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Published: 07/10/2019
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The FSS pilot project called “Direct Payments” was launched on the territory of the Russian Federation back in 2011. In accordance with the program, insurance payments due to the insured under compulsory social insurance are transferred directly by the territorial branches of the Federal Social Insurance Fund of the Russian Federation.
- Legal standards
- FSS pilot project
- Participating regions
- Required documents and their submission to the FSS
The project was created in order to maximally protect the insured from incorrect and untimely transfer of benefits and payments.
FSS pilot project
“Direct payments” is a modernization of compulsory insurance in the Russian Federation. All employers are required to participate in the project, if it is launched in the region, since the legislation does not provide for the possibility of choice in this case.
An employer participating in the project transfers funds to employees only for the first three days of sick leave, and payment for the remaining days of sick leave, as well as full maternity payments and child benefits, are accrued directly from the Fund.
Order of the Federal Insurance Service of the Russian Federation dated November 24, 2017 No. 578
Appendix No. 1 to the Order of the Social Insurance Fund of the Russian Federation dated November 24, 2017 No. 578
1 The form is filled out in Russian in block letters and black ink. You can use gel, capillary, or fountain pens. The use of printing devices is allowed. Entries should not go beyond the boundaries of the cells provided for making the corresponding entries. In the text of the form, the middle name is indicated if available.
2 To be completed if benefits are transferred to the bank account of the insured person. It is not required to be completed if benefits are transferred using a payment card, which is a national payment instrument.
3 To be completed in case of transfer of benefits to the bank account of the insured person, which provides for transactions using a payment card, which is a national payment instrument.
4 To be completed if the recipient of the benefit is a foreign citizen or stateless person permanently or temporarily residing (staying) on the territory of the Russian Federation. To assign temporary disability benefits in connection with an industrial accident and occupational disease or leave of the insured (in addition to the annual paid leave established by the legislation of the Russian Federation) for the entire period of treatment and travel to and from the place of treatment, this line is not filled in.
5 To be completed if benefits are transferred through a postal service organization.
6 Information about this certificate is filled out at the birth of a child who died in the first week of life.
7 To be completed if a child’s birth certificate is issued by a consular office of the Russian Federation.
8 To be completed if another document on the birth of a child is issued by a competent authority of a foreign state.
9 To be completed if another document on the birth of a child is issued by a competent authority of a foreign state.
10 For persons employed by several insurers.
11 Section is filled out by the employer of the recipient of benefits for temporary disability and in connection with maternity in the event of sending this application and the documents necessary for the assignment and payment of the corresponding type of benefit to the territorial body of the Social Insurance Fund of the Russian Federation at the place of registration as an insurer. If the electronic register of information for the appointment and payment of the corresponding type of benefit is provided to the territorial body of the Fund, this section is not filled out by the policyholder.
12 To be completed in case of replacement of calendar years (calendar year) with previous ones (preceding) in accordance with Part 1 of Article 14 of the Federal Law of December 29, 2006 No. 255-FZ “On compulsory social insurance in case of temporary disability and in connection with maternity” (Collected Legislation of the Russian Federation, 2007, No. 1, Art. 18; 2009, No. 30, Art. 3739; 2010, No. 50, Art. 6601; 2011, No. 9, Art. 1208; 2012, No. 53, Art. 7601 ; 2021, No. 27, Art. 4183).
13 The rate is filled in only when working part-time (week) for cases of calculation from the minimum wage - the value is entered in the range from 0 to 1, in decimal format with three decimal places, for example: 0.250; 0.500.
14 To assign benefits paid in fixed amounts, this line is not filled in.
15 To be completed in cases of calculating maternity benefits and monthly child care benefits in accordance with Part 3.1 of Article 14 of the Federal Law of December 29, 2006 No. 255-FZ “On compulsory social insurance in case of temporary disability and in connection with maternity "
16 The periods for which, in accordance with Part 1 of Article 9 of the Federal Law of December 29, 2006 No. 255-FZ “On compulsory social insurance in case of temporary disability and in connection with maternity”, temporary disability benefits are not assigned (Collection of Legislation of the Russian Federation) are indicated. Federation, 2007, No. 1, Article 18; 2010, No. 50, Article 6601).
17 To be completed in case of temporary disability that occurred before the downtime period and continues during the downtime period.
18 To assign benefits paid in fixed amounts, this line is not filled in.
Sample application for payment of sick leave
Employees of companies from regions where the Social Insurance Fund pilot project is taking place have the right to receive sick leave benefits from the Fund directly. To do this, they need to fill out an application for paid sick leave and prepare the necessary documents. Let's figure out what the company should do in this case.
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The pilot project is that the Fund directly, without the participation of employer companies, pays social benefits to insured persons. These are sick leave, maternity benefits, childbirth benefits, child care benefits up to 1.5 years old, etc. The Fund also pays for the costs of preventing injuries and occupational diseases.
Currently, 39 regions are already involved in the FSS pilot project.
Consider sick leave in the BukhSoft program. You can easily determine the employee’s insurance length, all the amounts included in the calculation, and find the amount of benefits online. The program will separately calculate the amount of benefits paid by the employer and the Social Insurance Fund. Try it for free:
Calculate sick leave online
Submit the application for sick leave and other documents to the Social Insurance Fund
To receive benefits for illness not related to an accident, the employee submits to the company:
The company is obliged to submit an application for payment of sick leave and other specified documents, as well as an inventory of them, no later than 5 calendar days to the territorial office of the Fund at the place of registration.
The inventory form was approved by order of the Social Insurance Fund dated November 24, 2017 No. 578.
The employer submits the collected package of documents to the Social Insurance Fund in paper or electronic form. The method depends on the average headcount of the company.
Submit documents in electronic or paper form. If the average headcount of your company is 26 or more people, use the electronic method. Submit documents in the form of an electronic register. If the average number of employees is less than 25 people, then you can use the paper method.
The register form was approved by order of the Social Insurance Fund dated November 24, 2017 No. 579.
- registry
- filling out the register
The application for sick leave will be considered by the Social Insurance Fund
After the documents are received, the Fund’s division will check them within 10 calendar days and decide whether to pay sick leave or refuse.
If the company did not know about the pilot project and accrued sick leave itself, in the usual way, the Social Insurance Fund will not reimburse such expenses.
The money will be sent to the employee’s bank account according to the details specified in the sick leave application.
The Hospital Fund will pay as usual. He will accrue it starting from the 4th day of illness. The employer company will pay for the first 3 days at its own expense.
If there was an accident at work or an employee received an occupational disease, documents for the Fund are drawn up and transferred in the same order. But in expanded quantities. You must also submit a report on an industrial accident or a report on an occupational disease with copies of the investigation materials.
It is important to indicate the correct bank details in the sick leave application. Otherwise, the payment amount may be lost.
After the documents are received, the Fund will check the insured event within 10 calendar days and make a decision.
Filling out an application for sick leave
The Fund approved the application form for sick leave on November 24, 2017 by Order No. 578.
Read the sample form and show it to the employee:
If the length of sick leave is underestimated
In this case, the company should prepare an application for additional payment, attach supporting documents and submit the collected package to its territorial office of the Fund. He will pay the employee the amount of sick leave due.
Calculation of sick leave for pregnancy and childbirth in 2021 using an example, see the link
If the length of sick leave is too high
In this situation, it is believed that the company is to blame for the overpayment, since it was the company that submitted the documents.
The company is obliged to pay the costs incurred by it to the Social Insurance Fund. The employee has the right to return the money to her only voluntarily.
You can collect money only in two cases:
- The employee himself is to blame for the overpayment (brought documents with incorrect data; hid important information, etc.);
- There was a counting error (for example, double transfer of the amount).
Example
The company overestimated the employee's length of sick leave. She reflected the costs of reimbursement of the Social Insurance Fund as other expenses (clause 11 of PBU 10/99):
Debit 91-2 Credit 76 subaccount “Settlements with the Social Insurance Fund”
– costs of reimbursement to the Social Insurance Fund for overpayments for sick leave;
Debit 76 subaccount “Settlements with the Social Insurance Fund” Credit 51
– the amount of compensation was transferred to the FSS.
Instructions: fill out the list of documents in the Social Insurance Fund
The table consists of five columns, which indicate serial numbering, full name. employees who are assigned benefits, types of payments, as well as the short name and number of pages of documentary reasons for payments.
Last names, first names and patronymics of employees applying for social assistance are indicated in full. In the “Types of payments” column, a specific code is entered that corresponds to the following purposes of benefits:
- 2 - for pregnancy and childbirth;
- 5 - child care (monthly);
- 1 - due to temporary disability;
- 3 - women who registered with medical organizations in the early stages of pregnancy (at one time);
- 4 - at the birth of a child (at one time);
- 6 - temporary disability due to an accident at work and occupational disease.
Next, the table lists all the documents that are the basis for the assignment of social assistance, and enters the total number of pages for each employee.
The register is signed by the head of the organization, the date of compilation is indicated and the seal of the institution is affixed (if any). It is mandatory to provide the contact telephone number of the policyholder (authorized representative) or the contractor. Share with friends: Along with this material, they are often searched for: Inventory of mailing attachments is a blank document that lists papers, items and valuables sent by mail.
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Appendix No. 6.
Application for reimbursement of expenses for payment of social benefits for funeral
Cm.
N 578 Form /——————————————————————\ | | | | | | | | | | | | | | | | | | | | | | In |—+—+—+—+—+—+—+—+—+—+—+—+—+—+—+—+—+—+—+—+— | | | | | | | | | | | | | | | | | | | | | | | |—+—+—+—+—+—+—+—+—+—+—+—+—+—+—+—+—+—+—+—+— | | | | | | | | | | | | | | | | | | | | | | | |—+—+—+—+—+—+—+—+—+—+—+—+—+—+—+—+—+—+—+—+— | | | | | | | | | | | | | | | | | | | | | | | \—————————————————————/ (name of the territorial body of the Social Insurance Fund of the Russian Federation) /———————————————— —————\ | | | | | | | | | | | | | | | | | | | | | | From |—+—+—+—+—+—+—+—+—+—+—+—+—+—+—+—+—+—+—+—+—|
Free legal assistance
/ / Pilot project filling out an inventory application State Institution - Novgorod regional branch of the Social Insurance Fund of the Russian Federation Pilot project “Direct payments” Go to the “Document Forms” section LIST OF DOCUMENTS - reimbursement of expenses to policyholders (14.1 kb) LIST OF DOCUMENTS for payment of insurance coverage to insured persons (38.5 kb) Application form for payment (recalculation) of benefits (vacation pay) (Appendix No. 1 to Order No. 578 dated November 24, 2021) (127.0 kb) Form of inventory of applications and documents (Appendix No. 2 to Order No. 578 dated November 24, 2021 (72.0 kb) Application form for reimbursement of expenses for payment of temporary benefits. non-work. (Appendix No. 3 to Order No. 578 dated November 24, 2021) (103.0 kb) Application form for reimbursement of expenses for social benefits. funeral benefits (Appendix No. 6 to Order No. 578 of November 24, 2021) (71.5 kb)
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