Daqing industrial injury insurance identification and compensation guide

Guidelines for Identification and Handling of Industrial Injury Insurance in Daqing City

Identification standard of industrial injury

Workers in any of the following circumstances shall be recognized as work-related injuries:

1, injured by accidents due to work during working hours and workplaces;

2, before and after working hours in the workplace, engaged in work-related preparations or finishing work by accident;

3. Being injured by violence and other accidents during working hours and workplaces due to the performance of duties;

4. Suffering from occupational diseases;

5. When going out to work, he is injured due to work reasons or the whereabouts of an accident are unknown;

6. Being injured by a traffic accident that is not my main responsibility or an urban rail transit, passenger ferry or train accident on the way to and from work;

7. Other circumstances that should be recognized as work-related injuries as stipulated by laws and administrative regulations.

Treatment conditions

The employing unit shall, on the first working day after an employee suffers an accident injury or is diagnosed and identified as an occupational disease according to the provisions of the Law on the Prevention and Control of Occupational Diseases, notify the administrative department of social insurance in the overall planning area and the social insurance agency that participates in the insurance, and, according to the provisions of the Law on the Prevention and Control of Occupational Diseases, submit an application for the identification of work-related injuries to the administrative department of social insurance in the overall planning area within 30 days from the date of the accident injury or the date of diagnosis and identification as an occupational disease.

Note: In case of special circumstances, with the consent of the administrative department of social insurance, the application time limit may be appropriately extended.

Handling materials

1, industrial injury identification application form;

2, the existence of labor relations between the employer and the employee (including factual labor relations) proof materials;

3. Medical diagnosis certificate or occupational disease diagnosis certificate (or occupational disease diagnosis certificate);

4 identification materials (second-generation ID card or household registration book).

Note: The application form for work-related injury identification should include the time, place and cause of the accident and the degree of injury of employees.

Treatment process

1, telephone declaration

The employing unit shall make a telephone declaration to the Municipal Human Resources and Social Security Bureau or the Municipal Social Insurance Fund Management Center on the first working day after the worker suffers accidental injury or is diagnosed and identified as an occupational disease according to the provisions of the Law on the Prevention and Control of Occupational Diseases.

2. Written application

The applicant brings the application materials to the Municipal Human Resources and Social Security Bureau to submit a written application for work-related injury identification.

3. Review materials

The social security department shall examine the applicant's materials. If the materials provided by the applicant for work-related injury identification are incomplete, the social insurance administrative department shall inform the applicant in writing of all the materials that need to be supplemented at one time. The administrative department of social insurance shall accept the corrected materials after the applicant has been informed in writing.

4. Identify applications

The administrative department of social insurance shall make a decision on work-related injury identification within fifteen days from the date of accepting the application for work-related injury identification with clear facts and clear rights and obligations.

Processing time and place

Processing time

The employing unit shall, within 30 days from the date of accident injury or occupational disease identification.

Handling place

Daqing sairt district social security bureau

Address: Longfeng District, Daqing

Daqing Longfeng district social security bureau

Address: No.38 Longfeng Street

Daqing labor resources social security bureau

Address: No.0/9, Dongfeng Road, Saertu District, Daqing

Daqing labor and social security bureau

Address: No.2 Weier Road, Xincun 17

Guidelines for Handling Compensation of Industrial Injury Insurance in Daqing City

Compensation limit

1, general injury compensation (not up to disability)

Medical expenses, food subsidies for the injured during hospitalization, living care expenses, wages during work-related injuries, and transportation and accommodation expenses.

2. Disability compensation

Medical expenses, food subsidies, living nursing expenses, wages during work-related injuries, transportation and accommodation expenses, assistive devices, one-time disability allowance, one-time medical subsidy for work-related injuries, and one-time disability employment subsidy.

3. Compensation for death

Funeral subsidy, one-time casualty subsidy, and dependent relatives pension.

4. The employee's whereabouts are unknown.

Compensation items whose whereabouts are unknown when employees go out for emergency rescue or disaster relief should be determined according to different situations. If the employee is not declared dead, the compensation items available to his immediate family members include: pension for dependent relatives and 50% lump-sum death subsidy (in case of difficulties); When an employee is declared dead, the immediate family members can get compensation items: funeral expenses, pensions for dependent relatives, and one-time subsidies for the death of employees.

Treatment conditions

Apply for work-related injury insurance benefits (1-4 disability allowance)

Workers with work-related injuries need to install artificial limbs, orthoses, artificial eyes, dentures, wheelchairs, crutches and other rehabilitation devices due to their daily life or employment needs, or the rehabilitation devices need to be repaired or replaced, and the designated rehabilitation device assembly organization will make an assessment, and the required expenses will be paid from the industrial injury insurance fund according to the general standards stipulated by the state.

Apply for industrial injury insurance benefits (one-time disability allowance)

Workers whose medical disability affects their ability to work shall apply to the labor appraisal committee where the unit is located within 30 days, and the labor appraisal committee shall make a conclusion on the ability to work within 60 days from the date of acceptance, and identify them as 1 to 10 disabled workers at work.

Apply for work-related injury insurance benefits (one-time work-related death subsidy)

Workers who died due to work-related injuries

Application for treatment of work-related injury insurance (reimbursement of work-related injury medical expenses)

1, identified as work-related injuries.

2. Workers' medical treatment for work-related injuries does not require labor ability appraisal.

Handling materials

Basic materials

1, ID card, copy

2. Work-related injury confirmation decision

3, "Daqing industrial injury insurance benefits declaration form"

Note: A copy of A4 paper on the front and back of the second-generation ID card.

Treatment process

1. The applicant submits the application materials.

2, the relevant departments to accept the application materials

3 Waiting for the results of application review

4, review and approve the payment of benefits

Address and time limit for handling

Processing time limit

20 working days

Handling place

Daqing sairt district social security bureau

Address: Longfeng District, Daqing

Daqing Longfeng district social security bureau

Address: No.38 Longfeng Street

Daqing labor resources social security bureau

Address: No.0/9, Dongfeng Road, Saertu District, Daqing

Daqing labor and social security bureau

Address: No.2 Weier Road, Xincun 17