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Hong Kong Sick Leave Pay: Complete Guide for Employers and Employees

  • Writer: Chloe Lau
    Chloe Lau
  • 1 day ago
  • 6 min read

Author: Chloe Lau, Associate Solicitor


Understanding Hong Kong sick leave pay is essential for both employers and employees. Although sick leave may appear simple at first glance, the rules governing sick leave pay in Hong Kong are highly specific and depend on the details of each situation. The statutory framework is set out in the Employment Ordinance and creates minimum legal obligations that differ from optional employer‑provided benefits.  


Hong Kong Sick Leave Pay: Complete Guide for Employers and Employees

This article explains the key conditions for receiving statutory sickness allowance, how paid sickness days accumulate, how payment is calculated, and the common situations that often cause confusion. 


What Counts as Statutory Sick Leave in Hong Kong 


Statutory sick leave is regulated under Section 33 of the Employment Ordinance. An employee can only receive statutory sickness allowance if all conditions below are met.  


1. Continuous Contract Requirement 


The employee must be employed under a continuous contract. From 18 January 2026 onwards, this is determined by reference to the revised statutory test for continuous employment (417/468 rule), which looks at whether the employee meets the relevant working hour threshold over the applicable reference period. 


2. Minimum Period of Absence 


Sick leave must last for at least four consecutive days, subject to specific statutory exceptions which are not addressed in this article. 


3. Valid Medical Certificate 


A valid medical certificate issued by a recognised body must be produced in support of the sickness absence. 


4. Sufficient Accrued Paid Sickness Days 


Sickness allowance is only payable when an employee has accumulated enough paid sickness days. This accumulation is gradual and limited.  


How Paid Sickness Days Accumulate in Hong Kong 


Employees do not receive unlimited sick leave pay. Paid sickness days accumulate as follows: 


  • First twelve months of employment: two paid sick days for each completed month. 

  • After the first twelve months: four paid sick days for each completed month. 

  • Maximum accumulation: one hundred and twenty paid sickness days.  


Probation does not pause or reduce accrual. Employees on probation accumulate paid sickness days in the same manner as all other employees.  


How Hong Kong Sick Leave Pay Is Calculated 


When the employee qualifies for statutory sickness allowance, the employer must pay eighty percent of the employee’s average daily wages. The calculation is generally based on the twelve-month period preceding the first sickness day, subject to the statutory averaging rules and the employee’s actual wage pattern. 


The Importance of One Continuous Illness 


The four consecutive days must relate to the same illness. This is determined by the diagnosis recorded on the medical certificate. If the employee presents certificates stating different medical conditions across consecutive days, the period will be treated as separate absences that do not satisfy the statutory threshold.  

 

Common Areas of Confusion About Sick Leave Pay in Hong Kong 


Sick Leave Shorter Than Four Days 


There is no statutory requirement to pay sick leave if the absence lasts fewer than four consecutive days. Any payment for such short absences depends entirely on the employer’s internal policy rather than the law.  


Sick Leave Falling on Weekends 


Weekend days can be counted when determining whether the four‑day threshold is met. However, they are not automatically paid days, and any payment depends on the employee’s accrued entitlements and the employer’s payroll and contractual arrangements. 


Sick Leave Overlapping Statutory Holidays 


Statutory holiday pay still applies when a holiday falls within a sickness period if the usual holiday pay conditions are met. Sick leave pay applies only to eligible sickness days. The two regimes may operate at the same time, and the outcome depends on how the days overlap.  


Employer Policies That Exceed the Minimum Standard 


Many employers voluntarily provide more generous arrangements, such as full‑pay sick leave or payment for one to three days of sick leave. Once included in employment contracts or staff handbooks, these benefits can become binding, so the wording must be drafted carefully.  


Why Rigid Sick Leave Formulas Do Not Work in Hong Kong 


Employers often try to create simplified tools or formulas to determine sick leave pay for every situation. In practice, the statutory regime requires careful assessment of specific details such as accrued balances, timing of statutory holidays, the nature of the illness, and whether multiple certificates indicate the same condition. Because each case can differ significantly, a standardised formula can easily produce incorrect results.


A detailed factual review is generally required, and professional assistance is advisable for complex scenarios. Where such tools are incorporated into employment contracts or staff handbooks, they may also give rise to unintended contractual expectations. 


Key Takeaways for Employers in Hong Kong 


  • Maintain clear internal policies that distinguish statutory obligations from discretionary benefits. 

  • Keep accurate records of accrued paid sickness days for each employee. 

  • Avoid rigid formulas and assess complex cases individually. 

  • Seek legal advice where overlapping holidays, unclear medical documentation, or borderline scenarios arise. 


Professional Support for Sick Leave Compliance 


Correctly applying Hong Kong sick leave pay rules requires careful interpretation of statutory conditions, precise record keeping, and attention to contractual obligations. Missteps can easily lead to disputes or regulatory breaches. 


Ravenscroft & Schmierer provides tailored legal support for employers and employees who need guidance on Hong Kong employment law, including the preparation of compliant handbooks, assessment of complex sick leave cases, and resolution of payroll disputes. 


If you would like assistance with sick leave policies or case‑specific analysis, you are welcome to contact Ravenscroft & Schmierer for professional advice. 


FAQ: Hong Kong Sick Leave Pay 


When is an employee entitled to statutory sick leave pay in Hong Kong?

An employee is entitled to statutory sickness allowance only if they are employed under a continuous contract, have accumulated sufficient paid sickness days, produce a valid medical certificate, and take sick leave for at least four consecutive days relating to the same illness.

How are paid sickness days accumulated?

Paid sickness days accumulate gradually. During the first twelve months of employment, employees accrue two paid sickness days for each completed month. After the first year, accrual increases to four paid sickness days per completed month, subject to a statutory maximum.

How is statutory sick leave pay calculated?

Statutory sickness allowance is calculated at eighty percent of the employee’s average daily wages, generally based on the twelve‑month period preceding the first day of sickness, in accordance with statutory averaging rules.

Does sick leave shorter than four days have to be paid?

No. There is no statutory requirement to pay sick leave lasting fewer than four consecutive days. Any payment for such short absences depends entirely on the employer’s contractual terms or internal policies.

Can weekends be counted toward the four‑day sick leave requirement?

Yes. Weekend days may be counted when determining whether sick leave reaches four consecutive days. Whether those days are paid depends on the employee’s accrued sickness days and payroll arrangements.

What happens if sick leave overlaps with a statutory holiday?

Statutory holiday pay continues to apply if the employee meets the holiday pay conditions. Sick leave pay applies separately to qualifying sickness days, and the interaction depends on the specific dates involved.

Do employees on probation accumulate paid sickness days?

Yes. Probation does not interrupt or reduce the statutory accrual of paid sickness days.

Why are sick leave cases often difficult to assess in practice?

Sick leave entitlement depends on multiple factual factors, including accrual balances, medical certification, wage calculation periods, and overlapping statutory entitlements. As a result, simplified formulas often produce incorrect outcomes.

How can Ravenscroft & Schmierer assist employers with Hong Kong sick leave compliance?

Ravenscroft & Schmierer advises employers on the correct application of statutory sickness allowance, wage calculations, accrual tracking, and compliance with the Employment Ordinance.

Does Ravenscroft & Schmierer help review sick leave policies and staff handbooks?

Yes. We assist employers in drafting and reviewing sick leave policies to ensure statutory compliance while avoiding unintended contractual obligations.

Can Ravenscroft & Schmierer advise on complex or disputed sick leave cases?

Yes. We regularly advise on borderline cases involving overlapping statutory holidays, continuous employment thresholds, disputed medical certificates, and termination risks during sick leave.

Does Ravenscroft & Schmierer advise employees as well as employers?

Yes. We advise both employers and employees on rights, obligations, and dispute resolution relating to sick leave pay in Hong Kong.

Disclaimer: Whilst every effort has been made to ensure the accuracy of this article it is general in nature and does not constitute legal advice of any kind. You should seek your own personal legal advice before taking legal action. We accept no liability whatsoever for loss arising out of the use or misuse of this article.


For specific advice about your situation, please contact:


Chloe Lau 

Associate

+852 2388 3899

 
 
 

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141 Connaught Road West,

Sai Ying Pun,

Western District,

Hong Kong SAR

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3 minutes walk from Sai Ying Pun MTR Station Exit A2

 

contact-us@rs-lawyers.com.hk

Tel: +852 2388 3899

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