1) The treatment of injured workers should be provided by medical institutions that have signed service agreements, so as to provide emergency medical assistance nearby; Suspected occupational disease or occupational disease, the employer shall promptly send it to the medical institution designated by the provincial health administrative department for diagnosis and treatment.
If the limited company needs to be referred for medical conditions, it shall be proposed by the service agreement of the medical institution and agreed by the social insurance agency.
Social insurance agencies shall listen to the opinions of trade unions and business associations at the same level when signing service agreements with medical institutions and service institutions. The list of service agreements shall be made public to medical institutions.
2) If the treatment meets the project catalogue, drug catalogue and hospitalization service standard of industrial injury insurance, the expenses shall be paid by the industrial injury insurance fund.
Hospitalization meals are paid by the employer in accordance with the local food subsidy standards for related businesses. Approved to the treatment field, the required transportation and accommodation expenses shall be reimbursed according to the business standards.
The catalogue of industrial injury insurance benefits and the catalogue of industrial injury insurance drugs shall participate in the hospitalization service standard of industrial injury insurance in accordance with the relevant provisions of the state and the province.
3) During the period of receiving medical injury, the employee needs to suspend work due to medical injury. Suspension and salary remain unchanged, and salary and monthly unit benefits are paid as usual. The salary shall be determined by the labor ability appraisal committee at the end of the prescribed medical treatment period, and the longest period shall not exceed 24 months.
After assessing the disability level of the injured workers, the original treatment will be suspended, and their treatment will be enjoyed according to the relevant provisions of this chapter. Workers with work-related injuries who still need disability grade treatment after identification (including the recurrence of old injuries) shall be approved by the Labor Ability Appraisal Committee as grade five to ten, and continue to enjoy work-related injury treatment and stop medical expenses; One to four personnel, who enjoy the treatment of work-related injury and are injured during medical treatment, shall be paid from the work-related injury insurance fund according to these regulations. At the expense of injured workers
In the first and second paragraphs of this article, the rehabilitation treatment shall be paid by the industrial injury insurance fund when it goes to the designated medical institution for treatment. Suspend paid work
The responsible unit shall be responsible for the care of the injured employees who cannot take care of themselves and need nursing.
4) Workers with work-related injuries who have been assessed as level 1 to level 4 disability and have the ability to confirm the needs of the work-life nursing appraisal committee shall pay the nursing expenses from the work-related injury insurance fund according to the following standards: based on the average monthly salary of nursing staff in the local area in the previous year, the level is 60%, and the third and fourth levels are 50%, 40% and 30% respectively.
The synchronous adjustment of nursing is based on the annual average wage growth, and the negative growth has not been adjusted.
5) After the medical personnel's injury is recognized as work-related injury, they must install prosthetic limbs, orthotics, artificial eyes, teeth, wheelchairs, crutches and other rehabilitation devices, or need to be repaired or replaced, the hospital will give advice, and the labor appraisal committee will confirm their ability, and the expenses will be paid from the work-related injury insurance fund according to the standards stipulated by the state.
Rehabilitation equipment should be limited to the necessary assistance in daily life and productive labor, and products popular in the domestic market should be adopted. Injured workers choose other types of products, and the higher cost of common parts is paid by individuals.
6) Workers with work-related injuries shall enjoy the following treatment after being recognized as work-related injuries and disabilities.
One-time disability allowance. Based on the wages of workers injured at work: my first-class disability salary is 24 months, my second-class disability salary is 22 months, my third-class disability salary is two months, my fourth-class disability salary is 18 months, my fifth-class disability salary is 16 months, my sixth-class disability salary is 14 months, and my seventh-class disability salary is 12 months.
If the actual amount of disability allowance is lower than the local minimum wage, it shall be implemented according to the local minimum wage.
Disability is conducive to annual adjustment according to the basic pension adjustment method.
Retain the employee's original unit labor relations and quit the job, in accordance with the "Regulations on Work-related Injury Insurance" of the State Council thirty-third.
7) For disabled employees with grades 5 to 10, if the employer cannot terminate the labor relationship, it shall arrange work within its capacity.
The trade union and the employing unit may dissolve or terminate the labor relationship when the disabled employees with grades 5 and 6 move or the employing unit goes bankrupt; For 7- 10 disabled employees, if the labor contract expires, or I propose to terminate the labor contract, the employer will pay a one-time disability employment subsidy and medical subsidy to terminate the work-related injury insurance and work-related injury relationship among the injured employees.
One-time disability employment subsidy. According to my basic salary, the calculation is as follows: 5 months, 64 months, 25 months, 7, 8, 15 months, 8, 9 months, 10 months.
One-time subsidy for medical damage. According to my basic salary of total fat: total fat for five months, total fat for six months, total fat for seven months, total fat for eight months and nine months, and total fat for ten months. Who receives a pension or supports relatives, and in 65438+February
8) The dependent relatives of the periodic disability allowance can continue to receive the household registration and residence certificate issued by the employer or the department in June each year.
9) Workers with work-related injuries shall stop enjoying the treatment of work-related injury insurance in any of the following circumstances.
(1) Losing the conditions for enjoying treatment;
(two) refused to accept the labor ability appraisal;
(3) refusing treatment;
(4) was sentenced to death in prison.
10) 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 handle the change registration of sick leave insurance in the local social insurance agency.
The property auctioned due to bankruptcy, dissolution, termination of capital verification or other reasons shall be paid by the employer's work-related injury insurance benefits, as well as the owed work-related injury insurance, interest and late fees.
1 1) The employer contracts the operation, and the contracted workers are qualified employers without the employer's industrial injury insurance liability.
If an accident occurs in an illegally contracted construction project, the employer of work-related injury insurance shall have the right to recover the workers' work-related injury benefits after the contractor or subcontractor assumes the responsibility. exist
When a staff member is seconded due to accidental injury, the industrial injury insurance shall be borne by the original employer, but the original employer may agree to the remedial measures of the seconded unit.