Calculation method of work-related injury in Zaduo County
1、 Data publicized by Zaduo County Statistics Bureau:
1. The per capita disposable income of the whole province in the previous year was 27000 yuan;
2. The per capita disposable income of urban households in the previous year was 38736 yuan;
3. The per capita disposable income of rural households in the previous year was 14456 yuan;
4. The per capita consumption expenditure of urban residents in the previous year was 21700 yuan;
5. The per capita consumption expenditure of rural residents in the previous year was 12516 yuan;
6. Average wages of employees in all industries and industries in the previous year (year/person):
(1) Agriculture, forestry, animal husbandry and fishery: 47609 yuan
(2) Mining industry 152682 yuan
(3) Manufacturing industry 89234 yuan
(4) Electricity, heat, gas and water production and supply industry 129072 yuan
(5) Construction industry 91110 yuan
(6) Wholesale and retail 82010 yuan
(7) Transportation, warehousing and postal service 115229 yuan
(8) 52375 yuan for accommodation and catering
(9) Information transmission, software and information technology service industry 137031 yuan
(10) Financial industry 144717 yuan
(11) Real estate industry 60770 yuan
(12) 63986 yuan for leasing and business services
(13) About 118000 yuan for scientific research and technical services
(14) Water conservancy, environment and public facilities management industry 69861 yuan
(15) 47093 yuan for resident service, repair and other service industries
(16) Education 120726 yuan
(17) Health and social work 113595 yuan
(18) Culture, sports and entertainment industry 88794 yuan
(19) Public management, social security and social organizations 118152 yuan
2、 Calculation method of work-related injury in Zaduo County
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.
A food allowance of 15 yuan per day will be paid to employees for hospitalization for work-related injuries according to the actual number of days in hospital. A food allowance of 30 yuan per day will be paid according to the actual number of days.
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.
With the certificate issued by the designated medical institution and the consent of the handling institution, if the injured workers go to the hospital outside the planned area, the round-trip transportation fees shall be reimbursed with bills (excluding taxi tickets) according to the standard below the hard sleeper; The pre hospitalization accommodation fee shall not exceed three days, and the daily standard shall not exceed 150 yuan. The reimbursement shall be made according to the regulations during the hospitalization.
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 provincial social insurance administrative department, together with the financial department, shall timely propose an adjustment plan for the living care expenses according to the changes in the average wages and living expenses of the employees in the province, and submit it to the provincial government for approval before implementation.
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 provincial social insurance administrative department together with the financial department shall timely propose an adjustment plan for the disability allowance based on the changes in the average wages and living expenses of the employees in the province, and submit it to the provincial government for approval before implementation.
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.
10. One time medical subsidy for work-related injury
When an injured worker who participates in the endowment insurance plan terminates or terminates his/her labor relationship, if he/she is less than five years away from the specified retirement age, the one-time medical subsidy for industrial injury shall be paid at 80% of the amount, 60% if he/she is less than four years old, 40% if he/she is less than three years old, 20% if he/she is less than two years old, and 10% if he/she is less than one year old. If an injured worker reaches the retirement age or goes through retirement procedures to receive a pension on a monthly basis, he or she will not be paid a one-time medical subsidy 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 specific standard is 15 months to 7.5 months of the salary paid by the employee when the labor relationship is dissolved or terminated, including 15 months for Level 5 and 13.5 months 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 specific standard is 15 months to 7.5 months of the salary paid by the employee when the labor relationship is dissolved or terminated, including 12 months for Level 7, 10.5 months for Level 8, 9 months for Level 9, and 7.5 months for Level 10.
11. One time disability employment subsidy
When the injured workers who participate in the endowment insurance plan terminate or terminate their labor relationship, if they are less than five years from the specified retirement age, the one-time disability employment subsidy will be paid at 80% of the amount, 60% if they are less than four years old, 40% if they are less than three years old, 20% if they are less than two years old, and 10% if they are less than one year old. If an injured worker reaches retirement age or goes through retirement procedures to receive a monthly pension, no one-time disability employment subsidy will be paid.
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 specific standard is 15 months to 7.5 months of the salary paid by the employee when the labor relationship is dissolved or terminated, including 15 months for Level 5 and 13.5 months for 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 specific standard is 15 months to 7.5 months of the salary paid by the employee when the labor relationship is dissolved or terminated, including 12 months for Level 7, 10.5 months for Level 8, 9 months for Level 9, and 7.5 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 provincial social insurance administrative department, together with the financial department, shall timely propose an adjustment plan for the pension and living care expenses of the supporting relatives according to the changes in the average wages and living expenses of the employees in the province, which shall be implemented after being submitted to the provincial government for approval.
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.
