Employment law

Sick leave

10 September 2026

Two regimes, two payers: everything depends on whether the condition is occupational.

Absence for illness suspends the employment contract. That is the starting point, and it holds in every case. But what follows differs radically according to a single question: is the condition occupational in origin?

The answer determines the payer, the amount, the length of protection and the payroll treatment. Confusing the two regimes is the costliest error in absence management. Labour Code, Article L.34 (French).

1. The dividing line

Occupational illness or accidentNon-occupational illness or accident
OriginBy reason of or on the occasion of workUnconnected with work
Who paysThe INPS, under the Social Security CodeThe employer, on a scale
Length of suspensionThe whole period of incapacitySix months maximum
Triggering formalityReport to the INPS within 48 hoursMedical justification beyond three working days
Detailed articleOccupational illness or accidentNon-occupational illness

2. The occupational regime

Where the condition is occupational in origin, the INPS provides cover throughout the suspension: medical costs, hospitalisation, appliances, transport, and daily allowances replacing income.

The employer is not the payer, but it triggers the mechanism. It must report within 48 hours every workplace accident and every occupational disease established. Where the event occurs outside Mali, the deadline runs from receipt of the information.

It must also, in case of an occupational accident or disease, provide first aid, alert the available doctor and have the employee taken to the nearest health centre. Social Security Code, Articles 71 and 72 (French).

3. The non-occupational regime

Here the employer is the payer, within a limit of six months of suspension. Compensation follows a scale linked to seniority and to the notice period applicable to the occupational category:

SeniorityCompensation
First year of serviceCompensation equal to remuneration, for a period matching the notice period : one, two or three months by category
Beyond the first yearThe first-year compensation, increased by half of one month's remuneration during the notice period

Two observations. The notice period applicable to the occupational category is therefore a parameter of the calculation: it must be known before compensating. And the collective agreement may be more favourable, this is frequent, and it prevails over the scale above.

4. The employee's obligations

They condition entitlement to the regime, and are best set out in the internal rules:

  • Inform the employer immediately of the absence, save established force majeure.
  • Produce medical justification beyond three working days of absence.
  • Submit to the medical check the employer is entitled to request to verify their state of health.

That check is an employer's right, but it is exercised with restraint: its purpose is to verify the reality of the incapacity, not to influence the medical decision.

5. Effects on other rights

Whatever the regime, suspension protects the essentials:

  • the post is kept and the contractual bond remains;
  • accrued seniority is not lost;
  • the period counts towards annual leave: medically justified sick leave, up to six months, like absences for workplace accidents, is treated as effective work. Labour Code, Article L.149 (French).

On termination, one precaution: sick leave is not in itself a ground for dismissal, and absence following a workplace accident enjoys reinforced protection during the incapacity.

6. What to check before handling a sickness absence

CheckWhy
The origin of the conditionIt determines the payer and the length of protection
The exact start date and expected lengthIt triggers the six-month count, where applicable
The occupational category and its notice periodThey are parameters of the compensation scale
What the collective agreement providesIt may be more favourable than the statutory scale
The INPS report if the origin is occupational48 hours, from the events

Key takeaways

The ruleWhat it implies
Illness suspends the contractThe post is kept, seniority remains
Occupational origin: the INPS compensatesThroughout the incapacity
Non-occupational origin: the employer compensatesWithin a six-month limit
The scale is tied to the category's notice periodOne, two or three months, increased after the first year
Medical justification beyond three working daysAnd immediate notification of the employer
The period counts towards annual leaveUp to six months for illness