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constructing the subject matter of insurance and fraudulently obtaining insurance money; (2) The policyholder, the insured or the beneficiary fabricates false reasons for the occurrence of the insured accident or exaggerates the extent of the loss, thereby defrauding the insurance money; (3) The policyholder, the insured or the beneficiary fabricates an insurance accident that has not occurred to defraud the insurance money; (4) The insured or the insured intentionally causes an insurance accident of property damage and defrauds the insurance money; (5) The policyholder or beneficiary intentionally causes the death, disability or illness of the insured and defrauds the insurance money. The conduct listed in items (4) and (5) of the preceding paragraph constitutes other crimes at the same time.
and punishment is to be given in accordance with the provisions on combined punishment for multiple crimes. Where a unit commits the crime in the first paragraph, the unit is to be fined, and the directly responsible managers and other directly responsible personnel are to be sentenced to up to five years imprisonment.
or criminal detention; where the amount is huge or there are other serious circumstances, a sentence of between 5 and 10 years imprisonment is to be given; where the amount is especially huge or there are other especially serious circumstances, a sentence of 10 or more years imprisonment is to be given. Where an appraiser, certifier, or property appraiser of an insured accident intentionally provides false supporting documents to provide conditions for others to defraud, it is to be punished as an accomplice to insurance fraud.
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No, both the insurance company and the employer should compensate.
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Probably not! If the company also claims through insurance, it should be a duplicate ......It is recommended to consult the labor department for a professional analysis of your questions!
In my analysis, it is not a fraudulent insurance policy, because the insurance company only accepts the policy unless it is a duplicate (even if it is not the same insurance company).
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This depends on whether the person who was beaten to death by others has negligence, and if not, he can pay compensation; If there is, it cannot be compensated, for example, the key is that you are the beaten party without fault in the process, and the corresponding party is deliberately harming or picking quarrels and provoking trouble; Or maybe there is a party who is at fault, correspondingly, you go to beat someone else and are justified by others, or the two of you are in a crowd fight. To put it bluntly, it is whether you have committed a crime or not. If not, and you have purchased insurance in advance, then you can claim compensation, 1. Refusal to pay.
Homicide falls under the category of accidental injury, but if the homicide is caused by the following reasons, the insurance company will deny the claim.
1.Intentional injury or intentional homicide of the insured by the policyholder, beneficiary.
2.Death or injury caused by the insured person's intentional crime, resisting arrest.
3.Injuries and deaths caused by the insured's brawl.
2. Legal provisions for non-payment of insurance premiums.
There are three main points in the statutory life insurance denial clause (i.e., the exclusion of insurance) - intentional injury by the insured, suicide, and intentional crime.
The insurer shall not be liable to pay the insurance money if the insured is killed, disabled or burned due to the following reasons:
1) The intentional act of the policyholder;
2) The insured causes injury or suicide, except where the insured is incapacitated for civil conduct at the time of suicide;
3) Fighting, assault or assault caused by the insured's provocative or intentional acts;
4) Pregnancy, miscarriage, childbirth, illness, drug allergy, heat stroke, sudden death of the insured;
5) The insured undergoes cosmetic surgery and other internal and surgical procedures;
6) The insured fails to comply with the doctor's instructions and takes, applies or injects drugs without permission;
7) Nuclear **, nuclear radiation or nuclear contamination;
8) terrorist attacks;
9) The insured commits a crime or resists arrest;
10) The insured person is engaged in high-risk sports or participates in professional or semi-professional sports.
Article 7 The insurer shall not be liable to pay insurance money if the insured suffers injuries resulting in death, disability or burns during the following periods:
1) During war, military operations, insurrection or armed rebellion;
2) During the period during which the insured is intoxicated or under the influence of drugs or controlled drugs;
3) The period during which the insured is driving under the influence of alcohol, driving without a valid driver's license, or driving a motor vehicle without a valid driver's license.
3. In addition to this, there are:
1) Intentional act of the policyholder.
Your parents, spouse, and children can all be the policyholders of your accident insurance, and if they take out accident insurance for you and then kill you, the accident insurance will not pay.
2) Fighting, assault or being ** caused by the insured's provocative or intentional acts.
Accidental accident insurance for killing people due to one's own intentional behavior is not compensated; If it is judged by the public procuratorate and other state organs to be ** accident insurance, it will not be compensated.
Therefore, if you are killed, the accident insurance can be paid or not, depending on the situation!
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Hello, being killed falls under the category of accidental injury, but if the killing is caused by the following reasons, the insurance company will refuse to pay.
1.Intentional injury or intentional homicide of the insured by the policyholder, beneficiary2Death or injury caused by the insured intentionally committing a crime and resisting arrest3Injuries and deaths caused by the insured's brawl.
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Hello, if an employee on a construction site has a car accident during work, it should be recognized as a work-related injury in accordance with the provisions of the Regulations on Work-related Injury Insurance. This accident involves two aspects: work-related injuries and traffic accidents, in addition to medical expenses, most provinces and regions can be compensated twice, and a small number of provinces and regions can only be compensated for the difference. In the case of traffic accidents, in general, the items that the injured party can claim from the responsible person are roughly as follows:
Medical expenses, lost work expenses, nursing expenses (compensation for family care can also be claimed), transportation expenses, accommodation expenses, hospital meal allowances, and necessary nutrition expenses.
If the employee is confirmed to be a work-related death, the provisions of Article 39 of the Work-related Injury Insurance Act shall apply; Article 39 If an employee dies on the job, his close relatives shall receive a funeral subsidy, a pension for dependent relatives and a one-time work-related death subsidy from the work-related injury insurance** in accordance with the following provisions:
1) The funeral subsidy is 6 months of the average monthly wage of employees in the overall area in the previous year.
2) The pension for dependent relatives shall be paid to the relatives who provided the main livelihood of the employee who died on the job and were unable to work according to a certain proportion of the employee's own salary. The standard is: 40% per month for spouses, 30% per month for each other relative, and 10% per month for each elderly person or orphan who is alone or orphaned.
The sum of the approved pensions for dependent relatives shall not be higher than the wages of the employee who died in the course of work. The specific scope of support for relatives shall be prescribed by the social insurance administrative department.
3) The standard of one-time work-related death allowance shall be 20 times the per capita disposable income of urban residents in the previous year. (In 2020, the same amount in the country is 847,180 yuan).
If the employer fails to take out work-related injury insurance in accordance with the regulations, the employer shall pay the expenses in accordance with the work-related injury insurance benefits. If an employee of an employer who is required to participate in work-related injury insurance in accordance with the provisions of these Regulations but does not participate in work-related injury insurance suffers a work-related injury, the employer shall pay the expenses in accordance with the work-related injury insurance benefits and standards stipulated in these Regulations. If you don't want to go according to the industrial and commercial compensation, you can negotiate with the unit privately, I hope mine can help you!
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If you have insurance and can prove the alarm record or accident certificate of the accident, then the insurance company will also have to pay for it.
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Of course, the insurance company needs to pay for the death of a car accident on the construction site, because it doesn't matter. Where does it appear? As long as it is. Something went wrong. If the compensation is met, he will pay you compensation.
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It depends on what kind of insurance you are buying. What is his coverage. It is impossible to judge from this known situation that you have provided.
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1. Compensation for general injuries caused (not up to disability): medical expenses, food allowance during hospitalization, living care expenses, wages during work-related injuries, transportation, accommodation and transportation expenses. 2. Compensation for disability:
Medical expenses, food allowance during hospitalization, living care expenses, wages during work-related injuries, transportation and lodging expenses, assistive device expenses, one-time disability allowance, disability allowance, one-time medical allowance for work-related injuries, and one-time disability employment allowance.
There was an accident on the construction site + the insurance company paid the company and accompanied it.
Kiss will be happy to answer your <>
After the insurance company has paid the compensation, you can ask the boss to compensate for the corresponding lost time expenses and other reasonable expenses.
Qinqin has compiled the following related content for you, I hope it will be helpful to you: Hello, the compensation items for work-related injury claims are as follows: 1. Compensation for general injury (not reaching disability):
Medical expenses, food allowance for the injured during hospitalization, living care expenses, wages during the work-related injury, transportation and accommodation expenses. 2. Compensation for disability: medical expenses, food allowance during hospitalization, living care expenses, wages during work-related injuries, transportation and accommodation expenses, assistive device expenses, one-time disability subsidy, disability allowance, one-time medical subsidy for work-related injury, and one-time disability employment subsidy.
Legal basis: Article 38 of the Social Insurance Law stipulates that the following expenses incurred due to work-related injuries shall be paid from work-related injury insurance in accordance with national regulations: medical expenses and expenses for work-related injuries; Hospitalization meal subsidy; Transportation, accommodation and transportation expenses for medical treatment outside the co-ordination area; a one-time disability allowance and a monthly disability allowance for employees with disabilities of grades 1 to 4; A one-time medical subsidy shall be enjoyed when the labor contract is terminated or dissolved.
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Legal analysis: If it is private after the police are called, or the insurance company confirms the accident, then after obtaining the accident liability determination issued by the traffic police department, you can claim compensation from the insurance company, however, the amount of compensation can not be determined by the amount negotiated by the two parties, but should be determined by the insurance company according to specific evidence. Legal basis:
Regulations on Work-related Injury Insurance》 Article 5 The social insurance administrative department is responsible for the work-related injury insurance work nationwide. The local people's social insurance administrative departments at or above the county level shall be responsible for the work-related injury insurance work within their respective administrative areas. The social insurance agency (hereinafter referred to as the agency) established by the social insurance administrative department in accordance with the relevant provisions of the social insurance department specifically undertakes work-related injury insurance affairs.
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If the insurance is a group insurance purchased in the name of the construction site, then the insurance company will definitely pay the money to the company's account, but this money is ultimately to compensate the ** worker, so it still has to be transferred from the company's account to compensate the victim. The company cannot embezzle the insurance money that the worker has exchanged for his or her life.
Accident insurance is a fixed-rate benefit insurance, and when the insurance liability is constituted, the insurer pays the death insurance or disability insurance according to the insurance amount agreed in the insurance contract. The amount of the death benefit is specified in the insurance contract and is paid in full when the insured dies.
The amount of disability insurance benefits is determined by two factors: the amount insured and the degree of disability. The degree of disability is generally expressed as a percentage, and the formula for calculating the amount of disability insurance benefits is: disability insurance benefits = insured amount and percentage of disability.
In accident insurance, the insured amount is also the maximum amount of insurance money paid by the insurer, that is, the insurer pays each insured person's death insurance benefit and disability insurance benefit cumulatively to the extent that the insured amount is not exceeded.
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Depending on who the insurance beneficiary is, in general, the insurance beneficiary is the legal heir of the person. That is, parents, children, and husband and wife need to take the person's death certificate, and proof of kinship, and then several people go to the insurance company's claims office together to receive the insurance money. If one of them dies, you need to go with his death certificate.
I am fortunate to be in the Pacific, and I am safe.
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Of course, it is to pay to the individual, whether it is bought by the company or by itself, the life insurance of commercial insurance is of course a loss!
Whoever is the insured will be compensated!
I'm Pacific Insurance.
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