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Bureau of Labor Insurance, Ministry of Labor  Brief Introduction






               ① Ordinary Injury or Sickness Benefits               insured seniority prior to January 1, 2009,
                 The benefits of ordinary injury or sickness        may also choose to file for the lump-sum
                 for inpatient hospitalization will be payable      benefits payout.
                 at the rate of 50% of the average monthly         ※Payment Standards:
                 insurance salary of an insured person for          A.It is calculated by averaging the actual
                 a maximum period of 6 months. When an                monthly insurance salary 6 months before
                 insured person has at least one full year of         the month when the insurance accident
                 insurance coverage prior to the occurrence           occurred to the insured person (which is
                 of injury or sickness, such benefits shall be        the date the insured person is diagnosed
                 payable for an additional 6 months.                  as permanently disabled); the average
               ② Occupational Injury or Disease Benefits              daily insurance salary is calculated by
                 The  benefits  of  occupational  injury  or          dividing the average monthly insurance
                 diseases for inpatient hospitalization and           salary by 30.
                 outpatient medical care will be payable            B.There are fifteen levels defined for
                 at the rate of 70% of the insured person's           disability classification. The highest is
                 average monthly insurance salary. In case            Level 1, in which the insured are paid up
                 an insured person has not recovered from             to 1,200 days; the lowest is Level 15, in
                 injury or diseases after one full year and           which the insured get paid for 30 days. An
                 been unable to work, the benefits shall              insured person will be paid an additional
                 be reduced to 50% of average monthly                 50% of the original lump-sum payment if
                 insurance salary for a maximum period of 1           the disability is caused by occupational
                 year.                                                injury or sickness. The highest level is
                                                                      Level 1, in which the insured are paid up
            (3)Permanent Disability Benefits
                                                                      to 1,800 days; the lowest level is Level
               An insured person suffers from injury or               15, in which the insured get paid for 45
               sickness and the person's condition is stable          days.
               after medical treatment but no improvement        ② Disability Pension
               could be expected for further treatment,            An insured person who meets the
               and if the insured person is diagnosed to be         “permanent inability to work” requirement
               permanently disabled by the national health          under the “Disability Conditions” column of
               insurance specially contracted hospitals and         the Disability Benefit Payment Schedule,
               the disability comply with the disability benefit    for a total of 20 items; or an insured person
               standard regulation, the insured person could        needs to be assessed with a disability level
               claim permanent disability benefits.                 conforming to levels 1 to 7, and has also

               ① Lump-Sum Disability Benefits                       undergone the individualized professional
                 The benefits are available to an insured           assessment to suffer loss of working
                 person whose disability conditions                 capability by 70% or more, and who also
                 conforming  to  the  criteria  stipulations        can no longer return to the workplace, may
                 of disability benefits payout, but not yet         file to collect the disability pension payout.
                 reaching the “permanent inability to work”       ※Payment Standards:
                 payout item (a total of 201 disability items);     A. Average monthly insurance salary x
                 or  an  insured  person  whose  disability           coverage  years  x  1.55  %(  minimum
                 conditions confirming to the “permanent              guarantee of NT$4,000)
                 inability to work” payout item, and also has          ♦Average monthly insurance salary is


                                                Chapter Two  Profile of Labor Insurance and Labor Protection Programs  11
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