? The insurer cannot stop your insurance. Except if you commit fraud or misinform the insurer. Or if you fail to pay the premium or pay it on time. There are also other situations in which the insurance may stop. For example if your company merges with another company, if someone else takes over your company or if you stop operating your company. You can read more about these situations in the policy terms and conditions. The IPAP insurance from Loyalis can only be purchased if your company works in the Government and Education sector. What are your obligations? If something changes at your company, you must notify your insurer of this as soon as possible. For example, if your employees start doing different work or if you start selling different products or services. You must do everything to ensure that a disabled employee or partially disabled employee can resume work. Either doing the work he originally did, or other work that is suitable for him. You must also ensure that the employee makes every effort to return to work as soon as possible. Has an employee become disabled? You must notify the insurer of this as soon as possible. The policy terms and conditions state how many weeks you have to notify the insurer. Has an employee recovered or partially recovered? You must notify the insurer of this as soon as possible. You must adhere to the agreements and you must ensure that the employee adheres to the agreements as well. Look in the policy terms and conditions for this. Is someone else at fault, and therefore responsible, for your employee having become disabled? You must inform the insurer of this. Do you have new hires and would they like to take out this insurance as well? You must notify the insurer of this as soon as possible.
You must pay the premium on time and in full. If you or the employee does not adhere to these agreements, the employee will not receive a payment or will not receive the full payment. Would you like more information about the insurances offered by Loyalis Insurance? Click here. List of keywords Disabled When is an employee disabled? Quotation Policy terms and conditions Premium Wage for social insurance purposes (abbreviated SV-loon in Dutch) Early cancellation Dutch Association of Insurers What else can you expect from the insurer? What risks are not insured? An employee is disabled if an illness or accident has caused him to be unable to earn as much as he did when he was healthy. The UWV looks at the extent of the employee s disability, expressed as a percentage. A quotation states what premium you must pay in order for your employees to be insured. The quotation must also contain the key conditions of the insurance. Insurance is a contract between you and the insurer. This contract is set down in a policy schedule and policy terms and conditions, together referred to as a policy. The insured risks, the exclusions and other restrictions in the coverage are described very precisely in the policy. Other entitlements and obligations are also stated in the policy. It is therefore a very important document for you. You usually pay the premium annually, but you may also pay monthly, quarterly or every six months. In that case your premium will be somewhat higher however. There are sometimes charges for receiving a policy schedule or for renewing the insurance. Also referred to as the wage for national insurance purposes (coördinatieloon) or income assessable for social insurance (premieloon), this is the salary on which the social insurance contributions are calculated and on which the benefits are based. You cannot cancel the insurance early. The insurance is in effect as long as you have employees. If you no longer have any employees, then the insurance ceases to be in effect. The Dutch Association of Insurers is a lobby organization of private insurers on the Dutch market. The members of the Association together represent more than 95 percent of the insurance market. This insurance often involves extra arrangements. Sometimes they are not included but you can insure them alongside. Ask your insurer or insurance advisor about this. The arrangements are listed below. Reintegration Reintegration means that the employee and employer do whatever they can to get the employee back to work. It is important to the insurer that your employees can resume work quickly and that they no longer require a payment. That is why the insurer helps with the reintegration of your employee and reimburses many of the costs for reintegration. What costs do many insurers reimburse? Activities and treatments which help get the employee back to work and enable him to resume in his old position. Activities which enable the employee to perform different work in your company. Assistance in seeking work at another company. How much compensation do you receive in that case? That depends on the situation: you receive higher compensation if the insurer can provide fewer payments; you receive lower compensation if you receive a subsidy or money from another insurance held by you or the employee. Loyalis grants a maximum compensation of 5,000 per employee per assistance process. If you have intentionally made an employee disabled or if you are at fault for the employee becoming disabled. Or if someone else has intentionally made your employee unable to work. By someone else we mean someone who stands to profit from the payment. If your employee has become disabled as the result of a war or a violent demonstration. If your employee has become disabled as the result of a nuclear reaction. It does not matter what caused this reaction. If the employee is in prison or in a similar institution. If the employee is 65 or older. You will also not receive compensation if your employee s disability has been aggravated as the result of one of the events mentioned above. If an employee became sick before the date on which the insurance starts, this employee is not insured. If the employee has been healthy again for four weeks, he can also be insured. If the employee has become disabled as the result of terrorism, a special arrangement applies.
Product guide collective insurance for fixed WIA supplement This product guide contains important general information on the product guide collective insurance for fixed WIA supplement. It tells you what kind of insurance this is. Every insurer can offer its own policy terms and conditions. You can also request a quotation that is tailored to your situation. If you still have questions, you can ask your insurer or insurance advisor for explanation. The Dutch Association of Insurers has made rules for how insurers must put together their product guide. This product guide satisfies these rules. What is collective insurance for a fixed WIA supplement? If an employee becomes disabled, he receives less income or no income at all. The statutory WIA insurance does not insure the full income. Insurance for a fixed WIA supplement gives employees a supplement to the WIA benefit. The supplement is a fixed percentage of the salary that the employee earned prior to becoming disabled, for example 10%. The Pensions Act states what the insurer must do. The IPAP insurance from Loyalis provides a supplement of 10% in the event of full disability. The IPAP insurance does not work in accordance with this method for partial disability. For whom is collective insurance for a fixed WIA supplement meant? The collective insurance for a fixed WIA supplement is for employees who want to insure themselves via their employer for extra income if they become disabled. The IPAP insurance from Loyalis is only meant for employees in the Government and Education sector. What risks are insured? If an employee becomes disabled, he receives less income or no income at all. Collective insurance for a fixed WIA supplement provides the employee with a payment. This insurance is a supplement to the statutory WIA benefit. In some cases you do not receive a payment, even though you are indeed disabled. <For more information, click here: what risks are not insured? on the list of keywords.>many insurances also offer additional arrangements. <Would you like to know what you can expect from your insurer? See the list of keywords for this.> Are your employees subject to a medical examination? Medical examination of your employees is not permitted for this insurance. In that case Loyalis assumes that the employer acts as insurance policy holder. What factors determine the premium? The height of the premium depends on: your employees ages; the number of employees who have become disabled in the past; the height of insured amount. The insurer incurs costs: Costs of the insurer These are the costs for coming up with and selling the insurance, for instance. And for the administration and provision of information to customers. Costs of the intermediary or insurance advisor
Are you purchasing the insurance via an intermediary or insurance advisor? In that case the insurer must also usually pay the intermediary or insurance advisor for advising on and selling the insurance. This is called commission. The IPAP insurance is only offered directly. You can agree that either you or the employee will pay the premium or that each party will pay part. What can you expect from the insurer? An employee who is at least 35% disabled receives a supplement to his income or WIA benefit. He receives a fixed percentage of the salary that he earned prior to becoming disabled, for example 10%. This insurance is a supplement to the statutory IVA benefit or the statutory WIA benefit. The IPAP insurance only offers this method as a supplement to the IVA benefit; a different method is used for a supplement to the WGA benefit. Will the payment under the insurance become higher or lower over time? If the employee s capacity for work increases or decreases, the insurer will adjust the payment. When taking out this insurance, you decide whether the payments for employees increase each year or not. In that case your premium will increase as well. The IPAP insurance from Loyalis does not offer this facility. How long is the payment provided? An employee usually receives a payment until he is 65 years old. But you can also opt to have the payment stop sooner. In that case you will pay a lower premium. What is the term of the insurance? You agree with the insurer on the term of the insurance. When can you stop the insurance? You usually have the opportunity to stop the insurance every <number> years. In that case you must cancel the insurance <number> months in advance. If you do not cancel the insurance, the insurer will renew it automatically. It will renew the insurance for the same term of the original insurance. If your insurance had a term of three years, for instance, the insurer will renew it for three years. Can the insurer stop your insurance? The insurer cannot stop your insurance. Except if you commit fraud or misinform the insurer. Or if you fail to pay the premium or pay it on time. There are also other situations in which the insurance may stop. For example if your company merges with another company, if someone else takes over your company or if you stop operating your company. You can read more about these situations in the policy terms and conditions. The IPAP insurance from Loyalis can only be purchased if your company works in the Government and Education sector. What are your obligations? If something changes at your company, you must notify your insurer of this as soon as possible. For example, if your employees start doing different work or if you start selling different products or services. You must do everything to ensure that a disabled employee or partially disabled employee can resume work. Either doing the work he originally did, or other work that is suitable for him. You must also ensure that the employee makes every effort to return to work as soon as possible. Has an employee become disabled? You must notify the insurer of this as soon as possible. The policy terms and conditions state how many weeks you have to notify the insurer. Has an employee recovered or partially recovered? You must notify the insurer of this as soon as possible. You must adhere to the agreements and you must ensure that the employee adheres to the agreements as well. Look in the policy terms and conditions for this. Is someone else at fault, and therefore responsible, for your employee having become disabled? You must inform the insurer of this. Do you have new hires and would they like to take out this insurance as well? You must notify the insurer of this as soon as possible. You must pay the premium on time and in full.
If you or the employee does not adhere to these agreements, the employee will not receive a payment or will not receive the full payment. Would you like more information about the insurances offered by Loyalis Insurance? Click here. List of keywords Disabled When is an employee disabled? An employee is disabled if an illness or disability prevents him from earning as much as he did when he was healthy. For this insurance the employee must be at least 35% disabled. The UWV looks at the extent of the employee s disability, expressed as a percentage. Quotation A quotation states what premium you must pay in order for your employees to be insured. The quotation must also contain the key conditions of the insurance. Policy terms and Insurance is a contract between you and the insurer. This contract is set down in a policy schedule and conditions policy terms and conditions, together referred to as a policy. The insured risks, the exclusions and other restrictions in the coverage are described very precisely in the policy. Other entitlements and obligations are also stated in the policy. It is therefore a very important document for you. Premium You usually pay the premium annually, but you may also pay monthly, quarterly or every six months. In that case your premium will be somewhat higher however. There are sometimes charges for receiving a policy schedule or for renewing the insurance. Dutch Association of The Dutch Association of Insurers is a lobby organization of private insurers on the Dutch market. The Insurers members of the Association together represent more than 95 percent of the insurance market. What else can you This insurance often involves extra arrangements. Sometimes they are not included but you can insure expect from the them alongside. Ask your insurer or insurance advisor about this. The arrangements are listed below. insurer? Reintegration Reintegration means that the employee and employer do whatever they can to get the employee back to work. It is important to the insurer that your employees can resume work quickly and that they no longer require a payment. That is why the insurer helps with the reintegration of your employee and reimburses many of the costs for reintegration. What costs do many insurers reimburse? Activities and treatments which help get the employee back to work and enable him to resume in his old position. Activities which enable the employee to perform different work in your company Assistance in seeking work at another company. How much compensation do you receive in that case? That depends on the situation: you receive higher compensation if the insurer can provide fewer payments; you receive lower compensation if you receive a subsidy or money from another insurance held by you or the employee. Loyalis grants a maximum compensation of 5,000 per employee per assistance process. What risks are not If an employee has intentionally become unable to work, or if he is at fault for becoming disabled. Or insured? if someone else has intentionally made him unable to work. By someone else we mean someone who stands to profit from the payment. If he has become disabled as the result of a war or a violent demonstration. If he has become disabled as the result of a nuclear reaction. It does not matter what caused this reaction. If he is in prison or in a similar institution. If the employee is 65 or older. The employee also receives no payment if his disability has been aggravated as the result of the events mentioned above. If an employee became sick before the date on which the insurance starts, this employee is not insured. If the employee has been healthy again for four weeks, he can also be insured. If the employee has become disabled as the result of terrorism, a special arrangement applies.
Product guide collective WIA excess insurance for employees This product guide contains important general information on the collective WIA excess insurance for employees. It tells you what kind of insurance this is. Every insurer can offer its own policy terms and conditions. You can also request a quotation that is tailored to your situation. If you still have questions, you can ask your insurer or insurance advisor for explanation. The Dutch Association of Insurers has made rules for how insurers must put together their product guide. This product guide satisfies these rules. What is collective WIA excess insurance? If an employee becomes disabled, he receives less income or no income at all. The statutory WIA insurance insures an employee up to a particular income. Any income he receives above this level is not insured. The WIA excess insurance insures the income that the employee earns in excess of the limit. WIA excess insurance therefore gives employees a supplement to the WIA benefit. The Pensions Act states what the insurer must do. The IPAP insurance from Loyalis covers this risk and supplements the individual s income so that it amounts to at least 70% of his pensionable salary. Even if this is higher than the wage for social insurance purposes. For whom is collective WIA excess insurance meant? Collective WIA excess insurance is for employees who earn above a certain income. The IPAP insurance from Loyalis is only meant for employees in the Government and Education sector. What risks are insured? If an employee becomes disabled, he receives less income or no income at all. The statutory WIA insurance insures an employee up to a particular income. The WIA excess insurance insures the amount that the employee earns in excess of the limit. In some cases you do not receive a payment, even though you are indeed disabled. <For more information, click here: what risks are not insured? on the list of keywords.> Many insurances also offer additional arrangements. <Would you like to know what you can expect from your insurer? See the list of keywords for this.> Are your employees subject to a medical examination? Medical examination of your employees is not permitted for this insurance. In that case Loyalis assumes that the employer acts as insurance policy holder. What factors determine the premium? The height of the premium depends on: your employees salaries; your employees ages; the number of employees who have become disabled in the past. The insurer incurs costs: Costs of the insurer These are the costs for coming up with and selling the insurance, for instance. And for the administration and provision of information to customers. Costs of the intermediary or insurance advisor Are you purchasing the insurance via an intermediary or insurance advisor? In that case the insurer must also usually pay the intermediary or insurance advisor for advising on and selling the insurance. This is called commission. The IPAP insurance is only offered directly. You can agree that either you or the employee will pay the premium or that each party will pay part.
What can you expect from the insurer? An employee who is at least 35% disabled receives a supplement to his income. He receives a supplement such that he receives 70% or 80% of his salary, even if he earns more than the maximum daily wage under the WIA. If he is fully disabled, he receives 70% or 80% of the salary that he earns in excess. If he is partially disabled, the percentage depends on the employee s disability percentage. The IPAP insurance from Loyalis provides for an income guarantee of at least 70% of the pensionable salary. It does not depend on the percentage of disability of the individual. Will the payment under the insurance become higher or lower over time? If the employee becomes more or less disabled, the insurer will adjust the payment. When taking out this insurance, you decide whether the payments for employees increase each year or not. In that case your premium will increase as well. The IPAP insurance from Loyalis does not give the insurance policy holder the option of adjusting the payment. Loyalis adjusts the payment if the disability percentage drops to below 35% or rises above 79%. How long is the payment provided? An employee usually receives a payment until he is 65 years old. But you can also opt to have the payment stop sooner. In that case you will pay a lower premium. The IPAP payment always continues until the individual reaches the age of 65 and cannot be stopped earlier. What is the term of the insurance? You agree with the insurer on the term of the insurance. When can you stop the insurance? You usually have the opportunity to stop the insurance every year. In that case you must cancel the insurance 6 months in advance. If you do not cancel the insurance, the insurer will renew it automatically. It will renew the insurance for the same term of the original insurance. If your insurance had a term of three years, for instance, the insurer will renew it for three years. Can the insurer stop your insurance? The insurer cannot stop your insurance. Except if you commit fraud or misinform the insurer. Or if you fail to pay the premium or pay it on time. There are also other situations in which the insurance may stop. For example if your company merges with another company, if someone else takes over your company or if you stop operating your company. You can read more about these situations in the policy terms and conditions. The IPAP insurance from Loyalis can only be purchased if your company works in the Government and Education sector. What are your obligations? If something changes at your company, you must notify your insurer of this as soon as possible. For example, if your employees start doing different work or if you start selling different products or services. You must do everything to ensure that a disabled employee or partially disabled employee can resume work. Either doing the work he originally did, or other work that is suitable for him. You must also ensure that the employee makes every effort to return to work as soon as possible. Has an employee become disabled? You must notify the insurer of this as soon as possible. The policy terms and conditions state how many weeks you have to notify the insurer. Has an employee recovered or partially recovered? You must notify the insurer of this as soon as possible. You must adhere to the agreements and you must ensure that the employee adheres to the agreements as well. Look in the policy terms and conditions for this. Is someone else at fault, and therefore responsible, for your employee having become disabled? You must inform the insurer of this. Are you hiring new employees? You must notify the insurer of this as soon as possible. You must pay the premium on time and in full. If you or the employee does not adhere to these agreements, the employee will not receive a payment or will not receive the full payment. Would you like more information about the insurances offered by Loyalis Insurance? Click here.
List of keywords Disabled When is an employee disabled? An employee is disabled if an illness or disability prevents him from earning as much as he did when he was healthy. For this insurance the employee must be at least 35% disabled. The UWV looks at the extent of the employee s disability, expressed as a percentage. Quotation A quotation states what premium you must pay in order for your employees to be insured. The quotation must also contain the key conditions of the insurance. Policy terms and conditions Insurance is a contract between you and the insurer. This contract is set down in a policy schedule and policy terms and conditions, together referred to as a policy. The insured risks, the exclusions and other restrictions in the coverage are described very precisely in the policy. Other entitlements and obligations are also stated in the policy. It is therefore a very important document for you. Premium You usually pay the premium annually, but you may also pay monthly, quarterly or every six months. In that case your premium will be somewhat higher however. There are sometimes charges for receiving a policy schedule or for renewing the insurance. Dutch Association of Insurers The Dutch Association of Insurers is a lobby organization of private insurers on the Dutch market. The members of the Association together represent more than 95 percent of the insurance market. What else can you expect from This insurance often involves extra arrangements. Sometimes they are not included but the insurer? you can insure them alongside. Ask your insurer or insurance advisor about this. The arrangements are listed below. Reintegration Reintegration means that the employee and employer do whatever they can to get the employee back to work. It is important to the insurer that your employees can resume work quickly and that they no longer require a payment. That is why the insurer helps with the reintegration of your employee and reimburses many of the costs for reintegration. What costs do many insurers reimburse? Activities and treatments which help get the employee back to work and enable him to resume in his old position. Activities which enable the employee to perform different work in your company Assistance in seeking work at another company. How much compensation do you receive in that case? That depends on the situation: you receive higher compensation if the insurer can provide fewer payments; you receive lower compensation if you receive a subsidy or money from another insurance held by you or the employee. Loyalis grants a maximum compensation of 5,000 per employee per assistance process.