“The document is ready for settlement” in the Social Insurance Fund: what does this mean, how long will it take to pay

Find out the status of your benefits in the personal account of the insured

On July 1, 2020, a pilot project of the Social Insurance Fund of the Russian Federation “Direct Payments” was launched in the Arkhangelsk region: from now on, compulsory social insurance benefits are paid to northerners not by employers, but by the regional branch of the Fund, regardless of the financial situation of enterprises and organizations.
Let us remind you that the following types of benefits are transferred directly to employees:

— for temporary disability, including due to an accident at work (payment of sick leave);

— maternity benefits (maternity benefits);

— benefits for registration in the early stages of pregnancy;

- birth benefit;

— child care allowance;

— payment of additional leave to those injured at work (in addition to the annual paid one).

Workers can manage their own benefits online. The Social Insurance Fund has developed an accessible electronic service for them - the insured person’s personal account on the website lk.fss.ru. For authorization in the system, the login and password from the Unified Portal of Public Services are used. If the employee is not yet registered on the portal, he can apply with a passport to the nearest branch of the MFC to confirm his identity, after which he will have access not only to the personal account of the insured, but also to the entire range of electronic government services of various departments.

In the insured’s account, employees can see when the employer transferred documents to the Fund and at what stage the payment of benefits is in the form of certain statuses:

"Document loaded"

— the documents were received by the Social Insurance Fund from your employer.

“The document has been verified” –

the documents were checked by the Foundation department, no errors were found.

"Notice generated"

— the employer made a mistake in your documents. FSS specialists generated a notice to eliminate errors.

"Duplicate document"

— a copy of your documents has been uploaded (presumably after errors have been corrected).

"Confirmation of payment"

– your benefit is calculated.

"Document calculated"

- the allowance has been calculated.

“The document has been sent for payment”

— the process of transferring funds (benefits) to the bank has begun.

“Payment execution”, “Payment paid”

– money is transferred to the bank (indicating the payment amount).

Each status has its own assignment date, so any employee can track how many days from the date of receipt of documents from employers the benefits were assigned and paid.

It is worth noting that after an employee has applied at his place of work with documents confirming his right to benefits (for example, a certificate of incapacity for work) and an application, within 5 days the employer must transfer them to the Social Insurance Fund of the Russian Federation, and the Fund’s branch must appoint and pay the benefit within 10 days, subject to the provision of a complete set of documents or a correctly completed register.

Payment of child care benefits for the previous month is carried out from the 1st to the 15th of the current month without reference to a specific date. And in your personal account you can also track at what stage the benefit payment is.

There is a similar service for employers – the policyholder’s personal account. In it they see all the registers sent to the Fund, online they can control the payment of benefits to their employees and receive notifications of errors so that they can be promptly corrected.

How to send certificates of incapacity for work to the FSS

Registers of sick leave (disability certificates) are transferred by policyholders or insured persons to the Social Insurance Fund for the calculation of disability benefits to insured persons. Insured events and conditions for payment of benefits are established by Federal Law of December 29, 2006.

Insured event Conditions for payment of benefits Temporary disability Paid in the following cases: - illness, injury; - caring for a sick family member; — quarantine of the insured person or child under 7 years of age; — after-care in sanatorium-resort institutions Occupational illnesses and injuries Paid in case of loss of ability to work due to an accident at work or occupational disease (detailed conditions are described in the Federal Law of July 24, 1998) Pregnancy and childbirth Paid to the woman in total for the entire period of vacation (in the absence of complications and birth of one child, the period is 70 days before and after birth).

FSS: notification has been generated - what is this status?

As part of the “Direct Payments” project, which was launched by the Social Insurance Fund in many regions of the country, employees can independently control the accrual of benefits online. However, when tracking payments, difficulties often arise due to the complex formulations that describe certain statuses. For example, many FSS clients cannot understand what the “Notice generated” status means. In this article we will try to answer this question so that you can understand when the money will arrive.

Status Notification generated in the FSS application

What to do if they don't pay?

Let us remind you that in order to receive maternity leave, the employee must submit sick leave to the employer according to the BiR and write a corresponding application (Part 5, Article 13 of the Federal Law of December 29, 2006 N 255-FZ).

If the employer violated the deadlines for paying maternity benefits, then, together with the amount of the benefit, he must pay the employee compensation for the delay (Article 236 of the Labor Code of the Russian Federation).

The territorial branch of the Social Insurance Fund must pay maternity benefits within 10 calendar days from the day the woman submitted the application and the necessary package of documents (Part 2 of Article 15 of the Federal Law of December 29, 2006 N 255-FZ).

If payment deadlines are violated, you can contact the labor inspectorate, prosecutor's office, or judicial authorities. The support of a qualified specialist will allow you to defend your rights and receive the money due under the law in full.

Procedure for financing child benefits

One of the most ambitious areas of social policy in the Russian Federation is assistance to families with children.

  • Officially employed ladies;
  • Full-time students of educational institutions purchasing a scholarship;
  • Employees of law enforcement agencies, soldiers;
  • Ladies who are self-employed and make contributions to the Social Insurance Fund;
  • Citizens who lost their jobs due to the liquidation of an enterprise during pregnancy, who were registered in the employment of the population.

When applying at your place of work, the transfer is carried out within 10 days after the documents are submitted.

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To quickly resolve your problem, we recommend contacting qualified lawyers on our website .

Deadlines for processing child benefits

Ladies who take care to register with the medical authorities no later than the first three months of pregnancy will be able to count on receiving a one-time payment (subsidy). Along with this, the deadline for submitting an application for this payment (subsidy) cannot be more than six months from the date of 12 weeks of pregnancy .

The amount of benefits for raising and having children depends on the region of residence of the family, their income and some second factors. Every year the established amount of benefits is indexed. The date of the procedure is February 1, at the time when the final inflation rate for the past year will be announced. The indexation of child benefits from February 1, 2020 took place at the inflation rate set in advance - 3.2% .

Child benefits (state support), in most cases, differ in the frequency of payments. Monthly benefits calculated on a certain day of each month for the entire stipulated period, personal for each type of financial assistance. A lump sum benefit is paid once; this is the most common type of similar accrual.

What does status mean?

The “Notice generated” status on the FSS website indicates the fact that an error was made in the documents submitted by the employer in your name.

As a rule, the error lies in the incorrect format of the completed document, or in entering incorrect data on the employee or organization. After identifying the problem, FSS specialists generate a standard notice with comments and clarifications, which is sent to your organization.

If you see this status in your personal account, it means you need to wait until the organization corrects the comments sent and resends the corrected documents. When this happens, the “Duplicate document” status should appear in your personal account. After processing the duplicate, the following statuses “Calculation Confirmation” and “Document Calculated” will appear.

It should be noted that the error status may appear both when submitting documents and at the payment stage. A simple example: an error was made when specifying bank details and the payment does not go through.

Error in recipient details

The process of obtaining maternity leave

For pregnant women applying for benefits, there are several mandatory conditions. A woman should:

  • have an official place of work;
  • register with a antenatal clinic or other medical institution;
  • have a certificate of incapacity for work;
  • be on maternity leave.

What to do to receive benefits:

  • Register with the antenatal clinic and at 30 weeks receive a certificate indicating the period during which observation is required.
  • Contact your doctor for sick leave during pregnancy and childbirth.
  • Obtain certificates about the calculation of average wages from each of the enterprises where you have worked over the past two years.
  • Write an application for maternity leave addressed to the manager of your current place of work, and include in it a request for payment of benefits. Get a signature.
  • Submit the application, certificates, passport and account details of the recipient to the HR department independently or through the manager’s secretariat.

When will the money arrive?

The most frequently asked question is: within what time frame should the Social Insurance Fund accrue money? For a better understanding, we will write down all the deadlines:

  • The employee collects a complete set of documents confirming the right to benefits and contacts the employer. Within 5 working days, these documents must be transferred to the Social Insurance Fund.
  • The Social Insurance Fund is obliged to assign and pay benefits to the employee within 10 working days. Of course, all these deadlines are indicated taking into account the correct documents that the employee and employer will provide to the Social Insurance Fund.

If you see the status “Notice generated” in your personal account, I advise you to contact your employer. Find out exactly what inaccuracies were in the documents submitted to the FSS and whether any action is required from you. The employer, in turn, can, through the policyholder’s personal account, track all registers and documents sent to the fund and receive return notifications from the Social Insurance Fund there.

There are also situations when a notice has been generated, but the employer has not received any notifications. In this case, you can advise your employer to call the regional office of the Social Insurance Fund; it may be possible to quickly resolve all difficulties.

What happens if the deadline for sending documents to the FSS is missed?

He brings the necessary documents for this (certificate of incapacity for work, birth certificate of the child, etc.)

d.). The employee also submits an application for payment of benefits, where he indicates the details to which the benefits will be transferred (bank account or postal address).

After this, the institution sends the application and documents to its branch of the fund () within five working days. An inventory must be attached to the documents. The FSS of Russia must make a decision on the assignment of benefits within 10 calendar days from the date of receipt of information (application and documents or register of information).

The Regulations specifically stipulate that the institution, as an insurer, bears responsibility in accordance with the legislation of the Russian Federation: for failure to submit (untimely submission) of documents necessary for the assignment of benefits; for unreliability or concealment of information affecting the employee’s right to receive appropriate

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Find out the status of your benefits in the personal account of the insured

On July 1, 2020, a pilot project of the Social Insurance Fund of the Russian Federation “Direct Payments” was launched in the Arkhangelsk region: from now on, compulsory social insurance benefits are paid to northerners not by employers, but by the regional branch of the Fund, regardless of the financial situation of enterprises and organizations. Let us remind you that the following types of benefits are transferred directly to employees: - for temporary disability, including in connection with an accident at work (payment of sick leave); — maternity benefits (maternity benefits); — benefits for registration in the early stages of pregnancy; - birth benefit; — child care allowance; — payment of additional leave to those injured at work (in addition to the annual paid one). Workers can manage their own benefits online. The Social Insurance Fund has developed an accessible electronic service for them - the insured person’s personal account on the website lk.fss.ru. For authorization in the system, the login and password from the Unified Portal of Public Services are used. If the employee is not yet registered on the portal, he can apply with a passport to the nearest branch of the MFC to confirm his identity, after which he will have access not only to the personal account of the insured, but also to the entire range of electronic government services of various departments. In the insured’s account, employees can see when the employer transferred documents to the Fund and at what stage the payment of benefits is in the form of certain statuses: “Document uploaded”

— the documents were received by the Social Insurance Fund from your employer.
“Document verified” –
documents have been checked by the Foundation’s department, no errors were found.
“Notice generated”
- the employer made an error in your documents.
FSS specialists generated a notice to eliminate errors. “Duplicate document”
– a copy of your documents has been uploaded (presumably after correcting errors).
“Calculation confirmation”
– your benefit is calculated.
“The document has been calculated”
– the benefit has been calculated.
“The document has been sent for payment”
- the process of transferring funds (benefits) to the bank has begun.
“Execution of payment”, “Payment paid”
– money is transferred to the bank (indicating the payment amount). Each status has its own assignment date, so any employee can track how many days from the date of receipt of documents from employers the benefits were assigned and paid. It is worth noting that after an employee has applied at his place of work with documents confirming his right to benefits (for example, a certificate of incapacity for work) and an application, within 5 days the employer must transfer them to the Social Insurance Fund of the Russian Federation, and the Fund’s branch must appoint and pay the benefit within 10 days, subject to the provision of a complete set of documents or a correctly completed register. Payment of child care benefits for the previous month is carried out from the 1st to the 15th of the current month without reference to a specific date. And in your personal account you can also track at what stage the benefit payment is. There is a similar service for employers – the policyholder’s personal account. In it they see all the registers sent to the Fund, online they can control the payment of benefits to their employees and receive notifications of errors so that they can be promptly corrected.

What are the requirements for filling out and general appearance of a sick leave certificate?

In accordance with the existing legislation of Russia, a document on a citizen’s incapacity for work must be drawn up in accordance with existing rules, such rules include:

  • The format of the sheet on which the necessary fillings are made must correspond to A4 dimensions.
  • Availability of FSS watermarks confirming the authenticity of the document.
  • Presence of yellow and blue colors.
  • The sheet contains a special barcode containing the number of the document being issued.
  • There are requirements that also apply to the handwriting used to fill out a sick leave form. It must be in printed form and must be readable.
  • In addition, according to business standards, any kind of corrections in the certificate are not allowed.

Note!

All payment calculations in accordance with the law are made using the 1C electronic system, as well as on the official website of the Federal Insurance Service.

Further, after filling out the sheet, it is sent to the place of demand. According to the legislation of the Russian Federation, the employer has the right to verify the authenticity of the document provided.

This is important to know: Payment of sick leave after dismissal for pensioners

Status “Confirmation of payment” in the Social Insurance Fund – what does it mean?

For several years now, the Direct Payments program has been actively developing in Russia, which allows working citizens to receive benefits directly from the Social Insurance Fund. This practice significantly increased the speed of accrual of benefits, and the systematic approach made it possible to track the stages of processing accruals through the department’s website or the Social Navigator application.

In our article, we will talk about the “Settlement Confirmation” status, which an employee may encounter in his FSS personal account. You will understand what this status literally means and within what time frame the money will be credited.

Status in the Social Insurance Fund – Confirmation of payment

Who issues sick leave and who pays

A sick leave certificate, also known as a certificate of incapacity for work (l/n), is a document of strict accountability that gives the right to receive benefits for temporary disability. A certificate of incapacity for work is issued by the medical institution to which the sick person applied.

This is important to know: Will a pregnant woman without fever be given sick leave?

A sick leave sheet is a kind of alibi for an employee who does not show up for work at the scheduled time. The employee will not be given absenteeism, because he confirmed his absence from work with a sick leave form. And this is a good reason not only not to fire an employee, but also to pay him the average daily wage for each day of absence from work due to illness.

The procedure for paying sick leave is standard: the first three days are paid by the employer, the fourth and subsequent days are paid by the Social Insurance Fund.

The innovation is being tested in several pilot regions. They handle payments differently. The part of the sick leave paid by the Social Insurance Fund is not transferred to the employer, but is immediately paid to the bank card (if not, by postal order) of the insured.

What does status mean?

Calculation confirmation is a system status in the Social Insurance Fund register, indicating the stage of calculating the amount of benefits that must be paid to the employee. At this stage, the specific payment amount will not be displayed in your personal account; it will appear at the time of direct transfer.

Generally speaking, this status indicates that the employer correctly processed and filled out all the necessary documents. These documents (ELN) were checked by FSS employees and no comments/errors were found in them. After confirming the correctness of the documents, consent is given to calculate the exact amount.

Typically, after the “Calculation Confirmation” status, the following indicators will be sequentially displayed in the register:

  1. “Document calculated” – the calculated amount has been generated.
  2. “The document has been sent for payment” - the system has activated the transfer of benefits to the bank; we described the details on this item in this material.
  3. “Execution of payment” - the Fund has transferred the money to your bank and you need to wait for it to be credited (usually it takes 1-2 business days).

It is important that at any subsequent stage the status “Notification generated” may unexpectedly appear. This item indicates the detection of errors during payment. As a rule, this is an incorrect indication of the bank details, which is why the transfer is technically cancelled. I recommend that if such a status appears, you immediately contact your employer or the regional branch of the Social Insurance Fund. For convenience, you can use this special map to find the Fund’s phone number in your region.

Is it possible to report by mail if the average number of employees exceeds 25 people?

Current legislation does not allow the possibility of submitting reports to the Social Insurance Fund by mail by those policyholders whose average number of employees for the past year exceeds 25 employees.

To calculate the average number of employees for the 4-FSS statement, you can use the calculation algorithm given in the recommendations for filling out statistical forms approved by Rosstat Order No. 772 dated November 22, 2017.

The average number of employees for filling out Form 4-FSS is calculated in several stages:

1. Calculation of the average number of all employees for all days of each month of the previous billing period.

2. Calculation of the average number of part-time employees for all days of the months of the calculated period.

3. Calculation of the average number of personnel for each individual month of the last year.

4. Determination of the average number of part-time employees for each individual month.

5. Calculation of the average number of specialists for a full calendar year.

All of the above indicators are calculated in whole numbers with rounding of fractional values.

Find out more about how to calculate the average number of personnel in the material “Average number in the calculation of 4-FSS (nuances)” .

However, in exceptional cases, by sending a settlement by mail, you can save on fines. As a rule, many accountants postpone sending reports via telecommunication channels until the very last moment. But sometimes unforeseen circumstances occur that prevent the payment from being transferred. For example, a power outage, Internet outage, or uncontrolled expiration of an electronic key.

In case of failure to submit the report within the deadlines stipulated by law, the payer of the injury contribution will face a fine . Failure to comply with the electronic method of filing reports is also punishable (Article 26.30 of Law No. 125-FZ).

When will the money come

Unfortunately, there is no clear answer to this question. If you rely on the forums and reviews of other employees, you can draw a general conclusion - after the “Confirmation of payment” status, the money arrives within 3-4 business days. Plus, you should take into account the technical timing of a bank transfer, because sometimes such operations can take up to 3 days.

In any case, it will be useful for you to know the following:

  1. As soon as you provide the entire set of documents, the employer (policyholder) is obliged to upload all the documentation necessary for the benefit to the Social Insurance Fund register within 5 working days.
  2. The Fund itself has 10 days to process all documentation and directly disburse funds.

Despite the established regulations for processing payments, situations with delays arise very often. For example, if errors are identified in documents, a comment is sent back to the employer. After this, the period prescribed by law starts again. In any case, in case of errors and the “Notice generated” status appears, it is advisable to contact the Fund and the employer.

How and where to get it?

Payments are due:

  • employed;
  • Individual entrepreneur, if all required contributions have been paid;
  • pregnant women undergoing full-time training in state institutions of vocational, technical or higher education;
  • laid off due to staff reduction or liquidation of the enterprise;
  • registered with the employment service.

When do you receive maternity pay?

  • on maternity leave;
  • on parental leave until the child is one and a half years old.

You can apply for payments at any time after receiving a sick leave certificate for pregnancy and childbirth, but no later than 6 months after its closure. When maternity benefits are paid - before or after childbirth, it depends on the time of application for them.

A woman who was working at the time of receiving benefits will receive benefits from the employer on the day the salary is transferred.

An unemployed mother will receive money from social security authorities - on a bank card or savings book.

Results of FSS checks

Registration in the form of a certificate occurs no later than the last day of the inspection, maybe earlier. The document specifies the subject and timing of the inspection.

The results themselves are described within two months in an inspection report signed by the heads of the fund and the organization being inspected. No reports are drawn up based on desk inspections.

There are situations when the head of the enterprise does not want to sign the act, then it is necessary to formalize the refusal by making an appropriate inscription.

The inspection report must be handed to a representative of the organization. When personal service is not possible, the deed may be sent by mail, the date of service being the sixth day from the date the letter was sent.

The organization is given 15 days by law from the date of receipt of the act to present its objections.

If there are any comments, the director of the company needs to state them on a copy of the act before his signature. 10 days after the deadline for accepting objections has passed, the fund will make a decision on the results of the inspection.

What dates are child benefits transferred in 2020?

State social assistance for the protection of childhood and maternity protection is manifested in various areas and is aimed at maintaining the rights and well-being of children. Today in Russia several types of federal child benefits are paid, and families can also receive assistance from regional budgets.

Employed mothers receive benefits through their employer (or Social Insurance Fund, if direct payments are available in the region). Payment of child benefits to unemployed women is made through social protection authorities in accordance with the schedule for payment of social benefits established by regulatory documents. In this article, we will tell you the dates in which social security transfers child benefits, what may cause a delay in payments, and what needs to be done if the due benefit has not been received in a timely manner to the recipient.

What date are child benefits transferred to the poor?

In the social policy of the state, the emphasis of state support has noticeably shifted towards large and low-income families. Taking into account the criteria of need, this category of the population today finds support at both the federal and regional levels. Taking this into account, child benefits for low-income families with documented low-income status are paid from both the federal and regional budgets.

Receipt of targeted social assistance for children for low-income families from two sources does not occur synchronously, which is due to the funding schedules from each of them. In connection with this circumstance, the crediting (payment) of child benefits to low-income families is carried out on two settlement days:

  • benefits financed by the federal budget are paid until the 26th of each month;
  • benefits paid from the regional budget are credited to the recipient’s account according to the payment schedule approved by the regional Social Security Administration.
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