In 2004 Dutch government changed the law regarding the welfare benefits that disabled citizens receive on behalf of the state. This followed a rise of the number of recipients between 1987 and 2003 from 805.000 to 982.000. In 2003, approximately 10 % of the Dutch workforce was dependent on this welfare provision (Hartman & Boerman, 2004). A new set of rules - the so-called ‘Aangepast schattingsbesluit’ in 2004 and the Law regarding Work and Income in 2006 was implemented to end this situation. The implementation of these new rules fundamentally changed the work of the insurance physicians who work on behalf of the Dutch Institute for Employees’ Insurance (UWV), which takes care of the implementation of these new rules. As a result of these rules – because of stricter assessments – approximately 110.000 recipients have lost their alimony, mostly part-timers and citizens with psychological complaints. Those now have to provide for their own income. If they are no able to do so, they can apply for an unemployment benefit or for state assistance. Allocation of the latter, however, depends –contrary to the benefits for the disabled – on the income position of the household.