Chương I: Thông tư 14/2016/TT-BYT Những quy định chung

Chapter I

GENERAL PROVISIONS

Article 1. Scope

This Circular provides for:

1. List of diseases, the power to determine diseases eligible for lump-sum social insurance payout.

2. Documents and procedures for assessment of work capacity reduction as the basis for workers and their relatives to receive social insurance payout.

3. Issuance of discharge notes, birth certificate, copies of medical records, medical record summaries, confirmation of maternity leave, confirmation of poor postpartum health and confirmation of eligibility to receive social insurance benefits.

4. List of diseases that require long-term treatment in Appendix 1 enclosed herewith.

Article 2. Regulated entities

1. Workers participating in social insurance as specified in Clause 1 and Clause 4 Article 2 of the Law on Social insurance.

2. Workers specified in Clause 1 of this Article whose social insurance participation period is reserved or retired workers pending pension or monthly benefits; voluntary social insurance participants who have paid compulsory social insurance premiums for at least 20 years.

3. Relatives of dead workers who participated in social insurance applying for assessment of work capacity reduction to receive death benefits for workers (hereinafter referred to as worker’s relative)

Article 3. Definitions

For the purpose of this Circular, the terms below are construed as follows:

1. Worker means an employee who participates in compulsory social insurance in accordance with the Law on Social insurance.

2. Sick leave means a period of time over which a worker is not healthy enough to work and is required by a physician to take a sick leave.

3. First assessment means the first assessment of work capacity reduction of a person who:

a) suffers from an occupational accident;

b) suffers from an occupational disease;

c) is participating in social insurance or having social insurance participation period reserved;

d) is a relative of a social insurance participant and has reduced work capacity that needs monthly benefits;

dd) suffers from any of the diseases specified in Clause 6 Article 4 of this Circular;

4. Reassessment means assessment from the second time onwards of work capacity reduction of a person who suffers from a disease or disability because of an occupational accident or occupational disease which recurs or develops after assessment.

5. General assessment means general assessment of work capacity reduction of a person who suffers from both an occupational accident and an occupational disease; suffers from multiple occupational accidents or multiple occupational diseases.

6. Assessment by Central Medical Assessment Council means an assessment carried out by Central Medical Assessment Council in the cases beyond the capacity of a Provincial Medical Assessment Council.

7. Reassessment by Central Medical Assessment Council means a reassessment carried out by Central Medical Assessment Council after an appeal against the result given by Provincial Medical Assessment Council is filed.

8. Final reassessment means the final reassessment carried out by a Medical Assessment Council established by the Minister of Health after an appeal against the result given by Central Medical Assessment Council is filed.

9. Valid copy means a copy that is extracted from the original book or authenticated by a competent authority or has been compared with the original.

10. Medical record summary means the summary of a medical record prescribed by regulations of law on medical examination and treatment.