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5

Summary

Swedish sickness insurance and temporary

employment

The Swedish Social Insurance Inspectorate (Inspektionen för social-

försäkringen, ISF) is an independent supervisory agency for the Swedish

social insurance system. The objectives of the agency are to strengthen

compliance with legislation and other statutes, and to improve the

efficiency of the social insurance system through system supervision and

efficiency analysis and evaluation.

The ISF’s work is mainly conducted on a project basis and is commissioned

by the Government or initiated autonomously by the agency. This report

has been initiated by the agency.

Background

The right to sickness benefit is differently assessed for the employed

compared to the unemployed. If a person is employed, the right to sickness

benefit is, for the first 90 days of sick leave, assessed in relation to the

ability to carry out the person’s current work. For an unemployed person,

the work ability is compared to the possibility of carrying out work on the

regular labour market from day 1 of the sick leave. If a person is

temporarily employed, they can either be seen as employed or unemployed

from an insurance perspective. A person’s employment status can therefore

have an impact on the right to sickness benefit.

In Sweden, 16 per cent of all employees are in temporary employment.

It is more common for women to be in temporary employment than men.

Temporary employment is common in health and social work. This sector

is female-dominated and has the highest sickness rate among employees

in Sweden, according to figures from the Swedish Social Insurance Agency.

The municipalities and county councils are large employers within this

sector.

Objectives

This report has two objectives. Firstly, it aims to give an overview

regarding the implications of sickness insurance legislation for the

temporarily employed. Secondly, it aims to describe how the temporarily

employed use sickness insurance compared to the permanently employed.

The description is limited to employees within municipalities and county

councils.