Regulations of Calculation and Adjustment of Labor Occupational Accident Insurance Merit Rating Article 6
The total amount of insurance benefits specified in the preceding Article includes the following benefits:1. Occupational accident cash payment: Injury and illness benefits, permanent disability benefits, death benefits, and disappearance benefits.2. Occupational accident medical benefits: The outpatient and inpatient medical benefits.The cash distribution for occupational accidents specified in Paragraph 1 of the preceding Paragraph shall be based on the verified cash distribution amount of the insurer during the calculation period. However, when the insured or the beneficiary receives permanent disability or survivor annuity benefits, it shall be calculated based on the lump-sum claim for permanent disability benefits or death benefits.The medical benefits for occupational accidents specified in Subparagraph 2 of Paragraph 1 shall be based on the number of medical benefits incurred during the calculation period.
中文原文 勞工保險職業災害保險實績費率實施辦法第6條
前條所定保險給付總額，包括下列給付：
一、職業災害現金給付：指傷病給付、失能給付、死亡給付及失蹤給付。
二、職業災害醫療給付：指門診及住院診療給付。
前項第一款所定職業災害現金給付，以計算期間內保險人現金給付核付金額為基準。
但於被保險人或受益人領取失能或遺屬年金給付時，應按其一次得請領失能給付或死亡給付之給付基準計算之。
第一項第二款所定職業災害醫療給付，以計算期間內實際發生之醫療給付金額為基準。
一、職業災害現金給付：指傷病給付、失能給付、死亡給付及失蹤給付。
二、職業災害醫療給付：指門診及住院診療給付。
前項第一款所定職業災害現金給付，以計算期間內保險人現金給付核付金額為基準。
但於被保險人或受益人領取失能或遺屬年金給付時，應按其一次得請領失能給付或死亡給付之給付基準計算之。
第一項第二款所定職業災害醫療給付，以計算期間內實際發生之醫療給付金額為基準。