Table of Contents

Set up KLE for accidents and sickness

Before you can report accident and sickness cases electronically, you must complete the Swissdec connection, benefit contracts, and employee coverage assignments. The KLE pages are part of the SwissSalary Plus application area. SwissSalary requires an electronically configured contract and suitable coverages to create and transfer insurance cases for a case.

Prerequisites

  • SwissSalary Plus or the KLE application area is available.
  • The Swissdec certificate and company information are available.
  • You can assign benefit types and employee coverages.

Check the Swissdec and KLE setup

  1. Open Swissdec Setup.
  2. In the KLE Setup section, check:
Field Description
Version Specifies the KLE protocol version in use.
Certificate Test for testing or Live for production case declarations.
Protection Level Specifies the security level for signing and encryption.
URL Distributor Specifies the Swissdec distributor endpoint.
No. Series KLE Specifies the number series for KLE case references.
Auto Sync Activated Creates or activates a job queue for automatic synchronization. The default interval is 720 minutes.
Settlement Posting Management Rapport Journal requires you to transfer daily allowances to the journal. Manual marks received settlements as complete without a journal transfer.
  1. Also check No. Series Swissdec, because KLE transfers use a Swissdec request ID.
  2. If needed, choose Restore Default Values to reset the certified KLE default values.
  3. Choose Check Connectivity (Ping).
  4. Choose Check Interoperability.
  5. Choose Test sync. with all KLE Insurances to send an empty synchronization request to all electronically configured contracts.
Warnung

Use the Live certificate only for production declarations. In a live environment, SwissSalary prevents the transfer of an incident or relapse date in the future.

Set up insurance contracts for KLE

  1. Open Benefit Contracts.
  2. Open the contract for UVG, UVGZ, or KTG.
  3. Check:
    • No. of the insurance contract
    • Provider No.
    • Description
    • Customer No.
    • Incident Declaration Method
  4. Set Incident Declaration Method to Electronic if you want to use the contract in KLE.
  5. Check the valid contract lines and assigned benefits.

When you create a case, SwissSalary searches for the contract that is valid on the incident or relapse date. Contracts without an incident declaration method don't create a KLE insurance case.

Assign benefits and coverages

For accident cases, SwissSalary evaluates benefits in the UVG and UVGZ domains. For sickness cases, it uses KTG, or daily sickness benefits, coverage.

  1. In the benefits, check the declaration setup and insurance category code.
  2. On the Employee Card, open the employee's Insurance and Benefit Coverages.
  3. For the employee, check:
    • Social Security Insurance
    • Coverage
    • the primary assignment for UVG
    • the assignment's validity period.
Wichtig

If SwissSalary can't create a matching insurance case when you create or transfer a case, a message asks you to check the insurance and benefit coverages. For sickness cases, the transfer stops if no KTG coverage is found. The same applies to UVGZ for supplementary accident coverage.

Check availability

On an Employee Card, open KLE Case Management. Whether you can create and transfer a case also depends on electronically configured contracts and the employee's coverages.

Before going live, create a test case with Test Case selected and check the insurance cases created for UVG, UVGZ, or KTG.

Set up automatic synchronization

  1. Turn on Auto Sync Activated in Swissdec Setup.
  2. Choose Auto-Sync Settings.
  3. Check the job queue and its schedule.

Automatic processing includes reported cases that aren't marked as test cases. It synchronizes cases with complete stories that haven't been transferred and cases whose last synchronization occurred more than one week ago.

If the feature is available and enabled in your environment, employees can optionally pre-enter a case in SwissSalary Direct. Check the product- and version-dependent prerequisites and two-factor authentication in Direct. You still set up insurance and transfers in SwissSalary.

Good to know

  • With the Live certificate in the production environment, you can't transfer cases with a date in the future.
  • To create a KLE event for an employee, the Incident Declaration Method of the related insurance contract must be set to Electronic, and insurance coverage must exist in the employee's Insurance and Benefit Coverages.
  • Set up automatic synchronization. If needed, turn on KLE synchronization (KLE Sync Enabled) in SwissSalary Direct Setup.

See also