The process of reporting workers' compensation insurance

One, first apply for work injury recognition. Recognition of work injury is a condition for enjoying work injury treatment. Employees who are injured in accidents or diagnosed or identified as occupational diseases in accordance with the provisions of the Occupational Disease Prevention and Control Law, the employer shall, within 30 days from the date of occurrence of the accidental injury or the date of diagnosis or identification of occupational diseases, submit an application for the recognition of work-related injuries to the administrative department of labor security of the co-ordinated area. If the employer fails to submit an application for recognition of work injury within the prescribed period, the injured employee, or his/her immediate family members, or the trade union organization may directly submit an application for recognition of work injury within one year from the date of occurrence of the accidental injury or from the date of diagnosis or appraisal of the occupational disease. The application for recognition of work injury shall be made by filling out the Application Form for Recognition of Work Injury and submitting the following materials: (1) a copy of the text of the labor contract or other valid proof of the establishment of the labor relationship; (in case of a de facto labor relationship, which is not acknowledged by the employer, an application for confirmation of the de facto labor relationship shall be filed with the Arbitration Committee for Labor Disputes). (2) Post-injury diagnostic certificate or occupational disease diagnostic certificate (or occupational disease diagnostic appraisal certificate) issued by a medical institution. The decision to recognize the injury shall be sent to the applicant for work injury recognition as well as the injured employee (or his/her immediate family members) and the employer. For details, see the Measures for the Determination of Work Injuries. Labor capacity appraisal (disability grade appraisal). At the end of the period of suspended wages or during the period of suspended wages when the injury is in a relatively stable state, the employer, the injured employee or his/her immediate family members may apply to the Labor Capacity Appraisal Committee of the place where he/she participates in the insurance scheme (attached to the same level of the labor security administrative department). The Labor Capacity Appraisal Committee undertakes the following labor capacity appraisals (confirmations): (1) appraisal of the labor capacity of the injured employee; (2) confirmation of the period of suspension of pay; (3) confirmation of the allocation of auxiliary aids; (4) confirmation of the connection between the disease and the injury; (5) appraisal of the complete loss of labor capacity of the dependent relatives; (6) confirmation of the vocational rehabilitation; (7) confirmation of the recurrence of the old injuries of the injured employee; and (8) others. (Commissioned labor capacity appraisal.) Application for appraisal of labor capacity, filling in the Form for Appraisal (Confirmation) of Labor Capacity of Work-Injured Employee, and submitting the following materials: (1) a copy of the Decision on the Determination of Work-Injury or the Work-Injury Certificate; (2) a copy of the identity card of the person to be appraised, and two one-inch photographs; (3) a copy of the medical records, diagnostic certificates, physicochemical test reports, CT, X-ray films, and other diagnostic and therapeutic data of the person to be appraised; and (4) an application for (4) If the applicant applies for re-identification (confirmation), a copy of the notification of the conclusion of the initial appraisal shall be provided. (5) For the appraisal (confirmation) of the labor capacity of the dependent relatives of the deceased worker, it is also necessary to provide a valid certificate of the relationship between the appraised person and the injured worker; (6) other information required by regulations, policies or the labor capacity appraisal agency. When providing copies of the above information, the originals shall be sent to the Labor Capacity Appraisal Agency for verification (after verification, they shall be returned to the holder for safekeeping). Based on the appraisal (confirmation) conclusion validated by the Office of the Labor Capacity Appraisal Committee, the Labor Capacity Appraisal Agency shall, in the name of the Labor Capacity Appraisal Committee, make a Notice of Appraisal (Confirmation) Conclusion on the Labor Capacity of the Injured Employee and send it to the appraised person, the employing unit and the Work Injury Insurance Administration Agency, respectively. If the unit or individual applying for appraisal is not satisfied with the appraisal (confirmation) conclusion of the Labor Capacity Appraisal Committee, he/she may, within 15 days from the date of receipt of the appraisal (confirmation) conclusion, apply for re-appraisal (confirmation) to the Labor Capacity Appraisal Committee of the next higher level, submitting the appraisal conclusion of the Labor Capacity Appraisal Committee and the relevant materials. After 1 year from the date of the conclusion of the appraisal of labor capacity, if the injured employee or his/her immediate family members, the employer or the agency considers that the disability situation has changed, he/she can apply for re-appraisal to the Labor Capacity Appraisal Committee in charge of the first appraisal. Third, the treatment of work injury. Including: (1) medical expenses: subject to medical bills; (2) hospital meal allowance: the number of days of hospitalization × the standard of meal allowance for business trip (generally 12-40 yuan) × 70%; (3) nursing care: the number of days the hospital proves that nursing care is needed × the daily salary of the nursing staff; (4) one-time disability benefit: the worker's monthly salary × the number of legal months (the number of months corresponding to the different levels of disability); (5) one-time medical treatment benefit.

Workers' compensation insurance is a guarantee for workers' personal safety. If an employee suffers an injury, which falls within the scope of work-related injuries, the unit or the employee and his/her relatives shall contact the Business Department within 15 days from the date of the accidental injury in a timely manner. The unit shall file an application for recognition of work injury with the district or county labor security administrative department within 30 days. The labor security administrative department shall make a decision on the recognition of work injury within 60 days from the date of accepting the application for recognition of work injury and notify the employee applying for recognition of work injury in writing. Workers' compensation insurance declaration process a. For the application for recognition of work-related injuries need to submit materials: 1. Fill out the "Employee Injury Recognition Application Form" in four copies; 2. Carrying the employee's labor contract with the enterprise; 3. Rescue hospitals or designated medical institutions for the first time (the same day and consecutive treatment) diagnostic certificates; 4. Injured person's identity card, the unit certified; 5. Traffic accidents injuries or injuries caused by violence, the submission of the public security department's liability Ruling and the relevant processing certificate, whereabouts unknown, submitted to the judicial department ruling; (original and copy) 6. work-related injuries; 7. employer's business license; 8. proof of payment of work-related injuries insurance; 9. personal photo of the injured employee 1X1 Second, the injured employee's ability to appraise the identification of employees injured on the job for work-related injuries, the expiration of the medical period of the injury or in the period of medical treatment for injuries cured, stabilized injury should go to the district and county labor appraisal committee for labor capacity appraisal and evaluation of disability grade. The Labor Capacity Appraisal Committee shall make an appraisal conclusion within 60 days from the date of receiving the application for labor capacity appraisal. Rating of disability. For those who are assessed as Grade 1 to 4, they are entitled to regular disability pension; for those who are assessed as Grade 5 to 10, they are entitled to lump-sum disability benefit according to the disability grade. Required documents: 1. to the Chaoyang Labor Bureau to obtain the "Labor Capacity Identification, Determination of the application form", the injured employee to fill out, complete, unit seal my signature; 2. with the "Work Injury Determination of the application form" a; 3. with the injured employee himself "Work Injury Certificate" (original) 4. to confirm that the injury of the first diagnosis of the proof of the first (a copy of); 5. work-related injuries, hospitalization case copy; Third, disability insurance treatment workers by the Labor and social security administrative departments have been identified as work-related injuries, labor appraisal institutions have been identified as labor capacity, disability level of one to ten, the enterprise within fifteen days from the date of receipt of the conclusion of the labor appraisal of the injured employee for the approval of work-related injury insurance treatment procedures. The person in charge of the unit shall report to the Chaoyang District Social Security Center. For the approval of the treatment of injured workers need to submit materials: 1. work injury certificate; (original) 2. "Work Injury Determination Application Form", "Work Injury Determination of the conclusion of the notice"; 3. labor capacity assessment conclusion; 4. injured workers injured in the 12 months prior to the injury of the average wage certificate; 5. participation in the roster of personnel; 6. fill out the registration form of the injured workers. The above will be examined by the District Social Security Center on the supporting documents, and after passing the examination, the approval of the work injury insurance treatment will be completed within three days. Approved disability treatment is calculated according to the following workers' compensation insurance treatment concise to the table.