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Operational and household help from the Agricultural Health Insurance Fund


You can receive benefits for operating and household help from the LKK if you are absent due to

  • an illness that jeopardizes the management of the company,
  • hospital treatment,
  • an outpatient or inpatient preventive care or rehabilitation measure of the LKK or
  • Pregnancy and maternity leave.

The LKK ensures that your business or household is continued and that your income basis is maintained. The benefits for operating and household help relate in particular to work that cannot be postponed.

For this purpose, the LKK either provides a qualified specialist, which is called a hired force. Or you can try to find a substitute yourself.

The skilled workers provided may be employees of the Social Insurance Fund for Agriculture, Forestry and Horticulture (SVLFG) or a skilled worker from other bodies, such as a machine ring or an auxiliary company service.

If you make an effort to find a replacement yourself, the LKK will reimburse the costs for this in a fixed amount. Maximum amounts apply. It should be noted that no deployment costs are covered for relatives and in-laws up to the 2nd degree. The substitute must also be external to the company. This means that she is not allowed to work in your company or in your household or help out significantly.

If an illness jeopardizes the management of the company, benefits for operating and household help are possible for a maximum of 4 weeks. In the case of inpatient treatment, for a maximum of 13 weeks. An extension is only possible due to special circumstances in the company or household. The persistence of incapacity for work or illness alone is not sufficient.

Process flow

You must apply for operating and household assistance benefits from the Agricultural Health Insurance Fund (LKK) by post, online or telephone before the start of your assignment.  

Written application:

  • Download the application form from the website of the Agricultural Health Insurance Fund or request it by phone or post and fill it out.
  • Send the application together with any other required documents to the LKK by e-mail, post or fax.
  • You will receive the decision of the LKK by post.

Submission of applications via online procedure:

  • Go to the online portal of the Social Insurance for Agriculture, Forestry and Horticulture (SVLFG) and register there.
  • Fill out the application.
  • Submit your application online. You will receive the application as a PDF in your online mailbox
  • Now you can upload the necessary documents digitally as a PDF or JPEG file.
  • The LKK will review your application.
  • You will receive a written notification in your electronic mailbox at the SVLFG, unless you have expressly selected the postal route.

Requirements

  • Your company reaches the minimum size.
  • Farm and household support services are necessary for the maintenance of the agricultural enterprise or household.
  • You are insured as an agricultural entrepreneur or as an agricultural entrepreneur
    • wife or husband, or
    • registered life partner.

They fail due to

  • medically certified illness that jeopardizes the management of the company,
  • hospital treatment,
  • an outpatient or inpatient preventive care or rehabilitation service provided by the LKK or
  • Pregnancy and maternity leave.

Hints:

  • It is not possible to apply for operating and household help for activities in ancillary enterprises, i.e. non-agricultural parts of enterprises.
  • Even if you are otherwise insured with the Agricultural Health Insurance Fund, you may be able to receive domestic help benefits. For example, if
    • the continuation of the household is not possible due to a hospital stay, and
    • there is a child under the age of 14 or a disabled child living in the household.
  • Domestic help is also provided if it is not possible to continue the household due to pregnancy or childbirth.
  • You must submit the application before the start of the assignment.

Which documents are required?

  • Application for operating and household help,
  • where applicable, a medical certificate attesting to illness that jeopardizes the management of the business. For this purpose, the doctor can use forms available in the practice. The Agricultural Health Insurance Fund also provides its own form,
  • if applicable, the form "Details of the substitute you have procured yourself" if you have made an effort to find the replacement yourself;
  • SEPA Direct Debit Mandate;

What are the fees?

There are no costs for the application.

If the Agricultural Health Insurance Fund provides a qualified substitute, it will cover the costs in full.

If no substitute can be provided, the LKK will reimburse the costs for a non-company substitute that you have organised yourself in a fixed amount. The cash benefits actually incurred are taken into account, in particular the remuneration for the work and travel expenses. On the other hand, benefits in kind, such as benefits in kind, are not taken into account. Maximum reimbursement amounts apply.

The proven expenses are calculated up to a maximum daily amount of 2.95 percent of the applicable monthly reference amount, rounded up or down to the nearest even euro amount.

In certain cases, you will have to pay a co-payment for each day of use. If your personal limit is exceeded, you can be released from this obligation.

What deadlines do I have to pay attention to?

Benefits for business and household help are possible from the day of application at the earliest. If the application is initially made informally, you should submit the completed application form and, if necessary, other necessary documents within 14 days.

Appeal

  • Contradiction
    Further information on how to file an objection can be found in the notification of your application
  • Appeal to the Social Court after unsuccessful objection

What else should I know?

There are no hints or specifics.

Technically approved by

Federal Ministry of Food and Agriculture (BMEL)

Professionally released on

06.10.2023

Author

The text was automatically translated based on the German content.

Source: Serviceportal Niedersachsen (Portalverbund des Bundes und der Länder)