Monday, February 7, 2011

GSIS Employees Compensation

 GSIS Employees Compensation

The Employees' Compensation (EC) benefits or disability benefits is a compensation package for public and private sector employees and their dependents in the event of work-related injury, sickness, disability or death. The EC is a purely employer-based contribution benefit. Thus, the employee is not required to contribute any amount to the program. The employee compensation benefits are in the following options:

1. Cash income benefits for disability or death
2. Medical and related services for injury or sickness
3. Rehabilitation services ( in addition to monthly cash income benefit) for permanent disability

The benefits given to the employee or his beneficiaries are in the form of:

1. Daily cash income benefit for temporary total disability (TTD)
2. Monthly cash income benefit for permanent total disability (PTD) on a lifetime basis
3. Monthly cash income benefit for permanent partial disability (PPD)
4. Monthly cash income benefit for death, also on a lifetime basis, except for benefit paid to secondary beneficiaries, which is a monthly pension not to exceed 60 months but not less than fifteen thousand pesos
5. Medical services, appliances and supplies for injury or sickness
6. Rehabilitation services for permanent disability
7. Carer's allowance for permanent disability.

The Compensability Conditions are as follows:

1. Injury must be the result of accident arising out of and in the course of employment.
2. Sickness must be listed /considered an "occupational disease"; or even if not listed as one, it must be shown that the risk of contracting the sickness is increased by the working conditions.
3. Disability/Death is caused by work-connected injury or sickness

There are exceptions to Compensability or injury, sickness, disability or death. These exceptions are applicable when any of these is due to the employee's:

1. Intoxication or drunkenness
2. Willful intention to injure or kill himself or another
3. Notorious negligence
4. Not work-related

Here are the Occupational Diseases under PD626

1. Papilloma of the bladder
2. Cancer, epithellomatous or ulceration of the skin or of the corneal surface of the eye
3. Cataracts
4. Deafness
5. Decompression sickness, Caisson disease, and Aeroembolism
6. Dermatitis due to irritants and sensitizers
7. Infections, namely: Anthrax, Brucellosis, Glanders, Rabies, Tuberculosis, Tularemia, Weill's disease, Q Fever or equine encephalomyelitis, Mite dermatitis
8. Ionizing radiation disease, inflammation, ulceration or malignant disease of the skin or subcutaneous tissues of the bones or leukemia or anemia of the aplastic type due to X-rays, ionizing particles, radium or other radioactive substances, namely: Acute radiation syndrome: Chronic radiation syndrome and Glass blower's cataract
9. Poisoning
10. Pneumoconiosis
11. Diseases caused by abnormalities in temperature and humidity
12. Vascular disturbance in the upper extremities due to continuous vibration from pneumatic tools or power drills, riveting machines or hammers
13. Viral hepatitis
14. Poisoning by cadmium
15. Leukemia and lymphoma
16. Cancer of the stomach and other lymphatic and blood forming vessels, nasal cavities and sinuses
17. Cancer of the lungs, liver and brain
18. Cardio-vascular diseases
19. Cerebro-vascular accidents
20. Malaria and schistosomiasis
21. Pneumonia
22. Hernia
23. Bronchial asthma
24. Osteoarthritis
25. Viral encephalitis
26. Peptic ulcer
27. Pulmonary tuberculosis
28. Viral hepatitis
29. Essential hypertension
30. Asbestosis

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