Social Security (SOCSO) / Perlindungan Keselamatan Sosial (PERKESO)
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Transcript of Social Security (SOCSO) / Perlindungan Keselamatan Sosial (PERKESO)
SOCSOSOCIAL SECURITY ORGANIZATION
PERHUBUNGAN KESELAMATAN SOSIAL (PERKESO)
• Established in 1971 under Ministry of Human Resource.
• Administer, execute, enforce the Employees’ Social Security Act 1969and Employees’ Social Security (General) Regulations 1971 which are applicable to all industries having ≥ 𝟏 employees.
• Carries out accident prevention activities by increasing safety awareness and occupational health programmes amongst employers and employees.
• Monthly wages ≤ 𝑅𝑀3,000
• ‘Once-In-Always-In’ Principle
• Monthly wages > 𝑅𝑀 3,000 ; based on mutual agreement between employee and employer by submitting a notice in specified form, together with form 2.
WAGES
• Permanent
• Temporary/Part time
• Probation
EMPLOYMENT STATUS
• Malaysian
• Permanent Resident
NATIONALITY
Who is eligible for SOCSO ?
• Monthly wages > 𝑅𝑀 3,000
WAGES
• Employees of Federal and State Government
• Domestic servants
• Self-employed
• Spouse of a proprietor or partners
EMPLOYMENT STATUS
• Foreigners
NATIONALITY
Who is NOT eligible for SOCSO ?
• Employer and his employees must be registered with SOCSO not later than 30 days on which the Act becomes applicable to industry.
• To register, an employer must complete Employer's Registration Form (Form1) & Employee's Registration Form (Form 2); can be done at any SOCSO counters ad Malaysia Corporate Identity (MyCoID).
• Employers must complete Form 2 for new employee even if the employee has previously contributed to SOCSO.
How to register?
SOCSOSOCIAL SECURITY ORGANIZATION
PERHUBUNGAN KESELAMATAN SOSIAL (PERKESO)
Invalidity Scheme (IS)
Employment Injury Scheme (EIS)
• Provides protection to an employee against accident or an occupational disease arising from his employment.
• Coverage:
– Industrial accidents while carrying out their duties
– Accidents while travelling
– Accidents during emergency
– Occupational diseases (as described in the Fifth Schedule of Employees’ Social Security Act 1969)
Employment Injury Scheme (EIS)
• Accident or Occupational Disease Reports should be lodged with the following documents:
– Accident Report (Form 21) or Occupational Disease Report – PKS(P) 68 (if still working) ; Occupational Disease Notice – PKS(P) 69 (if resigned)
– Photocopy of Identification Card
– Photocopy of Attendance Record / Punch Card for the month of accident that is verified by the employer or a confirmation letter by the employer in the absence of Attendance Record or Punch Card
• Original Police Report
• Sketch of map showing starting point, travel route, place of accident and destination.
When To Report The Accident?Employers shall submit the claim form and other relevant documents to SOCSO within 48 hours upon notification of the accident.
Employment Injury Scheme (EIS)
EIS BENEFITSMedical Benefit
Temporary Disablement Benefit
Permanent Disablement Benefit
Constant-attendance Allowance
Facilities for Physical & Vocational Rehabilitation
Dependants’ Benefit
Funeral Benefit
Education Benefit
1. Medical Benefit
Employee receives free medical treatment at SOCSO’s panel clinic or government clinic/hospital until he is fully recover.
Employers or employees can claim for reimbursement of expenses of medical treatment at SOCSO’s non-panel clinic.
2. Temporary Disablement Benefit
Paid for the period the employee is on medical leave certified by a doctor for >𝟒 𝒅𝒂𝒚𝒔 including the day of accident.
Will not be paid for the days for which the employee works and earn wages during this period.
Daily rate= 80% of employee’s average assumed daily wage. Min= RM 30.00/day , Max= RM 78.67/day.
3. Permanent Disablement Benefit
Can be claimed for permanent disability due to employment injury that reduces employee’s ability to perform his duties.
Claim must be made within 12 months from the last date of temporary disablement.
Daily rate= 90% of employee’s average assumed daily wage
(Min= RM 30/day , Max= RM 88.50/day).
4. Constant-attendance Allowance
Paid to an employee who is suffering from permanent total disablement and is severely incapacitated that he constantly requires the personal attendance of another person, as certified by Medical Board or Special Medical Board or The Appellate Medical Board.
Allowance= RM 500
• v
5. Facilities for Physical & Vocational Rehab
Provided FOC to an employee with permanent disability.
Physical rehab: physiotherapy, occ. therapy, reconstructive surgery, supply of prosthetics, orthotics, orthopaedics apparatus and others.
Vocational rehab: training in courses like electrical, sewing, radio/TV repairing, typing, secretarial, etc.
6. Dependants’ Benefit
The employee’s dependants are entitled to this benefit should he die of employment injury.
Daily rate= 90% of the average assumed daily wage
(Min= RM 30/day, Max= RM 88.50).
7. Funeral Benefit
Paid to the eligible person as prescribed in the Act, if the employee dies due to employment injury or while he is in receipt of disablement benefit.
In the absence of such person, the benefit will be paid to the person who incurs the expenditure.
Amount paid= actual amount incurred or RM 1,500 whichever is lower.
8. Education Benefit
Is in the form of loans or scholarships that may be provided to a dependent child of an insured person who dies as a result of employment injury and is in the receipt of permanent disablement benefit.
An insured person shall be considered as suffering
from invalidity by reason of specific morbid
condition of permanent nature either incurable or
is likely not to be cured and no longer capable of
earning, by work corresponding to his strength and
physical ability, ≥ 𝟏 𝟑 of the customary earnings of a
sound insured person.
Invalidity Scheme (IS)
Provides 24-hour coverage to
employee who suffers from
invalidity/death due to any cause and
not related to his employment.
Invalidity Scheme (IS)
IS BENEFITSInvalidity Pension
Invalidity Grant
Constant-attendance Allowance
Survivor’s Pension
Funeral Benefit
Facilities for Physical and Vocational Rehab and Dialysis
Education Benefit
Payable to insured person who have been certified invalid by Medical Board or Appellate Medical Board.
Payable from the date of invalidity notice is received OR from the employee’s resignation date (if he resigns after notice of invalidity is received by SOCSO).
Payable as long as employee is invalid or until death.
Replaced by Survivor’s Pension Benefit if the Invalidity Pension recipient dies.
1. Invalidity Pension Scheme (IPS)
Qualifications:
• Not attaining 60 years old at the time invalidity notice is received.
• If the employee attained 60 years old at the time invalidity notice is received, he must show evidence of:– Suffering from a specific morbid condition of permanent
nature.– Incapable of engaging in any substantially gainful activities– Morbidity that has set in before 60 years old and has not
been gainfully employed since then.
• Certified invalid by Medical Board or Appellate Medical Board.
• Fulfills qualifying contribution conditions either full or reduced qualifying period.
Full Qualifying Period
Monthly contribution paid for ≥𝟐𝟒𝒎𝒐𝒏𝒕𝒉𝒔within 40 consecutive monthsprior to the month in which the invaliditynotice is received by SOCSO.
Monthly contribution paid for > 𝟐 𝟑 of thecomplete months comprised between thedate when contribution first becomepayable and the invalidity notice isreceived by SOCSO. The total number ofmonthly contributions that has been paidwithin that period must be ≥ 24 𝑚𝑜𝑛𝑡ℎ𝑠.
50-65% of the average assumed monthlywage. Min of RM 475/month.
Reduced Qualifying Period
Monthly contributions paid for > 𝟏 𝟑of the complete months comprisedbetween the date when contributionfirst become payable and theinvalidity notice is received bySOCSO.
Total number of monthly contributionsthat has been paid within that periodmust be ≥ 𝟐𝟒𝒎𝒐𝒏𝒕𝒉𝒔.
Payable to eligible dependants of an insured person who dies regardless of the cause of
death not related to employment.
Qualifications:– Insured person dies before 60 years old & fulfills qualifying
conditions of full or reduced qualifying period.
– Insured person who is a recipient of IPS dies regardless of age.
2. Survivor’s Pension
Full Qualifying Period
Monthly contribution paid for ≥𝟐𝟒𝒎𝒐𝒏𝒕𝒉𝒔 within 40 consecutivemonths preceding the month of hisdeath; OR…
Monthly contribution paid for > 𝟐 𝟑 ofthe complete months comprisedbetween the date when contributionfirst become payable and the date ofhis death provided that the totalnumber of monthly contributions paidshall ≥ 24 𝑚𝑜𝑛𝑡ℎ𝑠.
50-65% of the average assumedmonthly wage. Min of RM 475/month.
Reduced Qualifying Period
Monthly contributions paid for > 𝟏 𝟑 of the complete months
comprised between the datewhen contribution first becomepayable and the date of his death.
Total number of monthlycontributions that has been paidwithin that period must be ≥𝟐𝟒𝒎𝒐𝒏𝒕𝒉𝒔.
50% of the average assumedmonthly wage.
Min of RM 475/month.
3. Invalidity Grant
Payable to eligible insured person who have been certified invalid by Medical Board or Appellate Medical Board, but not qualified for invalidity pension.
4. Constant-attendance Allowance
Paid to an employee who is suffering from invalidity and is so severely incapacitated that he requires personal attendance of another person, certified by Medical Board/ Appellate Medical Board.
Allowance= 40% of the rate of such benefit. Max= RM 500/month.
5. Facilities for Physical or Vocational Rehab and Dialysis
Provided FOC to an employee with permanent disability.
Physical rehab: physiotherapy, occ. therapy, reconstructive surgery, supply of prosthetics, orthotics, orthopaedics apparatus and others.
Vocational rehab: training in courses like electrical, sewing, radio/TV repairing, typing, secretarial, etc.
Dialysis facilities for CRF: Haemodialysis tx at SOCSO’s panel & non-panel dialysis center or Government Hospitals, CAPD, Subsidy for EPO injection and immunosuppressants, payment for AVF surgery.
6. Funeral Benefit
Paid to the eligible person as prescribed in the Act, if the employee dies due to employment injury or while he is in receipt of disablement benefit.
In the absence of such person, the benefit will be paid to the person who incurs the expenditure.
Amount paid= actual amount incurred or RM 1,500 whichever is lower.
7. Education Benefit
Is in the form of loans or scholarships that may be provided to adependent child of an insured person who dies as a result of employmentinjury and is in the receipt of permanent disablement benefit.