During illness an employee is guided to appropriate work within their own organization. In addition, the first focus is on returning to your own position - with or without adjustments. If that is not possible, we will look for other work within the company. Reintegration of the 1st track is a legal obligation under the Gatekeeper Improvement Act.
What exactly does 1st track reintegration mean?
Reintegration of the first track starts immediately when you report sick. The employer reports the employee ill to the occupational health service or company doctor, after which the following occurs:
- Week 6: The company doctor suggests a problem analysis on (what else can the employee do?).
- Week 8: Employer and employee jointly create a Plan of Action.
- Up to week 52: Reintegration is carried out and regularly evaluated.
The reintegration takes place in the following order:
- First step: Return to your own position.
- Second step: Return to your own position with adjustments (working hours, tasks, workplace).
- Third step: Reintegration into another appropriate position within the organization.
Is 1st track reintegration mandatory?
Yes. Both employer and employee have from the first day of illness the duty to actively participate in reintegration. This obligation stems from the Gatekeeper Improvement Act.
Important obligations:
- The employer must call in an occupational health service or company doctor in good time.
- There must be a concrete plan with targeted steps.
- The employer and employee must regularly evaluate whether adjustments are necessary.
How long does a 1st track route take?
A route within the first track runs up to a maximum of the end of the first year of illness (week 52). In week 42 the employee must have been reported ill to the UWV, regardless of whether track 2 is already underway.
Are you unsure about the feasibility of returning? Then a labour expert assessment can be used to objectively assess what is possible within the organization.
When do you get help with 1st track?
Although 1st track reintegration is often arranged internally, there are situations where external help is valuable:
- If there is a disagreement between employer and employee about the reintegration options
- When the route gets stuck or delayed
- As a preventive measure to prevent wage sanctions from the UWV
- When there is insufficient internal expertise
A specialized reintegration agency can provide support in preparing documents, having conversations and preventing errors that could lead to wage sanctions.
Did you know that most wage sanctions by the UWV result from errors in Track 1?
Summary: what is 1st track reintegration?
- Goal: Return to work within your own organization
- Gradient: First own work → adapted work → other position
- Start: From day 1 of illness
- Mandatory actions: Problem analysis (week 6), Action Plan (week 8), evaluations
- Duration: Up to week 52
- UWV sick report: Mandatory in week 42
- Please note: The most common reason for wage sanctions is failed track 1
More information at the UWV
The official rules and current amounts or deadlines are available at UWV about reintegration. These can change, so always check them at the source itself for a concrete situation.
For employers, second-track reintegration for employers sets out how Care4Careers supports the entire process, from the first year of illness to the conclusion.
Looking for guidance with a track 2 process?
Care4Careers supports employers and employees with expert guidance, customized solutions and complete file structure. Feel free to contact us.
Frequently Asked Questions
When does the first track start?
Immediately on reporting sick. The employer registers you with the occupational health service or company doctor, and from the first day of illness the duty to work on recovery and return applies.
How long does the first track run?
Until the end of the first year of illness at the latest. In week 42 the illness is reported to UWV, and around week 52 it is assessed whether the second track is needed.
What is the order within the first track?
First back into your own work, then adjusted work, and only then another role within the organisation. If none of the three works, the second track comes into play.
Part ofSecond track in practice
Sources
The legal statements in this article are based on the sources below. Legislation changes; always check the current text for your own situation.
- UWV. (n.d.). Re-integratie bij ziekte. Retrieved on 13 August 2026, from www.uwv.nl/nl/ziek/re-integratie
- Wet werk en inkomen naar arbeidsvermogen. (n.d.). Wet werk en inkomen naar arbeidsvermogen (Wet WIA). Overheid.nl. Retrieved on 13 August 2026, from wetten.overheid.nl/BWBR0019057
About the author

Program Designer & Project Lead
With over 30 years of experience in HR, project management, and career development, I enjoy working at the intersection of strategy and implementation, always balancing organizational goals with human perspective.
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