Therapeutic half-time work enables an employee to return to work part time during a period of incapacity for work due to accident or illness.
Application for therapeutic half-time work
The process is initiated by the attending physician, who sends a specific request to the Social Security Medical Board (Contrôle médical de la sécurité sociale).
The application is assessed by the Medical Board physician, based on the medical file and/or an examination of the applicant.
The employer's approval
Therapeutic half-time work is not an automatic right. Even if the Medical Board approves the application, the employer must also agree. The employer must be willing to agree to the employee coming to work only on a half-time basis.
Agreement to therapeutic half-time work
If, by agreement with the insured worker and the employer, the Social Security Medical Board decides that a half-time return to work during the period of incapacity for work due to accident or illness is appropriate, the National Health Fund (Caisse nationale de santé – CNS) informs both parties that the application for therapeutic half-time work has been accepted.
Only half of the time period in question is counted as a period of incapacity for work, with fractional days ignored.
Duration of therapeutic half-time work
Therapeutic half-time work has a limited duration. Usually, the employee works in the morning. In the afternoon, the employee remains at home and/or receives ongoing therapeutic treatment.
If the employee once more becomes totally incapable of work, the therapeutic half-time work ends, and the period of full incapacity for work resumes.
Consequences for the worker
When the Social Security Medical Board (CMSS) decides in favour of an application for therapeutic half-time work, the employee is required to resume work on a half-time basis.
The other half of the period in question is counted as a period of incapacity for work. Half of the employee's salary is paid by social security.
Absences due to illness or accident are considered as being actual working days. Thus, an incapacity for work resulting from therapeutic half-time work entails the right to annual leave. As a result, an employee who works half time under therapeutic half-time status is entitled to the full amount of legal annual leave – i.e. 25 working days.