• Last updated:2022-06-14

Any insured person legally enrolled in the Labor Occupational Accident Insurance who has suffered from an occupational injury, illness, or accident and who has met the relevant criteria to claim benefits may claim five types of benefits medical treatment, injury/illness, disability, death, and disappearance.

• Benefits for medical treatment

　　Medical treatment benefits for occupational accidents are paid for outpatient and inpatient treatment. Any insured person suffering from an occupational injury or illness who visits a hospital or clinic designated under the National Health Insurance (NHI) system to receive treatment by providing an outpatient slip or inpatient application for occupational injury/illness may be exempt from a co-payment required for the NHI and entitled to a subsidy covering half of the cost of inpatient meals. In addition, any insured person using special materials covered by the NHI may be entitled to a subsidy covering any difference paid out-of-pocket.

• Benefits for injury/illness

　　Any insured person undergoing treatment who is unable to work due to an injury or illness caused during the performance of his/her duties and has therefore failed to receive his/her original salary will be paid benefits for injury/illness from the fourth day of his/her treatment. For the first two months, such benefits will be paid based on 100% of the average monthly insured salary of the insured person, and thereafter based on 70% of his/her average monthly insured salary, for a total period no longer than two years.

• Benefits for disability

　　In the case of any insured person suffering from an occupational injury or illness whose symptoms have remained unchanged after treatment, where further treatment still fails to improve the result of treatment, and where the insured person has been diagnosed to be permanently disabled by a hospital or clinic designated under the NHI system, he/she may claim a lump-sum payment or annuity for disability by the criteria of benefits if he/she has met the requirements of such criteria.

　　Depending on the level of disability of the insured person, the annuity for disability will be paid based on 70% (full disability), 50% (severe disability), or 20% (partial disability) of his/her average monthly insured salary.

• Benefits for death

　　Where an insured person has died due to an occupational injury or illness during the insurance period, any person paying the funeral cost may claim a funeral allowance equaling five months of the average monthly insured salary of the insured person (where any surviving family member of the insured person fails to meet the criteria of annuity or allowance for a surviving family member or where the insured person has no surviving family member, such allowance will be paid in a lump-sum amount equaling 10 months of his/her average monthly insured salary). Any surviving family member who has met the relevant criteria may claim an annuity based on 50% of the average monthly insured salary of the insured person. Any surviving family member who fails to meet the criteria for an annuity may claim a lump-sum payment.

• Benefits for disappearance

　　If the insured person suffers an accident in the course of duty, leading to disappearance, the disappearance benefit shall be paid based on 70% of the average monthly insured salary of the insured person.

• Source:Department of Labor Insurance
• Publication Date:2022-06-14
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