# Do Stronger Employer Responsibilities Enhance Work Accommodation for Sick‐Listed Workers? Evidence From a Dutch Reform

**Authors:** Laura Jansen, Viola Angelini, Max Groneck, Raun van Ooijen

PMC · DOI: 10.1002/hec.70038 · Health Economics · 2025-09-15

## TL;DR

This study examines how a Dutch reform affecting employer responsibilities influenced workplace accommodations for sick workers, finding limited impact on accommodations but increased self-arrangement for non-permanent workers.

## Contribution

The study provides novel evidence on the effects of a Dutch reform that shifted sick leave costs to employers, focusing on workplace accommodation and self-arrangement trends.

## Key findings

- Experience rating had no significant impact on workplace accommodation efforts for sick-listed workers.
- The reform led more firms to self-arrange benefits and reintegration for non-permanent workers.

## Abstract

This paper studies the impact of stronger employer responsibilities for facilitating work resumption of sick or disabled workers on employers' workplace accommodation efforts during sick leave. We exploit a reform in the Netherlands that altered experience rating—that is, shifting the costs of sick leave and disability insurance to the firm—both for permanent and non‐permanent employees. Using unique Dutch survey data on workplace accommodation of long‐term sick‐listed workers, we show that experience rating has no significant impact on accommodation efforts. Moreover, we provide evidence that the reform led to more firms opting for self‐arranging both the sick leave benefits and the reintegration process of sick non‐permanent workers, instead of using the public insurance scheme.

## Full-text entities

- **Diseases:** injury (MESH:D014947), musculoskeletal issues (MESH:D009140), sick (MESH:D008881), DI (MESH:D009069)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

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## References

55 references — full list in the complete paper: https://tomesphere.com/paper/PMC12579522/full.md

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Source: https://tomesphere.com/paper/PMC12579522