Labor Insurance Act Article 19

Upon the occurrence of a contingency covered by the insurance after the beginning and before the end of the effective period of the insurance, an insured person or his beneficiary may claim insurance benefit payments pursuant to the provisions of this Act.Insurance benefits payable in cash shall be computed on the basis of the insured's average monthly insurance salary and benefit standard. If the insured is employed by more than two insured units at the same time, the monthly insurance salary could be combined for computing his/her ordinary insurance benefit, however, the combined monthly insurance salary shall not exceed the highest level in the "Table of Grades of Insurance Salary for Labor Insurance". Provided that the insurance salary shall not be combined, when the insured person continuously joins the insurance coverage in less than 30 days.The calculating method for the average insurance salary in the former paragraph is as following:1. The average monthly insurance salary for Pension benefit and a lump sum old-age benefit: It is calculated by averaging the highest sixty monthly insurance salary during the period of joining insurance coverage; for those who joining the insurance coverage for less than five years, it would be calculated using the average monthly insurance salary for the actual insurance period. But for those who choose to claim a lump sum old-age benefit according to paragraph 2 of article 58, it is calculated by averaging the actual monthly insurance salary of the previous three years prior to the month the insured terminates the insurance; for those who has joined the insurance for less than 3 years, it is calculated using the average monthly insurance salary for the actual insurance period.2. The average monthly insurance salary for other benefit payable in cash: It is computed on the basis of average monthly insurance salary for the last six months prior to the month in which the insured contingency occurs; In case an insured person is paid on a daily-salary basis, his/her insurance benefits shall be determined by dividing his/her average monthly insurance salary by thirty.For the calculation of insurance benefit standard I paragraph 2, if the insured who has joined the insurance for less than one year, it is calculated proportionally using the actual number of months for joining the insurance coverage; for less than 30 days, it is calculated as one month.In case an insured person is a full-time fisherman, aviation or navigation worker, or a mine-worker, and is declared missing as a result of an accident which occurred in the course of fishing, aviation, navigation, or mining as the case may be, in addition to the insurance benefit claims under this Act, a special missing allowance equivalent to seventy percent (70%) of his average monthly insurance salary shall be payable at the end of every three-month period from the day the insured person is declared missing in the census registry until the day prior to (1) his return alive, (2) the expiration of one year after he was declared missing, or (3) he is declared dead by law, whichever happens first.In case an insured person has been missing for one year or has been declared dead by law, a claim for death benefit may be made in pursuance to the provisions of article 64.
中文原文 勞工保險條例第19條
被保險人於保險效力開始後停止前,發生保險事故者,被保險人或其受益人得依本條例規定,請領保險給付。
以現金發給之保險給付,其金額按被保險人平均月投保薪資及給付標準計算。
被保險人同時受僱於二個以上投保單位者,其普通事故保險給付之月投保薪資得合併計算,不得超過勞工保險投保薪資分級表最高一級。
但連續加保未滿三十日者,不予合併計算。
前項平均月投保薪資之計算方式如下:
一、年金給付及老年一次金給付之平均月投保薪資:按被保險人加保期間最高六十個月之月投保薪資予以平均計算;參加保險未滿五年者,按其實際投保年資之平均月投保薪資計算。
但依第五十八條第二項規定選擇一次請領老年給付者,按其退保之當月起前三年之實際月投保薪資平均計算;參加保險未滿三年者,按其實際投保年資之平均月投保薪資計算。
二、其他現金給付之平均月投保薪資:按被保險人發生保險事故之當月起前六個月之實際月投保薪資平均計算;其以日為給付單位者,以平均月投保薪資除以三十計算。
第二項保險給付標準之計算,於保險年資未滿一年者,依其實際加保月數按比例計算;未滿三十日者,以一個月計算。
被保險人如為漁業生產勞動者或航空、航海員工或坑內工,除依本條例規定請領保險給付外,於漁業、航空、航海或坑內作業中,遭遇意外事故致失蹤時,自失蹤之日起,按其平均月投保薪資百分之七十,給付失蹤津貼;於每滿三個月之期末給付一次,至生還之前一日或失蹤滿一年之前一日或受死亡宣告判決確定死亡時之前一日止。
被保險人失蹤滿一年或受死亡宣告判決確定死亡時,得依第六十四條規定,請領死亡給付。

English translation for reference only; the Chinese text prevails. Not legal advice.