Standards for Disability Benefits of Labor Insurance Article 6
If the insured persons' disability status meets the descriptions of disability in the Standards, they could claim for disability benefits. Except the disability pension claimed according to paragraph 2 of Article 53 of the Act, the disability benefits are paid in one lump sum according to the disability levels and days.The disability level is graded according to the following regulations:1. Disability that meets any one of the items in the Standards is judged according to the disability level of the item.2. If the disability meets any two or more items in the Standard, the disability level is awarded as the highest disability level except conforming to the regulations in paragraph 3 to paragraph 6.3. If the disability meets any two or more items between level 14 to level 1 in this Standards, the disability level is the highest level plus 1 level, but if the highest level is level, it is judged as level 1.4. If the disability meets any two or more items between level 8 to level 1 in this Standards, the disability level is the highest level plus 2 levels, but if the highest level is level 2, it is judged as level 1.5. If the disability meets any two or more items between level 5 to level 1 in this Standards the disability level is the highest level plus 3 levels, but if the highest level is level 3 or above, it is judged as level 1.6. If the disability does not meet any item defined in this Standards, the insurer could evaluate the degree of disability and compared with the disability status defined in this Standards to judge the disability level.7. According to the approved days for disability levels stipulated in paragraph 3 to paragraph 6, if the total of days exceeds the days calculated by individual disability, the total amount of days should be approved.
中文原文 勞工保險失能給付標準第6條
被保險人失能狀態符合本標準附表之項目,請領失能給付者,除依本條例第五十三條第二項規定請領失能年金者外,按失能等級之給付日數一次發給。
前項失能等級依下列規定審核辦理:
一、符合本標準附表之任何一項目者,按該項目之失能等級核定之。
二、符合本標準附表之任何兩項目以上者,除依第三款至第六款規定辦理外,按其最高失能等級核定之。
三、符合本標準附表之第十四等級至第一等級間任何兩項目以上者,按其最高失能等級再升一等級核定之。
但最高等級為第一等級時,按第一等級核定之。
四、符合本標準附表之第八等級至第一等級間任何兩項目以上者,按其最高失能等級再升二等級核定之。
但最高等級為第二等級以上時,按第一等級核定之。
五、符合本標準附表之第五等級至第一等級間任何兩項目以上者,按其最高失能等級再升三等級核定之。
但最高等級為第三等級以上時,按第一等級核定之。
六、不符合本標準附表所定之各項目時,得衡量其失能程度,比照同表所定之失能狀態,定其失能等級。
七、依第三款至第六款規定所核定失能等級之日數,超過各該失能等級分別計算日數之合計額時,應按其合計額核定之。
前項失能等級依下列規定審核辦理:
一、符合本標準附表之任何一項目者,按該項目之失能等級核定之。
二、符合本標準附表之任何兩項目以上者,除依第三款至第六款規定辦理外,按其最高失能等級核定之。
三、符合本標準附表之第十四等級至第一等級間任何兩項目以上者,按其最高失能等級再升一等級核定之。
但最高等級為第一等級時,按第一等級核定之。
四、符合本標準附表之第八等級至第一等級間任何兩項目以上者,按其最高失能等級再升二等級核定之。
但最高等級為第二等級以上時,按第一等級核定之。
五、符合本標準附表之第五等級至第一等級間任何兩項目以上者,按其最高失能等級再升三等級核定之。
但最高等級為第三等級以上時,按第一等級核定之。
六、不符合本標準附表所定之各項目時,得衡量其失能程度,比照同表所定之失能狀態,定其失能等級。
七、依第三款至第六款規定所核定失能等級之日數,超過各該失能等級分別計算日數之合計額時,應按其合計額核定之。