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Taiwan - Provisions on Applying for Other Social Insurance

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Q:
If the insured applies to stay on leave without pay due to ordinary injuries and illnesses and continues to participate in labor insurance, if he is hospitalized for treatment due to injuries or illnesses, can he claim for injury or illness benefits?
A:
The labor insurance injury and illness benefit function is designed to provide the insured with compensation for salary shortfalls due to injuries and illnesses, so as to maintain a stable life. The insured person will continue to participate in labor insurance during the period of layoff due to ordinary injuries and illnesses. If the insured person is hospitalized for treatment due to an injury or illness, he or she may still receive injury and illness benefits upon request.

Q:
If the insured is hospitalized for treatment of ordinary injuries and illnesses while on leave of absence from work while raising a baby, can he claim for ordinary illness and injury benefits from labor insurance?
A:
The insured has no salary during the period of layoff due to childcare and continues to participate in labor insurance. If he is hospitalized due to injury or illness during the validity period of the insurance, he may claim general injury and illness benefits. In addition, the childcare leave-without-wage allowance and labor insurance injury and illness benefits are both in the nature of salary compensation. Based on the principle of non-duplication of social insurance protection, they cannot be claimed at the same time. Therefore, if the insured person has applied for childcare leave without pay allowance and is hospitalized during the period of claiming the allowance, he shall not be allowed to claim for injury or illness benefits at the same time.

Q:
Do those who receive compensation based on the original salary amount have to apply for injury and illness benefits?
A:
The employer provides compensation in the amount of original wages in accordance with regulations. However, the compensation is in the nature of compensation and is different from wages. Therefore, it is not considered "original wages". The insured may still claim compensation for occupational accidents in accordance with relevant regulations. Injury and injury benefits. The employer may still request the insured to offset the compensation fees that have been paid in advance in accordance with regulations.

Q:
After the insured suffered an occupational injury, he worked half a day and went to the hospital for rehabilitation and received part of his salary. Can he apply for occupational accident and injury benefits?
A: Labor insurance occupational injury and illness benefits are based on the requirement of being unable to work for more than 4 days due to injury or illness. Therefore, although the insured has an occupational accident, but still works every day, no matter the length of working time, he or she will not be eligible for payment. Apply for injury and illness benefits.

Q:
If the insured suffers from a major illness and has a major illness or illness card, can he apply for injury or illness benefits?
A: If the insured person under labor insurance is hospitalized for a common disease during the period in which the insurance is in effect and fails to receive his original salary, he may claim for common disease and injury benefits from the 4th day after being hospitalized and unable to work in accordance with regulations. The above benefits can only be claimed during hospitalization, and are not included in the scope of benefits during outpatient visits and home recuperation.

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