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PERTUBUHAN PERTUBUHAN KESELAMATAN SOSIALKESELAMATAN SOSIAL
ESTABLISHMENTESTABLISHMENT
Set up in 1971Set up in 1971Enforce Employees’ Social Security Act Enforce Employees’ Social Security Act
19691969Protection:Protection:
Medical careMedical careCash benefitsCash benefitsRehabilitationRehabilitation
Concept on socsoConcept on socso
Employers LiabilityEmployers Liability Who employs one or Who employs one or
more employees – more employees – required to register & required to register & contribute monthly for contribute monthly for all employeesall employees
EmployeeEmployee Earns a monthly wage Earns a monthly wage
RM3,000 or lessRM3,000 or less More than RM3,000:More than RM3,000:
Previously registered, Previously registered, must compulsorily must compulsorily continuecontinue
Not previously Not previously registered, can opt to registered, can opt to do so.do so.
Concept on socsoConcept on socso
Coverage:Coverage: All employee All employee
irrespective of the irrespective of the emplyment status, emplyment status, permanent, temporary permanent, temporary etcetc
Exemption:Exemption: Government Government
employeesemployees Domestic servantsDomestic servants Self employed personsSelf employed persons Foreign workersForeign workers
Concept on socsoConcept on socso
AGE:AGE: Must register Must register
irrespective of ageirrespective of age 55 and above wiil 55 and above wiil
continue to be continue to be protected (EIS-e’yer)protected (EIS-e’yer)
CONTRIBUTIONCONTRIBUTION Employees – 0.5% Employees – 0.5%
(IPS)(IPS) Employers – 1.75% Employers – 1.75%
(EIS & IPS)(EIS & IPS)
COVERAGECOVERAGE
EMPLOYMENT INJURY EMPLOYMENT INJURY SCHEMESCHEME Protection for accidents:Protection for accidents:
While travelingWhile traveling Arising out and in the Arising out and in the
course of employmentcourse of employment Occupational disease Occupational disease
INVALIDITY PENSION INVALIDITY PENSION SCHEMESCHEME Serious disablement or Serious disablement or
morbid condition of a morbid condition of a permanent nature that is permanent nature that is either incurableeither incurable
Unable to earn at least 1/3 Unable to earn at least 1/3 of normal personof normal person
24 hours coverage24 hours coverage Against invalidity or death Against invalidity or death
due to any cause not due to any cause not connected with his connected with his employmentemployment
BENEFITSBENEFITS
EISEIS Medical benefitMedical benefit Temporary disablement Temporary disablement
benefitbenefit Permanent disablement Permanent disablement
benefitbenefit Constant attendance Constant attendance
allowanceallowance Dependant’s benefitDependant’s benefit Funeral benefitFuneral benefit Rehabilitation benefitRehabilitation benefit
IPSIPS Invalidity pensionInvalidity pension Invalidity grantInvalidity grant Constant attendance Constant attendance
allowanceallowance Survivors pensionSurvivors pension Funeral benefitsFuneral benefits RehabilitationRehabilitation Educational loanEducational loan
Employment Injury SchemeEmployment Injury Scheme
Medical benefitsMedical benefits Occupational diseaseOccupational disease Treatment at SOCSO Treatment at SOCSO
panel clinic @ panel clinic @ government government Hospital/clinicHospital/clinic
Free – socsoFree – socso Serious injury – Serious injury –
to nearest government to nearest government hospitalhospital
22ndnd class ward-inpatient class ward-inpatient
Temporary Temporary disablement benefitdisablement benefit Unfit for work not less Unfit for work not less
than 4 daysthan 4 days Only during medical Only during medical
leaveleave Daily rate = 80% of Daily rate = 80% of
daily wage or min daily wage or min RM10 and max RM52RM10 and max RM52
Employment Injury SchemeEmployment Injury Scheme
Permanent disablement Permanent disablement benefitbenefit Cash – certified of Cash – certified of
permanent disablementpermanent disablement Loss 100% = 90% daily @ Loss 100% = 90% daily @
min RM10min RM10 Loss 20% or less = lump Loss 20% or less = lump
sum paymentsum payment Exceed 20% = 1/5 daily Exceed 20% = 1/5 daily
rate into lump sum and rate into lump sum and balance = monthly pensionbalance = monthly pension
Can continue workCan continue work
Constant attendance Constant attendance allowanceallowance Permanent total Permanent total
disablement (100% loss0disablement (100% loss0 Severely incapacitated & Severely incapacitated &
requires personal requires personal attendance of another attendance of another personperson
40% of rate total 40% of rate total disablement, max RM500disablement, max RM500
Employment Injury SchemeEmployment Injury Scheme
Dependant’s benefitDependant’s benefit If employees diesIf employees dies 90% of the daily wage90% of the daily wage
Employment Injury SchemeEmployment Injury Scheme
WidowWidow 3/53/5 For life until re-marriage wceFor life until re-marriage wce
ChildrenChildren 2/5 @ 2/5 @ 3/53/5
Natural/step/adopted/out of wedlock – Natural/step/adopted/out of wedlock – up to age 21 or marriage. 1up to age 21 or marriage. 1stst degree degree
WidowerWidower 3/53/5 Wholly depend on wife until Wholly depend on wife until remarriage or can support himself wceremarriage or can support himself wce
ParentsParents 4/104/10 For lifeFor life
GrandpareGrandparentsnts
4/104/10 For lifeFor life
Brothers & Brothers & sisterssisters
3/103/10 Up to age 21 or marriage wceUp to age 21 or marriage wce
Employment Injury SchemeEmployment Injury Scheme
Funeral benefitFuneral benefit RM1,500RM1,500 As resulted of EI or As resulted of EI or
while receiving while receiving disablement benefitsdisablement benefits
Next of kin @ personNext of kin @ person WILWIL
Rehabilitation benefitRehabilitation benefit Facilities for vocational Facilities for vocational
& physical & physical rehabilitationrehabilitation
trainingtraining
Invalidity Pension SchemeInvalidity Pension Scheme
Full qualifying conditionFull qualifying condition At least 24 months within At least 24 months within
40 consecutive months40 consecutive months 2/3 = at least 242/3 = at least 24 50% - 65% of monthly 50% - 65% of monthly
salarysalary
Reduced qualifying Reduced qualifying conditioncondition 1/3 = at least 241/3 = at least 24 50% 50%
Qualifying condition
• Has not completed age 55
• Certified by medical board
• Fulfilled the qualifying condition contribution
Minimum RM 250
Invalidity Pension SchemeInvalidity Pension Scheme
Invalidity grantInvalidity grant Paid for those who are Paid for those who are
not qualified for not qualified for Invalidity pensionInvalidity pension
At least 12 monthsAt least 12 months amount of the total amount of the total
contributionscontributions Outright paymentOutright payment
Constant attendance Constant attendance allowanceallowance Recipient of invalidity Recipient of invalidity
pensionpension 40% of the rate 40% of the rate
invalidity pensioninvalidity pension Max RM500 per monthMax RM500 per month
Invalidity Pension SchemeInvalidity Pension Scheme
Survivor’s pensionSurvivor’s pension Only if employee dies Only if employee dies
irrespective of the irrespective of the cause of deathcause of death
While receiving While receiving invalidity pensioninvalidity pension
Not more than 55 yearsNot more than 55 years
Rate:Rate: Invalidity pension = Invalidity pension =
equalequal If not = 50% - 65%If not = 50% - 65%
Funeral benefitsFuneral benefits While receiving While receiving
invalidity pensioninvalidity pension Before 55 ageBefore 55 age As EISAs EIS
CHALLENGESCHALLENGES
Increasing costIncreasing cost Investment issuesInvestment issuesEfficiency in processing claimsEfficiency in processing claimsPressures from mass mediaPressures from mass mediaPressures from NGOsPressures from NGOsMigrant workersMigrant workersFraudulent claimsFraudulent claims