Regulations of Application for Occupational Accident Insurance Disability Benefits for Insured Person Diagnosed With Occupational Disease Withdrawn from Labor Insurance Article 2
According to the regulation of Article 20-1 of the Act, in addition to the certificates prescribed in Paragraph 1 of Article 68 of the Enforcement Rules of the Labor Insurance Act, applicants for occupational accident insurance disability benefits shall submit the following documents:1. Descriptions of the nature, content and duration of work, as well as of the work environment or toxic substance the applicant was exposed to before leaving the job.2. Certificate of occupational disease diagnosis.3. Proof of tests on the environment in which the insured has worked – where such proof is unavailable due to the original business operation has closed down, the applicant shall submit the record of medical treatment for the disease for at least one year and physical checkup results. If necessary, the applicant is required to provide related pathology and biopsy reports.Certificate of occupational disease diagnosis referred to in the preceding Subparagraph 2 issued with a diplomate in the hospital shall be meet at least one of the following required：1. Be a hospital rated as of the level of excellence or better by hospitals accreditation conducted by the competent central health authority.2. Be a medical center or regional hospital rated as qualified by hospitals accreditation conducted by the competent central health authority.3. Be a hospital rated as qualified by hospitals accreditation and teaching hospitals Accreditation conducted by the competent central health authority.4. Be a National Health Insurance contracted hospital or clinic of a diplomate with occupational medicine passed the specialist examination of the competent central health authority.The insured person who is in Penghu County,Kinmen County,Lienchiang County or other offshore islands, certificate of occupational disease diagnosis referred to in the second subparagraph of first paragraph in this Article may be issued from the origin National Health Insurance contracted hospital or clinic and is not restricted by the preceding paragraph.The insured person diagnosed occupational disease outside of the enforcement areas of this Act, certificate of occupational disease diagnosis referred to in the second subparagraph of first paragraph in this Article may be issued from the origin hospital or clinic and is not restricted by the preceding paragraph.Marble, coal and metal mine workers with pneumoconiosis shall not be required to submit the proof of tests on the work environment prescribed in the third subparagraph of first paragraph in this Article if they are unable to produce such proof.
中文原文 勞工保險被保險人退保後罹患職業病者請領職業災害保險失能給付辦法第2條
依本條例第二十條之一規定請領職業災害保險失能給付者，除依本條例施行細則第六十八條第一項規定檢具相關書件外，應另備下列文件：
一、離職前擔任工作之性質、內容、期間及暴露於何種作業環境或有害物等作業經歷報告。
二、職業病診斷書。
三、過去工作期間之工作環境檢測資料。
但原事業單位已關廠歇業，無法提出者，應檢附一年以上相關疾病之就醫紀錄及健康檢查資料，必要時提供相關病理切片報告。
前項第二款所定之職業病診斷書，應由符合下列條件之一者出具：
一、中央衛生主管機關醫院評鑑優等以上醫院之專科醫師。
二、中央衛生主管機關醫院評鑑合格醫學中心或區域醫院之專科醫師。
三、中央衛生主管機關醫院評鑑及教學醫院評鑑合格醫院之專科醫師。
四、全民健康保險特約醫院或診所經中央衛生主管機關甄審合格之職業醫學科專科醫師。
澎湖縣、金門縣、連江縣等離島地區者，其第一項第二款之職業病診斷書，得由原應診之全民健康保險特約醫院或診所之醫師出具，不受前項規定之限制。
本條例施行區域外者，其第一項第二款之職業病診斷書，得由原應診醫院或診所之醫師出具，不受第二項規定之限制。
從事石礦、煤礦、金屬礦業罹患塵肺症勞工，無法提出第一項第三款所定之環境檢測資料，得免附。
一、離職前擔任工作之性質、內容、期間及暴露於何種作業環境或有害物等作業經歷報告。
二、職業病診斷書。
三、過去工作期間之工作環境檢測資料。
但原事業單位已關廠歇業，無法提出者，應檢附一年以上相關疾病之就醫紀錄及健康檢查資料，必要時提供相關病理切片報告。
前項第二款所定之職業病診斷書，應由符合下列條件之一者出具：
一、中央衛生主管機關醫院評鑑優等以上醫院之專科醫師。
二、中央衛生主管機關醫院評鑑合格醫學中心或區域醫院之專科醫師。
三、中央衛生主管機關醫院評鑑及教學醫院評鑑合格醫院之專科醫師。
四、全民健康保險特約醫院或診所經中央衛生主管機關甄審合格之職業醫學科專科醫師。
澎湖縣、金門縣、連江縣等離島地區者，其第一項第二款之職業病診斷書，得由原應診之全民健康保險特約醫院或診所之醫師出具，不受前項規定之限制。
本條例施行區域外者，其第一項第二款之職業病診斷書，得由原應診醫院或診所之醫師出具，不受第二項規定之限制。
從事石礦、煤礦、金屬礦業罹患塵肺症勞工，無法提出第一項第三款所定之環境檢測資料，得免附。