What is the reimbursement rate of industrial injury in enterprises?

Employees in enterprises are injured, and enterprises need to bear corresponding legal responsibilities. If there is industrial injury insurance, then the enterprise needs to handle the corresponding industrial injury insurance claims for employees when they are injured, and there is a reimbursement ratio. Then, what is the proportion of reimbursement for work-related injuries in enterprises? For more information, please read Hualv.com.

1. At present, the medical expenses of injured workers in the normal payment unit are reimbursed according to the provisions of Document No.5 of Jinglao Society [1997]: 95%, 90%, 80% and 70% respectively, and the difference is borne by the unit.

2. According to the Regulations on Work-related Injury Insurance, the employer pays the work-related injury insurance premium of 1-4 level to the work-related injury handling agency at one time, which is tentatively set at 103000 yuan according to the average cost of retired workers and disabled people in our city.

3. After retirement and death due to occupational diseases, employees and retirees who were recognized as 1-4 work-related injuries before June 20041shall enjoy relevant treatment according to the spirit of document No.4 [2006] of Beijing Labor Medical Service, and the social salary shall be 30 months.

What is the reimbursement process of work-related injury expenses?

1, and go to the maternity insurance department for work-related injury registration with proof, medical record and admission notice before admission.

2. After discharge, send the household registration book, unit certificate, medical expense invoice, prescription, list, discharge record, hospitalization registration form or referral approval form to the industrial injury maternity insurance department for preliminary examination.

3. Audit by the Finance Department.

4. Signature of competent leaders and main leaders.

5. The following month 10- 15, you can get money from the finance department with the medical insurance certificate.

What are the conditions for reimbursement of work-related injury expenses?

1, the injured person must be a fixed subsidy unit owned by the provincial finance department and enjoy the national civil service Medicaid treatment.

2. You must hold a work-related injury certificate or a certificate issued by the provincial department.

3, must be a one-time medical expenses or work-related diseases.

4, medical records, prescriptions, discharge summary, cost details and other related information is complete.

Is there a time limit for work-related injury reimbursement?

There is a time limit. According to the Regulations of Guangzhou Municipality on Work-related Injury Insurance, within one year after the termination of medical treatment for employees, the employer must go through the procedures for reimbursement of medical expenses for work-related injuries. If you need treatment later, please apply to the labor ability appraisal department for follow-up medical treatment. It should be noted that when applying for work-related injury medical expenses, the application object is the unit, and the medical expenses after verification of work-related injury insurance are allocated to the unit.