• Title/Summary/Keyword: Workers' compensation insurance

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Coverage Method in German Workers' Compensation Insurance and Policy Implications: Focusing on Volunteers and Persons in Special Types of Employment (독일 산재보험제도의 적용방식과 시사점: 자원봉사자와 특수형태근로종사자 중심으로)

  • Kim, Sang Ho
    • 한국사회정책
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    • v.20 no.3
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    • pp.171-195
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    • 2013
  • One of the current issues in Workers' Compensation Insurance is about the coverage range. Korea uses the definition of worker under the Labor Standards Act in Workers' Compensation Act and solved the problems associated with the coverage range of insurance group by the exceptional clause only for the groups which was raised about the need for the social protection. The purpose of this paper is to draw implications for solving problems which are associated with the coverage range of insurance group by reviewing the German literature. We focus on volunteers and persons in special types of employment. German government supports the activity of volunteers by providing with the protection service against the accidents. This paper shows how the coverage range is extended from the dependent employees in the introduction of the Workers' Compensation Insurance to the people who need social protection focusing on the volunteers. The implications of this research are following. First, German system shows that Workers' Compensation Insurance can be extended to the groups which do not belong to the dependent employee but are worthy of protection. Second, it is necessary to provide volunteers in the social welfare system with the protection service against the accidents and the statutory accident scheme is recommendable to use. Third, volunteers in the social welfare system need to be compulsory insured. Fourth, Korea should find their own way in solving problems associated with persons in special types of employment.

Comparison of Health Care Utilization Patterns and Length of Stay Determinants between Fracture Patients with Workers' Compensation Insurance and National Health Insurance (건강보험 환자와 비교한 산재환자의 의료이용 행태와 재원일수 결정요인: 일부 골절환자를 중심으로)

  • Youn, Kyung-Il
    • The Korean Journal of Health Service Management
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    • v.9 no.4
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    • pp.131-144
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    • 2015
  • Objectives : This study investigated the health care utilization patterns and length of stay (LOS) determinants of fracture patients with workers' compensation insurance (WCI) and national health insurance (NHI). Methods : The discharge summary data of 4,394 WCI fracture patients were compared to 28,874 NHI patients. Health care utilization characteristics were compared with a logistic regression analysis, and the LOS determinants were identified with linear regression analysis. Results : The average LOS of the WCI fracture patients was 2.4 times higher than that of the NHI patients. WCI patients used more small or medium sized hospitals, and were more frequently admitted through the emergency room. Females, older patients and patients admitted through emergency room had a significant positive impact on LOS. Conclusions : Healthcare utilization by the WCI fracture patients may include medically unnecessary hospital stays. Therefore, policy makers need to respond appropriately to the inefficient use of health resources by WCI patients.

Safety Countermeasure in Industrial Accident Weakness Company (산재취약 기업의 안전대책)

  • 홍상우;이근희
    • Journal of Korean Society of Industrial and Systems Engineering
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    • v.17 no.29
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    • pp.47-61
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    • 1994
  • Today, we can see the more serious industrial accidents than in the past according to the high growth rate of industrial society. Therefore, from the corporate as well as the human viewpoint it pays to have workers adequately trained and safety - oriented. The cost of accidents is high in terms of medical insurance costs lost time on the job, legal fees for court cases, workers' compensation, disability insurance, and unemployment compensation. The cost of preventing occupational accidents or illnesses is much less then the cost of treatment or workers' compensation. In this study, we investigate the situations of industrial accidents and safety control of 277 coporates in Busan, analyze the causes of accidents and propose the countermeasures to each of causes.

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A Study on the Oriental Medical Insurance and the Industrial Accident Compensation in the Social Security System (사회보장제도(社會保障制度)로서의 한방의료보험(韓方醫療保險)과 산재보상(産災補償))

  • Yoon Young-Soo
    • Journal of Society of Preventive Korean Medicine
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    • v.1 no.1
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    • pp.137-148
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    • 1997
  • The Serial Securities and the Social Welfare, as the national policy aimed at securing generals' lives, are the policies or systems for the stabilization in lift; especially of law-incomers and workers, for which the povernment has to establish the Social Security System. No wonder the Social Insurance System is a part of the Social Security System and the most important. The Social Insurance System, along with Public Assistance, is underlying the Social Security System. Social Security System includes medical insurance, industrial accident Compensation insurance, national pention insurance and employment insurance. The study is on 'The Oriental Medical Insurance and the Industrial Accident Compensation in the Social Security System' . The rate of industrial accident in Korea marks the highest rank in the world. for laborer, industrial accident do not merely mean the loss of health but the question of the right to live in terms of their loss of opportunity of life. The industrial accident compensation system should be established as the es post facto remedy system to guarantee the injured worker and his/her family's life. The oriental medical insurance system which began to operate in 1987 in Korea is based on unionism and divided into 3 parts; one part for the worker, a second part for the community inhabitants, and a third part for the public service personnel and private school personnel. Today the medical problem must be the most important social assignment to be considered. The medical system of contemporary industrial society has began greatly stood out in relief as a part of social welfare not emphasized on gainings of physicians. Accordingly systematization of the oriental medical insurance was strongly Pursued and it was developed to to the extent of entire nation insurance. Though the history of it is very short, most of the people are getting benefit from the insurance system by the social security system method. This study develops the Oriental Medical Insurance, the Workmen's Accident Compensation Insurance, the Pension System in relation to the industrial accident compensation of Employees, along with the ideas and principles of social insurance.

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A Comparative Study on Seafarers' Industrial Accident Compensation System - Focusing on the German Legislation - (선원재해보상에 관한 비교법적 연구 - 독일의 법제를 중심으로 -)

  • Park, Jun-Mo;Park, Sung-Ho
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.28 no.4
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    • pp.567-576
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    • 2022
  • Seafarers are exposed to various unpredictable maritime risks due to the spatial specificity of the working environment of the sea; thus, sufficient compensation for injured crewmembers is needed. However, Korea does not provide such compensation. Therefore, this study attempted to examine the Maritime Labor Act and the Industrial Accident Insurance Act of Germany, an advanced European social insurance country, and derive implications compared to Korea. First, we investigated how compensations are managed by a public institution in Germany and by shipowners in Korea. Second, regarding the contents of accident compensation, Germany does not only provide continuous treatment and care through various support systems, but also operates various programs to enable a return to ship work. In contrast, Korea has a temporary compensation system that allows shipowners to avoid liability for accident compensation, which is disadvantageous to shipwrecked seafarers. Finally, in Germany, workers' compensation insurance is public, judged considering the origin of work, whereas in Korea, it is determined by shipowners or insurance companies. Therefore, it is necessary to establish a public institution in charge of crew accident compensation to ensure proper compensation for crewmembers in Korea and to improve the Seafarers Act or system to provide compensation for additional medical care, disability pension, and rehabilitation benefits.

A Study on the Non-Insurance Cost due to the Industrial Accident - On the focus of the Ulsan area cooperation - (산업재해로 인한 비보험비용에 관한 연구 - 울산지역의 중소기업을 대상으로 -)

  • 고성석;이태영
    • Journal of the Korean Society of Safety
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    • v.16 no.2
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    • pp.103-109
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    • 2001
  • When workers get accidents in doing their works, industrial accident insurance covers the compensation for the accidents. Generally, this kind of costs is applied in terms of Direct Cost. In our society circumstance to terminate the accident, many kinds of cost (Non-Insurance Cost) are also discharged. Non-Insurance Cost resulted from additional compensation for insurance allowance, is the important basic data source to estimate Loss Cost. Several studies have been done for the output of accident cost, but companies have difficult to apply these studies into practice and generalize the amount of accident loss cost. This study means to suggest improving solutions for the output of Accident Loss Cost and to reduce Opportunity Cost caused by Industrial Accident.

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Current Situation and Reform Scheme for Personal Care Attendants(PCAs) in Workers' Accident Medical Corporation (산재의료원 간병인 관리현황 및 개선방안)

  • Oh, Jin Joo;Lee, Hyun Joo;Choi, Jeong Myung;Kim, Chun Mi
    • Korean Journal of Occupational Health Nursing
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    • v.16 no.2
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    • pp.222-231
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    • 2007
  • Purpose: This study aims to suggest political alternatives for nursing care costs for PCAs to provide qualitative medical benefit for patients with occupational disease by investigating present situation and problems of the nursing care cost system of Korea's Industrial Accident Compensation Insurance. Methods: Data was collected from 6 workers' accident medical corporation and 275 nurses affiliated with Korea labor welfare corporation using self reported questionnaire. Result: Research results were as follows; Character of nursing care cost of the Korea's Industrial accident Compensation Insurance changed as if it aims to support for living expenses for the family; As possible problems which could be caused under current system, administrative problems, decrease of service quality were made as objects of criticism. Some patients did not make every effort in rehabilitation to be beneficiaries continuously. Some patients were supplied with whole one PCA or all-night PCA even though they did not need as much caring as such. Conclusion: The research suggested that PCAs payment system improvement is necessary, and the presented nurses' opinion for the improvement method could be applied for policy making.

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A Study about Circumstances and Perception of Construction Accident Compensation (건설업 재해처리에 대한 환경 및 인식변화 고찰)

  • Hong, Sung-Ho;Choi, Jin-Woo
    • Journal of the Korea Institute of Building Construction
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    • v.10 no.5
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    • pp.69-74
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    • 2010
  • It is the law that injured workers must be paid compensation through occupational health and safety insurance. But sometimes, construction companies cover the compensation for an accident by themselves in order to conceal the fact of an accident. The reason for this concealment is that they wish to get a high mark in PQ. From the point of view of a subcontractor, another reason is to avoid any negative consequences in bids. According to interviewees, some workers, knowing the vulnerability of their employers in this area, demand unreasonable levels of compensation. This study examined the circumstances, influences and participants' perception of accidents on construction sites.

Workers' Compensation of Semiconductor Leukemia Victims (S 전자 근로자 집단 백혈병 사건)

  • Baak, Young Mann
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.22 no.1
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    • pp.26-31
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    • 2012
  • Objectives: To review the occurrence of cancer cluster in S Electronics semiconductor factories, process of epidemiological researches and lawsuit for industrial accident compensation. Methods: Occupational Safety and Heatlh Research Institute (OSHRI) epidemiological research report, Seoul National University (SNU) field survey report and Seoul Administrative Court ruling were investigated. Result:: OSHRI denied the association between working environment and outbreak of cancers, but SNU survey team reported that carcinogens do exist in workplace and the workers are exposed to them. Seoul Administrative Court ruled that 2 victims got cancer due to hazardous chemicals in working environment and be compensated but 3 victims were not acknowledged. Conclusions: Procedure of current OSHRI epidemiological research should be reassessed by the purpose of Occupational Accident Compensation Insurance Law.

A Study on Application of Worker's Compensation Insurance to an Commuting-Time Accident (사업장 출.퇴근 재해의 산재보험적용에 관한 연구)

  • Kim, Byung-Suk
    • Journal of the Korea Safety Management & Science
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    • v.12 no.3
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    • pp.73-79
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    • 2010
  • Currently, in Korea, an accident that takes place during a worker's commuting is generally not considered as work-related accident. However, there are several exceptions such as an accident that occurs in commuting while using transportation provided by an employer, an accident that happens during commuting time that can be regarded as part of a business activity (e.g. tending to work instructed by an employer on the way to or from work), and an accident that is caused by insufficient facility management by an employer. It is even more so as the workers' commuting distance increases with expanding scale of a city, and traffic accident occurs more frequent. Social risk of commuting-time accident is on the rise. Under this circumstance, it is an important social issue to explore how to protect workers from commuting-time accident.