According to the Law of the Republic of Kazakhstan “On Compulsory Insurance of Employee against Accidents in the Performance of Job Duties”, each employer is obliged to conclude an insurance contract in relation to their employees. In case of insured event, the insurer makes payments to the injured employee or his dependents in the event of his death. The life insurance company Freedom Finance Life told about this insurance policy and how to get payments under it.
When concluding an agreement with LIC, financial protection of employees in case of accident at work is provided.
This insurance covers two following risks:
The first is the loss of professional ability to work (due to an industrial injury or occupational disease). According to the legislation of the Republic of Kazakhstan, the degree of loss of professional ability to work is set from 5 to 100% inclusive. The insurer makes monthly insurance payments due to the employee as compensation for harm associated with the loss of wages by the employee if the degree of occupational disability established for him is from thirty to one hundred percent inclusive. Also, if, as a result of an insured event, the injured employee incurs additional medical expenses caused by damage to health and the degree of loss of professional ability is assessed for him, then the injured employee has the right to submit the documents to the LIC for expense reimbursement.
The second is the employee’s passing. In this case, the monthly insurance payment is received by persons who are dependent on the deceased (children, spouse, or parents, if they are recognized as legal beneficiaries).
To make payments, the extent of damage associated with loss of wages due to death of the insured or assessment of the degree of loss of the capacity is determined in accordance with the requirements of the Civil Code of the Republic of Kazakhstan.
Besides, in the event of the injured employee’s death, the person who takes care of burial is reimbursed by the Insurer in the amount of one hundred monthly calculation indices.
What do you need to receive insurance coverage?
In accordance with the Law of the Republic of Kazakhstan “On compulsory insurance of employee against accidents in the performance of his labor (service) duties”, in order to receive insurance payouts, first of all, it is necessary to notify the insurer within the time limits established by law and the insurance agreement, and then submit the insurance claim.
When assessing the degree of loss of occupational capacity, the following documents are attached to the claim:
- Insurance contract copy;
- Accident report;
- Copy of the identity card of the injured worker;
- Copy of the certificate of the authorized body regional division on assessment of occupational disability;
- Copy of the certificate of the authorized body regional office on the need for additional assistance and care;
- Documents confirming the actual expenses incurred for medical treatment (invoice, cash receipt, etc.);
- Copy of the certificate of the authorized body regional division on the amount of assigned social benefits in case of disability or refusal to assign it;
- Copy of the document confirming the occupational disease issued by a healthcare organization providing specialized medical and expert assistance in the field of occupational pathology;
- Copy of the salary statement certified by the employer, confirming the amount of wages of the victim for the working period (but not more than twelve months).
In the event of the employee’s death:
- Copy of the insurance contract;
- Accident report;
- Notarized copy of the employee's death certificate;
- Notarized copy of the document confirming the right of the beneficiary to compensation for harm in the event of the employee’s death;
- Copy of the identity card of the beneficiary;
- Copy of the document confirming the amount of wages for the period worked by the deceased employee, but not more than twelve months, certified by the employer.
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