Enquiry about Group Insurance

Tool of Risk Transfer for  Employer:  The Group Insurance

 For the long-term growth and stability of your enterprise, it will be important to retain good employee.  They are a company's greatest assets.
Group Insurance is a good tool for you to retain employee and share the risk of your management.  You may choose a suitable insurance plan
for your company and your staff. Giving them a comprehensive life insurance plan means that they could focus on bringing their working
efficiency into full play. Group Insurance has the benefit that your employee can have the coverage of life insurance, Hospital & Surgical Health
Insurance, Accidental Death & Dismemberment (AD&D) Insurance...etc., in a lower cost but with a complete coverage.

Group Insurance also can share an employer's legal responsibility. For example, an employer shall pay
compensation to a worker who is injured, sick, incapacitated or killed due to occupational accidents
Labor Standards Act. But, there is a gap between  Labor Standards Act and Labor Insurance.

The Labor Insurance only pay part of the required amount by the Labor Standards Act. According to
the law, the employer must pay the different amount to the worker. With the Group Occupation Hazard
Insurance, the insurance company will pay this different amount to the worker.

The group insurance can share an employer's legal responsibility to pay the worker of the following items:
wage compensation( when the insured cannot work due to undergoing medical care resulted from
Occupational Accident),   the necessary medical expenses (under medical treatment is not able to work), 
disability compensation, funeral subsidy and survivors compensation.

We offer  a wide range of choices that meet the employer's need for cost management and, at the same time, serve to follow the local labor law
regulation.

Example:

The employer's legal responsibility:  to pay the different amount between Labor Standards Act and Labor Insurance

Situation: A worker incurred injuries resulting from traffic accidents occurred while he was on the way from daily residences to employment places.
He stayed in hospital for one month , then died .
His original monthly wage is NT$100,000，the salary base for Labor Insurance is NT$43,900(the maximum level of Labor Insurance).

Item	The difference	Calculation	Amount	The different amount (employer's legal responsibility)
Wage compensation ( under medical treatment is not able to work)				73,376
1.Paid by Labor Insurance	Period of the 4th day till the 30th day, based on 70% of the salary base for Labor Insurance	43,900/30(day)  x 70%  x  26(day) =1,024 x 26(day)	26,624
2. Employer's legal responsibility of       Labor Standards Act	30 days, based on original monthly wage	100,000	100,000
Death				2,524,500
1. Paid by Labor Insurance	45 months, based on the salary base for Labor Insurance	43,900 x 45(M)	1,975,500
2. Employer's legal responsibility of      Labor Standards Act	45 months, based on original monthly wage	100,000 x 45(M)	4,500,000

The Group Insurance products to cover employer's risk:

Employer's Risk	Group Insurance	Coverage Item
Medical Compensation Risk (injured, sick due to occupational accidents )	Group Supplement Hospital & Surgical Health Insurance	Hospitalization Medical Expense
	Group Hospital Indemnity Health Insurance	Fixed Daily Hospitalization Indemnity
	Group Daily Accident Hospital Indemnity Insurance	Accidental Injury Fixed Daily Hospitalization Indemnity
	Group Accidental-Medical Reimbursement Rider	Accidental Injury Hospitalization Medical Expense、 Accidental Outpatient Medical Expense
Wage Compensation Risk	Group Occupation Hazard Insurance	Wage Compensation when the insured cannot work due to undergoing medical care resulted from Occupational Accident
	Group Disability Income Health Insurance	Disability Compensation
	Group Accident Disability Income Insurance	Injury Disability Compensation
Disability Compensation Risk	Group Occupation Hazard Insurance	Disability resulted from Occupational Hazard
	Group Term Life Insurance	Total Disability
	Group Partial Accident Disability Rider	Partial Accident Disability
	Group Accidental Death & Dismemberment (AD&D) Insurance	Accidental Disability
Death Compensation Risk	Group Occupation Hazard Insurance	Death resulted from Occupational Hazard
	Group Term Life Insurance	Death
	Group Dread Disease Benefit Insurance	Death、Dread Disease
	Group Accidental Death and Disability Insurance	Accidental Death

The related labor laws:

Labor Standards Act ( 2009.04.22 Modified )

Article 59

An employer shall pay compensation to a worker who is injured, sick, incapacitated or killed due to occupational accidents on the following basis; provided that if,
in respect of the same accident the employer has already paid as compensation to the worker concerned in accordance with the provisions of the Labor Insurance Act
or other applicable statutes and administrative regulations, he may be exempted therefrom:

1. When a worker is injured or suffers from any occupational disease, the employer shall compensate him the necessary medical expenses. The categories of
    occupation-related diseases and the scope of medical treatment covered shall be governed by the relevant provisions of the Labor Insurance Act.

2. When a worker under medical treatment is not able to work, the employer shall pay him compensation according to his original wage. The employer shall be released
     from such compensation obligation upon making to the worker a lump sum payment equal to forty-months' average wages if the worker does not recover after two years
     of medical treatment, has been diagnosed and confirmed by a designated hospital as being unable to perform the original work, and yet does not meet the disability
     requirements under Item 3 hereof.

3. When after the termination of medical treatment the designated hospital has definitely diagnosed that the worker is disabled, the employer shall pay him a lump sum as
    disability compensation in accordance with the average wage, the degree of disability, and the standard of disability compensation prescribed in the applicable provisions
    of the Labor Insurance Act.

4. When a worker dies of occupational injury or disease, his employer shall pay funeral subsidy equal to five months of average wage and a lump sum survivors
    compensation equal to forty months of average wage. The said death compensation shall be paid to survivors in the following order:
    a. Spouse and children
    b. Parents
    c. Grandparents
    d. Grandchildren
    e. Brothers and sisters

　

Regulations Of The Examination Of Injuries and Diseases Resulting From The Performance Of Duties  By The Insured Persons Of The Labor Insurance Program

Article    4                                                                                                                                                All articles
Insured persons incur injuries resulting from accidents occurred while they are on and off duty, at proper time, on the way of round trips from daily residences to employment
places, or for another duty between employment places , injuries are considered as occupational injuries.
If insured persons are students of night schools or a business-education cooperation program, they incur injuries resulting from accidents occurred while they are on and off duty
directly on the way there and back from schools to employment places, injuries shall be considered as occupational injuries.

Article    5   
Insured persons incur injuries from accidents occurred by conditions as follows before and after the work, injuries shall be considered as occupational injuries:
1. In case accident occurs due to defects of employment places facilities or managements while they are before the beginning or on waiting of working.
2. Accident occurs due to the preparatory activity and the clearance activity of the work.
3. After finishing their works, workers use employment places facilities, which approbated by employers, and it occurs accidents due to defects of facilities.
4. Because of necessaries for managements of the labor service, or under the direction and supervision of employers, accidents occurs while workers take routine affairs such as
    accepting and giving back production appliances, or receiving wages on the way from a dining hall or a gather location to the workplace, or on the way from the work field to
    the affairs corporation location.

 Article    9   
Insured persons incur injuries from accidents occurred by official activities and reasonable ways on the period of leaving from their of daily residences or employment places,
 returning to daily residences or employment places after finish.

Article   15 
While participating in the leisure activity or other activities held by employers, insured persons incur injuries from accidents occurred by defects of facilities that employers
manage or offer, injuries shall be considered as occupational injuries.

Protection for Workers Incurring Occupational Accidents Act

Article 31

A business establishment contracts its work to a contractor; the contractor for the workers under the contract shall be jointly liable with the business
establishment for the compensation of occupational accident. The same stipulation applies to the subcontractor.
The business establishment or the contractor in the previous paragraph may claim for reimbursement for the portion borne from the employer of
worker incurring an occupational accident.
Standards for compensating the occupational accident stipulated in the previous two paragraphs shall follow the provisions of Labor Standards Act. The expense that
an employer of worker has already paid for the same incident in accordance with the Labor Insurance Act or other acts may offset the compensation.
　

Civil Code Part Two Obligations

Article 184(Damage compensate responsibility)

A person who, intentionally or negligently, has wrongfully damaged the rights of another is bound to compensate him for any injury arising there from.　The same rule
shall be applied when the injury is done intentionally in a manner against the rules of morals.
A person, who violates a statutory provision enacted for the protection of others and therefore prejudice to others, is bound to compensate for the injury, except no
negligence in his act can be proved.

Article 192（880421）

A person who has wrongfully caused the death of another shall also be bound to make compensation for the injury to any person incurring the medical expenses, increasing
 the need in living, or incurring the funeral expenses.
If the deceased was statutorily bound to furnish maintenance to a third party, the tortfeasor shall also make compensation to such third party for any injury arising there from.
The provision of the second paragraph of Article 193 shall apply to the compensation of the preceding paragraph.

Article 193

If a person has wrongfully damaged to the body or health of another, and caused the injured person to lose or decrease his laboring capacity, or to increase the need in living,
the tortfeasors shall be bound to make compensation to the injured person for any injury arising there from.
The court may, on the application of the parties, order the compensation of the preceding paragraph to be made in periodical payments of money, but the court shall compel
the tortfeasor to furnish security