Introduction:

Someone whose capacity to earn a living or function in the home has been reduced due to disability may submit a General Disability Pension claim
How do you fill out a disability pension claim form? Click here to view an instructional video from the National Insurance Institute
A new service from the National Insurance Institute allows filing of the claim through telephone operator *3928

This page provides information about submitting a General Disability Pension claim.

  • The process of receiving disability is not a simple one, but is also not overly complicated. See the below diagram as well as the detailed steps outlining how to go about the process.
Tip
Before eligibility for the disability benefit is established and until it is received a person can check if he/she is eligible for income support
Tip
There are several ways to receive professional assistance during the process of making a disability claim.

The National Insurance Institute runs Yad Mechuvenet that provides free guidance and assistance for those who are preparing to appear in front of the medical committee.

For more information on other ways to receive assistance see Free Aid for Filing Disability Claims with the National Insurance Institute.

Target Audience and Prerequisites

  • National Insurance policyholders who are Israeli residents and have a physical, mental, or psychological impairment (from birth or as the result of an accident) that impairs their ability to earn a living (or to function in the home in the case of a homemaker).
  • One can submit a general disability pension claim from the age of 18 until 12 months after retirement age.
    • Young adults between age 16-18 can submit a claim if they were "minor employees" at the time that their impairment to earn occurred.

Necessary Preparations

  • For those who suffer from several diseases or handicaps, it is advisable to prepare the relevant documents for all of these, as this may increase the percentage of disability which will be determined for the claim.
  • The necessary documents needed for each type of disease can be found on the disease specific lists.
Example
  • If a person submits the application for a specific disease, such as heart disease, it is recommended to examine thoroughly whether he/she is suffering from another illness /disability that will give him/her additional medical disability percentages.
  • In the above example, let's say that in addition to heart disease, the person also suffers from diabetes and subsequently submitted to the committee the documents required regarding the diabetes.
  • Suppose the Medical Board determines :
    • 40% disability with respect to the heart disease
    • 20% disability with respect to the diabetes
  • According to these figures, a weighted medical disability of 52% will be determined.
  • For an explanation of the calculation method and additional information, see weighted medical disability as determined by the National Insurance Institute for multiple diseases

Submitting the Claim

  • A Disability Pension Claim Form must be filled out with the following documents attached to the form:
    • All relevant medical documentation including proof of treatment, you can find details of the required documents depending on the type of disability, on the specific disability pages.
    • Documentation regarding work and salary from the applicant's employer, for an applicant who is employed
    • Documentation from school if the applicant learns in a special education school
    • Any additional document which can assist in proving eligibility for the benefit.
    • Details of the bank account to which the benefit will be transferred
  • Ways in which the claim can be submitted:
    • The claim form with all attached documentation may be submitted in person to the National Insurance Institute branch closest to their home, as well as by mail, fax or branch of service box.
    • Alternatively, you can submit your claim online, using the National Form online service. To do so, scan the documents mentioned above, and attach them to the online form
    • Additionally the National Insurance Institute allows filing of the claim througha telephone service *3928. Operators will fill out the claim and instruct the submitter what to do next.
  • Those who are self-employed must submit a declaration to the National Insurance Institute's Insurance and Collections Department indicating the changes to work and income caused by the disability, and attach the most recent income tax assessments they have.
  • See detailed information here.
Tip
Until the pension claim is submitted a claim to ensure income may be submitted in accordance with eligibility.

Expedited Process for Those with Severe Disabilities

Information for Cancer Patients

Medical Form

  • In cooperation with the National Insurance Institute, The Israel Cancer Association has produced a special National Insurance request form. This form is filled out by the treating physician (oncologist/hematologist) and is then attached to the rest of the forms submitted with the claim.

Exemption from Appearing Before the Medical Committee

Information for the Blind and Vision Impaired

  • According to the National Insurance Institute's circular, as of 16.02.2015, the blind and visually impaired are not required to undergo vision tests both through the NII and through the Service for the Blind. Rather, one of the following tests will suffice:
  • Anyone who has first reached out to the National Insurance Institute will be examined by the NII. If it is determined that the person has a 90% or higher vision deficiency, the tests will be transferred to the Service for the Blind, who will act accordingly.
  • One who refers to the Service for the Blind for an examination, can request the doctor's recommendation be transferred to the National Insurance Institute.The doctor will state his/her opinion on the degree of incapacity (general disability) of the patient. The NII will decide how to proceed, without the need for additional summons to the committee.
  • In order to facilitate the transfer of medical information between the entities, the patient has to sign that he agrees to such.

Continuing the Process

What Now? For More Information Notes
After the claim is submitted you will be sent an invitation to meet with the medical committee
  • It is important to attend on the day you have been invited for or to notify otherwise
  • In certain situations the documents submitted with the claim may be sufficient to establish the percentage of disability and it will be not be necessary to meet with the medical committee.
Establishment of general disability by the medical committee
  • In the following situation the case will be passed onto the claims clerk to establish the level of disability:
    • if the medical committee established a medical disability of at least 60%
    • if the medical committee established a medical disability of at least 40% and one of the deficiencies measures at least 25%
    • in the case of a homemaker - if the medical committee established a medical disability of at least 50%
  • There are rights granted with respect to the percentage of medical disability, independent of the degree of incapacity and eligibility for disability pension.
  • In cases where temporary disability is established, towards the end of the established period of disability, updated medical information will be requested and the person will be invited to appear before a medical committee again.
The clerk's decision and establishing the degree of incapacity
  • the clerk will check your income in relation to the percentage of disability that was established
  • Based on the recommendations of the doctor and rehabilitation officer, the clerk will determine how much your disability impacts your ability to work and earn a salary (for a homemaker- the ability to function in your household).

In situations that require the opinion of a rehabilitation officer, you may be called to an interview with one.


Receiving the Decision
  • Upon finishing all of the examinations, you will be sent in the mail notification of the decision of your appeal with the attached report of the medical committee.
  • Please note that even if you were not found eligible for general medical disability, you might still be eligible for disability rights independent of established general disability.
  • Important Reminder:
    • Your eligibility for the allowance is a result of the established percentage of medical disability determined by a medical committee as well as the level of incapacity to function established by a claims assessor.
    • Both of these decisions can be appealed as outlined below.
Payment of the Allowance for those Eligible
  • For those who were determined eligible for the allowance, payment for the disability allowance will be 90 days from the date in which the level of disability was determined.
  • Whoever is eligible for Sick Pay, will begin to receive the allowance upon finishing the period in which he/she receives the sick pay.
  • Payment will be deposited in the eligible person's or guardian's (if eligible) bank account on the 28 of the month.
  • Eligibility for retroactive payment of the allowance will be for a maximum of 12 months before submission of the claim.
*One who has an established degree of incapacity of 100% for at least 6 months is entitled to payment of the allowance from the 31st day that the incapacity is established.
  • The allowance for the 31st day and onward will be paid after 91 days from the day the incapacity was established.
  • Those entitled to a dependents' supplement for a child and/or spouse will not be paid the supplement for days 31-90. The supplement will be paid starting from day 91.
  • Those also entitled during this period to a Special Services benefit will receive whichever benefit amount is the higher of the two.
If you are not satisfied with the decision of the medical committee, you can appeal the decision within 60 days. appealing a medical decision regarding medical disability
  • According to the National Insurance Institute Law, in cases in which the medical committee determined disability of less than 80%, one may appeal the decision.
  • Despite this, the courts have ruled that one may appeal the medical committee's decision, even in cases in which a higher degree of disability was established.
  • If possible it is preferred to submit the appeal by the date established in the law (60 days), but the National Insurance Institute will not turn down claims that are submitted within 90 days.
If you are not satisfied with the decision of the appeals committee, you may submit an appeal (for legal questions only) within 60 days. One may request free legal assistance from the Justice Department's branch for free legal assistance.
If you are not satisfied with the level of incapacity determined, in certain cases you can appeal within 90 days the decision of the claims clerk. Appealing the decision determining incapacity to function
  • One can submit an appeal for two types of decisions regarding incapacity to function:
    1. the decision that you did not lose the ability to work, or work less than 50%.
    2. the decision that the inability to function is not more than 74%.
  • In a situation in which the committee is deciding to reduce the level of incapacity, one may cancel the appeal submission and retain the current level of incapacity determined by a claims clerk.
If you are not satisfied with the decision of the appeals committee, you may submit an appeal (for legal questions only) within 60 days. One may request free legal assistance from the Justice Department's branch for free legal assistance.
If you would like to appeal the decision of the claims clerk, independent of the level of incapacity determined, (for matters such as periods of employment, your age, your level of education, income, etc.).
  • Alternatively, if you are not satisfied with the decision of the appeals committee, you can submit an appeal to the regional labor courtss within 12 months from the day in which you received the decision from the claims officer regarding your allowance.
One may submit another claim, without a waiting period, after 6 months have passed or if the medical condition has worsened. Reexamination of Disability Pension Eligibility


Aid Organizations

For a list of aid organization for people with disabilities, see here.

Laws and Regulations

Credits

  • The original information on this page was written with the assistance of the National Insurance Institute's Medical Committee branch.
  • Original translation performed by The Shira Pransky Project as part of a grant from The Fellowship Fund.