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Core Topics 7 min read

Continued Pay During Illness in Germany: Duration, Amount & Conditions (§3 EFZG)

German continued remuneration during illness explained: 6 weeks of full pay under §3 EFZG, conditions, amount, what applies after 6 weeks (sick pay), the "same illness" rule and notification duties – plus the link to mental illness.

Rainer Orthober
Geschäftsführer & Compliance-Experte

TL;DR – Key Takeaways

  • During incapacity the employer continues full pay for up to 6 weeks (42 calendar days) – legal basis §3 EFZG
  • Condition: the employment has existed for at least 4 weeks and the illness is not self-inflicted
  • After 6 weeks the health fund pays sick pay (around 70% of gross, max 90% of net)
  • Mental illness causes the longest absences – prevention via the psychological risk assessment lowers continued-pay costs

What is continued pay during illness?

Continued remuneration during illness means employees keep receiving their salary for a limited period during sickness-related incapacity, even though they do not work. The legal basis is the German Continued Remuneration Act (§3 EFZG).

Duration: the 6-week rule

For non-self-inflicted incapacity the employer continues full pay for up to six weeks (42 calendar days). Only afterwards does the statutory health fund take over with sick pay.

Conditions

  • Waiting period: the employment has existed for at least four weeks.
  • Not self-inflicted: the incapacity must not be the employee's own fault.
  • Notification & proof (§5 EFZG): illness must be reported immediately; a medical certificate is due by the fourth day at the latest (the employer may request it earlier).

Amount and what applies after 6 weeks

During the six weeks employees receive 100% of their regular pay. Afterwards the health fund pays sick pay – around 70% of gross, capped at 90% of net.

The "same illness" rule

A different illness generally creates a fresh six-week entitlement. The same illness only if the employee was free of it for at least six months, or twelve months have passed since the first incapacity began.

Mental illness and continued-pay costs

Mental illnesses cause the longest absences of all diagnosis groups – and thus the highest continued-pay and sick-pay costs. The most effective lever is prevention: the legally required psychological risk assessment under §5 ArbSchG uncovers the stressors behind long absences before they arise. Learn more →

Frequently Asked Questions

How long is pay continued during illness?

For non-self-inflicted incapacity the employer continues full pay for up to six weeks (42 calendar days) under §3 EFZG. After that the statutory health fund pays sick pay.

How much is continued pay?

During the six weeks employees receive 100% of their regular pay. Afterwards sick pay from the health fund is around 70% of gross, capped at 90% of net.

Does the 6-week period restart for a new illness?

A different, new illness generally creates a fresh entitlement. For the same illness only if the employee was not incapacitated due to it for at least six months, or twelve months have passed since the first incapacity began.

Glossary Terms in This Article