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CNSS establishes medical leave payment rules for workers with multiple jobs
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DR1.com
The National Council of Social Security (CNSS) has established a standardized method to calculate and distribute Common Illness Subsidy (medical leave) payments for employees working simultaneously for more than one employer within the Dominican Social Security System (SDSS) Contributory Regime.
The new framework is outlined in Resolution 641-04, approved on 30 July 2026, which modifies key regulatory aspects of this economic benefit.Key details of the new regulation include:Multi-job calculation base: For workers holding multiple jobs (pluriempleo), the benefit will be calculated using the average monthly salary earned over the previous six months in each active job, capped at a maximum ceiling of 10 national minimum wages.Subsidy rates: The cash benefit equals 60% of the combined six-month salary averages for outpatient care and 40% when the worker...