5 Types of Employee Insurance in Germany [2026 Guide]

Employers need to pay employees’ insurance contributions in Germany. However, the different types of insurance, what they are, who pays what percentage, what each insurance covers, and the related insurance obligations can confuse and stress foreign employers.

There is a lot more to do and consider than just paying a fixed amount for insurance. When employers aren’t fully aware of the ins and outs, they can face legal issues. These could include penalties, restrictions, and more.

That’s why, in this guide, I discuss all the types of insurance you need to pay in Germany, how much to pay, and other important nuances. Let’s get started…

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Stephan Dorn

Author

5 Types of Employee Insurance Employers Must Pay in Germany
5 Types of Employee Insurance Employers Must Pay in Germany

5 Types of Employee Insurance in Germany [2026 Guide]

Employers need to pay employees’ insurance contributions in Germany. However, the different types of insurance, what they are, who pays what percentage, what each insurance covers, and the related insurance obligations can confuse and stress foreign employers.

There is a lot more to do and consider than just paying a fixed amount for insurance. When employers aren’t fully aware of the ins and outs, they can face legal issues. These could include penalties, restrictions, and more.

That’s why, in this guide, I discuss all the types of insurance you need to pay in Germany, how much to pay, and other important nuances. Let’s get started…

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Stephan Dorn

Author

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Health Insurance (Gesundheitsversicherung)

Health Insurance Gesundheitsversicherung

What Is Health Insurance in Germany?

Statutory health insurance (Gesetzliche Krankenversicherung – GKV) is a mandatory component of Germany’s social security system. It provides employees with comprehensive access to healthcare services, including medical treatment, hospital care, prescription medication, and preventive healthcare. 

Who Pays for Health Insurance Contributions?

Employers and employees share the cost of statutory health insurance contributions equally through payroll. 

Employer Contribution Rate

 

Component

Rate

Base health insurance

7.3% of gross salary

Additional contribution

50% of the applicable health insurance fund’s additional contribution rate

Total employer contribution

~8.65% of gross salary

 

The base rate of 7.3% is fixed nationwide. The additional contribution varies by health insurance fund and averages 2.9% in 2026 (so employers pay half: approximately 1.45%).

Important: Contributions apply only to salaries up to the contribution assessment ceiling of €69,750 annually (€5,812.50 monthly) in 2026.

Employee Contribution Rate

 

Component

Rate

Base health insurance

7.3% of gross salary

Additional contribution

50% of the applicable health insurance fund’s additional contribution rate 

Total base employee contribution

~8.65% of gross salary



What Does Health Insurance Cover?

Statutory health insurance in Germany provides comprehensive healthcare coverage. Health insurance covers the following:

  • Medical treatments: Doctor visits, specialist consultations, and hospital care
  • Prescription medications: Most drugs prescribed by physicians
  • Preventive care: Vaccinations, screenings, and health check-ups
  • Dental care: Basic treatments (crowns, fillings; cosmetic work excluded)
  • Surgical procedures: Including emergency and elective surgeries
  • Maternity care: Full pregnancy, delivery, and postnatal support
  • Mental health: Psychotherapy and psychiatric treatment
  • Rehabilitation: Medical rehab and sick leave support
  • Family coverage: Non-working spouses and children covered at no extra cost

Employer Obligations for Health Insurance

  1. Register new employees with a statutory health insurance fund within days of hiring.
  2. Submit required registration forms and employee details.
  3. Collect each employee’s health fund name and membership number.
  4. Calculate contributions based on gross salary (up to the €69,750 ceiling).
  5. Report and pay full contributions (employer + employee shares) through the health fund.
  6. Keep records proving each employee is insured
  7. Provide documentation for compliance audits and work permit verifications.
  8. Enroll foreign employees unless they have recognized equivalent coverage from their home country.
  9. Coordinate insurance enrollment with visa sponsorship processes.

Pension Insurance (Rentenversicherung)

Pension Insurance Rentenversicherung

What Is Pension Insurance?

Pension insurance is a mandatory social security program in Germany. It provides employees with income security in retirement and financial protection in cases of reduced earning capacity or death. 

Who Pays Pension Insurance Contributions?

Employers and employees jointly contribute to this insurance. The employer pays exactly 50% of the total pension insurance contribution, just as with health insurance.

Employer Contribution Rate

 

Component

Rate

Pension insurance

9.3% of gross salary

Total employer contribution

9.3% of gross salary

 

Important: Contributions apply only to salary up to the contribution assessment ceiling of €101,400 annually (€8,450 monthly) in 2026.

Employee Contribution Rate

 

Component

Rate

Pension insurance

9.3% of gross salary

Total employee contribution

9.3% of gross salary

 

Benefits Provided by Pension Insurance

 

Benefit Type

Description

Standard Retirement Pension

Monthly pension payments after reaching the statutory retirement age. For employees born in 1964 or later, the standard retirement age is currently 67. Employees with at least 45 years of qualifying contribution periods may be eligible for retirement without deductions under specific conditions. 

Early Retirement Pension

Reduced pension payments may be available before the standard retirement age, depending on the employee’s age, contribution history, and applicable legal requirements. Pension reductions generally apply for early retirement. 

Disability Pension

Monthly financial support for employees who are unable to work fully or partially due to health-related limitations (reduced earning capacity pension– Erwerbsminderungsrente),subject to eligibility requirements. 

Survivors’ Pension

Financial support for surviving spouses and children of deceased insured persons. Benefits include widows’ and widowers’ pensions as well as orphan pensions, depending on eligibility criteria. 

Rehabilitation Benefits

Support measures designed to restore or maintain an employee’s ability to work, including medical rehabilitation and vocational reintegration programs. 

Vocational Training Support

Financial assistance and support for retraining or professional development measures when employees can no longer continue their previous occupation due to health reasons or other qualifying circumstances. 

 

How Benefits Are Calculated

Pension benefits use a point-based system:. Each year of employment earns pension points based on the employee’s annual salary compared with the average income of all pension-insured workers in Germany. 

 

  • 1.0 point = salary equal to average national income
  • Higher salaries = more points (capped at ceiling)
  • Lower salaries = fewer points
  • Total points × current pension value (€42.52 nationwide, effective July 1, 2026, up from €40.79 previously) = monthly pension amount

 

An employee with 45 years of average earnings (45 points) would receive approximately €1,913/month in standard retirement pension (45 × €42.52).

Employer Responsibilities for Pension Contributions

  1. Register new employees for social security with the competent health insurance fund (Einzugsstelle) after hiring. 
  2. Submit required employee details such as salary, employment start date, and social security information. 
  3. Obtain employee’s pension insurance number 
  4. Verify the employee’s social security information if required. 
  5. Calculate 9.3% employer share + 9.3% employee share = 18.6% total
  6. Report full contributions through the health insurance fund 
  7. Pay the contributions by the statutory due date, generally the third-last banking day of the month. 
  8. Keep payroll and social security records for the legally required retention periods 
  9. Maintain documentation for compliance audits and expatriate visa verifications

Unemployment Insurance (Arbeitslosenversicherung)

Unemployment Insurance Arbeitslosenversicherung

What Is Unemployment Insurance?

Unemployment insurance is a mandatory social security program in Germany, just like pension insurance and health insurance. It provides financial support and job placement assistance to employees who lose their jobs.

Who Pays Unemployment Insurance Contributions?

Both employers and employees share the cost of unemployment insurance (Arbeitslosenversicherung). The employer pays the same amount as the employee. Below are the details:

Employer Contribution Rate

 

Component

Rate

Unemployment insurance

1.3% of gross salary

Total employer contribution

1.3% of gross salary

 

Important: Contributions apply only up to the annual contribution assessment ceiling for unemployment insurance, which is linked to the pension insurance contribution ceiling. 

Employee Contribution Rate

 

Component

Rate

Unemployment insurance

1.3% of gross salary

Total employee contribution

1.3% of gross salary

 

Benefits Covered Under Unemployment Insurance

 

Benefit Type

Description

Eligibility

Unemployment

Benefit I (Arbeitslosengeld I)

60% (67% for recipients with children) of the calculated net income.)For up to 12 months; longer periods are possible for older employees with longer insurance periods (up to 24 months). 

Work 12+ months in last 30 months; registered as jobseeker

Citizen’s Allowance (Bürgergeld) Social assistance benefits (not funded through unemployment insurance).

Basic welfare support for individuals who cannot cover their living costs and are not entitled to sufficient unemployment insurance benefits. 

 

Low income; registered as jobseeker

Job Placement

Services

Free career counseling, job matching, and application support through Federal Employment Agency

All registered jobseekers 

Training &

Requalification

Funding for vocational training, certification programs, and skill development

Jobseekers needing new skills 

Startup Grant (Gründungsgeld)

Available to eligible unemployed persons starting self-employment, subject to approval by the Federal Employment Agency. 

with business plan

Relocation

Assistance

Support for travel costs and relocation if new job is in different city

Job accepted outside current area 

 

Employer Reporting and Payment Requirements

  1. Register new employees for unemployment insurance through the social security reporting system via the competent health insurance fund (Einzugsstelle)
  2. Calculate 1.3% employer share + 1.3% employee share = 2.6% total
  3. Report full contributions through the health insurance fund
  4. Payments are due by the statutory social security payment deadline, generally the third-last banking day of the month. 
  5. Provide reason for termination (voluntary, involuntary, contract end)
  6. Keep records of all unemployment contributions for minimum 6 years
  7. Submit employment history data when employee becomes unemployed (salary, duration, reason for termination)

Long-term Care Insurance (Pflegeversicherung)

Long term Care Insurance Pflegeversicherung

What Is Long-term Care Insurance?

Long-term care insurance is a mandatory social insurance program that helps cover the costs of care for individuals who become unable to manage daily activities due to illness, disability, or old age.

Who Pays Long-term Care Insurance Contributions?

Long-term care insurance contributions are generally split equally between employer and employee, with a base rate of 1.8% each (3.6% total) in most federal states. Employees may pay a higher share due to the childless surcharge and regional differences (especially in Saxony). 

In Saxony, the employer share is reduced to 1.3%, while employees pay 2.3% (with one child) or 2.9% (childless, age 23+), reflecting a historical public holiday offset arrangement.

Employer Contribution Rate

 

Component

Rate

Long-term care insurance

Long-term care insurance: 1.8% of gross salary (employer share in most federal states). 

 

Employee Contribution Rate

 

Component

Rate

Employee Type

Base long-term care insurance

1.8% of gross salary (in most federal states) 

All employees

Additional childless surcharge

+0.6% of gross salary

Childless

employees age 23+

Total employee contribution

Total employee contribution: 1.8% (in most federal states) for employees with children. 

Employees with children

Total employee contribution

Total employee contribution: 2.4% for childless employees aged 23+ (in most federal states). 

Childless

employees age 23+

 

Key distinction: Childless employees aged 23 and older pay an additional 0.6% surcharge, making their total 2.4%. However, employers do not share this cost.

What Services Does Long-term Care Insurance Cover?

 

Benefit Type

Description

Coverage Level

Home Care Benefits (Hausliche Pflege)

Professional nursing care, personal assistance, and daily support at home

Up to €2,299/month (Pflegegrad 5, 2025/2026 level). 

Residential Care

Benefits (Pflegeheim)

Full coverage for nursing home accommodation and care services

Partial coverage of nursing home care costs; accommodation, meals, and investment costs are generally paid privately. 

Day and Night Care (Tages-und Nachtpflege)

Partial care services during daytime or overnight hours

Up to €2,085/month for Pflegegrad 5 (amount depends on care level)  

Care Assistance

Products

Home modifications, safety equipment, and care supplies

Up to €42/month for consumable care aids. 

Pension Contributions for Caregivers

Social security contributions paid for family caregivers working <30 hours/week

Full pension coverage for caregivers 

Preventive Care

Services

Early intervention programs to delay need for intensive care

Free assessment and prevention programs

Therapy and Rehabilitation

Physical therapy, occupational therapy, and medical rehabilitation

Full coverage for prescribed therapies

 

Long-term care benefits are categorized into five care levels based on severity of need:



Care Level

Description

Monthly Home Care Benefit

Pflegegrad 1

“Merely impaired independence”

€128

Pflegegrad 2

“Significant impairment”

€721

Pflegegrad 3

“Severe impairment”

€1,357

Pflegegrad 4

“Most severe impairment”

€1,685

Pflegegrad 5

“Severe impairment of independence with special care needs.”

€2,085

 

Employer Compliance Obligations

  1. Enroll all employees in long-term care insurance
  2. Collect information on whether employees age 23 and older have children
  3. Apply the additional 0.6% surcharge only to childless employees age 23+
  4. Calculate 1.8% employer share for all employees (1.3% in Saxony, where employees pay a correspondingly higher share)
  5. Report full contributions through the health insurance fund 
  6. Keep records of all long-term care contributions
  7. Maintain documentation of childless status declarations

Accident Insurance (Berufsgenossenschaft/Arbeitsunfall)

Accident Insurance

What Is Statutory Accident Insurance?

This insurance protects employees against workplace accidents, commuting accidents, and occupational diseases.

Who Pays Accident Insurance Contributions?

Employers pay 100% of accident insurance (Berufsgenossenschaft/Arbeitsunfallversicherung) contributions in Germany. Variable depending on industry risk class, payroll, and the relevant Berufsgenossenschaft. 

 

Component

Rate

Accident insurance (employer-only)

Variable (0.7%-13%+ depending on industry

Total contribution

100% employer-paid

 

What Does Accident Insurance Cover?

 

Benefit Type

Description

Coverage

Medical

Treatment

Full coverage for doctor visits, hospital care, surgery, medications

100% of costs for accident-related treatment

Rehabilitation

Services

Physical therapy, occupational therapy, medical rehabilitation

Full coverage for prescribed rehab to restore work ability 

Sick Pay

(Verletztengeld)

Income replacement during recovery (after health insurance sick pay ends)

Approximately 80% of regular earnings, capped at the employee’s net income, during medically necessary recovery. 

Permanent

Disability

Pension

Monthly payments for workers with lasting impairment

Monthly pension based on the employee’s annual earnings before the accident (Jahresarbeitsverdienst) and the degree of reduced earning capacity (MdE). 

Survivors’

Pension

Monthly payments to widowed spouses and children of deceased workers

Survivor benefits are calculated based on statutory rules using the deceased employee’s annual earnings. 

Funeral Costs

Reimbursement for burial expenses if worker dies from accident

Funeral expenses may be covered according to statutory provisions. 

Vocational

Retraining

Funding for training if worker cannot return to original job

Full coverage for requalification programs 

Home

Modifications

Adaptations to homes for disabled workers (ramps, elevators, etc.)

Coverage for necessary home modifications based on individual rehabilitation needs. 



Workplace Accidents

 

Scenario

Covered?

Examples

During work hours at workplace

 

Slip/fall in office, machine injury in factory, car accident during work delivery 

Work-related tasks off-site

Yes

 

Work meetings/ events

Yes

Conference, team meeting, company training

session 

Company sports activities

Yes

Only officially organized and employer-related activities may be covered. 

Voluntary work for company

Yes

Covered only if the activity is considered part of the insured employment activity. 



Occupational Diseases

 

Disease Type

Examples

Covered?

Respiratory diseases

Asbestosis, silicosis, asthma from chemical exposure. 

Covered if officially recognized as an occupational disease. 

Skin diseases

Contact dermatitis from chemicals, oils, solvents

Yes (if officially recognized)

Hearing loss

Noise-induced hearing loss from industrial machiner

Covered if officially recognized as an occupational disease. 

Musculoskeletal disorders

Chronic back pain from repetitive lifting, vibration syndrome

Yes (if officially recognized)

Infectious diseases

Hepatitis, TB for healthcare workers; Legionella for pool workers

Covered if officially recognized as an occupational disease. 

Cancer

Lung cancer from asbestos, bladder cancer from chemical dyes

Yes (officially listed occupational diseases)



Commuting Accidents

 

Scenario

Covered?

Conditions

Direct home-to-work route

Yes

No significant deviations; standard commute 

Direct work-to-home route

Yes

Standard return journey

Multiple workplace

routes

Yes

Covered when travel is directly related to the insured employment activity. 

Daycare/school drop-off

Yes

Certain deviations for taking or picking up a child from daycare or school may be covered under statutory conditions. 

Grocery shopping/ errands

NO

Significant deviation from direct route

Social activities during commute

NO

Meeting friends, shopping, gym before/after work

 

Employer Responsibilities for Accident Insurance

  1. Register the business with the competent Berufsgenossenschaft without undue delay after establishment. 
  2. Select the Berufsgenossenschaft that covers your industry sector (e.g., construction, healthcare, manufacturing)
  3. Ensure all employees are covered under the company’s accident insurance and include their payroll data in the required reporting process. 
  4. Pay annual contribution directly to Berufsgenossenschaft (not through health fund)
  5. Report accidents requiring more than three calendar days of incapacity for work (or fatal accidents) to the Berufsgenossenschaft without delay. 
  6. Keep records for the legally required retention periods. 

Let FMC Group Handle Employee Insurance in Germany

You have understood that managing employee insurance in Germany is complex, especially for foreign companies that are unfamiliar with local employment regulations.

Through its Employer of Record (EOR) service, FMC Group can handle employee registration, payroll administration, and mandatory social insurance contributions, including health, pension, unemployment, long-term care, and accident insurance.

This service removes the need to establish a local entity in Germany, saves time, and makes the process hassle-free.

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