Mathias SudresINSURANCE & PENSION ADVISER
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A replacement keeps your business open: what does that mean for sickness benefits?

Work out lost personal earnings and the cost of cover for your work separately.

Published 2026-11-13

Mathias Sudres · Practical guide

Two people wrap a bouquet in a florist’s workshop

Keeping sales going does not settle the cost

If you work for yourself, hiring cover can keep orders moving while you are off sick. Your business can still invoice customers while you are unable to work. The Federal Office of Public Health describes daily allowances as protection against temporary loss associated with incapacity. Your contract tells you how that loss is measured and what it covers. Ask whether the insurer looks at your personal earnings, business profit or an amount written into the policy. The cost of hiring someone is not automatically a benefit you can claim.

Example: a month at a florist’s workshop

Assume CHF 8,000 in sales, CHF 3,000 in supplies and CHF 1,200 in fixed costs, with no other costs for this example. Before illness, that leaves CHF 3,800. With the same sales and costs and a CHF 2,700 replacement bill, it leaves CHF 1,100. With no replacement, assume no sales or supply purchases but the same fixed costs. The result would be a CHF 1,200 loss for the month. These numbers compare three business budgets; they do not calculate an insurance payment.

Ask which periods and evidence count

Ask whether work done by someone else changes how the insurer measures loss under your contract and whether the replacement’s costs enter that calculation. Confirm the reference period and evidence needed: the replacement’s invoices, the business accounts, earlier earnings and evidence of incapacity. If you start doing some of the work yourself, report the change as required by the policy. Work done by someone you hire and your own return to work are two separate facts.

Model the dates before placing an order

Suppose the replacement asks for half of CHF 2,700 upfront. You need CHF 1,350 even if the insurer’s waiting period has not ended. The rest comes due on the agreed date, which may precede any insurance payment. Distinguish the period for which you have booked help, the duration of benefits and what happens if you need to extend either. Budget for no allowance being paid in that first month.

Check policies held in the business name too

Look for any specific cover for overheads or the cost of a replacement. Confirm what triggers it, who receives the money and what limits apply. Insurance against property damage or business interruption after a fire does not by itself establish cover for the owner’s illness. Work through these questions in advance so you know what the business can afford to commit to staying open.

Sources & further reading

OFSP / FOPH — Indemnités journalières LAMal et LCA

AXA — Exemple de conditions, calcul des prestations

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