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How to use industrial injury insurance in social security
The reimbursement methods and requirements are as follows: 1. Usually, it needs to go through procedures such as work-related injury identification, work-related injury expense reimbursement and disability identification. When a work-related injury is identified, you need to fill in the application form for work-related injury identification, provide the first diagnosis certificate, the ID card of the work-related injury worker and other materials. It is suggested that you go to the local work-related injury department to get the application form and explanations of all materials. 2. In the process of medical treatment for work-related injuries, employees with work-related injuries are required to explain to medical institutions that it is a work-related injury, and hospitals will pay attention to it when using drugs. At this time, be careful not to draw a social security card, take the manual reimbursement process, pay the medical expenses in full first, and then reimburse the work-related injury. 3. The reimbursement rate for general work-related injuries is 100%. Of course, this is only medical expenses, and the company will pay employees as usual during the paid period of shutdown. In case of disability, the disabled employment subsidy shall be paid at the time of termination (in some cases, the company cannot voluntarily terminate the disability) or termination. In addition to medical expenses, the industrial injury fund also pays disability benefits and disability medical benefits. 4. A social security system that provides legal medical care and necessary economic compensation for workers in case of death or temporary or permanent incapacity. Article 17 of the Regulations on Work-related Injury Insurance, if an employee suffers an accident injury or is diagnosed and identified as an occupational disease in accordance with the provisions of the Law on the Prevention and Control of Occupational Diseases, the unit to which he belongs shall, within 30 days from the date of the accident injury or the date of diagnosis and identification as an occupational disease, apply to the social insurance administrative department in the overall planning area for work-related injury identification. Under special circumstances, with the consent of the administrative department of social insurance, the application time limit may be appropriately extended. If the employing unit fails to apply for work-related injury identification in accordance with the provisions of the preceding paragraph, the employees with work-related injuries or their close relatives and trade unions may directly apply for work-related injury identification to the social insurance administrative department where the employing unit is located within 1 year from the date of the accident injury or the date of being diagnosed as an occupational disease.
Legal objectivity:
Article 8 of the Regulations on Work-related Injury Insurance The rate of work-related injury insurance shall be determined according to the principle of fixed income and balance of payments. According to the degree of industrial injury risk in different industries, the state determines the differential rates in different industries, and determines a number of rate grades in each industry according to the use of industrial injury insurance premiums and the incidence of industrial injuries. Industry differential rates and intra-industry rates shall be formulated by the administrative department of social insurance of the State Council, and promulgated and implemented after being approved by the State Council. According to the use of work-related injury insurance premiums and the occurrence of work-related injuries by employers, agencies in various regions shall determine the unit payment rate according to the corresponding rate grades of their respective industries. Article 10 of the Regulations on Work-related Injury Insurance The employing unit shall pay the work-related injury insurance premium on time. Individual employees do not pay work-related injury insurance premiums. The amount of work-related injury insurance premium paid by the employer is the product of the total wages of employees multiplied by the unit payment rate. For industries that have difficulties in paying work-related injury insurance premiums according to the total wages, the specific payment methods of work-related injury insurance premiums shall be stipulated by the administrative department of social insurance of the State Council.
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