Re-Examination / Herkeuring (VA/AD)

The Occupational Health Physician  - Occupational Health Expert Re-examination

It could so happen that you are asking yourself whether an employee can still be considered capable to fulfill his or her duties. This could be the case when an employee has not been able to work for quite some time due to illness or when a final medical state has been reached. In such a case you can ask Medwork to re-examine your employee.

Right to receive sick-pay or accident-pay

On Aruba the national decrees allow an employee who is disabled due to illness, accident or ailment, the right to sick-pay or accident-pay. For an initial period of two years the Aruban SVb will compensate the loss of wages.

After two years however, no more claim can be made to this provision and the employer will be fully responsible for paying wages if the employee is still disabled. Only by means of a Disability Assessment can be determined what the real-earning capacity is and what the eventual loss of wages is.

How does it work? 

At first a Physician licensed in Occupational Health or Insurance Medicine will perform a medical examination on the employee to determine what the remaining capacities of this person are and whether there is evidence of permanent disability. Based upon this assessment the examiner will draft a capacity pattern suited to an employees’ medical state. This description includes the remaining function capabilities of the employee.

Go to the Capacity Assessment topic listed below for a more detailed description of this first assessment.

Second to this first assessment a registered Occupational Health Expert will determine what kind of duties (job) can still be performed by the employee. The outcome of such an evaluation will show if an employee can still be considered able to perform his or her duties, or that the employee is expected to be able to perform adjusted duties for the same employer. At the same time possibilities for outplacement (working a different job for a different employer) are taken into consideration.

Go to the Disability Assessment topic listed below for a more detailed description of the Occupational Health Expert part of this Re-examination (VA-AD).

Conclusions of both the Occupational Health Physician and the Occupational Health Experts are merged into a final report and attempts made by the employer to re-integrate the employee are included in this report.

No two-year waiting period

There is no need to wait for the usual two-year period before applying for a re-examination. You can apply for a re-examination as soon as you want, usually your Medwork company doctor will advise you to do so if an employees’ medical situation makes the start of a re-examination process justifiable.

It is good for you to know that on Aruba these VA-AD reports and re-integration efforts by the employer are taken into consideration by the Labor Department and in Court when applying for a permit for dismissal. There are several collective labor agreements that include a clause concerning this type of re-examinations.

In short:

A VA-AD examination provides you with a clear indication of an employees’ (dis)abilities and remaining capacities.


When you are in need of expert advice Insurance Medicine is directed to problems relating to permanent invalidity, long-term or permanent disability, and loss of wages. What are the consequences for your company in the event of (permanent) disability? What about the social insurance contributions? Our expert advice and guidance include re-examinations, reintegration trajectory advice, and claim assessments.

Medical Examinations

You cannot judge a book by its’ cover Getting the facts on the physical and mental health of your working force will prove to be indispensable when designing a plan of approach for creating a healthy and safe workplace. It is no secret that many diseases and illnesses will remain asymptomatic for prolonged periods of time. Once first symptoms emerge, the disaese unfortunately has often already evolved into more a more serious condition. Conditions such as; high bloodpressure, raised levels of Ch...

Personal Injury

Accidents do unfortunately happen An injury not to property, but to the body, mind, or emotions. For example, if you slip and fall on a banana peel in the grocery store, personal injury covers any actual physical harm (broken leg and bruises) you suffered in the fall as well as the humiliation of falling in public, but not the harm of shattering your watch. The Medwork approach to personal injury The Medwork team of experts consists of Occupational Health and Insurance Medicine Physicians, Occup...


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Function Ability Evaluation

Function Ability Evaluation Still able to perform? Is an employee who has been away for prolonged period of time and wants to return to work still able to perform all of his or her original duties? What to do if an employee wants to return to work after having been away for an extended period of time due to illness and you are wondering if the employee is still able to perform his or her original duties? What if an employee was involved in an accident that has left him or her with permanent phys...

Claim Assessment

Permanent impairment? Evaluation of Permanent Impairment according to the standard of the American Medical Association (AMA). Injury damage assessments, calculations invalidity percentage, compensation assessment. Calculation of damage arising from a work accident or occupational disease Every year work accidents happen in Aruba. Such accidents can result in permanent injury, and in some cases, victims die. In addition, people could die every year as a result of occupational diseases. It goes wi...

Life Insurance and Mortgage Examinations

Making sure risks are covered Examinations performed for insurance companies regarding mortgage, life insurance and/or pension applications. Insurance-related examinations It is often necessary to undergo an insurance-related examination for the purpose of closing a life insurance or disability insurance policy. In the case of insurance-related examinations the examining doctor will evaluate potential risk factors, which are then reported to the relevant insurance company. 

Certified Professionals

Licenced to Examine, Evaluate and Conclude In situations where legal and financial consequences are lurking it is important to have the right experts by your side. Experts that have been trained and licensed by acknowledged Universities and Colleges and that are registered with reputable organizations. Medwork physicians are registered with the Dutch register for Individual Healthcare Professionals (Beroepen in de Individuele Gezondheidszorg) known as B.I.G. Our physicians are licensed in Occupa...

Capacity Assessment

Capacity Assessment Determining the permanent limitations First step in a re-examination process is the determination of remaining capacities or permanent disability by a licensed Physician in Occupational Health or Insurance Medicine. Getting the advice from an expert It is important to realize that these kind of evaluations can only be performed by a licensed Physician in Occupational Health or Insurance Medicine. How does it work? In preparation for the actual re-examination all necessary dat...