On 31/01/2019, the General Director of Vietnam Social Insurance issued Decision No. 116/2019/QD-BHXH promulgating the process of settling the social insurance regimes and paying for health insurance. Social insurance, unemployment insurance, effective from 01/05/2019.
Accordingly, Decision No. 166/QD-BHXH stipulates a number of issues related to the first-time occupational accident and occupational disease regime. In this article, the author would like to mention the above problem in accordance with the current law.
The following terms are abbreviated:
• Social insurance: Social insurance
• Labor accidents: Labor accidents
• BNN: Occupational disease
• Labor skills: Labor ability
• GDYK: Medical assessment
In the process of settling the social insurance regimes and paying social insurance and unemployment insurance regimes (promulgated together with this Decision), it is prescribed for settlement of regime benefits. Occupational accidents and work-related diseases in the first case of occupational accidents and occupational diseases include:
• Minutes of appraising the level of labor impairment of the GCC Council or a copy of the certificate of HIV / AIDS infection due to occupational risks in case of HIV / AIDS infection due to occupational risks (equivalent to If labor productivity is reduced by 61%), if the job allocation is higher than the rate of 61%, the application for work-related diseases in this case must have a Minutes of Labor Contract.
• In case of inpatient treatment: Copy of hospital discharge or copy of medical record after treatment of occupational accidents or work-related diseases.
• In case of work-related diseases, but not inpatient treatment, there is an additional examination of work-related diseases.
• Appointment of medical examination and treatment facility, orthopedic facility, rehabilitation according to regulations on the PGSGS level (if any).
• Written request for settlement of occupational skills and occupational diseases regime according to form No. 05A-HSB.
• In case of payment of payment fees, there will be additional invoices and vouchers for collecting fees; a list of contents of the establishment’s evaluation of the production process.
For the settlement of the occupational health regime – BNN, the social insurance agency has abolished the stipulation that there must be a social insurance book, papers for examination and treatment of initial injury for outpatient cases and a number of documents proving that traffic accidents. Compared to the previous documents, this Decision incorporates the profile components of the procedures, specifically the composition of documents for cases of occupational accidents and work-related diseases that have been reduced and integrated into each other, no also separate as before. The content is more specific and clear, the composition of documents is also greatly reduced, which facilitates the employees in the process of finalizing documents, implementing procedures and enjoying the subsidy regime of me The reduction of profile components does not mean that the beneficiary will take advantage of that to deliberately benefit individuals, but the social insurance agency will have its own mechanism to control and manage closely, ensuring for employees who enjoy the most legitimate rights in accordance with the law.
Occupational accidents and work-related diseases are unavoidable issues of workers in the working process, along with the increasing number of employees participating in social insurance, the simplification of procedures is essential and unresolved. same helpful. In general, this decision is issued in favor of beneficiaries. Therefore, when this Decision came into effect, there was a great interest from workers as well as public opinion. This is a new breakthrough, a great improvement in the management of social insurance agencies.