Calculation method of industrial injury in Hechuan District
1、 Publicized data of Hechuan District Bureau of Statistics:
1. The per capita disposable income of the city's residents in the previous year was 35666 yuan;
2. The per capita disposable income of urban households in the previous year was 45509 yuan;
3. The per capita disposable income of rural households in the previous year was 19313 yuan;
4. The per capita consumption expenditure of urban residents in the previous year was 30574 yuan;
5. The per capita consumption expenditure of rural residents in the previous year was 16727 yuan;
6. Average wages of employees in all industries and industries in the previous year (year/person):
(1) Agriculture, forestry, animal husbandry and fishery: 73140 yuan
(2) Mining industry 96743 yuan
(3) Manufacturing industry 89966 yuan
(4) 110863 yuan for power, heat, gas and water production and supply
(5) Construction industry 67918 yuan
(6) Wholesale and retail business 87988 yuan
(7) 97665 yuan for transportation, warehousing and postal services
(8) 48566 yuan for accommodation and catering
(9) Information transmission, software and information technology service industry 155067 yuan
(10) Financial industry 129860 yuan
(11) Real estate industry 87315 yuan
(12) 66893 yuan for leasing and business services
(13) Scientific research and technical service industry 149205 yuan
(14) 86319 yuan for water conservancy, environment and public facilities management
(15) 65841 yuan for resident service, repair and other service industries
(16) Education 127699 yuan
(17) Health and social work 143140 yuan
(18) 93912 yuan for culture, sports and entertainment
(19) Public management, social security and social organizations 121249 yuan
2、 Calculation method of industrial injury in Hechuan District
1. Medical expenses
If the expenses needed for the treatment of work-related injury meet the diagnostic and treatment items catalogue of work-related injury insurance, the pharmaceutical catalogue of work-related injury insurance, and the hospitalization service standards of work-related injury insurance, they shall be paid from the work-related injury insurance fund.
2. Food allowance
The food allowance for hospitalized workers with work-related injuries shall be paid from the work-related injury insurance fund.
The specific standards shall be formulated by the municipal social insurance administrative department together with the municipal financial department, and implemented after being approved by the municipal people's government.
3. Transportation and accommodation expenses
With the certificate issued by the medical institution and the consent of the handling institution, the transportation, board and lodging expenses required by the injured workers to seek medical treatment outside the planned area shall be paid from the industrial injury insurance fund.
The specific standards shall be formulated by the municipal social insurance administrative department together with the municipal financial department, and implemented after being approved by the municipal people's government.
4. Work injury rehabilitation cost
The cost of rehabilitation of work-related injuries to the medical institution that signed the service agreement shall be paid from the work-related injury insurance fund if it meets the requirements.
5. Auxiliary equipment cost
Due to the needs of daily life or employment, the injured workers can install artificial limbs, orthopedics, artificial eyes, false teeth, wheelchair and other auxiliary devices after confirmation by the labor ability appraisal committee, and the necessary expenses shall be paid from the industrial injury insurance fund according to the standards prescribed by the State.
6. Wages for suspension period
If an employee needs to suspend work to receive medical treatment for work-related injury due to accident injury or occupational disease at work, his/her original salary and welfare will remain unchanged during the pay retention period, and the unit to which he/she belongs will pay him/her monthly.
7. Nursing expenses
1) Nursing expenses during the suspension period with salary
If an injured worker who is unable to take care of himself or herself needs nursing care during the period of suspension with pay, the unit to which he or she belongs shall be responsible.
2) Living care cost after disability assessment
If the injured workers have been assessed as disabled and confirmed by the labor ability appraisal committee that they need living care, they shall pay living care fees from the industrial injury insurance fund on a monthly basis.
The living care fee shall be paid according to three different levels: totally unable to take care of themselves, mostly unable to take care of themselves or partially unable to take care of themselves. The standard is 50%, 40% or 30% of the average monthly salary of employees in the last year in the overall planning area.
The living care expenses shall be calculated and paid in accordance with the specified proportion based on the average monthly salary of the staff and workers of the city in the previous year from January 1 every year.
8. Disability benefits
Grade I disability is 27 months' salary;
Grade II disability is 25 months' salary;
Grade III disability is my salary of 23 months;
Grade IV disability is my salary of 21 months;
Grade V disability is 18 months' salary;
Grade VI disability is 16 months' salary;
Grade VII disability is 13 months' salary;
Grade VIII disability is 11 months' salary;
Grade 9 disability is 9 months' salary;
Grade 10 disability is my salary of 7 months.
9. Disability allowance
The standards of disability allowance and pension for dependent relatives shall be adjusted in due time according to the changes in average wages and living expenses of employees. The municipal social insurance administrative department shall propose an adjustment plan, which shall be implemented after being submitted to the municipal people's government for approval.
1) Level I to IV disability
Grade I disability is 90% of my salary;
Grade II disability is 85% of my salary;
Grade III disability is 80% of my salary;
Grade IV disability is 75% of my salary.
If the actual amount of disability allowance is lower than the local minimum wage standard, the difference shall be made up by the industrial injury insurance fund. After the injured workers reach retirement age and go through retirement procedures, they will stop paying disability allowance and enjoy basic pension insurance benefits in accordance with relevant national regulations. If the basic old-age insurance benefits are lower than the disability allowance, the difference shall be made up by the industrial injury insurance fund.
If the work-related disability of an employee is identified as Grade I to Grade IV disability, the employer and individual employee shall pay basic medical insurance premiums based on disability allowance.
2) Five to six levels of disability
Keep the labor relationship with the employer, and the employer will arrange appropriate work. If it is difficult to arrange work, the employer shall pay a monthly disability allowance. The standard is:
Grade V disability is 70% of my salary;
Grade VI disability is 60% of my salary;
And the employer shall pay various social insurance premiums payable for it in accordance with the regulations. If the actual amount of disability allowance is lower than the local minimum wage standard, the employer shall make up the difference.
10. One time medical subsidy for work-related injury
1) Five to six levels of disability
If an injured worker is disabled at levels five to six, he or she may terminate or terminate the labor relationship with the employer upon the request of the injured worker himself or herself, and a one-time medical subsidy for work-related injuries shall be paid from the work-related injury insurance fund.
The one-time medical subsidy for work-related injuries shall be calculated and paid based on the average monthly salary of the employees of the city in the previous year on the date of termination of the labor relationship, and shall be calculated and paid in 12 months at level 5 and 10 months at level 6.
2) Level 7 to 10 disability
For workers with work-related injuries of grades 7 to 10, if their labor or employment contracts expire or the workers themselves propose to terminate their labor or employment contracts, the work-related injury insurance fund shall pay a one-time medical subsidy for work-related injuries.
The one-time medical subsidy for work-related injuries shall be calculated and paid based on the average monthly salary of the employees of the city in the previous year on the date of termination of the labor relationship, and shall be calculated and paid in eight months at level 7, six months at level 8, four months at level 9, and two months at level 10.
11. One time disability employment subsidy
When the labor relationship is terminated or dissolved, the one-time disability employment subsidy shall be paid in full if the injured worker is more than 10 years away from the statutory retirement age (including 10 years); 90% if it is more than 9 years (including 9 years) from the statutory retirement age but less than 10 years; By analogy, the decrease will decrease by 10% every year. If it is less than 1 year from the statutory retirement age, it shall be paid at 10% of the full amount; Workers with work-related injuries who have reached the statutory retirement age will not be given one-off disability employment subsidies.
1) Five to six levels of disability
An injured worker who is disabled at work at levels 5 to 6 may terminate or terminate his/her labor relationship with the employer upon the request of the injured worker himself/herself, and the employer shall pay a one-time disability employment subsidy.
The one-time disability employment subsidy shall be calculated and paid based on the average monthly salary of the employees of the city in the previous year on the date of termination of the labor relationship, and shall be calculated and paid in 60 months at level 5 and 48 months at level 6.
2) Level 7 to 10 disability
The employer shall pay a one-time disability employment subsidy to workers with work-related injuries from Grade 7 to Grade 10 who have their labor or employment contracts terminated at the expiration of the term, or who themselves propose to terminate their labor or employment contracts.
The one-time disability employment subsidy shall be calculated and paid based on the average monthly salary of the city's employees of the previous year on the date of termination of labor relations, and shall be calculated and paid in 15 months for Level 7, 12 months for Level 8, 9 months for Level 9, and 6 months for Level 10.
12. Funeral allowance
The funeral subsidy is the average monthly salary of employees in the last year in the overall planning area for 6 months.
13. Pensions for dependent relatives
The pension for the supporting relatives shall be paid to the relatives who provided the main source of livelihood and were unable to work before the death of the employee due to work according to a certain proportion of the employee's salary. The criteria are:
Spouse 40% per month;
30% per person per month for other relatives;
An increase of 10% per person per month on the basis of the above standards for the elderly or orphans who are alone or widowed.
The sum of the verified pensions of the supporting relatives shall not be higher than the living wages of the employees who died due to work. The specific scope of supporting relatives shall be stipulated by the social insurance administrative department of the State Council.
The standard of pension for dependent relatives shall be timely adjusted according to the changes in average wages and living expenses of employees. The municipal social insurance administrative department shall propose an adjustment plan, which shall be implemented after being submitted to the municipal people's government for approval.
If an injured worker of Grade I to Grade IV dies after the expiration of the period of suspension with salary, his or her close relatives shall enjoy the benefits of industrial injury insurance as stipulated in Items (1) and (2) of Paragraph 1 of Article 39 of the Regulations. The pension for dependant relatives of workers with work-related injuries shall be based on the disability allowance or pension insurance benefits enjoyed by them at the time of death, and shall be calculated and distributed according to the proportion specified in the Regulations.
14. One time death allowance
The one-time work death subsidy standard is 20 times of the per capita disposable income of urban residents in the previous year.
