Occupational Accident Insurance
Scope of the insurance
The Occupational Accident Insurance is mandatory for workers and employees engaged in the main and auxiliary operations of enterprises classified as an economic activity with occupational injury levels equal or higher than the average for the country. Workers and employees subject to insurance protection against the occupational accident risk are determined by a written order of the employer following consultations with the Occupational Medicine Service and the committee/group in charge of occupational health and safety. The consultation is certified by a record.
Sum insured
The sum insured under the Occupational Accident Insurance is determined on the basis of the annual or monthly gross salary/wage of the insured workers and employees as at the time of signing the insurance but it cannot be less than seven times the annual gross salary/wage of the respective worker or employee for the 12 months preceding the policy signing date.
Insurance coverage:
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Death of the insured due to an occupational accident
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Permanently reduced work capacity due to an occupational accident
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Temporarily reduced work capacity due to an occupational accident
Possible additional coverage:
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Re-qualification expenses
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Funeral expenses
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Wheelchair expenses
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Medical expenses incurred due to an occupational accident
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Subsistence costs for hospital stay due to an occupational accident
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Home recovery after hospital stay due to an occupational accident
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Expenses for a Personal Assistant in the event of disability due to an occupational accident
Insurance compensations
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In the event of death due to an occupational accident, the full amount of the sum insured set at the time of signing the policy will be paid.
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In the event of permanently reduced work capacity due to an occupational accident, a percentage of the sum insured is paid equal to the percentage of the lost work capacity established by a competent authority in charge of the medical evaluation of the work capacity / i.e. the Territorial Expert Medical Commission (TEMC) or the National Expert Medical Commission (NEMC).
In the event of temporary disability due to an occupational accident, a percentage of the gross salary/wage will be paid for each month of temporary disability started, depending on the duration of the lost work capacity.