Dominican Republic CNSS adopts new formula for multi-employer medical leave

The National Council of Social Security (CNSS) in the Dominican Republic approved a new mechanism for calculating the Common Illness Subsidy for workers who hold multiple jobs. The change, enacted through Resolution 641‑04 on 30 July 2026, sets the subsidy amount based on the average salary earned in each employment over the previous six months, with a ceiling of ten national minimum wages. The benefit equals 60 % of that average for outpatient treatment and 40 % for hospitalization, and the resulting payment is divided proportionally among the employers according to the worker’s last salary at each firm.

Payments begin on the fourth day of incapacity and may continue for up to 26 weeks (182 days). Employers must submit the claim through the Superintendence of Health and Labor Risks (Sisalril) platform, and the worker must provide a medical certificate confirming that the condition prevents performance of duties in each job. The resolution aims to standardize the calculation for pluri‑employment cases and ensure equitable distribution of the subsidy among multiple employers.