Second, the hospital food subsidies
Third, lost time (paid downtime)
Fourth, the cost of nursing.
Five, workers work-related disability enjoy treatment
Six, because of work-related death compensation for employees, their immediate family members in accordance with the following provisions from the industrial injury insurance fund to receive funeral subsidies, dependent relatives pension and one-time work-related death subsidies.
Seven, illegal employment compensation for casualties
The latest compensation standard of industrial injury insurance 20 13
Source: industrial injury compensation standard/labor law /gspcbj/
Compensation standard of industrial injury insurance:
I. Medical expenses
1. Workers with work-related injuries should go to medical institutions that have signed service agreements for medical treatment. In case of emergency, they can go to the nearest medical institution for first aid.
2, inductrial injury treatment costs in line with the industrial injury insurance diagnosis and treatment project directory, industrial injury insurance drugs directory, industrial injury insurance hospitalization service standards, paid from the industrial injury insurance fund.
3, inductrial injury worker treatment of non-work-related diseases, do not enjoy medical treatment of inductrial injury, in accordance with the basic medical insurance measures.
Second, the hospital food subsidies
1, 70% of the company's business trip food subsidy standard will be paid to the hospital food subsidy.
2. The medical institution shall issue a certificate and report it to the agency for approval. If the injured worker goes to the outside of the overall planning area for medical treatment, the required transportation, accommodation and meals shall be reimbursed by the unit according to the employee's business trip standard.
Third, lost time (paid downtime)
1. If an employee suffers from an accident or occupational disease at work and needs to suspend work and receive work-related injury medical treatment, the original salary and welfare benefits will remain unchanged during the paid shutdown, and the original unit will pay it monthly.
2. The paid shutdown period generally does not exceed 12 months. If the injury is serious or special, it may be appropriately extended after being confirmed by the municipal labor ability appraisal committee with districts, but the extension period shall not exceed 12 months.
3, inductrial injury worker still need treatment after the expiration of the shutdown with pay, continue to enjoy medical treatment of inductrial injury. [Introduction]: The compensation standards of work-related injury insurance include medical expenses, food subsidies for hospitalization, nursing expenses, lost time, and the benefits enjoyed by employees who are disabled at work; The immediate family members can receive funeral subsidies, dependent relatives' pensions and one-time work-related death subsidies; Compensation for casualties caused by illegal employment.
Fourth, the cost of nursing.
1, the work-related injury workers who can't take care of themselves and need care during the paid shutdown shall be responsible by their units.
2, inductrial injury worker after assessment of disability level and confirmed by the labor ability appraisal committee need life care, by the industrial injury insurance fund to pay monthly life care fees.
Life care fees are paid according to three different levels: completely unable to take care of themselves, mostly unable to take care of themselves or partially unable to take care of themselves, and their standards are 50%, 40% or 30% of the average monthly salary of employees in the overall planning area respectively.
Five, workers work-related disability enjoy treatment
In the first case, if an employee is disabled due to work and is identified as a first-class or fourth-class disability, he/she will retain his/her labor relationship and quit his/her post, and enjoy the following benefits:
1. Pay a one-time disability allowance from the industrial injury insurance fund according to the disability level. The standard is: 24 months' salary for first-class disability, 22 months' salary for second-class disability, 20 months' salary for third-class disability and 0/8 months' salary for fourth-class disability;
2. Pay the disability allowance monthly from the industrial injury insurance fund. The standard is: 90% of my salary for first-degree disability, 85% for second-degree disability, 80% for third-degree disability and 75% for fourth-degree disability. If the actual amount of disability allowance is lower than the local minimum wage standard, the industrial injury insurance fund will make up the difference;
3, inductrial injury worker reached retirement age and retirement formalities, stop disability allowance, enjoy the basic old-age insurance benefits. If the basic old-age insurance benefits are lower than the disability allowance, the industrial injury insurance fund will make up the difference.
If an employee is identified as one to four disabled due to work-related disability, the basic medical insurance premium shall be paid by the employer and individual employees on the basis of disability allowance. [Introduction]: The compensation standards of work-related injury insurance include medical expenses, food subsidies for hospitalization, nursing expenses, lost time, and the benefits enjoyed by employees who are disabled at work; The immediate family members can receive funeral subsidies, dependent relatives' pensions and one-time work-related death subsidies; Compensation for casualties caused by illegal employment.
In the second case, employees who are disabled due to work are identified as five or six levels of disability and enjoy the following treatment:
1. Pay a one-time disability allowance from the industrial injury insurance fund according to the disability level. The standard is: level 5 disability is my salary 16 months, and level 6 disability is my salary 14 months;
2. Maintain labor relations with the employer, and the employer will arrange appropriate work. If it is difficult to arrange a job, the employer will pay a monthly disability allowance. The standard is: level 5 disability is 70% of my salary, level 6 disability is 60% of my salary, and the employer shall pay the social insurance premium that should be paid according to the regulations. If the actual amount of disability allowance is lower than the local minimum wage, the employer shall make up the difference.
Upon the employee's own proposal, the employee can terminate or terminate the labor relationship with the employer, and the employer will pay him a one-time medical subsidy for work-related injuries for 20 months, 18 months and a one-time disability employment subsidy for 35 months and 30 months according to the average monthly salary of the employees in the overall planning area at the time of termination or termination of the labor relationship.
In the third case, employees who are disabled due to work are identified as seven to ten levels of disability and enjoy the following treatment:
1. Pay a one-time disability allowance from the industrial injury insurance fund according to the disability level. The criteria are: level 7 disability 12 months, level 8 disability 10 months, level 9 disability for 8 months and level 10 disability for 6 months;
2. If the labor contract expires or the employee proposes to terminate the labor contract, the employer shall pay me a one-time work-related injury medical subsidy and a one-time disability employment subsidy according to the average monthly salary of the employees in the overall area when the labor contract is terminated or terminated. The specific standards of medical subsidy for one-time work-related injury are: level 7 16 months, level 8 14 months, level 9 12 months, 10 months; The specific standards of one-time employment subsidy for the disabled are: grade 7, 25 months, grade 8, 20 months, grade 9 15 months, 10/0 months.
If the employee is diagnosed as an occupational disease, the one-time medical subsidy for work-related injury will be increased by 50% on the basis of the above standards.
Workers with work-related injuries who have been away from the statutory retirement age for more than 5 years shall be paid in full for the one-time work-related injury medical subsidy and one-time disability employment subsidy; If it is less than 5 years away from the statutory retirement age, the one-time disability employment subsidy will be reduced by 20% every year. If the retirement age is less than 1 year, a one-time disability employment subsidy will be paid at 10% of the total amount. If you reach the legal retirement age, you will not pay a one-time medical subsidy for work-related injuries [Introduction]: The compensation standards for work-related injury insurance include medical expenses, hospital food subsidies, nursing expenses, lost time, and the benefits enjoyed by employees who are disabled at work; The immediate family members can receive funeral subsidies, dependent relatives' pensions and one-time work-related death subsidies; Compensation for casualties caused by illegal employment.
Six, employees who have received compensation for work-related injury death, their immediate family members receive funeral subsidies, dependent relatives' pensions and one-time work-related death subsidies from the work-related injury insurance fund in accordance with the following provisions:
1, the funeral subsidy is the average monthly salary of employees in the overall planning area for 6 months;
2, dependent relatives pension according to a certain proportion of the wages of employees to provide the main source of income, no ability to work-related death relatives. The standard is: spouse 40%, other relatives 30%, widowed elderly or orphans on the basis of the above standard 10%. The total approved pension of dependent relatives should not be higher than the salary of employees who died at work. The specific scope of supporting relatives shall be stipulated by the administrative department of labor security of the State Council;
3. The standard of one-time work death allowance is the average monthly salary of employees in the overall planning area from 48 months to 60 months. Specific standards shall be formulated by the people's government of the overall planning area according to the local economic and social development and submitted to the people's governments of provinces, autonomous regions and municipalities directly under the Central Government for the record.
4, disabled workers died during the shutdown due to work-related injuries, their immediate family members enjoy the treatment stipulated in the first paragraph of this article.
5, one to four disabled workers died after the expiration of the shutdown, their immediate family members can enjoy the first paragraph of this article (a) and (two) of the treatment.
Seven, illegal employment compensation for casualties
1. One-time compensation includes expenses and one-time compensation for accidental injuries or occupational diseases suffered by employees or child laborers during treatment. The amount of one-time compensation shall be determined after an employee or child worker suffers an accidental injury or dies of an occupational disease or after the ability to work is appraised.
2 labor ability appraisal shall be handled by the municipal labor ability appraisal committee in the district where the unit is located according to the principle of territoriality. The labor ability appraisal fee shall be paid by the unit where the injured worker or child worker works. [Introduction]: The compensation standards of work-related injury insurance include medical expenses, food subsidies for hospitalization, nursing expenses, lost time, and the benefits enjoyed by employees who are disabled at work; The immediate family members can receive funeral subsidies, dependent relatives' pensions and one-time work-related death subsidies; Compensation for casualties caused by illegal employment.
3. The living expenses, medical expenses, nursing expenses, food subsidies during hospitalization, transportation expenses and other expenses incurred by employees or child laborers who are injured by accidents or suffer from occupational diseases shall be paid by the unit where the disabled employees or child laborers work in accordance with the standards and scope stipulated in the Regulations on Industrial Injury Insurance.
4. One-time disability compensation shall be paid according to the following standards: level 1 disability compensation base 16 times, level 2 disability compensation base 14 times, level 3 disability compensation base 12 times, level 4 disability compensation base 10 times, level 5 disability compensation base 8 times and level 6 disability compensation base 6 times.
5. In case of death due to accidental injury or occupational disease, one-time compensation shall be paid at 10 times of the compensation base.
6. The compensation base refers to the average annual salary of employees in the industrial injury insurance co-ordination area where the unit is located.
Eight. Other cases
1, disability allowance, pension for dependent relatives, and living nursing expenses shall be adjusted in a timely manner by the administrative department of labor and social security in the overall planning area according to the changes in the average wages and living expenses of employees. Measures for adjustment shall be formulated by the people's governments of provinces, autonomous regions and municipalities directly under the Central Government.
2. If an accident occurs when an employee goes out to work or his whereabouts are unknown during the emergency rescue and disaster relief, he will be paid within 3 months from the month of the accident and will stop paying wages from the fourth month. The industrial injury insurance fund will pay the pension for dependent relatives on a monthly basis. Life is difficult, you can advance 50% of the one-time work death subsidy. If an employee is declared dead by the people's court, it shall be handled in accordance with Article 37 of the Regulations on Industrial Injury Insurance. [Introduction]: The compensation standards of work-related injury insurance include medical expenses, food subsidies for hospitalization, nursing expenses, lost time, and the benefits enjoyed by employees who are disabled at work; The immediate family members can receive funeral subsidies, dependent relatives' pensions and one-time work-related death subsidies; Compensation for casualties caused by illegal employment.
3, inductrial injury worker has one of the following circumstances, stop enjoying treatment of inductrial injury insurance:
(1) Losing the conditions for enjoying treatment;
(two) refused to accept the labor ability appraisal;
(3) refusing treatment;
(4) being sentenced to fixed-term imprisonment.
4. If the employing unit is divided, merged or transferred, the successor unit shall bear the industrial injury insurance liability of the original employing unit; If the original employer has participated in work-related injury insurance, the successor unit shall go to the local agency to register the change of work-related injury insurance.
5. Where the employing unit carries out contracted operation, the responsibility for work-related injury insurance shall be borne by the unit where the employee's labor relations are located.
6. If an employee is injured by a work-related injury accident during the secondment period, the original employer shall bear the responsibility of work-related injury insurance, but the original employer and the seconded unit may agree on compensation measures.
7. If an enterprise goes bankrupt, during the period of bankruptcy liquidation, priority should be given to the industrial injury insurance benefits that the unit should pay according to law.
8. If employees are sent to work abroad and should participate in local industrial injury insurance according to the laws of the country or region where they go, their domestic industrial injury insurance relationship will be suspended; Can not participate in local industrial injury insurance, its domestic industrial injury insurance relationship is not suspended.
9. Employees who suffer work-related injuries again shall enjoy disability allowance according to the regulations, and shall enjoy disability allowance according to the newly recognized disability level.
10, and my salary refers to the average monthly payment salary of the employees who suffered from work-related injuries or occupational diseases 12 months ago. If my salary is higher than 300% of the average wage of employees in the overall planning area, it shall be calculated according to 300% of the average wage of employees in the overall planning area; If my salary is lower than 60% of the average wage of employees in the overall planning area, it shall be calculated according to 60% of the average wage of employees in the overall planning area.