I. Medical insurance benefits (1) Medical expenses Article 29, paragraph 3 1, standard: paid by the industrial injury insurance fund 2. Requirements: (1) Treatment in a medical institution with a service agreement; (2) The expenses for work-related injury treatment are in line with the catalogue of work-related injury insurance diagnosis and treatment items, the catalogue of work-related injury insurance drugs and the hospitalization service standard of work-related injury insurance.
(2) Paragraph 4 of the food subsidy: 1. Standard: 70% of the food subsidy standard for business trip. 2. Requirements: During hospitalization.
(3) Accommodation and transportation expenses Paragraph 4: 1. Standard: Employees of this unit are reimbursed for business trip. 2. Requirements: (1) Injured employees should seek medical treatment outside the overall planning area; (2) The certificate issued by the medical institution shall be submitted to the agency for examination and approval.
(4) Rehabilitation treatment fee Paragraph 6 1, standard: paid from the industrial injury insurance fund. 2. Requirements: (1) Medical institutions that have signed service agreements; (2) in line with the catalogue of work-related injury insurance diagnosis and treatment projects, the catalogue of work-related injury insurance drugs and the hospitalization service standard of work-related injury insurance.
(5) Expenses for assistive devices. Standard: Pay from the industrial injury insurance fund according to the national standard. 2. Requirements: (1) Due to the needs of daily life or employment, it is confirmed by the Labor Ability Appraisal Committee; (2) Install artificial limbs, orthoses, artificial eyes, dentures and wheelchairs and other auxiliary devices.
(6) paid shutdown 3 1 1. Standard: The original salary and welfare benefits will remain unchanged and will be paid by the employer on a monthly basis. 2. Requirements: (1) Generally, the paid shutdown period shall not exceed 12 months; If the injury is serious or the situation is special, it may be appropriately extended upon confirmation by the Municipal Labor Ability Appraisal Committee with districts, but the extension time shall not exceed 12 months. (2) Workers with work-related injuries who still need treatment after the expiration of paid shutdown shall continue to enjoy medical treatment for work-related injuries.
(7) The living nursing fee is stipulated in Article 3 1 1, and the standard is that people can't take care of themselves at all, and it will be paid according to 50% of the average monthly salary of local employees.
Most people can't take care of themselves, accounting for 40% of the average monthly salary of ground workers.
Part of the life can not take care of themselves, and the average monthly salary of employees at or above the prefecture level is 30%. 2. Requirements: (1) The employer shall be responsible for the need for nursing during the shutdown with pay; (2) If the disability level has been assessed and the labor ability appraisal committee confirms the need for life care, the life care fee shall be paid by the industrial injury insurance fund on a monthly basis.
(8) Expenses for recurrence of work-related injuries Article 36 1. Standard: Enjoy the industrial injury treatment stipulated in Articles 29, 30 and 31 of this Ordinance. 2. Requirements: Workers with work-related injuries need treatment for their recurrence.
Two. Disability insurance (1) Disability subsidy 1, standard: I get 24 months' salary for Grade I, 22 months' salary for Grade II, 20 months' salary for Grade III and 0/8 months' salary for Grade IV.
2. Requirements: (1) Stop medical treatment after assessing the disability level. (2) if the disability is identified as one to four levels of disability, the labor relationship shall be retained and the post shall be revoked. (3) One-time payment from the industrial injury insurance fund according to the disability level.
(2) Disability allowance 1, standard: 90% of the first-class salary; 85% of the secondary salary; 80% of the third-grade salary; 75% of the fourth grade salary.
2. Requirements: (1) Pay from the industrial injury insurance fund every month; (2) If the actual amount of disability allowance is lower than the local minimum wage, the industrial injury insurance fund will make up the difference; (3) After reaching retirement age and going through retirement formalities, the allowance will be stopped and the basic old-age insurance benefits will be enjoyed. If the basic old-age insurance benefits are lower than the disability allowance, the industrial injury insurance fund will make up the difference. (4) The basic medical insurance premium shall be paid by the employer and individual employees according to the disability allowance.
(3) Disability allowance 1, standard: my fifth-grade salary 16 months; My salary 14 months.
2. Requirements: One-time payment shall be made from the industrial injury insurance fund according to the disability level.
(4) Disability allowance 1, standard: 70% of my fifth-grade salary; 60% of my sixth grade salary.
2. Requirements: (1) Maintain labor relations with the employer, and the employer will arrange appropriate work; (two) if it is difficult to arrange the work, the employer shall pay the disability allowance on a monthly basis, and the employer shall pay the social insurance premiums payable for it in accordance with the regulations. (3) If the actual amount of disability allowance is lower than the local minimum wage, the employer shall make up the difference.
(5) Medical subsidy for work-related injuries and disability employment subsidy 1. Standards: The specific standards for Grade 5 and Grade 6 shall be formulated by the people's governments of provinces, autonomous regions and municipalities directly under the Central Government. 2. Requirements: Upon the employee's own request, the employee can terminate or terminate the labor relationship with the employer, and the employer will pay the one-time work-related injury medical subsidy and disability employment subsidy.
(6) Disability allowance 1, standard: my salary at grade 7 12 months; My grade 8 salary 10 month; My salary of 9 grades and 8 months; Ten grades and six months' salary.
2. Requirements: One-time payment shall be made from the industrial injury insurance fund according to the disability level.
(7) medical subsidies and disability employment subsidies 1. Standard: Grade 7, Grade 8, Grade 9, 10. Specific standards shall be formulated by the people's governments of provinces, autonomous regions and municipalities directly under the Central Government. 2. Requirements: If the labor contract expires, or the employee himself proposes to terminate the labor contract, the employer shall pay a one-time work-related injury medical subsidy and disability employment subsidy. (VIII) Disability Allowance Article 43 If an employee who enjoys the disability allowance according to the newly recognized disability grade suffers a work-related injury again, he shall enjoy the disability allowance according to the regulations.
Three. Treatment of industrial injury death insurance Article 37 (1) Funeral subsidy standard: the average monthly salary of employees in the last six months in the overall planning area.
(2) The pension for dependent relatives is 1, which is paid to the relatives who provide the main source of livelihood and can't work during their lifetime according to a certain proportion of the employee's salary. 2. Spouse is 40% per month, other relatives are 30% per month, and widowed old people or orphans are increased by 10% per month on the basis of the above standards.
3. The total pension of the approved dependent relatives should not be higher than the salary of the employee who died at work. 4. Dependent relatives: (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, in which 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, half-brothers, and stepbrothers and sisters who are dependent. 5, apply for dependent relatives pension conditions