Did you have an accident at work? ZUS pays PLN 1636 for 1% damage. fresh rules

The Social Insurance Institution introduced new, much higher rates of one-off compensation for accidents at work. Many workers do not realize that they can receive even a fewer tens of thousands of zlotys, and the procedure is simpler than is widely believed. The key amount is PLN 1636 for each percent of permanent or long-term injury. To receive money, just be covered by accident insurance and submit a complete application. Contrary to concerns about complex bureaucracy, ZUS declares its decision within 14 days of receipt of documents.

Unfortunately, the awareness of these powers is inactive low. Workers frequently quit their rights for fear of formalities or deficiency of cognition of current advanced stakes. Meanwhile, ZUS money can supply real financial support in a hard period after the accident, covering the costs of treatment, rehabilitation or compensation for lost income. It is worth learning the rules and checking how to get the right experience in a fewer simple steps.

Who can claim compensation from the Social safety Office? Key condition

The basic and absolutely crucial condition that opens the way for one-off compensation is accident insurance on the day of the incident. In practice, this means that almost all worker employed on the basis of a contract of employment is entitled to benefits, as the employer is obliged to pay for it. This entitlement besides applies to contract staff if they have been notified for this insurance and to self-employed persons who pay contributions voluntarily.

According to the Social Insurance Institution data, although the number of accidents at work remains comparatively stable, there is simply a increasing interest in investigating their rights. Despite this, labour marketplace experts are informing that a large group of victims inactive do not submit applications. The reasons are different: from the deficiency of cognition of their rights, the fear of a complicated procedure, to the fear of an employer's negative reaction. This is simply a large mistake, due to the fact that an accident benefit is the right of an employee, not the goodwill of an employer or of an office.

It is worth noting that the specified fact of an accident at the workplace or on the way to or from the workplace which caused the injury is already the basis for the procedure. It does not substance whether the wellness harm is tiny or serious – the amount of compensation is proportional to the degree of injury, and each percent is now valued at a specific, advanced amount.

Step by step procedure. How do I apply for money?

The process of seeking compensation from the Social safety Office is not as complicated as it might seem. The full is based on gathering and submitting 3 key documents. appropriate preparation of documentation importantly accelerates the decision-making and payment of funds. It is essential to apply only after treatment and rehabilitationwhen your wellness is stable.

Here is simply a list of the required documents:

• Application for one-off compensation (ZUS N-9) – this is the basic paper in which the injured individual makes a claim. It can be downloaded from the ZUS website or obtained from any facility.
• Accident protocol – a paper drawn up by the employer, which describes the circumstances and causes of the accident. The employer is obliged to prepare it and to give it to the employee. That's 1 of the most crucial evidence in the case.
• Health certificate (form OL-9) – it is done by your doctor. This paper confirms the completion of the treatment and rehabilitation process, which is simply a signal for ZUS that the degree of permanent injury to wellness can already be assessed.

A complete set of papers must be submitted to the ZUS office liable for the place of residence. According to ZUS in authoritative communications, the institution is trying to operate smoothly. Upon receipt of full documentation, the injured individual is called upon to the medical committee or to the doctor of the Social safety Office, who assesses the degree of injury. The decision to grant compensation is usually issued within 14 days of receipt of the medical certificateand payment of appropriations shall take place within 30 days of the decision being taken.

New higher stakes. How much precisely will ZUS pay for the accident at work?

From 1 April 2024, fresh higher compensation rates apply, which will be valid until 31 March 2025. The basis for calculating the benefit is the amount PLN 1636 for each percent of permanent or long-term injury. This means that even a tiny but permanent injury may be the basis for a fewer 1000 zlotys. For example, a judgement of 5% harm to wellness means payment of PLN 8180 and 10% is already PLN 16 360.

The amount of compensation shall be determined on a case-by-case basis by the medical examiner or medical board of the Social Insurance Institution. Below is simply a full list of current amounts depending on the situation:

• PLN 1636 – for all percent of permanent or long-term harm to health.
• 28 636 zł – by a decision of full incapacity for work and incapacity for the self-existence of the insured person.
• PLN 147 271 – one-time compensation for the spouse or kid of the deceased worker.
• PLN 73 635 – one-time compensation for another associate of the deceased household (e.g. parent).
• 28 636 zł – where another associate of the household is entitled to compensation after the deceased, alongside the spouse or children, each of them is entitled to that amount.

In the event of the death of a worker, the amounts may be importantly higher if respective household members are entitled. For example, erstwhile a spouse and 1 kid are entitled at the same time, the full amount of compensation will be 175,907 PLN (147,271 PLN + 28,636 PLN). This money is simply a real aid for a household that has lost its main host.

When can ZUS refuse to pay compensation? These situations exclude benefits

Although the right to compensation is broad, there are situations in which ZUS may refuse to pay the benefit. It is crucial for workers to be aware of these exemptions, as they avoid disappointment and realize the position of the office. A negative decision shall be issued where the accident has been caused by the employee’s sole responsibility as a consequence of a gross infringement.

Here are the most common reasons for refusing to pay compensation:

• Intentional or gross negligence of the employee: If an worker deliberately violated life and wellness regulations, and this violation was the only origin of the accident. An example of this is not the usage of mandatory individual protective equipment, specified as helmet or harness.
• Intoxicated or under the influence of drugs: If the injured individual has made a crucial contribution to causing an accident by being influenced by alcohol or psychoactive substances. ZUS has the right to verify this fact and the employer should supply appropriate research.
• No relation to work accident: The benefit is not granted if the event, although it occurred on the premises of the undertaking, was not related to the performance of the duties.

It is worth remembering that from all decision of the Social safety Office, including the refusal, an appeal to the labour court and social security within 30 days of receipt. This means that the negative decision of the office does not definitively close the way to assert its rights.

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Additional title proposals:

1. ZUS pays evidence amounts after the accident. Check how to get over PLN 1600 for 1%
2. fresh rates in ZUS are already valid. That's how much money you'll get for an accident at work.
3. You have 30 days to pay with ZUS. Just 3 papers to get thousands of gold