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Five years after the introduction of eNeschopenka (eSick Leave), other sickness insurance benefits have also been digitalised. From 2025, maternity benefits, Attendance allowance, Long-term attendance allowance, Paternity benefits and the Compensatory benefit in pregnancy and maternity will be handled without paper forms under the eDávky initiative. Read how the whole process works.
Digitalisation of public administration is a long-term goal of the Czech Republic. From 1 January 2025 the electronisation of further sickness insurance benefits follows on from the introduction of eNeschopenka in 2020, which simplified administrative processes connected with sick leave.
The electronic administration covers the following benefits:
The aim of eDávky is to simplify processes in sickness insurance, reduce administrative burden for employees, employers, doctors and social security authorities, increase automation for doctors in practices, and enable electronic provision of up-to-date information to employers and employees about sickness insurance benefits.
The attending physician, or another authorised person, creates a new case electronically and the system generates a unique identifier (decision number). The insured person then gives that identifier to their employer.
The insured person gives the doctor contact details (phone or e-mail). The Czech Social Security Administration (ČSSZ) sends a message to that contact with:
The employee informs the employer about the social event and requests the relevant benefit. The request is made on the form titled „Oznámení zaměstnavateli“ for:
These sample forms and filling instructions are available on the ČSSZ website. The form is a model communication between employee and employer and is not sent to ČSSZ. The employer transcribes the data from the form into the electronic form (see below). The law leaves the form of communication between employee and employer free, but using the model notice on the ČSSZ website is recommended.
Information confirmed by the doctor can be verified by the employer directly from their payroll software or via the ČSSZ ePortal. To verify, the employer needs:
The employer submits to ČSSZ the form „Oznámení zaměstnavatele o žádosti zaměstnance o dávku“ (NEMPRI_2025). This form contains the employee data needed to calculate the benefit.
ČSSZ pays the benefit in the same way the employer pays wages unless the employee requests another method of payment. Doctors and employers communicate with ČSSZ electronically. The employee can monitor the processing status of their benefit on the ČSSZ ePortal.
Attendance allowance is a benefit payable when it is necessary to care for a sick household or family member. Entitlement also arises when it is necessary to stay at home with a child because a school or childcare facility is closed (e.g. due to an accident or epidemic). From 1 January 2025 the whole process runs without printed documents. The doctor (or the school/childcare facility) and the employer communicate with ČSSZ electronically.
The doctor issues the “decision on the need for care” via the ČSSZ ePortal or their application and sends it electronically to ČSSZ. A decision number (identifier) is generated and sent to the insured person by SMS or e-mail. If the insured person did not provide contact details, the doctor gives the identifier in printed form.
The employee informs the employer of the need to provide care and gives the identifier. The employee applies using the form „Oznámení zaměstnavateli o potřebě ošetřování/péče“ (see model notice above). The form contains:
The employer then sends these details to ČSSZ on the form „Oznámení zaměstnavatele o žádosti zaměstnance o dávku“. Until 31 December 2024 employees filled in these details on paper forms themselves.
What to do when care shifts between people?
A substitution (change of caregiver) is possible only once. The substitute notifies their employer in the same way as the first caregiver, including the identifier.
Long-term attendance allowance allows someone to stay at home to care for a family member whose condition requires continuous home care for at least one month after discharge from hospital. The hospitalisation must last at least 4 consecutive calendar days (the first and last day of hospitalisation count). For incurable patients receiving palliative care, previous hospitalisation is not required.
From 1 January 2025 the process is entirely electronic. The hospital doctor issues a “decision on the need for long-term care” via the ČSSZ ePortal or their application and sends it to ČSSZ. The decision includes the hospitalisation period and a decision number (identifier), which the doctor sends to the insured person (SMS or e-mail); if contact details were not provided, the identifier is given in printed form.
After discharge, the practical doctor who takes over care sends further data to ČSSZ about the duration or end of the need for long-term care.
The employee informs the employer of the need for care and gives the identifier. The employee applies using the form „Oznámení zaměstnavateli o potřebě dlouhodobé péče“ (model notice above). The form includes: days of care, information about the treated person, the relationship to them, cohabitation, and receipt of other benefits affecting entitlement. Note: a claim for long-term attendance allowance can be made from the day of discharge of the treated person from hospital. The employer forwards this information to ČSSZ on the form „Oznámení zaměstnavatele o žádosti zaměstnance o dávku“.
What to do when care shifts between people?
Shifts are allowed without limit and between any number of people, as needed. Shifts cannot occur on the same day. Each substitute reports to their employer in the same way as other carers, including using the same identifier for all carers.
Paternity benefits are payable to the father of a child after its birth. The benefit must be taken within six weeks from the date of birth or from the date of taking the child into care, and may be drawn for up to 7 days. From 1 January 2025 the whole process is electronic.
The employee notifies the employer of the start of paternity leave and indicates whether they claim it as the child’s father or as a guardian based on a court decision (or other authorised act). The request is made on the form „Oznámení zaměstnavateli o nástupu na otcovskou“ (model notice above). The form contains: date of start, reason for claiming paternity (e.g. father or legal guardian), and identification details of the child.
If the child or mother is hospitalised within six weeks of birth, the start of paternity may be extended by the hospital stay. The doctor issues a confirmation of hospitalisation and sends it to ČSSZ via the ePortal or their application. A decision number (identifier) is generated and sent to the insured person; if contact details are missing, the identifier is given in printed form. The identifier is passed to the employer only in cases of hospitalisation; otherwise no identifier is issued. The employer forwards the documents for paternity benefit payment to ČSSZ on the form „Oznámení zaměstnavatele o žádosti zaměstnance o dávku“.
Maternity benefits are payable to the mother before and after birth in connection with the care of a newborn. The benefit may also be claimed by the child’s father or by a person who has taken the child into care replacing the parents (for example in adoption).
From 1 January 2025 the whole process is electronic. The attending gynaecologist determines the expected date of birth and issues “Confirmation of the date of birth” via the ČSSZ ePortal or medical software, or confirms that the insured person has already given birth and the date. A decision number (identifier) is generated and sent to the insured person (SMS or e-mail); if contact details were not provided, the identifier is given in printed form.
The employee applies for maternity benefits from the employer using the form „Oznámení zaměstnavateli o nástupu na peněžitou pomoc v mateřství“ (model notice above). The form contains: start date for maternity benefits, expected date of birth/date of birth, and the reason for child care (only if the benefit is not for childbirth). The employer forwards this information to ČSSZ on the form „Oznámení zaměstnavatele o žádosti zaměstnance o dávku“.
This benefit applies when an employee has been transferred because of pregnancy or maternity to another, lower-paid job. The Compensatory benefit in pregnancy and maternity is not widely used; in the digitalisation it is aligned with other benefits in that it will be paid to the same account as wages unless the employee requests another payment method.
There is no decision number or confirmation to be passed to the employer in the same way as for other benefits. The employee must submit the prescribed form „Žádost o vyrovnávací příspěvek v těhotenství a mateřství“, which is issued by the attending physician or gynaecologist. The employee fills in part D and, after being transferred to another role, hands the form to the employer. The employer then sends each month, for as long as the transfer continues, the form „Potvrzení pro účely výplaty vyrovnávacího příspěvku v těhotenství a mateřství“ to the relevant local social security administration (OSSZ).
Self-employed persons are entitled to: Attendance allowance, Long-term attendance allowance, Paternity benefits and Maternity benefits in cash. They apply for a benefit using the form „Žádost o nemocenskou dávku OSVČ (osoby dobrovolně nemocensky pojištěné“. According to the type of benefit, they select the relevant form (Attendance allowance, Long-term attendance allowance, Paternity benefits, Maternity benefits).
Self-employed persons must submit their application electronically via a data box through the ČSSZ ePortal. From 1 January 2023 all entrepreneurs (OSVČ) have a data box automatically established by law.
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