What kind of cover do I have?
My occupational capacity has been reduced. What should I do?
If your occupational capacity is reduced to a degree qualifying for cover, you may receive a monthly payout depending on the pension plan you have.
At the earliest, the payouts will start 3 months after you reported sick. For some pension plans, the payouts start after 6 or 12 months.
Your payout options depend on your pension plan. Log in to My PFA and see what applies to you.
You can also submit your claim and read more about the claims process online.
How do I change my occupational capacity insurance?
If you want to change your occupational capacity insurance, please call us at (+45) 70 12 50 00.
How is my occupational capacity insurance paid out?
PFA Occupational capacity provides a monthly payout, which is made on the first day of the month. The amount is paid out before tax and is subject to individual income tax.
The payout from the insurance cover may affect/be affected by the size of public benefits.
How long can I receive payout?
Payout in the event of reduced occupational capacity will continue for as long as the conditions are met. Based on the information received, we will assess your occupational capacity.
We will award payout for the period during which there is documentation that your occupational capacity is reduced.
How can I have my disability lump sum paid out?
Some pension plans include a disability lump sum (a lump sum in the event of a permanent reduction in the occupational capacity).
If your occupational capacity has been reduced by a minimum of two thirds for more than one year and the condition is permanent, you can have your disability lump sum paid out. The amount depends on your type of pension plan. There may also be a requirement for loss of income.
You can check whether you have a disability lump sum on My PFA.
You can also submit your claim and read more about the claims process here
How long is the processing time?
The processing time is approximately 6-8 weeks from the date we have received all the necessary information.
When will I receive the first payout?
The payout is expected to be available on your NemKonto approximately two weeks after your case has been settled.
My occupational capacity insurance payouts are stopping. What should I do now?
We have assessed that your occupational capacity is reduced, and you have received payout from your occupational capacity insurance throughout a period. If your occupational capacity is still reduced to a degree qualifying for cover, you can apply to have your payout resumed.
You can apply to have your occupational capacity insurance payout resumed by logging in to My PFA and selecting “Write a new message”.
If your occupational capacity is no longer reduced and you are no longer entitled to payout from the insurance, payments must be made to the plan in order to maintain the insurance cover.
I am still ill and want to apply to have my payout resumed
We have assessed that your occupational capacity is reduced, and you have received payout from your occupational capacity insurance throughout a period.
If, after the expiry of the awarded period, your occupational capacity is still reduced by at least half or two thirds, you can apply to have your payout resumed.
You can apply to have your occupational capacity insurance payout resumed by logging in to My PFA and clicking “Write a new message”.
How will the payout be calculated?
Payout from occupational capacity insurance varies depending on the insurance cover you have. Your insurance may provide cover in the form of a fixed agreed amount, or it may top up your previous salary (up to the agreed maximum cover).
The payout from the insurance may affect/be affected by the size of public benefits.
If you have any questions regarding the specific calculation, please contact us at (+45) 70 12 50 00 or write to us via My PFA.
Will my own pension contribution be deducted from the payout?
The rules for payout from occupational capacity insurance vary depending on the insurance cover you have. The payout from the insurance may affect/be affected by the size of public benefits.
If you have any questions regarding the specific calculation, please contact us at (+45) 70 12 50 00 or write to us via My PFA.
Will public benefits be offset against the payout?
Payout from occupational capacity insurance varies depending on the insurance cover you have. Your insurance may provide cover in the form of a fixed agreed amount, or it may top up your previous salary (up to the agreed maximum cover). The payout from the insurance may affect/be affected by the size of public benefits.
If you have any questions regarding the specific calculation, please contact us at (+45) 70 12 50 00 or write to us via My PFA.
What should I do if I disagree with the decision?
If you are dissatisfied with or disagree with a decision, we ask you first to contact the employee who made the decision in your case and explain what you disagree with. We will then review your case.
If Iyou wish to complain about our decision, the case can be submitted to our complaints officer. In that connection, please submit your points of complaint via My PFA .
Finally, you can file a complaint with the Danish Insurance Complaints Board. If you wish to file a complaint with the Danish Insurance Complaints Board, you can do so via their website www.ankeforsikring.dk. There is a small fee for filing a complaint.
I have suffered a work-related injury. Can I get help making a claim to PFA?
If you have suffered a work-related injury, you should contact your employer or health and safety representative and ask for the injury to be reported.
If the work-related injury has resulted in a long-term reduction of your ability to work, you may also be entitled to benefits in the event of reduced occupational capacity. This requires that you have PFA Occupational Insurance, which provides financial cover if you become seriously ill and are unable to work.
See how you are covered in your pension certificate and terms and conditions, which you can find on My PFA