Page 42 - BLI-Brief Introduction
P. 42
Brief Introduction
INSURE
Your Life
suffers from the loss or reduction of income, reduced to 50% of the doubled monthly
the insured person, when receiving medical insurance amount as at the current
care, shall be entitled to occupational injury or month when the insured accident occurs,
occupational sickness benefits from the fourth for another maximum period of one year.
day after being incapacitated for work under 2. The applicability of “Regular Occupational
medical care. Injury or Occupational Sickness Benefits”
1. There are two types of “Occupational Injury or “Additional Occupational Injury or
or Occupational Sickness Benefits”- “Regular Occupational Sickness Benefits”: The benefit
Occupational Injury or Occupational Sickness shall be granted depending on whether the
Benefits” and “Additional Occupational Injury insured person has paid extra premium
or Occupational Sickness Benefits”. Benefits for the “Additional Occupational Injury or
are paid based on the following standards: Occupational Sickness Benefits” at the time
(1) “Regular Occupational Injury or “when the insured accident occurs”.
Occupational Sickness Benefits”: (2)Medical Care Allowances
The regular occupational injury or
occupational sickness benefits shall be The amount of the medical care benefits shall
payable on a daily basis at the rate of remain the same, no matter whether the insured
70% of the monthly insurance amount person is covered by the “Regular Occupational
for the insured person as at the current Injury or Occupational Sickness Benefits” or the
month when the insured accident “Additional Occupational Injury or Occupational
occurs. If the insured person has not Sickness Benefits” program: NTD50 per day for
recovered from the injury or sickness outpatient medical care and NTD900 per day
after one full year, the occupational for hospitalization medical care. On receiving
injury or occupational sickness benefits the claim from the insured person for the
are reduced to 50% of the monthly “Occupational Injury or Occupational Sickness
insurance amount as at the current Benefit”, the BLI shall proactively examine the
month when the insured accident payment of medical care benefits based on the
occurs, for another maximum period of approved number of days for the “Occupational
one year. Injury or Occupational Sickness Benefits”. It is
not necessary to file a separate application.
(2) “Additional Occupational Injury or
Occupational Sickness Benefits”: (3)Disability Benefits
The additional occupational injury or
occupational sickness benefits shall be When covered by the farmer occupational injury
insurance, the insured person suffers from
payable on a daily basis at the rate of injury or sickness because of his/her actual
70% of the doubled monthly insurance engagement in agricultural tasks and no further
amount of the insured person as at the improvement in his/her condition is expected
current month when the insured accident after medical treatment, the insured person may
occurs. If the insured person has not apply for disability benefits against occupational
recovered from the injury or sickness injury or sickness if he/she has been diagnosed
after one full year, the occupational injury as permanently disabled by a NHI-designated
or occupational sickness benefits are
medical institute and has met the disability
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