Procedures for work related injury insurance, required information and procedures 5

1.According to Article 18 of the Regulations on Work-related Injury Insurance, the following materials shall be submitted to apply for work-related injury determination:

1) Application form for determination of work-related injury;

2) Proof of the existence of an employment relationship (including a de facto employment relationship) with the employer;

3) Medical diagnosis certificate or occupational disease diagnosis certificate (or occupational disease diagnosis and appraisal certificate).

The application form for determination of work-related injury shall include basic information such as the time, place, and cause of the accident, as well as the degree of injury of the employee.

Where the materials provided by the applicant for work-related injury determination are incomplete, the social insurance administrative department shall inform the applicant of all the materials that need to be supplemented and corrected in writing at one time. After the applicant requests to supplement and correct the materials in accordance with the written notice, the social insurance administrative department shall accept it.

2.To apply for a work-related injury determination, you need to go to the labor department where the employer is located.

3.According to Article 17 of the Regulations on Work-related Injury Insurance, the employer shall apply for a work-related injury determination for the employee within 30 days from the date of the accident injury.

4.Because the specific operation varies from region to region, it is recommended that you call 12333 to consult with your local labor department before applying.

Hit the national service ** is the most accurate!

Legal analysis: The process of applying for work-related injury insurance is as follows: 1. Within 24 hours of the occurrence of work-related injury, a work-related injury report form should be sent to the social insurance agency; 2. The injured employee shall submit an application for work-related injury recognition to the Labor Department within 30 days from the date of the accident injury or the date of diagnosis or appraisal of the occupational disease.

If the employer does not submit an application for work-related injury determination within the prescribed time limit, the work-related injury expenses incurred during this period shall be borne by the employer in accordance with the work-related injury insurance regulations.

Legal basis: Article 20 of the Regulations on Work-related Injury Insurance The social insurance administrative department shall make a decision on the determination of work-related injury within 60 days from the date of acceptance of the application for work-related injury determination, and notify in writing that the employee or his close relatives are being depressed and the unit to which the employee belongs. The social insurance administrative department shall make a decision on the determination of work-related injury within 15 days of accepting an application for work-related injury determination where the facts are clear and the rights and obligations are clear.

Where a decision to determine a work-related injury needs to be based on the conclusion of the judicial organ or the relevant administrative department, the time limit for making a determination of work-related injury is suspended during the period when the judicial organ or the relevant administrative department has not yet made a conclusion. Where the staff of the social insurance administrative department has an interest in the applicant for work-related injury determination, they shall recuse themselves.

Application materials for opening an account for enterprise work-related injury insurance: 1. Original and copy of business license; 2. Verification table of insurance premium rates for work-related injuries. 3. After the registration of the insurance, bring the relevant documents and materials to the work-related injury insurance department to go through the procedures for opening an account for the insurance, and determine the industry category and payment rate of the unit according to the business license.

Legal basis

Article 14 of the Regulations on Work-related Injury Insurance Article 14 An employee shall be deemed to have suffered a work-related injury under any of the following circumstances: (1) injured in an accident during working hours and in the workplace due to work-related reasons; (2) Being injured in an accident while engaging in work-related preparatory or finishing work in the workplace before or after working hours; (3) During working hours and in the workplace, being injured by an accident such as stalking Duan Li due to the performance of work duties; (4) Suffering from an occupational disease; (5) During the period when they are away for work, they are injured due to work reasons or their whereabouts are unknown in an accident; (6) Being injured in a traffic accident or an urban rail transit, passenger ferry, or train accident for which they are not primarily responsible while commuting to or from work; (7) Other circumstances that laws and administrative regulations provide shall be recognized as work-related injuries.

The process of handling work-related injury insurance: first, the unit or the injured employee shall apply for work-related injury identification; Then receive the work-related injury determination decision, and prepare the business license, the employee's ID card, medical payment documents and other materials; Then go to the local social security agency to apply; Finally, the social security agency shall compensate according to the regulations.

Legal basis] Article 18 of the Measures for the Determination of Work-related Injuries.

The social insurance administrative department shall, within 60 days from the date of accepting the application for recognition of work-related injury, make a decision on the determination of work-related injury, and issue a Decision on Determination of Work-related Injury or a Decision on Non-recognition of Work-related Injury.

Article 22.

The social insurance administrative department shall, within 20 days from the date of making the determination of work-related injury, send the "Decision on Determination of Work-related Injury" or "Decision on Non-determination of Work-related Injury" to the injured employee (or his close relatives) and the employer, and send a copy to the social insurance handling agency.

The service of the "Decision on Determination of Work-related Injury" and the "Decision on Non-determination of Work-related Injury" shall be carried out with reference to the provisions of civil law on service.

Article 38 of the Social Insurance Law of the People's Republic of China.

The following expenses incurred due to work-related injuries shall be paid from work-related injury insurance** in accordance with national regulations:

1) Medical expenses and expenses for work-related injuries;

2) Hospitalization meal subsidy;

3) Transportation and accommodation expenses for medical treatment outside the overall planning area;

4) The cost of installing and configuring assistive devices for the disabled;

9) Labor ability appraisal fee.

Legal analysis: The process of applying for work-related injury insurance is to first fill in the work-related injury insurance payment rate verification form and provide relevant documents and materials. After being accepted by the Work-related Injury Insurance Verification and Payment Section, the person in charge of the preliminary examination will review whether the materials submitted by Shen Yingshan meet the conditions and enter the relevant information.

Then the section chief reviews and puts forward the review opinions, and after completing the relevant materials, the person responsible for the preliminary examination and the section chief need to sign and seal and report to the competent office for approval. Finally, the basic information will be registered, archived and entered into the spine shed, and the work-related injury insurance payment rate verification table will be fed back to the employer.

Legal basis: Article 3 of the Regulations on Work-related Injury Insurance The collection and payment of work-related injury insurance premiums shall be carried out in accordance with the provisions of the Interim Regulations on the Collection and Payment of Social Insurance Premiums on the collection and payment of basic old-age insurance premiums, basic medical insurance premiums and unemployment insurance premiums.