219 Nanjing Industrial Injury Compensation Standard, Nanjing Industrial Injury Appraisal Standard and Insurance Regulations (Revised Edition)

Nanjing industrial injury compensation standard, Nanjing industrial injury appraisal standard and insurance regulations (revised edition)

Nanjing industrial injury compensation standard, also known as industrial injury insurance treatment standard, refers to the compensation items and standards that industrial injury workers and their relatives should enjoy according to law. If an employee of an employer suffers from work-related injury during the period of not participating in work-related injury insurance, the employer shall pay the expenses according to the treatment items and standards of work-related injury insurance stipulated in the Regulations on Work-related Injury Insurance. Referring to the labor insurance data of last year in 213, the calculated compensation amount is the compensation standard for industrial injury in 213.

Mainly refer to laws, regulations and rules

Law: Social Insurance Law;

administrative regulations: industrial injury insurance regulations;

regulations: all provinces and municipalities directly under the central government shall implement measures for industrial injury insurance; Interim measures or notices for the implementation of industrial injury insurance for migrant workers in various provinces.

Specific compensation items and standards

(1) Medical expenses of industrial injury insurance in Nanjing

1. Requirements: The expenses required for treating industrial injuries meet the catalogue of industrial injury insurance diagnosis and treatment items, the catalogue of industrial injury insurance drugs and the hospitalization service standards of industrial injury insurance.

2. legal basis: article 3, paragraph 3 of the regulations on industrial injury insurance.

3. Remarks: If the employer does not participate in work-related injury insurance, it is not necessary to go to a medical institution with a service agreement for treatment.

(II) Food subsidy for hospitalization of industrial injury insurance in Nanjing

1. Standard: It shall be stipulated by the people's governments of all industrial injury insurance co-ordination areas.

2. Requirements: During hospitalization.

3. Legal basis: Paragraph 4, Article 3 of the Regulations on Industrial Injury Insurance

(3) Transportation expenses and accommodation expenses of industrial injury insurance in Nanjing

1. Standards: stipulated by the people's governments of all industrial injury insurance co-ordination areas.

2. Requirements: The medical institution shall issue a diagnosis certificate, and the handling institution shall agree that the injured workers shall seek medical treatment outside the overall planning area.

3. Legal basis: Paragraph 4, Article 3 of the Regulations on Industrial Injury Insurance.

(4) Rehabilitation treatment fee of industrial injury insurance in Nanjing

1. Standard: The fee for treatment of industrial injury conforms to the catalogue of industrial injury insurance diagnosis and treatment items, the catalogue of industrial injury insurance drugs and the hospitalization service standard of industrial injury insurance.

2. legal basis: article 3, paragraph 6, of the regulations on industrial injury insurance.

3. Remarks: According to local regulations, the rehabilitation treatment should be evaluated by experts organized by the agency.

(V) Expenses of assistive devices for industrial injury insurance in Nanjing

1. Standards: Standards for the limits of assistive devices for industrial injuries in all provinces and municipalities directly under the Central Government.

2. Requirements: Prosthetics, orthotics, artificial eyes, dentures, wheelchairs and other assistive devices shall be installed due to the needs of daily life or employment.

3. Legal basis: Article 31 of the Regulations on Industrial Injury Insurance.

(VI) Work-related injury insurance in Nanjing is suspended with pay

1. Standard: the original salary and welfare benefits will remain unchanged, and the unit will pay it monthly.

2. Requirements: Generally, the period of shutdown with pay shall not exceed 12 months; Serious injury or special circumstances, confirmed by the municipal labor ability appraisal committee, can be appropriately extended, but the extension shall not exceed 12 months. Workers with work-related injuries who still need treatment after the expiration of shutdown with pay will continue to enjoy medical treatment for work-related injuries.

3. Legal basis: Article 33 of the Regulations on Industrial Injury Insurance.

4. Remarks: The period of shutdown with pay is determined according to the diagnosis certificate of medical institutions and the classified catalogue of shutdown with pay in various places, but the determined departments and procedures are in accordance with local regulations.

(VII) Nursing expenses of industrial injury insurance in Nanjing

1. Standards: (1) If nursing is needed during the period of shutdown with pay, the employer shall be responsible. (2) Those who need nursing after assessment of disability can't take care of themselves completely, and 5% of the average monthly salary of employees on the ground as a whole; Most people can't take care of themselves, and 4% of the average monthly salary of employees on the ground is planned as a whole; Some people can't take care of themselves, and plan as a whole 3% of the average monthly salary of employees on the ground;

2. Requirements: The living nursing fee should be confirmed by the labor ability appraisal committee, and the injured workers can enjoy it on a monthly basis.

3. legal basis: article 33, paragraph 3, and article 34 of the industrial injury insurance regulations.

(VIII) First-level to fourth-level disability benefits of industrial injury insurance in Nanjing

1. Standard: One-time disability subsidy: first-level disability is my salary of 27 months, second-level disability is my salary of 25 months, third-level disability is my salary of 23 months, and fourth-level disability is my salary of 21 months; Enjoy monthly disability allowance: 9% of my salary for first-degree disability, 85% for second-degree disability, 8% for third-degree disability and 75% for fourth-degree disability. If the actual amount of disability allowance is lower than the local minimum wage, make up the difference;

2. Requirements: Keep the labor relationship and quit the job. Workers with work-related injuries who have reached retirement age and gone through retirement formalities will stop receiving disability allowance and enjoy basic old-age insurance benefits. If the basic old-age insurance benefits are lower than the disability allowance, make up the difference. Employers and employees pay basic medical insurance premiums based on disability allowance.

3. Legal basis: Article 35 of the Regulations on Industrial Injury Insurance.

4. Remarks: My salary refers to the average monthly salary paid by employees who suffer from work-related injuries or occupational diseases in the previous 12 months. If my salary is higher than 3% of the average wage of employees in the overall planning area, it shall be calculated according to 3% of the average wage of employees in the overall planning area; If my salary is lower than 6% of the average wage of employees in the overall planning area, it shall be calculated according to 6% of the average wage of employees in the overall planning area.

(IX) Five-level and Six-level disability benefits of industrial injury insurance in Nanjing

1. Standard: enjoy one-time disability allowance: the fifth-level disability is my salary for 18 months and the sixth-level disability is my salary for 16 months; Retain the labor relationship with the employer, and the employer will arrange appropriate work. If it is difficult to arrange a job, the employer will issue a monthly disability allowance, with a five-level disability accounting for 7% of my salary and a six-level disability accounting for 6% of my salary, and the employer will pay the social insurance premiums that should be paid for it in accordance with the regulations.

2. Requirements: If the actual amount of disability allowance is lower than the local minimum wage, the employer will make up the difference. Upon the employee's own request, the employee may terminate or terminate the labor relationship with the employer, and the employer shall pay the one-time medical subsidy for work-related injury and disability employment subsidy based on the average monthly salary of employees in the overall planning area at the time of termination or termination of the labor relationship (the specific standards shall be formulated by the people's governments of provinces, autonomous regions and municipalities directly under the Central Government).

3. Legal basis: Article 36 of the Regulations on Industrial Injury Insurance.

(1) Seven-to-ten-level disability benefits of industrial injury insurance in Nanjing

1. Standard: enjoy one-time disability subsidy: seven-level disability is my salary for 13 months, eight-level disability is my salary for 11 months, nine-level disability is my salary for 9 months, and ten-level disability is my salary for 7 months;

2. Requirements: If the labor contract expires, or the employee himself proposes to terminate the labor contract, the industrial injury insurance fund and the employing unit shall pay the one-time work-related injury medical subsidy and the one-time disability employment subsidy respectively (the specific standards shall be stipulated by the people's governments of provinces, autonomous regions and municipalities directly under the Central Government).

3. Legal basis: Article 37 of the Regulations on Industrial Injury Insurance.

(11) treatment standard of work-related injury insurance in Nanjing

1. funeral subsidy

standard: the average monthly salary of employees in the overall planning area for 6 months in the previous year.

2, Nanjing industrial injury insurance to support relatives pension

(1), according to a certain proportion of the employee's own salary, paid to the relatives who provided the main source of livelihood and were unable to work before their death.

(2) 4% for spouse, 3% for other relatives, and 1% for the elderly or orphans.

(3) The sum of the approved pensions of dependent relatives should not be higher than the wages of employees who died at work.

3. The scope of relatives supported by industrial injury insurance in Nanjing:

(1) Spouses, children, parents, grandparents, grandchildren, grandchildren, brothers and sisters of employees.

(2) Children, including children born in wedlock, children born out of wedlock, adopted children and stepchildren with dependency, among them, children born in wedlock and children born out of wedlock include posthumous children;

(3), parents, including biological parents, adoptive parents and stepparents with dependency;

(4) Brothers and sisters, including brothers and sisters of the same parents, half-brothers or half-brothers, adopted brothers and sisters, and stepbrothers and sisters who have a relationship of support.

4. The conditions for applying for supporting relatives' pension in Nanjing industrial injury insurance

depend on the main source of livelihood provided by employees who died at work before their death, and there are one of the following circumstances: (1) completely losing their ability to work; (two) the spouse of a worker who has died is over 6 years old for men and 55 years old for women; (3) The parents of a worker who died are 6 years old for men and 55 years old for women; (four) the children of the workers who died were under the age of 18; (five) the parents of the deceased workers have died, their grandfathers have reached the age of 6, and their grandmothers have reached the age of 55; (six) the children of the workers who died have died or completely lost their ability to work, and their grandchildren are under the age of 18; (seven) the parents of the deceased employees have died or completely lost their ability to work, and their brothers and sisters are under the age of 18.

5. The situation that the industrial injury insurance in Nanjing stops enjoying the pension benefits

(1) Those who have reached the age of 18 and have not completely lost their ability to work;

(2), employed or joined the army;

(3) The spouse of the deceased employee remarries;

(4), adopted by others or organizations;

(5), dead.

6. Time for determining whether the industrial injury insurance in Nanjing meets the eligibility for being supported

If an employee dies at work, the eligibility of his dependent relatives to enjoy pension benefits shall be verified according to the conditions when the employee dies at work.

7. One-time compensation for work-related injury insurance in Nanjing

(1) Standard: 2 times the per capita disposable income of urban residents in the previous year.

(Last year, the per capita disposable income of urban residents was 28,844 yuan. ) 28844 yuan *2 times =57688 yuan.

(2) Requirements: First, the immediate family members of disabled employees who died due to work-related injuries during the period of suspension with pay shall enjoy the funeral subsidy, dependent relatives pension and one-time work-related death subsidy as stipulated in the first paragraph of this article; Second, one to four disabled workers who died after the expiration of the shutdown period can enjoy this.

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