Suzhou industrial injury insurance

The following is the relevant content of Suzhou industrial injury insurance: 1. Treatment standard: if the employee is identified as a work-related injury, the work-related injury insurance fund will pay the following treatment: 1. Work-related injury medical treatment: (1) Workers with work-related injuries are treated in designated medical institutions of work-related injury insurance, and expenses (including treatment expenses for work-related injury recurrence) that meet the requirements of the national 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 occur. 2. Workers with work-related injuries are hospitalized, and according to the days of hospitalization, food subsidies are paid according to the standard of 20 yuan per person per day. (3) If an employee goes to a medical institution outside Suzhou to treat a work-related injury and goes through the registration formalities with the social security institution in advance, his transportation expenses shall be paid according to the actual amount; The room and board required on the way shall be paid according to the standard of 150 yuan per person per day. 2. Workers with work-related injuries can install artificial limbs, artificial eyes and dentures due to their daily life or employment needs, and be equipped with wheelchairs, crutches, hearing AIDS and other assistive devices. The required expenses shall be paid by the work-related injury insurance fund within the limit according to the project and expense limit standard of Suzhou City. 3. Workers with work-related injuries who have been assessed as disabled and confirmed by the Municipal Labor Ability Appraisal Committee need life care shall be paid monthly for life care. The standard of living nursing expenses is divided into three grades: complete, most and part of the inability to take care of themselves, which are 50%, 40% and 30% of the average monthly salary of employees in the city last year respectively. 4. Employees whose work-related disabilities are identified as Grade I to Grade X enjoy the following benefits: Grade I to Grade IV benefits (1) Standard: one-time disability allowance: Grade I disability is my 27-month salary, Grade II disability is my 25-month salary, Grade III disability is my 23-month salary, and Grade IV disability is my 2 1 month salary; Enjoy monthly disability allowance: 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; ⑵ Requirements: Maintain labor relations and resign. Workers with work-related injuries who reach retirement age and go 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, the industrial injury insurance fund will make up the difference. Employers and employees pay basic medical insurance premiums based on disability allowance. ⑶ Remarks: My salary refers to the average monthly payment salary of the injured workers 12 months before they suffer from accidents or occupational diseases. 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. Five or six levels of treatment (1) standard: enjoy one-time disability allowance: five levels of disability are my salary 18 months, and six levels of disability are my salary 16 months; Retain the labor relationship with the employer, and the employer will arrange appropriate work. If it is difficult to arrange the work, the employer will pay the disability allowance on a monthly basis. The five-level disability accounts for 70% of my salary, and the six-level disability accounts for 60% of my salary, and the employer will pay the social insurance premiums that should be paid according to the regulations. ⑵ 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 employing unit, and the employing unit shall pay the one-time work-related injury medical subsidy and disability employment subsidy 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 (the specific standards shall be formulated by the people's governments of provinces, autonomous regions and municipalities directly under the Central Government). Level 7-10 treatment (1) standard: enjoy one-time disability allowance: level 7 disability is 12 months of my salary, level 8 disability is 10 months of my salary, level 9 disability is 8 months of my salary, and level 10 disability is 6 months of my salary; (2) Requirements: If the labor contract expires or the employee proposes to terminate the labor contract, the employing unit shall pay him a one-time medical subsidy for work-related injuries and a one-time disability employment subsidy according to the average monthly salary of the employees in the overall planning area at the time of termination or termination of the labor contract (the specific standards shall be formulated by the people's governments of provinces, autonomous regions and municipalities directly under the Central Government). 5. If an employee dies due to work (including death during paid work stoppage), his close relatives shall enjoy the following treatment: (1) Funeral allowance: based on the average monthly salary of employees in this city in the previous year for 6 months; ⑵ One-time work death subsidy: the standard is 20 times of the per capita disposable income of urban residents in the previous year. One to four injured workers who die after the expiration of unpaid leave (including retirement procedures) only enjoy funeral subsidies and do not enjoy one-time work-related death subsidies. Second, the relevant provisions of 1. My salary refers to the average monthly payment salary 12 months before work-related injury or occupational disease. If my salary is lower than 60% of the average monthly salary of employees in the city last year, it shall be calculated according to 60% of the average monthly salary of employees in the city last year; If it is higher than the average monthly salary of employees in this Municipality last year by 300%, it shall be calculated according to the average monthly salary of employees in this Municipality last year by 300%. 2. From July 20 1 1 to July 1, if the calculation and payment method of work-related injury insurance benefits involves the average salary of employees in the previous year in the city, it shall be implemented according to the average monthly salary of employees in urban non-private units in the previous year in the city, which shall be announced by the municipal human resources and social security administrative department in June each year. The applicable year is from July/kloc-0 to June 30th. Where the per capita disposable income of urban residents in the previous year is involved, the data published by the National Bureau of Statistics shall prevail, and the applicable year is from 65438+1 0/0 to 65438+February 3 1. 3. The paid shutdown period generally does not exceed 12 months. In case of serious injury or special circumstances, it may be appropriately extended after confirmation by the Municipal Labor Ability Appraisal Committee, but the extension time shall not exceed 12 months. 4. With reference to the Civil Service Law, if the staff of government agencies and institutions are identified as one to four disabled due to work-related injuries, they shall go through the retirement formalities due to work-related injuries, and the calculation and payment method of retirement fees shall still be implemented according to the relevant provisions of the Reply of the Ministry of Personnel on Retirement Fees for Persons with Work-related Disabilities in Government agencies and institutions (No.[295]1996); Those who die after going through the retirement formalities shall be handled according to the corresponding death treatment standards of the staff in our city. 5. Disability allowance (regular disability pension) and living care fee are adjusted every July 1 day according to the measures promulgated by the municipal administrative department of human resources and social security. 6. If the injured workers who apply for the re-examination and appraisal of labor ability due to the aggravation of work-related injuries, the one-time disability allowance will not be re-issued, and other work-related injury insurance benefits will be enjoyed according to the newly assessed disability level. After retirement, due to the aggravation of the injury, if the degree of self-care disorder meets the conditions for enjoying the living nursing fee after identification, the living nursing fee will be enjoyed from the next month after the identification conclusion is issued, and the degree of labor dysfunction will not be re-identified. 7. After retirement, if a person is diagnosed or identified as an occupational disease for the first time and is identified as a work-related injury, if he reaches the disability level after identification, his salary as the base of one-time disability allowance shall be implemented according to the monthly basic pension when he was first diagnosed as an occupational disease; Among them, if the basic pension of one to four employees is lower than the disability allowance standard calculated by 60% of the average wage of employees in the city last year, the work injury insurance fund will make up the difference. 8. If an employee who died at work has dependent relatives who meet the requirements, he/she may apply for pension benefits for dependent relatives as required. 9 was identified as five to ten disabled workers, and the employer to terminate or terminate the labor relationship, the one-time work-related injury medical subsidies paid by the work-related injury insurance fund. Three. Precautions 1. Workers with work-related injuries who treat diseases not caused by work-related injuries do not enjoy medical treatment for work-related injuries, and shall be treated according to the provisions of medical insurance. 2. Workers with work-related injuries shall cease to enjoy the treatment of work-related injury insurance under any of the following circumstances: (1) they lose the conditions for enjoying the treatment; (two) refused to accept the labor ability appraisal; (3) refusing treatment.