Puyang City, work injury compensation standards, Puyang City, work injury identification standards and insurance regulations (revised)
Puyang City, work injury compensation standards, also known as the standard of treatment of work injury insurance, refers to the compensation items and standards of the injured employee, the relatives of the deceased employee should enjoy according to law. If an employee of an employer is injured at work during the period of non-participation in the work injury insurance, the employer shall pay the expenses in accordance with the items and standards of work injury insurance treatment stipulated in the Regulations on Work Injury Insurance. Referring to the previous year of 2013, that is, 2012 labor insurance data, the calculated compensation amount is the 2013 work injury compensation standard.
Main reference laws, regulations and rules
Laws: Social Insurance Law;
Administrative regulations: Regulations on Work-Related Injury Insurance;
Regulations: Measures for the Implementation of Work-Related Injury Insurance by Provinces and Municipalities Directly under the Central Government; Provisional Measures for the Implementation of Work-Related Injury Insurance for Migrant Workers in Provinces; and Circulars.
Specific compensation items, standards
(a) Puyang City Work Injury Insurance Medical Expenses
1, requirements: the cost of treatment of work-related injuries in line with the catalog of diagnostic and therapeutic items of work injury insurance, the catalog of medicines of work injury insurance, and the standard of work injury insurance inpatient services.
2. Legal basis: Article 30, paragraph 3 of the Regulations on Work-Related Injury Insurance.
3, Remarks: The employer does not participate in the work injury insurance, is not mandatory to the signing of the service agreement of the medical institutions for treatment.
(2) Puyang City Work Injury Insurance Hospitalization Meal Subsidy
1. The standard is set by the people's government of the region in which the work injury insurance is coordinated.
2. Requirements: during hospitalization.
3. Legal basis: Article 30, paragraph 4 of the Regulations on Work-Related Injury Insurance
(3) Puyang City Transportation and accommodation expenses for work-related injury insurance
1. The standard is set by the people's government of the work-related injury insurance coordinating area.
2. Requirements: medical institutions to issue diagnostic certificates, the agency agreed to the injured workers to seek medical treatment outside the integrated region.
3, the legal basis: "Work Injury Insurance Regulations," Article 30, paragraph 4.
(4) Puyang City Rehabilitation and Treatment Fees for Work-Related Injury Insurance
< strong> 1. Standard: The expenses required for treating work-related injuries are in line with the catalog of diagnostic and treatment items of work-related injuries insurance, the catalog of medicines of work-related injuries insurance, and the standard of work-related injuries insurance hospitalization services.
2. Legal basis: Article 30, paragraph 6 of the Regulations on Workers' Compensation Insurance.
3. Remarks: According to the local regulations, the rehabilitation treatment needs to be organized by the agency for expert evaluation.
1. Standard: Limit standard of auxiliary apparatus for work-related injuries in each province and municipality directly under the central government.
2. Requirements: Because of daily life or employment needs, confirmed by the Labor Capacity Appraisal Committee, the installation of prosthetic limbs, orthopedic devices, false eyes, false teeth and the configuration of wheelchairs and other auxiliary aids.
3. Legal basis: Article 31 of the Regulations on Work Injury Insurance. Welfare benefits remain unchanged and are paid by the organization on a monthly basis.
2. Requirements: the period of stay without pay is generally not more than 12 months; if the injury is serious or the situation is special, it can be extended appropriately as confirmed by the Labor Capacity Appraisal Committee of the municipal level of the district, but the extension shall not be more than 12 months. Injured workers still need treatment after the expiration of the period of leave without pay, continue to enjoy the medical treatment of work injuries.
3, the legal basis: the "Work Injury Insurance Regulations" Article 33.
4. Remarks: The period of suspension without pay is determined according to the diagnostic certificate of the medical institution and the categorized catalog of the period of suspension without pay in each place, but the departments and procedures for determining the period of suspension without pay are in accordance with the local regulations. Strong>
(7) Puyang City Workers' compensation nursing care fee . Strong>
1. Standard: (1) If nursing care is required during the period of suspension of work with pay, it is the responsibility of the The unit in which you work is responsible. (2) assessed the need for care after the disability, complete life can not take care of themselves, according to the co-ordination of the annual average monthly salary of employees 50%; most of the life can not take care of themselves, the co-ordination of the annual average monthly salary of employees 40%; part of the life can not take care of themselves, the co-ordination of the annual average monthly salary of employees 30%; 2. Requirements: living care expenses need to be confirmed by the Labor Capacity Appraisal Committee, the injured worker enjoys on a monthly basis.
1, the standard: enjoy a one-time disability benefit: fifth-degree disability for 18 months of their own wages, the sixth-degree disability for 16 months of my personal Wages; retain labor relations with the employer, the employer to arrange appropriate work. Difficult to arrange a job, the employer to pay the monthly disability allowance, fifth-degree disability for 70% of my salary, sixth-degree disability for 60% of my salary, and by the employer in accordance with the provisions of the social insurance premiums payable for his. 2. Requirements: If the actual amount of the disability allowance is less than the local minimum wage, the employer will make up the difference. Upon the employee's own proposal, he or she may terminate or suspend the labor relationship with the employer, and the employer shall pay a one-time medical allowance for work-related injuries and a disability employment allowance based on the average monthly salary of the employees in the previous year in the coordinated area at the time of the termination or suspension of the labor relationship (the specific standards shall be stipulated by the people's governments of the provinces, autonomous regions, and municipalities directly under the central government). strong> 3. Legal basis: Article 36 of the Regulations on Workers' Compensation Insurance.
4, Remarks: My salary, refers to the average monthly salary of the 12 months before the injured employee suffered an accidental injury at work or suffered from an occupational disease. My salary is higher than the average wage of employees in the integrated area 300%, according to the average wage of employees in the integrated area of 300%; my salary is lower than the average wage of employees in the integrated area of 60%, according to the average wage of employees in the integrated area of 60%. Grade 7 disability for 13 months of my salary, grade 8 disability for 11 months of my salary, grade 9 disability for 9 months of my salary, grade 10 disability for 7 months of my salary; . If the labor contract is terminated at the end of the term, the workers' compensation insurance fund and the employer shall pay a one-time medical benefit for work injury and a one-time employment benefit for disability (the specific standards shall be stipulated by the people's governments of the provinces, autonomous regions and municipalities directly under the central government). 3. Legal basis: Article 37 of the Regulations on Workers' Compensation Insurance. 4, Remarks: The salary of the person, refers to the average monthly salary of the 12 months before the injured employee suffered an accidental injury at work or suffered from an occupational disease. My salary is higher than the integrated area of the average wage of 300%, according to the integrated area of the average wage of 300%; my salary is lower than the integrated area of the average wage of 60%, according to the integrated area of the average wage of 60%. strong> (XI) Puyang City standard of workers' compensation for work-related deaths in industrial injury insurance1. Criteria: 6 months of the average monthly salary of the workers in the integrated area in the previous year.
2. Puyang City Workers' Compensation Insurance Dependent Relative Pension
(1) A certain percentage of the employee's salary will be paid to the relatives of the deceased employee who provided the main source of livelihood and were unable to work.
(2), 40% per month for spouses, 30% per month for each of the other relatives, and 10% per month for each of the widows and orphans on top of the above standard.
(3), the approved sum of the pensions of each dependent relative should not be higher than the salary of the employee who died at work. Strong> 3, Puyang City Workers' Compensation Insurance Dependent Relatives Scope: 3, Puyang City Workers' Compensation Insurance Dependent Relatives Scope: 3 > (1), the employee's spouse, children, parents, grandparents, grandchildren, brothers and sisters.
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(4) , siblings, including siblings of the same parent, half-siblings of the same father or half-siblings of the same mother, adoptive siblings, and step-siblings in a relationship of dependency.
< 4. Puyang City Workers' Compensation Insurance Application for Dependent Relatives' Pension
Relying on the main source of livelihood provided by the deceased worker before his/her death, with the following circumstances The main source of living, and one of the following circumstances: (a) complete loss of working ability; (b) the deceased worker's spouse has reached the age of 6O years old for men and 55 years old for women; (c) the deceased worker's parents have reached the age of 60 years old for men and 55 years old for women; (d) the deceased worker's children are under the age of 18 years old; (e) the deceased worker's parents have both died, and the grandfather and grandfather have reached the age of 60 years old, and the grandmother, Grandmother is 55 years old; (6) the deceased employee's children have died or completely lost the ability to work, their grandchildren, grandchildren under the age of 18; (7) the deceased employee's parents have died or completely lost the ability to work, their siblings under the age of 18.
5, Puyang City Workers' compensation insurance to stop enjoying pension treatment (1), 18 years of age or older and not completely lost the ability to work; .
(2), employment or military service; . (5), death.
6. Strong> 6. Puyang City Workers' Compensation Insurance Determines Eligibility for Dependency Puyang City Workers' Compensation Insurance Determination > When an employee dies on the job, the eligibility of his/her dependent relatives to receive pension benefits shall be approved in accordance with the conditions prevailing at the time of the employee's death on the job. strong> 7. Puyang City Lump Sum Death Benefit for Workers' Compensation Insurance 7.
(The per capita disposable income of urban residents in the previous year was RMB 28,844.) 28844 yuan * 20 times = 576880 yuan.(2), the requirements: First, the disabled workers out of work with pay period due to work-related injuries caused by the death of their immediate family members to enjoy the first paragraph of this article of the funeral grant, dependent family pension, a one-time death grant treatment; Second, the first to fourth-degree disabled workers in the out-of-work period after the expiration of the death of the immediate family members can enjoy the first paragraph of the article of the first (a) of the funeral grant, the first paragraph of the second (a) of the funeral grant The treatment of dependent relatives' pensions under paragraph 1 (a) and (b) of this article. Attachment: Workplace Death Compensation Standards
.3. If there are difficulties in life, 50% of the lump-sum death benefit can be advanced.
4. If the employee is declared dead by the people's court, the death of the employee at work shall be dealt with in accordance with the provisions of Article 37 of the Regulations on Work-Related Injury Insurance. Special recommendation for injured workers: familiarize yourself with the "Measures for the Determination of Work Injuries"