WIA Benefit for Long-Term Work Disability in Utrecht
The Work and Income according to Labour Capacity Act (WIA) provides a financial safety net for employees in Utrecht and beyond who, after two years of illness, are still unable to work fully. This act, which replaced the old Disability Insurance Act (WAO), includes two schemes: WGA and IVA.
When Do You Qualify for a WIA Benefit?
You can apply for a WIA benefit if you meet the following conditions:
- You have been ill for at least 104 weeks (2 years)
- You are still at least 35% work disabled
- You were employed when you became ill
- You have complied with your reintegration obligations
The Two Main WIA Schemes
1. WGA (Return to Work Partially Disabled Persons)
The WGA scheme is intended for people who:
- Are 35% to 80% work disabled, OR
- Are 80% to 100% work disabled, but with prospects of recovery
2. IVA (Income Provision for Fully Disabled Persons)
The IVA scheme applies to people who:
- Are 80-100% work disabled
- Have little to no chance of recovery
Assessment by the UWV
The UWV in Utrecht conducts an assessment to determine your degree of work disability. This is done by:
Insurance Physician
This physician examines your medical situation and prepares an overview of your capabilities (Functional Capacity List, FML).
Labour Expert
This expert determines which tasks you can still perform and estimates your potential earnings.
How Is Your Work Disability Calculated?
Your work disability percentage is determined based on:
- Your reference income (your income before the illness)
- Your remaining earning capacity (what you could still earn)
- The difference between these two determines your work disability percentage
Example of Calculation
Reference income: €3,000 per month
Remaining earning capacity: €1,500 per month
Income loss: €1,500 = 50%
Work disability percentage: 50%
Amount of the WGA Benefit
The WGA benefit has three different phases:
1. Wage-Related Benefit (LGU)
| Period | Percentage |
|---|---|
| First 2 months | 75% of your daily wage |
| Thereafter | 70% of your daily wage |
The duration of this phase depends on your employment history, with a maximum of 24 months.
2. Wage-Topping Benefit
If after the LGU you utilise at least 50% of your remaining earning capacity, you receive:
70% x (reference income - current income)
3. Follow-Up Benefit
If you earn less than 50% of your remaining earning capacity, you receive:
Work disability percentage x minimum wage
Amount of the IVA Benefit
The IVA benefit is set at 75% of your daily wage and continues until your state pension age. A maximum daily wage applies.
Overview of WIA Categories
| Category | Work Disability Percentage | Scheme |
|---|---|---|
| Less than 35% | 0-35% | No WIA |
| 35-45% | 35-45% | WGA |
| 45-55% | 45-55% | WGA |
| 55-65% | 55-65% | WGA |
| 65-80% | 65-80% | WGA |
| 80-100% | 80-100% | WGA or IVA |
How Do You Apply for WIA?
- Week 87: You receive a message from the UWV about your WIA application
- Week 88-93: You submit your application via Mijn UWV
- Week 93-104: UWV conducts an assessment
- Week 104: You receive the decision and the benefit starts
Documents for the Application
- Reintegration report (RIV)
- Analysis by the occupational physician
- Reintegration action plan
- Evaluation report
- Medical records
Obligations with a WGA Benefit
If you receive a WGA benefit, you must:
- Actively seek suitable work
- Accept suitable work
- Cooperate in reintegration programmes
- Report changes in your situation to the UWV
Reassessment by UWV
The UWV may reassess you periodically. If your situation has improved, your benefit may be adjusted or terminated.
Objection and Appeal in Utrecht
Disagree with the UWV decision? You can:
- File an objection: Within 6 weeks with the UWV
- Lodge an appeal: Within 6 weeks with the District Court of Midden-Nederland, Vrouwe Justitiaplein 1, Utrecht
- Appeal to a higher court: With the Central Appeals Tribunal
What If You Are Less than 35% Work Disabled?
If you are declared less than 35% work disabled, you do not receive a WIA benefit. Alternatives are:
- Return to your employer with adjusted duties
- Apply for unemployment benefit (WW) upon termination of your contract
- Apply for social assistance benefit as a last resort
Contact and Assistance in Utrecht
For legal support, you can go to the Juridisch Loket Utrecht, Catharijnesingel 55.