Accident compensation
Individuals who have a compensable accident may be entitled to accident compensation from Iceland Health.
Accident compensation is paid to those who meet the following:
An individual is in an unexpected accident.
An individual is insured against accidents.
The accident is liable for compensation according to the Social Security Accident Insurance Act.
The accident is reported in a timely manner.
Accident compensation can be:
For out-of-pocket costs for medical care.
Accident benefits due to incapacity for work.
Lump sum payment of disability or disability compensation for permanent personal injury
Death benefits due to fatal accident
Compensation other than compensation for permanent personal injury is paid two years back in time from the time all documents were received by Iceland Health.
Accident per diem payments are also paid if the accident resulted in the individual becoming unable to work.
If the employer pays wages during an accident, the payment goes to the employer.
If the employer does not pay wages during an accident's absence, the person who was injured will receive the accident per diem payment
Get the necessary data
Injury certificate
The certificate must be from the doctor or healthcare professional who was first consulted after the accident. It must include information about:
First arrivals due to the accident.
Period of inability to work.
Follow-up treatment.
If you went to Landspítali University Hospital, you can submit an emergency room register instead of an injury certificate (you can download from the Landspítali website).
Another
In the event of fatal accidents, a police report must be submitted, if available.
Due to maritime accidents, payslips must be submitted for the processing of accident pay to the fishing company in connection with the income guarantee of seafarers.
2. Report accidents
The employer or the injured person must report the accident to Iceland Health. The other person receives an email on the Ísland.is that the accident was reported, logs in with electronic ID and approves the accident as described or makes comments.
An individual has 1 year to report the accident, but Iceland Health may give a longer period in certain circumstances (see: Am I entitled to accident compensation?).
If the injured person is self-employed or if the accident occurred while doing housework, the injured person must report the accident.
In the case of a fatal accident, the employer or the family member of the deceased can report the accident.
3. Iceland Health review
Iceland Health reviews the application and its necessary supporting documents (see application processing times).
If Iceland Health needs more detailed documentation, they will contact you and ask for what is missing. This may delay the processing of the application.
If the requested documents are not received within the stipulated time, the case will be postponed, and the applicant will be notified thereof.
An application is made for reimbursement of medical expenses when an accident is reported. Invoices for the medical expenses must be submitted.
It does not require original invoices.
If the payment method does not appear on the invoice, a payment confirmation is also required.
Data can be sent electronically.
It is possible to apply for reimbursement of medical care due to an accident for up to five years from the date of the accident.
Costs that were paid by a trade union, insurance company or other parties are not reimbursed.
When an individual signs an application with Iceland Health, he/she confirms that all information is correct.
All information is treated as confidential.
Measures are taken to ensure the security of all data, and it is transmitted through secure web portals.
Case documents are stored in the secure operating environment of Iceland Health.
Further information on the processing of personal data by Iceland Health and data protection can be found in Iceland Health's privacy terms.
Iceland Health receives information from the following institutions:
Directorate of Labour: Information on periods of unemployment benefits and payments from the Maternity/Paternity Leave Fund.
The tax:
Information on wage payments/imputed remuneration.
Name and ID number of the employer.
Information on whether home insurance is valid.
Social Insurance Administration:
Information on disability or rehabilitation assessment (status).
Information on payments that may not be paid at the same time as accident insurance benefits (status).
Registers Iceland:
Information about name, ID number, and address.
Information about children and spouses.
In rare cases, it may be necessary to obtain information from the employer, sports clubs, or educational institutions about the accident if it is not available from the person who was injured.
Who will receive information about the application?
Iceland Health will share information about the outcome of the case with the employer, sports club, or educational institution.
It is only disputed whether the application has been approved, denied, or postponed.
The reason is that the parties in question may be entitled to reimbursement of paid expenses and/or accident per diem payments if wages have been paid during sick leave due to the accident.
These parties never receive health or medical record information.
The Administration of Occupational Safety and Health and the Icelandic Transport Accident Investigation Board can obtain a copy of the application if they request a copy.
Tryggingastofnun receives information about benefit payments that are not paid at the same time as benefits from them.
If the employer notifies Iceland Health of the accident, it is possible to ask for information about which employee reported the accident.
Right to accident compensation
Accident compensation payments
Right to accident compensation
Accident compensation payments
If you cannot find the information you need, you can send an inquiry to Iceland Health
