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Social Security (SOCSO) / Perlindungan Keselamatan Sosial (PERKESO)

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Page 1: Social Security (SOCSO) / Perlindungan Keselamatan Sosial (PERKESO)
Page 2: Social Security (SOCSO) / Perlindungan Keselamatan Sosial (PERKESO)

SOCSOSOCIAL SECURITY ORGANIZATION

PERHUBUNGAN KESELAMATAN SOSIAL (PERKESO)

• Established in 1971 under Ministry of Human Resource.

• Administer, execute, enforce the Employees’ Social Security Act 1969and Employees’ Social Security (General) Regulations 1971 which are applicable to all industries having ≥ 𝟏 employees.

• Carries out accident prevention activities by increasing safety awareness and occupational health programmes amongst employers and employees.

Page 3: Social Security (SOCSO) / Perlindungan Keselamatan Sosial (PERKESO)

• Monthly wages ≤ 𝑅𝑀3,000

• ‘Once-In-Always-In’ Principle

• Monthly wages > 𝑅𝑀 3,000 ; based on mutual agreement between employee and employer by submitting a notice in specified form, together with form 2.

WAGES

• Permanent

• Temporary/Part time

• Probation

EMPLOYMENT STATUS

• Malaysian

• Permanent Resident

NATIONALITY

Who is eligible for SOCSO ?

Page 4: Social Security (SOCSO) / Perlindungan Keselamatan Sosial (PERKESO)

• Monthly wages > 𝑅𝑀 3,000

WAGES

• Employees of Federal and State Government

• Domestic servants

• Self-employed

• Spouse of a proprietor or partners

EMPLOYMENT STATUS

• Foreigners

NATIONALITY

Who is NOT eligible for SOCSO ?

Page 5: Social Security (SOCSO) / Perlindungan Keselamatan Sosial (PERKESO)

• Employer and his employees must be registered with SOCSO not later than 30 days on which the Act becomes applicable to industry.

• To register, an employer must complete Employer's Registration Form (Form1) & Employee's Registration Form (Form 2); can be done at any SOCSO counters ad Malaysia Corporate Identity (MyCoID).

• Employers must complete Form 2 for new employee even if the employee has previously contributed to SOCSO.

How to register?

Page 6: Social Security (SOCSO) / Perlindungan Keselamatan Sosial (PERKESO)

SOCSOSOCIAL SECURITY ORGANIZATION

PERHUBUNGAN KESELAMATAN SOSIAL (PERKESO)

Invalidity Scheme (IS)

Employment Injury Scheme (EIS)

Page 7: Social Security (SOCSO) / Perlindungan Keselamatan Sosial (PERKESO)

• Provides protection to an employee against accident or an occupational disease arising from his employment.

• Coverage:

– Industrial accidents while carrying out their duties

– Accidents while travelling

– Accidents during emergency

– Occupational diseases (as described in the Fifth Schedule of Employees’ Social Security Act 1969)

Employment Injury Scheme (EIS)

Page 8: Social Security (SOCSO) / Perlindungan Keselamatan Sosial (PERKESO)

• Accident or Occupational Disease Reports should be lodged with the following documents:

– Accident Report (Form 21) or Occupational Disease Report – PKS(P) 68 (if still working) ; Occupational Disease Notice – PKS(P) 69 (if resigned)

– Photocopy of Identification Card

– Photocopy of Attendance Record / Punch Card for the month of accident that is verified by the employer or a confirmation letter by the employer in the absence of Attendance Record or Punch Card

• Original Police Report

• Sketch of map showing starting point, travel route, place of accident and destination.

When To Report The Accident?Employers shall submit the claim form and other relevant documents to SOCSO within 48 hours upon notification of the accident.

Employment Injury Scheme (EIS)

Page 9: Social Security (SOCSO) / Perlindungan Keselamatan Sosial (PERKESO)

EIS BENEFITSMedical Benefit

Temporary Disablement Benefit

Permanent Disablement Benefit

Constant-attendance Allowance

Facilities for Physical & Vocational Rehabilitation

Dependants’ Benefit

Funeral Benefit

Education Benefit

Page 10: Social Security (SOCSO) / Perlindungan Keselamatan Sosial (PERKESO)

1. Medical Benefit

Employee receives free medical treatment at SOCSO’s panel clinic or government clinic/hospital until he is fully recover.

Employers or employees can claim for reimbursement of expenses of medical treatment at SOCSO’s non-panel clinic.

2. Temporary Disablement Benefit

Paid for the period the employee is on medical leave certified by a doctor for >𝟒 𝒅𝒂𝒚𝒔 including the day of accident.

Will not be paid for the days for which the employee works and earn wages during this period.

Daily rate= 80% of employee’s average assumed daily wage. Min= RM 30.00/day , Max= RM 78.67/day.

Page 11: Social Security (SOCSO) / Perlindungan Keselamatan Sosial (PERKESO)

3. Permanent Disablement Benefit

Can be claimed for permanent disability due to employment injury that reduces employee’s ability to perform his duties.

Claim must be made within 12 months from the last date of temporary disablement.

Daily rate= 90% of employee’s average assumed daily wage

(Min= RM 30/day , Max= RM 88.50/day).

4. Constant-attendance Allowance

Paid to an employee who is suffering from permanent total disablement and is severely incapacitated that he constantly requires the personal attendance of another person, as certified by Medical Board or Special Medical Board or The Appellate Medical Board.

Allowance= RM 500

Page 12: Social Security (SOCSO) / Perlindungan Keselamatan Sosial (PERKESO)

• v

5. Facilities for Physical & Vocational Rehab

Provided FOC to an employee with permanent disability.

Physical rehab: physiotherapy, occ. therapy, reconstructive surgery, supply of prosthetics, orthotics, orthopaedics apparatus and others.

Vocational rehab: training in courses like electrical, sewing, radio/TV repairing, typing, secretarial, etc.

6. Dependants’ Benefit

The employee’s dependants are entitled to this benefit should he die of employment injury.

Daily rate= 90% of the average assumed daily wage

(Min= RM 30/day, Max= RM 88.50).

Page 13: Social Security (SOCSO) / Perlindungan Keselamatan Sosial (PERKESO)

7. Funeral Benefit

Paid to the eligible person as prescribed in the Act, if the employee dies due to employment injury or while he is in receipt of disablement benefit.

In the absence of such person, the benefit will be paid to the person who incurs the expenditure.

Amount paid= actual amount incurred or RM 1,500 whichever is lower.

8. Education Benefit

Is in the form of loans or scholarships that may be provided to a dependent child of an insured person who dies as a result of employment injury and is in the receipt of permanent disablement benefit.

Page 14: Social Security (SOCSO) / Perlindungan Keselamatan Sosial (PERKESO)

An insured person shall be considered as suffering

from invalidity by reason of specific morbid

condition of permanent nature either incurable or

is likely not to be cured and no longer capable of

earning, by work corresponding to his strength and

physical ability, ≥ 𝟏 𝟑 of the customary earnings of a

sound insured person.

Invalidity Scheme (IS)

Page 15: Social Security (SOCSO) / Perlindungan Keselamatan Sosial (PERKESO)

Provides 24-hour coverage to

employee who suffers from

invalidity/death due to any cause and

not related to his employment.

Invalidity Scheme (IS)

Page 16: Social Security (SOCSO) / Perlindungan Keselamatan Sosial (PERKESO)

IS BENEFITSInvalidity Pension

Invalidity Grant

Constant-attendance Allowance

Survivor’s Pension

Funeral Benefit

Facilities for Physical and Vocational Rehab and Dialysis

Education Benefit

Page 17: Social Security (SOCSO) / Perlindungan Keselamatan Sosial (PERKESO)

Payable to insured person who have been certified invalid by Medical Board or Appellate Medical Board.

Payable from the date of invalidity notice is received OR from the employee’s resignation date (if he resigns after notice of invalidity is received by SOCSO).

Payable as long as employee is invalid or until death.

Replaced by Survivor’s Pension Benefit if the Invalidity Pension recipient dies.

1. Invalidity Pension Scheme (IPS)

Page 18: Social Security (SOCSO) / Perlindungan Keselamatan Sosial (PERKESO)

Qualifications:

• Not attaining 60 years old at the time invalidity notice is received.

• If the employee attained 60 years old at the time invalidity notice is received, he must show evidence of:– Suffering from a specific morbid condition of permanent

nature.– Incapable of engaging in any substantially gainful activities– Morbidity that has set in before 60 years old and has not

been gainfully employed since then.

• Certified invalid by Medical Board or Appellate Medical Board.

• Fulfills qualifying contribution conditions either full or reduced qualifying period.

Page 19: Social Security (SOCSO) / Perlindungan Keselamatan Sosial (PERKESO)

Full Qualifying Period

Monthly contribution paid for ≥𝟐𝟒𝒎𝒐𝒏𝒕𝒉𝒔within 40 consecutive monthsprior to the month in which the invaliditynotice is received by SOCSO.

Monthly contribution paid for > 𝟐 𝟑 of thecomplete months comprised between thedate when contribution first becomepayable and the invalidity notice isreceived by SOCSO. The total number ofmonthly contributions that has been paidwithin that period must be ≥ 24 𝑚𝑜𝑛𝑡ℎ𝑠.

50-65% of the average assumed monthlywage. Min of RM 475/month.

Reduced Qualifying Period

Monthly contributions paid for > 𝟏 𝟑of the complete months comprisedbetween the date when contributionfirst become payable and theinvalidity notice is received bySOCSO.

Total number of monthly contributionsthat has been paid within that periodmust be ≥ 𝟐𝟒𝒎𝒐𝒏𝒕𝒉𝒔.

Page 20: Social Security (SOCSO) / Perlindungan Keselamatan Sosial (PERKESO)

Payable to eligible dependants of an insured person who dies regardless of the cause of

death not related to employment.

Qualifications:– Insured person dies before 60 years old & fulfills qualifying

conditions of full or reduced qualifying period.

– Insured person who is a recipient of IPS dies regardless of age.

2. Survivor’s Pension

Page 21: Social Security (SOCSO) / Perlindungan Keselamatan Sosial (PERKESO)

Full Qualifying Period

Monthly contribution paid for ≥𝟐𝟒𝒎𝒐𝒏𝒕𝒉𝒔 within 40 consecutivemonths preceding the month of hisdeath; OR…

Monthly contribution paid for > 𝟐 𝟑 ofthe complete months comprisedbetween the date when contributionfirst become payable and the date ofhis death provided that the totalnumber of monthly contributions paidshall ≥ 24 𝑚𝑜𝑛𝑡ℎ𝑠.

50-65% of the average assumedmonthly wage. Min of RM 475/month.

Reduced Qualifying Period

Monthly contributions paid for > 𝟏 𝟑 of the complete months

comprised between the datewhen contribution first becomepayable and the date of his death.

Total number of monthlycontributions that has been paidwithin that period must be ≥𝟐𝟒𝒎𝒐𝒏𝒕𝒉𝒔.

50% of the average assumedmonthly wage.

Min of RM 475/month.

Page 22: Social Security (SOCSO) / Perlindungan Keselamatan Sosial (PERKESO)

3. Invalidity Grant

Payable to eligible insured person who have been certified invalid by Medical Board or Appellate Medical Board, but not qualified for invalidity pension.

4. Constant-attendance Allowance

Paid to an employee who is suffering from invalidity and is so severely incapacitated that he requires personal attendance of another person, certified by Medical Board/ Appellate Medical Board.

Allowance= 40% of the rate of such benefit. Max= RM 500/month.

Page 23: Social Security (SOCSO) / Perlindungan Keselamatan Sosial (PERKESO)

5. Facilities for Physical or Vocational Rehab and Dialysis

Provided FOC to an employee with permanent disability.

Physical rehab: physiotherapy, occ. therapy, reconstructive surgery, supply of prosthetics, orthotics, orthopaedics apparatus and others.

Vocational rehab: training in courses like electrical, sewing, radio/TV repairing, typing, secretarial, etc.

Dialysis facilities for CRF: Haemodialysis tx at SOCSO’s panel & non-panel dialysis center or Government Hospitals, CAPD, Subsidy for EPO injection and immunosuppressants, payment for AVF surgery.

6. Funeral Benefit

Paid to the eligible person as prescribed in the Act, if the employee dies due to employment injury or while he is in receipt of disablement benefit.

In the absence of such person, the benefit will be paid to the person who incurs the expenditure.

Amount paid= actual amount incurred or RM 1,500 whichever is lower.

Page 24: Social Security (SOCSO) / Perlindungan Keselamatan Sosial (PERKESO)

7. Education Benefit

Is in the form of loans or scholarships that may be provided to adependent child of an insured person who dies as a result of employmentinjury and is in the receipt of permanent disablement benefit.