Wuxi Industrial Injury Calculation Method
1、 Publicized data of Wuxi Statistics Bureau:
1. The per capita disposable income of the whole province in the previous year was 49862 yuan;
2. The per capita disposable income of urban households in the previous year was 60178 yuan;
3. The per capita disposable income of rural households in the previous year was 28486 yuan;
4. The per capita consumption expenditure of urban residents in the previous year was 37796 yuan;
5. The per capita consumption expenditure of rural residents in the previous year was 22597 yuan;
6. Last year, the wage income of the per capita disposable income of the provincial residents was 28124 yuan, the net operating income was about 6400 yuan, and the average burden coefficient was 1.84;
7. Average wages of employees in all industries and industries in the previous year (year/person):
(1) Agriculture, forestry, animal husbandry and fishery: 54841 yuan
(2) Mining industry 118302 yuan
(3) Manufacturing 103619 yuan
(4) 161610 yuan for power, heat, gas and water production and supply industry
(5) 78114 yuan for construction industry
(6) Wholesale and retail trade 107279 yuan
(7) 110171 yuan for transportation, warehousing and postal services
(8) Accommodation and catering industry: about 56000 yuan
(9) 180782 yuan for information transmission, software and information technology service industry
(10) Financial industry: about 164000 yuan
(11) Real estate 95203 yuan
(12) Leasing and business services 85183 yuan
(13) Scientific research and technical service industry 157913 yuan
(14) Water conservancy, environment and public facilities management industry 87686 yuan
(15) 82409 yuan for resident service, repair and other service industries
(16) Education 149417 yuan
(17) Health and social work 153012 yuan
(18) Culture, sports and entertainment 123618 yuan
(19) Public management, social security and social organizations 171844 yuan
2、 Wuxi Industrial Injury Calculation Method
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, and the specific standard of the fund payment shall be stipulated by the people's government of the coordinating region.
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 overall planning area shall be paid from the industrial injury insurance fund, and the specific standards of the fund payment shall be stipulated by the people's government of the overall planning area.
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.
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
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 according to regulations. If the actual amount of disability allowance is lower than the local minimum wage standard, the employer shall make up the difference.
If it is difficult to arrange work for the injured workers who have been identified as Grade V or Grade VI disabled due to work-related disability after resuming work, the employer will calculate and pay disability allowance based on their own wages when it is difficult to arrange work; If it is difficult to arrange work and my salary is lower than my salary in case of work-related injury, my salary in case of work-related injury shall be taken as the base for calculation and payment.
10. One time medical subsidy for work-related injury
For the injured workers suffering from occupational diseases, 40% of the one-time medical subsidy for industrial injuries will be issued on the basis of the specified standard.
If the injured worker himself proposes to terminate the labor relationship with the employer, and the time of termination of the labor relationship is less than 5 years from the statutory retirement age, the one-time industrial injury medical subsidy shall be implemented according to the following standards: if less than 5 years, 80% of the full amount shall be paid; If less than 4 years, 60% of the full amount shall be paid; If it is less than 3 years, 40% of the total amount shall be paid; If less than 2 years, 20% of the total amount shall be paid; If it is less than one year, 10% of the total amount shall be paid, except for the circumstances specified in Article 38 of the Labor Contract Law of the People's Republic of China. If they reach the statutory retirement age or go through retirement procedures in accordance with regulations, they will not pay one-time medical subsidies for work-related injuries.
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 benchmark standard of one-time medical subsidy for work-related injuries is: 200000 yuan for level 5 and 160000 yuan for 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 benchmark standard of one-time medical subsidy for work-related injuries is: 120000 yuan for level 7, 80000 yuan for level 8, 50000 yuan for level 9, and 30000 yuan for level 10.
11. One time disability employment subsidy
If the injured worker himself proposes to terminate the labor relationship with the employer, and the time of termination of the labor relationship is less than 5 years from the statutory retirement age, the one-time disability employment subsidy shall be implemented according to the following standards: if less than 5 years, 80% of the full amount shall be paid; If less than 4 years, 60% of the full amount shall be paid; If it is less than 3 years, 40% of the total amount shall be paid; If less than 2 years, 20% of the total amount shall be paid; If it is less than one year, 10% of the total amount shall be paid, except for the circumstances specified in Article 38 of the Labor Contract Law of the People's Republic of China. If they reach the statutory retirement age or go through retirement procedures according to regulations, they will not pay 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 benchmark standard of one-time disability employment subsidy is: Level 5 95000 yuan, Level 6 85000 yuan.
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 benchmark standard of one-time disability employment subsidy is: Level VII 45000 yuan, Level VIII 35000 yuan, Level IX 25000 yuan, Level X 15000 yuan.
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.
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.